Oral Hygiene Index Research Articles

Стан гігієни порожнини рота, тканин пародонта та оцінка дрібної моторики рук у дітей, хворих на дитячий церебральний параліч

Children with cerebral palsy often face difficulties in controlling their own movements and coordinating muscle activities, making even simple tasks such as individual oral hygiene challenging to perform. Purpose - to assess the index of individual oral hygiene and periodontal tissue condition, development of fine motor skills in children with cerebral palsy to determine the quality of tooth brushing. Materials and methods. The study included 34 children aged 8-12 years with cerebral palsy. The oral hygiene status was determined clinically and using the Fedorov-Volodkina oral hygiene index. The periodontal tissue condition was assessed using the PMA index, the bleeding index by Muhlleman, and the periodontal index. The level of fine motor skills development was assessed using the Motor Giftedness Scale by N.I. Ozeretskyi and special techniques with tasks of different content. Results. The indicators of the level of development and individual components of motor functions, including fine motor skills of the hands in children with cerebral palsy according to the Motor Giftedness Scale by N.I. Ozeretskyi, were 6.67±1.16 points, and 3.12±1.10 and 2.10±0.03 points according to special techniques with tasks of different content. The assessment of oral hygiene using the Fedorov-Volodkina index showed that only 8.82% of cases were rated as «good» «satisfactory» in 26.47% of cases, and «unsatisfactory» in 64.71% of cases. The qualitative assessment of the oral hygiene index showed an average score of 2.5±0.02 points. The PMA index in children with cerebral palsy was 41.67%, bleeding index was 1.47±0.01, and periodontal index was 1.21±0.09. Conclusions. The results of the study showed that due to the impaired development of fine motor skills of the hands in children with cerebral palsy, mechanical cleaning of teeth from dental plaque is complicated, which negatively affects oral hygiene and periodontal tissue condition. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent from the children’s parents was obtained for the research. No conflict of interests was declared by the author.

The Evaluation of Oral Health Condition and Oral and Dental Care in Children with Congenital Heart Disease.

Objective: Congenital heart disease (CHD) plays a key role in oral and dental health regarding its own impacts on teeth (i.e., enamel hypoplasia), infective endocarditis and choice of dental treatment. The purpose of this study's comparing the oral and dental health status in children with or without CHD is to contribute to the literature by determining the effects of CHD on oral and dental health. Material and Methods: The present study was conducted using a descriptive and correlational design and consisted of 581 children aged between 6 months and 18 years who were healthy (n = 364) or experienced CHD (n = 217). CHD-impacted children were classified according to their shunt and stenosis and then their saturation values were noted. In the intraoral examination, caries data (dmft/DMFT, PUFA/pufa), oral hygiene (OHI-S) and enamel defect (DDE) indices were recorded. Statistical analyses were performed using SPSS 26.0 at a significance level of 0.05. Results: In our study, caries index scores of children with or without CHD in primary or permanent dentition were found to be similar. The mean OHI-S index (p < 0.001) and gingivitis findings (p = 0.047) of children with CHD had a higher prevalence than the healthy ones. The incidence of enamel defects was determined as 16.5% in CHD-affected children whereas an incidence rate of 4.7% was observed in healthy children. The mean saturation value of the participants with enamel defects (89 ± 8.9) was observed to be significantly lower (p = 0.03) than the patients with no enamel defects (95 ± 4.2). Conclusions: Whereas the caries index scores of CHD-affected children with a history of hypoxia in primary and permanent dentition were found to be similar to the healthy ones, children with CHD were observed to be more prone to enamel defects and periodontal diseases. Furthermore, considering the risk of infective endocarditis resulting from existing carious lesions and periodontal problems, it is highly important for pediatric cardiologists, pediatricians and pediatric dentists to collaborate in a multidisciplinary manner.

Oral health-related quality of life and oral manifestations of Syrian children with congenital heart disease: a case-control study

BackgroundThere was an immense need for studies evaluating the oral health status of Syrian children with congenital heart disease (CHD) and its impact on their quality of life. No contemporary data are available. The objective of this study was to investigate oral manifestations and oral health-related quality of life (OHRQoL) of children with CHD and compare them with healthy controls aged 4–12 years.MethodsA case-control study was undertaken. A total of 200 patients with CHD and 100 healthy children belonging to the same patient’s family were included. Decayed, missed, and filled permanent teeth index (DMFT) and decayed, missed, and filled primary teeth index (dmft), Oral Hygiene Index (OHI), Papillary Marginal Gingivitis Index (PMGI), and dental abnormalities were recorded. The Arabic version of the Child Oral Health-Related Quality of Life Questionnaire (COHRQoL, 36-item) which was divided into 4 different domains (Oral Symptoms, Functional Limitations, Emotional Well-Being, Social Well-Being) were studied. Chi-square test and independent- t-test were used to perform statistical analysis.ResultsCHD patients experienced more periodontitis, dental caries, poor oral health, and enamel defects. The dmft mean was significantly higher in CHD patients than in healthy children (5.245 vs. 2.660, P < 0.05). No significant difference was found between patients and controls in the DMFT Mean (P = 0.731). There was a significant difference between CHD patients and healthy children in the mean of the OHI (5.954 vs. 1.871, P < 0.05), and PMGI (1.689 vs. 1.170, P < 0.05). CHD patients have significantly higher enamel opacities (8% vs. 2%) and hypocalcification (10.5% vs. 2%) than controls. Also, the 4 COHRQoL domains, showed significant differences between CHD children and controls.ConclusionsEvidence about the oral health and COHRQoL of children with CHD was provided. Further preventive measures are still required to improve the health and quality of life of this vulnerable group of children.

THE EFFECT OF THE TREATMENT AND PREVENTION COMPLEX ON THE CONDITION OF PERIODONTAL TISSUES AND LOCAL IMMUNITY IN CHILDREN WITH CHRONIC

Introduction.Chronic catarrhal gingivitis remains a prevalent dental condition in children, which may subsequently lead to the development of periodontitis and tooth loss. The issue of selecting appropriate medications for the comprehensive treatment and prevention of inflammatory periodontal diseases in children with chronic gastroduodenitis remains relevant. Objective.To study the effectiveness of the proposed treatment and prevention complex for chronic catarrhal gingivitis in children with gastroduodenitis. Materials and Methods.Three groups of children were formed for the study: the first group comprised 10 somatically healthy children without signs of periodontal tissue inflammation, the second group included 20 somatically healthy children with chronic catarrhal gingivitis, and the third, main group, consisted of 20 children diagnosed with chronic gastroduodenitis and chronic catarrhal gingivitis. Results.Before treatment, all children were instructed in oral hygiene and underwent controlled tooth cleaning. Children in the third group were prescribed the treatment and prevention complex developed by our research team. The complex included brushing teeth twice a day after meals with Splat "Medicinal Herbs" toothpaste, mouth rinsing with Decasan solution, application of Cholisal on the gums, and Euro-Biotic Germina – 1 capsule twice a day after meals. Treatment of children in the second group was conducted according to protocols for 14 days. The dynamic observation was conducted before treatment and after 1, 3, 6, and 12 months by assessing Silness-Loe and Fedorova-Volodkina indices, PMA (papillary-marginal-alveolar), and PBI (papilla bleeding index) bleeding. Following the course of treatment and prevention complexes, children in the second and third groups exhibited improved oral cavity hygiene and periodontal indices; PBI (papilla bleeding index) and PMA (papillary-marginal-alveolar). Conclusion. The results of the study demonstrate that the treatment and prevention complex has a consistently positive impact on oral hygiene and the degree of periodontal inflammation, and after a year, the indicators remain better than the initial ones. We recommend prescribing the treatment and prevention complex developed by our research team for children with chronic gastroduodenitis once every six months.

Evaluation of oral health-related quality of life in children with acute lymphocytic leukemia/acute myelocytic leukemia: A cross-sectional study.

Chemotherapy and radiotherapy, used to treat childhood hematological malignancies (acute lymphocytic leukemia [ALL] and acute myelocytic leukemia [AML]) can negatively affect oral tissues and organs. This study aimed to evaluate the oral health-related quality of life in children with ALL/AML. A total of 99 children, including 49 undergoing ALL/AML (41 with ALL and eight with AML) and 50 healthy volunteers, were included in this cross-sectional study. The mean age of the entire study group was 78.63 ± 34.41 months. The mean age of the ALL/AML and control groups was 87.12 ± 35.04 and 70.95 ± 34.85 months, respectively. The Simplified Oral Hygiene Index (SOHI), the Decayed, Missing, and Filled Teeth (DMFT/dmft) index, and the Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS-T) were administered to all children. The data were analyzed using SPSS software (version 22.0). The Pearson chi-square and Fisher's exact tests were used to compare demographic data. The age and gender distributions of the two groups were similar. According to ECOHIS-T, the children in the ALL/AML group had significantly more loss of function (eating, drinking, sleeping, etc.) than those in the control group. Oral health and self-care were negatively affected by childhood ALL/AML and its treatment.

Dental caries level among patients attending dental clinics complex at King Faisal University, Saudi Arabia: A retrospective study

Introduction: Dental caries or tooth decay is one of the most prevalent chronic diseases in adults and children worldwide, as it affects 60–90% of school-aged children and the vast majority of adults, and it is the primary cause of pain and tooth loss in the oral cavity. Aims: This retrospective study aimed to assess the level of dental caries among patients attended the King Faisal University dental clinics complex during the study period. Materials and Methods: This hospital-based study includes all patients who attended from September-December 2021. Secondary data included the level of dental caries experience, calculus level, plaque level using the oral hygiene index, and an assessment of dietary habits and oral health-related behaviors. We used frequencies for the categorical variables while mean (SD ±) for the quantitative variables, t-test with mean differences, and Pearson Correlation with 95% Confidence Intervals and 0.05 P-values as the significance level. Results and Discussion: 255 patients with a mean age of 28.21-year (SD ± 12.9), (42%) of them had generalized plaque, (25.9%) had generalized calculus, and (81.6%) had oral hygiene index scores ranging between 2 to 4. The prevalence of dental caries among the patients was (99.2%) with a DMFT mean of 9.51-teeth (SD ± 5.6). DMFT was significantly associated with the level of calculus as those with generalized calculus had a higher DMFT compared to localized, and was significantly associated with health education received (P-value 0.005, P = 0.028). Self-care evaluation and weekly dietary practices significantly correlated to dental caries’ level (Pearson Correlation - 0.28 and 0.14, P-values 0.00 and 0.03, respectively). Conclusion: This study reported a high level of dental caries experience, which is in accordance with the level in Saudi Arabia reported by other studies. The study also demonstrated the relation of the level of dental caries with the level of calculus as well as behavioral aspects such as self-care evaluation, weekly diet practices, and dietary habits factors.

СПЕЦИФИЧЕСКАЯ ПРОФИЛАКТИКА ВОСПАЛИТЕЛЬНЫХ ОСЛОЖНЕНИЙ У ПОЛЬЗОВАТЕЛЕЙ ПРОТЕЗАМИ НА ДЕНТАЛЬНЫХ ИМПЛАНТАТАХ

Purpose: analysis of the preventive effectiveness of the agent based on bacteriophages “Phagodent” in persons with dental implants. Material and methods: two groups were compared: with standard hygienic oral care and with additional applications of Phagodent gel on the gum (main group, 15 people, bridges on 49 implants; comparison group, 10 people, bridges on 42 implants); observation of patients with implants. For comparison, hygienic periodontal indices (oral hygiene index, hygiene index, gingivitis index, Mulleman index) were used. Results: when using the Phagodent gel at home and with standard oral hygiene, no development of periimplantitis with bone resorption was recorded during the year of observation. At the same time, mucositis was found in one implant in the main group (2.0%) and in two in the comparison group (4.8%). A year later, the index of oral hygiene of IG-U deteriorated in the main group to 1.9±0.1, in the comparison group to 2.1± 0.2; the index of hygiene of IG in the comparison group corresponded to 1.3±0.3, in the main group – 1.0±0.1; the index of gingivitis of IG in the main group was 0.1± 0.1; in the control group 0.2 ±0.1; The Mulleman index in a year it did not exceed 0.1 ±0.1 in both groups. Thus, the use of “Phagodent” gel in the main group of patients prevented the development of mucositis due to the positive effect on oral hygiene, reflected by the hygienic indices of IGM-U and IGIM. Due to the positive effect on oral hygiene in patients with dentures on dental implants, the gel based on bacteriophages “Phagodent” has a preventive effect on inflammatory complications in the state of periimplant tissues and can be used by the patient independently at home.

Comparative Evaluation of Novel Herbal Mouthwash with 12.5% Xylitol Mouthwash and 0.7 M Saline Mouthwash on Plaque Control: An Interventional Study

Background and Aim: Among the wide array of herbal plants possessing medicinal values, Andrographis paniculata (Nilavembu) stands out as a time-tested premiere medicinal herb. A. paniculata (Nilavembu) extracts exhibited varying degrees of inhibitory activity against the growth of all the microorganisms. Hence, this research was made to assess and compare the effect of Nilavembu extract (A. paniculata) with 12.5% xylitol mouthwash and control group (0.7 M saline mouthwash) on dental plaque and gingival inflammation. Materials and Methods: A double-blinded parallel-arm randomized clinical trial was done among 40 participants aged 20–30 years. Participants were randomly allotted into four groups: Group 1 - Nilavembu extract with 0.7 M saline wash; Group 2 - Nilavembu extract with 12.5% xylitol mouthwash; Group 3-0.7 M saline mouthwash; and Group 4-12.5% xylitol mouthwash. The plaque and gingival status were assessed using oral hygiene simplified index and Loe and Silness index at baseline and end of the study (7th day). Statistical analysis was carried out to compare the effect of all four treatments groups using the Kruskal–Wallis test, Wilcoxon sign rank test, and post hoc test; P ≤ 0.05 was considered statistically significant. Results: Among four groups, Group 2 showed a greater mean reduction followed by Group 1 in oral hygiene index score and gingival score. There was a statistically significant difference between the scores of the four groups. Conclusion: It can be concluded that A. paniculata (Nilavembu extract) could serve as a potential herbal alternative in the therapeutic management of dental plaque and gingivitis.

Oral Health Status in relation to Salivary Antimicrobial Peptide in Pregnant Women

Background: Oral health is a mirror of general health. During pregnancy, oral health is affected by changes in saliva and oral hygiene measures which may lead to more dental caries. Objective: Assess oral health status in relation to salivary antimicrobial peptides in pregnant women. Subjects and Method: This cross sectional study was carried out in different primary health care centers in Rusafa sectors/ Baghdad city. The total sample included was 80 women (their age range from 21-30). The study group consisted of 40 pregnant women: half of them were in the first trimester and others were in third trimester, while the control group included 40 non-pregnant married females. Dental Plaque was recorded according to simplified oral hygiene index. Dental caries were diagnosed by using WHO (2013) criteria. Unstimulated salivary samples were collected. Chemical analysis of salivary samples was performed for the detection of human β-Defensin 2. Results: The current study revealed that dental caries experiences (decayed surfaces(DS), missed surfaces (MS) and decayed, missing, filled surfaces(DMFS)) were higher among pregnant than non-pregnant females especially in the third trimester, add percentage with no significant differences, while filled surfaces (FS) were higher in the control group with also no significant difference. Regarding plaque index, results revealed that pregnant women had higher plaque index than non-pregnant women, with significant higher per-centage (53.3%) in the third trimester, P value = 0.027. The salivary human β-Defensin 2 was higher among the pregnant group in the third trimester with statistically no significant difference. Conclusion: More plaque accumulation during pregnancy may explain the higher preva-lence of dental caries as the dental plaque considered to be the chief contributing factor in dental caries.

Changes in oral health-related quality of life before and after dental treatment in 8–12-year-old Costa Rican schoolchildren

AimsThe aims of this study were to (1) evaluate oral health-related quality of life (OHRQoL) in 8–12-year-old Costa Rican schoolchildren before and after dental treatment and (2) collect clinical and sociodemographic characteristics.MethodsSchoolchildren completed the Child Oral Health Impact Profile-Short Form (COHIP-SF-19) questionnaire before and after dental treatment. One of the parents was asked to complete a sociodemographic survey. Patients were treated for caries, hypomineralizations, and dental malocclusions. The prevalence of these conditions were assessed from the patient's electronic dental record.ResultsEighty participants (39 male and 41 female, average age: 9.4 ± 1.0 years) were recruited. The prevalence of dental caries was 56.1% with a mean deft and DMFT score of 3,15 ± 0.96 and 2.22 ± 0.77, respectively. Prevalence of hypomineralizations was 53.7% and dental malocclusions was 82.9%. The Simplified Oral Hygiene Index before treatment was 1.45 ± 0.45 and after was 1.42 ± 0.43. Mean COHIP-SF-19 total score decreased from 53,7 ± 7,8 before dental treatment to 31,4 ± 4,2 after treatment. Improvements in all subdomains were also observed. Regarding sociodemographic characteristics, 65% of the patients lived in San José, Costa Rica's capital city, and 56.3% of the studied population belonged to a low-income family. Most parents did not complete high school. Regarding the number of family members living in the same house as the patient, an average of four people was reported. In relation to family structure, 58.8% of the children's parents lived together, either married or free union. As for household owning, 53.8% of parents reported owning their house, 36.3% lived in a rented house, and 10% lived in a borrowed home.ConclusionThe prevalence of caries, hypomineralizations, and dental malocclusions were high before dental treatment. Reported sociodemographic characteristics unlikely changed after dental treatment, suggesting dental care played a pivotal role in improving self-perceptions of oral health and quality of life in our clinical setting.

Pre-treatment oral microbiome analysis and salivary Stephan curve kinetics in white spot lesion development in orthodontic patients wearing fixed appliances. A pilot study

BackgroundWhite spot lesions (WSLs) are a formidable challenge during orthodontic treatment, affecting patients regardless of oral hygiene. Multifactorial in nature, amongst potential contributors to their development are the microbiome and salivary pH. The aim of our pilot study is to determine if pre-treatment differences in salivary Stephan curve kinetics and salivary microbiome features correlate with WSL development in orthodontic patients with fixed appliances. We hypothesize that non-oral hygiene determined differences in saliva could be predictive of WSL formation in this patient population through analysis of salivary Stephan curve kinetics, and that these differences would further manifest as changes in the oral microbiome.MethodsIn this prospective cohort study, twenty patients with initial simplified oral hygiene index scores of “good” that were planning to undergo orthodontic treatment with self-ligating fixed appliances for at least 12 months were enrolled. At pre-treatment stage, saliva was collected for microbiome analysis, and at 15-minute intervals after a sucrose rinse over 45 min for Stephan curve kinetics.Results50% of patients developed a mean 5.7 (SEM: 1.2) WSLs. There were no differences in saliva microbiome species richness, Shannon alpha diversity or beta diversity between the groups. Capnocytophaga sputigena exclusively and Prevotella melaninogenica predominantly were found in WSL patients, while Streptococcus australis was negatively correlated with WSL development. Streptococcus mitis and Streptococcus anginosus were primarily present in healthy patients. There was no evidence to support the primary hypothesis.ConclusionsWhile there were no differences in salivary pH or restitution kinetics following a sucrose challenge and no global microbial differences in WSL developers, our data showed change in salivary pH at 5 min associated with an abundance of acid-producing bacteria in saliva. The results suggest salivary pH modulation as a management strategy to inhibit the abundance of caries initiators. Our study may have uncovered the earliest predecessors to WSL/caries development.

Features of trophic processes occurring in the bone tissue after the operation of dental implantation

Relevance: A key aspect of success after dental implant surgery is obtaining reliable osseointegration of the installed dental implant. In modern literary sources, the problem of consistency of osseointegration after the installation of dental implants is quite often touched upon. A number of authors argue that the quality of osseointegration of a dental implant depends primarily on its primary stability. Long-term studies show that bone tissue permanently undergoes various resorption and recovery processes [1, 2]. Purpose to determine the effectiveness of alkaline phosphatase and collagen protein osteocalcin in oral fluid after dental implantation. Materials and methods: Clinical studies were carried out on the basis of the Clinics of the Samara State Medical University of the Ministry of Health of Russia. A total of 240 patients with a diagnosis of partial absence of teeth were operated on. All patients received dental implants. The median age was 44.2 years (24 to 62 years; 182 women and 58 men). Results and discussion: At the stage of orthopedic rehabilitation, most patients had a low index of oral hygiene, OHI-S averaged (2.63 0.27) c.u. All patients suffering from poor oral hygiene were recommended professional hygiene with the removal of soft and hard dental deposits. At the stage of dental implantation, the OHI-S and Mulleman index was (0.66 0.03) and (0.49 0.03) c.u. respectively. Conclusions: The results of the study showed that the increase in the titer of alkaline phosphatase and the collagen protein osteocalcin was statistically insignificant. The level of acid phosphatase titer in the oral fluid reaches its critical value two weeks after the dental implantation operation. Studies have shown that this indicator remains active up to six months after surgery. This indicator can be used to interpret various emerging trophic processes occurring in bone tissue after dental implantation.

One-year oral health outcome of a community-based trial in schoolchildren aged 6-7 years old in Tehran, Iran.

Promoting schoolchildren's oral health is important, particularly in developing countries. This study was conducted to monitor the oral health of schoolchildren aged 6-7 years old following the implementation of an oral health promotion program in Tehran, Iran. The protocol was registered in the Iranian Registry of Clinical Trials (Code: IRCT20090307001749N4). A cluster random sampling method was applied, and the schools were randomly allocated to intervention and control groups. An intervention package consisting of a one-day workshop for parents and supervised toothbrushing for children was employed. In both groups, the Caries Assessment Spectrum and Treatment (CAST) and Oral Hygiene Index Simplified (OHI-S) were evaluated at baseline and at one-year follow-up in addition to the questionnaire data. Clinical data were collected by calibrated examiners at both intervals (Kappa = 89.8%, 87.68%) and analyzed using the SPSS software ver. 22.0. Of 739 children included at baseline, 593 were re-examined after one year (response rate = 74%). According to the Generalized Estimating Equation (GEE) analysis, considering the confounding effect of time, significantly more children in the control group had deciduous molars with a score of 3 and higher compared to the intervention group (OR = 1.79; 95% CI:1.17-2.73, p = 0.007). The oral hygiene status of the children significantly improved in the intervention group compared to the controls (B = -0.27; 95% CI: -0.45 --0.08, p = 0.005). After one year, the improvement in the oral health-related attitude of parents and children's oral health behavior was marginally significant in the intervention group compared to the control group [0.2 (0.17) vs. -0.13 (0.05), p = 0.096] and [0.06 (0.06) vs. -0.05 (0.04), p = 0.09], respectively. However, the impact on the oral health-related knowledge and self-reported behavior of the parents was not significant. In the intervention group, children had less caries and a better oral hygiene status compared to the controls after one year.

Oral Manifestation in Pregnant Women in Sulaimaniyah City

Background: Pregnancy is a physiological process during which a major hormonal change take place which leads to an imbalance in the oral environment and development of oral manifestation that can adversely affect mother’s health and the health of the unborn child.&#x0D; Objective: To assess the prevalence of the oral manifestation of pregnant women and to evaluate the correlation of these manifestations with the oral hygiene status.&#x0D; Patients and Methods: A total of 150 pregnant women were enrolled in this study on which a meticulous intraoral examination and evaluation of oral health status using oral hygiene index simplified (OHI-S) carried out.&#x0D; Results: The most involved age group was (21-25) years 38.00%. It was concluded that the most frequent oral finding was halitosis 67.33%, followed by dry mouth 59.33%, taste alteration 46%, pregnancy epulis 9.33%, candidiasis 7.33%, and ulceration 4%. In addition, pregnancy epulis and halitosis were significantly correlated with poor oral hygiene.&#x0D; Conclusion: Pregnancy is associated with oral manifestations; therefore, dentists should be aware of such manifestations and provide education regarding oral health status and maintenance of good oral hygiene during pregnancy

Oral Manifestation in Pregnant Women in Sulaimaniyah City

Background: Pregnancy is a physiological process during which a major hormonal change take place which leads to an imbalance in the oral environment and development of oral manifestation that can adversely affect mother’s health and the health of the unborn child. Objective: To assess the prevalence of the oral manifestation of pregnant women and to evaluate the correlation of these manifestations with the oral hygiene status. Patients and Methods: A total of 150 pregnant women were enrolled in this study on which a meticulous intraoral examination and evaluation of oral health status using oral hygiene index simplified (OHI-S) carried out. Results: The most involved age group was (21-25) years 38.00%. It was concluded that the most frequent oral finding was halitosis 67.33%, followed by dry mouth 59.33%, taste alteration 46%, pregnancy epulis 9.33%, candidiasis 7.33%, and ulceration 4%. In addition, pregnancy epulis and halitosis were significantly correlated with poor oral hygiene. Conclusion: Pregnancy is associated with oral manifestations; therefore, dentists should be aware of such manifestations and provide education regarding oral health status and maintenance of good oral hygiene during pregnancy

Association between serum biomarkers and oral health status in children with chronic kidney disease: A cross-sectional study.

The aim of this study was to investigate the association between serum biomarkers and oral health parameters in children with chronic kidney disease (CKD). Serum hemoglobin, blood urea nitrogen, serum creatinine, calcium, parathormone, magnesium, and phosphorus levels were measured in 62 children with CKD aged between 4 and 17years. Intraoral examinations of the patients were performed by two different pediatric dentists. Dental caries was assessed using the decayed-missing-filled-teeth (DMFT/dmft) indexes, and oral hygiene was assessed using the debris (DI), calculus (CI), and simplified oral hygiene (OHI-S) indexes. Spearman's rho coefficient and generalized linear modeling were used to examine the association between serum biomarkers and oral health parameters. The results of the study showed that there were negative and statistically significant correlations between serum hemoglobin and creatinine levels and dmft scores in pediatric patients with CKD (p = 0.021 and p = 0.019, respectively). Furthermore, blood urea nitrogen levels and DI and OHI-S scores (p = 0.047 and p = 0.050, respectively); serum creatinine levels and DI, CI, and OHI-S scores (p = 0.005, p = 0.047, p = 0.043, respectively); and parathormone levels and CI and OHI-S scores (p = 0.001 and p = 0.017, respectively) were found to be positively and statistically significantly related. There are associations between various serum biomarker levels and dental caries and oral hygiene parameters in pediatric patients with CKD. The impact of changes in serum biomarkers on oral and dental health is important for dentists' and medical professionals' approaches to patients' oral and systemic health.

Adjunctive use of a nanocolloidal silver-based local antiseptic solution in the nonsurgical treatment of periodontitis: A split-mouth clinical study

Objectives. The aim of the present study was to evaluate the potential additional clinical benefit of a commercial nano colloidal silver-based local antiseptic used as irrigation solution after subgingival mechanical instrumentation. Material and methods. Periodontitis patients were treated following the current guidelines. Two randomly assigned hemiarches of each patient received subgingival mechanical instrumentation plus irrigations with the commercial product (experimental group); the other two hemiarches received mechanical instrumentation plus saline irrigations (control group). A clinical periodontal examination at baseline moment and after 3 months was performed. The parameters considered for analysis were oral hygiene index (IHI), bleeding on probing score (BoP), periodontal pocket probing depth (PD), gingival recession (GR) and clinical attachment level (CAL). 72 sites were included in the analysis, the site with the highest PD/quadrant for each patient. Data were analyzed using GraphPad Prism version 8.0.1 (GraphPad Software Inc., La Jolla, CA, USA). p&lt;0.05 was set as statistical significance level. Outcomes. Eighteen periodontitis patients were treated. All clinical parameters improved at re-evaluation, compared to baseline, both in experimental and control group. The differences were statistically significant in terms of IHI, BoP and PD reduction. At re-evaluation, there were no statistically significant differences between periodontal parameters registered in the experimental and control sites. Conclusions. The present study failed to prove an adjunctive clinical benefit of the antiseptic product in the nonsurgical treatment of periodontitis. These results support the gold standard role of subgingival mechanical instrumentation in the periodontitis’ therapeutic protocol.

Effect of antioxidant dental gel on the adaptation of the oral mucosa to removable dentures.

Determination of the effect of a gel with natural astaxanthin on the timing of adaptation of the oral mucosa to removable dentures. The gel made from a natural antioxidant reduces the risk of stomatitis, values of hygienic indices and traumatic factor. Aims: Reduction of the period of adaptation to removable dentures in patients with partial adentia. The objective was to evaluate the effect of antioxidant gel on the oral mucosa. Patients and Methods. The state of oropharyngeal microbiocenosis was studied in 105 patients aged 30-65 years old who were divided into three groups: the main group - 45 patients; comparison group - 35 patients; control group - 25 patients. The groups were comparable by age; gender differences were not taken into account. Patients in the main group received astaxanthin gel for 7 days after the delivery of the removable denture. Patients in the comparison group did not receive astaxanthin gel after the delivery of the removable denture. Clinical indices were used to assess oral hygiene: oral hygiene index plaque index API, gingivitis index, papillary-marginal-alveolar - (PMA); gingival sulcus bleeding index – SBI. We used a therapeutic and prophylactic agent in the form of a gel containing natural astaxanthin - 0.026%, vitamin E - 2.2%, Coenzyme Q - 1.5%. Result. According to the results of the analysis of the visual control and the results of photometric registration of the speed of healing and adaptation of the patient to the prosthesis, the data obtained differed in the patients of the 1st and 2nd groups. Visual control data of the dynamics of inflammatory changes in the oral mucosa development, received by the results of semi-quantitative evaluation of the severity of edema and hyperemia indicate significant differences in the rate of their reduction depending on the type of the applied tactics. In the case of group 1, prophylactic gel was applied from the time of denture fitting, and in group 2, only denture correction was performed. Thus, the index of hyperemia intensity testified to the dis-appearance of signs of the latter in Group 1 (gel with natural astaxanthin) - by the 4th day of observation, in Group 2 - by the 10th day after prosthesis correction. Complete disappearance of the signs of edema, respectively, was ascertained: in Group 1 - on the 4-5th day of observation and in Group 2 - by the 10th-11th day, at that, edema was retained 1-2 days longer. The method of photoplanimetric registration of the healing rate objectively confirmed the results obtained. Conclusion. Studies of the effectiveness of the gel containing natural astaxanthin indicate improved oral hygiene parameters of patients and reduced concentration of bacterial endotoxin and plasmalogen metabolites of oral microorganisms after 7 days of using the gel. Prophylactic dental gel with astaxanthin reduces the rate of adaptation to removable dentures by 1.7 - 2 times and reduces the risk of denture stomatitis due to wound healing, anti-inflammatory and anti-microbial action.

Oral hygiene condition in middle-aged patients with colonic diseases before surgery

Relevance. An increasing number of patients with colonic diseases requiring hospitalization and surgical treatment, late presentation to specialists, and the gradual ageing of the population are factors, which adversely affect the treatment outcome. In this regard, intensification is necessary yet at the disease prevention stage.Materials and methods. The study included 45 patients with colonic diseases (CD) aged 46 to 59 years (26 men and 19 women) and the control group (CG) - 20 patients (10 men and 10 women) of the same age without gastrointestinal comorbidities. After the principal dental examination of the patient, we assessed the oral hygiene condition using the Oral Hygiene Index – Green – Vermillion Simplified Oral Hygiene Index (OHI-S) (1964).Results. Our analysis of the oral hygiene level, determined using the OHI-s (Green-Vermillion index), showed a higher index score among patients with colon problems than in CG. The oral hygiene assessment showed poor oral hygiene condition on average, according to the Green-Vermillion index, in the group of middle-aged patients with large-intestine diseases.Conclusion. Patients with large-intestine diseases are recommended to strengthen the complex of oral care and regularly visit a dentist to avoid untimely detection and progression of oral diseases in these patients.

The effect of comorbidities on periodontal and hygiene indices, and oral fluid mineral composition

Relevance. In patients with comorbidities, the barrier resistance of periodontal tissues decreases due to oral homeostasis damage, which increases the severity of inflammatory periodontal diseases and needs the interaction of dentists and internists to develop common approaches to such patients' treatment and management.Aim. The study aimed to study the periodontal and oral hygiene indices and the oral fluid mineral composition in dental patients with comorbidity.Materials and methods. The study examined 63 dental patients with comorbidities: coronary artery disease, chronic gastritis, chronic nephritis, and chronic sinusitis. The Green-Vermillion oral hygiene index (OHI-S) detected the oral hygiene status, and the CPITN index of the WHO and the PMA index revealed the periodontal status. Electrothermal atomic absorption spectroscopy using QUANTUM.Z1 graphite furnace atomic absorption spectrometer determined the amount of calcium, magnesium, zinc and copper in the oral f luid.Results. Patients with coronary artery disease and chronic nephritis demonstrated a statistically significant decrease in oral hygiene associated with severe periodontal inflammation. Analysis of the oral fluid mineral composition showed that patients with coronary artery disease had decreased calcium, magnesium and zinc levels. The chronic nephritis patients had a copper and zinc decrease in the oral fluid. In patients with chronic gastritis, there was a lack of magnesium and copper in the oral fluid. The patients with chronic sinusitis showed a decrease in copper.Conclusions. Dental professionals should consider patient systemic diseases and oral fluid mineral composition at a dental appointment, during treatment and during preventive measures prescription.