ASSESSMENT OF PATIENTS ' ACCESS TO PERIODONTAL CARE

Author(s):  
Станислав Валерьевич Микляев ◽  
Андрей Валерьевич Сущенко ◽  
Антон Дмитриевич Козлов ◽  
Ирина Павловна Полторацкая

Воспалительные заболевания тканей пародонта (ВЗТП) являются актуальной проблемой современной стоматологии, которая приобретает большое медико-социальное значение. В большинстве случаев отсутствие адекватной гигиены полости рта и профилактики стоматологических заболеваний приводит к быстрому развитию воспалительного процесса в тканях пародонта. Следствием чего является преждевременная потеря зубов, нарушение функции жевания и эстетики. В настоящее время возрастает интерес ученых к проблеме стоматологического здоровья и профилактики как механизма повышения качества жизни пародонтологических больных. Согласно своему определению качество жизни определяет показатели, которые тесно связаны между собой и с состоянием здоровья человека. Исследования, которые проводились в нашей стране, показали, что весомое большинство населения не имеет понятие о данной проблеме, не понимает самого термина «качество жизни», ни его факторов, которые и определяют само качество жизни. В данной статье нами были рассмотрены результаты анкетирования пациентов, которые обратились за пародонтологической помощью. Все пациенты были разделены на возрастные и гендерные группы, в которых по итогам исследования прослеживалась взаимосвязь обращаемости за лечением в зависимости от возраста, тяжести заболевания и наличия вредных привычек Inflammatory diseases of periodontal tissues (VZTP) are an urgent problem of modern dentistry, which is of great medical and social importance. In most cases, the lack of adequate oral hygiene and prevention of dental diseases leads to the rapid development of the inflammatory process in the periodontal tissues. The result is premature loss of teeth, impaired chewing function and aesthetics. Currently, scientists are increasingly interested in the problem of dental health and prevention as a mechanism for improving the quality of life of periodontal patients. According to its definition, the quality of life determines indicators that are closely related to each other and to the state of human health. The research conducted in our country showed that a significant majority of the population has no idea about this problem, does not understand the term "quality of life", nor its factors that determine the quality of life itself. In this article, we reviewed the results of a survey of patients who applied for periodontal care. All patients were divided into age and gender groups, in which, according to the results of the study, the relationship between treatment requests was traced depending on age, the severity of the disease and the presence of bad habits

2021 ◽  
Vol 2 (2) ◽  
pp. 5-8
Author(s):  
M.T. Safarov ◽  
◽  
F.A. Khusanbaeva ◽  
K.M. Tashpulatova ◽  
A.M. Khodjiberganov

The search for new ways of early detection and improving the effectiveness of treatinginflammatory periodontal diseases is one of the urgent tasks in modern dentistry. Inflammatory diseases in the periodontal tissues lead to the loss of teeth, the appearance offoci of chronic infection in the oral cavity, a decrease in the body's reactivity, microbial sensitization, and the development of allergic conditions. This pathological process is not a strictly limited pathology but, as a rule, is just one of the manifestations of more serious systemic diseases. The general state of human health, the quality of life, his socio-mental status and even his role in society suffer.Keywords:periodontium, inflammation, platelet autoplasm


2021 ◽  
Vol 15 (3) ◽  
pp. 26-34
Author(s):  
Marina Yu. Maksimova ◽  
Nikita A. Ryazantsev ◽  
Evgenia N. Anisimova ◽  
Natalia Yu. Anisimova ◽  
Мikhail A. Piradov

The aim of this study was to establish clinical significance of oral inflammatory diseases in ischaemic stroke (IS), how aware doctors and nurses are of this problem, and the safety and possibility of performing dental hygiene in patients with acute IS. Materials and methods. We examined 100 patients who had suffered an ischaemic stroke in the internal carotid artery territory within 6 to 48 hours. The efficacy of dental hygiene and the risk of developing chronic oral sepsis were evaluated using the Patient Hygiene Performance Index (PHP) and Chronic Oral Sepsis Risk index (COSR). Quality of life was assessed using the short version of the Oral Health Impact Profile (OHIP-14). The sociological study included 100 patients with ischaemic stroke, 38 nurses, and 18 neurologists. Results. The severity of IS at study inclusion was 8 (3; 15) points on the NIHSS, while the Barthel Index score was 70 (45; 90) points. The modified Rankin Scale score was 13 points. The PHP index was 2.28 0.05 and the COSR index was 20.13 0.50. The OHIP-14 results (a total score of 28.1 6.8 points) also indicated unsatisfactory quality of dental health. The results of sociological studies revealed low level of awareness regarding dental care during acute IS among doctors. After professional oral care, treatment of oral inflammatory diseases, and removal of significantly damaged teeth, patients with IS had a decrease in the PHP index to 1.17 0.05 and the COSR index to 7.36 0.50, which corresponds to a satisfactory level of dental hygiene by the end of the acute stroke period. The impact of dental health on quality of life parameters as measured by the OHIP-14 scale (22.4 7.2 points) was satisfactory. Conclusion. The most important aspect of early dental care in patients with IS is increasing the quality of oral health.


10.12737/4794 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
Беленова ◽  
I. Belenova ◽  
Кобзева ◽  
Galina Kobzeva

Analysis of the current literature shows that treatment and prevention of inflammatory diseases of periodontal tissues remains an actual problem of dentistry in the XXI century. Existing approaches to the treatment, prevention and rehabilitation of patients with inflammatory diseases of parodont have certain disadvantages. The purpose of this study was to obtain positive results from the use of modulated diode light in the red spectrum region in the complex treatment of chronic periodontitis. The study shows the use of opportunities of determination of socio-dental indicators the social impact of dental disease in the clinical assessment of the status of periodontal tissues in the patients with chronic inflammatory diseases of gum. 59 patients were divided into 2 groups. The first group received traditional therapy and photodynamic therapy. The second group was a control. Assessment of the effect of dental disease on quality of life was carried out in all patients. The results of the study showed that after the complex treatment of chronic generalized periodontitis using modulated diode light in the red spectrum region, changes in the assessment of the impact of dental disease on quality of life are of stable positive. The results of the research motivate the necessity of applying and evaluating the impact of dental disease on quality of life in the rehabilitation of patients with chronic generalized parodontitis. The results of this study showed that after the complex treatment of chronic periodontitis using modulated diode light in the red spectrum region, changes in psychological status of patients have positive dynamics.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Carolyn E. Schwartz ◽  
Roland B. Stark ◽  
Bruce D. Rapkin

Abstract Background Two decades of research on quality-of-life (QOL) appraisal have demonstrated links between patient experience and health outcomes and have accounted for both intra-individual change and inter-individual differences in a wide range of research contexts. The present work investigates patterns across diagnostic and demographic groupings to demonstrate how population-specific circumstances drive the structure of QOL appraisal. Methods This secondary analysis (N = 6448) utilized data from six patient groups: spine surgery, multiple sclerosis, heterogeneous chronically ill, heterogeneous cancer, bladder cancer, and human immunodeficiency virus (HIV). We explored patterns of inter-item correlation across patient samples, using items from the Standards of Comparison and Sampling of Experience subsections of the QOL Appraisal Profile v1 and v2. Similar matrices were compared by demographic characteristics. Results Patterns of inter-item correlations for Standards of Comparison items varied sharply across disease groups and racial groups while being similar across age, gender, and education levels. Inter-item correlation matrices for Sampling of Experience items revealed marked differences among disease groups and educational and racial categories but were similar across age and gender groups. Conclusions Appraisal parameters showed evidence of shared and unique aspects across samples and circumstances, findings which make sense in light of sample differences in health status and demographic influences. Tools to assess patient experience and meaning may be best understood as idiometric instruments. We discuss their distinctions from psychometric and clinimetric tools at theoretical, statistical, and applied levels.


2020 ◽  
Vol 29 (4) ◽  
pp. 2097-2108
Author(s):  
Robyn L. Croft ◽  
Courtney T. Byrd

Purpose The purpose of this study was to identify levels of self-compassion in adults who do and do not stutter and to determine whether self-compassion predicts the impact of stuttering on quality of life in adults who stutter. Method Participants included 140 adults who do and do not stutter matched for age and gender. All participants completed the Self-Compassion Scale. Adults who stutter also completed the Overall Assessment of the Speaker's Experience of Stuttering. Data were analyzed for self-compassion differences between and within adults who do and do not stutter and to predict self-compassion on quality of life in adults who stutter. Results Adults who do and do not stutter exhibited no significant differences in total self-compassion, regardless of participant gender. A simple linear regression of the total self-compassion score and total Overall Assessment of the Speaker's Experience of Stuttering score showed a significant, negative linear relationship of self-compassion predicting the impact of stuttering on quality of life. Conclusions Data suggest that higher levels of self-kindness, mindfulness, and social connectedness (i.e., self-compassion) are related to reduced negative reactions to stuttering, an increased participation in daily communication situations, and an improved overall quality of life. Future research should replicate current findings and identify moderators of the self-compassion–quality of life relationship.


Author(s):  
Rathika Krishnasamy

Background: The rate of multidrug-resistant organisms (MDRO) colonisation in dialysis populations has increased over time. This study aimed to assess the effect of contact precautions and isolation on quality of life and mood for haemodialysis (HD) patients colonised with MDRO. Methods: Patients undergoing facility HD completed the Kidney Disease Quality of Life (KDQOL–SFTM), Beck Depression Inventory (BDI) and Personal Wellbeing-Index Adult (PWI-A). Patients colonised with MDRO were case-matched by age and gender with patients not colonised. Results: A total of 16 MDRO-colonised patients were matched with 16 controls. Groups were well matched for demographics and co-morbidities, other than a trend for older dialysis vintage in the MDRO group [7.2 years (interquartile range 4.6–10.0) compared to 3.2 (1.4–7.6) years, p=0.05]. Comparing MDRO-positive with negative patients, physical (30.5±10.7 vs. 34.6±7.3; p=0.2) and mental (46.5±11.2 vs. 48.5±12.5; p = 0.6) composite scores were not different between groups. The MDRO group reported poorer sleep quality (p=0.01) and sleep patterns (p=0.05), and lower social function (p=0.02). BDI scores were similar (MDRO-positive 10(3.5–21.0) vs. MDRO-negative 12(6.5–16.0), p=0.6). PWI-A scores were also similar in both groups; however, MDRO patients reported lower scores for “feeling safe”, p=0.03. Conclusion: While overall scores of quality of life and depression were similar between groups, the MDRO group reported poorer outcomes in sleep and social function. A larger cohort and qualitative interviews may give more detail of the impact of contact precautions and isolation on HD patients. The necessity for contact precautions for different MDRO needs consideration.


Author(s):  
Tjaša Filipčič ◽  
Špela Bogataj ◽  
Jernej Pajek ◽  
Maja Pajek

Hemodialysis (HD) patients have lower functional abilities compared to healthy people, and this is associated with lower physical activity in everyday life. This may affect their quality of life, but research on this topic is limited. Therefore, the present study aimed to determine the relationship between habitual physical activity and quality of life in HD patients and healthy controls. Ninety-three HD patients and 140 controls participated in the study. Quality of life was assessed using a 36-item medical outcomes study short-form health survey (SF-36). Human Activity Profile (HAP) was used to assess habitual physical activity. The adjusted activity score (AAS) from HAP, age, gender, fat tissue index (FTI), lean tissue index (LTI), and Davies comorbidity score were analyzed as possible predictors of the Physical Component Summary (PCS) of the SF-36. Three sequential linear models were used to model PCS. In Model 1, PCS was regressed by gender and age; in Model 2 the LTI, FTI, and Davies comorbidity scores were added. Model 3 also included AAS. After controlling for age and gender (ModelHD 1: p = 0.056), LTI, FTI, and Davies comorbidity score effects (ModelHD 2: p = 0.181), the AAS accounted for 32% of the variation in PCS of HD patients (ModelHD 3: p < 0.001). Consequently, the PCS of HD patients would increase by 0.431 points if the AAS increased by one point. However, in healthy controls, AAS had a lower impact than in the HD sample (B = 0.359 vs. 0.431), while the corresponding effects of age and gender (ModelH 1: p < 0.001), LTI, FTI, and Davies comorbidity score (ModelH 2: p < 0.001) were adjusted for. The proportion of variation in PCS attributed to AAS was 14.9% (ModelH 3: p < 0.001). The current study results showed that physical activity in everyday life as measured by the HAP questionnaire is associated to a higher degree with the quality of life of HD patients than in healthy subjects. Routine physical activity programs are therefore highly justified, and the nephrology community should play a leading role in this effort.


Author(s):  
Yen-Mou Lu ◽  
Chung-Hwan Chen ◽  
Yi-Jing Lue

BACKGROUND: Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES: To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS: Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS: Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION: Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.


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