Effects of Preventive Knowledge about Two Major Oral Diseases on the Correct Use of Oral Hygiene Products and Oral Disease Preventive Practice of Middle-Aged Class

RESUMO O objetivo do presente estudo foi analisar a importância da presença do cirurgião-dentista em equipe multidisciplinar nas Unidades de Tratamento Intensivo (UTIs). Para tanto, foram selecionadas 11 unidades hospitalares do Estado do Rio de Janeiro. Como instrumento de pesquisa utilizou-se um questionário semiestruturado entregue aos profissionais responsáveis pelos cuidados da saúde bucal dos pacientes com variáveis relacionadas a procedimentos de higiene bucal e presença de doenças orais nos pacientes internados nestas unidades. Os resultados demonstraram que em 100% dos hospitais não foi encontrado um cirurgião-dentista na equipe multidisciplinar das UTIs. Em 72,70% das unidades era o enfermeiro, o profissional da saúde, responsável pelos procedimentos de higiene bucal dos pacientes internados. Este procedimento era realizado em 45,50% das unidades, duas vezes ao dia, sobre orientação de um profissional não especializado em 81,82% dos casos. Grande parte dos pacientes apresentava desordens bucais, como mau-hálito, cárie, gengivite e tártaro, e apesar disso não existia um profissional qualificado responsável pelo tratamento dessas enfermidades, sendo assim em 100% das unidades as doenças bucais não eram tratadas. Conclui-se que apesar da real e grande necessidade de um cirurgião-dentista nessas unidades, reconhecida inclusive pela maioria dos profissionais responsáveis pela higiene bucal, esta presença ainda não é efetiva, o que dificulta assim o correto tratamento de desordens bucais podendo contribuir para o surgimento e/ou agravamento de doenças sistêmicas. Palavras-Chaves: Unidades de Terapia Intensiva. Odontologia. Higiene Bucal. Equipe de Assistência ao Paciente ABSTRACT The aim of this study was to analyze the importance of the presence of dentists in a multidisciplinary team in the Intensive Care Units (ICUs). To this end, we selected 11 hospitals in the state of Rio de Janeiro. As a research tool used a semi-structured questionnaire given to the professionals responsible for the care of the oral health of patients with variables related to oral hygiene procedures and presence of oral disease in hospitalized patients in these units. The results showed that 100% of the hospitals was not found a dental surgeon in the multidisciplinary team in ICUs. In 72.70% of the units was the nurse, the health professional responsible for oral hygiene procedures for inpatients. This procedure was performed in 45.50% of the units, twice a day, on guidance of a professional not specialized in 81.82% of cases. Most patients had oral disorders such as bad breath, tooth decay, gum disease and tartar, and there wasn’t qualified professional responsible for the treatment of these diseases, therefore 100% of the units were untreated oral diseases yet. It concludes that despite the real and great need for a dentist in these units, including recognized by most professionals responsible for oral hygiene, this presence is not yet effective, which make it difficult the correct treatment of oral disorders may contribute to the emergence and / or worsening of systemic diseases. Keywords: Intensive Care Units. Dentistry. Oral hygiene. Patient Care Team

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ORAL DISEASES STATUS AND KNOWLEDGE, PRACTICE FOR ORAL CARE OF THE PRIMARY SCHOOL’S PUPILS IN THE CITY AND MOUNTAIN OF THUA THIEN-HUE PROVINCE

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2014.4_5.24 ◽

2014 ◽

pp. 177-184

Author(s):

Tan Tai Tran ◽

Toai Nguyen ◽

Ngoc Hoat Luu

Keyword(s):

Dental Caries ◽

Dental Care ◽

Oral Hygiene ◽

Primary Schools ◽

Oral Care ◽

Oral Disease ◽

Oral Diseases ◽

Caries Prevalence ◽

Knowledge And Practice ◽

Primary Pupils

Background: Oral disease is now the major public health problems. There is few research on the status of dental caries and its relationship to the knowledge and practice of oral hygiene practices among schoolchildren. The objectives of this study were to (1) describe the current status of oral diseases; (2) find out knowledge and practice of oral care and a number of factors related to dental caries. Subjects and Methods: This is a cross-section study what was carried out on 1406 schoolchildren aged 7-11-year- olds attending Grade 1–5 at two primary schools of the Hue city and four primary schools of mountain. Clinical examination and interview questions of knowledge and practice to dental care for all subjects. Results: Dental caries prevalence was 77.6%, the mean dmft/DMFT score was 4.22/1.51; gingivitis, tarta, dental plaque were 33.2%, 31.2%, 55.5% respectively. The questionnaires about oral hygiene, 26.5% of children had not good knowledge, 67.6% had not good practice. Dental caries related with practicing daily oral hygiene (OR = 2.21, p <0.01) and with the knowledge of dental care (OR = 1.44, p <0.05). There is the relationship between knowledge and practice not yet good (OR = 5.25, p <0.01). Conclusions: Oral diseases, particularly dental caries prevalence is still high in primary pupils. It’s necessary for education on knowledge and practice of oral disease prevention for primary pupils. Keywords: Oral disease, primary pupils, oral health KP

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Evaluation of the knowledge of pregnant women about the relationship between oral diseases and pregnancy complications

Revista de Odontologia da UNESP ◽

10.1590/1807-2577.1078 ◽

2015 ◽

Vol 44 (1) ◽

pp. 59-65 ◽

Cited By ~ 1

Author(s):

Carmem Dolores de Sá Catão ◽

Thaissa de Amorim Gomes ◽

Rachel Queiroz Ferreira Rodrigues ◽

Renata de Souza Coelho Soares

Keyword(s):

Primary Care ◽

Pregnant Women ◽

Oral Hygiene ◽

Pregnancy Complications ◽

Family Health ◽

Oral Disease ◽

Oral Diseases ◽

Cross Sectional ◽

Significance Level ◽

The Relationship

INTRODUCTION: Chronic persistent low-level infection in pregnant women, such as periodontal disease (PD) may impair maternal-fetal unit, since the infectious process induces the release of chemical mediators involved in the process of prematurity. OBJECTIVE: To assess the knowledge of mothers as regards the relationship between oral diseases and pregnancy complications. METHOD: A cross-sectional epidemiological study was conducted with 104 pregnant women indexed in the Primary Care Information System (SIAB), in the Family Health Strategies (FHS), using a structured questionnaire. Data were recorded in SPSS and analyzed using descriptive and inferential statistics, considering a significance level of 5%. RESULT: Most patients (64.4%) were domestic workers, (48.1%) aged 24 to 34 years, (55.8%) showed complete the 2nd grade and incomplete high school education, and (49%) were primiparous. Among the participants, 76% were unaware of the relationship between oral disease, prematurity and giving birth to low birth weight babies. Statistically significant association was found between: educational level and knowledge about prenatal dental care (p = 0.012); since it was shown that 90.4% ignored the existence of this activity and 65.4% had never received information about the care of baby's oral hygiene (p = 0.003). CONCLUSION: Most women were unaware of the relationship of PD with prematurity, and showed lack of information about the care of mother and baby oral hygiene, highlighting the need for greater integration between the dental surgeon and other primary care professionals to promote oral health care of pregnant women and reduce the ratio of PD with pregnancy complications.

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Challenges, Barriers, Strategies Implementing an Oral Hygiene Program in Assisted Living Facilities Post COVID-19

Innovation in Aging ◽

10.1093/geroni/igaa057.3426 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 935-935

Author(s):

Kim Attanasi ◽

Victoria Raveis

Keyword(s):

Oral Health ◽

Assisted Living ◽

Oral Hygiene ◽

Health Program ◽

Dental Hygiene ◽

Oral Disease ◽

Final Decision ◽

Assisted Living Facilities ◽

New York University ◽

Term Care

Abstract [Objective] Almost 8% of the U.S. population, 65 and older, reside in long term care facilities with limited delivery of essential dental care to prevent and manage oral health disease. By 2050, this population is expected to increase by 1.6 billion. Multiple bi-directional connections exist between oral disease and overall health. [Methods] Faculty from the Dental Hygiene Department, New York University College of Dentistry conducted an extensive outreach effort and randomly selected assisted living facilities. Facilities were offered the opportunity to receive at no-cost, a dental hygiene-led, educational, preventive oral health program delivered virtually to their residents as a community service. Incentives discussed. [Results] Twenty-one facilities were contacted, 17 (94.4%) had no oral healthcare program; one had an oral health component. In 13 (72%), the concierge functioned as gatekeeper, unwilling to transfer calls or deliver messages. In five (28%), calls were directed to the activity coordinator. Feasibility concerns and uncertainty about oral health service necessity and resident safety were voiced. Two facilities mentioned familiarity with dental hygiene professionals. Strategic changes in outreach resulted in successfully engaging with facility administrators. Strategies included identifying directors with familiarity or experience with dental hygiene profession, establishing a portfolio and utilizing technology that facilitate incorporating COVID-19 protocols. [Conclusions] Efforts to initiate a dental hygiene-led virtual oral health program encountered gatekeeper challenges. Although facility activity coordinators acknowledged benefits for their population, they were not final decision-makers. It was necessary to implement strategies that facilitated discussing the virtual oral hygiene program directly with the facility’s executive leadership.

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Prevalence and Correlates of Poor Oral Hygiene among School-Going Students in Mongolia

Dentistry Journal ◽

10.3390/dj9020012 ◽

2021 ◽

Vol 9 (2) ◽

pp. 12

Author(s):

Javzan Badarch ◽

Suvd Batbaatar ◽

Edit Paulik

Keyword(s):

Health Promotion ◽

Oral Hygiene ◽

Fast Food ◽

Vegetable Intake ◽

Soft Drink ◽

Health Promotion Program ◽

Second Hand Smoke ◽

Oral Diseases ◽

Poor Oral Hygiene ◽

Oral Health Promotion

Brushing at least twice a day is one of the most effective methods for the prevention of dental caries and oral diseases. The aim of the present study was to determine the prevalence and correlates of poor oral hygiene in Mongolian school-going students. A secondary analysis of nationally representative data from the 2013 Mongolian Global School-based Health Survey (GSHS) was performed. In the survey, a questionnaire was completed by 5393 students aged 12–16 years old. The prevalence of poor oral hygiene and its association with some independent variables were analyzed by frequency distribution, chi-squared test, and logistic regression. The overall prevalence of poor oral hygiene was 33%. In the multivariate analysis, male students, inadequate fruit and vegetable intake, parents’ smoking, being exposed to second-hand smoke, poor parental supervision and connectedness, physical inactivity, and sedentary behavior were significantly associated with poor oral hygiene. Meanwhile, students who ate fast food and drank carbonated soft drink were found to be less likely to be poor tooth-brushers in 2013. Various determinants were identified in connection with poor oral hygiene. Based on these findings, it is recommended that an oral health promotion program should be combined with general health promotion and lifestyle intervention programs for this target population.

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Anticholinergic Burden and Dry Mouth in Middle-Aged People

JDR Clinical & Translational Research ◽

10.1177/2380084419844511 ◽

2019 ◽

Vol 5 (1) ◽

pp. 62-70

Author(s):

A. Tiisanoja ◽

A.-M.H. Syrjälä ◽

A. Kullaa ◽

P. Ylöstalo

Keyword(s):

Regression Models ◽

Antihypertensive Drugs ◽

Salivary Flow ◽

Dry Mouth ◽

Subjective Feeling ◽

Oral Diseases ◽

Middle Aged ◽

Aged People ◽

Prophylactic Measures ◽

Anticholinergic Burden

Introduction:Anticholinergic burden refers to the cumulative effect of taking 1 or more drugs with anticholinergic properties. At the moment, little is known about the association between the anticholinergic burden and dry mouth.Objectives:The objective of this article was to study, whether an anticholinergic burden is associated with dry mouth among middle-aged people.Methods:The study population included 1,345 people aged 46 y from the Northern Finland Birth Cohort 1966 (NFBC1966) study, who took part in a clinical medical and dental examination during 2012–2013. Medication data comprised both self-reported drug use and information obtained from the national register. Anticholinergic burden was measured using 10 different anticholinergic scales. Dry mouth was defined on the basis of having either a subjective feeling of dry mouth (xerostomia) or objectively measured low unstimulated or stimulated whole salivary flow rates (hyposalivation). Poisson regression models with robust error variance were used to estimate relative risk (RR). Regression models were adjusted for sex, smoking, diabetes, rheumatoid diseases, depressive symptoms, anxiety, total number of drugs, and antihypertensive drugs.Results:Approximately 14% of the participants reported having xerostomia and about 2% had hyposalivation. The RRs of different anticholinergic scales for xerostomia varied from 1.05 to 1.68. The scales’ RRs were between 0.89 and 2.03 for low unstimulated whole salivary flow (<0.1 mL/min) and between 0.59 and 1.80 for low stimulated whole salivary flow (<0.7 mL/min). Seven of 10 studied anticholinergic scales associated statistically significantly with dry mouth, either with xerostomia or hyposalivation.Conclusion:Most of the anticholinergic scales were associated with dry mouth, either with xerostomia or hyposalivation. There was considerable variation in the strength of the associations between anticholinergic scales and dry mouth.Knowledge Transfer Statement:The findings of this study suggest that dentists should take notice of the use of drugs with anticholinergic properties and their harmful effects among middle-aged people. Dentists should provide these patients with necessary guidance on how to cope with dry mouth and give them prophylactic measures against oral diseases associated with dry mouth.

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Evaluation of Salivary Interleukin-1ß Levels and Oral Health in Pakistani Male Smokers

10.53350/pjmhs211561158 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1158-1163

Author(s):

S. A. Hamza ◽

S. Asif ◽

S. A. H. Bokhari

Keyword(s):

Oral Health ◽

Dental Caries ◽

Low Income ◽

Smoking Status ◽

Saliva Sample ◽

Oral Disease ◽

Oral Diseases ◽

Missing Teeth ◽

Significance Level ◽

Inflammatory Biomarker

Aim: Smoking induces changes in salivary inflammatory biomarker levels associated with oral diseases. This study status and explored association among salivary Interleukin-1β, oral diseases and smoking. Methods: Data of male smokers of a private institute recruited for a randomized clinical trial is analyzed for this paper. Demographic and systemic information were collected. Oral disease status was examined and saliva sample collected for IL-1β levels. IL-1β levels and other study variables were analyzed with respect to smoking status categorized into smoking years and cigarettes per day. The student's t-test and one-way ANOVA were used for statistical analysis using SPSS version 22) with significance level of p≤0.050. Results: Analysis of baseline data of seventy-eight smokers showed elevated levels of IL-1β with increasing smoking, higher BMI. Smoking was higher among aged, married and low-income individuals. Pearson partial correlation analysis, after controlling age, marital status, education, income, and BMI, demonstrated a positive significant relationship of smoking per day with smoking years; dental caries with missing teeth and calculus; gingivitis with missing teeth and calculus; periodontitis with dental caries, calculus and gingivitis. Conclusion: This analysis demonstrates that levels of IL-1β were raised in smokers, however; there was no association with oral disease parameters. Large studies may be conducted to observe status and association of smoking, oral disease and salivary biomarkers. Keywords: Smoking, Oral Health, IL-1β, Males

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Oral Health and Nutrition

10.2310/im.9038 ◽

2020 ◽

Author(s):

Carole. A. Palmer ◽

Zhangmuge Cheng

Keyword(s):

Oral Health ◽

Dental Caries ◽

Periodontal Diseases ◽

Oral Disease ◽

Oral Diseases ◽

Oral Infections ◽

Surgeon General ◽

Optimal Health ◽

Health And Disease ◽

Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

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Oral health for healthy aging

Geriatrics Gerontology and Aging ◽

10.53886/gga.e0210034 ◽

2021 ◽

Vol 15 ◽

Author(s):

Shyh Poh Teo

Keyword(s):

Public Health ◽

Oral Health ◽

Healthy Aging ◽

Action Plan ◽

Global Strategy ◽

Oral Disease ◽

World Health ◽

Health Coverage ◽

Oral Diseases ◽

Primary Care Settings

During the 74th World Health Assembly, a resolution was passed aiming to achieve better oral health as part of universal health coverage, with plans to draft a global strategy and action plan. Oral diseases are a significant problem globally, with implications for older people’s health and quality of life. Oral health is important for healthy aging. Integration of oral health into primary care settings and use of a life-course approach have been shown to be effective in the 8020 campaign in Japan. Accurate data on prevalence of oral disease is required to monitor effectiveness of public health approaches, which should be segregated based on setting, sociodemographic status, and comorbidities. These public health approaches should also be adapted and tailored for implementation during the current COVID-19 pandemic. These considerations are essential to progress the agenda of oral health for healthy aging.

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Oral health seeking behaviors of adults in Nebbi District, Uganda: a community-based survey

BMC Oral Health ◽

10.1186/s12903-021-01824-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Juliet Ocwia ◽

Ronald Olum ◽

Pamela Atim ◽

Florence Laker ◽

Jerom Okot ◽

...

Keyword(s):

Oral Health ◽

Dental Health ◽

Oral Disease ◽

Tooth Decay ◽

Oral Diseases ◽

Health Seeking ◽

Dental Clinic ◽

Community Based ◽

Cost Of Treatment ◽

Cross Sectional

Abstract Background Dental health is often neglected by the majority of the population and has contributed to the global burden of oral diseases. We assessed awareness, utilization and barriers to seeking oral health care among adults in Nebbi District, Uganda. Methods A community-based, cross sectional study was conducted in the central division, Nebbi District in Uganda among adults between the age of 18 years or older. An interviewer-administered, semi-structured questionnaire was used for data collection on socio-demographic characteristics, oral health awareness, oral health utilization, associated factors and barriers. Results A total of 400 adults with a median age of 32 years (interquartile range 24–43) years were enrolled. More than half (57.5%, n = 230) of the participants were female. Participants identified smoking (42.8%, n = 171) and consumption of sugary foodstuffs (29.0%, n = 116) as risk factors for oral disease. Not brushing was also identified by 260 participants (65.0%) as the cause of tooth decay and 95.8% (n = 383) believed brushing one’s teeth could prevent tooth decay. Of the 51.5% (n = 206) who had experienced a toothache or discomfort 12 months prior to the study but only about half (52%, n = 106) had sought healthcare from a dental clinic or facility. About 89.5% (n = 94) of the participants were able to see a dentist during their last visits. Dental carries (76.6%, n = 70) and gum bleeding (14.9%, n = 14) were the most frequent reasons for visiting a dental clinic, and 73.7% (n = 70) had their tooth extracted. Barriers to seeking oral healthcare were cost of treatment (47.5%, n = 190), and long waiting time (18.5%, n = 74). The odds of seeking oral healthcare was 2.8-fold higher in participants who were being married (Odds ratio (OR): 2.8, 95% CI 1.3–6.3, p = 0.011) and 3.5-fold higher among housewives (COR: 3.5, 95% CI 1.1–11.4, p = 0.040). Conclusion About half of the participants had sought healthcare following a dental condition. Cost of treatment seems to be an important factor affecting utilization of oral health services. Optimization of costs, and creating awareness regarding benefits of utilizing preventive dental services are recommended.

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