Analysis of the condition of solid tissues of teeth and the level of dental care provided to children with rheumatic diseases

2021 ◽  
Vol 21 (1) ◽  
pp. 4-14
Author(s):  
A. A. Skakodub ◽  
O. I. Admakin ◽  
Ad. A. Mamedov ◽  
P. A. Nikulin ◽  
A. S. Vatyan
Keyword(s):  
Rheumatic Diseases ◽  
Dental Care ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Oral Care ◽  
Age Groups ◽  
Epidemiological Survey ◽  
Poor Oral Hygiene ◽  
Group Iii ◽  
Group I

Relevance. Rheumatic diseases strongly influence the condition of the oral cavity, salivary glands and the temporomandibular joint, that, along with poor oral hygiene in children and active growth, increases the risk of oral disease development. The growing number of rheumatic diseases in children requires evaluation of the oral cavity condition and assessment of the provided dental services; enhancement of the professional oral care in children with rheumatic diseases through the comprehensive evaluation of the quality of the performed dental procedures and development of caries prevention measures based on the analysis of the epidemiological survey results.Materials and methods. 316 children with rheumatic pathology aged 1 to 18 years were examined. The children were divided into three age groups: group I – 1-5 years, group II – 6-12 years, group III – 13-17 years. The Oral hygiene and past dental experience questionnaire was developed for each group. Hard dental tissue condition and caries intensity level (df – in group I, df+DMF – in group II, DMF – in group III) were assessed, the oral hygiene index was calculated by the child age. On dental examination, past caries treatment and its complications were considered, the level of dental care (LDC) according to Leus was assessed.Results. The received data on caries intensity in all age groups and all medical conditions were analyzed. The values corresponded to the high and very high intensity (4.2 to 13); the values were 1.89 – 3 times higher than the values received during the epidemiological survey in children of the same age groups in Russia. Multiple primary and secondary (as a complication after the previous dental treatment) caries, associated with poor oral hygiene, was detected. The data revealed that the dental care level in children with rheumatic diseases was ‘poor’ and ‘insufficient’ The interview of the children and their parents showed that 91% of children had never had preventive treatment and 89% of children visited the dentist less than twice a year. The examination revealed that secondary caries, that had developed in 50% of children after the treatment of caries and its complications, and bad fillings, that had to be replaced.Conclusions. Thus, indirect influence of the main disease on the hard dental tissues in children was revealed – motivation for dental treatment and good oral hygiene was decreased for the lack of knowledge. The analysis of dental treatment quality in such children was insufficient. Only emergency dental visits as well as inappropriate materials and methods used for the treatment of caries and its complications result in secondary caries. So, customized treatment approach and prevention programs should be developed and introduced for the oral care in children with rheumatic diseases according to the main disease course, administered background therapy and the level of dental health education.

Tongue scrapping as a means of reducing oral mutans streptococci

2005 ◽  
Vol 28 (2) ◽  
pp. 163-166 ◽  
Author(s):  
George White ◽  
Mirna Armaleh
Keyword(s):  
Oral Hygiene ◽  
Oral Care ◽  
Tooth Brushing ◽  
Post Treatment ◽  
Mutans Streptococci ◽  
Once Daily ◽  
Group Iii ◽  
Treatment Groups ◽  
Group I ◽  
Group Ii

Mutans streptococci (MS) are one of the most virulent cariogenic pathogens in the oral cavity. The effects of three oral hygiene techniques on salivary mutans streptococci levels were evaluated to see which mechanism would be most efficient in reducing salivary MS levels. Sixty patients, all in the permanent dentition, were selected and randomly distributed into three groups. Group I was asked to use a tongue scraper to brush the tongue once daily in the morning after normal tooth brushing routine. Group II was asked to place and let dissolve a Listerine Oral Care StripTM on the tongue once daily after normal oral hygiene routine. Group III was asked to rinse once every morning, for thirty seconds, with a saturated saline solution after routine tooth brushing. The instructions were done for a period of seven days. Baseline, one hour, three day, and seven day saliva samples were obtained and plated on CRT" by Vivadent MS-sensitive agar. All treatments groups show a significant reduction in colony counts from baseline and one or more post treatment periods and at one or more time periods between treatment groups. The most effective treatment in reducing colony counts was seen within Group I "Tongue Scraping" which demonstrated the greatest change from baseline to each of the post treatment periods. The least effective was Group II "Listerine Strip" which showed a statistically insignificant increase in colony count from baseline to 1-Hour and a significant decrease from baseline at the 7-day period only.

Reliability of the Mangled Extremity Severity Score in the Management of Peripheral Vascular Injuries in Children: A Retrospective Review

2020 ◽  
Author(s):  
Ahmed Mousa ◽  
Ossama M. Zakaria ◽  
Mai A. Elkalla ◽  
Lotfy A. Abdelsattar ◽  
Hamad Al-Game'a
Keyword(s):  
Severity Score ◽  
Vein Graft ◽  
Bypass Surgery ◽  
Age Groups ◽  
Vascular Injuries ◽  
Peripheral Vascular ◽  
Group Iii ◽  
Mangled Extremity ◽  
Group I ◽  
End To End

AbstractThis study was aimed to evaluate different management modalities for peripheral vascular trauma in children, with the aid of the Mangled Extremity Severity Score (MESS). A single-center retrospective analysis took place between 2010 and 2017 at University Hospitals, having emergencies and critical care centers. Different types of vascular repair were adopted by skillful vascular experts and highly trained pediatric surgeons. Patients were divided into three different age groups. Group I included those children between 5 and 10 years; group II involved pediatrics between 11 and 15 years; while children between 16 and 21 years participated in group III. We recruited 183 children with peripheral vascular injuries. They were 87% males and 13% females, with the mean age of 14.72 ± 04. Arteriorrhaphy was performed in 32%; end-to-end anastomosis and natural vein graft were adopted in 40.5 and 49%, respectively. On the other hand, 10.5% underwent bypass surgery. The age groups I and II are highly susceptible to penetrating trauma (p = 0.001), while patients with an extreme age (i.e., group III) are more susceptible to blunt injury (p = 0.001). The MESS has a significant correlation to both age groups I and II (p = 0.001). Vein patch angioplasty and end-to-end primary repair should be adopted as the main treatment options for the repair of extremity vascular injuries in children. Moreover, other treatment modalities, such as repair with autologous vein graft/bypass surgery, may be adopted whenever possible. They are cost-effective, reliable, and simple techniques with fewer postoperative complication, especially in poor/limited resources.

scholarly journals TNF-α -308 G>A and IL10 -1082A>G polymorphisms as potential risk factors for lymphoproliferative disorders in autoimmune rheumatic diseases

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Manal Y. Tayel ◽  
Aida Nazir ◽  
Ibtessam M. Abdelhamid ◽  
Myriam A. S. Helmy ◽  
Nadia E. Zaki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rheumatic Diseases ◽  
Lymphoproliferative Disorders ◽  
Group Iii ◽  
Autoimmune Rheumatic Diseases ◽  
Group I ◽  
Tnf Α ◽  
Ifn Γ ◽  
Tgf Β1 ◽  
Distribution Frequency

Abstract Background Chronic inflammation with sustained unregulated immune stimulation in autoimmune rheumatic diseases (ARD) may be a risk factor for developing lymphoproliferative disorders (LPD). Markers of ARD activity as high erythrocyte sedimentation rate or erosive joint diseases and the development of B-symptoms were accounted as risk factors for LPD development. We investigated the association of five inflammatory cytokine genes single nucleotide polymorphisms (SNPs): TNF-α -308G>A; TGF-β1 gene codon 10 T>C and 25 G>C; IL-10 promoter SNPs -1082 A>G, -819T>C, and -592A>C; IL-6 -174G>C; and IFN-γ 874 T>A with the risk of LPD development in ARD patients. The study was conducted on 70 patients divided into group I, 25 ARD patients diagnosed as RA (n = 15) and SLE (n = 10) and with no history of malignancy; group II, 25 patients diagnosed with LPD and had no ARD; and group III, 20 patients diagnosed with both diseases: ARD and LPD. Cytokine genotyping was analyzed by PCR-sequence-specific primer (PCR-SSP). Results ARD+LPD patients had significantly higher frequency of TNF-α -308A allele and AA+AG genotype (high TNF-α producers) and IL-10 -1082A allele and AA genotype (low IL-10 producers) than ARD patients (p = 0.003, p = 0.024, p = 0.003, p = 0.03, respectively) with a significantly increased risk of LPD development in ARD patients expressing the corresponding alleles and genotypes. No significant differences were detected in the distribution frequency of either TGF-β1, IL-6, or IFN-γ SNPs between groups I and III or any of the studied SNPs between groups II and III. The distribution frequency of IL-10 ATA haplotype was significantly increased in group III as compared to group I (p = 0.037). Conclusion The significantly increased frequency of the high-TNF-α- and low-IL-10-producing alleles and genotypes in ARD patients may participate in the provision of a proinflammatory milieu that eventually increases the risk of LPD development.

scholarly journals Capnocytophaga gingivalis Bacteremia After Upper Gastrointestinal Bleeding in Immunocompromised Patient

2021 ◽  
Vol 9 ◽  
pp. 232470962110206
Author(s):  
Folake J. Lawal ◽  
Stephanie L. Baer
Keyword(s):  
Gastrointestinal Bleeding ◽  
Oral Hygiene ◽  
Upper Gastrointestinal Bleeding ◽  
Immunocompromised Patient ◽  
Periodontal Diseases ◽  
Oral Care ◽  
Chronic Obstructive ◽  
Poor Oral Hygiene ◽  
Oral Flora ◽  
Upper Gastrointestinal

Odontogenic bacteremia, most commonly involving gram-positive oral flora, can result from daily self-care practices or professional dental procedures. Though usually transient and quickly cleared by the immune system, the presence of periodontal disease increases the frequency of exposure and risk of persistence of oral-systemic infections. Comorbidities such as asplenia, alcoholism, and immunocompromise increase the risk of complications of hematogenous spread and severe systemic illness. Capnocytophaga is a genus of anaerobic fastidious gram-negative bacilli, which is a common member of human oral flora, and its density is proportional to mass of dental plaques and periodontal diseases. Capnocytophaga spp that colonize humans are less virulent and are uncommon causes of bacteremia when compared with the Capnocytophaga typical of canines. C gingivalis has been rarely reported as a cause of disease in immunocompromised or immunocompetent hosts. In this article, we present a case of an immunocompromised 70-year-old man with poor oral hygiene, on methotrexate and prednisone for rheumatoid arthritis and sarcoidosis, who was admitted for chronic obstructive pulmonary disease exacerbation and developed C gingivalis bacteremia and septic shock after an episode of upper gastrointestinal bleeding. Poor oral hygiene in our patient is believed to have increased his risk as an immunocompromised patient to developing C gingivalis bacteremia. This case highlights the importance of oral care in immunocompromised patients especially while hospitalized, and those about to receive transplant, chemotherapy, or on immune modulators.

scholarly journals Assessment of intraocular pressure in chinchillas of different age groups using rebound tonometry

2016 ◽  
Vol 46 (8) ◽  
pp. 1466-1471 ◽  
Author(s):  
Flor Diana Yokoay Claros Chacaltana ◽  
João Antonio Tadeu Pigatto ◽  
Ione Terezinha Denardin
Keyword(s):  
Intraocular Pressure ◽  
Age Groups ◽  
Time Of Day ◽  
Age Group ◽  
Group Iii ◽  
Rebound Tonometer ◽  
Indirect Ophthalmoscopy ◽  
Group I ◽  
Schirmer Tear Test ◽  
The Mean

ABSTRACT: The aim of this research was to measure the intraocular pressure (IOP) of normal chinchilla eyes using the rebound tonometer. A further aim was to assess whether there were differences in the values of intraocular pressure in relation to animals age, gender and time of day. Thirty-six chinchillas were divided into three groups of 12 chinchillas each, by age: Group I (2-6-month-old), Group II (20 and 34 months) and Group III (37 and 135 months). Ophthalmic examination was performed previously by Schirmer tear test, slit lamp biomicroscopy, indirect ophthalmoscopy and fluorescein test in all chinchillas. Three measurements of intraocular pressure were assessed on the same day (7, 12 and 19h). Tonometry was performed on both eyes using the rebound tonometer after calibration in "p" mode. Statistical analysis was performed with SigmaPlot for Windows. The mean IOP for groups I, II and III were 2.47±0.581mmHg, 2.47±0.581mmHg and 2.51±0.531mmHg, respectively. No significant differences were reported between age and IOP and no significant differences were reported between the time of day and IOP. The IOP in chinchillas did not differ significantly between genders or ages of the animals, and did not change with time of day.

scholarly journals Etiology of community-acquired pneumonia and prevalence of comorbidities in elderly patient population

2020 ◽  
pp. 242-248
Author(s):  
Sergey K. Zyryanov ◽  
M.S. Chenkurov ◽  
Marina A. Ivzhits ◽  
Yu.A. Batechko ◽  
E.B. Ivanova ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Patient Population ◽  
Age Groups ◽  
Mortality Rates ◽  
Community Acquired Pneumonia ◽  
Gram Negative Bacteria ◽  
Old Patients ◽  
Group Iii ◽  
Group I ◽  
Enterococcus Spp

Objective. To investigate the mortality rate, comorbidity prevalence, and etiology of community-acquired pneumonia (CAP) in elderly patient population. Materials and Methods. Hospitalized elderly patients with CAP were distributed into the following age groups: 65–74 years (group I), 75–84 years (group II) and 85–94 years (group III). The patients’ medical records were used for determining comorbidities and mortality rate. In order to determine etiology of CAP, sputum or BAL samples were collected. A total of 171 isolates were identified using MALDI-TOF MS. Results. The mortality rates were 27.1%, 31.5% and 45.7% in age groups I, II, III, respectively. The most common concomitant diseases in all age groups were arterial hypertension (47.4%, 54.6%, and 62.8% for groups I, II, and III, respectively), chronic heart failure (45.7%, 50.9%, and 60.0%, respectively), and coronary heart disease (15.2%, 25.9%, and 24.3%, respectively). The most frequently isolated bacteria by age group were the following: group I – non-fermenting Gram-negative bacteria (NFGNB) (7.4%), Enterobacterales (6.6%), S. aureus (6.6%); group II – Enterobacterales (13.9%), S. aureus (5.6%), Enterococcus spp. (5.6%), NFGNB (2.8%); group III – NFGNB (15.4%), S. aureus (7.7%), Enterococcus spp. (7.7%), Enerobacterales (7.7%). Conclusions. The mortality rates in elderly patients with CAP were high and varied from 27.1% in 65–74 years old patients to 45.7% in 85–94 years old patients. The most common comorbidities in all age groups were arterial hypertension (up to 62.8%), chronic heart failure (up to 60%), and coronary heart disease (up to 25.9%). The main pathogens causing CAP in elderly patient population were Enterobacterales and non-fermenting Gram-negative bacteria.

An Epidemiologic Study of Tongue Lesions in 1901 Iranian Dental Outpatients

2008 ◽  
Vol 9 (7) ◽  
pp. 73-80 ◽  
Author(s):  
Mina Motallebnejad ◽  
Neda Babaee ◽  
Shirin Sakhdari ◽  
Maryam Tavasoli
Keyword(s):  
Oral Hygiene ◽  
Strong Association ◽  
Epidemiologic Study ◽  
Black Tea ◽  
Epidemiological Survey ◽  
Poor Oral Hygiene ◽  
Chi Square ◽  
Northern Iran ◽  
Exact Probability ◽  
Epidemiologic Survey

Abstract Aim The aim of this study was to assess the frequency of nine tongue conditions and evaluate their relationship to oral hygiene status and personal habits in a Northern Iranian population. Methods and Materials This descriptive study evaluated 1901 healthy subjects (1142 women, 759 men) >12 years who were referred to the Dental Faculty of Babol University during a period from February 2005 to July 2006. A questionnaire was designed according to the aims of the study. Each subject completed the questionnaire and received a complete dental and oral examination. Statistical analysis was performed using SPSS software and Chi-square and Fisher's exact probability tests. Results Six hundred seventy-two (35.3%) of 1901 subjects had tongue lesions with a frequency of 38.6% in women and 47.7% in men which was statistically significant (P<0.0001). A strong association was found between tongue lesions and smoking (p<0.0001), black tea drinking (p=0.021), and poor oral hygiene (p<0.0001). Hairy tongue (p<0.0001), coated tongue (p<0.0001), and fissured tongue (p=0.014) conditions were significantly higher in males, while crenation of the tongue was more frequent in women (p<0.0001). Conclusion This epidemiologic survey of adult dental outpatients of Northern Iran assessing tongue conditions and lesions found the frequency of these conditions in 47.7% of males and 38.6% of females in this population. Tongue conditions and lesions were more frequent among smokers, black tea drinkers, and those with poor oral hygiene. The results of this epidemiological survey can only be interpreted for the population studied and as such cannot be generalized to the wider population of Iran, but future studies should be designed to assess the frequency of these conditions on a countrywide basis. Clinical Significance The results of this study suggest efficient oral hygiene programs and encouraging people to drink less tea and quit smoking may reduce tongue lesions in adult dental outpatients in Northern Iran. Citation Motallebnejad M, Babaee N, Sakhdari S, Tavasoli M. An Epidemiologic Study of Tongue Lesions in 1901 Iranian Dental Outpatients. J Contemp Dent Pract 2008 November; (9)7:073-080.

RESULTS OF MONITORING OF REPEATED DISABILITY DUE TO THYROID CANCER IN THE ADULT POPULATION IN MOSCOW

2020 ◽  
Vol 3 ◽  
pp. 38-46
Author(s):  
G.E. Pogosyan ◽  
Keyword(s):  
Thyroid Cancer ◽  
Adult Population ◽  
Age Groups ◽  
Malignant Neoplasm ◽  
Endocrine System ◽  
Malignant Neoplasms ◽  
Group Iii ◽  
Group I ◽  
Disability Group ◽  
Group Ii

Among socially significant diseases that are characterized by high prevalence rates, malignant neoplasms occupy the leading positions. Thyroid cancer is the most common malignant neoplasm of the endocrine system. Purpose of the study. Analysis of recurrent disability due to thyroid cancer in the adult population in Moscow (2015–2019). Materials and research methods. The structure of repeated disability due to thyroid cancer by sex, age and disability group was studied. The dynamics of the number of the PPI contingent was traced and the level of repeated disability due to this pathology was determined. The number of observations was 4660 PPI. Research results. It was found that in the structure of repeated disability due to thyroid cancer, women predominated by gender. The trend towards an increase in the number of PPI took place in all major age groups of the adult population. The prevalence of PPI with group III disability, the proportion of which was 66.0% (PPI with group II – 32.5%, PPI with group I – 1.5%). The visibility indicator in 2019 in relation to 2015 (taken as 100%) was equal in the general contingent of PPI among disabled people of group I – 142.9%, group II – 374.1%, group III – 249.3% ...

Prenatal gross morphometrical studies on spleen with special reference to prediction of foetal age in Surti goat (Capra hircus)

2019 ◽  
Author(s):  
Shailendra Chaurasia ◽  
R. Menaka ◽  
Thakur Krishna Shankar Rao ◽  
K.K. Tyagi
Keyword(s):  
Stepwise Regression ◽  
Abdominal Cavity ◽  
Age Groups ◽  
Relative Weight ◽  
Prediction Equation ◽  
Important Variable ◽  
Capra Hircus ◽  
Group Iii ◽  
Group I ◽  
Length Width

A study was conducted to elucidate the topographic location and morphometry of the spleen in 30 Surti goat foetuses at different stages of their development ranging from 44 to 144 days (4.0 to 41.0 cm CRL). On the basis of CR length, the foetuses were divided into three age groups viz., group-I (4.0 to 11.6 cm CRL), group-II (12.2 to 26.8 cm CRL) and group-III (27.2 to 41.0 cm CRL). Special attempt has been made to fit prediction equation (stepwise regression) for estimation of approximate age of Surti goat foetuses by using splenic biometrics. The developing spleen was observed at the age of 44 days (4.0 cm CRL) in abdominal cavity close to the stomach. The shape of spleen was roughly quadrilateral in all age groups. The various spleen measurements viz., length, width, thickness, volume and weight increases in dimensions during different stages of development and all the changes were highly significant (P less than 0.01). The mean relative weight of spleen was maximum (0.15%) in group-III. Among splenic parameters, the length of spleen was found most important variable; which could be used for estimation of age using stepwise regression (R2 = 0.97) model in Surti goat foetuses.

Maturation and Fecundity of Brook Trout from Infertile Streams

1966 ◽  
Vol 23 (5) ◽  
pp. 623-649 ◽  
Author(s):  
Richard S. Wydoski ◽  
Edwin L. Cooper
Keyword(s):  
Brook Trout ◽  
Age Groups ◽  
Reproductive Rate ◽  
Seasonal Development ◽  
Age Group ◽  
Group Iii ◽  
Total Length ◽  
Group I ◽  
Reproductive Rates ◽  
Curvilinear Regression

The reproductive rate of brook trout populations from infertile Pennsylvania streams was determined. The standing crops for eight streams varied between 14 and 41 lb/acre. Trout in age-groups 0 through III were found to grow slowly with very few individuals reaching a total length of 6 inches.The seasonal development of ova was determined by measuring all ova larger than 0.2 mm from selected females. The maturing ova of most females of age-groups II and III increased in diameter from 0.9 mm in February to 1.0 mm in June, 1.75 mm in July, 2.5 mm in August, 3.0 mm in September, and 4.0 mm in October. Maturing females could be distinguished from immature females by late August or early September on the basis of ova diameters. The mean diameter of ripe ova from 67 females was 4.05 mm with a range between 3.37 and 5.01 mm for individual trout ranging from 4.6 to 8.6 inches total length.The relationship between the number of mature ova and the total length of the female for one population was described by a curvilinear regression (log Y = −0.5361 + 3.23 log X, where Y = number of eggs, and X = the total length of the fish) for brook trout between 3.6 inches (18 eggs) and 7.7 inches (213 eggs). Variation in this relationship existed among streams.Ova production was estimated as 9050 ova per acre for one population and 13,620 ova per acre for another. Age-group-I females contributed approximately 9% of this production; age-group-II females, 54%; and age-group-III females, 37%. An ecological life table was constructed for two populations comparing rates of survival, age-specific fecundity rates, and reproductive rates.

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