Dentition Status Research Articles

Remodeling of the antegonial angle region in the human mandible: A panoramic radiographic cross-sectional study

This study analyzed changes in the antegonial region in relation to age, gender, and dental status. A total of one thousand patients (five hundred males and five hundred females), who were prescribed panoramic radiograph for various purposes were included in the study. The patients were categorized according to age, gender and dentition status. Panoramic radiographs were traced and antegonial angles and depths were measured. A trend of decrease in the antegonial angle and increase in antegonial depth with age was observed in both males and females. Furthermore there were differences between right and left side antegonial angle and depth, with left side angle more than right and right side depth more than left. There was a significant decrease in the values of antegonial angle and significant increase in the values of antegonial depth as the dentition status changed from completely dentulous to partially dentulous and from partially dentulous to completely edentulous state. The antegonial angle decreases with the advancing age and thereby increases the antegonial depth. Similar trends are seen when teeth are lost. Furthermore there is an inherent asymmetry in the antegonial region in right and left side.

Nutritional Status In Denture Wearers: A Review

The relationship among dentition status, masticatory function and nutrient intake is of importance. Dietary factors are related to the cause and prevention of important diseases, including cancer, coronary heart disease, cataracts. Elderly denture wearers are vulnerable to compromised nutritional health due to various factors including: physiologic, psychosocial, oral, functional, medical and dietary supplementation. Dietary guidance is an integral part of treatment for denture wearers. An overview of the relationship between denture wearers and malnutrition and the nutritional strategies to obtain good oral and general health in denture wearers are being discussed.

Pediatric Rigid Bronchoscopy for Foreign Body Removal

Pediatric Rigid Bronchoscopy for Foreign Body Removal

Pediatric Rigid Bronchoscopy for Foreign Body Removal

PhiliPPine Journal of otolaryngology-head and neck Surgery 39 Rigid bronchoscopy is a procedure that is performed in order to directly visualize the upper and lower airway and is carried out for either a diagnostic or therapeutic purpose. Suspected foreign body (FB) aspiration is the most common indication for performing this procedure in the pediatric age group at the Philippine Children’s Medical Center where a recent census (May 2008 to April 2009) showed that of 21 cases where rigid bronchoscopy was performed, 10 were for suspected FB aspiration. A review of 101 cases in the same institution showed that the average age of patients with FB aspiration was 2 years and the most common item aspirated was a peanut followed by the atis (sweetsop) seed and chicken bone chips. The most common inorganic foreign body was an earring and “whistle” (which broke off from a toy).1 It is more common in males probably because of their usually more active nature and is frequently found in the right mainstem bronchus where the FB more easily lodges being straighter, shorter and wider in diameter. FBs are life-threatening events in children that require early diagnosis and prompt successful management.2 A good history, physical examination and analysis of diagnostic tests are vital in every situation. In most cases, the child’s aspiration of the foreign object is a witnessed event 3 and this history of aspiration is the most sensitive diagnostic tool. The main symptoms include choking, prolonged cough and dyspnea. Abnormal physical examination findings are found in 67% to 80% of cases and include unilaterally decreased breath sounds, wheezing and stridor.2,4 Radiographic procedures may show abnormal findings in only about 68-86% of cases.4,5 The most useful radiographs requested are the chest posteroanterior (anteroposterior in infants and small children) and lateral views which may help localize the impaction site when the object aspirated is radiopaque.3 However, most inhaled FBs are radiolucent and their presence can be suspected by obtaining inspiration and expiration views to demonstrate unilateral hyperinflation. Other suggestive features include atelectasis, pneumothorax and pneumonia. These indirect radiologic features of FB inhalation are present in 76% of cases.2, Where inspiration and expiration views cannot be obtained, as in very young children, left and right decubitus views may be helpful. 6 Fluoroscopic studies may also be obtained along with the plain radiographs, however, specificity and sensitivity are not very high.4 Virtual bronchoscopy may also be used in patients with suspected FB aspiration. Virtual bronchoscopy which uses multislice computerized tomography (MDCT) with realistic 3-dimensional reconstruction may be helpful in detecting and localizing the FB prior Pediatric Rigid Bronchoscopy for Foreign Body Removal Maria Rina T. Reyes-Quintos, MD, MClinAud1,2

Oral health status of 6- and 12-year-old school going children in Bangalore city: An epidemiological study

Oral health is an essential component of health throughout life. However, millions of individuals suffer from dental caries and periodontal disease, resulting in unnecessary pain, difficulty in chewing, swallowing and speaking, and increased medical costs; hence, the present study was conducted to evaluate the oral health status of school children which would help us in planning and implementing necessary preventive measures. 1. To assess the prevalence of dental caries among school children, using the Dentition Status and Treatment Needs Index. 2. To assess the prevalence of malocclusion among the study population, using the WHO criteria. 3. To assess the prevalence of dental calculus among the study population using the criteria of Community Periodontal Index of Treatment Needs. The study was conducted at a school in Bangalore city. The study population comprised of school children of two age groups - 6 and 12 years. A total of 430 subjects of both the sexes were surveyed, out of which 229 were in 6-year age group and 201 in 12-year age group. No significant difference was observed between the age groups - 6 and 12 years - with respect to the proportion of dental caries (P > 0.05). Highly significant difference was noticed between the two age groups with respect to calculus (P < 0.01) and malocclusion (P < 0.05).

Dentition Status and Treatment Needs among 12 and 15 Year Old School Children of Different Socioeconomic Strata in a Fluoride Belt Area

Dentition Status and Treatment Needs among 12 and 15 Year Old School Children of Different Socioeconomic Strata in a Fluoride Belt Area

Hubungan Tumpatan Glass Ionomer Cement dan Pertumbuhan Streptococcus Mutans di Dalam Saliva

The study was a quasi experimental one, supported by microbiological data. The respondents had been purposively chosen from three Bekasi elementary schools in 2002, with 72 children as treatment group and 72 children as control group. Data collected included oral and laboratory examinations. Dental health status of permanent dentition was determined using the DMF-T index. The data was collected at the start and 120 days after intervention. Data analysis was by paired t-test for before and after treatment, and by independent t-test for comparating treatment and control. For the average the means 2 samples t-test difference was used, and for the average difference between the same groups the mean one sample t-test was applied. For the nominal scale proportion difference the likelihood ratio test was applied, and for the ordinal scal the nonparametric one-way Anova was used. Simple regression test was used to determine the relation between dependent and independent variables. The results of the study show decrease of S. mutans colonies in saliva after treatment (p= 0,001) and decreasing DMF-T score for treatment group. In control group, there is no decrease in S. mutans colonies, but increasing DMF-T score was found. The conclusion was that glass ionomer cement fillings can inhibit S. mutans growth in saliva.

Estimation of sex and age of “virtual skeletons”–a feasibility study

This article presents a feasibility study with the objective of investigating the potential of multi-detector computed tomography (MDCT) to estimate the bone age and sex of deceased persons. To obtain virtual skeletons, the bodies of 22 deceased persons with known age at death were scanned by MDCT using a special protocol that consisted of high-resolution imaging of the skull, shoulder girdle (including the upper half of the humeri), the symphysis pubis and the upper halves of the femora. Bone and soft-tissue reconstructions were performed in two and three dimensions. The resulting data were investigated by three anthropologists with different professional experience. Sex was determined by investigating three-dimensional models of the skull and pelvis. As a basic orientation for the age estimation, the complex method according to Nemeskéri and co-workers was applied. The final estimation was effected using additional parameters like the state of dentition, degeneration of the spine, etc., which where chosen individually by the three observers according to their experience. The results of the study show that the estimation of sex and age is possible by the use of MDCT. Virtual skeletons present an ideal collection for anthropological studies, because they are obtained in a non-invasive way and can be investigated ad infinitum.

O.419 Technique to control maxillary rotation in model planning

The incidence of condylar fractures is high. Condylar fractures can be extracapsular (condylar neck or subcondylar) or intracapsular, undisplaced, deviated, displaced or dislocated. Treatment depends on the age of the patient, the co-existence of other mandibular or maxillary fractures, whether the condylar fracture is unilateral or bilateral, the level and displacement of the fracture, the state of dentition and the dental occlusion, and the surgeon's experience.This report presents the experience acquired in the treatment of 466 condylar fractures over 7 years, reviews the pertinent literature and proposes guidelines for treatment.The archives of KAT, General District Hospital between 1995 and 2002 were scrutinized and the condylar fractures were recorded. The aetiology, age, sex, level of fracture, degree of displacement, associated facial fractures, malocclusion, and type of treatment were noted.Four hundred and sixty-six condylar fractures were admitted, the male:female ratio was 3.5:1. Road traffic accidents were the main cause and most fractures were unilateral, displaced, subcondylar, occurred on the left side and were treated conservatively.Early mobilization is the key in treating condylar fractures. Whilst rigid internal fixation provides stabilization and allows early mobilization, conservative treatment is the treatment of choice for the majority of fractures. Children and intracapsular fractures are treated conservatively with or without maxillo-mandibular fixation. Open reduction is recommended in selected cases to restore the occlusion, in severely displaced and dislocated fractures, in cases of loss of ramus height, and in edentulous patients. It may be considered in those with ‘medical problems’ where intermaxillary fixation is not recommended.

Teeth for life? Aspects of oral health status influencing the nutrition of older adults

AbstractAim: To examine how dentition status impacts on nutrition status in community‐dwelling older adults.Methods: A literature search of years 1983 to 2006 was conducted using PubMed with the keywords, older adult, oral health, nutrition status, dentition and dentition status.Results: Studies consistently suggest a direct and positive relationship between aspects of oral health status and nutrition in older adults. Masticatory disability hinders recommended food choice and often results in nutrient intake levels below recommended levels. The efficacy of replacing missing teeth to improve nutrition status is questionable. Sub‐optimal nutrition in older adults may be reduced by retaining a minimum of five posterior occlusal pairs of teeth or 20 teeth distributed in a functional pattern. Food and nutrition education of denture‐wearing older adults has some benefit.Conclusion: Though oral health status is unlikely to have a major impact on nutrition status, in combination with other risk factors, it may be enough to tip the balance towards poorer nutritional health. An opportunity exists for health (including oral health professionals) and nutrition professionals to work together to assist older adults to age successfully.

Association of chewing ability with cardiovascular disease mortality in the 80-year-old Japanese population

Few have studied the association between chewing ability and longevity. In this prospective study, we analyzed 697 80-year-old participants residing in Fukuoka Prefecture, Japan. Chewing ability was assessed on the basis of the types of food that each participant reported being able to chew. During follow-up, 108 participants died. Patients reporting the lowest numbers of chewable foods were associated with higher risks of cardiovascular mortality than those who were able to chew all the types of food surveyed (multivariate hazard ratio: 4.60; 95% confidence interval: 1.01-21.1). Impaired dentition status with poor masticatory ability was an independent risk factor for cardiovascular mortality in active elderly individuals.

Dentition status and treatment needs among children with impaired hearing attending a special school for the deaf and mute in Udaipur, India

The present cross-sectional study was conducted to assess the prevalence of caries and treatment needs among 127 institutionalized subjects aged 5-22 years attending a special school for students with hearing impairment in Udaipur City, Rajasthan, India. The data were collected using the methods and standards recommended by the WHO for oral health surveys, 1997. Dentition status and treatment needs along with DMFT, DMFS, dmft, dmfs were recorded using a Type III examination procedure. ANOVA, chi-squared test and multiple regression analysis were conducted using the SPSS software package (version 11.0). The mean DMFT was 2.61. Of the 127 subjects, 111 (87.4 %) needed treatment. Filling of one tooth surface was necessary for 79.5% of the subjects. Pulp treatment was needed in less than 7%. There was a high prevalence (83.92%) of decayed teeth, whereas only 7.14% of subjects had filled teeth. Multiple regression analysis showed that DMFT had a close association with age. Linear regression analysis revealed that age explained a variance of 32% and 25.4% for DMFT and dmft respectively The findings of this study demonstrate that young people with impaired hearing in this region have a high prevalence of dental caries, poor oral hygiene, and extensive unmet needs for dental treatment. This highly alarming situation requires immediate attention.

Prevalence of dental caries among adults and elderly in an urban resettlement colony of New Delhi

Dental caries remains the most important dental health problem in developing countries. In India the prevalence of dental caries is reported to be about 50-60%. Most of the Indian studies have been carried out in school children and very few in adults. This study aimed to estimate the prevalence of dental caries in the adult population (aged 35-44 years) and in the elderly (60 years and above) in an urban resettlement colony in New Delhi. A community-based cross-sectional study was carried out in Dakshinpuri, New Delhi, from January to February 2007. A local adaptation of the WHO questionnaire was used. Oral examination was done and dentition status was recorded by trained investigators and according to the standard procedures. A total of 452 participants were enrolled in the study. The prevalence of dental caries in the 35-44 years age-group was 82.4% and it was 91.9% in those > or =60 years. The DMF index was 5.7 +/- 4.7 in the 35-44 years age-group and 13.8 +/- 9.6 in the > or =60 years age-group. Of the participants, 27.9% were currently using tobacco. A statistically significant association was found between tobacco consumption and dental caries ( P = 0.026). The awareness about good and bad dental practices was found to be low among the study participants. One-fifth of the individuals with dental problems relied on home remedies. The prevalence of dental caries among adults is high in this population. There is a need to generate awareness about oral health and the prevention of dental caries and to institute measures for the provision of dental care services at the primary level.

Dental caries prevalence and treatment needs of Down syndrome children in Chennai, India

To assess the prevalence of caries and the treatment needs of Down syndrome children in the Indian city of Chennai. Among the 130 Down syndrome children examined, only the children aged < or =15 years were included in the study ( n = 102). There were 57 male and 45 female children in the total study sample. A specially prepared case record was used to record the findings for each child. The dentition status and the treatment needs required were recorded. Comparisons of the findings were done based on age and gender distribution. Twenty-nine per cent of the total sample of Down syndrome children was found to be caries-free. Extraction (in 38 children) and one-surface filling (in 26 children) were the most needed specific treatments for primary and permanent teeth, respectively. Oral prophylaxis (99%) was the most required treatment in the overall treatment category. Contrary to the findings of earlier studies, the percentage of caries-free Down syndrome children was found to be lower in our study. However, their basic needs like oral prophylaxis, restorations and extractions remain the same and can be easily fulfilled by an efficient, community-based dental team.

Dental caries experience and treatment needs of green marble mine laborers in Udaipur district, Rajasthan, India

The study was undertaken at Kesariyaji, located in Udaipur district of Rajasthan. There are about 3 million workers who marble mine at Rajasthan. Living conditions of these workers are substandard and most of them are immigrant workers living in tiny shacks. Majority of them belong to lower socioeconomic status with poor educational background. The present study was carried out to estimate dental caries prevalence and treatment needs of laborers working in the green marble mines of Udaipur district. The data was collected using the methods and standards recommended by the WHO. Dentition status and treatment needs along with decayed, missing, and filled teeth (DMFT) index, and decayed, missing, and filled surfaces score were recorded. Standard error of mean was calculated for all the mean values of treatment needs. There were three examiners, who were trained before the survey for inter-examiner variability, and the reliability was tested by means of weighted kappa statistics, which was 90%. The study population comprised 513 men in four age groups of 18-25, 26-34, 35-44, and 45-54 years, respectively. The mean DMFT for all age groups was 3.13 with highest mean of 4.0 for the age group of 45-54 years. Mean decayed teeth were 2.60, 3.33, 1.46, and 1.5 for the age groups 15-24, 25-34, 35-44, and 45-54 years, respectively. Filled component was nil for all age groups. Most of the subjects required one surface filling with a very less proportion needing pulp care. The missing component constituted the major part of DMFT index in the 45-54 years age group and the absence of filled component in the whole study population implies that the treatment needs of the study population are unmet. Thus, intervention in the form of oral health promotion and curative services are the need of the hour.

Nutritional intake and dentition status

Australian Dental JournalVolume 52, Issue S4 p. S32-S32 Free Access Nutritional intake and dentition status KA Singh, KA SinghSearch for more papers by this authorAJ Spencer, AJ SpencerSearch for more papers by this authorP Liu, P LiuSearch for more papers by this authorDS Brennan, DS Brennan Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide.Search for more papers by this author KA Singh, KA SinghSearch for more papers by this authorAJ Spencer, AJ SpencerSearch for more papers by this authorP Liu, P LiuSearch for more papers by this authorDS Brennan, DS Brennan Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide.Search for more papers by this author First published: 20 May 2014 https://doi.org/10.1111/j.1834-7819.2007.tb06140.x AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume52, IssueS4December 2007Pages S32-S32 ReferencesRelatedInformation

Factors associated with self‐reported use of oral health services among older Melbournians

Objectives: This paper discusses the utilisation of oral health‐care services by older adults in Melbourne, Australia, and factors associated with their use. Methods: The study involved 993 older adults who participated in the Melbourne Longitudinal Studies on Healthy Ageing baseline data collection. Results: Nearly 38% of respondents had used oral health services in the previous year. Another 4% had not visited a dentist for more than 5 years. Recent use of dental services was associated with five predictors: higher level of education, non‐pension sources of income, lower age, more social support and higher levels of depression. Conclusion: This study provides important information about dental utilisation by older Melbournians. Lack of information on dentition status, and type of dental visits limits the interpretation of the data, highlighting the need to collect relevant information that would inform the design of longitudinal studies aimed at determining predictors of use of oral health services by older Australians.

Is the goal of mastication reached in young dentates, aged dentates and aged denture wearers?

The objective of the present study was to assess the impact of age and dentition status on masticatory function. A three-arm case-control study was performed. Group 1 (n 14) was composed of young fully dentate subjects (age 35.6 +/- 10.6 years), group 2 (n 14) of aged fully dentate subjects (age 68.8 +/- 7.0 years) and group 3 (n 14) of aged full denture wearers (age 68.1 +/- 7.2 years). Mastication adaptation was assessed in the course of chewing groundnuts and carrots to swallowing threshold. Particle size distribution of the chewed food, electromyographic (EMG) activity of the masseter and temporalis muscles during chewing, and resting and stimulated whole saliva rates were measured. Aged dentate subjects used significantly more chewing strokes to reach swallowing threshold than younger dentate subjects (P < 0.05), with increased particle size reduction, longer chewing sequence duration (P < 0.05) and greater total EMG activity (P < 0.05) for both groundnuts and carrots. In addition, aged denture wearers made significantly more chewing strokes than aged dentate subjects (P < 0.001) to reach swallowing threshold for groundnuts. Particle size reduction at time of swallowing was significantly poorer for denture wearers than for their aged dentate counterparts, despite an increase in chewing strokes, sequence duration and EMG activity per sequence. Masticatory function was thus adapted to ageing, but was impaired in denture wearers, who failed to adapt fully to their deficient masticatory apparatus.

Chewing problems and dissatisfaction with chewing ability: a survey of older Tanzanians

This study assessed the prevalence and correlates of reported chewing problems and dissatisfaction with chewing ability. Discrepancy between reported chewing problems and satisfaction/dissatisfaction with chewing ability was examined. A household survey was conducted in Tanzania in 2004/2005. A total of 1,031 adults (mean age 62.9 yr) underwent clinical examination and a personal interview. Forty per cent [95% confidence interval (CI): 37-43] reported problems with chewing at least one food item, and 25% (95% CI: 22-28) were dissatisfied with their chewing ability. Adjusted odds ratios (OR) for reporting problems with chewing any food were 1.6, 1.2, and 4.2 if having intact anterior/reduced posterior, reduced anterior/intact posterior, and reduced anterior/posterior occluding units, respectively. Subjects dissatisfied with their chewing ability were less likely to be female (OR = 0.6) and more likely to have reduced anterior/posterior occluding units (OR = 3.4), to report dental pain (OR =2.5), chewing problems (OR = 4.7), and oral impacts on daily performances (OIDP) (OR = 3.2). The OIDP scores discriminated between satisfied and dissatisfied groups, irrespective of confirmed chewing problems. Chewing problems and dissatisfaction with chewing ability was prevalent among older Tanzanians. Clinical measures of dentition status, together with reported functional and psychosocial impact scores, determined the subjects' evaluation of their chewing ability and should be taken into account when estimating treatment needs.

Estado de la dentición y sus efectos en la capacidad de los ancianos para desempeñar sus actividades habituales

The aim of this study was to evaluate the effect of dental state on the capacity of elderly individuals to carry out their daily activities during the previous six months. A transversal study was conducted in the Mexican Institute of Social Security (IMSS) with insured elderly persons residing in southwestern Mexico City. Home interviews were conducted to gather sociodemographic data, data on the use of oral health services, problems in carrying out daily activities, and their relationship with the state of dentition over the past six months, utilizing the Oral Impacts on Daily Performance (OIDP) index. Later, three oral health professionals trained in determining the state of dentition according to World Health Organization (WHO) criteria performed a clinical examination on each elderly subject. A total of 540 elderly individuals were studied. The prevalence of elderly persons with problems in carrying out their daily activities was 21.5%. The main problems in daily activities were eating (14.4%), speaking (8.7%), not becoming irritated (5.4%), brushing their teeth(5%), and inability to enjoy contact with people (4.4%). There is a positive OIDP correlation between number of teeth lost and the decayed, missing, filled teeth(DMFT) index (p<0.05) and a negative correlation with the number of functional and filled teeth. The state of dentition in the elderly has repercussions on the capacity to carry out daily activities, with quality of life most seriously affected with regard to eating and enjoying food, as well as with respect to correct pronunciation.