scholarly journals EFFECTIVENESS OF A NEED BASED ORAL CARE PROTOCOL ON ORAL HEALTH STATUS, OCCURRENCE AND PROGRESSION OF PNEUMONIA AMONG VENTILATED PATIENTS

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Manisha Devi Saklani ◽  
Mini George ◽  
Sarita Nadiya

Background: Ventilated patients with chronic liver diseases are at more risk of developing gingival bleeding and oral mucosal lesion. Purposes: The objective of the present study is to evaluate the Effectiveness of a Need Based Oral Care Protocol on Oral Health Status, Occurrence and Progression of Pneumonia among ventilated patients. Methods: Quasi experimental time series design was used. Fifty ventilated patients were randomly allocated to study (n=27) and comparison (n=23) groups. Severity of illness was assessed by APACHE II score. Occurrence of Pneumonia was assessed using Microbiological profile. The CPIS score was assessed for assessing Progression of Pneumonia and to rule out HAP. Need for oral care and Oral Health Status was assessed daily in terms of frequency of oral care as assessed by MBOAS score. Need based Oral care as per American Association of Critical Care Nurse was provided by the researcher to the patients in the study group. Comparison group received routine oral care as per the existing guidelines by the staff on duty. Assessment of the oral health status was done using MBOAS. Results: The findings related to Oral Health Status showed that the mean MBOAS scores differed significantly (F=5.82, P =0.001), across the time; and across the groups over time (F=19.16, p=0.001). The results of Microbiological Profile revealed that the most common causative organism for VAP in both the Study and Comparison group on day three as well as on day six were Klebsiella Pneumonia, Staphylococcus, Acinetobacter Baumanni, Pseudomonas and gram-negative bacteria. In terms of occurrence of Pneumonia there was statistically significant difference found between the groups on day three (?2= 5.83, p=0.05) and on day six (?2= 7.40, p=0.02). There was significant difference seen between the groups in the Progression of Pneumonia with time from day 1 to 6 (F=39.90; p=0.001), and also across the groups over time (F=5.14, p=0.03). A significant relationship (r=0.66, p=

Author(s):  
Bhakti Datar ◽  
Amit Kumar ◽  
Bhumika Badiyani

Good oral care and adapting to proper tooth brushing technique can be a difficult task for the visually impaired individuals. Unlike the normal individuals, visually impaired ones cannot suspect the early dental problem in their oral cavity till it is symptomatic simply because they cannot visualize the intricacies of it. Hence, assessment of the oral health status in the visually impaired individuals and teaching them preventive oral care are extremely important for them. Objective: The study was undertaken to compare and assess the oral health status of the visually impaired students before and after giving them oral care instructions. Materials and Methods: A group of 120 visually impaired students was selected. They were subjected to simple dental examination and were given oral care instructions verbally. Proper tooth-brushing technique was taught to them individually. The subjects were evaluated as per the need of dental restorations, extractions, orthodontic treatment, oral prophylaxis and good dentition subjects needing no dental treatment. The same subjects were re-evaluated after four months under similar guidelines. The data collected from both the phases of dental examination was compared and subjected to analysis. Results: The present study did not show much of improvement of statistical significance though it did not show much of worsening in the oral health status of the visually impaired subjects as well. Summary and conclusion: The study emphasizes the serious need for repetitive and collective efforts with multi-dimensional cross-involvement for the better oral health status of the visually impaired individuals in the society. Key Words: Visually impaired, oral health, instructions, tooth-brushing technique.


2017 ◽  
Vol 18 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Jagan K Baskaradoss ◽  
Abdulaziz M AlBaker ◽  
Fahad F AlBaqami ◽  
Tariq M AlHarbi ◽  
Mohammad D AlAmri

ABSTRACT Introduction The purpose of this study was to compare the oral health status and its effect on the oral health-related quality of life (OHRQoL) of hospitalized and nonhospitalized elderly patients in a single community. The null hypothesis for the study states that there is no difference in the oral health status and OHRQoL between hospitalized and nonhospitalized elderly patients. Materials and methods This study was conducted at the King Khalid Hospital and College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. A total of 99 (43 – hospitalized and 56 – nonhospitalized) geriatric patients participated in this study. Oral health-related quality of life was estimated using the geriatric oral health assessment index questionnaire. Decayed, missing, and filled teeth (DMFT) index and plaque index were used to assess the oral health status of the study participants. Results The mean age of the study participants was 68.2 years; 17.2% were females and 82.8% were males. There was no significant difference between hospitalized and nonhospitalized patients in OHRQoL and DMFT index. However, the oral hygiene status was better among nonhospitalized patients as compared with hospitalized patients. Conclusion There was a significant difference in the oral hygiene status between hospitalized and nonhospitalized geriatric patients. Clinical significance Caregivers must be sensitized to the importance of oral health for the elderly population, and oral health should be considered an integral component of general health. How to cite this article AlBaker AM, AlBaqami FF, AlHarbi TM, AlAmri MD, Baskaradoss JK. Oral Health Status and Oral Healthrelated Quality of Life among Hospitalized and Nonhospitalized Geriatric Patients. J Contemp Dent Pract 2017;18(3):228-233.


2017 ◽  
Vol 30 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Abdullah Haghighi ◽  
Vida Shafipour ◽  
Masoumeh Bagheri-Nesami ◽  
Afshin Gholipour Baradari ◽  
Jamshid Yazdani Charati

Author(s):  
Ahmad Faisal Ismail ◽  
Colman Patrick McGrath ◽  
Cynthia K.Y. Yiu

AbstractBackground:The aim of this study was to compare the oral health status of children with type 1 diabetes and healthy controls.Methods:This comparative study involved 64 children, 32 children with type 1 diabetes and 32 age- and gender-matched controls. Oral health examination was conducted using WHO criteria. Dental caries experience was recorded using DMFT/dmft index and periodontal parameters were assessed using plaque, gingivitis, gingival bleeding and calculus indexes. Dental caries and periodontal parameters between the two groups were compared using the Mann-Whitney U-test.Results:Children with diabetes exhibited significantly greater plaque deposits (p=0.01) and a higher mean plaque index (p<0.01), when compared to healthy subjects. No significant difference in DMFT and dmft scores, mean bleeding index, calculus index and gingival index was found between the two groups.Conclusions:Children with type 1 diabetes had a poor oral health status with greater plaque accumulation than children without diabetes.


Author(s):  
Maha H. Alamri ◽  
Reem A. Alqahtani ◽  
Norah A. Alqahtani ◽  
Wejdan A. Shobeili ◽  
Rafi A. Togoo ◽  
...  

Background: This study aimed to assess the oral health status and dental treatment needs of children with Sickle Cell disease (SCD) in Abha and Khamis Mushait cities of southern Saudi Arabia.Methods: A total of 82 children were included in the study, 41 children with SCD and 41 control group. A total of 82 children having age group of 2 to 13 years from Abha and Khamis Mushait cities of southern Saudi Arabia were examined. The clinical examinations were performed by experienced clinicians in those children who fulfilled the required inclusion criteria. Intraoral examination was done using Decayed-Missing-Filled Teeth Index (DMFT Index) and other dental conditions were examined. Statistical analysis was done with Chi square test and level of significance was set at p<0.05.Results: Prevalence of dental caries was shown between the 2 groups of children i.e., SCD and control. When SCD was compared with control group, the Mean ±Standard deviation for decayed missing filled tooth was found to be DMFT= 6.95±4.79, 8.02±4.33 respectively. Statistically no significant difference was found (P=0.290). 17.1% of children with SCD group has gingivitis compared to control group which is 7.3%. Statistically no significant difference was found (P=0.177). Dental trauma, deleterious oral habits and tooth brushing amount SCD children were shown no statistically significant compared to control group.Conclusions: In the present study no significant difference was evident in dental diseases and treatment needs among SCD and Control group.


2019 ◽  
pp. 37-44
Author(s):  
Gauri Vanjari ◽  
Khushi Bhavsar ◽  
Rucha Kulkarni ◽  
Hiral Bulsara ◽  
Gabriela Fernandes

Despite recent development and research in the field of prosthodontics, partial and complete dentures are the most sought after treatment for the rehabilitation of the lost dentition. However, little is known with regard to the patient’s knowledge, awareness and experience of denture cleansers. The success of the denture depends not only on accurate clinical and technical procedures carried out by the dentist but also on denture hygiene care practices followed by the patients. When an acrylic denture is placed in the mouth, a pellicle of glycoprotein develops that eventually becomes contaminated with oral debris and microorganisms. This renders the denture with an unpleasant taste and odour over time. Moreover, it favors the growth of candida microorganism in the denture, thereby leading to mucosal irritation. Denture care is, therefore, an imperative step to maintain denture quality, aesthetics, and longevity to ensure good oral health status. Hence, the basic objective of this study was to investigate awareness and knowledge about denture cleansers among patients wearing dentures. Keywords: Dentures; Denture hygiene; Denture cleaning aids; Survey


2018 ◽  
Vol 20 (3) ◽  
pp. 244-251
Author(s):  
Vajihe Atashi ◽  
Ahmadreza Yazdannik ◽  
Hosein Mahjobipoor ◽  
Hojjatollah Yousefi ◽  
Reza Bekhradi ◽  
...  

Author(s):  
Avijit Avasthi ◽  
Girish M Sogi ◽  
Koratagere L Veeresha

ABSTRACT Aim To assess the oral health status and felt needs of patients admitted to medical/surgical wards. Materials and methods The cross-sectional study included 346 patients who were recruited from medical/surgical wards. Dental parameters were recorded using the World Health Organization (WHO) Oral Health Assessment Form for Adults, 2013. Results Mean age of patients was 40.77 [standard deviation (SD) ± 14.4] years; 36.4% aged > 45 years and 32.9% educated beyond 10 years of education. 77.2% used toothbrush and 75.7% toothpaste for cleaning of teeth. 91% brushed their teeth at least once a day and 77.7% performed tongue cleaning. Greater number of decayed teeth (3.43 ± 3.38) were seen in those educated ≤ 10 years when compared with those educated beyond this level (2.43 ± 2.55). Participants with low education attainment and higher age group (>45 years) had significantly more teeth missing due to caries/other reasons, and with deeper periodontal disease. Conversely, higher educated and younger aged group (<45 years) participants had significantly greater mean number of sound teeth and teeth without gingival and periodontal abnormalities. There was no significant difference between smokers and nonsmokers, those who ever visited a dentist or not, practicing or not practicing oral hygiene, using tobacco or not, those with diabetes mellitus and/or hypertension or without these conditions. Nearly 80% of the patients felt no requirement for dental treatment. Conclusion Despite adherence to oral hygiene practices, the oral health status of patients admitted to medical/surgical wards was poor. How to cite this article Avasthi A, Sogi GM, Veeresha KL. Oral Health Status and Treatment Needs of Inpatients at a Medical College Hospital in Haryana. J Postgrad Med Edu Res 2018;52(1):5-11.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Małgorzata Radwan-Oczko ◽  
Irena Duś-Ilnicka ◽  
Pamela Richards ◽  
Anna Marie Thomsen ◽  
Claus Rasmussen

Objective. Rheumatoid arthritis (RA) and periodontal disease (PD) are common chronic, immunoinflammatory, destructive, and progressive diseases; however, the correlations between those two are not yet widely discussed. The purpose of this study was to evaluate the relationship between the selected demographic and clinical parameters of RA patients and oral health status parameters, on the basis of self-assessment. Materials and Methods. Three hundred patients under treatment were included in the study. Questionnaires were completed by 164 out of 300 patients. Results. A total of 100 females and 64 males took part in the study, with a mean age of 65 ± 11.1 years. In younger patients, the disease activity score (DAS28) was higher, and it was associated with pain or discomfort in the oral cavity and with difficulties in toothbrushing. Discomfort or pain in the oral cavity was to a significant extent associated with the poor gingival state, gingival bleeding, and difficulties in biting or chewing. Conclusions. In RA patients, difficulties in biting or chewing, discomfort or pain in oral cavity, feeling of the presence of movable teeth, and gingival bleeding are indications of periodontal infection. Maintaining awareness of oral health and RA is a key issue in the simultaneous management of proper oral care and RA due to the mutual influence of those two factors.


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