Hygiene Procedures Research Articles

Efektivitas Triangle Pillow Kombinasi Virgin Coconut Oil (VCO) terhadap Pencegahan Pressure Ulcers pada Pasien Bed Rest di Ruang Intensive Care Unit (ICU)

Background: Bed rest is when someone has to lie in bed for 24 hours each day. Bed rest has the potentially to cause pressure ulcers. Pressure ulcers are conditions caused by pressure combined with friction on bony areas. The implementation of triangle pillow combined with virgin coconut oil (VCO) intervention may be an alternative therapy to prevent pressure ulcers in bedridden patients. Objective: To determine the effectiveness of triangle pillow combined with virgin coconut oil (VCO) in preventing pressure ulcers in bedridden patients in the Intensive Care Unit (ICU). Methods: This study used a case report method with intervention using triangle pillow combined with virgin coconut oil (VCO) on bedridden patients in the ICU performed over 6 days in the morning after oral hygiene procedures and in the afternoon before the end of shift. This study used the Braden Scale instrument. Results: The results showed a change in the Braden scale from a high-risk scale of 9 to a moderate-risk scale of 14. Conclusion: The provision of triangle pillow combined with virgin coconut oil (VCO) is effective in preventing pressure ulcers in bedridden patients in the ICU.

ИЗМЕНЕНИЕ БИОТИПА ДЕСНЫ В ПРОЕКЦИИ ДЕНТАЛЬНЫХ ИМПЛАНТАТОВ

Deficiency of keratinized gum in the peri-implant zone contributes to bone recession and visualization of implant necks and abutments through its thin layer. To develop clinically effective and scientifically based protocols for the prevention and treatment of pathology of tissues surrounding implants, it is necessary to study the risk factors for the occurrence of mucositis and peri-implantitis, one of which is the deficiency or complete absence of attached keratinized gum in the implant area, as a result of which the mobile mucous membrane is constantly displaced during eating, talking, performing hygiene procedures. The gums are easily injured, which leads to rapid colonization of pathogenic microflora and the development of initial inflammation in the form of mucositis. The inflammatory process is launched, which in turn leads to an increase in the activity of osteoclasts. It should be noted that the rate of development of the inflammatory process in the area of implants is much higher than in the area of teeth. Due to the absence of the periodontal ligament, the inflammatory infiltrate directly spreads to the alveolar bone and penetrates into the medullary spaces. The gum contour in the area of installed implants must be aesthetic, stable and dense. This together will not only provide a cosmetic effect, but will also prevent the development of early and late complications of dental implantation. The paper provides an analysis of various methods of mucogingival surgery in the field of dental implants using an allogeneic graft of the “Alloplant” series. Engraftment of mucosal autografts from the tubercle of the upper jaw after surgery is accompanied by severe inflammation, which can lead to scarring of the mucosa or exposure of the bone. Allografts transplanted to patients to thicken the gums in the area of implantation are completely replaced after 6 months without signs of rejection or inflammatory processes by a full-fledged connective tissue regenerate covered with stratified squamous keratinizing epithelium. In the surgical area, gum tissue is formed in thickness, which can be classified as a “thick” gum phenotype.

Carcinogenic and non-carcinogenic health risks associated with the consumption of fishes contaminated with heavy metals from Manzala Lake, Egypt

Manzala Lake was sampled to assess the concentrations and possible ecological risks of heavy metals. The mean heavy metal levels in the muscles of Nile tilapia, Flathead grey mullets and African catfish were 0.01, 0.15 and 0.29 mg/kg, respectively, for mercury; 3.16, 4.25 and 4.74 mg/kg for arsenic; 1.01, 0.87 and 0.95 mg/kg for lead; and 0.05, 0.12 and 0.06 mg/kg for cadmium. The levels of heavy metals exceeded their maximum permissible limits in most samples. The EDIs of some metals were higher than their PTDIs or BMDLs. The THQs and TTHQs from metal intake were >1 for Hg and Cd. In addition, the TCR values of As in all fish species were higher than 1.0 × 10−4 indicating a potential health risks from consumption of fish species which need strict hygienic procedures to prevent fish contamination with heavy metals and ensure that their levels did not exceed the maximum permissible limits.

Enhanced control of periodontitis by an artificial intelligence-enabled multimodal-sensing toothbrush and targeted mHealth micromessages: A randomized trial.

Treatment of periodontitis, a chronic inflammatory disease driven by biofilm dysbiosis, remains challenging due to patients' poor performance and adherence to the necessary oral hygiene procedures. Novel, artificial intelligence-enabled multimodal-sensing toothbrushes (AI-MST) can guide patients' oral hygiene practices in real-time and transmit valuable data to clinicians, thus enabling effective remote monitoring and guidance. The aim of this trial was to assess the effect of such a system as an adjunct to clinical practice guideline-conform treatment. This was a single-centre, double-blind, standard-of-care controlled, randomized, parallel-group, superiority trial. Male and female adults with generalized Stage II/III periodontitis were recruited at the Shanghai Ninth People's Hospital, China. Subjects received a standard-of-care oral hygiene regimen or a technology-enabled, theory-based digital intervention consisting of an AI-MST and targeted doctor's guidance by remote micromessaging. Additionally, both groups received guideline-conform periodontal treatment. The primary outcome was the resolution of inflamed periodontal pockets (≥4 mm with bleeding on probing) at 6 months. The intention-to-treat (ITT) analysis included all subjects who received the allocated treatment and at least one follow-up. One hundred patients were randomized and treated (50 tests/controls) between 1 February and 30 November 2022. Forty-eight tests (19 females) and 47 controls (16 females) were analysed in the ITT population. At 6 months, the proportion of inflamed periodontal pockets decreased from 80.7% (95% confidence interval [CI] 76.5-84.8) to 52.3% (47.7-57.0) in the control group, and from 81.4% (77.1-85.6) to 44.4% (39.9-48.9) in the test group. The inter-group difference was 7.9% (1.6-14.6, p < .05). Test subjects achieved better levels of oral hygiene (p < .001). No significant adverse events were observed. The tested digital health intervention significantly improved the outcome of periodontal therapy by enhancing the adherence and performance of self-performed oral hygiene. The model breaks the traditional model of oral health care and has the potential to improve efficiency and reduce costs (NCT05137392).

Microbiological Quality and Safety of Brazilian Mozzarella Cheese During Production Stages.

This study assessed the microbiological quality and safety of mozzarella during various production stages in northern Tocantins, Brazil, by identifying critical biological points in the industrial environment within a tropical climatic region. Batches of mozzarella were evaluated, from raw milk to primary packaging, with a shelf life of 120 d at 4°C. Indicator microorganisms were quantified, and through microbiological and biomolecular approaches, Salmonella spp. and Listeria monocytogenes were identified. In addition, the toxigenic potential of coagulase-positive staphylococci (CPS) was characterized. Results indicated that the raw milk used for mozzarella production had low microbiological quality; pasteurization of raw milk effectively eliminated all identified pathogens and reduced microbiological counts (p > 0.05). An increase in bacterial counts (>2 log colony-forming unit [CFU]/g) and recontamination with Salmonella spp. and CPS, which potentially produce staphylococcal enterotoxin B, were observed during milk coagulation and curd draining. Stretching of the fermented curd reduced the enterobacteria, total coliforms, and Escherichia coli median values by 2.56, 2.64, and 2.3 log CFU/mL, respectively. Similarly, brining the pieces by immersion reduced the quantity of enterobacteria and total coliforms by 2.3 and 1.6 log CFU/mL, respectively. Of interest, in the freshly finished product, Salmonella spp. was present but L. monocytogenes was absent; however, after the shelf-life period, L. monocytogenes was present but Salmonella spp. was absent. Considering the environmental conditions that can promote the multiplication and preservation of pathogens and spoilage of dairy products in tropical climates, it is necessary to review operational hygiene procedures, particularly in milk coagulation vats and fermentation tables. This will ensure the production of high-quality mozzarella cheese with a reduced consumption risk.

Hygienic practices and factors of complementary food preparation among mothers of children aged 6–24 months in Ethiopia: a systematic review and meta-analysis

Background: A child’s transition to complementary food (CF) feeding is important, and it should be ensured that CF is prepared, stored, and fed in a hygienic manner using clean hands, dishes, and utensils to prevent infections. However, there are no comprehensive review statistics available at the national level. Hence, the aim of this study is to determine the hygienic practices of complementary food preparation and its factors among Ethiopian women with children between the ages of 6 and 24 months.Methods: On the nationwide prevalence of hygienic practices during the preparation of complementary foods and their determinants among mothers of children aged 6–24 months in Ethiopia, a systematic review and meta-analysis were performed. We searched in PubMed, ScienceDirect, Scopus, African Journal Online (AJOL), Google Scholar, and the websites to identify studies that were published until March 2023. We performed this review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A random-effects meta-analysis was done using StatsDirect statistical software and Open Meta Analyst to estimate the prevalence of hygienic practices, and the results were reported in a forest plot. Simple charts and tables were used to summarize the evidence on complementary food preparation and determinates.Results: Nine studies involving 4,403 mothers were included in this Ethiopian study. The overall prevalence of good hygienic practices during complementary food preparation among mothers who have children aged 6–24 months was 46.53% (95% CI: 28.13–64.94) (p &amp;lt; 0.0001). Having a separate kitchen (AOR = 6.78; 95% CI: 1.04–44.20), having a three-bowl washing facility in their houses (AOR = 10.61; 95% CI: 7.31–15.41), mothers’ access to media (AOR = 4.81; 95% CI: 1.23–18.82), and urban residence (AOR = 4.78; 95% CI: 2.73–8.38) were the predictors of good hygienic practice during complementary food preparation.Conclusion: Regarding the prevalence of hygienic procedures among the mothers of children aged 6–24 months nationwide when preparing complementary foods, there is a significant lack of hygienic behavior among Ethiopian mothers. Hence, the Ethiopian ministries of health focus on designing complementary food guidelines for the prenatal healthcare system. Furthermore, health extension workers are also better advised to maintain food hygiene during prenatal care visits, which is recommended to improve good hygienic practices during complementary food preparation in Ethiopia.

Machine learning for public wellness: optimizing hygiene practices and pollution monitoring in smart cities

Introduction. Public health in urban areas is of paramount importance, particularly in the context of smart cities where technology plays a vital role. The integration of sophisticated infrastructure and data-driven systems in smart cities has the potential to significantly enhance public health outcomes. This improvement hinges on optimizing various factors, especially in the realms of hygiene standards and pollution monitoring. The ability to adhere to stringent hygiene procedures and closely monitor pollutants is essential for mitigating health risks in densely populated urban environments. As metropolitan areas become increasingly complex, there is a pressing need to prioritize the optimization of these processes.&#x0D; Materials and Methods. To address the challenges associated with public health optimization in smart cities, this study introduces Optimized Public Wellness using Machine Learning (OPWML). OPWML employs advanced machine learning techniques to augment hygiene protocols and pollution surveillance in smart urban areas. The proposed approach incorporates real-time validation, enhanced data-collecting efficiency, intelligent intervention impact, and increased throughput. The methodology aims to streamline processes and overcome the limitations of current approaches, providing more precise and prompt outcomes.&#x0D; Results. Simulation findings demonstrate the superior performance of OPWML compared to other methods. The average estimate accuracy achieved by OPWML is 86.76%, showcasing its efficacy in delivering accurate results. Real-time validation latency is notably low at 12.99 ms, indicating the system’s responsiveness. With a data collection efficiency of 22.96 GB/hour, OPWML demonstrates its ability to efficiently gather relevant data. The smart intervention impact of 33.20% underscores the system’s effectiveness in implementing intelligent interventions. Additionally, the throughput of 314.67 kbps signifies the high processing capacity of OPWML.&#x0D; Limitations. While OPWML exhibits promising results, it is essential to acknowledge certain limitations in this study. The simulation-based nature of the findings may not fully capture real-world complexities. Additionally, the generalizability of the results to diverse urban contexts requires further investigation. Limitations such as data privacy concerns and potential technological barriers should also be considered when implementing OPWML in practical settings.&#x0D; Conclusion. In conclusion, Optimized Public Wellness using Machine Learning (OPWML) emerges as a powerful tool for transforming public health processes in smart cities. The study highlights OPWML’s capacity to significantly enhance hygiene protocols and pollution surveillance, ensuring a healthier and environmentally sustainable urban setting. While acknowledging certain study limitations, the overall outcomes emphasize the potential of OPWML in revolutionizing public health practices and contributing to the well-being of urban populations in the era of smart cities.

Biometric analysis of furcation area of molar teeth and its relationship with instrumentation

The anatomy of furcation favours the bacterial retention and makes periodontal debridement as well as oral hygiene procedures difficult. Teeth that have lost attachment to a level of the furcation are said to have a furcal invasion or furcation involved.Involvement of furcation in a multi-rooted tooth poses a very different type of clinical situation in terms of establishment of diagnosis, determination of prognosis and of course planning the treatment modality.The present study was carried out on 200 selected extracted human first and second permanent molar teeth based on a predefined criteria. Teeth with prosthetic crowns, fused or fractured roots, those not fully developed, grossly carious or heavily restored at the cementoenamel junction (CEJ) were excluded from the study. The morphology of the root trunk was recorded by measuring various dimensions of the root trunk,including furcal angle and root trunk volume was calculated by using a custom made special apparatus. The furcation areas were debrided with different types of curettes in the market in order to see how best the instrument could be maneuvered in the furcation area. The data so obtained was statistically analysed using SPSS version 22. The highest root trunk volume and the longest root trunk length were found to be in the maxillary second molar. 48.60% furcations didn’t allow instrument engagementof furcation area with standard area specific curettes. The proposal of inclusion of root trunk length (mm) is suggested in addition to classification of FI to have assess prognosis and appropriate treatment for of the involved tooth.

Features of Hygienic Care for Removable Prostheses Made of Thermoplasts

As a result of the study, 74 patients with a diagnosis of dentition defects were made partial removable lamellar dentures from various structural dental materials. To identify the awareness of patients about the peculiarities of hygienic care for the oral cavity when using removable dentures, a preliminary survey of all respondents was conducted. The results of this survey demonstrated a low level of patient awareness of the specifics of hygienic procedures for the care of dentures. More than half of the respondents (52.4 %) did not have sufficient information about the rules and features of hygienic oral care when using removable orthopedic structures. Only 31 % of respondents cleaned removable dentures twice a day, more than half, 60 % cleaned the denture once a day. According to the results of the survey, 76.5 % of respondents revealed violations of the rules of personal oral hygiene. Additional hygiene products for the care of removable dentures in the form of cleaning tablets are used by 5.6 % of patients, 83.1 % of patients did not use additional hygiene products.

FEATURES OF THE MANAGEMENT OF PATIENTS WITH POSTPARTUM PURULENT-SEPTIC COMPLICATIONS

Postpartum purulent-septic diseases are one of the topical issues of modern obstetrics due to their high prevalence and absence of a downward trend toward reduction in the disease incidence.Aim. Іmprove the management of high risk puerperas to prevent the development of purulent-septic complications in the postpartum period.Material and methods. The cohort prospective comparative study included 78 puerperas who experienced spontaneous labour complicated by injuries to birth canals. The patients were divided into two groups according to the risk of developing purulent-septic complications and the management of patients. Group 1, (n = 20) included the puerperas who did not show any signs of inflammatory diseases of the genital tract during pregnancy. Group 2 included patients, who were diagnosed with various forms of vaginal dysbiosis based on the results of bacterioscopic and bacteriological examination of the genital tract. The group was further divided into two subgroups depending on the type of treatment. Subgroup 1 of Group 2 (n = 28) only received standard hygiene care, and Subgroup 2 (n = 30) received standard hygiene procedures combined with vaginal irrigation using chlorhexidin solution for 3 days in the obstetric hospital.Research results. The study resulted in improving postpartum care of high-risk puerperas to prevent purulent-septic complications.Discussion. The test results showed that the use of chlorhexidin in the postpartum period prevents the purulent-septic complications of puerperium, such as inflammation and disruption of perineal muscle sutures and endometritis, as well as relieves pain and discomfort, and improves the puerperas’ quality of life.Conclusion. Based on the study results, we recommend the use of this drug in the early postpartum period to prevent purulentseptic complications in the high-risk groups.

Assessment of the risk of contamination of enteral nutrition bottles based on the simulation of home use conditions and hygiene procedures.

Home-prepared enteral formulations are supplied to patients through enteral nutrition bottles, via a gravity bag or other container, which may be inadequately sanitized and reused more times than recommended by the manufacturer. Such procedures increase the risk of contamination and can compromise the patient's clinical outcome. In light of this, the present study aimed to assess the risk of contamination of enteral nutrition bottles by simulating home use conditions and hygiene procedures. A simulation of bottle usage was conducted across the three categories of enteral nutrition (homemade enteral preparations, blended enteral preparations, and commercial enteral formulas) for 3 days, using three hygiene procedures reported by caregivers: use of detergent (DET); use of detergent and boiling water (DET+BW); and use of detergent and bleach (DET+BL). The microbiological contamination was determined by the analysis of aerobic mesophilic microorganisms. The bottles that were used for 3 days, regardless of the enteral nutrition category, were within the acceptable limit for aerobic mesophilic microorganisms (between <4 and 8.0 colony-forming units [CFU]/cm2) when sanitized using the DET+BW and DET+BL procedures. The enteral nutrition bottles, when cleaned using the DET procedure during the 3 days of usage, showed low microbial contamination (between <4 and 3.0 CFU/cm2) in blended preparation and commercial formula only. Thus, regardless of the enteral nutrition category, we found that the bottles can be used for 3 days, as long as the DET+BW or DET+BL hygiene procedure is applied and safe food handling measures are adopted.

Are Dentists Hypocrites? Oral Self-care Habits and Self-reported Oral Health Status among Dentists and Non-dentists in Croatia.

Dentists provide dental care to their patients and educate them on their oral hygiene and how to maintain oral health. This paper aimed to determine whether dentists are hypocritical when advising their patients on oral hygiene procedures and dental treatments because they do not apply to themselves what they recommend to others. This is a self-reported study conducted through an online survey questionnaire completed by 1001 participants, of whom 551 were non-dentists and 450 dentists. This is the first study on oral hygiene habits and oral status among dentists in Croatia. This research included almost 10% of the total number of working dentists in Croatia. In terms of dental hygiene habits, dentists brushed, flossed and used interdental brushes more frequently, and they also changed toothbrushes more frequently, whereas they attended check-ups less frequently. Dentists also reported a smaller number of teeth with cavities, a greater number of teeth with fillings, a greater number of extracted teeth, and a greater number of dental crowns, but a smaller number of healthy teeth compared to general population. However, dentists had a much higher proportion of participants over 30 years of age, and when sub-analysis of participants over 30 years of age was performed, dentists had a greater number of healthy teeth compared to the general population. The results showed that dentists are aware of the importance of their oral health and that they do not pay attention only to their oral hygiene habits, but also apply advice they give their patients. Therefore, they cannot be considered hypocritical.

Combined Efficacy of Advanced Oral Hygiene Aids and Active Reminders in Maintaining the Oral Hygiene of Patients with Fixed Orthodontic Appliances: A Randomized Clinical Trial

Objectives To evaluate the efficacy of water irrigating devices, powered toothbrushes, and active repeated oral hygiene reminders on oral hygiene of fixed orthodontic patients. Materials and Methods This was a randomized, examiner-blind clinical trial involving fixed orthodontic appliance patients. Patients were recruited within six months of bonding on both the arches. Eighty patients were randomly assigned to four groups; groups 1 and 3 subjects received standard oral hygiene procedures and used manual orthodontic toothbrushes, and subjects in groups 2 and 4 used powered toothbrushes and water irrigators for oral hygiene maintenance during the study period. In addition, repeated oral hygiene reminders via SMS were sent to subjects in groups 1 and 2, whereas groups 3 and 4 subjects received only oral motivation. The principal investigator assessed the plaque index (PI) and gingival index (GI) at baseline (T0) and after 2, 4, 8, and 12 weeks, that is, T1, T2, T3, and T4, respectively. Results Group 2 and group 4 subjects showed statistically significant reduction in PI ( p &lt; .001) and GI ( p &lt; .001) scores at the end of study interval; however, the magnitude of decrease was less in group 4 in comparison to group 2. Intergroup comparisons between group 1 versus group 3 and group 2 versus group 4 were made to evaluate the efficacy of reminders. Statistically significant reduction was observed in group 2 as compared to group 4 at T4 ( p &lt; .001) when compared to T1 ( p &lt; .87). Conclusion Using powered toothbrushes and oral irrigators resulted in a statistically more significant reduction in plaque and gingivitis scores than conventional procedures. Active reminders had a catalytic effect in improving the oral hygiene.

A case of co-infection with head lice and varicella in a child: considerations for rational management

A case of co-infection with head lice and varicella in a child: considerations for rational management

Status of the practice of oral care and sputum suction for patients with intubation and mechanical ventilation among nurses at Vinh Phuc general Hospital in 2023

Objectives: Describe the status of the practice of oral care and sputum suction for patients with intubation and mechanical ventilation among nurses at Vinh Phuc General Hospital in 2023 and associated factors. Methods: A cross-sectional descriptive study was conducted on nurses’ implementation of technical procedures of sputum suction and oral hygiene for patients on mechanical ventilation through endotracheal tube. Research time was from March 2023 to June 2023. Participants were nurses working at the Intensive Care and Poisoning Control Department of Vinh Phuc General Hospital performed oral hygiene and sputum suction for patients. Results: Nurses in the age group 18-40 accounted for the highest percentage (88.2%). Working seniority from 5-10 years accounted for the highest proportion of 55.9%; Seniority &lt;5 years accounted for the lowest rate at 11.8%. There were 64.7% of nurses who performed satisfactorily and 35.3% of them performed unsatisfactorily the sputum suction and oral hygiene procedures. Conclusion: The implementation of the procedures of sputum suction and oral hygiene for patients with ventilators is not at a high level. Some factors related to the care activities of nurses include age, professional qualifications; working seniority; working time; number of patients to be cared for.

Hygiene and Care Protocols for Implant-supported Dental Prostheses in Patients with Diabetes

Background: Prophylactic dental procedures following implant placement are critical to the long-term success of implants and are also dependent on the patient maintaining effective home care. Purpose: Evaluation of the effectiveness of preventive measures in patients with diabetes during long periods after prosthetic treatment with implants. Materials and methods: The study included 62 patients with diabetes with edentulism using 146 dental implants. Patients underwent constant monitoring, including regular occupational hygiene during follow-up examinations. Their frequency was set individually from 2 to 4 times A clinical index including Bleeding on Probing (BOP), Probing Depth (PD), and Marginal Bone Loss (MBL). Results: In patients included in the preventive protocol after 12 months, the mean BOP was 1.4 ± 0.15, and PPD was 2.46 ± 0.42. After 12 months in patients mean MBL was 0.72 ± 0.6 mm, after 3 years MBL was 1.24 ± 0.25 mm. For patients who were excluded from preventive services after 12 months, the mean BOP 1.9 ± 0.25, and the mean PPD was 3.56 ± 0.28). After 12 months in patients mean MBL was 0.87 ± 0.7 mm, after 3 years MBL was 1.52 ± 0.32 mm (p &gt; 05). Compared to persons enrolled in the preventive protocol, those in the group without services were more likely to develop peri-implantitis (42.4% vs. 12,6%). The survival rate of implants after 3 years was 98.4%. The survival rate of implants in those patients who were excluded from preventive services after 3 years was 95.4%. Conclusion: For patients with diabetes, regular medical examinations, accompanied by professional oral hygiene procedures, prevent the development of negative reactions of the soft tissues surrounding the implant.

A Temporary Acrylic Soft Denture Lining Material Enriched with Silver-Releasing Filler-Cytotoxicity, Mechanical and Antifungal Properties.

Colonization of temporary denture soft linings and underlying tissues by yeast-like fungi is an important clinical problem due to the negative influence on the process of prosthetic treatment. Typical hygienic procedures are often insufficient to prevent fungal infections, so in this study, an antimicrobial filler (silver sodium hydrogen zirconium phosphate) was introduced into acrylic soft liner at concentrations of 1, 2, 4, 6, 8 and 10% (w/w). The effect of this modification on antifungal properties against Candida albicans, cytotoxicity, Shore A hardness, tensile strength and tensile bond strength, sorption and solubility was investigated, considering the recommended 30-day period of temporary soft lining use. The most favorable compilation of properties was obtained at a 1 to 6% filler content, for which nearly a total reduction in Candida albicans was registered even after 30 days of sample storing. The tensile and bond strength of these composites was at the desired and stable level and did not differ from the results for the control material. Hardness increased with the increasing concentration in filler but were within the range typical for soft lining materials and their changes during the experiment were similar to the control material. The materials were not cytotoxic and sorption and solubility levels were stable.

Analysis of a Combination Therapy Protocol for the Treatment of Oral Mucous Membrane Pemphigoid: A Retrospective Case Series Study.

Mucous membrane pemphigoid (MMP) is an autoimmune-based bullous disease affecting the mucous membranes, mainly oral and ocular. One of the most common clinical manifestations is desquamative gingivitis (DG), characterized by intense symptoms and functional limitations. The dentist is among the first specialists to observe DG and, therefore, must be able to diagnose it. In this regard, the purpose of the present study was to evaluate the efficacy and safety of a clinical protocol for the topical management of patients with DG and MMP buccal lesions. Thirteen patients with clinical and histologic diagnoses of MMP-localized DG in the oral cavity were retrospectively enrolled. Each patient received topical treatment with clobetasol propionate oral gel 0.05%; nicotinamide; oral probiotic (contains Bifidobacterium lactis HN019, Kluyveromyces marxianus fragilis B0399, colostrum, and biotin); and doxycycline. Before and after 3 months of therapy, clinic records were collected for each patient. Seven patients (53.8%) had a complete response to treatment; four patients (30.8%) had a partial response to treatment; and, finally, two patients (15.4%) had no benefit from therapy. Dental management of patients presenting solely with oral manifestations of MMP may involve the use of topical corticosteroids, doxycycline, vitamin supplements, and probiotics and associating professional oral hygiene procedures.

Implant Survival Rate and Prosthetic Complications of Full-arch Implant-supported Fixed Prostheses In Edentulous Upper Jaws: A Cohort Study

Full-arch implant-supported fixed dental prostheses, an implant-supported prosthesis, which the patient must carefully manage in home oral hygiene procedures, is the fixed alternative to a mucosal-supported or implant-anchored prosthesis. Clinically, the execution of this rehabilitation requires four implants for the lower jaw and six implants for the upper jaw. The aim of the present study is to verify the survival-rate of implants for implant-fixed prostheses in the edentulous upper jaw. This retrospective study was carried out on patients who received an upper full-arch fixed prostheses on six implants for rehabilitation. A total of 36 patients were included and evaluated from a clinical and radiographical point of view. The follow-up period in which the data were collected on the upper full-arch is between 60 and 84 months. A total of 232 implants were inserted and monitored in this period. Clinical and radiographic evaluations were carried out on all 232 implants, with constant re-evaluation. The total implant survival rate is 93.1%, a value which is similar to previous studies already published on the topic. There were few prosthetic complications, mainly the fracture of anterior prosthetic teeth. Most of these full-arch, which as antagonist had another previously made full-arch implant-supported fixed dental prostheses or overdenture on four or overdenture on two implants, achieves good results in this study at 84 months.

Occurrence of Depression and its Association with Oral Health in Elderly People Living in Old Age Homes of Mathura.

Depression can affect oral health as a result of neglecting oral hygiene procedures which leads to an increased risk of dental caries and periodontal disease. To determine relationship between oral health and depression among elder people residing in old age homes of Mathura city. The study was conducted among 500 subjects aged ≥60 years where dental condition, number of missing teeth, removable denture wearing, teeth mobility, periodontal condition, pocket depth, loss of attachment, and depression according to the Patient Health Questionnaire-9 scale were assessed. Regression analysis showed a positive relationship of the PHQ-9 value with DMFT and MT. Among people aged 60 years and over, severity of depression increased with higher number of MT and DT.