Dental Status Research Articles

Oral Health Status and Treatment Needs of School Teachers in Kathmandu District

Introduction: Oral health is an integral part of general health. The high prevalence of dental diseases and conditions like dental caries, periodontitis, and malocclusion may lead to absenteeism from work as well as economic loss.
 Objective: To assess the oral health status and treatment needs of school teachers in Kathmandu district.
 Methods: An analytical cross-sectional study was conducted from January-June 2022 among the school teachers of Kathmandu after getting approval from the institutional review board of Kantipur Dental College. Informed consent was also obtained before the study. Data was entered in Microsoft Excel and analyzed using SPSS version 20. P value˂ 0.05 was considered statistically significant.
 Results: A total of 165 teachers participated in the study out of which 125 (75.80%) were females and 40 (24.20%) were males with a mean age of 36.29±10 were there. The prevalence of dental caries was 98 (59.40%), gingivitis138 (83.60%), periodontal pocket 40 (24.20%), and 39 (23.60%) had 4-5 mm pocket but only 1 (0.60%) had more than 6mm pocket, 2 (1.20%) had upper and 14 (8.50%) had lower dentures. There was no significant difference in dental caries and periodontal status among the government and private school teachers (p=0.081), (p=0.101) respectively but a significant difference in gingivitis status (p=0.001)
 Conclusion: The oral health status of the teachers was not satisfactory since there was a high prevalence of dental diseases. So, it can be improved by periodically conducting oral health education programs at schools and motivating them

Type of correlation between bite force and EMG activity of the temporalis and masseter muscles during maximal and submaximal clenching.

Maximal bite force is an important determinant of masticatory function and is essential for the estimation of dental status. Bite force is usually measured by gnathodynamometry.

Особенности оказания ортодонтической помощи детям с различным уровнем соматического здоровья

INTRODUCTION: Today, not all groups of the child population can receive full orthodontic care. This is typical for children with disabilities who have mental and neuromotor development disorders. To ensure optimal quality of orthodontic care in these cases, it is necessary to involve related specialists, the availability of modern equipment, and the psychological readiness of the doctor to work with children. The combination of these conditions will make it possible to fully provide orthodontic care to children with disabilities. AIM: To study features of rendering orthodontic care to children with different somatic health level MATERIALS AND METHODS: Orthodontic treatment of 50 children aged 7 to 16 years was carried out. The patients were divided into 3 groups based on the general somatic health status: children with anomalies of the position of teeth and bite, without burdening pathology; children with anomalies of the position of teeth and bite, with concomitant disorders of the respiratory, musculoskeletal and other systems; children with disabilities. Besides, the patients were classified by types of dental anomalies. Orthodontic treatment of patients from group 2 started after consultation with specialists. Patients from group 3 had a conclusion about the underlying disease and were referred to related specialists for consultation if necessary. RESULTS: The treatment of group 1 patients was without peculiarities. Removable and non-removable devices were used to correct dental anomalies. In all cases, a satisfactory result of treatment was obtained. In the treatment of group 2 patients, it was necessary to eliminate the concomitant pathology. Therapeutic measures aimed at restoring natural respiration and normalizing the function of the musculoskeletal system were recommended. As a result, anomalies of the dental system were corrected in 17 cases. In 3 cases, it was impossible to achieve correction of the distal bite due to the late start of treatment. In 1 patient, it was impossible to restore the function of the respiratory system. In 3 cases, the disorders in functioning of the musculoskeletal system were not completely corrected, which required further observation. The impossibility to restore the function of the respiratory system affected the result of treatment in 1 patient. Treatment of children from group 3 caused the greatest difficulty. A good clinical result was achieved in 3 cases, and in the rest ones the result was an improvement of the existing condition, but due to the peculiarities of the mental state of children, the treatment could not be fully completed. CONCLUSIONS: An effective algorithm for providing orthodontic care to children with disabilities has been developed. Before treatment, it is necessary to correct the concomitant pathology with participation of related specialists. It is recommended simple devices be used with good fixation in the oral cavity. The positive changes in the dental status obtained permit to further improve the overall health condition.

Light in the Horizon: A Perspective on Photodynamic Therapy

Dental treatment, in general, has been associated with fear and anxiety. The prospect of undergoing a painful experience compels many prospective patients to postpone his/her dental appointment. A previous occurrence of the distressful event has often left patients traumatized. Repeated visits for follow-up treatments also serve as a deterrent for seeking dental consultation. Alternative methods need exploration to mitigate such inconveniences. Photodynamic therapy is emerging as an extension of dental therapeutic options with the benefits of improved treatment outcomes and patient acceptability. The present narrative review explores its applications in general dentistry and highlights its potential in the periodontal discipline. Being minimally invasive, it offers promise in pain-free management of dental conditions, particularly infections. It has relevance in managing oral mucosal lesions, periodontitis, and dental caries. Current evidence suggests photodynamic therapy as an adjuvant to contemporary measures of dental rehabilitation.

Nutritional habits as risk factors for dental caries in children from rural and urban areas in Skopje

Proper nutrition is a long-term investment in one’s own health. Oral health as an integral part of general health is in bidirectional relationship with diet and nutrition. Globalization and urbanization have led to nutrition transition from a traditional agriculturally-based diet to consumption of processed foods that are high in sugar. Children have been particularly affected by this change. The aim of this study was to investigate the association between specific nutritional and hygiene habits and the development of caries in children from urban and rural areas. The study was conducted in December 2019 and comprised children aged 6 years. A survey was made and children’s dental status was tested. The results obtained showed a higher percentage of healthy deciduous (50%) and permanent (35%) teeth in children from rural areas than in children from urban area. Both groups had similar habits in terms of cariogenic and cariostatic food intake, but there were differences in children's hygiene habits.

Sociodemographic and oral profile of people with disabilities at the clinic of the Faculty of Dental Medicine of the University of Lisbon

Objectives: Analyze the flow of appointments at the Dental Hygiene Clinic for People with Disabilities at FMDUL, characterize their clients, and relate their dental health status with their main disability, level of dependency, difficulties in oral hygiene, and frequency of appointments. Methods: This observational, analytical, cross-sectional study included a sample of 555 patients who attended the Dental Hygiene Clinic for People with Disabilities at FMDUL between 2015 and 2019. The decayed missing and filled teeth (DMFT) index, bleeding index, and debris index were collected from clinical records. Statistical analysis included the Kruskal-Wallis and Mann-Whitney tests with a significance level of 5%. Results: During the study period, 3120 appointments were carried out. The DMFT index was 9.51(±7.49) and was higher in individuals with intellectual disabilities (p<0.001), in independent/autonomous individuals (p<0.001), and in those who attended the clinic for a longer time (p<0.001). Gingival bleeding was lower in autonomous individuals (p=0.013). More regular users had less bleeding and bacterial plaque, although without significant differences. The values of decayed teeth (p=0.02), bleeding (p<0.001), and bacterial plaque (p=0.004) were higher in uncooperative individuals. Conclusions: The dental health indicators of individuals who attend the dental hygiene clinic are positive and are influenced by dependency on activities of daily living, autonomy in oral hygiene, and cooperation in the appointments.

Dental health status assessment of TNI-AL bintara officers using DMFT index and Chief of Naval Staff Regulation: a descriptive study

ABSTRACTIntroduction: Military personnel belong to a high-risk group for the development of various pathological conditions in the oral cavity. Based on research, the experience of dental caries in the army population of several other countries was relatively high. The purpose of this study was to describe the assessment of the dental health status of Bintara Officer (the NCO) the Indonesian National Military-Naval Force (TNI-AL) using caries experience index. Methods: The descriptive method was used with primary data collection through the caries experience index (DMF-T) examination and assessment of the dental health status of the TNI-AL. A purposive sampling technique with a total of 40 members with inclusion criteria, ranked Bintara Officer, 10 years of service, male or female, was used. Exclusion criteria were those serving outside the city or abroad and not signing an informed consent form. The data was collected and analyzed descriptively using Microsoft Excel. Results: DMF-T index value was 3.7, included in the Stakes I category, which had a maximum number of DMF of 10 teeth: 25.0% in the very low category, 17.5% in the low category, 27.5% in the moderate category, 17.5% in the high category, and 12.5% in the very high category. The dental health status of the TNI-AL were 95.0% in the Stakes I category, 2.5% in the Stakes II category, 2.5% in the Stakes III category, and there were no subjects in the Stakes IV category. Conclusion: Assessment of the dental health status of bintara officer Indonesian National Military-Naval Force using DMFT index value was in the moderate category, and based on Perkasal the majority was included in the Stakes I category.KEYWORDS : Caries, DMF-T index, dentistry, TNI-AL dental health status

Oral Hygiene Habits and Dental Caries Status in Thalassaemic Patients of Larkana: A Cross Sectional Study

Background: Thalassemia, a prevalent blood disorder in Larkana, poses significant challenges to oral health. This study aims to provide a comprehensive overview of the dental caries status and oral hygiene habits in thalassemia patients, addressing a crucial aspect of their overall health management. Objective: The objective of this study is to assess the status of dental caries and oral hygiene habits among thalassemia patients in Larkana. Methods: This descriptive cross-sectional study was conducted at the Fatmid Foundation Shaheed Benazir Bhutto Thalassaemia Centre, Larkana, from October 2020 to May 2022. Oral examinations were performed using a mouth mirror and a blunt ball-ended probe with a 0.5 mm end diameter. Dental caries were diagnosed following World Health Organization criteria, and Oral Hygiene Index-Simplified (OHI-S) was employed for oral hygiene assessment. Data collection included demographic details and oral hygiene practices, analyzed using SPSS Version 24. Results: The study comprised 52% male and 48% female participants, with a mean age of 11.61±4.561 years. Dental caries were observed in 73% of the patients. The Oral Hygiene Index score (p = .112) and DMFT Score (p = .837) revealed no significant gender differences. Conclusion: The study concludes that thalassemia patients in Larkana exhibit poor oral hygiene, with a high prevalence of dental caries. These findings underscore the need for targeted oral hygiene education and caries prevention strategies in this patient population.

COMPREHENSIVE ASSESSMENT OF DENTAL HEALTH IN MEDICAL STUDENTS

Students are a significant part of young people who are characterized by an active lifestyle, an enhanced psycho-emotional state, an increased academic load, often leading to deteriorated health. The state of dental health of students and the need for specialized care are of particular interest. The purpose of the study is a comprehensive assessment of dental students' dental status and determination of the need for specialized care. Material and methods. 50 dental students (19 men and 31 women) of Kazan universities aged 18–33 years were examined. A clinical dental examination of students was conducted, the results of which were recorded in a purposely designed "Dental examination card of a student". Study results. 4 students (8%) with intact hard tooth tissues were identified. The proportion of students who need oral cavity sanitation was 50%, 36% of them need endodontic treatment. The intensity of caries according to the CFE index in girls was 5.34±0.2 points, in boys – 6.01±0.7 points. Gum condition according to index (GI) of H. Loe and S. Silness = 1.4+0.11 points. In the course of assessing the severity of functional disorders on the part of the masticatory apparatus, an express method was used – the Hamburg examination (2000), which revealed the percentage (60%) of dysfunctions on the part of the ­temporomandibular joint. Violations in occlusal ratios of varying severity were detected in a quarter of the examined. The percentage of examined patients with temporomandibular joint dysfunction was 60%, the ratio of frontal teeth in the sagittal plane – disocclusion – 26%, reverse incisal disocclusion was 2%, deep incisal occlusion – 20%. Conclusions. The results of the survey revealed the need of students in dental (including orthodontic) curation.

Evaluating Oral Health Status among Students in Municipal Schools of Mumbai – A Cross-Sectional Study

The overall prevalence of dental caries among individuals aged 3 to 75 years in India is approximately 54.16% and the burden is ever increasing. This cross-sectional study aimed at mapping oral health status among government school children in Mumbai. The study focused on identifying the prevalence of dental caries and tobacco consumption among students. The study involved 94 randomly selected schools, focusing on healthy 9th and 10th-grade students in M.C.G.M-run schools. A close-ended questionnaire assessed demographics, oral hygiene practices, and tobacco use, followed by oral examinations for dental caries and hygiene status, with subsequent oral health education provided to all students. A high prevalence of dental caries (62.6%) and tobacco use (5.1%) was observed among 14-16-year-old students, emphasizing the urgent need for habit interception and oral health education. To progress, Indian health systems must collaborate to promote oral healthcare for all children, with a focus on disease prevention, especially among disadvantaged backgrounds and those with special healthcare needs. Key Words Mumbai schools, Oral health status, Prevention, School students, Teachers training

THE IMPACT OF STUNTING MALNUTRITION OF ORODENTAL HEALTH IN CHILDREN: A SCOOPING REVIEW

Introduction: Short children or commonly called stunting is a prevalent nutritional issue found among children globally. Indonesia has a notably high prevalence of stunting throughout the Southeast Asian region. Stunting malnutrition children will experience disturbances in the process of tooth growth, affecting the teeth during pre-eruption. Aim to provide an overview of the impact of stunting malnutrition on dental health in children. Materials and Methods: This study uses the PRISMA method, with the steps: (1) Question framework (literature study); (2) Search for articles in databases (on Scopus, PubMed, and Google Scholar), and journal databases with articles published from 2020 to 2022; (3) Selection of relevant research; (4) Data extraction; (5) Synthesis with narrative method. Results and Discussions: The study obtained 7 articles to be reviewed, proving that stunting malnutrition children experienced delayed tooth eruption in 3 articles; 4 articles analyzing the impact of stunting malnutrition on dental caries; and experiencing unhealthy dental health status in 1 article. Conclusion: The impact of stunting malnutrition children on orodental health is delayed tooth eruption, and severe dental caries.

General and orofacial symptoms associated with acute and long COVID in 80- and 90-year-old Swedish COVID-19 survivors

ObjectivesTo describe acute and long COVID-19 symptoms among older elderly Swedes and to find predictive factors for the development symptoms associated with acute and long COVID. Material and methodsA questionnaire about general and oral health was mailed to all 80-year-olds (born 1942, n = 6299) and 90-year-olds (born 1932, n = 1904) in two Swedish counties. Participants reporting COVID-19 were asked to complete an additional questionnaire. ResultsOverall response rate was 66 % (n = 5375). Affirmative responses to having been sick/tested positive for COVID-19 were reported by 577 persons. Response rate to the COVID-19 questionnaire was 49 %. The majority (88 %) reported some general symptoms during the acute stage while 44 % reported orofacial symptom/s. Reporting of any form of long-COVID general symptoms was 37 and 35 % for orofacial symptoms. Predictive factors for contracting COVID-19 (based on self-report from 2017) were living in elderly housing/senior care facility (OR 1.6, CI 1.0–2.3), large number (>10) of weekly social contacts (OR 1.5, CI 1.3–1.9), being married (OR 1.4, CI 1.1–1.7) and high school/university education (OR 1.3 CI 1.1–1–6). The highest odds ratio for general symptoms of long-COVID were a single complete denture (OR 5.0, CI 2.0–12.3), reporting bad breath (OR 3.7, CI 1.9–7.2) and daytime dry mouth (OR 2.2, CI 1.1–4.2). Regarding long-COVID orofacial symptoms, the highest risk factors were bad breath (OR 3.8, CI 1.9–7.5) and a single complete denture in one jaw (OR 3.4, CI 1.2–9.8). ConclusionLong-COVID general and orofacial symptoms are common among older elderly COVID-19 survivors Clinical significanceOral microorganisms may be responsible for development of long-COVID symptoms. Health personnel managing COVID-19 patients should carefully examine dental status, especially in those having acrylic-based removable dentures, for oral signs and symptoms. If found, rigorous oral hygiene procedures should be carried out including cleaning/disinfection of the denture.

Effect of experimental periodontitis on cardiac functions: a comprehensive study using echocardiography, hemodynamic analysis, and histopathological evaluation in a rat model.

Periodontitis is a prevalent and severe dental condition characterized by the gradual degradation of the bone surrounding the teeth. Over the past two decades, numerous epidemiological investigations have suggested a potential link between periodontitis and cardiovascular disease. However, the complex mechanistic relationship between oral health issues and cardiovascular disorders remains unclear. This study aimed to explore comprehensively the cardiac function through various methods, including conventional echocardiography, intraventricular pressure gradient (IVPG) analysis, speckle tracking echocardiography (STE), and hemodynamics analysis. Ligature-induced periodontitis was established in a group of rats while the second group served as sham. The successful establishment of the periodontitis model was confirmed through staining and radiographic examination of the affected mandibles. X-ray films and methylene blue staining revealed alveolar bone resorption in the affected first molar in the model rats, confirming the successful induction of periodontitis. The rats with periodontitis displayed a decrease in ejection fraction compared to the sham group, accompanied by a decrease in mid-to-apical IVPG and mid IVPG. Lower values of strain rate were recorded in the apical segment of the septum, the middle segment of the septum, and the basal segment of the lateral free wall in the periodontitis group, which was associated with histopathological examination showing some degree of myocardial tissue damage. Conversely, rats with periodontitis showed an increase in heart rate, end-systolic volume, and arterial elastance when compared to the sham rats. However, they also exhibited a decrease in stroke work, stroke volume, cardiac output, and end-systolic pressure. This study suggests that experimental periodontitis may lead to cardiac dysfunction especially compromised systolic function and myocardial relaxation, potentially indicating an increased risk of cardiovascular events in clinical periodontitis cases. The comprehensive assessment of cardiac function, hemodynamics, and histopathological evaluation underscores the profound impact of periodontitis on heart functions within this specific experimental model.

Clinical evaluation of xerostomia manifestations in young-old and middle-old adults

Relevance. The subjective evaluation and analysis of clinical manifestations and risk factors for the development of xerostomia in young- and middle-old adults living in Novosibirsk and the Novosibirsk region plays a leading role in choosing the treatment strategy for this category of patients.Material and methods. A single-stage open study involved 101 people, of whom 48% (n = 49) were male and 52% (n = 52) were female. The average age of the examined was 66.3 [60.0; 88.0] years; 64 subjects were young-old patients (60.0; 75.0), and 37 subjects were middle-old patients (75.0; 88.0). All examined patients underwent an assessment of their dental status and subjective evaluation of xerostomia severity using the validated Russian version of the "The Summated Xerostomia Inventory" (XI). Xerostomia diagnosis in the study patients included the examination according to "The Challacombe Scale of Clinical Oral Dryness" (CSCOD) and sialometry. Taking records of comorbidities, malnutrition syndrome, systemic medications, and bad habits helped to study the risk factors for xerostomia development.Results. The analysis of the subjective evaluation and signs in older patients most frequently revealed moderate xerostomia. There was a moderate negative correlation between the age of the examined and the salivary secretion rate (ρ = -0.578, p < 0.01). Women more often showed severe xerostomia (p < 0.001). The examination of 87.6% of the subjects revealed xerostomia manifestations, confirmed by clinical signs and laboratory data. In 12.4% of patients with complaints and clinical signs of x erostomia, sialometry did not confirm xerostomia.Conclusion. The study results showed a decrease in the secretion rate in older patients with age. In women, complaints and clinical and laboratory signs of xerostomia were more pronounced. Patients' subjective assessment of dry mouth manifestations did not always correspond to the xerostomia clinical and laboratory diagnostic data. The prevalence of xerogenic risk factors was established in young-old and middle-old patients.

PECULIARITIES OF CORRELATION PATTERNS BETWEEN MUSCULOSKELETAL AND DENTOALVEOLAR SYSTEM DISORDERS AND ELEVATED PHYSICAL ACTIVITY IN CHILDREN

Introduction. The physical development and engagement in sports activities have a direct impact on the overall formation of the human body. Previous research on the impact of sports on orthopedic and dental conditions in children has primarily focused on factors and features related to injuries. While some studies have explored the influence of sports on orthopedic conditions, comprehensive research addressing orthopedic and stomatological pathology in connection with sports activities has been lacking.
 The objective of this study is to investigate the influence of physical activity on the status of both the locomotor and maxillofacial systems and to evaluate their correlation with fundamental anthropometric indicators.
 Materials and Methods. For this study, a cohort of 78 children (38 girls and 40 boys), aged 14 to 17 years with an average age of 15.5 years, underwent examinations in both 2019-2020 and 2023. A thorough statistical analysis of the gathered data was conducted to draw meaningful conclusions.
 Orthopedic pathology was observed in 37.21% of individuals engaged in sports and 22.86% of those who did not participate (p=0.263). Dental pathology was found in 23.26% of individuals involved in sports compared to 17.14% in those who did not engage in sports (p=0.581). Over a span of 3 years, individuals participating in sports experienced an average weight change of 14.82 kg, while those not involved in sports had an average change of 10.31 kg (p=0.02). The average height was 177.0 cm in individuals with orthopedic pathology and 170.0 cm in those without a diagnosed orthopedic condition (p=0.008). The mean growth over 3 years was 15.0 cm in individuals with orthopedic pathology and 9.0 cm in those without an established orthopedic diagnosis (p=0.032). Children with dental pathology gained an average of 8.34 kg of body weight over 3 years, whereas those without dental pathology gained 13.89 kg (p=0.019).
 Conclusions. Engaging in sports activities does not significantly impact the occurrence or development of orthopedic and stomatological pathology. Anthropometric indicators, specifically height and body weight, are associated with orthopedic and dental pathology, respectively. Children exhibiting greater and more intensive growth tend to have a higher frequency of orthopedic pathology. Dental pathology is more prevalent in children with lower body weight.

The Relationship Between Parental Knowledge and Attitudes About Dental Health on The Dental Health Status of Elementary School Age Children

Children who are still growing and developing in health prevention and care really need the role of parents. Students who experience dental and oral problems often do not receive attention from their parents so these children are not taken to dental health service facilities for treatment. The research carried out was included in the type of analytical observational research or analytical survey, using a cross- sectional approach design. The sample in the study consisted of 34 students and 34 parents taken using total sampling technique. Data collection was carried out using examination sheets and questionnaires. Data analysis was carried out using univariate and bivariate analysis, Chi-square test to determine the relationship between parental behavior regarding dental health and the dental health status of elementary school age children. The results of the Chi-square statistical test showed that the p-value was 0.05, so Ha was rejected and Ho was accepted, so there was no significant relationship between parents' knowledge and attitudes towards the dental health status of elementary school aged children at SDN 3 Medayu

Relationship between Child Nutritional Status and Parental Knowledge with the Incidence of Dental Caries among Children at Kemala Bhayangkari 94 Kindergarten of Semarang

ABSTRACTBackground: An indicator for determining a person's dental and oral health status is the presence/absence of diseases in the oral cavity, one of which is dental caries. According to the 2018 Basic Health Research, the prevalence of dental caries in Indonesia was 88.8% with root caries of 56.5%. The incidence of dental caries among children aged 3-4 years and 5-9 years were 81.5% and 92.6%, respectively. Objective: To determine the relationship between child nutritional status and parental knowledge with the incidence of dental caries among children at Kemala Bhayangkari 94 Kindergarten of Semarang. Methods: This was a quantitative study with cross sectional design. The samples consisted of 48 children and 48 parents at Kemala Bhayangkari 94 Kindergarten. Results: There was a relationship between child nutritional status and the incidence of dental caries (p value = 0.003), and there was a relationship between parental knowledge and the incidence of dental caries among children (p value = 0.000). Conclusion: There was a relationship between child nutritional status and parental knowledge with the incidence of caries among children at Kemala Bhayangkari 94 Kindergarten of Semarang.Keywords: Dental caries, Child nutritional status, parental knowledge

Evaluation of the Oral Health of Hemophiliac Patients in Cameroon

Introduction: The aim of our study was to identify oral pathologies, determine their frequencies and assess the oral care needs of hemophilia patients in Cameroon. Method: A descriptive cross-sectional study was conducted from January 2021 to June 2021 in the approved Hemophilia Treatment Centres in Cameroon, one in the Yaounde University Teaching Hospital and the other one in the Gynaeco-obstetric and Paediatric Hospital of Douala. A survey form was used to collect data for the description of our sample. The patients’s files were useful for additional information. Mucosal, dental and periodontal conditions were described using the hygiene indices of Silness and Loë, DMFT and CPITN. The data were entered into the Google forms mask and analysed using SPSS 20. Results: A total of 52 hemophiliac patients were included in our study, all of them males aged between 15 months and 42 years. The mean age of our sample was 14.6 years old ± 10.7. The CAO index was 1.71. 88.46% had episodes of gingivorrhagia caused by brushing. Only 21.15% had a history of dental consultations. Only 7.69% had good hygiene. The oral pathologies encountered were gingivitis 78.85% and periodontitis 1.92%. Conclusion: In view of these results, it would be necessary to integrate regular oral care into the follow-up of haemophilia patients in order to improve their quality of life.

Model development of patient\'s dental and oral health care in raden mattaher hospital, Jambi Province

Dental and oral health care is the primary role and authority of the Dental and Oral Therapist. This study aims to develop a dental and oral health care model for patients in the dental polyclinic of Raden Mattaher Hospital. This quantitative study used an applied research design to develop a model of dental and oral health care. Eleven dental nurses were involved as informants, and three dentists as key informants. This research was conducted at the dental polyclinic of the Jambi Provincial Hospital from March to November 2022. The data were obtained through interviews, focus group discussions (FGD), observations, and trials of the draft model of the patient's dental health examination. Furthermore, a trial of the dental health care model was carried out on people with a mental health conditions. The total score on the questionnaire results of the HELISIDI dental and oral health care model was 546, with a presentation of 76% based on the eligibility criteria. These results mean that the HELISIDI Model is eligible but with revisions. The total score for the HELISIDI dental and oral health care status card was 546, with a presentation of 87% based on the eligibility criteria. According to the respondent, the HELISIDI Status Card is eligible but with revisions. After revision, the model and the HELISIDI status card were declared eligible without further revision. The model of dental and oral health care for patients at the dental clinic of Raden Mattaher Hospital is suitable for mental patients.

Diagnosis and minimally invasive management of erosive tooth wear

Tooth wear is a very common dental condition. The extent of wear sometimes can be catastrophic with severe tooth tissue loss which may result in poor esthetics. Main three types of wear are attrition, abrasion, erosion. Attrition is wear of teeth by the opposing teeth. Abrasion is wear of teeth by faulty tooth brushing. Erosion is wear of teeth by some acids. The aim of this article is diagnosis and prevention to avoid loss of tooth tissue, structural damage and which may lead to extensive restorative treatment.