scholarly journals Oral health characteristics and treatment of individuals with special needs a tertiary institution: A 3 year retrospective study.

2020 ◽  
Vol 9 (2) ◽  
pp. 18-27
Author(s):  
T.O Ligali ◽  
C.I Nzomiwu ◽  
J.F Ashaolu ◽  
F.A Oredugba

Objectives: To assess the oral health characteristics and the treatments carried out on individuals with special needs attending the Dental Clinic of Lagos University Teaching Hospital.Methods: A three-year retrospective study of all individuals with special needs that ttended the dental clinic of a tertiary health center. All relevant data including biodata, type of special need, oral health conditions and treatments carried out were extracted from the case notes and analyzed.Results: Out of 115 records extracted, there were 15 different types of special needs. More than half of the participants were males (54.8%) and their mean age was 12.4 years (SD±7.2). The most frequently recorded study participants with special needs were those with Down syndrome (20.9%). The most common oral conditions were gingivitis (65.2%) and dental caries (37.4%). Dental caries was significantly prevalent among participants with cleft lip/palate and the visually impaired (p=0.02). Of all treatments offered, preventive therapies were most commonly performed.Conclusion:The most common oral health problems among the study population were gingivitis and dental caries. There is need for improved oral health promotion strategies and provision of services for these underserved populations. Keywords: Oral health, treatment, special needs

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.


2006 ◽  
Vol 43 (6) ◽  
pp. 726-730 ◽  
Author(s):  
Aline Rogéria Freire deCastilho ◽  
Lucimara Teixeira das Neves ◽  
Cleide Felício de Carvalho Carrara

Objective: To assess the oral health knowledge of mothers of children with cleft lip and/or palate, analyzing the practical application of this information on the basis of the oral hygiene of the children and caries prevalence of mothers and children. Design: Cross-sectional. Setting: Pediatric Dentistry sector of the Hospital for Rehabilitation of Craniofacial Anomalies. Patients: Mothers (n = 300) and their children with cleft lip and/or palate, ages 3 years to 5 years 6 months. Materials and Methods: An interview with questions related to dietary habits and oral health knowledge and habits was conducted. Children and their mothers also were evaluated by intraoral clinical examination. Results: Of the mothers, 47.3% displayed poor oral health status (Group A) and 52.7% had a satisfactory oral health status (Group B). Children in Group A presented a mean dmft of 6.0, whereas children in Group B had a mean dmft of 5.6. No significant differences were observed between groups. Mothers demonstrated a reasonable knowledge on prevention of dental caries and oral hygiene. Conclusion: Even though the mothers interviewed had some knowledge on the causes and prevention of dental caries, other factors should be regarded as relevant in the caries process.


2014 ◽  
Vol 12 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Letícia Vargas Freire Martins Lemos ◽  
Silvio Issáo Myaki ◽  
Luiz Reynaldo de Figueiredo Walter ◽  
Angela Cristina Cilense Zuanon

Objective : To analyze the interference of age in the entrance into a public dental care program for infants as well as family behavioral aspects about tooth decay experience in children 0 to 4 years old. Methods : Cross-sectional study involving 465 children who were divided into 3 groups: infants whose mothers joined the program during pregnancy (n=50); infants enrolled in the program during the first year of life (n=230); and infants enrolled in the program between 13 and 18 months old (n=185). The χ2 and Kruskal-Walis tests (95% confidence interval) were used to assess the relationship among variables. Results : There was an association between the age of entrance in the programs and dental caries (p<0.001). A lower prevalence was seen in infants whose mothers joined the program during pregnancy, and among those infants enrolled in the program during the first year of life. The same low prevalence occurred in relation to mothers’ commitment to attend follow-up visits with their infants, cariogenic diet, nighttime oral care, duration of night feeding and parents’ educational level (p<0.001). Unfavorable socioeconomic conditions (p>0.05) and daily oral care (p=0.214) were common variables in the groups with 99% of occurrence. Commitment to attend follow-up visits, nighttime oral care and parents’ educational level (p>0.05) were considered protective factors for dental caries. Cariogenic diet and night feeding were determinant factors to the appearance of dental caries. Conclusion : To promote children oral health it is essential to enroll children in oral health programs and adopt healthy habits as early as possible, besides the adherence of the child to their parents’ advice.


2016 ◽  
Vol 126 (3) ◽  
pp. 138-141
Author(s):  
Ewa Kuchta ◽  
Renata Chałas ◽  
Leszek Szalewski ◽  
Elżbieta Pietryka-Michałowska ◽  
Jolanta Szymańska

Abstract Introduction. Evaluation of the oral health among adult Poles carried out in the framework of the “National Monitoring of Oral Health and Its Determinants” study and the research results of clinical centers in Poland indicate that dental caries, periodontal diseases and missing teeth are a major health problem. Aim. The aim of the study was determining the reasons for reporting to the dentist of 35-54-year-old people, the assessment of dental health and prosthetic needs. Material and methods. The study comprised 154 patients aged 35-54 reporting in 2015 to the dental clinic in Lublin, which offers treatment financed by the National Health Fund or for a fee. Gender, age, the place of residence and the reason for the reporting to the dentist were analyzed. The place of residence was a village, a town of less than 200 thousand inhabitants or the city of more than 200 thousand residents. The reason for reporting to the dental clinic was a check-up visit, toothache or loss of filling. Dental condition was assessed by calculating the DMF index. The prosthetic state and needs were evaluated. The results were statistically analyzed. Results. Most patients reporting to the dental examination were women (59.09%) and residents of a big city (70.78%). More than a half of the patients (55.84%) had a check-up appointment, 25.32% appeared due to the loss of filling, and 18.83% - because of a toothache. The frequency of decay in the study group was 100% and the DMF index values ranged from 2.0 to 32.0, assuming an average of 21.18±5.02, and with the age the DMF index values increased. The highest number of decayed and extracted teeth were found in the rural population. Both residents of big cities and patients who reported for regular check-ups had the biggest number of fillings. Conclusion. Dental caries is still a major health problem in Polish population aged 35-44. Poor oral health among the adult population in Poland is due to the low health awareness of society. This requires launching large-scale dental educational campaigns and prevention measures among adult Polish citizens, especially in rural areas.


UNICIÊNCIAS ◽  
2021 ◽  
Vol 24 (1) ◽  
pp. 112-117
Author(s):  
Andreza Maria Fábio Aranha ◽  
Amanda Alves de Oliveira ◽  
Alexandre Meireles Borba ◽  
Luiz Evaristo Ricci Volpato

As fissuras labiopalatinas (FLP) são as malformações congênitas mais comuns da região craniofacial e apresentam diferentes fenótipos e características clínicas, que diferem entre si de acordo com as estruturas anatômicas envolvidas: fissura de lábio, fissura de lábio e palato e fissura de palato isolada. A etiologia das FLP é multifatorial e inclui fatores genéticos e ambientais. O objetivo do presente estudo foi investigar o papel das fissuras labiopalatinas na prevalência de cárie dentária por meio de uma revisão na literatura. O defeito anatômico que envolve o rebordo alveolar e/ou o palato pode resultar em agenesias dentárias, dentes supranumerários, anomalias de forma e estrutura, bem como atresia maxilar, mordidas cruzadas posteriores e apinhamentos dentários. Também, a presença da FLP pode resultar aos indivíduos problemas durante alimentação, pronúncia de alguns fonemas, audição e integração social, o que poderia afetar a qualidade de vida do indivíduo e da dinâmica familiar. Quando a saúde bucal de crianças e adolescentes com FLP foi investigada, maior retenção do biofilme microbiano nas superfícies dentárias, de inflamação gengival e maior ocorrência de cárie dentária foram observados. Para um diagnóstico e tratamento adequados, é fundamental uma abordagem multidisciplinar, individualizada, para orientação e planejamento do tratamento dos indivíduos com a malformação, desde o nascimento até a fase adulta. O conhecimento dos efeitos da FLP na saúde bucal e no bem-estar dos indivíduos e das famílias afetadas é fundamental para mudanças nas políticas públicas das práticas de saúde e redução da sobrecarga da presença da malformação congênita.   Palavras-chave: Cárie Dentária. Fenda Labial. Fissura Palatina. Saúde Bucal   Abstract Cleft lip and palate (CLP) are the most common congenital malformations of the craniofacial region and they present different phenotypes and clinical characteristics, which differ according to the anatomical structures involved: cleft lip, cleft lip and palate and isolated cleft palate. The etiology of CLP is multifactorial and includes genetic and environmental factors. The aim of this study was to investigate the role of cleft lip and palate in the prevalence of dental caries through a literature review. The anatomical defect involving the alveolar ridge and / or the palate can result in dental agenesis, supernumerary teeth, anomalies in shape and structure, as well as maxillary atresia, posterior cross bites and dental crowding. Also, the presence of CLP can result in problems for individuals during feeding, pronunciation of some phonemes, hearing and social integration, which could affect the individual's quality of life and family dynamics. When the oral health of children and adolescents with CLP was investigated, greater retention of microbial biofilm on dental surfaces, gingival inflammation and the occurrence of dental caries were observed. For an adequate diagnosis and treatment, a multidisciplinary and individualized approach is essential to guide and plan the treatment of individuals with the malformation, from birth to adulthood. The knowledge of the effects of FLP on oral health and on the well-being of affected individuals and families is fundamental to changes in public health practice policies and to reduce the burden of the presence of the congenital malformation.   Keywords:  Cleft Lip. Cleft Palate. Dental Caries. Oral Health.


Dental Update ◽  
2021 ◽  
Vol 48 (7) ◽  
pp. 547-554
Author(s):  
Sharan Reddy ◽  
Catherine Liu ◽  
Mina Vaidyanathan ◽  
Nabina Bhujel

Cleft lip and palate (CLP) is the most common of craniofacial anomalies in humans. CLP results from disruption of embryonic processes during orofacial development; while syndromic clefts may have clearer aetiology, non-syndromic clefts are heterogeneous in aetiology. It is important for GDPs to understand the classification of CLP and the structure of centralized cleft centres in order to communicate with cleft teams. This article aims to clarify the role of GDPs within cleft management and discusses challenges in maintaining oral health in this group of patients, including increased risk of dental caries and periodontal disease, dental anomalies and psychosocial considerations. CPD/Clinical Relevance: The GDP should be responsible for maintaining good oral health for the patient with cleft lip and palate, focusing on prevention from a young age and restorative work if needed.


2010 ◽  
Vol 34 (12) ◽  
pp. 518-521 ◽  
Author(s):  
Tom Stevens ◽  
Joanne Spoors ◽  
Rob Hale ◽  
Helen Bembridge

Aims and methodWe have audited the impact of a dedicated dental clinic on the oral health needs of an inner-city in-patient psychiatric population. A questionnaire assessing patient perception of oral health was undertaken on in-patient wards before opening a dental clinic on the hospital site and 5 months after.ResultsThe audit suggested improvements in patients' perception of oral health, behaviour directed at oral hygiene and knowledge of accessing services after initiation of a dedicated in-patient dental clinic.Clinical implicationsPsychiatric in-patient settings may provide important opportunities for oral health promotion and intervention. This is a neglected component of in-patient care.


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