Presence Of Dental Prostheses Research Articles

Особливості превенції ускладнень при застосуванні мостоподібних зубних протезів

Topicality. Dental morbidity continues to remain at a high level, the complication of which is partial loss of teeth. Orthopedic patient treatment after the manufacture of fixed dentures requires a special approach, since each orthopedic construction has certain retention elements for food residues and, thus, contributes to the violation of the hygienic condition of the oral cavity, the active formation of a biofilm with the phenomenon of «Quorum Sensing». One of the methods of optimizing the condition of the oral cavity and the periodontal tissues of supporting teeth is the use of photodynamic therapy. At the same time, the issue of using photodynamic therapy in the presence of dental prostheses in the oral cavity remains insufficiently studied, which determines the relevance of our research. The purpose of the study is to increase the effectiveness of orthopedic replacement of tooth row defects and prolong the period of use of fixed dental prostheses by using supportive photodynamic periodontal therapy of abutment teeth. Materials and methods. The research was conducted at the Department of Dentistry of the Institute of Postgraduate Education of the O.O. Bogomolets National Medical University, the Department of Dentistry of the National University of Health Protection of Ukraine named after P. L. Shupyk, and «Academic Dentistry» LLC, Kyiv. We observed 58 people of three age groups: 30–44 years, 45–59 years, and 60 years and older, including 22 men and 36 women with included dental defects, who were made bridge-shaped prostheses. The control group (III group) included 22 people of the same age groups with intact dentitions and physiological forms of bite, who had intact dentitions without clinically diagnosed periodontal tissue diseases and teeth affected by the carious process. 25 people (group I) underwent prosthetics after traditional therapeutic training and professional oral hygiene prior to prosthetics, and, according to clinical indications, periodontal treatment. 22 persons of the II group, were additionally prescribed photodynamic therapy of the periodontal tissues of the abutment teeth, which was applied before applying and during the period of use of orthopedic construction. For photodynamic therapy, the «Lika-Therapeut-M» dental system was used, which includes a laser with a wavelength of 660 nm and a toluidine blue preparation. To ensure the therapeutic photobiological effect directly in the periodontal tissues, before starting the photodynamic therapy procedure, professional oral hygiene was performed. The results. Prosthetics of a group of patients with the appointment of sessions of photodynamic therapy, which is applied before applying and during the period of use of orthopedic constructions in comparison with the results of prosthetics without any supporting periodontological therapy of supporting teeth, indicate an improvement in the hygienic state of the oral cavity, a reduction in inflammatory-dystrophic changes in the periodontal tissues supporting teeth during the period of use of orthopedic constructions, which allows to avoid recession of the gingival edge of teeth covered with artificial crowns and, accordingly, prolong the period of use of fixed orthopedic constructions. Conclusions. The use of fixed dentures due to the retentive properties of the intermediate part of the bridge-like dentures contributes to the deterioration of oral cavity hygiene and, accordingly, biofilm with the phenomenon of "Quorum Sensing", which requires the use of professional oral hygiene and effective oral hygiene lessons. In case of using artificial crowns, inflammatory and destructive changes in the marginal edge of the gums occur, for the prevention of which it is advisable to use photodynamic maintenance therapy of the periodontium of supporting teeth. The appointment of sessions of photodynamic maintenance therapy, which is used before applying and during the period of use of orthopedic constructions, contributes to the improvement of the hygienic condition of the oral cavity, the reduction of inflammatory and dystrophic changes in the periodontal tissues of supporting teeth during the period of use of orthopedic constructions, which allows to avoid recession of the gingival margin of teeth covered with artificial crowns and , respectively, to prolong the period of use of fixed orthopedic constructions. Keywords: bridge fixed dentures, prevention of complications, photodynamic therapy, periodontal tissues.

Link between perceived oral and general health status among Yemeni adult dental patients

BackgroundSelf-perceived health is an essential measure of health status and even a paramount predictor of mortality. So long as it is said that oral health (OH) and general health (GH) are mirrors to each other. This study sought to determine how Yemeni adults rate their OH and GH, whether such a self-rating influenced by some potential risk factors, and whether both ratings (OH and GH) are correlated.MethodsA sample of 587 Yemeni dental patients aged 20 years and over were consecutively recruited. A structured interview form was used covering the following variables: age, gender, marital status, educational level, presence of dental prosthesis (DP), smoking and Qat chewing habits as independent variables, along with questions on “perceived oral health (POH)” and “perceived general health (PGH)” as dependent variables. The bivariate and multiple ordinal regression analyses were applied at P-value < 0.05.ResultsMost of participants were women (73.6%), and married (71.4%), and more than half of them were young adults (58.2%), with high educational levels (53.3%), and not having DP. Only 310 participants responded to the questions on smoking and Qat chewing habits. Of these, 88.5% were non-smokers and 62.1% were Qat non-chewers. Up to 50% of the participants reported their POH as poor or fair, while lower proportions of participants (17%) reported their PGH as such. Younger age (compared to elders), high education levels (compared to primary education) and being single (compared to married) significantly revealed better levels of POH, while high education levels and being females significantly revealed better levels of PGH. Smoking and Qat chewing habits were found to have no effect on the perception of POH or PGH. POH and PGH were found to be significantly correlated (r = 0.486; P < 0.001).ConclusionHigher levels of oral health problems can be anticipated among patients who perceive poor general health, and vice versa. The age, marital status and education were independent determinants of POH, while the gender and education were independent determinants of PGH.

Dental prostheses and tooth-related factors.

This narrative review summarizes the current evidence about the role that the fabrication and presence of dental prostheses and tooth-related factors have on the initiation and progression of gingivitis and periodontitis. Placement of restoration margins within the junctional epithelium and supracrestal connective tissue attachment can be associated with gingival inflammation and, potentially, recession. The presence of fixed prostheses finish lines within the gingival sulcus or the wearing of partial, removable dental prostheses does not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. However, hypersensitivity reactions to the prosthesis dental material can be present. Procedures adopted for the fabrication of dental restorations and fixed prostheses have the potential to cause traumatic loss of periodontal supporting tissues. Tooth anatomic factors, root abnormalities, and fractures can act as plaque-retentive factors and increase the likelihood of gingivitis and periodontitis. Tooth anatomic factors, such as root abnormalities and fractures, and tooth relationships in the dental arch and with the opposing dentition can enhance plaque retention. Restoration margins located within the gingival sulcus do not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. Tooth-supported and/or tooth-retained restorations and their design, fabrication, delivery, and materials have often been associated with plaque retention and loss of attachment. Hypersensitivity reactions can occur to dental materials. Restoration margins placed within the junctional epithelium and supracrestal connective tissue attachment can be associated with inflammation and, potentially, recession. However, the evidence in several of the reviewed areas, especially related to the biologic mechanisms by which these factors affect the periodontium, is not conclusive. This highlights the need for additional well-controlled animal studies to elucidate biologic mechanisms, as well as longitudinal prospective human trials. Adequate periodontal assessment and treatment, appropriate instructions, and motivation in self-performed plaque control and compliance to maintenance protocols appear to be the most important factors to limit or avoid potential negative effects on the periodontium caused by fixed and removable prostheses.

Dental prostheses and tooth-related factors.

This narrative review summarizes the current evidence about the role that the fabrication and presence of dental prostheses and tooth-related factors have on the initiation and progression of gingivitis and periodontitis. Placement of restoration margins within the junctional epithelium and supracrestal connective tissue attachment can be associated with gingival inflammation and, potentially, recession. The presence of fixed prostheses finish lines within the gingival sulcus or the wearing of partial, removable dental prostheses does not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. However, hypersensitivity reactions to the prosthesis dental material can be present. Procedures adopted for the fabrication of dental restorations and fixed prostheses have the potential to cause traumatic loss of periodontal supporting tissues. Tooth anatomic factors, root abnormalities, and fractures can act as plaque-retentive factors and increase the likelihood of gingivitis and periodontitis. Tooth anatomic factors, such as root abnormalities and fractures, and tooth relationships in the dental arch and with the opposing dentition can enhance plaque retention. Restoration margins located within the gingival sulcus do not cause gingivitis if patients are compliant with self-performed plaque control and periodic maintenance. Tooth-supported and/or tooth-retained restorations and their design, fabrication, delivery, and materials have often been associated with plaque retention and loss of attachment. Hypersensitivity reactions can occur to dental materials. Restoration margins placed within the junctional epithelium and supracrestal connective tissue attachment can be associated with inflammation and, potentially, recession. However, the evidence in several of the reviewed areas, especially related to the biologic mechanisms by which these factors affect the periodontium, is not conclusive. This highlights the need for additional well-controlled animal studies to elucidate biologic mechanisms, as well as longitudinal prospective human trials. Adequate periodontal assessment and treatment, appropriate instructions, and motivation in self-performed plaque control and compliance to maintenance protocols appear to be the most important factors to limit or avoid potential negative effects on the periodontium caused by fixed and removable prostheses.

Oral yeast colonization in peritoneal dialysis and hemodialysis patients and renal transplant recipients.

We aimed to investigate the frequency of oral yeast colonization (OYC) and the risk factors for patients who received continuous ambulatory peritoneal dialysis (CAPD) or hemodialysis (HD) or were renal transplant recipients (RTRs). The patients admitted to the Nephrology Clinic at Ataturk University Medical School from January through April 2013 were included in the study. A questionnaire about risk factors was filled out, and swab cultures were taken from the tongue surface of each participant. OYC was detected in 32.1% of the RTRs, 40% of the HD patients, 20.9% of the CAPD patients, and 18% of the healthy control (HC) group. Of the 42 yeast strains isolated from the renal replacement therapy groups, 26 strains (61.9%) were Candida albicans, nine (21.4%) were Candida glabrata, two (4.7%) were Candida krusei, two (4.7%) were Candida kefyr, one (2.38%) was Candida parapsilosis, and two (4.7%) were Geotrichum candidum. Risk factors for OYC in the RTRs group included antibiotic use and the presence of dental prostheses; however, in patients with chronic renal failure undergoing CAPD, only the presence of dental prostheses was found to be a statistically significant risk factor. Although OYC was mostly detected in patients with chronic kidney disease (undergoing HD, a variety of isolated yeast strains in the RTRs was noted. The rates of OYC and isolated Candida species in CAPD were similar to those of the HC group.

Oral lesions and colonization by yeasts in hemodialysis patients.

Patients with chronic kidney disease, stage 5, undergoing hemodialysis treatment are frequently colonized by yeasts, with high chance of developing fungal infections. The objective of this study was to assess the presence of yeasts in the oral cavity of these individuals, associating findings with the presence of oral lesions and the use of dental prostheses. Clinical examinations of the oral mucosa were performed in 52 patients, when the use of removable dental prostheses and the presence of oral lesions were observed and recorded. Saliva samples were collected to identify yeast specimens and colony-forming units. Colonization by yeasts was found in 42.31% of the patients, 100% of which belonging to the genus Candida, with the predominance of C. albicans (69.23%). Half of the patients (26) presented some type of oral lesion, the majority (63.33%) suggestive of candidiasis, which was confirmed in 57.89% of cases. The chance that these patients carried yeast colonies in the presence of dental prostheses and oral lesions was 6.33 and 2.62 times higher, respectively. Patients investigated in this study presented a high incidence of yeasts in the oral cavity, with those with oral lesions and dental prostheses being more likely to carry yeasts. When oral lesions are detected in patients undergoing hemodialysis treatment, particularly in those who are prosthesis users, early diagnosis and treatment of this type of lesion, in association with systemic investigations, should be performed to mitigate possible unfavorable prognoses.

Oral health status of a long‐term‐care, veteran population

The Department of Veterans Affairs (VA) operates the largest, integrated health care system in the United States of America. The projected need for long-term-care in the VA health care system parallels an expected increase in need for care in the United States, but precedes the need for care in the general population by 25-30 yr. The VA's Office of Dentistry, in an effort to estimate the resource requirements of this swelling group of veterans, initiated in 1986-7 an oral health survey of long-term care patients. The overall goals were to describe the oral health status of VA nursing home care units (NHCU) residents and to develop a methodology for estimating future dental health services utilization. This study describes the oral health status of the study population. Demographic and oral health data were collected for 650 long-term care residents of six VA NHCUs between October 1986 and July 1987. Data were collected on sociodemographic status, medical history, dental caries, periodontal diseases, oral soft tissue pathology, and the presence of dental prostheses. Caries and periodontal disease were evaluated using the United States National Institute of Dental Research Survey of Employed Adults and Seniors protocols. The oral health status of the population is described using DMF and ESI indices, the prevalence of oral lesions, levels of tooth loss, oral hygiene scores, and the status of existing dentures. Findings show moderate levels of untreated dental caries and periodontal disease and significant tooth loss which increased with age. A need for preventive therapy, restorative dentistry, conservative periodontal therapy, and prosthodontic care was evident.(ABSTRACT TRUNCATED AT 250 WORDS)