Assessment of the hygienic and periodontal status of the oral cavity in patients diagnosed with pemphigus vulgaris during remission and exacerbation

Introduction. Pemphigus vulgaris is characterized by the appearance of blisters on the skin and mucous membranes, which burst forming extensive erosions and ulcers. The painful erosions appearance complicates eating, speaking, oral hygiene and also favors the increase in soft and hard plaque, the presence of gingivitis, periodontitis, and changes in the oral microbiocenosis.Purpose of the study is the analysis of the hygienic and periodontal status of the oral cavity in patients diagnosed with pemphigus vulgaris based on an index score.Material and methods. The prospective cohort controlled study involved 20 patients with a confirmed diagnosis of pemphigus vulgaris, 10 of whom were at the stage of exacerbation of the disease and 10 at the stage of clinical remission, as well as 10 patients without oral mucosal pathology made up the control group. The pH of mixed saliva was measured and the average value of hygienic and periodontal indices (Silness-Loe, PBI, PMA, PI) was also determined.Results. The hygienic and periodontal status of patients with pemphigus vulgaris is worse than that of the control group.

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Correlation between oral health and severity of respiratory coronavirus infection COVID-19

Эндодонтия Today ◽

10.36377/1683-2981-2021-19-1-18-22 ◽

2021 ◽

Vol 19 (1) ◽

pp. 18-22

Author(s):

A. V. Mitronin ◽

N. A. Apresian ◽

D. A. Ostanina ◽

E. D. Yurtseva

Keyword(s):

Oral Health ◽

Oral Cavity ◽

Oral Hygiene ◽

Chronic Infection ◽

Viral Infections ◽

Control Group ◽

Oral Diseases ◽

Average Value ◽

Coronavirus Infection ◽

Group 1

Aim. To establish the association between the presence of chronic infection in oral cavity and the severity of SARSCoV-2 infection.Materials and methods. The study was conducted among 30 people aged between18 and 22 who had had coronavirus infection from mild to severe cases. The assessment of oral health was carried out with main and additional examination methods, CFE index, PMA index, Greene, Wermillion oral hygiene index.Results. In group 1, the average value of CFE index was 4.2, in the second group – CFE index was twice higher at 7.8. PMA index in patients of group 2 was significantly higher (p> 0.01) and was at the level of 41.5%. In group 1, the PMA index was 13.3%. It was found that 17% of the respondents in the control group and 70% patients in the experimental group had an episodic exacerbation of dental diseases during COVID-19.Conclusions. The data obtained indicates a correlation between oral diseases and the severity of COVID-19. It is necessary to consider that chronic infection in the oral cavity as well as poor oral hygiene can act as a risk of complications of viral infections, in particular, of COVID-19.

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EFFECT OF PROFESSIONAL BLEACHING ON THE HYGIENE OF THE ORAL CAVITY. A RANDOMIZED CONTROLLED STUDY

Hygiene and Sanitation ◽

10.18821/0016-9900-2019-98-5-550-554 ◽

2019 ◽

Vol 98 (5) ◽

pp. 550-554

Author(s):

Natalia N. Vlasova ◽

A. Yu. Turkina ◽

N. I. Prokhorov ◽

M. K. Makeeva ◽

A. A. Danilina ◽

...

Keyword(s):

Oral Hygiene ◽

Controlled Study ◽

Control Group ◽

Average Value ◽

Randomized Controlled ◽

Group 2 ◽

Index Value ◽

Motivating Factor ◽

Positive Effect ◽

Group 1

Aim of the study. To evaluate the effect of professional teeth whitening on the level of oral hygiene. Material and methods. A randomized controlled, prospective clinical trial was conducted in 2 groups of 30 people, in each. In group 1, professional oral hygiene and professional teeth whitening were performed using 25% hydrogen peroxide. In group 2, only professional oral hygiene was performed. Evaluated the dynamics of the hygienic index of Quigley-Hein in the modification of S. Turesky, 2 weeks, 1 month and 6 months after the procedure. Results. 6 months after the start of the study in group 1, the average value of the Quigley-Heine index in the modification of S. Turesky was significantly lower than before the at start of the study (1.24 ± 0.11 and 2.34 ± 0.14 respectively). In group 2, the index value after 6 months exceeded 2.0 and almost returned to the initial level (2.05 ± 0.06 and 2.44 ± 0.08, respectively). During the entire observation period in patients underwent professional teeth whitening, the level of oral hygiene was significantly higher than in the control group. Conclusion. Professional teeth whitening has a positive effect on the level of oral hygiene and is a significant motivating factor in maintaining oral health.

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Pemphigus Vulgaris in the Mouth and Esophageal Mucosa

Case Reports in Gastroenterology ◽

10.1159/000489299 ◽

2018 ◽

Vol 12 (2) ◽

pp. 260-265 ◽

Cited By ~ 1

Author(s):

Angelo Gualberto de Macedo ◽

Erika Ruback Bertges ◽

Luiz Carlos Bertges ◽

Renata Alvim Mendes ◽

Thais Abranches Bueno Sabino Bertges ◽

...

Keyword(s):

Oral Cavity ◽

Medical Care ◽

Pemphigus Vulgaris ◽

Esophageal Mucosa ◽

Digestive Endoscopy ◽

Initial Manifestation ◽

Esophageal Involvement ◽

Mucous Membranes ◽

Upper Digestive Endoscopy

Pemphigus vulgaris (PV) is a chronic autoimmune mucocutaneous disease. In most cases, the initial manifestation occurs in the mouth as multiple ulcerations preceded by blisters that rupture and later spread to other mucous membranes and the skin. Esophageal impairment is rare. We report a case of PV with esophageal involvement in a 53-year-old woman who sought medical care, complaining of diffuse painful lesions in the oral cavity for approximately 1 month, with no improvement with nystatin. Upper digestive endoscopy (UDE) was performed with findings of vesiculobullous lesions in the proximal and middle esophagus, which were biopsied and for which histopathology confirmed PV in the esophageal mucosa. We draw attention to UDE as important for the diagnosis, and it should be indicated in patients with vesiculobullous lesions of the mouth, especially if there are esophageal complaints.

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Wpływ nadwagi i otyłości na stan zdrowia jamy ustnej dzieci i młodzieży

Nowa Stomatologia ◽

10.25121/ns.2019.24.3.108 ◽

2019 ◽

Vol 24 (3) ◽

Author(s):

Katarzyna Deszczyńska ◽

Paweł Piątkiewicz ◽

Renata Górska

Keyword(s):

Risk Factors ◽

Body Mass Index ◽

Body Weight ◽

Oral Cavity ◽

Oral Hygiene ◽

Overweight And Obesity ◽

Control Group ◽

Study Group ◽

Obese Children ◽

Periodontal Health

Introduction. Improper eating habits among children and adolescents often lead to overweight and obesity. Research indicates that these are risk factors for many diseases, including diseases in the oral cavity. Aim. To analyse the correlations of selected parameters of dental and periodontal health as well as oral hygiene status in overweight and obese children and adolescents versus control group. Material and methods. The study included 120 patients aged 11-18 years, who were classified into a study group with 60 overweight/obese individuals and a control group of 60 individuals with normal body weight based on BMI (Body Mass Index). Each patient underwent anthropometric measurements, such as height (cm), body weight (kg), which were used to calculate BMI (Body Mass Index). Additional measurements were taken of waist circumference (WC) and hip circumference (HC), to obtain the waist-hip ratio (WHR). Clinical examination of the oral cavity included an assessment of dentition (DMF), oral hygiene API (Approximal Plaque Index) and periodontal tissue (PD – Pocket Depth, CAL – Clinical Attachment Level, %BOP – % Bleeding On Probing) and CPITN (The Community Periodontal Index for Treatment Needs). Results. Statistically significant differences were found between patient groups with BMI ≥ 25 and BMI < 25 in the values of the following parameters: DMF p = 0.005, API p < 0.001, %BOP p < 0.001, PD p < 0.001, CPI p < 0.001. Conclusions. Overweight and obese children were found to have have worse parameters of dental and periodontal health as well as oral hygiene status compared to the group with normal weight. Our observations indicate that overweight and obesity may be potential risk factors for periodontal diseases in the study group.

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Effectiveness of the Oral Care Program in Type 2 Diabetic Elderly Patients with Periodontitis: A Clustered Randomised Controlled Study With 6-month Follow-Up

10.21203/rs.3.rs-74162/v1 ◽

2020 ◽

Author(s):

Namon Phetnin ◽

Vichayanrat Tippanart ◽

Anunmana Chuchai

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Oral Care ◽

Intervention Group ◽

Health Behaviours ◽

Care Program ◽

Controlled Study ◽

Control Group ◽

Oral Health Behaviours ◽

Oral Hygiene Instruction

Abstract Background: Diabetes mellitus and periodontal disease have a bidirectional relationship. This study aimed to assess the effectiveness of the oral care program in reducing glycaemic status and improving oral health behaviours and oral hygiene among type 2 diabetes mellitus (T2DM) older patients with periodontitis.Methods: A clustered randomised controlled study was conducted in Nakhon Ratchasima province between July 2019 and January 2020. The two health centres were randomly assigned to control and intervention groups, which thirty-five T2DM older patients with chronic periodontitis were recruited in each group. The intervention group received the program consisted of oral health education based on Health Belief Model (HBM), individual oral hygiene instruction and scaling and root planning at one month and followed by individual oral hygiene instruction at three months. The patients in the control group received the routine program provided by the health centre. Outcomes were measured using the interviewed questionnaire, simplified oral hygiene index, and the glycaemic status (HbA1c) at baseline, 3 months and 6 months, respectively. Data were analysed using a descriptive statistic, Chi-square test, t-test, repeated measure ANOVA at p-value = 0.05. Results: After the 3 and 6 months, the results showed that the intervention group significantly improved in the HBM scores, oral health behaviours scores, and decreased in OHI-S scores and HbA1c level (p < 0.05), while there was no significant difference in the control group.Conclusion: The findings suggested that the proposed program was effective among diabetic older people with periodontitis to improve oral health perception, behaviours, oral hygiene, and decreased glycaemic status at 3- and 6-month evaluation.Trial registration: Thai Clinical Trials Registry (TCTR), TCTR202004230005. Registered 22 April 2020 - Retrospectively registered.

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Nasal, Oral, and Pharyngolaryngeal Manifestations of Pemphigus Vulgaris: Endoscopic Ororhinolaryngologic Examination

Ear Nose & Throat Journal ◽

10.1177/014556131709600311 ◽

2017 ◽

Vol 96 (3) ◽

pp. 120-127 ◽

Cited By ~ 5

Author(s):

Masafumi Ohki ◽

Shigeru Kikuchi

Keyword(s):

Oral Cavity ◽

Soft Palate ◽

Buccal Mucosa ◽

Nasal Septum ◽

Vocal Fold ◽

Pemphigus Vulgaris ◽

Gingival Bleeding ◽

Oral Pain ◽

Mucous Membranes ◽

Clinical Records

Pemphigus vulgaris is an autoimmune blistering disorder that involves the skin and mucous membranes. Few reports have described nasal and oropharyngolaryngeal lesions in pemphigus vulgaris using an endoscopic ororhinolaryngologic examination. We retrospectively reviewed the clinical records of 11 patients with pemphigus vulgaris between 2001 and 2013 with respect to their symptoms, lesion sites, lesion features, and treatments received. All patients had undergone an endoscopic ororhinolaryngologic examination. Their mucosa-related symptoms were sore throat, oral pain, odynophagia, gingival bleeding, hoarseness, and epistaxis. The most frequent sites were the oral cavity (gingiva and buccal mucosa), larynx (epiglottis and vocal fold), oropharynx (soft palate), and nasal cavity (nasal septum). Lesions were typically characterized by erosion, erosion with a whitish exudate, and erythematous patches. Thus, our study findings reveal that pemphigus vulgaris involves both the nasal and oropharyngolaryngeal regions. Patients with pemphigus vulgaris should undergo an endoscopic ororhinolaryngologic examination to determine the range of their lesions.

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Dental status of professional athletes

Kazan medical journal ◽

10.17816/kmj2020-365 ◽

2020 ◽

Vol 101 (3) ◽

pp. 365-370

Author(s):

J G Hajiyev

Keyword(s):

Oral Cavity ◽

Oral Hygiene ◽

Clinical Manifestations ◽

Maximum Level ◽

The State ◽

Dental Status ◽

Professional Athletes ◽

Control Group ◽

Periodontal Tissues ◽

Periodontal Inflammation

Aim. To reveal the rate and severity of clinical manifestations of common dental diseases and dentofacial anomalies in professional athletes Methods. The effect of intense physical exertion and overtraining syndrome on the state of the organs and tissues of the dental system were examined in 200 professional athletes aged 1825 years between 2014 and 2016. Five groups where each has the same number of athletes (n=40) included: team sport athletes (volleyball, handball), martial arts athletes (wrestling, boxing), gymnasts, swimmers, athletes. The control group consisted of 40 individuals who were not professionally involved in sports. The state of the oral cavity, in particular periodontal tissues, was judged by changes in the following indicators: prevalence of dentofacial anomalies, the incidence of dental caries, state of the oral cavity hygienic using by simplified oral hygiene index (OHI-S) ( Green J.С., Vermillion J.R., 1963), degree of gums bleeding by using the MuhlemannCowell bleeding index, degrees of severity of periodontopathy by using the papillary-marginal alveolar index (RMA) [Massler, Schour (1949) in Parma modification (1960)]. Results. According to the values of the simplified oral hygiene index the worst state of the oral cavity hygienic was in wrestlers (2.120.022 points) and boxers (2.030.029) compared to the control group (1.620.026, p=0.049 and p=0.001, respectively). Catarrhal gingivitis and generalized chronic periodontitis are most often diagnosed in the groups of wrestling (82.56.01%), gymnastics (77.56.60%), boxing (70.07.25%) and swimming (70.07.25%). Dentoalveolar anomalies were more often detected in boxers (77.5% of cases, p=0.001) and in gymnasts (34.0%, p=0.365) compared to the control group. In these groups, diastema was also more often diagnosed. Conclusion. Periodontal inflammation indicators were higher in wrestlers and gymnasts groups compared to the dental status of all other groups of athletes; caries and maximum level of dental anomalies are more common for boxers.

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The state of the oral microflora in patients with systemic sclerosis

Modern Rheumatology Journal ◽

10.14412/1996-7012-2021-5-39-43 ◽

2021 ◽

Vol 15 (5) ◽

pp. 39-43

Author(s):

M. S. Yesayan ◽

E. I. Selifanova ◽

E. G. Margaryan ◽

T. V. Beketova

Keyword(s):

Systemic Sclerosis ◽

Oral Cavity ◽

Oral Hygiene ◽

Personal Hygiene ◽

Control Group ◽

Quantitative Composition ◽

Normal Microflora ◽

Oral Microflora ◽

Dmft Index ◽

High Level

Systemic sclerosis (SSc) can lead to pathological changes in the maxillofacial region, contributing to the violation of the microbiocenosis of the oral cavity with a predominance of pathogenic microflora.Objective: to study the composition of the oral microflora in patients with SSc. Patients and methods. The composition of the oral microflora was studied in 50 patients with SSc. The control group consisted of 50 subjects without rheumatic diseases. To assess the intensity of dental caries and the level of oral hygiene we used dental indices: the index of caries intensity (Decayed, Missing, and Filled Teeth (DMFT) and the hygienic index (OHI-S).Results and discussion. Microbiological examination in patients with SSc revealed pathogenic Staphylococcus aureus and Candida albicans > 10-6 CFU in equal percentage of cases (18.9%), which was significantly more frequent than in the control group (p=0.049). In the oral cavity in SSc, there were no representatives of normal microflora (lactobacilli). In patients with SSc, the DMFT index was 17.8±7.1 on average, and OHI-S – 2.3±0.7, which corresponds to a very high level of caries intensity and low indicators of oral hygiene, respectively. When analyzing the microflora of the oral cavity in 90% of cases, a dysbiotic shift of the 3rd degree was stated.Conclusion. It can hypothesized that the qualitative and quantitative composition of the microflora of the oral cavity affects the development and severity of inflammatory and destructive pathology of the periodontal and oral mucosa. It is necessary to develop and implement an adapted personal hygiene regimen, including cleansing of the tongue and administration of local probiotics, which, as part of complex therapy, can improve the results of SSc treatment.

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The effects of overweight and obesity on oral health status in children and adolescents

New Medicine ◽

10.25121/newmed.2019.23.3.86 ◽

2019 ◽

Vol 23 (3) ◽

Author(s):

Katarzyna Deszczyńska ◽

Paweł Piątkiewicz ◽

Renata Górska

Keyword(s):

Risk Factors ◽

Body Weight ◽

Oral Cavity ◽

Children And Adolescents ◽

Oral Hygiene ◽

Overweight And Obesity ◽

Control Group ◽

Study Group ◽

Obese Children ◽

Periodontal Health

Introduction. Improper eating habits among children and adolescents often lead to overweight and obesity. Research indicates that these are risk factors for many diseases, including diseases in the oral cavity. Aim. To analyse the correlations of selected parameters of dental and periodontal health as well as oral hygiene status in overweight and obese children and adolescents versus control group. Material and methods. The study included 120 patients aged 11-18 years, who were classified into a study group with 60 overweight/obese individuals and a control group of 60 individuals with normal body weight based on BMI (Body Mass Index). Each patient underwent anthropometric measurements, such as height (cm), body weight (kg), which were used to calculate BMI. Additional measurements were taken of waist circumference (WC) and hip circumference (HC), to obtain the waist-hip ratio (WHR). Clinical examination of the oral cavity included an assessment of dentition (DMF), oral hygiene API (Approximal Plaque Index) and periodontal tissue (PD ? Pocket Depth, CAL ? Clinical Attachment Level, %BOP ? % Bleeding On Probing) and CPITN (The Community Periodontal Index for Treatment Needs). Results. Statistically significant differences were found between patient groups with BMI ≥ 25 and BMI < 25 in the values of the following parameters: DMF p = 0.005, API p < 0.001, %BOP p < 0.001, PD p < 0.001, CPI p < 0.001. Conclusions. Overweight and obese children were found to have worse parameters of dental and periodontal health as well as oral hygiene status compared to the group with normal weight. Our observations indicate that overweight and obesity may be potential risk factors for periodontal diseases in the study group.

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Evaluation of Oral Hygiene in Patients with Generalized Periodontitis of II Degree and Stage II Hypertension

Galician Medical Journal ◽

10.21802/gmj.2016.4.19 ◽

2016 ◽

Vol 23 (4) ◽

pp. 2016419

Author(s):

Tetiana Vivcharenko ◽

Mykola Rozhko

Keyword(s):

Oral Cavity ◽

Periodontal Disease ◽

Oral Hygiene ◽

Main Group ◽

Stage Ii ◽

Personal Hygiene ◽

Control Group ◽

Poor Oral Hygiene ◽

Periodontal Tissues ◽

The Status

Generalized periodontitis is the most common form of periodontal pathology, especially in the second half of life. Nowadays, the problem of periodontal disease is relevant due to its high prevalence, tendency to progression, multifaceted influence on the dentoalveolar system and the whole organism as well as uncertain treatment. Therefore, there is a need to find optimal ways of prevention and treatment of this disease. Close relationships between periodontal pathology and systemic diseases, such as hypertension, which affects every 2nd-3rd adult were determined.The objective of the research was to determine the status of oral cavity hygiene in patients with generalized periodontitis of II degree and stage II hypertension.Materials and methods. The study included 30 patients with generalized periodontitis of II degree and stage II hypertension being treated in the Ivano-Frankivsk Regional Clinical Cardiology Dispensary; the average age ranged from 35 to 54 years (the main group). The control group included 10 patients of the same age without generalized periodontitis and somatic pathology .The status of oral cavity hygiene was determined using the Green Vermillion index. The diagnosis of periodontal disease was made on the basis of the classification proposed by M.F. Danilevskyi. The obtained results were subjected to variation-statistical analysis using statistical package “Stat Soft 6.0”; classical methods of variational statistics were applied; mean values and their reliability were evaluated.Results. The results of examination showed poor oral hygiene in almost all patients. The analysis of hygienic indices showed the following results: in patients of the main group, the Green Vermillion index was 1.99 ± 0.13 points (p<0.001) which corresponds to unsatisfactory level of oral hygiene. In patients of the control group, this index was 1.10 ± 0.17 points which corresponds to satisfactory level of oral hygiene. According to the index, 9 (30.0%) patients of the main group had satisfactory oral hygiene, 12 (40.0%) patients had poor oral hygiene, and in 9 (30.0%) patients, poor oral hygiene was observed.In the control group, 2 (20.0%) patients had good oral hygiene, 6 (60.0%) patients had satisfactory oral hygiene and in 2 (20.0%) patients, unsatisfactory oral hygiene was observed. There were no patients with poor oral hygiene. The analysis of the indicators of the Green Vermillion index showed that in case of the pathological process exacerbation the oral hygiene status in patients deteriorated.Conclusions. The level of oral hygiene in patients of both groups was low due to incorrect selection of personal hygiene products or their untimely replacement. In patients with generalized periodontitis of II degree and stage II hypertension, the level of oral hygiene was lower than in somatically healthy persons: the worse status of oral cavity hygiene – the more pronounced changes in the periodontal tissues. We can suppose that high blood pressure affects the status of the oral cavity, creates a higher risk and exacerbates the periodontal diseases.

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