scholarly journals Impact of Oral Health Educational Interventions on Oral Hygiene Status of Children with Hearing Loss: A Randomized Controlled Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Maria Moin ◽  
Sohail Saadat ◽  
Sara Rafique ◽  
Afsheen Maqsood ◽  
Abhishek Lal ◽  
...  

Introduction. Oral health is considered as one of the essential components of the overall health of every individual. Maintaining oral health is a gradual process that requires commitment. Children who require special care such as hearing impairment experience difficulty in maintaining oral health primarily due to communication difficulties. This study is aimed at using different interventions to evaluate the improvement of oral hygiene in hearing impaired children. Materials and Methods. Fifty-nine children were recruited in this study that were allocated randomly into each group with twenty children as follows: group 1: pictorial, group 2: video, and group 3: control. Mean plaque and gingival scores were noted before and after the use of different interventions. Oral hygiene was categorized as “excellent,” “good,” and “fair.” Gingival health was categorized as “healthy,” “mild gingivitis,” and “moderate gingivitis.” Results. Thirty-four children (57.6%) were from 12-13 years of age bracket, and 25 (42.4%) belonged to 14-16 years of age. Regarding gender, there were 37 (62.7%) males and 22 (37.3%) females. About comparison of mean gingival and plaque scores before and after interventions in each group, a significant difference was found in group 1 ( p < 0.001 ) and group 2 ( p < 0.001 ), as compared to group 3 where the difference in scores was not significant ( p > 0.05 ). Conclusion. Maintaining oral health requires the compliance of individuals to perform different methods of preventive dentistry, such as tooth brushing and use of dental floss. The use of different oral hygiene educational interventions such as pictorial and video methods have been proven and useful for hearing impaired children in improving oral health.

2021 ◽  
Vol 13 (4) ◽  
pp. 263-268
Author(s):  
Fathimath Nihala K ◽  
Priya Nagar ◽  
Nameeda K S ◽  
Anagha Saseendran ◽  
Fathimath Nishana K

Introduction: Maintaining oral hygiene remains a priority in differently abled children. In recent times, probiotics usage has shown reduced disease causing oral microflora and promoting good oral hygiene. Aim: To assess the effect of visual pedagogy and probiotic mouth rinse on oral health of hearing impaired children. Methods: A prospective interventional study was done on hearing impaired children. The children were divided into three groups. Oral hygiene instructions were given using visual pedagogy, probiotic rinse and combination of both respectively. OHI and pH scores at each clinical visit (pre and post) were recorded. Statistical analysis of the observed data was done. Results: The difference in OHI and pH scores was statistically significant. Conclusion: Combination of both oral hygiene instructions using visual pedagogy and mouth rinse containing probiotics was found to produce desirable effects on oral health of hearing impaired children.


2018 ◽  
Vol 9 ◽  
pp. 128
Author(s):  
Eka S Shofiyah ◽  
Margaretha Sovaria ◽  
Mochamad F Rizal ◽  
Sarworini B Budiardjo

Objective: Visual and hearing impairments are known to profoundly affect children’s psychological development, including their anxiety. However, strong emotional relationship with their mother found in these children may help them cope. Measuring salivary alpha-amylase (sAA) in saliva samples is widely used in clinical settings as a reliable, non-invasive biomarker of anxiety level.Methods: Our objective was to evaluate sAA levels in visually and hearing-impaired children and their mothers before and after dental treatment. This study included 60 children with visual and hearing impairments and their mothers. sAA level of both children and mothers was sampled while they were together in the waiting room before treatment. The children then underwent dental prophylaxis in a separate room, and their post-treatment sAA was measured immediately afterward. At that time, their mother’s post-treatment sAA was sampled in the waiting room. Data were analyzed using a Wilcoxon test.Results: sAA levels were found to differ significantly between pre- and post-dental treatment (p<0.05).Conclusion: This difference indicates that reducing maternal anxiety would be of great benefit in reducing anxiety in visually and hearing-impaired children. Practical implications: Appropriately managing anxiety in this group of children can be of great benefit to dentists in daily practice, helping them provide the care that these children need.


Author(s):  
S. B. Ulitovskiy ◽  
O. V. Kalinina ◽  
A. V. Shevcov ◽  
E. S. Soloveva ◽  
N. K. Fok

Relevance. Odontogenic infection is one of the most important problems of dental science. The variety of anti-inflammatory oral hygiene products determines the need for targeted selection of preventive toothpastes and rinses, balms, foams, elixirs, as well as monitoring and training the algorithm of hygienic measures for a patient with an odontogenic infection. The aim of the study was to study the hygienic status of the adult population for the selection of individual oral hygiene products for odontogenic infection, taking into account social and hygienic factors.Materials and methods. The study examined the prevalence of odontogenic infection in the adult population to determine the need for professional care and dental education. The study involved 198 people without somatic pathology, who were allocated into four groups according to the performed oral care and taking into account the dental status and the intensity of oral microbiota formation in the adult population. The patients were followed-up every week for one month. The study examined the simplified oral hygiene index by GreenVermillion (OHI-S), PMA index and Mühlemann and Son sulcus bleeding index, which allowed calculating the effectiveness of oral care products.Results. The preventive care effectiveness evaluation showed an increase in the cleansing effect in the adult population over the entire study period. The anti-inflammatory effectiveness analysis demonstrated positive changes: by the end of the study, the PMA index was 51.52 ± 3.40% in group 1; it increased by a factor of 3 and amounted to 44.17 ± 2.77% in group 2; 56.51 ± 4.61% – in group 3, 48.95 ± 3.60% – in group 4. The Mühlemann and Son sulcus bleeding index demonstrated the changes in the periodontal tissue condition and amounted to 52.78 ± 3.62% in group 1, 44.11 ± 3.54% in group 2, 54.97 ± 3.98% in group 3, 47.78 ± 2.73% in group 4.Conclusions. The development of oral health promotion measures determines the significance of oral care products for the prevention of odontogenic infection in the adult population, which plays a crucial role in the individual program planning for the main dental disease prevention.


1996 ◽  
Vol 33 (3) ◽  
pp. 193-206 ◽  
Author(s):  
P. Crepet ◽  
S. Caracciolo ◽  
D. Fabbri ◽  
A. Tomelli ◽  
S. Tugnoli ◽  
...  

Parasuicide and aftercare treatment in a Community Mental Health Service (CMHS) were studied both retrospectively and prospectively. Data were extracted from CMHS Epidemiological Register. Six hundred and fifty persons were recruited (450 F, 200 M), referring to 779 parasuicide episodes. Higher rates (102/100,000) were observed in females in the age class fifteen to twenty-four, while the general rate was 52.79. Psychiatric care was studied for 311 suicide attempters, subsequently divided in three Groups. Thirty-nine subjects (12.5%) previously unknown at CMHS resulted to receive psychiatric treatment after follow up (GROUP 1), while seventy-two attempters (23.15%) with previous contact (GROUP 2) remained mostly (16.4%) in contact; two-hundred subjects (64.3%) without previous contact were still unknown after parasuicide (GROUP 3). Parasuicide repetition was higher for Group 2, while suicide incidence was higher for Group 1. Results suggest that most peclple skip psychiatric care before and after parasuicide.


Author(s):  
Larisa Brokāne ◽  
Inamora Zaiceva

The article deals with the approach of psychosocial educational problems for hearing impaired children. These problems based on skill teaching and social interaction for hearing impaired children in Latvia. This review investigates the theories behind psychosocial educational and to be mostly based on psychoeducation theory. The findings of this review provide support for the use and further expansion of psychosocial educational interventions for hearing impaired children.


1981 ◽  
Vol 241 (4) ◽  
pp. H564-H570 ◽  
Author(s):  
F. R. Badke ◽  
F. C. White ◽  
M. Le Winter ◽  
J. Covell ◽  
J. Andres ◽  
...  

To examine the effects of volume-overload hypertrophy on regional myocardial perfusion, we determined myocardial blood flows with microspheres at rest, during exercise, and during exercise with adenosine infusion in dogs with aortocaval fistulas for 12 wk (group 2) and sham-operated controls (group 1). A subgroup of six animals (group 3) was studied both before and after shunt closure in order to separate the influences of hypertrophy from the hemodynamic effects of the fistula. Epicardial blood flows in animals with patent fistulas were significantly greater than in controls under all conditions (P less than 0.05). However, endocardial blood flows were lower at maximal exercise and with adenosine, so that the endocardial-to-epicardial blood flow ratios were reduced 36 and 28%, respectively(P less than 0.05). These flow abnormalities were reversed by closing the fistula prior to regression of hypertrophy. Moreover, coronary resistance per unit of myocardium was not different for the three groups. These results suggest that the blood-flow abnormalities seen in the exercising dog with an aortocaval fistula are secondary to hemodynamic considerations and not to hypertrophy itself. Low aortic diastolic pressures and high myocardial oxygen demands during exercise may combine to produce subendocardial hypoperfusion in this model.


2019 ◽  
Vol 13 (03) ◽  
pp. 437-443
Author(s):  
Fatemah A. Ahmad ◽  
Mazen K. Alotaibi ◽  
Mohammad Abdul Baseer ◽  
Sanaa M. Shafshak

Abstract Objectives The primary aim of the current study is to relate oral health knowledge, attitude, and oral hygiene practice with the periodontal condition of both undergraduate and postgraduate dental students. Materials and Methods Data were collected through a combination of self-reported questionnaire and clinical examination. The estimated sample size was 246. Probing depths and clinical attachment loss were measured in interproximal sites, whereas the gingival index was calculated based on Ramfjord teeth. The Centers for Disease Control and the American Academy of Periodontology classification was used for periodontal diagnosis. The subjects were divided into three groups. Group 1 was composed of undergraduate, preclinical dental students, group 2 consisted of undergraduate clinical-year dental students, whereas group 3 included postgraduate residents. Results A total of 296 dental students participated in this study. Significant differences were found among the groups in their oral health knowledge, attitude, and practice scores. Gingival disease was detected among most of the participants (99.2–100%) with significant differences between different educational levels (group 1 = 1.13, group 2 = 1.16, group 3 = 0.96, p-value = 0.001). Sixty percent of dental students were diagnosed with periodontal disease regardless of its severity. A positive correlation was established between oral health knowledge and attitude and oral hygiene practice. In addition, gingival inflammation severity and the severity of periodontal disease showed a positive correlation. Conclusions This study highlighted the need to improve the oral health knowledge, attitude, and practice of dental students. Gingival and periodontal inflammation was highly prevalent among participants.


2016 ◽  
Vol 86 (3) ◽  
pp. 437-447 ◽  
Author(s):  
Irma Dumbryte ◽  
Tomas Jonavicius ◽  
Laura Linkeviciene ◽  
Tomas Linkevicius ◽  
Vytaute Peciuliene ◽  
...  

ABSTRACT Objective:  To find a correlation between the severity of enamel microcracks (EMCs) and their increase during debonding and residual adhesive removal (RAR). Materials and Methods:  Following their examination with scanning electron microscopy (SEM), 90 extracted human premolars were divided into three groups of 30: group 1, teeth having pronounced EMCs (visible with the naked eye under normal room illumination); group 2, teeth showing weak EMCs (not apparent under normal room illumination but visible by SEM); and group 3, a control group. EMCs have been classified into weak and pronounced, based on their visibility. Metal brackets (MB) and ceramic brackets (CB), 15 of each type, were bonded to all the teeth from groups 1 and 2. Debonding was performed with pliers, followed by RAR. The location, length, and width of the longest EMCs were measured using SEM before and after debonding. Results:  The mean overall width (Woverall) was higher for pronounced EMCs before and after debonding CB (P &lt; .05), and after the removal of MB. Pronounced EMCs showed greater length values using both types of brackets. After debonding, the increase in Woverall of pronounced EMCs was 0.57 µm with MB (P &lt; .05) and 0.30 µm with CB; for weak EMCs, − 0.32 µm with MB and 0.30 µm with CB. Conclusions:  Although the teeth having pronounced EMCs showed higher width and length values, this did not predispose to greater EMCs increase after debonding MB and CB followed by RAR.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Stangvaltaite-Mouhat ◽  
Alina Puriene ◽  
Indre Stankeviciene ◽  
Jolanta Aleksejuniene

Abstract Background Dental caries is the most prevalent non-communicable health condition globally. The surface-based susceptibility hierarchy indicates that surfaces in the same group have similar susceptibility to caries, where the most susceptible group consists of occlusal surfaces of first molars and buccal surfaces of lower first molars, and the least susceptible surfaces are smooth and proximal surfaces of first premolars, canines and incisors. Therefore, fluoride in the drinking water could impact one group more than the other group. The present study examined the association between fluoride levels in the drinking water and dental caries experience in adults in the context of varying tooth surface susceptibility. Methods Data from the cross-sectional National Lithuanian Oral Health Survey conducted in 2017–2019 included a stratified random sample of 1398 35–74-year-olds (52% response rate). Dental caries experience in dentine was measured at a surface level. The surfaces were grouped according to their caries susceptibility (group 1 being the most and group 4 the least susceptible), and dental caries experience was calculated separately for each susceptibility group, creating four outcomes. Information about explanatory variable, fluoride levels in the drinking water, was provided by the water suppliers. The questionnaire inquired about potential determinants: sociodemographic characteristics and oral health-related behaviors. Chi-square, Mann–Whitney U and Kruskal Wallis tests were used for descriptive statistics, and linear regression analyses to examine the association between fluoride levels and four outcomes. Results The proportions of median decayed, missing, filled surfaces decreased following the surface-based susceptibility hierarchy (group 1–33%, group 2–28%, group 3–24%, group 4–15%). When adjusted for potential determinants, higher-level fluoride (≥ 0.7 ppm vs < 0.7 ppm) in the drinking water associated with lower dental caries experience in all surface-based susceptibility hierarchy groups; Group 1: β = − 0.23 (95 %CI − 0.44; − 0.001), Group 2: β = − 0.44 (95 %CI − 0.82; − 0.07), Group 3: β = − 1.14 (95 %CI − 1.88; − 0.41) and Group 4: β = − 6.28 (95 %CI − 9.29; − 3.30). Conclusions The higher-level fluoride in the drinking water associated with lower dental caries experience in adults and this was observed in all surface-based susceptibility groups. However, there is a need to validate the surface-based susceptibility hierarchy in longitudinal adult studies.


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