Poor Dental Status Research Articles

Neisseria siccaEndocarditis Complicated by Intracranial and Popliteal Aneurysms in a Patient with a Bicuspid Aortic Valve

We report a case of infective endocarditis due to Neisseria sicca complicated by intracranial and popliteal aneurysms and hepatic and splenic infarcts in a patient with a bicuspid aortic valve. No predisposing factor other than poor dental condition was found. The patient fully recovered after antibiotic therapy, aortic and mitral valve replacement, endovascular occlusion of the middle-cerebral artery aneurysm, and surgical treatment of the popliteal artery aneurysm.

Dental conditions in inpatients with schizophrenia: A large-scale multi-site survey

BackgroundClinical relevance of dental caries is often underestimated in patients with schizophrenia. The objective of this study was to examine dental caries and to identify clinical and demographic variables associated with poor dental condition in patients with schizophrenia.MethodsInpatients with schizophrenia received a visual oral examination of their dental caries, using the decayed-missing-filled teeth (DMFT) index. This study was conducted in multiple sites in Japan, between October and December, 2010. A univariate general linear model was used to examine the effects of the following variables on the DMFT score: age, sex, smoking status, daily intake of sweets, dry mouth, frequency of daily tooth brushing, tremor, the Clinical Global Impression-Schizophrenia Overall severity score, and the Cumulative Illness Rating Scale for Geriatrics score.Results523 patients were included in this study (mean ± SD age = 55.6 ± 13.4 years; 297 men). A univariate general linear model showed significant effects of age group, smoking, frequency of daily tooth brushing, and tremor (all p’s < 0.001) on the DMFT score (Corrected Model: F(23, 483) = 3.55, p < 0.001, R2 = 0.42) . In other words, older age, smoking, tremor burden, and less frequent tooth brushing were associated with a greater DMFT score.ConclusionsGiven that poor dental condition has been related with an increased risk of physical co-morbidities, physicians should be aware of patients’ dental status, especially for aged smoking patients with schizophrenia. Furthermore, for schizophrenia patients who do not regularly brush their teeth or who exhibit tremor, it may be advisable for caregivers to encourage and help them to perform tooth brushing more frequently.

Dental status of school children with physical development disorders who live in rural areas

Aim. To determine the dental status of students with physical development disorders in rural schools. Methods. Examined were 360 school students of the Alkeyevsky region of the Republic of Tatarstan aged from 7 to 12 years. The comprehensive assessment of physical development included determination of the biological age, constitutional body type, height and weight. The evaluation was conducted on a scale of regression. Occlusion was assessed according to the classification of L.S. Persin (1989). Determined was the extent of dental caries, the depth of the vestibule of the oral cavity, examined was the condition of the frenulums of the lips and tongue, the shape of the head, the respiratory and swallowing functions. Results. Disorders of physical development were detected in 32.2% of children, with prevalence of excessive weight gain in 58.6% of cases. Pathological bite was found in 296 (82.2%) of the school students: deep premaxillary occlusion - 22.6%, close positioning of the teeth - 52.7%. The index of the extensiveness of caries was 5.6±2.4 in the group of children with excess body weight and 4.8±2.9 in underweight children. Revealed were anomalies in the attachment of soft tissues of the oral cavity: a shallow vestibule - 63.4%, impaired attachment of the frenulums of lips and tongue - 47.3%. Mouth breathing was detected in 26.3% of children with impaired physical development, which in children with excess weight gain was found in 7.1% of students, and in the group of underweight children was noted in 37.5% of students. Infantile type of swallowing was found in 26.3% of examined students. Conclusion. School students who live in rural areas often have physical development disorders and a poor dental status: high frequency of malocclusion, dental caries, disorders of the breathing, chewing and swallowing, as well as anomalies in the attachment of soft tissues and a small vestibule of the oral cavity.

Dental care before lung transplantation: are we being too rigorous?

Poor dental status is known to cause infections in severely sick and in elderly patients. In patients awaiting lung transplantation, rigorous dental treatment is a common prerequisite, although evidence-based data are lacking with regard to extent, necessity and effect on post-transplantation infectious status. In the present retrospective study, dental status [dental history (missing teeth, caries, tooth restorations and extractions, prevalence of periodontitis) and dental treatment prior transplantation] was assessed in 85 lung transplant candidates at the University Hospital of Freiburg, Germany and evaluated for infectious foci in the first 3 years following transplantation. Forty-nine patients got transplanted in the observed timespan. Total tooth count differed significantly between chronic obstructive pulmonary disease (16 ± 9), pulmonary fibrosis (22 ± 7) or cystic fibrosis (30 ± 3) patients prior transplantation (P > 0.001). Periodontitis prevalence yielded no difference and was mainly not treated prior transplantation. No dental-related infectious focus could be diagnosed post-transplantation. However, 15% of post-transplantation infections were of unknown focus, and infection rate was increased in year 2 post-transplantation in patients without periodontitis. No clearly defined dental foci were registered following transplantation. This raises the question of whether current dental treatment in these highly compromised patients is too rigorous with regard to tooth extractions. However, no focus could be detected in 15% of the registered infections. Therefore, controversially, post-transplantation dental care could also be insufficient with regard to undertreated periodontitis.

치과치료 공포감 관련요인분석

Objectives : The purpose of this study is to seek analysis of related factors for dental fear and to know the fear component affecting the treatment of the dental treatment. Methods : Total of 320 females and males aging from 10 to 40 years old with dental treatments done from May to July 2010 have participated with self-entry survey method utilizing the Dental Fear Survey questionnaire. The data received was analyzed using the descriptive statistic, t-test, ANOVA and multiple correlation analysis with level of significance as p<0.05. Results : The dental fear factor were significantly high in woman by <TEX>$2.79{\pm}0.92$</TEX> and in 40's age group by <TEX>$2.82{\pm}0.84$</TEX> (p<0.05). Participants with frequent tooth ache, experiencing pain while treating the tooth ache and breaking the dental treatment appointment showed higher fear factor. Thoughts of having poor dental health condition caused bad influence on fear factor. Overall, the factors affecting the fear of the dental treatments were gender, an ache while treating, number of missed appointment, and distrust of the dentist, stimulation factor were the factors affecting the treatment. Conclusions : The fear factors in the dental treatment were higher with gender, related characteristics of the oral health and distrust of the dentist. Therefore accurately recognizing the sensitive patient with dental treatment, proper management of the toothache, effort to increase the creditability of the doctors and separately treating patient customized for each individual patient will reduce the fear of the dental treatment.

Caries Status of Children and Oral Health Behavior, Knowledge and Attitude of Their Mothers and Schoolteachers in Mathura City

ABSTRACTAimThe study was undertaken to assess the caries status in children of 1st (6 years) and 6th grade (12 years) and knowledge, attitude and practice (KAP) of mothers and schoolteachers in Mathura city.Materials and MethodsA total of 872 mothers, 140 schoolteachers, 500 children of grade I and 500 children of grade VI participated in the study. Clinical examinations of grades I and grade VI children were performed. Data on mothers and teachers were collected through personal interviews and selfadministered questionnaires respectively. Statistical significance was set at p ≤ 0.05.ResultsAt the age of 6 and 12, the mean decayed, missing and filled teeth (DMFT) index was 2.4 and 1.3 respectively. Mothers showed a fair level of knowledge (74.9%) and favorable attitude (70.6%), while maximum schoolteachers showed a good level of knowledge (67.9%) and favorable attitude (57.1%) toward oral health. Schoolteachers, dentists and television were found to be the most important source of dental health information among the schoolteachers and mothers.ConclusionIt is concluded from the study that oral health knowledge of mothers and teachers were found to be fair and good respectively. The schoolteachers knew about the poor dental conditions in children and wanted to become involved in oral health education. Training of the teachers should aim at improving their level of knowledge on oral health.How to cite this articleHaloi R, Ingle NA, Kaur N. Caries Status of Children and Oral Health Behavior, Knowledge and Attitude of Their Mothers and Schoolteachers in Mathura City. J Contemp Dent 2012;2(3):78-83.

Association Between Dental Status and Incident Disability in an Older Japanese Population

To determine the association between dental health status and onset of functional disability in older Japanese people. Prospective cohort study. Six Japanese municipalities. Four thousand four hundred twenty-five community-dwelling individuals aged 65 and over. The outcome measure was the onset of functional disability based on public records of people receiving long-term care insurance benefits, determined through a standardized multistep assessment of functional and cognitive impairment including a personal interview and an examination by a physician. Disability data were analyzed for 4,425 respondents during 2003 to 2007. Self-reported number of remaining teeth and eating ability were used as measures of dental health status. Age, sex, body mass index, self-rated health, present illness, smoking, alcohol, exercise, and equivalent income were used as covariates. In the age- and sex-adjusted Cox proportional hazard models, there were significant associations between number of remaining teeth, eating ability, and onset of disability. After adjusting for sociodemographic, behavioral, and health status variables, respondents with 19 or fewer teeth had a significant 1.21 (95% confidence interval=1.06-1.40) times higher hazard ratio for the onset of functional disability. In contrast, eating ability was not significantly associated with the onset of disability. Poor dental status was associated with a higher risk of onset of functional disability in older Japanese people. Sociodemographic, behavioral, and health status covariates explained the association between eating ability and onset of disability.

Une ou des dysphagies lors d’un traitement par neuroleptiques ?

Resume La dysphagie est un symptome frequent dans la population generale, et encore plus chez le patient psychiatrique, mais rarement considere comme un signe de gravite. Elle est a l’origine de deces par suffocation, et de complications plus ou moins graves, et doit faire l’objet d’une demarche diagnostique complete et d’une prise en charge adaptee a l’etiologie. Chez le patient psychiatrique, on a identifie, des etiologies organique, iatrogene, et des facteurs de risque, qui associes, aggravent ce symptome. Les neuroleptiques agissent par plusieurs voies physiopathologiques sur les differentes composantes de la deglutition, qui peuvent etre identifiees par des epreuves dynamiques en endoscopie des voies aerodigestives superieures. Nous presentons ici le cas d’un patient traite pour la premiere fois par un neuroleptique pour une schizophrenie paranoide. La dysphagie a provoque des fausses routes, des regurgitations, et une perte de poids. Le symptome a disparu a l’arret de la molecule remplacee par une autre, mais le mecanisme n’a pu etre identifie suite a une coordination defaillante avec le medecin gastro-enterologue.

Income inequality, social capital and self-rated health and dental status in older Japanese

The erosion of social capital in more unequal societies is one mechanism for the association between income inequality and health. However, there are relatively few multi-level studies on the relation between income inequality, social capital and health outcomes. Existing studies have not used different types of health outcomes, such as dental status, a life-course measure of dental disease reflecting physical function in older adults, and self-rated health, which reflects current health status. The objective of this study was to assess whether individual and community social capital attenuated the associations between income inequality and two disparate health outcomes, self-rated health and dental status in Japan. Self-administered questionnaires were mailed to subjects in an ongoing Japanese prospective cohort study, the Aichi Gerontological Evaluation Study Project in 2003. Responses in Aichi, Japan, obtained from 5715 subjects and 3451 were included in the final analysis. The Gini coefficient was used as a measure of income inequality. Trust and volunteering were used as cognitive and structural individual-level social capital measures. Rates of subjects reporting mistrust and non-volunteering in each local district were used as cognitive and structural community-level social capital variables respectively. The covariates were sex, age, marital status, education, individual- and community-level equivalent income and smoking status. Dichotomized responses of self-rated health and number of remaining teeth were used as outcomes in multi-level logistic regression models. Income inequality was significantly associated with poor dental status and marginally significantly associated with poor self-rated health. Community-level structural social capital attenuated the covariate-adjusted odds ratio of income inequality for self-rated health by 16% whereas the association between income inequality and dental status was not substantially changed by any social capital variables. Social capital partially accounted for the association between income inequality and self-rated health but did not affect the strong association of income inequality and dental status.

P1-418 Prevalence of dental pain and associated factors at 5 years old: findings from a Brazilian birth cohort

IntroductionDespite dental pain being an important public health issue, very few studies have investigated its occurrence in preschool children using a life course approach. The objective of this study was...

Efficient prosthodontic treatment in a young patient with long-standing bulimia nervosa: A clinical report

Time-saving, efficient dental treatment is essential for patients in poor dental condition. This clinical report describes a systematic technique for restoration of the visibly-destroyed dentition of a long-term bulimia nervosa patient, including occlusal vertical dimension increase, with composite resin core foundations and prosthetic rehabilitation with ceramic crowns, in only a few treatment sessions. The efficiency of this procedure is gained from composite resin core restorations that establish the new occlusal vertical dimension (OVD) and replace and form the foundation for the subsequent crown preparation.

Brain abscess associated with Aggregatibacter actinomycetemcomitans: case report and review of literature

Aggregatibacter actinomycetemcomitans is considered a major pathogen in localized and generalized aggressive periodontitis. A. actinomycetemcomitans has been found in various extra oral infections and most frequently in endocarditis. We report a patient with multiple brain abscesses due to infection with A. actinomycetemcomitans and review the English language literature related to this subject. A 42-year-old patient with no underlying medical conditions presented with multiple brain lesions initially thought to be metastatic lesions of a tumour of unknown origin. Findings during drainage and subsequent histopathological conclusions made infection more likely. Culture of drained material remained negative; however, 16S rDNA polymerase chain reaction and sequence analysis on direct material revealed A. actinomycetemcomitans as the causative agent of the infection. The most likely source of infection was the poor dentition of the patient. After repeated drainage of the lesions and antibiotic treatment the patient gradually improved, although cognitive impairment remained. Our report illustrates that a poor dental condition, notably destructive periodontal disease, can be a risk for life-threatening extra oral disease, and thus contributes to the total inflammatory burden of the body.

Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL)

Child oral health-related quality of life (COHRQoL) has been increasingly assessed; however, few studies appraised the influence of socioeconomic status on COHRQoL in developing countries. This study assessed the relationship of COHRQoL with socioeconomic backgrounds and clinical factors. This study followed a cross-sectional design, with a multistage random sample of 792 schoolchildren aged 12 years, representative of Santa Maria, a southern city in Brazil. Participants completed the Brazilian version of the Child Perceptions Questionnaire (CPQ(11-14)), their parents or guardians answered questions on socioeconomic status, and a dental examination provided information on the prevalence of caries, dental trauma and occlusion. The assessment of association used hierarchically adjusted Poisson regression models. Higher impacts on COHRQoL were observed for children presenting with untreated dental caries (RR 1.20; 95% CI 1.07-1.35) and maxillary overjet (RR 1.19; 95% CI 1.02-1.40). Socioeconomic factors also associated with COHRQoL; poorer scores were reported by children whose mothers have not completed primary education (RR 1.30; 95% CI 1.17-1.44) and those with lower household income (RR 1.13; 95% CI 1.02-1.26). Poor socioeconomic standings and poor dental status have a negative impact on COHRQoL; reducing health inequalities may demand dental programmes and policies targeting deprived population.

An epidemiological investigation in relative importance of factors associated with dental caries

Aim: To identify key discriminating factors associated with dental caries status by linear discriminant function analysis. A cross sectional study design was employed using clinical examination and questionnaire method. Dental caries examinations based on WHQ criteria and questionnaire method was performed on 500 subjects aged 14-40 years were selected randomly. These were separately classificd according to increasing individual DMFT scores and combined into positively and negatively health oriented group. A stepwise discriminant function analysis was used to identify the important discriminant factors associated with dental caries and also to segregate the subjects as those who were poor and good dental caries status. The subjects with low DMFT index scores reported that they brushed their teeth most frequently, they change their toothbrush within three months period, users of vertical & circular method of brushing and they rinse the mouth with water frequently. The subjects with high DMFT index scores reported who have frequent sweet consumption for longer duration, living in a larger family with higher income. The discriminant function analysis showed that 98.14% of subjects were found to be positively health oriented and corresponding percentage for the negatively health oriented towards dental caries (DMFT) was 93.47%. Frequent tooth brushing, vertical & circular methods of brushing and mouth ringing habit with water are important discriminant fuctory associated with lower dental caries. Duration of sweet consumption and frequency of sweet consumption are important discriminant factors associated with higher dental caries.

Incidence and Predisposing Factors of Common Upper Respiratory Tract Infections in Vocal Students During Their Professional Training

Upper respiratory tract infections (URTI) are among the major causes of dysphonia. There are only scarce data available on the incidence and predisposing factors of URTI in young singers, in particular, during a period of intense voice training. The data were obtained from medical records and a 43-item questionnaire distributed among 94 students of the vocal faculty (66 females and 28 males-age: 23.5±3.7 years) at all levels of their studies. The questions were divided into several categories, that is, personal, anthropometric, demographic, history of vocal education, and both general and singer-specific health risk factors. The rate of URTI showed a steady decrease during vocal studies. The strongest factor predisposing to infections in the multivariate regression model was nonadherence to vocal hygiene. There was also a weak protective effect of a regular holiday rest and negative effect of allergy. The prevalence of several recognized risk factors of URTI was exceptionally high in the group of vocal students, for example, passive smoking (42.5%), poor dental status (39.4%), frequent gastric complaints (44.7%), and allergy (50%). Despite the persistence of many risk factors throughout the vocal studies, the frequency of URTI significantly decreases most likely because of vocal hygiene education and growing professional experience.

Factors that effect dental caries status of medical students in Udaipur city, India

To evaluate the effect of oral hygiene behaviour, dental anxiety, self assessed dental status and treatment necessity on dental caries status of medical students. The study was conducted among 345 medical students of Udaipur city, India who had provision for free dental services and the study was based on a questionnaire which consisted of two parts, first part containing questions regarding self assessment of dental status and treatment necessity along with oral hygiene behaviour and the later part comprised of Corah Dental Anxiety scale (DAS). Clinical examination was based on the WHO caries diagnostic criteria. Females perceived greater dental anxiety than males. Individuals claiming poor dental status had higher mean decayed, missing and filled teeth (DMFT) score (6.67) than good (2.89) and fair (4.44). The mean decayed component among the anxious students (5.4) was almost twice that of less anxious (2.77) student population. DAS constituted the first major contributor for missing component followed by smoking status which alone explained a variance of 7.1%. The cumulative variance explained by all the independent variables on the DMFT status accounted to 56.4% with self assessed dental status alone contributing a variance of 44.9%. The most significant (P < 0.001) contributor for filled component was self assessed dental status (14.5%). Oral hygiene behaviour, dental anxiety, self assessed dental status and treatment necessity significantly affected the dental caries status of medical students.

Edentulism and Fruit and Vegetable Intake in Low-income Adults

Poor dental status negatively relates to dietary intakes. However, this issue has not been researched among the most vulnerable groups in society. We aimed to investigate, in a national low-income sample, the association between dental status and fruit and vegetable consumption. We analyzed data on adults aged 50 years and older from the Low Income Diet and Nutrition Survey, a representative sample of deprived UK households. Considerable numbers reported difficulty eating specific foods, with significantly worse experience among edentate than dentate people. The mean daily fruits and vegetables consumption was low (256.5 g for dentate, 207.1 g for edentate). After adjustment for socio-demographic and behavioral variables, edentate individuals consumed 50.7 g (27.0, 74.3) fewer fruits/vegetables per day than the dentate. Over and above the effects of material deprivation on nutrient intake, edentulism negatively relates to eating fruits and vegetables and achieving a healthy diet in materially deprived older adults.

Adult Orthodontics Versus Adolescent Orthodontics: An Overview

ABSTRACTThe scope of orthodontics has widened to include not only children and adolescents but also adults, thereby abolishing the upper age limit. With growing esthetic conscience among the society, a great number of young adults are seeking orthodontic treatment primarily for esthetic reasons. They undergo comprehensive orthodontic treatment involving major occlusal changes to get the utmost esthetically pleasing face. The older adults with poor dental conditions requiring perio-restorative treatment undergo adjunctive orthodontic treatment to attain a long-term prognosis. The orthodontist faces challenges to practice adult orthodontics due to various issues being under considerations, which are quite different than routine orthodontic treatment oriented to children and adolescents. This article highlights the difficulties and limitations faced by the orthodontist while practicing adult orthodontics with remedies to overcome them.

Increased salivary acetaldehyde levels in poor dental health status: a possible link to increased oral cancer risk

Increased salivary acetaldehyde levels in poor dental health status: a possible link to increased oral cancer risk

Do childhood and adult socioeconomic circumstances influence health and physical function in middle-age?

This study examines the joint and separate contribution of social class in early and adult life to differences in health and physical function in middle-aged men. We use data from the Metropolit project which includes men born in 1953 in Copenhagen and a study of middle-aged Danish twins (MADT). In total 6292 Metropolit participants in a follow-up survey on health in 2004 were included in the study together with 2198 male twins of which 1294 were part of a male twin pair ( N = 647 pairs). Logistic regression was used to investigate the association between social class in early and adult life, respectively and health in midlife, measured as limitations in running 100 m, poor dental status, poor self-rated health, and fatigue. In both datasets, men with low childhood or adult social class had a higher risk of being unable to run 100 m, having poor dental status, having poor self-rated health and fatigue than men from the highest social classes. When childhood and adult social class were mutually adjusted, the estimates for both measures were attenuated. Adjustment for living without a partner, body mass index (BMI) and smoking in midlife, which were also related to the four outcomes, had marginal effects on the estimates for childhood social class, but attenuated the effect of adult social class somewhat. Among male twin pairs discordant on adult social class, the twin in the lowest class seemed to be unable to run 100 m, rate own health poorer and being fatigued more often than the high class co-twin, while there seemed to be no twin pair difference in dental status. This suggests that the associations of adult social class with functional limitations, poor self-rated health and fatigue may partly be due to causal effects related to adult social class exposures, while social class differences in dental status might be consistent with an effect of factors mainly operating early in life.