Ecological Study on the Oral Health of Romanian Intellectually Challenged Athletes

This study aimed to give an image of the oral health status and treatment needs of intellectually challenged athletes taking part in Special Olympics—Special Smiles (SO-SS) events organized in Romania during 2011–2019 and to find potential associations with socio-economic factors. An observational ecological retrospective study was conducted, and 1860 oral examinations were performed on participants aged 8 to 30 years in nine SS-SO events. Oral examination was performed under field conditions. Percentage of caries-free subjects, mean DMF-T index and its components (D = decayed; M = missing; F = filled; T = teeth), restoration index RI = [F/(F + D) × 100]%, and Plaque Index were calculated for each of the nine groups. Caries-free subjects ranged between 5.90% and 21.70%. DMF-T ranged from 4.27 to 7.71. Higher values for “F” component (range 0.66–1.69) and RI (range 13.02–27.74%) were found in events held in cities from regions with higher reported Gross Domestic Product. Sealants were present in 0 to 8.4% of the subjects. In areas with lower numbers of inhabitants per dentist, more sealants were found (p < 0.001). Romanian SO athletes exhibited relatively poor oral health, limited access to dental treatment, and low level of prevention. Targeted prevention and treatment programs adjusted to specific conditions in each geo-economic region are needed.

Causes of post treatment apical periodontitis

Endodontic treatment approaches aim to achieve proper treatment and prevention of apical periodontitis to enhance the oral health status and enhance the prognosis of affected teeth. However, many complications can develop secondary to endodontic treatment. The management of post-treatment apical periodontitis might be challenging to clinicians, and the prognosis is usually lower than that of primary apical periodontitis. Therefore, identifying the potential etiology and intervening against them might be ideal for these cases. The present literature review discusses the commonest causes reported in the literature to predispose to the development of post-treatment apical periodontitis. Most of the various investigations in the literature indicate that post-treatment apical periodontitis is usually caused by either extraradicular or intraradicular infections, like primary apical periodontitis. However, it should be noted that some studies also reported that technical or procedural errors might predispose to the pathogenesis of the condition. However, it has been reported that the presence of associated bacterial infection conditions this.

Oral Hygiene Practice among Hospitalized Patients: An Assessment by Dental Hygiene Students

Aim: An epidemiological study was carried out, in hospital wards, with the aim of assessing the oral health status of patients subjected to multiple medical treatments. Material and Methods: The study was conducted at Fondazione IRCCS Policlinico San Matteo (Pavia, Italy). A questionnaire was submitted to patients for the evaluation of oral hygiene devices used; then, a clinical examination was conducted to collect Decayed Missing Filled Teeth (DMFT) index, Plaque Index (PI), and Marginal Gingival Index (MGI) values. Results: Manual toothbrushes were used by a wide range of the sample study (65–100% among hospital wards), together with mouthwash (20–80%); interproximal aids were used by few patients (the lowest recorded value was 33.3%). Conclusion: dental hygienists could be integrated into hospital wards as oral hygiene procedure instructors, for the improvement of the oral health conditions of hospitalized patients.

Oral Health among Adult Residents in Vilnius, Lithuania

According to the World Health Organization (WHO) oral conditions may be determined by social, biological, behavioral, and psychosocial factors. The study assessed oral health status and its determinants associated with oral health conditions among adult residents in Vilnius, Lithuania. A total of 453 of 35–74-year-olds participated (response rate 63%). A self-reported questionnaire was administered. Dental caries experience (D3MFS score), periodontal probing depth (PPD), andnumber of missing teeth were assessed clinically. Data were analyzed using χ2 test, independent samples t-test, and multivariable linear regression. The mean (sd) of D3MFS scores was 67.3 (33.5), the mean (sd) number of teeth with PPD 4+ mm was 5.9 (5.3), prevalence of periodontitis was 33%, the mean (sd) number of missing teeth was 6.9 (6.8), and prevalence of total edentulism was 3.8%. Medication use was associated with all oral health conditions, while age was associated with caries experience, and missing teeth. Sugar-containing diet was associated with caries experience, and missing teeth, and smoking with caries experience and periodontal status. Systemic diseases were associated with periodontal status, while behavioral determinants, last dental visit, and use of fluoridated toothpaste were associated with missing teeth. Oral health status among adult Vilnius residents was poor. Oral conditions were associated with both biological and behavioral determinants. Oral health promotion should focus on modifying behavioral determinants.

CRITERIA FOR SELECTING SPECIAL HEALTH CARE NEEDS PATIENTS FOR GENERAL ANESTHESIA IN DENTAL TREATMENT: A SYSTEMATIC REVIEW

Objective:This systematic review aimed to investigate the available evidence on how to decide whether your special health care needs patient needs GA for dental treatments or not. Materials and methods:A systematic search was conducted in four electronic databases PubMed, Google Scholar, ResearchGate and SDL. The search was restricted to articles published between 2005 and 2020. Publications reporting on the special health care needs patients dental treatment were included. The papers were analyzed regarding title and abstract contents to eliminate the ones that were out of context and not relevant to the review. Results:The search strategy resulted in 99 unique and potentially relevant articles. In total, 6 publications which include 5 retrospective articles and one cross-sectional study were selected. Conclusions:The main standards for selecting patients for hospitalized dental treatments include a full analysis of SNP including their medical history, behavior and emotional factors, oral health status, allergies, social and non-clinical factors, and caregivers factors. It is important for general dentists and families of these patients to be acquainted with the procedure, its need, and its contraindications.

Association between oral health status and family quality of life among schoolchildren – A cross-sectional study

Objectives: The objective of this study was to assess the association between oral health and family quality of life (QoL) among 6-12 years schoolchildren. Materials and Methods: A cross-sectional study was conducted among 300 schoolchildren of age group 6–12 years in Bengaluru, India. A 14-item pre-validated family impact scale (FIS) instrument was used to assess parental family QoL. The World Health Organization oral health pro forma (2013) was used to assess oral health status of children. Pearson’s correlation, Spearman’s correlation, and logistic regression analysis were performed. P <0.05 was considered as statistically significant. Results: Mean age of the study participants was 9.33 ± 1.85 years. Mean FIS score was 8.1 ± 5.5. The proportion of participants with caries experience, gingival bleeding, dental trauma, and dentinal erosion was 66%, 41%, 16%, and 17%, respectively. Children with caries experience were more likely to have family impact than those without caries (decay, missing, filled teeth) [P < 0.05]). Conclusion: There was an association between oral health status and family QoL among 6–12 years schoolchildren. Dental caries had an impact on family QoL among the schoolchildren in Bengaluru city.

Prevalence of Caries and it’s Association with Oral Health Literacy in Children of Ngo’s

Aim: The study was conducted to investigate the prevalence of dental caries and its association with oral health literacy among under privileged children of NGOs (Non-governmental organization). Methodology: The main target of our research was to collect data of children studying at different NGOs (Non-governmental organization). Out of 4756 registered NGOs (Non-governmental organization) of Punjab, 2 were selected; The Noor Project and SOS Village. A total of 382 NGO’s (Non-governmental organization) children aged 5-11 years old were examined for dental caries and oral hygiene. The data was collected through a validated questionnaire and a standard method of dmft screening was used. Results: Exploratory analyses were performed to examine the distributions of the data and to identify outliers and missing data. Bivariate analyses were used to explore the associations between each of the covariates and OHL via Pearson’s χ2 statistics for categorical variables. The p-value of less than 0.05 was considered significant. There was significant association between oral health status and poor OHL amongst children. Keywords: Children, Oral Health, Survey, NGO, Lahore.