HEMOFILIJA A IR B SERGANČIŲ LIETUVOS VAIKŲ BURNOS SVEIKATA IR JĄ LEMIANTYS VEIKSNIAI

2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.

2012 ◽  
Vol 13 (3) ◽  
pp. 382-388 ◽  
Author(s):  
Ami M Maru ◽  
Sena Narendran

ABSTRACT Background Data on epidemiology of dental caries of adults in rural India appear to be sparse. Objective The purpose of the study was to assess the oral health status and dental treatment needs of a rural Indian population. Materials and methods The study population consisted of 189 volunteer subjects with a mean age of 34.9 ± 14.2 years and 54% males. Decayed, missing due to caries and filled teeth (DMFT) and tooth surfaces (DMFS) assessed the dental caries experience. Structured interviews collected data on perception of health including oral health, oral hygiene practices and snacking habits. Results While only 38.1% perceived themselves to be in good or very good dental health, nearly 85% felt the same about general health. The most common sugar exposure was sweetened tea; 75% consumed the beverage at least once a day. More than 80% of the subjects had untreated caries with mean DMFT and DMFS scores of 5.1 ± 3.9 and 13.8 ± 17.8, which lacked any gender differences. Dental treatment needs ranged from 16.9% two-surface fillings to 60.8% one-surface fillings; 23.8% crowns or bridges and 37.6% extractions. Those who perceived themselves to be in better oral health had significantly lower DMFT (4.0 ± 3.2 vs 5.9 ± 4.1) and DMFS (8.4 ± 11.7 vs 17.1 ± 20.0) scores (p < 0.05). A similar trend was observed between perception of general health and DMFT (4.8 ± 3.4 vs 7.0 ± 5.6) and DMFS (11.9 ± 13.7 vs 24.1 ± 30.7) scores. Conclusion Results indicate high levels of dental caries as well as dental treatment needs among the study participants. How to cite this article Maru AM, Narendran S. Epidemiology of Dental Caries among Adults in a Rural Area in India. J Contemp Dent Pract 2012;13(3):382-388.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Hisham Y. El Batawi

Sanjad-Sakati syndrome (SSS) is a rare genetic disorder with autosomal recessive pattern of inheritance characterized by hypoparathyroidism, sever growth failure, mental retardation, susceptibility to chest infection, and dentofacial anomalies. A child with SSS was referred to the dental departmentseeking dental help for sever dental caries which was attributed to his dietary habits and quality of dental tissues. Full restorative rehabilitation was done under general anesthesia. Two years later, the child presented with recurrent caries affecting uncrowned teeth. High carries recurrence rate was blamed for the nutritional habits endorsed by the parents. Only steel crowned teeth survived such hostile oral environment which suggested shifting of treatment strategy towards full coverage restorations instead of classical cavity preparations and fillings during a second attempt for dental treatment under general anesthesia and for the dental treatment of two cousins of the same child. The author recommends effective health education for parents including the nature of their child’s genetic disorder, nutritional needs, and dental health education to improve the life style of such children.


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Cristina Martins Lisboa ◽  
Janice Simpson de Paula ◽  
Glaucia Maria Bovi Ambrosano ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
...  

2020 ◽  
Vol 25 (6) ◽  
pp. 26e1-26e9
Author(s):  
Waqar Jeelani ◽  
Uroosa Sher ◽  
Maheen Ahmed

ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion in children suffering from β-thalassemia and to assess orthodontic treatment need using Grainger’s Treatment Priority Index (TPI) and index of orthodontic treatment need (IOTN)-dental health component (DHC). Methods: A cross-sectional study was conducted on 200 transfusion-dependent children diagnosed with homozygous β-thalassemia and 200 healthy school children aged 11-17 years. The TPI and IOTN-DHC data was recorded for both groups. Total TPI score for each subject was calculated and graded according to malocclusion severity estimate (MSE). Independent sample t-test was used to compare mean TPI scores, overjet and overbite between thalassemic and healthy children. Chi-square test was used to compare the frequency of IOTN-DHC grades, Angle’s classification, and MSE grades between thalassemic and healthy children. Results: The most prevalent malocclusion was Class I in normal children (67.5%) and Class II in thalassemic children (59%). The mean overjet and overbite were significantly (p<0.001) greater in thalassemic children than in healthy children. Severe tooth displacements were 3.5 times greater in thalassemic children, compared to controls. A greater proportion of thalassemic children were in IOTN grades 3 and 4, compared to the controls (p<0.001). MSE grades 4 and 5 were significantly (p<0.001) more prevalent in thalassemic children, compared to the controls. Conclusion: There is a high prevalence of Angle’s Class II malocclusion in thalassemic children. Majority of these children are categorized in higher grades of IOTN-DHC and TPI-MSE, showing a great severity of malocclusion and high orthodontic treatment needs.


2018 ◽  
Vol 23 (1) ◽  
Author(s):  
Karolina Gerreth ◽  
Dorota Olczak-Kowalczyk ◽  
Maria Borysewicz-Lewicka

The problem of treatment of patients with special health needs resulting from the presence of deficits in intellectual, motor or sensory functions, also in dentistry, has not been comprehensively solved. According to the World Health Organization (WHO), about 15% of the world population has some form of disability. Patients with disabilities are considered to have greater dental treatment needs in comparison to healthy individuals. High incidence and intensity of dental caries as well as frequent gum diseases are observed in this environment. Often the situation is related, among other, to the presence of systemic diseases and the treatment used, limitations in shaping proper dental health behaviors, insufficient knowledge of parents about oral health or barriers in access to dental care. The development of recommendations for parents/caregivers as well as medical staff is required to improve the health of these patients and quality of their life. The document contains information on the etiology and epidemiology of dental caries in patients with disabilities but also prophylactic recommendations for this population of patients and their parents/caregivers and dentists.


2005 ◽  
Vol 19 (4) ◽  
pp. 249-255 ◽  
Author(s):  
Marcelo Augusto Amaral ◽  
Luiza Nakama ◽  
Carlos Alberto Conrado ◽  
Tiemi Matsuo

The aim of the present study was to determine the prevalence and severity of dental caries as well as the needs for dental treatment in 18-year-old males from Maringá, PR, Brazil. The association of dental caries experience with socioeconomic variables was also tested. A cross sectional study was conducted in a random sample of 241 conscripts of the Brazilian Army. The adopted diagnosis criteria were those proposed by the World Health Organization. A socioeconomic questionnaire was utilized to determine family income and the criterion of the Brazil Economic Classification of the National Association of Research Enterprises. Associations among caries prevalence, DMF-T index, treatment needs and socioeconomic variables were evaluated by means of the Chi-Square, Mann-Whitney and Kruskal-Wallis tests. Caries prevalence was 82.6% and the mean DMF-T index was 4.6. Only a mean of 0.8 tooth per individual presented treatment needs. Significant statistical differences were found in caries prevalence and severity (DMF-T). The worst results were observed in the groups of lower income and purchasing power, indicating a need for the implementation of social policies that address these populations aiming at diminishing the existing differences in the health-disease process indicators. On the other hand, treatment needs were only associated to the Brazil Economic Classification Criterion variable (p < 0.05).


2021 ◽  
Vol 7 (3) ◽  
pp. 187-194
Author(s):  
ChaithraShree S Rao ◽  
Manisha Agarwal ◽  
Sapna Konde ◽  
Preetha Peethambar ◽  
Sahana N Prasad

Salivary antimicrobial peptides (AMP’s) play an important role in the local defense of oral cavity and expression of these are altered by various factors. Among them cigarette smoke has known to have detrimental effects on salivary immune defense mechanisms. The effect of passive smoking on salivary AMP’s and correlation to dental caries in children has not yet been reported. Thus, this study was aimed to assess the correlation between passive smoking and dental caries in exposed and unexposed children. A randomized cross-sectional study was designed to target children aged between 3 to 8 years. Self-reported questionnaire was filled by the parents of the participants to obtain the data. Questionnaires included in the study comprised sections related to demographic part and smoking characteristics. Participants were divided into passive exposed (PE) and unexposed (UE) group based on exposure parameters. Clinical examination and Salivary flow rate were assessed and the obtained data was subjected to statistical analysis. TPE group (5.58+/-4.66) than UE group (3.15+/-3.26) where (p=0.003)and under educated parents (p=0.02). Comparison of smoking related parameters to caries prevalence have shown direct positive correlation.[K1] [M2] The mean DMF scores were higher among children in [K3] [K4] [M5] E group (5.58+/-4.66) than UE group (3.15+/-3.26) where (p=0.003). Also it was seen that the DMF were higher in children who belonged to lower socio-economic status (p= 0.001) and under educated parents (p=0.02). Comparison of smoking related parameters to caries prevalence have shown direct positive correlation. Reduction of passive smoking is important not only for the prevention of various systemic ill-effects, but also for the promotion of children's dental health.


2009 ◽  
Vol 29 (4) ◽  
pp. 472-479 ◽  
Author(s):  
Gulsen Bayraktar ◽  
Idil Kurtulus ◽  
Rumeyza Kazancioglu ◽  
Isil Bayramgurler ◽  
Serdar Cintan ◽  
...  

Background/Aims End-stage renal disease (ESRD) patients have an increased risk of atherosclerotic complications. In both hemodialysis (HD) patients and the general population, it has become evident that inflammation plays an important role in the pathogenesis of atherosclerotic complications. Oral and dental problems in ESRD patients could be an important source of inflammation, thus treatment of these problems is important to protect these patients from potential infections. The decayed, missing, and filled teeth (DMFT) index is an indicator of oral and dental health status. Our aim was to analyze and compare salivary flow rate (SFR), salivary pH (SpH), salivary buffering capacity (SBC), and DMFT index and plaque index (PI) values in PD patients to HD patients and healthy controls (C) and establish the relationship between these parameters and C-reactive protein (CRP). Methods 76 PD patients, 100 HD patients, and 111 Cs were included in the study. SFR (milliliters/minute) was measured in stimulated whole saliva, SpH was measured using the Merck indicator, and SBC was measured according to the method of Ericsson: 1 mL whole saliva was added to 3 mL 0.005 N HCl and a stream of air was passed through this mixture for 20 minutes. Finally, DMFT index and PI values were calculated. Results No statistically significant differences were found in age or gender distribution among PD, HD, and C groups. There was also no significant difference in time on dialysis between PD and HD groups. SFR was significantly lower in the PD and HD groups than in the C group (1.30 ± 0.83 and 0.70 ± 0.32 vs 1.64 ± 0.45 mL/min) and lower in the HD than in the PD group ( p < 0.001). SpH (8.35 ± 0.43 and 8.12 ± 0.74 vs 7.16 ± 0.76) and SBC (7.39 ± 0.47 and 6.82 ± 0.70 vs 5.08 ± 0.73) were significantly higher in the PD and HD groups than in the C group and higher in the PD than in the HD group ( p < 0.05 and p < 0.001 respectively). The numbers of filled teeth were significantly higher in the PD than in the HD and C groups ( p < 0.001). DMFT index was significantly higher in the PD than in the HD group ( p < 0.001). Finally, PI values were significantly higher in the PD and HD groups than in the C group ( p < 0.001) and higher in the HD than in the PD group, although this was not statistically significant. In the present study, we also found higher CRP values in HD than in PD patients and a positive correlation between CRP and PI values in PD patients. Conclusions PD patients have higher SFR, SpH, and SBC values than HD patients; however, higher DMFT index and higher numbers of filled teeth were observed in PD patients. Compared to healthy controls, patients on dialysis had worse dental and periodontal findings, which might have a role in microinflammation in this group of patients.


2010 ◽  
Vol 04 (03) ◽  
pp. 308-313 ◽  
Author(s):  
Rabinder Kaur ◽  
Hardeep Kataria ◽  
Sushil Kumar ◽  
Gurcharan Kaur

Objectives: The objective of the current study was to assess the prevalence and means of dental caries experience and the prevalence of calculus among college students and their awareness of general dental health. The correlation between the experience of caries and extracellular levels of heat shock protein-70 (eHSP70) was studied in saliva samples of these students to ascertain whether eHSP level changes as a result of increased caries experience of these subjects.Methods: The current study was conducted among 147 female undergraduate students aged 16– 21 in the state of Punjab, India. Dental examinations were performed to assess for the presence of calculus and DMFT, and subjects were asked to fill in a questionnaire. The data were recorded and analysed for the role of various factors in the prevalence of caries, including dietary habits. Saliva samples were collected for ELISA-based assay of eHSP70 levels.Results: The prevalence of caries experience (DMFT>0) was 63.2%, with average DMFT of 2.91 in students aged 16–18 and 3.26 in those aged 19–21. Of those with caries, 68% also showed the presence of calculus, compared with 60.0% of subjects with DMFT=0. The level of eHSP was significantly higher (P<.05) in subjects with higher levels of caries (DMFT=4–8) compared with subjects having DMFT between 0 and 3.Conclusions: A significant relationship was observed between caries experience and oral hygiene habits, emphasizing the need to design and plan preventive strategies for persons at greatest risk. The correlation between mean DMFT and prevalence of eHSP was highly significant. This is the first study to report a correlation between caries experience and the saliva level of stress response protein HSP70. (Eur J Dent 2010;4:308-313)


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