The Relationship of Dental Anxiety, Behaviour, Temperament and Dental Caries in Children

The first dental examination is a major step that is affected by many factors and determines the dental treatment process. The main objective of this study was to evaluate the association of child temperament with child dental anxiety, parental dental anxiety, dental behaviour and dental caries. The study consisted of 100 children aged 3 to 6 who were attending their first dental examination and their accompanying parents. The Facial Image Scale (FIS), Frankl’s Behaviour Scale (FBS), Corah’s Dental Anxiety Scale (CDAS) and the Short Temperament Scale for Children (STSC) were used for assessment. The DMFT (decayed, missing and filled teeth) score of each child was recorded. Children who exhibited negative behaviour on the FBS had the highest rhythmicity scores (p = 0.008). The mean DMFT score of children in the rhythmicity temperamental dimension was relatively high (p = 0.008). The parents of children defined as negative on the FBS had high dental anxiety levels on CDAS (p < 0.001). Children whose parents had higher dental anxiety levels showed higher dental anxiety (p = 0.007). The success rate of dental treatment procedures may be increased by improving dentists’ knowledge of dental anxiety related to the child’s temperament and integrating parental support to reduce dental anxiety.

Analysis of the dental health level within the framework of a social project for medical examination and maintenance of orphanages in the Republic of Kazakhstan

Today, the issues of studying the dental health of children and adolescents living in various regions of the Republic of Kazakhstan remain relevant. The health of the younger generation, including dental health, is an important priority area that contributes to improving the quality of life. Aim. To study dental morbidity in children and adolescents in various regions of the Republic of Kazakhstan. Material and methods. A survey of 608 children and adolescents living in educational institutions was carried out. The results of the preventive dental examination were recorded in an electronic dental card. Passport data, subjective, objective data and data of intraoral examination were included in the electronic map for studying the prevalence. Particular importance was attached to the state of oral hygiene, the indicator of sanitized patients and the need for sanitation of the oral cavity. Results and discussion. The rationale for conducting the survey in various regions of the Republic of Kazakhstan was the study of the level of health in children and adolescents to establish risk factors for dental morbidity. Dental examination of 608 children and adolescents testifies to the high intensity and prevalence of dental caries, periodontal tissue diseases, dentoalveolar anomalies. Most children and adolescents need oral cavity sanitation, this figure was 51,9%. Undoubtedly, in educational institutions it is necessary to carry out sanitary and educational work and timely sanitation of the oral cavity. The obtained statistical data will allow us to draw up a "dental health map" of children and adolescents living in various regions of the Republic of Kazakhstan and develop a comprehensive program for the prevention of dental diseases. Conclusions. One of the main issues in dental practice is the study of the prevalence of caries in early childhood, including among children under 14 years of age, in order to prevent the development of complications, to carry out preventive measures to improve the quality of life. Dental caries is the most common among children living in educational institutions. Also, 28% of children have poor-quality fillings, decayed teeth, and due to non-observance of oral hygiene, inflammatory diseases of the periodontal tissues develop. About 35% of children need orthodontic care due to the development of dentoalveolar anomalies. Orthodontic care, which is a paid service, is not fully provided to this category of children and adolescents. Therefore, there remain a number of organizational-preventive and organizational-therapeutic measures that need to be addressed. Keywords: examination, dental health, analysis, project.

Sexual Dimorphism in Maxillary First Molar among Nepalese Population of Eastern Nepal

Introduction: Sexual dimorphism refers to differences in size, stature and appearance between male and female. It is a known fact that tooth crown is formed to full size in childhood even before eruption into oral cavity. The shape and size of the teeth permits an interesting dimension of study for sexual dimorphism, we aimed to delineate the sexual dimorphism by measuring the mesiodistal (MD) and buccolingual (BL) diameters of permanent maxillary first molar in Nepalese population of Eastern Nepal. Objectives: The aim of this study was to evaluate the sexual dimorphism in maxillary first molar among Nepalese population of eastern Nepal Methodology: 100 participants of either sex (50 males & 50 females) aged between 17 to 25 years were enrolled in the study. After thorough dental examination, impression of the maxillary arch was made and MD diameter and BL diameters were measured with the help of vernier caliper. A P value of <0.05 was considered as statistically significant. Results: Sexual dimorphism was found in MD and BL diameters of maxillary first molar in males measuring higher than females. Right mesiodistal showed the highest sexual dimorphism, whereas right buccolingual showed the least. Conclusions: This study confirms that permanent maxillary first molar shows significant sexual dimorphism, out of which mesiodistal measurement stands out to be the best parameter in Nepalese population of Eastern region.

Teledentistry in a Dental Students’ Examination – Assessing the Acceptance and Feasibility of a Virtual Dental Examination

Due to the coronavirus pandemia, dental schools are facing a change onto virtual solutions. Teledentistry has proven to be an opportunity to bridge this gap. This study aims to assess the feasibility and acceptance of a virtual dental examination. It took place during the final maxillofacial examination. Study participants were dental students and real inpatients. A video-call-software was used to carry out the examination. To assess the acceptance participants filled out a questionnaire afterwards. 22 patients answered the questionnaire. They didn’t ‘feel inhibited’ and had no ‘difficulties developing a relationship with the student’. 28 students answered the questionnaire. They found the conversation at eye level but expressed more inhibitions than the patients in a virtual setting, still finding themselves able to have an adequate doctor-patient conversation. Telemedicine seems well accepted on patients’ and students’ side, offering a safe alternative to enable students to maintain dental teaching in a pandemic situation.

Fluorine load in children

Aim. To study the association between the prevalence of caries and the fluorine load in children according to fluoride in the urine.Materials and methods. Fluoride level examination was conducted among 45 patients aged 3,6,12,15 years old. The assessment of the intensity of dental caries was carried out according to the KPU / kp index as recommended by WHO (1997). Dental examination in children was carried out in the Scientific Clinical Institute of Dentistry and Maxillofacial Surgery of the Ministry of Health and SZN of the Republic of Tajikistan, Dushanbe.Results and discussion. The fluorine status of breastfed children corresponded to a low level of fluoruria. In children aged 4-6 years fluorine load corresponded to a low level in 15.7% of the children, the optimal level was noted in 61.6% of the children, and a high level of the trace element over 2.5 mg/day was found in 22.7% of the children. High KPU index (3.1 and 5.7, respectively), determined in those cases where there was a low level of access to fluoride.Conclusion. In infants, the level of urinary fluoride excretion depends on the feeding pattern. The level of fluoruria in (60.0%) children aged 12 years and (66.6%) 15 years old was below the standard indicators. The intensity of caries in 15-year-old children was higher than in 12-year-old children.

Knowledge of Brazilian dentists and students in treating dentine hypersensitivity

Objective: To evaluate knowledge of undergraduates and qualified dentists from a Brazilian Dental School in treating Dentine Hypersensitivity (DH). Methodology: Data obtained from a 22-item questionnaire were analysed and arranged in distribution figures. Results: Of 100 respondents, 66.3% indicated that up to 25% of their patients had DH; 41.7%, that the duration of discomfort was up to eight weeks; 78.4%, that they examined a patient with DH within the last two-four weeks; and 70.4%, that this was done after the patient initiated the conversation on DH. Most of participants responded DH affects patients’ quality of life, and its aetiology was attrition, exposed dentine, occlusal interference, gingival recession or abrasion. The most common ways to diagnose DH were sensitivity history analysis, clinical examination, clinical testing and probing; and conflicting conditions were fractured restoration, bleaching sensitivity, marginal leakage, chipped tooth and periodontal disease. Furthermore, 82.5% and 78.7% of respondents indicated they were confident in diagnosing DH and providing advice to patients, but only 38.8% identified hydrodynamic theory as its underlying mechanism. To evaluate pain from DH they considered self-assessment, dental examination, dietary analysis and thermal assessment; and as recommendations, the use of desensitizing dentifrices, education on toothbrushing, in-office application of desensitizing products, and restorations. Conclusion: There is still confusion concerning the aetiology, the diagnosis and the subsequent management of DH, and both students and qualified dentists need better education.

Optimization of periodontal disease diagnosis by the results of clinical laboratory tests

Relevance. The authors have established that the microbiological and local risk factors prevail in changing the clinical condition of the periodontium. Aim – сlinical and diagnosis argumentation of the gingival tissue condition according to the criteria of the New International Classification of Periodontal and Peri-implant Diseases and Conditions and Proceedings of the 2017 World Workshop jointly held together by the American Association of Periodontology (AAP) and the European Federation of Periodontology (EFP).Materials and methods. Clinical and laboratory assessment of 105 young patients was conducted. Three patient groups were formed according to the detected risk factor and according to the data of the New International Classification of Periodontal and Peri-implant Diseases and Conditions. The main group consisted of 70 (66.6%) patients with diagnosed chronic plaque-induced gingivitis (33.3%) and initial periodontitis (33.3%) (mild chronic periodontitis). The control group comprised 35 patients with clinically healthy gingiva on an intact periodontium (71.1%) and reduced periodontium (22.9%). Periodontal pathogens as a risk factor were assessed by PCR using DNA-express commercial sets (Liteh, LLC, scientific manufacturing company, Russia). Cytology of the gingival crevicular fluid impression smears stained by Romanovsky-Giemsa method was performed.Results. Changes in the hygiene and periodontal indices were revealed on full dental examination. PCR detected low or critical number of periodontal pathogens in the studied samples. Neutrophilic leukocytes, histiocytes and epithelial cells were present in the impression smears, polymorphonyclear neutrophils significantly increased and macrophages, histiocytes, epithelial cells appeared; macrophages decreased.Conclusion. Full dental examination and laboratory tests revealed the following clinical conditions: clinically healthy gingiva on an intact periodontium, clinically healthy gingiva on a reduced periodontium, plaque-induced gingivitis, stage I periodontitis – initial periodontitis, which corresponded to the New International Classification of Periodontal and Peri-Implant Diseases and Conditions and Proceedings of the 2017 World Workshop held by the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP).

The use of homeopathic drugs in the complex treatment of periodontal diseases in children with rheumatic diseases

The purpose of our study was to increase the level of treatment of periodontal diseases in children with rheumatic diseases through the use of injections of homeopathic drugs in complex treatment. To do this, they conducted a dental examination of children with rheumatological diseases, determined the degree of damage to periodontal tissues using the indices PMA, GI, CPITN and compared with the control group of children. The relationship between inflammatory processes in in periodontal tissues and rheumatic diseases in children was revealed and the effectiveness of homeopathic drugs in the complex treatment of periodontal tissues was assessed.

CLINICAL COURSE OF PERIODONTAL DISEASES IN PATIENTS WITH POSTMENOPAUSAL OSTEOPOROSIS TREATED WITH BISPHOSPHONATES

The aim of the study was to assess the state of the clinical course of periodontal diseases in patients with postmenopausal osteoporosis (OP), depending on the long-term oral administration of various groups of bisphosphonates (BP). The study included 120 women aged 55–65 years with postmenopausal OP for at least three years who took complex antiosteoporetic therapy, including BP in tablet form. The dental examination included an examination of the oral cavity, the study of the pH of the oral fluid, the hygienic state of the mouth (the "Florida Probe" system). According to the results of the study, it was revealed that prolonged treatment of BP in tablets can provoke the development of inflammatory reactions in periodontal tissues. This phenomenon is associated with a shift in the pH of saliva to the acidic side, at which its buffer properties change.