scholarly journals Prosthodontics Status and Treatment Needs among the Elderly in the Republic of Macedonia

2018 ◽  
Vol 6 (5) ◽  
pp. 874-878
Author(s):  
Julijana Nikolovska ◽  
Vesna Korunoska-Stevkovska ◽  
Aneta Mijoska ◽  
Lidija Popovska

BACKGROUND: Oral health care management among the elderly differs from the rest of the population, due to some specific physiological changes and general health status related to age. We know very little about the oral health in elderly in the Republic of Macedonia, because there are only a few articles published about dental health status and edentulism of this population.AIM: The study aimed to evaluate the prosthodontic status of older adults over 65 years in the Republic of Macedonia, about their socio-economic status and individual factors.MATERIAL AND METHODS: A cross-sectional study was conducted in 8 regions, in rural and urban areas of Macedonia and a representative sample of 432 people (age > 65 years) was examined. Statistical analyses of the data were made by chi-square tests and the corresponding C-coefficient.RESULTS: Only 6% of all participants had not any prosthetic appliance, 9.5% had more than one bridge, 28.7% of examinees had partial dentures, both bridge(s) and partial denture(s) had 10.7% participants, and 45.1% of examinees were toothless. There was a significant difference between patients who visited the dentist more than once a year and those who did not (c2 = 14.2; df = 4, p < 0.01). From all of the participants, 40.3% used public dental care organisations.CONCLUSIONS: We found a high prevalence of edentulousness among older adults over 65 years in Macedonia. The study confirmed the necessity for establishing healthcare educational programs for the dental treatment of elderly in Macedonia.

2011 ◽  
Vol 35 (3) ◽  
pp. 325-330 ◽  
Author(s):  
Abhinav Singh ◽  
MP Bharathi ◽  
Peter Sequeira ◽  
Shashidhar Acharya ◽  
Meghashyam Bhat

Objectives: To assess oral health status and practices of 5- and 12-year-old Tribal school children.Methods: A total of 418, 5-year-old children and 327, 12-year-old children were enrolled. Information on demographic characteristics of participants along with oral health behavior was collected. Clinical data were collected on dental fluorosis, periodontal status, dental caries and treatment needs. Dean's index criterion was used to assess dental fluorosis. Community Periodontal Index (CPI) for periodontal conditions and Dentition status and treatment needs for dental caries were recorded. Results: Between meal sugar consumption was high (100%). None of the children in both the age groups had visited trained health personnel for dental treatment. Dental fluorosis prevalence in 5- and 12-year olds was 11.9% and 22.9% respectively. Bleeding on probing and calculus was common between both the age groups. A low mean number of healthy sextants were found and this decreased with age. Mean dmft/DMFT values for 5- and 12-year olds were 4.13 ± 3.90 and 1.15 ± 1.62. Significant caries index (SIC) scores for 5- and 12-year olds were 7.17 ±4.30 and 3.78 ± 3.21 respectively. Conclusion: The present study reveals high sugar consumption, dental fluorosis, poor oral hygiene, and untreated dental disease of tribal children. Under these circumstances, the implementation of preventive programs including restriction of sweets in school premises for the tribal children is the key to good oral health.


Author(s):  
Maha H. Alamri ◽  
Reem A. Alqahtani ◽  
Norah A. Alqahtani ◽  
Wejdan A. Shobeili ◽  
Rafi A. Togoo ◽  
...  

Background: This study aimed to assess the oral health status and dental treatment needs of children with Sickle Cell disease (SCD) in Abha and Khamis Mushait cities of southern Saudi Arabia.Methods: A total of 82 children were included in the study, 41 children with SCD and 41 control group. A total of 82 children having age group of 2 to 13 years from Abha and Khamis Mushait cities of southern Saudi Arabia were examined. The clinical examinations were performed by experienced clinicians in those children who fulfilled the required inclusion criteria. Intraoral examination was done using Decayed-Missing-Filled Teeth Index (DMFT Index) and other dental conditions were examined. Statistical analysis was done with Chi square test and level of significance was set at p<0.05.Results: Prevalence of dental caries was shown between the 2 groups of children i.e., SCD and control. When SCD was compared with control group, the Mean ±Standard deviation for decayed missing filled tooth was found to be DMFT= 6.95±4.79, 8.02±4.33 respectively. Statistically no significant difference was found (P=0.290). 17.1% of children with SCD group has gingivitis compared to control group which is 7.3%. Statistically no significant difference was found (P=0.177). Dental trauma, deleterious oral habits and tooth brushing amount SCD children were shown no statistically significant compared to control group.Conclusions: In the present study no significant difference was evident in dental diseases and treatment needs among SCD and Control group.


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.


2005 ◽  
Vol 6 (4) ◽  
pp. 75-84 ◽  
Author(s):  
Olawunmi A. Fatusi ◽  
Eyitope O. Ogunbodede ◽  
Anthony Akintomide ◽  
Kikelomo Kolawole ◽  
Adesuyi Ajayi

Abstract Oral manifestations of diabetes mellitus have been documented, but the effect of glycemic control on the oral tissues has been scantily reported. The oral health status of 65 metabolically controlled adult diabetic patients attending the Diabetes Clinic of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, was prospectively assessed over six months and compared with that of 54 non-diabetic acting as controls. The mean duration of diabetes was 100.5±85.1 months. The difference in periodontal status of the patients and control, assessed using the Community Periodontal Index of Treatment Needs (CPITN), was not statistically significant (p=0.07). The degree of hyposalivation between the two groups was, however, statistically significant (p<0.05). No significant difference was observed in the altered taste, burning mouth sensation, angular cheilitis, glossitis, and stomatitis status of the two groups. We conclude that, with adequate metabolic control, the oral health status of a diabetic may not be significantly different from that of a non-diabetic except for xerostomia. A good understanding of the interactions between systemic diseases and oral health is imperative for physicians and dental practitioners. The need for early detection and closer linkages between the dental and medical professions in managing diabetic patients is emphasized. Citation Ogunbodede EO, Fatusi OA, Akintomide A, Kolawole K, Ajayi A. Oral Health Status in a Population of Nigerian Diabetics. J Contemp Dent Pract 2005 November;(6)4:075-084.


Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 120
Author(s):  
Abbas Jessani ◽  
Mir Faeq Ali Quadri ◽  
Pulane Lefoka ◽  
Abdul El-Rabbany ◽  
Kirsten Hooper ◽  
...  

This study aimed to characterize the best predictors for unmet dental treatment needs and patterns of dental service utilization by adolescents in the Kingdom of Lesotho, Southern Africa. A self-reported 40-item oral health survey was administered, and clinical oral examinations were conducted in public schools in Maseru from August 10 to August 25, 2016. Associations between psychosocial factors with oral health status and dental service utilization were evaluated using simple, bivariate, and multivariate regressions. Five hundred and twenty-six survey responses and examinations were gathered. The mean age of student participants was 16.4 years of age, with a range between 12 and 19 years of age. More than two thirds (68%; n = 355) of participants were female. The majority reported their quality of life (84%) and general health to be good/excellent (81%). While 95% reported that oral health was very important, only 11% reported their personal dental health as excellent. Three percent reported having a regular family dentist, with the majority (85%) receiving dental care in a hospital or medical clinic setting; only 14% had seen a dental professional within the previous two years. The majority of participants did not have dental insurance (78%). Clinical examination revealed tooth decay on 30% of mandibular and maxillary molars; 65% had some form of gingivitis. In multivariate analysis, not having dental education and access to a regular dentist were the strongest predictors of not visiting a dentist within the last year. Our results suggest that access to oral health care is limited in Lesotho. Further patient oral health education and regular dental care may make an impact on this population.


2021 ◽  
Author(s):  
Katarzyna Skoskiewicz-Malinowska ◽  
Urszula Kaczmarek ◽  
Barbara Malicka

Abstract Background In recent years, there has been an increase in the number of ageing people and women have a longer life expectancy compared to men. This study aims to compare oral health parameters and conduct a psychometric assessment using standardised questionnaires in a group of the elderly of both gender aged 65 and more.MethodsThe survey involved 500 residents of Wroclaw, aged 65 and older, of both gender. There was an oral and questionnaire examination performed. QoL was evaluated using Euro-Quality of Life, Oral Health Impact Profile-14 and Patient Health Questionnaire, which were validated for the Polish population. The relationship strength between psychometric scale scores and sociodemographic and clinical factors was determined by calculating Spearman's linear correlation coefficient values and regression coefficient values.ResultsThe prevalence of xerostomia assesed by the Challacombe scale was diagnosed significantly more frequently in women then men. (36.9% vs. 25.5%; p = 0.076). The men were significantly more likely to have high treatment needs (36.1% vs. 26.9%; p = 0.032) and they required urgent dental treatment (7.2% vs. 2.8%; p = 0.022). There were no statistically significant differences in terms of QoL evaluated by EQ-5D, EQ-5D VAS or OHIP-14 questionnaires in both subgroups (6.7±1.9 vs. 7.1±2.2, 66.1±18.6 vs. 67.9±20.9, 8.5±14.0 vs. 7.2±12.9; p > 0.05). Only women had higher severity of depressive symptoms measured using the PHQ-9 questionnaire (4.0±4.1 vs. 2.8±3.8; p<0.001).ConclusionIt can be concluded that the independent predictors which significantly affect the high QoL scores on the EQ-5D scale were found to be female gender, age below 75, high or middle income, independence in daily life, a low number of comorbidities, lack of oral treatment needs.


2020 ◽  
Author(s):  
Abbas Jessani ◽  
Faeq Quadri ◽  
Abdul El-Rabbany ◽  
Kirsten Hooper ◽  
Hyun Ja Lim ◽  
...  

Abstract Objectives: To identify the unmet dental treatment needs and patterns of dental service utilization by adolescents in the Kingdom of Lesotho, Southern Africa, and characterize the best predictors for perceived oral health status and dental visits for these adolescents. Method: A self-reported 40-item oral health survey was administered, and clinical oral examinations were conducted in public schools in Maseru from August 10 to August 25, 2016. Associations between psychosocial factors with oral health status and dental service utilization were evaluated using simple, bivariate and multivariate regressions. Results: Five hundred and twenty-six survey responses and examinations were gathered. The mean age of participants was 16.4 years of age, with a range between 12 and 19 years of age. More than two thirds (68%; n=355) of participants were female. The majority reported their quality of life (84%) and general health to be good/excellent (81%). While 95% reported that oral health was very important, only 11% reported their personal dental health as excellent. Three percent reported having a regular family dentist, with the majority (85%) receiving dental care in a hospital or medical clinic setting; only 14% had seen a dental professional within the previous 2 years. The majority of participants did not have dental insurance (78%). Clinical examination revealed tooth decay on 30% of mandibular and maxillary molars; 65% had some form of gingivitis. In multivariate analysis, not having dental education and access to a regular dentist were the strongest predictors of not visiting a dentist within the last year. Conclusion: Our results suggest that access to oral health care is limited in Lesotho. Dental decay on molars was prevalent. Further patient oral health education and regular dental care may make an impact on this population.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Leena Smadi ◽  
Lara Kharma ◽  
Asma’a Abu Abed ◽  
Eman Bny Mfarej ◽  
Asma Abdalmohdi

Objectives: Calculate the prevalence and severity of dental caries and periodontal health among school students aged 12-18 years old and their attitudes toward dental health and oral hygiene at Al-Mafraq governate- Jordan.Materials and methods: Demographic and oral behavioral information were collected; students aged 12-18 years old from six public schools distributed over three districts in Al-Mafraq governate over a six-month period had a full oral and dental examination. DMFT index (Decay, Missing, Filling, Teeth) was used to measure caries experience. Plaque index (PI) and gingival index (GI) of Löe and Silness were used to evaluate the oral health status. T - test was used for statistical evaluation. A P-value < 0.05 was considered statistically significant.Results: 1165 students were examined, 51% never had been to a dentist or had any previous dental treatment, 39.6% of the students examined never brushed their teeth and 61.85 % had dental caries. The (SiC) was 4.72 with a decay representing 93.53%. Females brush their teeth more frequent than males with a statistically significant difference; p< 0.001. Females showed lower DMFT index (1.81) and compared to males (2.25) with a statistically significant difference. Females showed lower SiC (4.164) compared to males (5.186)   with a statistically significant difference. There was no statistically significant difference between males and females in PI p= 0.590, and GI; p= 0.852.Conclusions: The prevalence of dental caries among students in Al-Mafraq governate and the significant caries index were substantially higher than the target goals of WHO/ FDA of year 2015 with more than 90 % of unmet treatment needs. Girls showed better oral hygiene habits compared to boys and exhibited less dental caries experience. However, periodontal status did not differ significantly between both genders.


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