Mouth Health Research Articles

Study of the relation between platelet count and periodontal condition in patients with immune thrombocytopenic purpura

Immune thrombocytopenic purpura (ITP) is a disease associated to the decrease of platelet count in peripheral blood, with repercussion on the oral cavity, due to the potential risk of spontaneous bleeding or provoking it. The aim of this work was evaluate the relation between the platelet count of chronic IPT patients and their periodontal condition. Thereunto, 31 patients were evaluated; 15 with this pathology (group 1) and 16 Dentistry students with no hematologic disease (group 2). Both groups were examined in their periodontal condition through gingival condition index (G), periodontal attachment loss (P) and gingival recession (R), as well as blood tests were performed to verify the platelet count, further a questionnaire on the socioeconomic aspects, access to dentistry services and mouth health self-perception. It was observed that 68.8% of IPT patients’ mouth sextants presented some degree of gingivitis, despite some 16.8% manifested loss of periodontal insertion. Gingival retraction occurred in only 2 patients of the group 1, and the average measure for this event in this group was 0.22mm. The questionnaires applied allowed characterizing the sample of the group 1 as low income and low education in relation to the group 2, but with need of dental treatment. We concluded, therefore, there was no direct relation between the platelet count of IPT individuals when the intraoral test was performed, and their periodontal conditions received the indexes “G”, “P” e “R”.

Comparison the efficacy of herbal mouthwash with chlorhexidine on gingival index of intubated patients in Intensive Care Unit.

Background:Intubated patients in Intensive Care Unit (ICU) are not able to take care of their mouth health, so they are at risk of bacterial colonization and dental plaques formation that can lead to systemic diseases such as pneumonia and gingivitis.Aims:In randomized, double-blind clinical study, the efficacy of natural herbal mouthwash containing Salvadora persica ethanol extract and Aloe vera gel was compared with chlorhexidine on gingival index (GI) of intubated patients in ICU.Materials and Methods:Seventy-six intubated patients (18–64 years old with mean age 40.35 ± 13.2) in ICU were admitted to this study. The patients were randomly divided into two groups: (1) Herbal mouthwash and (2) chlorhexidine solution. Before the intervention, the GIs was measured by modified GI device into two groups. The mouth was rinsed by mouthwashes every 2–3 h for 4 days. 2 h after the last intervention, GIs were determined.Results:Along with mechanical methods, herbal mouthwash in reducing GI was statistically significant than that of chlorhexidine (P < 0.05).Conclusion:The results of this study introduce a new botanical extract mouthwash with dominant healing effects on GI (1.5 ± 0.6) higher than that of synthetic mouthwash, chlorhexidine (2.31 ± 0.73).

Gebelikte ağız ve diş sağlığı konusunda doğru ve yanlış bildiklerimiz: Anket çalışması

Gebelikte ağız ve diş sağlığı konusunda doğru ve yanlış bildiklerimiz: Anket çalışması

Gebelikte ağız ve diş sağlığı konusunda doğru ve yanlış bildiklerimiz: Anket çalışması

Gebelikte ağız ve diş sağlığı konusunda doğru ve yanlış bildiklerimiz: Anket çalışması

PENYEBAB TINGGINYA KARIES GIGI PADA WANITA USIA 15 – 44 TAHUN DI DESA GONDOSARI WILAYAH KERJA PUSKESMAS GONDOSARI KABUPATEN KUDUS

TITLEThe causes of dental caries enhancement in women aged 15-44 years old in Gondosari village of Puskesmas Gondosari, Kudus working areaABSTRACTCaries is a disease of hard dental tissue caused by the activity of a microorganism in a carbohydrate that is fermented. The signs are the demineralization of dental hard tissue damage followed by organic material. Caries are caused by factors inside and outside factors. Women are generally more susceptible to dental problems because of hormonal changes they experience. Hormonal changes that affect blood flow to the gum tissue and also affect the body's response to toxins produced by plaque and bacteria (microorganisms) that cause caries.This research is a descriptive cross sectional study design form that take measurements or observations with the sample 83 women aged 15-44 years in the village of Gondosari. Data collection was performed by means of direct examination to women regarding salivary pH, viscosity of saliva, and saliva hydration and administration of questionnaires that include environmental factors, behavior, health care and offspring. The data obtained were analyzed by quantitative descriptive analytic and prioritized using ultrasound.Saliva hydration factor is a factor of the cause of dental caries is the most dominant at 79%, followed by saliva pH and viscosity of saliva. While behavioral factors are external factors, the most dominant cause of dental caries, followed by the environment, health and heredity. Suggested searching for information about oral health and increase awareness and consciousness, attention to social behavior, following the extension, and pay attention to the health of teeth and mouth with healthy teeth and mouth checked regularly every six months and do fillings in cavities. Keywords : Causes of caries, Women Age 15-44 Years

Ex vivo approach to studying bio-adhesive and tribological properties of artificial salivas for oral dryness (xerostomia)

Saliva plays fundamental role in the maintenance of the good mouth health and in the lubrication process during oral functions including speech and mastication. Xerostomia, or dry mouth syndrome, is a disease due to an insufficient saliva secretion, or a total absence of saliva. The effects of xerostomia are very unpleasant in the daily life. They lead to some important inconveniences as the dental caries, the loss of teeth or some difficulties to speak.The causes of xerostomia are various but the most of the times they are often associated to irradiation and radiotherapy used to treat cancers of the head and neck. To try to re-wet the oral cavity, salivary substitutes are generally used. They are supposed to re-lubricate the mouth.In this work, a method for measuring adhesion and lubrication of the salivary substitutes has been tested ex vivo on pig tongue. The results indicated that the bio-adhesive properties of the salivary substitutes were fairly close to those of human saliva, while their lubricate capacity were rather less efficient. The experimental method proposed here seems to be interesting to characterise and improve the salivary substitutes performances.

A study of dentists' preferences for the restoration of shortened dental arches with partial dentures.

Objective:This study aimed to use a utility method in order to assess dentists’ preferences for the restoration of shortened dental arches (SDAs) with partial dentures. Also, the impact of patient age and length of the SDA on dentists’ preferences for the partial dentures was investigated.Materials and Methods:Totally, 104 subjects holding a basic degree in dentistry and working as staff members in a private dental college in Saudi Arabia were interviewed and presented with 12 scenarios for patients of different ages and mandibular SDAs of varying length. Participants were asked to indicate on a standardized visual analog scale how they would value the health of the patient's mouth if the mandibular SDAs were restored with cobalt-chromium removable partial dentures (RPDs).Results:With a utility value of 0.0 representing the worst possible health state for a mouth and 1.0 representing the best, dentists’ average utility value of the RPD for the SDAs was 0.49 (sd= 0.15). Mean utility scores of the RPDs across the 12 SDA scenarios ranged between 0.35 and 0.61. RPDs that restored the extremely SDAs attracted the highest utility values and dentists’ utility of the RPD significantly increased with the increase in the number of missing posterior teeth. No significant differences in dentists’ mean utility values for the RPD were identified among SDA scenarios for patients of different ages.Conclusion:Restoration of the mandibular SDAs by RPDs is not a highly preferred treatment option among the surveyed group of dentists. Length of the SDA affects dentists’ preferences for the RPD, but patient age does not.

Traditional and cultural approaches to childrearing: preventing early childhood caries in Norway House Cree Nation, Manitoba

Infant health and development is linked to a wide range of interventions including maternal nutrition and infant feeding. Early childhood caries (ECC) is a chronic condition that affects large proportions of Aboriginal children worldwide. The health of a child's mouth is linked to their overall health and wellbeing and can have a significant impact in their day-to-day experiences of eating, playing, and sleeping. The rates of ECC have increased dramatically and communities, parents, and governments are increasingly burdened with the social, economic, and personal costs associated with treatment. There is a close association between ECC and unhealthy infant feeding practices and poor oral health care for infants. This research looked at traditional and culturally based approaches to healthy infant feeding and oral health care for infants in one remote First Nations community in northern Manitoba, Canada. Research was already under way in the community in a longer term intervention-based project called the Baby Teeth Talk Study (BTT). In discussions on the interim findings of the study, participants discussed traditional cultural approaches practised in the community for healthy infant feeding and oral health. Using a participatory research approach, the authors engaged in a partnership with the community partner who assisted with the development of research questions as well as identifying research participants. Grandmothers in the community were recruited to participate in a total of 20 interviews and four focus groups. This article explores three key findings pertaining specifically to culturally based childrearing practices and infant oral health. Respondents discussed the importance of feeding infants country food (such as fish, moose and rabbit) at a young age for the overall health of the infant. Related to this was the use of traditional medicine to address oral health issues such as teething and thrush with salves made from tree bark rubbed on the gums of the infant. The role of swaddling and other thermal regulation techniques was identified as directly linked to oral health, particularly the development of healthy deciduous teeth. Local health knowledge keepers should be a part of the discussion around health programs and public health promotion. Opportunities to share the traditions of infant feeding is an essential component in restoring skills and pride and is a mechanism for building family and community relationships as well as intergenerational support.

Perception of taste and smell in normal and pathological aging: an update

The physiological and pathological aging on sense organs is widely studied in the visual and hearing modalities. By contrast, taste and smell changes are widely overlooked. These symptoms are rarely evoked in the elderly and often neglected in clinical practice. Studies in this population are rare and show contradictory results. In this update, we describe the perception of taste and smell in aging. In a first part, we present studies about the aging of smell and taste senses. While taste is remarkably spared during aging, olfaction decreases dramatically since 5th decade of life, frequently resulting in anosmia after 90 years. Numerous causes are evoked: acute conditions (mouth health, medications…) and chronic diseases frequently observed during aging (Alzheimer or Parkinson's diseases) may be responsible of such decline. In the last part, we approach the consequences on geriatric practice, as regards the nutrition of old subjects, including a cognitive approach regarding to perceptual functions and environmental determinants of nutrition. Taste and olfaction disorders should be considered as a geriatric syndrome that geriatricians have to be aware in clinical practice.

Book review: Your health mouth (5-ebook series)

Book review: Your health mouth (5-ebook series)

Assessments of the socioeconomic status and diet on the prevalence of dental caries at school children in central bosnian canton.

Aim:The main aim of this research was to determine the influence of socioeconomic status and residence/living conditions on the status of oral health (e.g. health of mouth and teeth) in primary school students residing in Canton Central Bosnia.Methods:The study was designed as a cross-sectional study. Our research included two-phased stratified random sample of 804 participants. The quantitative research method and newly designed survey instrument were utilized in order to provide data on the oral health of the examined children. The alternate hypothesis foresaw that “there were significant statistical differences between the levels of incidence of dental caries in comparison to the incidence in children of different socioeconomic status.Results:The Chi square () of 22.814, degree of freedom (Df) = 8, coefficient of contingency of 0.163 and T-test (Stat) of–0.18334 showed that there were no significant statistical differences at p < 0.05 level between the primary school children from urban and rural areas. The obtained results showed that the caries indexes in elementary schools in Central Bosnia Canton were fairly uniform. Research showed that there were a difference in the attitudes towards a regular dental visits, which correlated with social-educational structure of the children's’ families.Conclusion:According to the results, we can see that the socioeconomic status of patients had an effect on the occurrence of dental caries and oral hygiene in patients in relation to the rural and urban areas, because we can see that by the number of respondents, the greater unemployment of parents in both, rural and urban areas, caused a host of other factors, which were, either, directly or indirectly connected with the development of caries.

Condition of periodontium in patients with fixed orthodontic appliances

Orthodontic patients should be familiar with techniques of maintaining oral hygiene as well as with proper methods of checking maintenance of oral hygiene. The aim of this study was to determine a correlation between condition of periodontium and techniques of maintaining oral hygiene in patients treated with fixed orthodontic appliances. The research population included 100 patients, aged 15-25, treated by the orthodontist from 2005 to 2010. The maintenance of oral hygiene and the condition of periodontium was assessed using the following indices: plaque index, gingival index, bleeding index and oral hygiene index. The study was carried out using data obtained from the especially designed questionnaire as well as by objective examination of periodontal condition in accordance with the World Health Organization methodology, using adequate indicators and indices. The results of the study show a significant correlation between condition of periodontium and oral hygiene in those with fixed orthodontic appliances. The use ofinterdental brushes and mouthwash liquid, as well as teeth brushing, were among the most significant predictors of healthy teeth and mouth. Teeth and mouth hygiene determined by frequency of teeth brushing, using of interdental brushes and mouthwash liquid are the basic preconditions for preservation and promotion of tooth and mouth health in patients with fixed orthodontic appliances.

Teachers knowledge on dental and mouth health at primary school

Introduction: Oral and dental health problems in elementary school-age children are problems that require treatment, both preventive and promotive. Government efforts in improving dental health knowledge of elementary school-age children are made through business Dental School Health (UKGS) by involving teachers. The teacher has the role of delivering knowledge of the causes and prevention of dental and oral health in children. Purpose of the research is to find out teacher’s knowledge about oral health. Methods: The method used is descriptive, using survey techniques. Research population include 28 teachers. The study sample was all members of the population in the Public Elemen-tary School (total sampling). Results: The results showed that the teacher’s knowledge about dental disease and the mouth and oral hygiene are categorized as good; knowledge about the anatomy of the oral cavity, various teeth and how to brush teeth properly are categorized as fairly good, and tooth growth knowledge and dental anatomy are cat-egorized as bad. Conclusion: The teacher does not understand oral health. Knowledge level of the teachers will influ-ence the implementation of the UKGS, namely in maintaining and improving dental and oral health of all students at school and to achieve optimal degree of the dental and oral health status of students.

Dry mouth — a review of this common oral problem

Oral dryness can lead to significant problems, such as tooth decay, infection and impaired quality of life. This article provides a comprehensive overview of dry mouth, including the role of saliva in health, causes and management of dry mouth, and the role of dental care professionals in dry mouth

Awareness of Dental Health Checkup omong the Patients Attending at Selected Hospital in Dhaka City

This descriptive type of cross sectional study was conducted in selected hospital of Dhaka in order to find out the awareness of dental health check up among the patient in selected hospital in Dhaka city. The study was conducted from September to December 2011 with sample of 150. Results revealed that there is a huge difference between the awareness and practice on oral hygiene. The study showed that most of the respondents are in between 30-39 years of age (39.3%), 22.7% in 20-29 years of age, only very few 0.7% in &gt; 70 years of age with mean age 35.75 + 12.03. Among the respondents 34.7% are housewife, service holder 28%, business 15.3% and others are 22%. Study also showed that 65.3% brushes their teeth once daily and 34.7% in twice daily, 52% brushes only before breakfast, 18.7% before breakfast and before go to bed, 15.3% after breakfast and before go to bed, 12% only after breakfast and rest 2% only before go to bed. Among the respondents 38% visit to dentist more than 1 years for cleaning purpose, 28.7% visit after 1 year, 23.3% visit within 6 months to 1 year and very few only 10% visit before 6 months. Most of the respondent about 66% knows that consumption of sweet food can cause caries and rest 34% have no idea. About 40% feels the necessity of visiting dental surgeon after 1 year, 28% feels the time is after 6 months, 17.3% feels that more than 1 year and 14.1% have no idea. There is statistically highly significant association between the age of the respondent and the material used for cleaning teeth , sex of the respondent and habit of taking tobacco in both association (P = 0.000). Another statistically highly significant association between occupation of the respondent and habit of taking tobacco and also between age of the patient and habit of chewing areca nut and lime (P = 0.000), between frequency of cleaning teeth and monthly income of the respondent (P = 0.050). Another statistically significant association between age of the respondent and knowledge about sweet food can cause dental caries where (P = 0.023). and between monthly income of the respondent and knowledge about sweet food can cause dental caries (P = 0.013). From the study results it is revealed that only 30-39 years old patients aware about dental health check up, most of patient brushes their teeth only before breakfast, visit to dental surgeon visit to dentist more than 1 years for cleaning purpose, and feels the necessity of visiting dental surgeon after 1 year, So, it is necessary for everyone to attain dental health checkups to look at the health of mouth, find existing problems and discuss planned treatments. It helps to take further steps to minimize future problems of the oral cavity.DOI: http://doi.dx.org/10.3329/bjdre.v2i2.16244 Bangladesh Journal of Dental Research &amp; Education Vol.2(2) 2012: 47-51

일부 성인의 주관적 구강건조증에 영향을 미치는 요인

Objectives : The aim of this study is to investigate the possible impact factors on adults' self-reports of dry mouth and to develop strategies to improve oral health education policy. Methods : This study was conducted on a total of 622 self-administered questionnaires adult above 20 and under 65 years of age living in Seoul and Gyeonggi provinces. The final participants consisted of 443 adults without chronic illness, taking medications and wearing dentures. The Hierarchical Multiple Regression model with three stages was used to assess the association for exposure of interest, such as socio-demographics, health-related behavior, mental health and self-reported of dry mouth. Results : The participants reported mean score of dry mouth(<TEX>$6.32{\pm}4.47$</TEX>), of which 191 were male(<TEX>$6.81{\pm}4.56$</TEX>) and 252 were female(<TEX>$5.94{\pm}4.37$</TEX>). Hierarchical Multiple Regression revealed that the score of dry mouth was shown to be significantly higher for the following people: Males, who were employed, unemployed, negative self-perceived general health, perceived stress, and participants who had no experience awareness of distress in two weeks. The explanatory power was 21.9%. The most powerful impact factor regarding to employment was shown to be negatively associated to dry mouth, and self-perceived general health, experiencing awareness of distressful in two weeks was also important factors. Conclusions : Based on these results in order to develop oral health education policy strategies for the prevention and management of dry mouth, there need to be considered for the employee.

일부 노인들의 가철성 틀니 사용 실태 및 만족도 조사

Purpose: It is to survey old men's utilization status of dental clinic and temporary-binding dentures and then to provide basic data to make a program for manufacturing old men's dentures and their teeth health education. Methods: Random selection was made on old men living in Daejeon and Chungnam, and a survey was conducted from April 15 to May 20, 2011. 500 questionnaires were distributed and 420 questionnaires were collected. Using spss 18.0 program, final analysis was made on 363 questionnaires except for 57 questionnaires which had missing value or showed some doubts about the unreliability. Results: 1. With respect to number of natural teeth as per the age, the upper/lower jaws had meaningful differences (P<.001), which means that the older the person is, the smaller number of natural teeth is. In the meantime, there was no meaningful difference according to sex. 2. With respect to kind of prosthetics installed in a mouth as per the age, there was meaningful difference in the upper jaws (P<.05) but there was no meaningful difference in the lower jaws. It was found out that the older the persons are, the more they use removable dentures while the younger the persons are, the more they use fixed partial dentures. 3. With respect to mouth health condition recognized by oneself, it showed bad (44.4%) and good (10.3%),which means recognition as bad is greater, and the age when prosthetics were first used is dispersed variously from below 40 to over 70. 4. Dental care institutions which they mainly used are hospital and clinics (91.5%), and 66.4% of them visited dental clinics lately. Preferential treatment if they go to dentists is as follows in the order of prosthetics (33.9%), gum treatment (24.2%) and pain treatment (14.9%). 5. 68.4% of them revisited dentists after installation of dentures and the reason for revisit is as follows in the order of poorly fitted dentures (35.1%), painful gum 25.9%, regular check-up 25.4% and difficult chewing 9.6%. Conclusion: As our country enters into an aging society, mouth health problem of old men has come to a serious issue, and therefore, a survey was conducted on some old men with respect to their utilization status of dental clinic and removable dentures in order to provide basic data for improvement of quality of their life, maintenance and enhancement of their mouth health. The study result shows that the older they are, the higher the loss rate of teeth as well as needs for prosthetics are, and thus it is thought the study will help to develop mouth health education program which may improve quality of old men's life by recovery of mouth functions declined due to loss of teeth and by regular check-up, education for mouth health control and following-up control of dentures.

Kidney treatment could affect mouth health

Kidney treatment could affect mouth health

Chemometric variance analysis of 1H NMR metabolomics data on the effects of oral rinse on saliva

Saliva is an easy to obtain bodily fluid that is specific to the oral environment. It can be used for metabolomic studies as it is representative of the overall wellbeing of an organism, as well as mouth health and bacterial flora. The metabolomic structure of saliva varies greatly depending on the bacteria present in the mouth as they produce a range of metabolites. In this study we have investigated the metabolomic profiles of human saliva that were obtained using 1H NMR (nuclear magnetic resonance) analysis. 48 samples of saliva were collected from 16 healthy subjects over 3 days. Each sample was split in two and the first half treated with an oral rinse, while the second was left untreated as a control sample. The 96 1H NMR metabolomic profiles obtained in the dataset are affected by three factors, namely 16 subjects, 3 sampling days and 2 treatments. These three factors contribute to the total variation in the dataset. When analysing datasets from saliva using traditional methods such as PCA (principal component analysis), the overall variance is dominated by subjects’ contributions, and we cannot see trends that would highlight the effect of specific factors such as oral rinse. In order to identify these trends, we used methods such as MSCA (multilevel simultaneous component analysis) and ASCA (ANOVA simultaneous component analysis), that provide variance splits according to the experimental factors, so that we could look at the particular effect of treatment on saliva. The analysis of the treatment effect was enhanced, as it was isolated from the overall variance and assessed without confounding factors.

SP3-66 Caries in children on the East side of Mexico City study

IntroductionThe fluor addition in salt began in Mexico at the early '90s; consequently there has been a decrease of caries cases, but with different average results at the age of...