scholarly journals Oral health in children with asthma

2015 ◽  
Vol 143 (9-10) ◽  
pp. 539-544 ◽  
Author(s):  
Dejan Markovic ◽  
Tamara Peric ◽  
Aleksandar Sovtic ◽  
Predrag Minic ◽  
Vanja Petrovic

Introduction. It has been suggested that asthmatic patients may have a higher risk for oral diseases, both as a result of the medical condition and effects of medications. Objective. The aim of the study was to determine the oral health status of children with asthma and to evaluate the oral health parameters according to the medications and severity of the disease. Methods. The study group consisted of 158 children with asthma and 100 healthy control subjects aged 2-18 years. The diagnosis of dental caries was performed using the Decayed, Missing, and Filled Teeth (DMFT/dmft) criteria. The oral hygiene, periodontal status and gingival health were assessed with the Simplified Oral Hygiene Index (Greene-Vermillion), Community Periodontal Index of Treatment Needs and Gingival Index (L?e-Silness), respectively. Results. Thirty (19%) patients with asthma and 43 (43%) healthy children were caries-free (p<0.001). There were no significant differences between asthmatic and control children in caries experience (for children with asthma mean DMFT=2.1?1.8, mean dmft=4.2?3.3; for healthy children mean DMFT=2.5?0.9, mean dmft=5.2?1.3). Level of asthma control did not have influence on dental health, while dose of inhaled corticosteroid had impact on primary dentition. Periodontal status and gingival health did not differ between asthmatic and control children. However, children with asthma had poorer oral hygiene (p<0.001). Conclusion. Results of the study do not show a relationship between asthma and oral diseases. However, further improvement could be made in educating children and parents on the importance of good oral hygiene and prevention of oral diseases.

2021 ◽  
Vol 33 (1) ◽  
pp. 1
Author(s):  
Mutia Rizki Rahmayani ◽  
Anne Agustina Suwargiani ◽  
Netty Suryanti

Pendahuluan: Perempuan yang sedang hamil merupakan golongan yang rentan terhadap penyakit gigi dan mulut. Kesehatan gigi dan mulut yang tidak dijaga dengan baik dapat menjadi sumber terjadinya penyakit gigi dan mulut seperti infeksi gigi dan jaringan periodontal. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman karies, penyakit periodontal, dan tingkat risiko karies ibu hamil. Metode: Jenis penelitian ini bersifat deskriptif dengan teknik pengumpulan data melalui survei yang melibatkan 50 orang ibu hamil di Puskesmas Pagarsih. Pengumpulan data diperoleh melalui pemeriksaan indeks DMF-T, Community Periodontal Index of Treatment Needs (CPITN) dan Caries Risk Assessment Form ADA usia >6 tahun. Hasil: Nilai indeks DMF-T ibu hamil 7,84 termasuk kriteria rendah. Hasil CPITN yaitu periodontal sehat 0%; BOP 4%; kalkulus 64%; poket 4-5 mm 32%; poket 6 mm 0%. Sejumlah 4% ibu hamil membutuhkan perawatan periodontal instruksi oral hygiene, 96% lainnya membutuhkan perawatan instruksi oral hygiene, scaling dan menghilangkan faktor retentif plak. Persentase risiko karies ibu hamil dengan kategori sedang sebanyak 34% dan tinggi sebanyak 66%. Simpulan: Pengalaman karies ibu hamil termasuk ke dalam kriteria rendah, penyakit periodontal yang paling sering dijumpai adalah gingivitis, sedangkan tingkat risiko karies ibu hamil masuk ke dalam kategori tinggi.Kata kunci: Ibu hamil, indeks DMF-T, indeks CPITN, karies, tingkat risiko karies. ABSTRACTIntroduction: Pregnant women are the susceptible group to oral diseases. Negligence of oral health care can be a source of oral diseases such as dental and periodontal tissue infections. The purpose of this study was to determine the caries experience, periodontal disease, and caries risk level of pregnant women. Methods: This research was descriptive with data collection techniques through a survey involving 50 pregnant women at Pagarsih Community Health Centre (Puskesmas). Data collection was obtained by examining the DMF-T index, Community Periodontal Index of Treatment Needs (CPITN), and the ADA Caries Risk Assessment Form aged >6 years. Results: The DMF-T index value for pregnant women was 7.84, which included the low criteria. The result of the CPITN was 0% healthy periodontal; BOP 4%; 64% calculus; pocket 4-5 mm 32%; pocket 6 mm 0%. Some 4% of pregnant women need periodontal treatment with oral hygiene instructions; the other 96% need oral hygiene instructions, scaling and removing plaque retentive factors. The percentage of caries risk for pregnant women in the moderate category was 34%, and 66% were in the high category. Conclusion: The caries experience of pregnant women is included in the low criteria. The most common periodontal disease is gingivitis, while the caries risk level of pregnant women is in the high category.Keywords: Pregnant women, DMF-T index, CPITN index, caries, caries risk level.


2021 ◽  
pp. 74-76
Author(s):  
Anand M Hiremath ◽  
Vikneshan Vikneshan ◽  
Nivedita C B ◽  
H.G. Raju ◽  
Shruti S Vandakudri

Background:The assessment of oral health status of children in private school which followed dietary advice and the private school which did not follow dietary advice provide data on the oral health status of children from different socio-economic background. Aim:The aim of the following study is to assess and to compare the gingival status and caries experience between children from the private school which followed dietary advice and the private school which did not follow dietary advice in puducherry, INDIA Subjects and Methods:Retrospective cohort study design was done. Exposure status was the school following dietary advice and unexposed was not following. Random sampling was employed to select the study participants. Oral hygiene status, gingival status and caries experience was assessed and compared among 3 to 15-year-old children from the private school which followed dietary advice and the private school which did not follow dietary advice. The examination was carried out by trained and calibrated investigators using a mouth mirror and explorer under natural daylight Results: A total of 233 children (137 students from private school which did not follow dietary advice and 96 students from private school which followed dietary advice) were examined in the study. The mean decayed missing lled teeth were higher among private school children which did not follow dietary advice compared with private school which followed dietary advice children. A signicantly higher number of children in the private school which did not follow dietary advice had poor oral hygiene status, moderate to severe gingivitis and caries experience. Conclusion: The prevalence of oral diseases was relatively less among children from private schools which followed dietary advice in comparison with those from the private school which did not follow dietary advice.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Fonseca ◽  
V Machado ◽  
S Ribeiro ◽  
M Alves ◽  
M Nacao

Abstract In order to subsidize policies, actions and intersectoral strategies for health promotion, protection and recovery, it is important to establish the distribution of oral diseases in the target population. Thus, the present study aims at identifying the oral health condition of students from a network of schools run by a Social Welfare, not-for-profit, non-governmental institution in Brazil's Southern Region. This is a census approved by a competent Research Ethics Committee, carried out in a school environment in 2018, involving 1,243 children, 1,172 of which at 5 years old and 71 at 12 years old. All had impacts on oral health and caries rates (dmf / DMFT), occlusion (Foster & Hamilton and DAI) and fluorosis (Dean) evaluated by properly trained and calibrated dentists.The most prevalent impact on oral health, at both ages, was “difficulty in eating”. Students aged 12 and 5 years old showed, respectively, 0.28 and 1 tooth with caries experience; 5.8% and 5.3% with some need for treatment and a prevalence of malocclusion of 57.7% and 79%. Fluorosis was investigated only within the 12-year-old students and it was present in 26.8% of them. In view of the results, the planning of oral health actions in the schools of the social institution studied must privilege the actions of promotion, protection and recovery in the scope of malocclusions and strengthen those already implemented for caries disease. At the same time, a health surveillance system should be built and implemented for monitoring and assessment. Key messages Identifying the epidemiological profile of the target population contributes to the efficient allocation of financial resources and the establishment of assertive strategies to meet their needs. Epidemiological surveys allow us to know the prevalence and severity of the disease, its distribution and treatment needs, allowing health planning and subsidizing the evaluation of services.


2015 ◽  
Vol 9 (3) ◽  
pp. 120-125
Author(s):  
Preetha Elizabeth Chaly ◽  
S Srinidhi ◽  
S Vaishnavi ◽  
P Shalini ◽  
V Indra Priyadarshni

ABSTRACT BACKGROUND Oral health is an important aspect of health for all children, and is more important for children with special health needs. AIM The study was done to assess the dentition status, periodontal status, dentofacial anomalies and treatment needs of differently abled children attending special schools in Chennai. MATERIALS AND METHOD A cross sectional study was conducted among 6 - 18 year old hearing and speech impaired children and visually impaired children in Chennai. A cluster sampling methodology was followed for the selection of study subjects. The final sample size for the study was 624 hearing and speech impaired children and 506 visually impaired children. The data was collected using WHO Assessment Form (WHO 1997) modified. Statistical analysis was done using Pearson chi-square test and Student t test. RESULTS Overall mean dmft/DMFT among differently abled children was (0.58+1.46)/ (0.50+0.93). Dental caries experience was more among hearing and speech impaired children with mean dmft/DMFT being (0.67+1.44) / (0.52+0.95) and it was statistically significant(P<0.05) with visually impaired children in case of dmft. Overall mean DAI was (22.3+5.4)) and malocclusion was predominant among visually impaired children compared to hearing and speech impaired children and it was statistically significant (P<0.001) The periodontal conditions were poorer among visually impaired children with most of them having calculus and it was statistically significant (P<0.05) compared to hearing and speech impaired children. Traumatic injuries were seen more among visually impaired children compared to hearing and speech impaired children and it was statistically very highly significant (P<0.001). Hearing and speech impaired children needed more treatment than the visually impaired children with majority of them needing restorations. CONCLUSION It can be concluded from the study that even though the oral health status and treatment needs of differently abled children is not alarming, a prevention based intervention program directed especially towards dental caries and periodontal health is recommended for these special groups for a better productive life in future.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Leena Smadi ◽  
Lara Kharma ◽  
Asma’a Abu Abed ◽  
Eman Bny Mfarej ◽  
Asma Abdalmohdi

Objectives: Calculate the prevalence and severity of dental caries and periodontal health among school students aged 12-18 years old and their attitudes toward dental health and oral hygiene at Al-Mafraq governate- Jordan.Materials and methods: Demographic and oral behavioral information were collected; students aged 12-18 years old from six public schools distributed over three districts in Al-Mafraq governate over a six-month period had a full oral and dental examination. DMFT index (Decay, Missing, Filling, Teeth) was used to measure caries experience. Plaque index (PI) and gingival index (GI) of Löe and Silness were used to evaluate the oral health status. T - test was used for statistical evaluation. A P-value < 0.05 was considered statistically significant.Results: 1165 students were examined, 51% never had been to a dentist or had any previous dental treatment, 39.6% of the students examined never brushed their teeth and 61.85 % had dental caries. The (SiC) was 4.72 with a decay representing 93.53%. Females brush their teeth more frequent than males with a statistically significant difference; p< 0.001. Females showed lower DMFT index (1.81) and compared to males (2.25) with a statistically significant difference. Females showed lower SiC (4.164) compared to males (5.186)   with a statistically significant difference. There was no statistically significant difference between males and females in PI p= 0.590, and GI; p= 0.852.Conclusions: The prevalence of dental caries among students in Al-Mafraq governate and the significant caries index were substantially higher than the target goals of WHO/ FDA of year 2015 with more than 90 % of unmet treatment needs. Girls showed better oral hygiene habits compared to boys and exhibited less dental caries experience. However, periodontal status did not differ significantly between both genders.


Author(s):  
Sanu Susan Sam ◽  
Vabitha Shetty ◽  
Vijayalekshmy Amma

Introduction: Autism is a lifelong neurodevelopmental disease characterised by qualitative abnormalities in reciprocal social interaction and patterns of communication. The incidence of autism has increased in recent years and therefore, the possibility of dentists encountering children with autism is higher. Knowledge about the prevalence of dental disease in these children and the awareness of their care providers towards oral health is crucial to provide quality dental healthcare. Aim: To evaluate the oral health status of children with Autism Spectrum Disorder (ASD) and to assess the awareness of the parents/care providers regarding their oral health. Materials and Methods: This study was a two-stage cross-sectional study carried out in July, August 2015 at AB Shetty Memorial Institute of Dental Sciences, affiliated to NITTE Deemed to be University. Twenty children diagnosed with ASD formed the study group while 20 healthy children formed the control group. A clinical examination assessed dental caries (DMFT/dft). Gingival disease and oral hygiene of all children were evaluated using the Loe and Sillness gingival index and simplified oral hygiene index, respectively. Parents/care providers of the autistic children were asked to complete a questionnaire regarding the oral hygiene practices and oral health problems of the children. Descriptive statistics were performed for continuous variables, frequencies and percentages for categorical variables and comparisons were made using the Mann-Whitney U test, independent t-test and Chi-square test. Statistical analyses were conducted using EZR software (R version 3.6.3© 2020) and significance level was set at p<0.05. Results: The dft values in the children with autism were significantly lower than the control group (p=0.035). Children with autism had higher DMFT values, however this difference was not found to be significant (p=0.757). No statistically significant differences were found in the gingival and oral hygiene indices amongst the children with autism and their healthy controls, (p=0.811, 0.365, respectively). An 85% (n=17) of children were found to use tooth brush and paste for oral hygiene procedures. An 85% (n=17) of children with autism had supervised tooth brushing while only 20% (n=4) of the children with autism had previously visited a dentist. Most care providers of children with ASD seemed to be unaware of the causative factors of dental disease. Pouching of food was not seen in most of the autistic children. Conclusion: Caries experience in the permanent dentition in the autistic children and healthy children were comparable while autistic children had a lower caries experience in the primary dentition. Both autistic children and healthy children exhibited mild gingival inflammation. Whereas, the oral hygiene status was comparable amongst the two groups of children. Most of the autistic children had assisted tooth brushing (parental), however there were significant lacunae of knowledge in the oral health awareness of the parents/care providers.


2017 ◽  
Vol 64 (3) ◽  
pp. 121-130
Author(s):  
Bojana Davidović ◽  
Mirjana Ivanović ◽  
Dejan Bokonjić ◽  
Svjetlana Janković ◽  
Igor Radović ◽  
...  

Summary Introduction The aim of this research was to determine oral hygiene related habits, knowledge and behavior in children with asthma compared to healthy children. Methodology This study included 136 children, between 6 to 16 years of age, divided into the two groups. The first group included children with asthma (study group - SG), while the second included healthy children (control group - CG). A questionnaire containing three groups of questions related to oral-hygiene and dietery habits as well as oral health related behaviour in children was prepared. Results The percentage of children from SG that brush teeth several times a day was 60.2% compared to 77.2% of CG children (p<0.05). 19.1% of SG group children versus 38.2% of CG children brush their teeth longer than 2 minutes (p<0.05). There was no significant difference in the level of knowledge about plaque impact on oral health between the two groups (p>0.05). More than half (52.9%) of CG respondents regularly visit dentist, while 50.0% of SG goes regularly (p<0.01). 51.5% of CG children visit the pediatric dentist due to preventive reasons, while SG children goes mainly due to rehabilitation of teeth (42.6%). The fear of dental procedures is more pronounced in SG compared to CG children (p<0.001). Conclusion Oral hygiene related habits and oral health behavior were worse in children with asthma, while no difference was found in relation to the knowledge among the observed groups.


2020 ◽  
Vol 32 (3) ◽  
pp. 212
Author(s):  
Arcynthia Widya Rahmayanti ◽  
Netty Suryanti ◽  
Anne Agustina Suwargiani

Pendahuluan: Kesehatan gigi dan mulut merupakan salah satu bagian terpenting dari kesehatan untuk wanita hamil, yang biasanya terjadi perubahan di rongga mulut yang berkaitan dengan penyakit periodontal dan karies. Tingginya masalah kesehatan gigi dan mulut berdampak negatif  pada kualitas hidup wanita hamil. Tujuan penelitian untuk mengetahui pengalaman karies, kondisi jaringan periodontal, kebutuhan perawatan serta kualitas hidup ibu hamil dalam aspek kesehatan gigi dan mulut. Metode: Metode penelitian deskriptif dengan teknik purposive sampling. Data dikumpulkan dari 50 pasien di Puskesmas Ibrahim Adjie. Pengalaman karies diukur dengan indeks DMF-T, kondisi periodontal diukur dengan Community Periodontal Index for Treatment Needs (CPITN), dan kualitas hidup diukur menggunakan kuesioner OHIP-14. Hasil: Indeks DMF-T ibu hamil 9,86 termasuk kriteria sedang. Hasil CPITN yaitu jaringan periodontal sehat 0%, perdarahan saat probing 0%, kalkulus 68%, kedalaman poket 4-5 mm 32%, dan kedalaman poket lebih dari 6 mm 0%. Perbaikan oral hygiene, scaling dan menghilangkan faktor retentif  plak merupakan jenis perawatan jaringan periodontal yang dibutuhkan pada ibu hamil. Kualitas hidup ibu hamil dalam aspek kesehatan gigi dan mulut tergolong dalam kategori baik dan dimensi yang berdampak pada kualitas hidup yaitu rasa sakit, ketidakmampuan fisik dan ketidakmampuan psikis. Simpulan: Pengalaman karies ibu hamil di Puskesmas Ibrahim Adjie berada pada kriteria sedang. Kondisi jaringan periodontal paling banyak mengalami gingivitis, yang memerlukan perawatan berupa perbaikan oral hygiene, scaling dan menghilangkan faktor  retentif plak. Kualitas hidup secara umum tergolong dalam kategori baik. Dimensi rasa sakit, ketidakmampuan fisik, dan ketidakmampuan psikis merupakan kondisi yang paling berdampak pada kualitas hidup.Kata kunci: Ibu hamil, indeks DMF-T, CPITN, kualitas hidup. ABSTRACTIntroduction: Oral health is one of the essential parts of health for pregnant women, and usually changes the oral cavity in association with periodontal disease and caries. High levels of oral health problems have a negative impact on the quality of life for pregnant women. The research objective was to determine caries’ experience, periodontal conditions, treatment needs, and oral health-related quality of life of pregnant women. Methods: Descriptive method with purposive sampling technique. Data were collected from 50 patients at Ibrahim Adjie Community Health Centre (Puskesmas). The DMF-T index measured caries experience, the periodontal condition was measured by the Community Periodontal Index for Treatment Needs (CPITN), and the quality of life was measured using the OHIP-14 questionnaire. Results: The DMF-T index for pregnant women was 9.86, which included in the moderate criteria. The CPITN results were 0% had healthy periodontal tissue, 0% experienced bleeding on probing, 68% had calculus, 32% had 4-5 mm pocket depth, and 0% had more than 6 mm pocket depth. Improved oral hygiene, scaling and eliminating plaque retentive factors were the types of periodontal tissue treatment needed in pregnant women. The oral health-related quality of life of pregnant women was in a good category, with the dimensions that impact the quality of life were pain, physical disability, and psychological disability. Conclusion: The caries experience of pregnant women at Ibrahim Adjie Community Health Centre is in moderate criteria. Periodontal tissue conditions mostly experience gingivitis, which requires treatment to improve oral hygiene, scaling and removing plaque retentive factors. The oral health-related quality of life is generally in the good category. The dimensions of pain, physical disability, and psychological disability are the conditions that have the most impact on the quality of life.Keywords: Pregnant women, DMF-T index, CPITN, quality of life.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Caroline Sekundo ◽  
Eva Langowski ◽  
Samuel Kilian ◽  
Cornelia Frese

AbstractThe number of very old individuals, namely centenarians, is growing fast. In dentistry, the increasing number of older adults retaining natural teeth present new challenges for preventive and restorative dental care. However, there is a considerable lack of knowledge on the oral health status and needs in this exceptional age group. The aim of this population-based study was to identify the prevalence of oral diseases, therapeutic needs and functional capacity (evaluating centenarians’ autonomy and their capabilities regarding treatment and oral hygiene) in centenarians. Subjects born before 1920 were recruited from population registries in South-Western Germany, providing information on dental health experiences, oral health behaviors and undergoing dental examination. 55 centenarians participated in the study (mean age ± SD = 101.2 ± 1.6, 83.6% females). Results were compared to epidemiological data on adults aged 75–100 years examined in the Fifth German Oral Health Study. Adherence to recommended dental behaviors and dental check-ups was lower in the centenarian population. Moreover, with the exception of a lower Root Caries Index, centenarians showed a higher caries experience, and presented with a mean DMFT of 25.2 ± 3.9, a DMFS of 111.0 ± 21.8, a root caries prevalence of 34.5% and a Restorative Index of 54.0%. Centenarians’ functional capacity was also considerably lower. Non-existent or greatly reduced treatment capabilities and oral hygiene capabilities were registered in 63.7% and 43.6% of cases, respectively. Centenarians with a lower educational level (p = 0.018), in a care facility (p = 0.045) or in need of nursing care (p = 0.001) were more likely to have a low functional capacity. 98.2% of centenarians received help in their daily activities but only 12.7% in their oral hygiene. In conclusion, although most still have natural teeth, a decline of oral health can be perceived. As compliance with recommended behaviors is limited and most centenarians can no longer undergo dental treatment, the lack of assistance in daily oral health care is problematic.


2019 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Dr. Zahraa Ali Al-Awadi ◽  
Dr. Baydaa Hussien Hussien

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.


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