Hygiene Status Of Patients Research Articles

Evaluation of Oral Complications, Oral Health, and Decayed, Missing, and Filled Teeth in Diabetic Patients: A Retrospective Cohort Study

Background: The aim of this study was to determine the presence of oral lesions and complications, caries, and oral hygiene status in patients with diabetes mellitus type 1 and 2, and gestational diabetes (GDM). Methods: The plaque index of each patient was recorded using the Silness-Löe index. Dental health status was observed using the decayed, missing, and filled teeth (DMFT) index. The patient’s mouth was examined clinically for oral lesions and complications. Results: There were significant differences between the study groups with regard to age, duration of diabetes, DMFT index, oral lesions, and hygiene status. Conclusion: According to the result of this study, the rate of dental caries, oral complications such as xerostomia, and burning mouth in patients with diabetes is higher than in healthy people.

Assessment of Oral Hygiene in Patients Using Fixed and Removable Dentures Treated at the University Dental Clinic in Krakow.

Apart from local lesions, the presence of dental plaque may also have an effect on health, especially in people with general diseases. The aim of this project was to assess the oral hygiene of patients prosthetically treated at the Dental Prosthetics Clinic of the University Dental Clinic in Krakow (Poland) using fixed and removable dentures and to determine the demographic relationships and data related to the education of the respondents. The research material consisted of 120 patients who used fixed (group I) and removable (group II) restorations. Basic dental examinations and oral hygiene examinations were carried out with the use of the API (Approximal Plaque Index) and PI (Plaque Index) plaque indices. This study presents the percentage of respondents in terms of sex, place of residence, and education. The mean PI (Plaque Index) values were 46.73% (Group I) and 50.05% (Group II). (p = 0.4839). The mean values of API (Approximal Plaque Index) amounted to 65.14% (Group I) and 68.94% (Group II) (p = 0.4695). Patients using dentures showed insufficient oral hygiene, and the hygiene status of patients did not depend on the type of dentures used. The group that is most often treated with prosthetics is women with secondary education. The most numerous group of patients at the Dental Prosthetics Clinic are people living in large cities which results from easier access to health care.

Plaque accumulation at the fitting surface and cleaning status in patients with full-arch implant-supported fixed prostheses: a cross sectional study

Objective: To observe the plaque accumulation at the fitting surface and oral hygiene status in patients with full-arch implant-supported fixed prostheses, and explore the possible influencing factors. Methods: Twenty-eight patients [17 males and 11 females, (63.0± 10.8) years old] with 40 full-arch implant-supported fixed prostheses (18 maxillary and 22 mandibular) were collected from January 2012 to September 2020 in Department of Implantology, Peking University School and Hospital of Stomatology. Plaque accumulation at the fitting surfaces were evaluated during the follow-up visit after 6 months following definitive prostheses delivery, by analyzing the digital photographs recorded by ImageJ. Meanwhile, the cleanliness of the fitting surface of prostheses and oral hygiene status were recorded. The oral hygiene habits and the patients' satisfaction with the prostheses were investigated by questionnaire, and the difference of plaque accumulation between different cleaning habits of dentures were compared. Results: The debris index of the fitting surface of the 40 full-arch implant-supported fixed prostheses were 3.28±0.75, and the percentage of area covered with plaque was (51.6±19.0)%. The debris index and plaque accumulation of the mandibular prostheses were significantly higher than that of the maxillary prostheses (P<0.05). In most mandibular prostheses (16/22), calculus was attached to the lingual side of the anterior tooth area. The reserved cleaning space of the restoration showed more plaque accumulation than in other parts. There was no significant difference in the percentage of area covered with plaque between groups with different cleaning habits. The satisfaction survey results indicated the "clean" project had a lowest score. Conclusions: The cleanliness of patients with full-arch implant-supported fixed prostheses was poor, and the hygiene status of the mandibular prostheses was worse than that of maxillary, especially in the anterior tooth area of mandibular prostheses. The influence of different cleaning habits on plaque accumulation was not observed.

Oral pyogenic granuloma: Analysis of 137 cases that presented in a Nigerian tertiary health institution

&#x0D; &#x0D; &#x0D; &#x0D; Background: Oral pyogenic granuloma is a common oral lesion among African population. It often presents as a painless, pedunculated, or sessile mass within the oral cavity. However, etiopathogenesis of oral pyogenic granuloma is still debatable. This article reviewed and identified the possible predisposing factors to the development of oral pyogenic granuloma amongst patients presenting at a sub urban tertiary health care facility.&#x0D; Methods: Information about 137 patients that presented with pyogenic granuloma from January 2009 to December 2019 were retrieved from the records department of Federal Medical Centre, Nguru. The data that were reviewed and analyzed included ages of patients, gender, anatomical site of lesions, treatment instituted as well as clinical and histopathologic features.&#x0D; Results: Patients ages ranged from 10 to 70 years (mean=41.02± 2.1 years), with the greatest degree of occurrence (29.19%) in the third decade of life. The male-to-female ratio was 1:1.7. The most frequently involved site was the gingiva. Other sites where pyogenic granuloma was located were the tongue, check mucosa, and palate. Oral pyogenic granulomas were more prevalent in the maxilla than in the mandible, with the labiobuccal gingiva of both jaws more commonly affected. The main complaint of the patients was painless swelling associated with occasional bleeding. More than half of the lesions had a pedunculated base, with surface ulceration in some cases. All lesions were surgically excised, although 8.03% of the cases existed as recurrent lesions.&#x0D; Conclusion: Although the clinicopathologic features of oral pyogenic granuloma in the study population were similar to those previously reported and their aetiology multifactorial, this study revealed that poor oral hygiene status of patients played a major role in their development.&#x0D; &#x0D; &#x0D; &#x0D;

Influence of Reminders on Oral Hygiene Status in Patients Undergoing Fixed Orthodontic Treatment: A Double-blinded, Clinical Randomized Controlled Trial

Influence of Reminders on Oral Hygiene Status in Patients Undergoing Fixed Orthodontic Treatment: A Double-blinded, Clinical Randomized Controlled Trial

Severity of Alveolar Bone Loss in Control and Uncontrolled Type II Diabetics

Objective: To assess the association between the controlled and uncontrolled type-2 diabetic patients to the severity of Alveolar bone loss Study Designed: Cross-sectional analytical study. Place and Duration of Study: Department of Radiology, Sardar Begum Dental College and Khyber College of Dentistry Peshawar KPK from 1st October 2020 to 31st March 2021. Methodology: One hundred and seventy patients were included. Daniel formula (1999) was used for the patient to check the alveolar bone loss and questionnaire was filled by the researcher and examination was done on the dental unit using examination instruments. Results: The mean age was 39.41±6.92. The oral hygiene status in patients visiting the radiology department using toothpaste twice a day was 50.58% while bone loss among patient using toothpaste and brushing their teeth twice a day was 21.51%. The patient with a controlled glucose level was 41.28% while a patient with an uncontrolled glucose level was 58.72%. The bone loss in a patient with controlled HbA1c the bone loss in normal to moderate 38.38%while severe bone loss was 2.90% which is less as compared to the controlled group. The bone loss was reported higher in males (51.16%)as in females were 48.84%, but there was a severe bone loss in females 31,40% as compared to males 17.44%. Conclusion: There is a strong association between alveolar bone loss with the increased level of HbA1c. When the levels of HbA1c level increased the bone loss in both male and female was reported high. Type 2 diabetic patients having increased HbA1c levels cause severe bone loss. Keywords: Diabetes mellitus, Out-patient department, Hemoglobin A1c

Evaluation of Oral Hygiene Status in Patients with Hemorrhagic and Ischemic Stroke.

Background:Stroke can broadly be categorized into ischemic or hemorrhagic. Ischemic stroke accounts for 85% of cerebrovascular accidents (CVAs), whereas hemorrhagic stroke accounts for 15% of CVAs. Stroke is broadly associated with loss of sensation or unilateral paralysis of orofacial structures.Objectives:The present study was conducted to evaluate the prevalence of various oral features in patients with ischemic and hemorrhagic stroke.Materials and Methods:One hundred patients diagnosed with stroke admitted in the intensive care unit were included in the study. The evaluation of oral manifestations and their prevalence was done by a well-experienced oral medicine expert deputed in the dental department of the hospital. A single examiner performed all oral evaluations.Results:The mean and median for the age were 60.8 and 59. Sixty of 100 patients were male, whereas 38 were female. Forty patients had hemorrhagic stroke, whereas 60 had ischemic stroke. Senenty-eight patients of 100 had features of periodontitis, 90 of 100 patients presented with halitosis, 79 presented with caries, 83 patients had positive signs of tongue hypermobility, and 75 patients had dysphagia.Conclusion:Oral hygiene is the most neglected aspect during rehabilitation in stroke patients. It is critical for stroke patients to receive thorough oral care, as it can prevent other systemic ailments and potentially life-threatening complications like aspiration pneumonia.

A Retrospective Analysis of the Gender Difference in the Oral Hygiene Status of Patients in the Age Group of 18-25 Years

A Retrospective Analysis of the Gender Difference in the Oral Hygiene Status of Patients in the Age Group of 18-25 Years

The differences of the oral hygiene status in patients with cleft lip and palate pre operative and post operative in Takalar Regency

Objective: This study aims to determine the difference in oral hygiene status in patients with cleft lip and palate pre operative and post operative in takalar regency. The sample in this study were patients with cleft lip and palate preoperative and postoperative with a total sample of 20 people consisting of 10 people for the preoperative group and 10 people for the postoperative group.Material and Methods: This study is observational analytic and the design of this study is Cross Sectional Study. Determination of samples was done by quota sampling. Assessment of oral hygiene status was obtained from OHI-S scores. The data obtained were tested with chi-square test and t-test by SPSS.Results: In the group of patients with cleft lip and palate preoperative had an average oral hygiene status of 2.69 while the postoperative group was 2.04 with p-value of 0.062 (&gt; 0.05). Conclusion: There was no difference in the status of oral hygiene in patients with cleft lip and palate preoperative and postoperative in Takalar regency.

ROLE OF INDIVIDUAL HYGIENE IN TREATMENT OF PATIENTS WITH DENTURE-RELATED STOMATITIS

Removable orthodontic appliances can be among the causes of microbial irritation in the oral cavity. The aim of the present study was to assess the oral hygiene status of patients with denture-related stomatitis. We carried out comprehensive dental checkup of 17 patients aged 51 to 69 years with denture-related stomatitis was performed. A bacterioscopic laboratory examination was performed for all patients. The denture hygiene index by E. Ambjörnsen has been determined. Denture-related stomatitis of the patients examined was manifested by various clinical signs. The species composition of the oral microflora when wearing removable dentures deviated from normal values. The Candida fungi were revealed in 13 (76.47%) cases; actinomycetes were recorded in 7 (42.2%) cases. We found that 82.35% of the patients with manifestations of denture-related stomatitis did not follow adequate oral hygienic. The study has shown that 3 (17.64%) cases were assessed as having satisfactory hygienic status. Poor denture hygiene (HI = 2.66) was observed in 5 (29.41%) of the cases. The unsatisfactory hygienic status of the dentures was recorded in 9 (52.94%) of cases and averaged 2.2. 15 (88.23%) patients were unaware of the importance of proper denture cleaning and did not use the hygiene algorithm in full. 3 (17.76%) patients did not did not remove dentures at nights, all the patients did not have a special double-sided brush. Only 5 (29.41%) of the respondents used dental elixirs fro mouth rinsing on regular basis. The results have demonstrated the importance of regular adequate care of dentures and strict adhering to an individual hygiene algorithm in full in order to prevent the occurrence of inflammatory processes in the oral cavity. The prevention is a key approach in the prophylaxis of side effects, which might be caused by dental appliances.

Повышение эффективности комплексного лечения пришеечного кариеса

Clinical evaluation of the quality of restorative materials carried out taking into account indicators hygiene index, some criteria: absence of side effects on the tissue surrounding the tooth. While taking into account the almost constant contact with the seal gums determined the importance of assessing the extent of its impact on their functional status. Have been revealed the direct dependence of the state of oral hygiene, pathological changes in the soft tissues and the seal quality. One of the objectives of the study was to determine the quality of the restoration carried out in the cervical area, depending on the depth of gingival sulcus in the presence of inflammation in periodontal tissues. The maximum depth of the gingival pocket, which is permissible under the direct defect filling, was 3 mm clinical studies found a direct relationship between the restoration qualities and cavity extent below the gingival margin. Maximum positive results on the quality of sealing recorded in the first group, an intact periodontal pocket depth. Analysis of the results of clinical studies of the oral cavity examined patients before and after treatment and preventive measures are revealed a number of features. Carrying out preventive and curative action using both traditional means and biologically neutral drugs has reduced the value of the index OHI-S GI and achieve significant improvements in oral hygiene status in patients in all stages of clinical trials.

Evaluation of Oral Hygiene Status in Patients with Shallow Vestibular Depth in A Hospital Setting - A Retrospective Analysis

Evaluation of Oral Hygiene Status in Patients with Shallow Vestibular Depth in A Hospital Setting - A Retrospective Analysis

The importance of hospital dentistry: oral health status in hospitalized patients

ABSTRACT Objective: This research study aimed to evaluate the oral health status and the need for dental treatment in hospitalized patients, analyzing the importance of dentistry in hospitals. Therefore, the goal of this research study was to evaluate the oral health status, the need for dental intervention and the patient’s opinion about the importance of having dental surgeons in hospital settings. Methods: 103 hospitalized patients were evaluated considering the DMFT index, gingival condition, visible biofilm index, and the need for invasive dental treatment. Volunteers were also asked about their opinion considering the importance of dentistry in hospital settings. Results: 68.9% of volunteers were male subjects and 31.1% female subjects. The mean DMFT was 17.9 and 96.1% of subjects had their oral hygiene kit with when came to hospital, 97.1% of subjects stated that the presence of dental surgeons is necessary in the hospital setting and 63.1% of subjects presented poor biofilm removal. The need for invasive dental treatment was as follows: restorations (68.9%), extractions (40.8%), endodontics (23.3%), dental pain (26.2%) and presence of abscess (7,8%). Conclusion: Oral health and hygiene status of patients were classified as poor and most of patients showed the need for invasive dental treatment. The majority of patients reported that dental care is very important in hospitals settings.

Evaluation of Oral Hygiene in Patients with Generalized Periodontitis of II Degree and Stage II Hypertension

Generalized periodontitis is the most common form of periodontal pathology, especially in the second half of life. Nowadays, the problem of periodontal disease is relevant due to its high prevalence, tendency to progression, multifaceted influence on the dentoalveolar system and the whole organism as well as uncertain treatment. Therefore, there is a need to find optimal ways of prevention and treatment of this disease. Close relationships between periodontal pathology and systemic diseases, such as hypertension, which affects every 2nd-3rd adult were determined.The objective of the research was to determine the status of oral cavity hygiene in patients with generalized periodontitis of II degree and stage II hypertension.Materials and methods. The study included 30 patients with generalized periodontitis of II degree and stage II hypertension being treated in the Ivano-Frankivsk Regional Clinical Cardiology Dispensary; the average age ranged from 35 to 54 years (the main group). The control group included 10 patients of the same age without generalized periodontitis and somatic pathology .The status of oral cavity hygiene was determined using the Green Vermillion index. The diagnosis of periodontal disease was made on the basis of the classification proposed by M.F. Danilevskyi. The obtained results were subjected to variation-statistical analysis using statistical package “Stat Soft 6.0”; classical methods of variational statistics were applied; mean values and their reliability were evaluated.Results. The results of examination showed poor oral hygiene in almost all patients. The analysis of hygienic indices showed the following results: in patients of the main group, the Green Vermillion index was 1.99 ± 0.13 points (p&lt;0.001) which corresponds to unsatisfactory level of oral hygiene. In patients of the control group, this index was 1.10 ± 0.17 points which corresponds to satisfactory level of oral hygiene. According to the index, 9 (30.0%) patients of the main group had satisfactory oral hygiene, 12 (40.0%) patients had poor oral hygiene, and in 9 (30.0%) patients, poor oral hygiene was observed.In the control group, 2 (20.0%) patients had good oral hygiene, 6 (60.0%) patients had satisfactory oral hygiene and in 2 (20.0%) patients, unsatisfactory oral hygiene was observed. There were no patients with poor oral hygiene. The analysis of the indicators of the Green Vermillion index showed that in case of the pathological process exacerbation the oral hygiene status in patients deteriorated.Conclusions. The level of oral hygiene in patients of both groups was low due to incorrect selection of personal hygiene products or their untimely replacement. In patients with generalized periodontitis of II degree and stage II hypertension, the level of oral hygiene was lower than in somatically healthy persons: the worse status of oral cavity hygiene – the more pronounced changes in the periodontal tissues. We can suppose that high blood pressure affects the status of the oral cavity, creates a higher risk and exacerbates the periodontal diseases.