Clinical Dental Status Research Articles

Dental impact on daily life and oral health in alcohol use disorder patients

ObjectivesIndividuals with Alcohol Use Disorder (AUD) are at a higher risk of developing dental problems. The present study assessed the dental impact on daily performances among AUD patients seeking treatment in a de-addiction centre and correlated it with their clinical dental status using the WHO oral health assessment form (2013). Materials and methodsThis research took place from January to May 2022. A cross-sectional study was carried out to collect data from 103 subjects among alcohol dependents taking treatment in a de-addiction centre of Dakshina Kannada district, Karnataka state. The Dental Impact on Daily Living Questionnaire (DIDL) assessed patients' satisfaction with their teeth, while the WHO Oral Health Assessment Form for Adults was used for dental caries (DMFT) and periodontal status. Data analysis was performed using the jamovi open-source software (version 2.3), employing t-test, chi-square test, hierarchical regression analysis, and Spearman correlation coefficient. ResultsThe study found low yet significant correlations between clinical oral health and dimensions of the DIDL scale. Social class and the number of decayed teeth emerged as significant predictors of the total DIDL score. ConclusionOral health conditions can adversely affect patient satisfaction, emphasizing the need for healthcare providers to consider these findings when offering comprehensive oral healthcare services. Clinical relevanceThis study underscores the necessity of integrating oral healthcare into the overall treatment regime for individuals with Alcohol Use Disorders (AUDs) to improve their quality of life and satisfaction.

Dental Status of Firefighters of Rio de Janeiro State and Comparison with Brazilian Oral Health Surveys

Objective: This cross-sectional study aimed to assess clinical dental status in military firefighters of Rio de Janeiro State and compare data with Brazilian National and Regional oral health surveys. Material and Methods: A sample of 926 military firefighters was examined using the visible biofilm index, the DMFT index and the Community Periodontal Index (CPI). Clinical exams were performed by 15 trained dentists. The Kruskal-Wallis test and Mann-Whitney test with Bonferroni correction were used. Results: Higher biofilm accumulation was associated with increased age. The mean DMFT index for the whole sample of this study was 12.74 (±7.03), and the ‘filled’ component was the most prevalent (69.9%), whereas the ‘decayed’ and ‘missing’ components were, respectively, 8.4% and 21.7%. There was a higher prevalence of periodontal diseases with increasing age, ranging from 57.1% in firefighters of 34 years or less to 70.5% in the ones between 35 and 44 years old and 75.4% in participants at age 45 years or older. Clinical dental status of the military firefighters who belonged to the age group 35-44 was better than the one observed for the Brazilian population at the same age range. However, pathological conditions that can be solved with health promotion strategies associated with dental procedures of low complexity still persist. Conclusion: These results suggest that the availability of dental health care services itself does not represent the most effective approach to the oral health problems found in the studied population.

Change in the Dominant Side of Chewing as a Serious Factor for Adjusting the Prophylaxis Strategy for Implant-Supported Fixed Dental Prosthesis of Bounded Lateral Defects.

Objective The main purpose of this article is to study the effect of a change in the dominant side of chewing after prosthetics with fixed structures on implants on the main indicators of osseointegration, adaptation to dentures, and the clinical dental status of patients. Materials and Methods In a clinical trial, an analysis was made of the adaptation of 64 patients to intraosseous implant-supported fixed dentures and 56 apparently healthy volunteers. The examination complex included determination of the functionally dominant side of chewing, gnathodynamometry and electromyography indicators of masticatory muscles, and radiological osseointegration criteria. The overall treatment outcomes were evaluated using a visual analogue scale and an objective medical questionnaire, “Prognosis of Adaptation to Orthopedic Structures.” Results Patients were divided into two subgroups: with a change in the dominant side of chewing after completion of orthopaedic treatment (40 cases) and without a change in the dominant side of chewing (24 cases). In the second subgroup of patients, in contrast to the first subgroup, relatively better indicators of gnathodynamometer and electromyography were observed. So, in the first group, gnathodynamometry indicators on the dominant side were 255.7 N and in the second group 225 N after 9 to 12 months. Electromyography indices amounted to (198.5 μV s) to (166.3 μV s) after 9 to 12 months. Bone density remained at the required level, and overall treatment outcomes were higher. Namely, the compact plate of the alveolar ridge was preserved, and the condition of the bone tissue around the implants testified to stable osseointegration. The participation of surface masticatory muscles in adaptation of patients to intraosseous implant-supported fixed orthopaedic structures and the necessity and importance of changing the dominant chewing side for the general outcomes of orthopaedic treatment have been discussed. Conclusions It has been established that a change in the functionally dominant chewing side is accompanied by relatively unstable indicators of chewing function, which is combined with increased loads on the installed prostheses during 3 to 6 months of adaptation. This must be taken into account when planning an individual patient adaptation complex for dental orthopaedic structures.

Caregiver oral health literacy: relationship with socioeconomic factors, oral health behaviors and perceived child dental status.

To assess associations between caregiver oral health literacy (OHL) and socioeconomic factors, child and caregiver's oral health behaviors and perceptions of oral health status. Cross-sectional study. University pediatric dentistry clinic. 205 pairs of caregivers and children aged 6 to 12-years undergoing dental treatment. A questionnaire was sent to caregivers enquiring about socioeconomic factors, oral health behaviors, perceptions of own and child oral health. The clinical dental status of the children was recorded with the DMFT/dmft index. OHL was measured by the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30). Descriptive analysis, unadjusted and adjusted logistic regression, odds ratio and confidence interval were calculated considering a significance level of 5%. The frequency of poor OHL was 21%. In adjusted analysis caregivers with 8 years or less of schooling had a 3.72 (95% CI 1.74-7.95) times greater chance of have poor OHL. Caregivers who perceived their child to have poor oral health were 2.70 (95% CI 1.10-6.63) times more likely to have poor OHL. Poor oral health literacy was more common among caregivers with less schooling and a poor perception of their child's oral health. OHL was unrelated to monthly family income, child dental health status, perception of own oral health or child or caregiver oral health behaviors.

THE IMPACT OF ORAL HEALTH STATUS ON DAILY PERFORMANCE - A CROSS SECTIONAL STUDY

Objective: Oral health is bound to play a major role in imparting the quality of life. The present study was conducted to assess the relationship between clinical dental status and its impacts on daily performances among college students of Davangere.
 Material and Methods: Descriptive cross-sectional study was conducted among students of all the non-professional 6 bachelor degree (Arts, Science, and Commerce) colleges of Davangere city. Around 6000 students were studying in these colleges, among them 10% of the total population of students were considered for study. Data was collected using OIDP (Oral Impacts on Daily Performance) scale; oral examination was done by using DMFT(S), CPI index, malocclusion status, oral mucosal condition etc. Group wise comparisons were made either by Z-test (for mean) or Mann-whitney- U test. Z-test and chi-square tests were used for proportions.
 Results: Among 600 students 375 were males and 225 were females and the age ranged from 17-24 years. The prevalence of oral impacts on daily performance was 48.3%. 115(19.2%) had a problem during ‘cleaning teeth’, 113 (18.8%) felt discomfort during eating. Mean DMFT was 1.3±1.9, and students with periodontal inflammation was 398 (66.3%).
 Conclusion: The findings of the study demonstrate that students attending non professional bachelor degree colleges had a fair clinical dental status and there was a strong and consistent relationship between dental status and perceived oral impacts.
 Key words: OIDP, Oral condition; Oral health, Oral impacts on daily performance.

Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults.

PurposeTo identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.MethodsCross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.ResultsBeing older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.ConclusionOur findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.

Assessment and comparison of clinical dental status and its impact on oral health-related quality of life among rural and urban adults of Udaipur, India: A cross-sectional study.

Background:Dental diseases negatively influence people's oral health-related quality of life (OHRQoL) and thus their perceived need for dental care. QoL is increasingly acknowledged as a valid, appropriate and significant indicator of service need and intervention outcomes in contemporary public health research and practice.Objectives:(1) To assess the psychometric properties of oral health impact profile-14 (OHIP-14) scale among rural and urban OHIP of Udaipur population. (2) To assess and compare clinical dental status (dental caries, periodontal disease and prosthetic status) and its impacts on OHRQoL rural and urban population of Udaipur.Materials and Methods:A cross-sectional descriptive survey was conducted among rural (600) and urban (600) population of Udaipur that have age ranges between 20 and 79 years, chosen from outpatient department of Pacific Dental College and Hospital. The OHIP-14 was tested for validity and reliability. Chi-square, Student's t-test, analysis of variance and multiple logistic regression analysis were employed for statistical analysis.Results:The Cronbach's alpha of the scale was found to be 0.85 among the rural population and 0.89 among the urban population. Prevalence of periodontal disease (community periodontal index and loss of attachment) was found greater among the rural population than the urban population. Urban population showed significantly greater proportion of subjects with prosthesis (including partial, fixed and total) as compared to the rural population. Among study population, OHIP-14 was significantly (P ≤ 0.05) associated with age, gender, presence of decayed teeth (DT), missing teeth (MT), and location. Significantly greater odds ratio (OR) (OHIP-14) were revealed among males (OR = 1.35, P = 0.02), urban residents (OR = 1.13, P = 0.002), those < 45 years of age (OR = 1.23, P = 0.01), those without DT (OR = 1.48, P = 0.002) and without MT (OR = 1.08, P = 0.03).Conclusion:The rural and urban study subjects had a fair clinical status. The presence of dental caries had greatest impacts on OHRQoL. In addition, rural subjects faced greater impact than urban subjects.

Cognitive Function and Oral Health–Related Quality of Life in Older Adults

To examine the relationship between cognitive function and self-reported oral health-related quality of life (HRQoL) in community-dwelling older adults. Cross-sectional. Community in West Virginia. Two hundred twenty-six community-dwelling older adults. Oral HRQoL was measured using the Geriatric Oral Health Assessment Index (GOHAI) (range 12-60), and cognitive function was assessed using a comprehensive neuropsychological test battery. Dental professionals performed oral health examinations. Participants with normal cognitive function had higher GOHAI total scores (mean 55.1), indicating better oral HRQoL, than participants with cognitive impairment without dementia (CIND) (mean 52.3) and mild dementia (mean 51.0). The difference remained significant after controlling for sociodemographic, health status, comorbidity, and clinical dental status covariates. Oral HRQoL, as measured using the GOHAI, was better in participants with normal cognitive function than in those with CIND of mild dementia in the population studied.

SP3-83 Relationship between clinical dental status and the perception of oral health-related quality of life in adults, Brazil

IntroductionThe objective of this study was to assess the impact of oral health-related quality of life (OHRQoL) in adults and to investigate the relationship between OHRQoL indicator and specific clinical...

Relationship between clinical dental status and eating difficulty in an old Chinese population

Relationship between clinical dental status and eating difficulty in an old Chinese population

Relationship between clinical dental status and eating difficulty in an old Chinese population

This study investigated the relationship between clinical dental status and eating difficulty in a sample of older Chinese people in Guangxi, China. Sample was selected from people aged 55 years and older who had routine annual health check-ups at a large hospital health centre. The sample consisted of 1,196 dentate people who had clinical oral examinations and face-to-face interviews. Different measures, namely the Index of Eating Difficulty, dissatisfaction with chewing ability and ease of eating certain foods were used to measure eating difficulty. Multiple logistic regression analysis showed that after controlling for the effects of age, sex, occupation, self-assessed social class and self-perceived general health, increased eating difficulty was significantly related with having fewer teeth, fewer posterior and anterior occluding pairs of teeth (both natural teeth only and natural plus replaced teeth), more unfilled posterior spaces, more unfilled anterior spaces, mobile teeth, decayed teeth and roots. In conclusion, clinical dental status was strongly related with eating difficulty in a sample of older Chinese dentate people.

Healthy Practices, Social Relationships and Dental Perceptions Among US Dentate Adults

This study explored and described the effects of healthy practices and social relationships on dental perceptions among U.S. dentate adults. Guided by the Alameda County Study: Health and Ways of Living, weighted data from the Third National Health and Nutrition Examination Survey of 8,449 U.S. dentate adults aged 18-64 years were analyzed with SUDAAN 7.5.3. Healthy practices and social relationships showed protective effects against unfavorable dental perceptions after controlling for socio-demographic characteristics, dental access, and related clinical dental status. Besides healthy practices and social relationships, education, family income, having dental visit in the past 12 months, having dental decay, having defective tooth condition, and number of natural teeth helped explain unfavorable dental perceptions in the adjusted model. Compared with persons who had high social relationships and high healthy practices, those who had low social relationships with very low, low and medium healthy practices were about five, times (OR=5.07; 99% CI=3.24, 7.91), almost four times (OR=3.61; 99% CI=2.22, 5.87), and two times (OR=2.24; 99% CI=1.37, 3.67) more likely, respectively, to have unfavorable dental perceptions. In the adjusted model, these odds ratios decreased to three (OR=3.30; 99% CI=2.01, 5.41), two (OR=2.06; 99% CI=1.15, 3.69) and non-significant difference, consecutively. Influence of healthy practices and social relationships on dental health may encourage dental health professions to participate in general health behavior modifications and social actions to foster social relationships, in addition to preventive dental care.