scholarly journals Is an Oral Health Status a Predictor of Functional Improvement in Ischemic Stroke Patients Undergoing Comprehensive Rehabilitation Treatment?

2021 ◽  
Vol 11 (3) ◽  
pp. 338
Author(s):  
Piotr Gerreth ◽  
Karolina Gerreth ◽  
Mateusz Maciejczyk ◽  
Anna Zalewska ◽  
Katarzyna Hojan

The study’s aim was a clinical observation concerning the influence of oral health on functional status in stroke patients undergoing neurorehabilitation. This pilot cross-sectional clinical study was performed in 60 subacute phase stroke patients during 12 weeks of treatment. The program was patient-specific and consisted of neurodevelopmental treatment by a comprehensive rehabilitation team. The functional assessment was performed using the Barthel index (BI), Berg balance scale (BBS), functional independence measure (FIM), and Addenbrooke’s cognitive examination III (ACE III) scales. Oral health was assessed according to World Health Organization (WHO) criteria, and it was presented using DMFT, DMFS, gingival index (GI), and plaque index (PlI). Significant improvement in many functional scales was noticed. However, important differences in most dental parameters without relevant changes in GI and PlI after the study were not observed. Reverse interdependence (p < 0.05) was shown between physical functioning (BI, FIM, or BBS) with GI and PlI results, and most dental parameters correlated with ACE III. Using multivariate regression analysis, we showed that ACE III and BI are predictive variables for DMFT, just as FIM is for DS (p < 0.05). The present research revealed that poor oral health status in patients after stroke might be associated with inpatient rehabilitation results.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Thomas ◽  
R Chacko ◽  
G D Khanapur ◽  
D Kattula ◽  
A Rose

Abstract Background Children suffer a significant burden of oral diseases which impacts their quality of life, and general health. Many epidemiological studies have looked at oral health status and treatment needs among children in urban and rural areas across different age groups. There was limited literature assessing the oral health status among children in tribal areas, which presents unique challenges in terms of: topography, availability of health services, and complex socio-cultural health practices. Methods Cross-sectional study was conducted among 655 children across six schools between 12-15 years in Jawadhi Hills, Tamil Nadu, India. World Health Organization's, Oral Health Surveys were used for clinical and risk factor assessments. Clinical examination was conducted, and self-assessed questionnaire was administered to the children to assess the risk factors to poor oral health. Since dental fluorosis was common, drinking water samples were collected to assess fluoride levels in the community. Results Prevalence of dental caries and gingivitis (gum disease) was found to be 22.3% and 87.3% respectively. Dental Pain was reported by 57% of children as the most common reason to visit the dentist. Prevalence of dental fluorosis was found to be 53.6%. Multiple logistic regression showed: gender, dental fluorosis, diet, and maternal education significantly associated (p &lt; 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (&gt;1.5 ppm). Conclusions Children requiring treatment (∼ 200) were referred to the local hospital, and treatment was done free-of-cost. School authorities were informed about the current oral health status of children and advised to conduct regular health education & dental camps; the importance of girls' education was emphasized. Local authorities were alerted about the fluoride-rich water situation in the community and educated about defluoridation methods that the community can employ at household level. Key messages Evidence-based burden of oral diseases was presented to the local authorities for the first time, with a call for action. A referral system was established between the schools and the local hospital, to ensure continuity of oral health care for the children.


2020 ◽  
Author(s):  
Leila Jahangiry ◽  
Raziollah Bagheri ◽  
Fatemeh Darabi ◽  
Parvin Sarbakhsh ◽  
Mohammad Mehdi Naghibi Sistani ◽  
...  

Abstract Background: Poor oral hygiene can lead to serious diseases, such as periodontitis, tooth decay, pain and discomfort in teeth or gums, infections, and loss of teeth. In Iran, adults aged 50 y and older are a high-risk group for oral health problems, and this age group will grow in the coming decades. Despite increasing attention on healthy aging, there is relatively less emphasis on oral hygiene and health-related problems. The present study investigated the oral health status of Iranian adults using the oral health self-assessment questionnaire (OHQ) developed by the World Health Organization (WHO). Methods: A population-based household survey of a sample of adults aged 18–65 y was conducted. In this study, the participants were recruited between May and October 2016 in Tabriz, Iran, and the study population was sampled using a multi-stage cluster sampling design. The WHO’s OHQ for adults was used for measuring oral health status and oral hygiene behavior. Results: In total, 2,310 respondents completed the survey. The mean age (SD) of the participants was 41.6(23.4) y. Males accounted for 48.8% of the participants. Of the 2,310 respondents,187 (8.1%) individuals were edentulous, 152(20.7%) of whom were aged 51–65 y. Furthermore, 72.3% of those aged 51–65 y were dentate, and 50% of adults aged 51–65 y said they had 20 or more teeth. About one-third of the participants reported that they did not brush their teeth daily (23% of those aged 18–35 y,35.9% of those aged 36–50 y, and 44.6% for those aged 51–65 y). In the sample, 39.4% of individuals aged 18–35 y, 34.1% of individuals aged 36–50 y, and 26.6% of individuals aged 51–65 y had visited a dentist less than 6 month ago. One-third of the participants consumed sweets and sugary drinks daily. Conclusions: Although the majority of Iranian adults considered their oral health status good, only a small percentage of the sample visited their dentist regularly. Furthermore, visits to the dentist declined in accordance with increasing age, a time when the incidence of oral health problems may increase. Poor oral health may increase the risk of adverse health outcomes, particularly among the aging population.


2020 ◽  
Author(s):  
Gabriela Ferreira ◽  
Sângela Maria da Silva Pereira ◽  
Inês Ferreira ◽  
Henedina Antunes ◽  
Irene Pina Vaz

Abstract Background: Besides the bad nutritional habits, it has been studied that systemic changes induced by obesity may have repercussions on oral environment. This study evaluated the oral health status of obese adolescents undergoing follow-up at a tertiary hospital in Portugal. Methods: Ninety subjects were classified as obese or severe obese according to the World Health Organization references. Caries experience and periodontal condition were determined by the DMFT index (decayed, missing and filled teeth) and Community Periodontal Index (CPI), respectively. The data for the ages 12 and 15 were compared using Wilcoxon test for one sample to the National Prevalence Study of Oral Diseases (NPSOD), performed in Portugal and published in 2008 and 2015. Results: A mean BMI of 29.4 (± 4.1) was observed, and 64.4% (n = 58) of the subjects were diagnosed with severe obesity. The DMFT of obese adolescents was similar to that of the Portuguese population. At 12 years of age, obese individuals were found to have fewer missing teeth (p = 0.001) and more sealed teeth than those of the same age in Portugal in 2008 (p = 0.012) and 2015 (p = 0.001). At age 15, obese adolescents had fewer decayed teeth (p = 0.017) than individuals of the same age in Portugal (NPSOD, 2008). Conclusions: Obese children and adolescents presented an oral health status similar to that of the Portuguese population at the same age according to the majority of the criteria. These findings can be explained by the health care provided with repeated recommendations for oral hygiene.


2015 ◽  
Vol 5 (1) ◽  
pp. 11-13 ◽  
Author(s):  
Md Abdullah Al Mamun ◽  
Md Jahangir Kabir ◽  
Md Sajedul Asif Farzan ◽  
Ishrat Zerin ◽  
Md Arafat Kabir ◽  
...  

This was a cross-sectional study on oral health status of drug addicted patients admitted in a drug abuse treatment center in Dhaka city. This study was conducted at Mukti Mental Hospital, Drug & Alcohol Treatment Center situated at Gulshan, Dhaka, Bangladesh. The study was carried out among 50 drug addicts from the month of January to June 2012. Data were collected from the patients from 21st April to 5th May 2012. The main objective of the study was to assess and investigate the oral hygiene practice and oral health status of drug abusers. Fifty drug abusers irrespective of sex and age were interviewed & their oral health status was evaluated using the World Health Organization recommended procedures for Decayed, Missing, Filled teeth and the periodontal status. Data were collected with a pretested structured questionnaire and checklist.  Dental caries was found in 92% of the drug addicts, while Missing and Filled teeth were recorded 86% and 88% of the addicts respectively.  86% of the addicts demonstrated DMFT score 1 or Higher; whereas 14% of the addicts demonstrated DMFT score 0 or were free from any form of dental decay, missing teeth or dental filling and 74% of the drug addicts had gingival inflammation and bleeding from gum, 42% had some oral mucosal lesion like apthus ulcer and candidiasis. The number of Decayed, Missing or Filled teeth increased with less frequency of daily tooth brushing and this finding was significant (p<0.01). On the basis of these findings it was concluded that dental caries in drug addicts is a major health concern and creating awareness among the public about harmful effects of drugs on their oral health through plan and policy can reduce the burden of dental diseases. Moreover mass media and general education of the mass people can play a vital role. DOI: http://dx.doi.org/10.3329/bjdre.v5i1.22452 Bangladesh Journal of Dental Research and Education Vol.5(1) 2015: 11-13


2019 ◽  
Vol 67 (12) ◽  
pp. 573-578
Author(s):  
O. P. Kharbanda ◽  
Harsh Priya ◽  
Deepika Mishra ◽  
Shalini Gupta ◽  
Anupama Ivaturi ◽  
...  

Oral diseases, including dental caries, periodontitis, and edentulism (toothlessness), affect about 3.5 billion people worldwide. A cross-sectional study was conducted to assess the oral health status and treatment needs of government employees employed at an organization in New Delhi. Oral health information was recorded using the standard World Health Organization’s (WHO) Oral Health Assessment Tool. A total of 476 employees at various levels of administration were screened at their worksite. Dental caries and periodontal disease were present in more than half of the participants. Around 56% had decayed teeth, 20% had missing teeth, and 16% had filled teeth. Bleeding from gums was seen in 71% and periodontitis in 59% of participants. Preventive treatment and oral health promotion was required in at least 41% of the screened individuals. Annual workplace oral examinations may help in decreasing the oral disease burden and create awareness on the oral health among employees.


2019 ◽  
Vol 46 (12) ◽  
pp. 1170-1176 ◽  
Author(s):  
Michiyo Obana ◽  
Junichi Furuya ◽  
Chiaki Matsubara ◽  
Haruka Tohara ◽  
Motoki Inaji ◽  
...  

2013 ◽  
Vol 3 (2) ◽  
pp. 29-35
Author(s):  
S Mahbub ◽  
S Ferdouse ◽  
MH Zaman

The worldwide estimated prevalence of Diabetes Mellitus is 4.6% in 20-79 year aged population. In 1985, an estimated 30 million people worldwide had diabetes. The World Health Organization warns diabetes will reach epidemic with 300 million by 2025.The prevalence of diabetes is the highest in developed countries but developing countries are expected to have the largest increase in next decade.1 Uncontrolled diabetes leads to soreness, ulcers, infections and tooth decay and decrease oral health status.3 Objective: To assess oral health status among the diabetic patients in dental department of BIRDEM. Methods: It was a cross sectional type of descriptive study conducted among 110 patients for 6 months period. Data were collected using questionnaire and oral examination checklist. SPSS software was used for data analysis. Results: Males were 61.8% and 32.7% were in 40-50 years age group, post-graduate educated were 47.3%, 40.9% were employed in job and  monthly family income was taka >20000. The highest 31.8% were diabetic for 3-10 years and 47.3% were under control.  Regularly 85.5% patients checked blood sugar and followed the advice. Oral hypoglycemic was taken by 60.9% patients and followed diabetic diet 76.4%. Dental health problems developed in 44.5% diabetes patients, 41.8% developed Gum Swelling, 22.7% Bleeding during brushing teeth, 16.4% Bad breath, 16.4% had Pain and 2.7% having loosening their teeth. Both grade 3 gingivitis and grade 2 periodontitis were found in 34.5%. Maximum 48.2% visited dental surgeon. Conclusion: Regular dental care is particularly important for people with diabetes. DOI: http://dx.doi.org/10.3329/bjdre.v3i2.16610 Bangladesh Journal of Dental Research & Education Vol.3(2) 2013: 29-35


2021 ◽  
Vol 10 (33) ◽  
pp. 2795-2798
Author(s):  
Thara Chandran ◽  
Nagashree Savanur Ravindranath ◽  
Rekha Raju ◽  
Soumi Samuel ◽  
Jesline Merly James ◽  
...  

BACKGROUND Self-concept is a fundamental domain of a person’s psychological function. Relation with family members and peers may influence self-concept which poses children in orphanages at risk. In order to implement and evaluate oral health interventions, we need to consider the functional and psychosocial dimensions of oral health. The purpose of this study was to assess the association between self-concept and oral health status among 12 - 17 year olds residing in orphanages in Bengaluru. METHODS The study was carried out among children living in orphanages. A cluster sampling method was used to select 269 participants from 9 orphanages in Bengaluru. The self-concept of the study participants was assessed using R. K. Saraswat’s selfconcept questionnaire. Oral health status was recorded using world health organization (WHO) oral health assessment form 2013. RESULTS Majority of the children in orphanages had an above average (45 %) and average selfconcept (39 %). Dental caries was present in 91.1 %, missing teeth in 19.7 %, filled teeth in 20.4 %, dental trauma in 17.9, gingival bleeding in 14.5 %, erosion in 5.9 % and oral mucosal lesions in 10.03 % of study participants. CONCLUSIONS Orphan children have an above average self-concept but are at an increased risk for oral diseases. KEY WORDS Self-Concept, Dental Caries, Gingivitis, Trauma, Orphanage


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.


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