Oral and dental health status of elderly in south and west Jakarta,Indonesia

Objective:To know elderly oral and dental health status.Methods:The population(n=202)was elderly from Government Health Center in South and West Jakarta.Oral and dental health examination based on oral hygiene index simplified(OHI-S),decay,missing,filling teeth(DMFT)index,the presence of periodontal and oral mucous lesions,mastication function that was considered by anamnesis,mobility and number lost of maxillary teeth,and occlusion contact.Results:Most respondents had caries lesions(84%),denture prosthesis needs(97%),periodontal lesions(79%),mastication dysfunction(51%),sublingual varicosities(52%),and a small number of oral mucous denture related lesions.Conclusion:Many cases needed promotion,curative,and rehabilitative treatments;therefore it was suggested to encourage oral and dental health care education as a part of general health care promotion to increase the quality of elderly health care service with the considerations of social and economy aspects.

Self Reported Dental Health, BMI, and Albumin in a Geriatric Population

Method: 99 patients, 70 women and 29 men, mean age 84.2, were included. They were all hospitalized in the geriatric department between June and September 2010. The study was a questionnaire, and the questions were read out loud by one of the investigators. The answers were the patient’s own experience. The patient’s mouth and teeth were not examined. BMI and albumin were taken from the patient’s medical record. Results: There was no statistical difference in albumin (mean: 31.2, 22.5) or BMI (mean: 29.3, 23.8) between patients with natural teeth, and a denture, (p = 0.12, and 0.23), but mean albumin was slightly higher in patients with natural teeth. Patients with a denture were significantly older than patients with natural teeth (p = 0.02). Conclusion: In general the patients were happy with their teeth even though 71.7% had a denture, and 44.1% said that it caused problems. All patients with natural teeth except one consulted the dentist frequently. 15% answered that they had bad dental health, but there was no significant difference in BMI and albumin between the groups. Still it is of great importance to bear in mind that when dealing with patients with digestive problems, malnutrition, infections, wounds etc. the fact that these symptoms could possibly be caused by a poor dental state should be considered, especially in geriatric patients, a group of patients that are still getting older.

Oral Health Management of Three Head and Neck Cancer Patients Performed by Dental Hygienists

Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.

Managements of Special Health Care Needs Patients from Dental Assistant Point

The main role of this article is to describe dental assistants and the dental department’s role in the dental delivery system for Special health care needs (SCHN) by creating a structure to educate the dental assisting profession and project factors that have a significant impact on the dental assistant. The dental assisting management of SCHN patient’s profession including dental Assistance general responsibilities, regulation credentialing, and education. The SCHN patient’s management creates a challenge in all area of the dental department. Handling patient with a SCHN is underexplored throughout the dental staff especially when there is not enough theoretical foundation, education and training to deal with this category of patients. SCHN patients are defined as individuals who have abnormal behavioral impairments, mental conditions or/and chronic disease or abnormal laboratory results. Thus, the aim of this article is to guide all dental assistance staff in the best dental management choice for SCHN patients. All health care teams are part of patient care in most medical settings. A work environment supportive ensures positive outcomes for patient care. This article was considered as those categories of patients required more care and special way to deal with, moreover language, age, gender and education level of the patient are also considered significant parries. Not Many studies were found to support the care of SCHN patients in dentistry department. Taking experience from other area help to design a system to handle the SCHN even if it requires hiring a Dentist who is specialized in that filed.

The Oral Health Status of Person with Special Needs in Kumasi

Background: The most prevalent non-communicable disease worldwide is oral health-related disease, with dental caries and periodontal conditions being common. Oral health status significantly impacts overall health and quality of life. Barriers to dental care affect children with special needs. This study evaluates the oral health status and treatment requirements of people with special needs. Methodology: This descriptive cross-sectional study in Kumasi, Ghana examined oral health status among people, 121 children with special needs over two months, in June-July 2022. Dental caries, periodontal changes, malocclusion, and trauma were assessed. The data was analyzed using SPSS 20.0. Results: The oral health status among people with special needs in this study was generally moderate, with a range from very good to very poor. The prevalence of dental caries was 37%, with a mean DMFT score of 2.82. Periodontal health showed unsatisfactory indicators such as mobile teeth, poor gingival health, high plaque scores, and the presence of halitosis. Conclusion: This descriptive study aimed to provide baseline data on the oral health status of special needs students in Kumasi, addressing the lack of knowledge in this area. It highlighted the importance of dental care in maintaining good oral health and overall well-being in individuals with special needs. Coordinated efforts by dental professionals are needed to provide dental health education and preventive interventions for these children.

Bacterial endotoxins in periodontal health and diseases

Bacterial endotoxins are a major concern in periodontal health and diseases owing to their structure and biological activity.With up-to-date knowledge of endotoxins and the recent findings about the influence of endotoxins in dental health,their probable mode of pathogenesis,and standard detection methods,this review analyzes the potential efficacy and benefits of probiotics in combination with conventional and contemporary treatment measures.In the oral cavity,Gram-negative bacteria are documented to predominate in the pulpal lesions with radiolucent areas and in the root canal with pulp necrosis,where they pose an absolute threat by promoting a series of inflammatory reactions.Endotoxin,a constituent of Gram-negative bacteria establishes a nexus between cytokine stimulation and proinflammatory reactions,therefore plays a critical role in decaying dental pulp and modulating periodontal diseases.Currently,the treatment regimen involves several biochemical preparations.In addition,probiotics have been reported to control endotoxin in gingivitis and contribute to the overall improvement of dental health.A potential benefit of a combination of probiotics as a complementary treatment along with the conventional treatment warrant more empirical evidence to elucidate its role and mechanism in resolving the clinical manifestations associated with endotoxins in the periodontal region.

基于“互联网+”健康管理模式在口腔种植患者围手术期的应用

目的探讨基于“互联网+”的健康管理模式在口腔种植患者围手术期中的应用效果。方法选取北京大学口腔医院2023年1月至2023年10月进行口腔种植的患者58例,按照随机数字表法将其随机分为试验组29例和对照组29例。对照组实施常规健康管理模式,试验组给予基于“互联网+”的健康管理模式,干预后比较两组患者种植手术术后并发症发生率、术前准备依从性、牙科畏惧情况及种植手术满意度的差异。结果试验组患者在术前牙周治疗和挂号时测量血压方面依从性高于对照组,牙科畏惧总分及其各维度方面的得分均低于对照组,对术后复诊提醒和医护服务态度满意度等方面得分高于对照组,差异均具有统计学意义(P<0.05);两组患者在种植术后并发症发生情况、术前进食、术前女性不化妆、男性刮胡须及减少吸烟依从性,术前与术后健康指导、健康指导方式、术后随访沟通渠道便捷性及满意度总分等方面差异均没有统计学意义(P>0.05)。结论基于“互联网+”的健康管理模式有利于提高口腔种植患者术前牙周治疗和挂号时测量血压的依从性,减轻种植患者手术时的牙科畏惧,在术后复诊提醒方面具有明显的优势。

护理健康处方在老年牙列缺损病人种植牙修复中的应用及效果评价

目的 探讨护理健康处方在行种植牙修复的老年牙列缺损病人中的应用效果。方法 选取80例2023年1—12月在本院接受种植牙修复的老年牙列缺损病人,根据随机数表法分为2组,每组40例,对照组予以常规护理,观察组在对照组基础上实施护理健康处方护理。干预3个月后,比较2组的口腔健康素养、心理状态、牙周状况及种植修复满意度。结果 干预后,观察组的口腔健康素养量表(HELD-14)评分高于对照组(P<0.05),自我感受负担量表(SPBS)评分、修正版牙科焦虑量表(MDAS)评分、菌斑指数(PLI)、龈沟出血指数(SBI)、探诊深度(PD)均低于对照组(P<0.05)。观察组种植修复满意度明显高于对照组(95.00%比77.50%,P<0.05)。结论 实施护理健康处方干预可有效提升行种植牙修复的老年牙列缺损病人的口腔健康素养,并改善其心理状态、牙周状况,进而提高种植修复满意度。

牙体牙髓病患者根管治疗后口腔健康行为状况分析

目的 分析牙体牙髓病患者根管治疗后口腔健康行为状况。方法 选择2022年4月至10月新疆医科大学第一附属医院拟行根管治疗的100例牙体牙髓病患者,所有患者均在根管治疗后2周首次复查时采用自制的口腔健康行为状况量表评估口腔健康行为状况,分析牙体牙髓病患者根管治疗后口腔健康行为状况。结果 100例牙体牙髓病患者根管治疗后口腔健康行为状况得分为(76.18±5.46)分。不同年龄、受教育程度、吸烟、心理状态低下、营养状态患者治疗后口腔健康行为状况得分比较,差异有统计学意义(P<0.05)。年龄≥60岁、初中及以下、吸烟、存在营养不良风险或营养不良是牙体牙髓病根管治疗后口腔健康行为状况的影响因素(P<0.05);线性方程为Y=71.636+3.127X_(1)+3.975X_(2)+4.550X_(3)-6.762X_(4)。结论 牙体牙髓病患者根管治疗后口腔健康行为状况处于中等偏上水平,且患者口腔健康行为状况受年龄、受教育程度、吸烟、营养状态等因素影响。

全程护理在复杂牙列缺损患者种植联合正畸护理中的应用效果分析

目的:分析全程护理在复杂牙列缺损患者种植联合正畸护理中的应用效果。方法:选取2020年3月—2021年6月广西医科大学附属口腔医院收治的复杂牙列缺损患者82例作为研究对象,采用随机数字表法分为观察组与对照组,各41例。对照组实施常规护理,观察组在对照组基础上实施全程护理。比较两组护理效果。结果:观察组治疗依从率高于对照组,差异有统计学意义(P=0.034)。观察组不良反应总发生率低于对照组,差异有统计学意义(P=0.043)。观察组护理满意度高于对照组,差异有统计学意义(P=0.043)。结论:全程护理模式联合系统化健康教育应用于复杂牙列缺损患者种植联合正畸治疗中的效果较好,能够提高治疗依从性,降低不良反应发生率,患者满意度高。

牙颌面畸形儿童口腔健康、美观程度及正畸治疗需要特征分析和其对自尊的影响

目的:探究牙颌面畸形儿童口腔健康、美观程度及正畸治疗需要特征及对自尊的影响。方法:选取2020年1月-2023年1月笔者医院收治的120例牙颌面畸形儿童,收集其临床资料,对其口腔健康、美观程度、正畸治疗需要特征进行分析,并探究各指标对于患者自尊的影响。结果:120例不同口腔健康严重程度的患儿间比较,自尊水平具有差异,自尊水平:轻度>中度>重度(P<0.05);不同美观程度的患儿间比较,自尊水平具有差异,自尊水平:轻度>中度>重度(P<0.05);对患儿的正畸治疗需要特征进行分析,可知不同牙接触点借位、深覆盖、前牙反[牙合]、开[牙合]间患儿的自尊水平存在差异(P<0.05)。多元线性回归分析结果显示,美观程度、牙接触点错位、深覆盖、前牙反[牙合]、开[牙合]均会对患儿的自尊产生影响(P<0.05)。结论:牙颌面畸形儿童口腔健康的严重程度以及美观程度的不同均与儿童的自尊水平有关,轻度畸形的儿童自尊水平明显高于中度和重度畸形的儿童。此外,不同的口腔问题,如牙接触点错位、深覆盖、前牙反[牙合]、开[牙合]也对自尊水平存在显著影响。

牙周内窥镜辅助龈下刮治和根面平整术的临床疗效及对牙周炎患者心理与生活质量的影响

目的探讨牙周内窥镜(periodontal endoscope,PE)辅助龈下刮治和根面平整术(scaling and root plan⁃ning,SRP)的临床疗效及对牙周炎患者心理和生活质量的影响,为临床应用牙周内窥镜提供参考。方法本研究已通过单位伦理委员会审查批准,并获得患者知情同意。收集2018年4月—2022年12月于南京大学医学院附属口腔医院牙周病科就诊的,传统SRP治疗6周后复查仍有残留牙周袋探诊深度(probing depth,PD)≥5 mm的牙周炎患者,进一步行PE辅助SRP(PE+SRP)。在传统SRP治疗后6周,PE+SRP治疗3个月后分别测量牙周临床指标包括菌斑指数(plaque index,PLI)、PD、临床附着丧失(clinical attachment loss,CAL)及探诊出血(bleeding on probing,BOP);同时分别收集传统SRP和PE辅助SRP治疗即刻视觉模拟评分量表(visual analogue scale,VAS);在传统SRP治疗和PE辅助SRP治疗3个月后分别收集牙周组织自我认知表、口腔健康影响程度量表⁃14(oral health impact profile⁃14,OHIP⁃14)以及牙科畏惧调查量表(dental fear scale,DFS)。结果共纳入牙周炎患者23例,患牙486颗,832个位点纳入临床研究。PE+SRP治疗后3个月,各项牙周临床指标:PLI(t=9.254,P<0.001)、PD(t=50.724,P<0.001)、CAL(t=22.407,P<0.001)以及BOP(t=9.217,P<0.001)均显著改善;与传统SRP(VAS:2.48±1.70)相比,PE+SRP(VAS:2.57±1.80)给患者带来的疼痛感无显著差异(t=0.192,P=0.850);两组牙周组织自我认知表得分无显著性差异(t=1.485,P=0.152);同时传统SRP完成后OHIP⁃14的得分为(12.13±7.63)分,PE+SRP完成后OHIP⁃14得分为(10.26±5.25)分,两者无显著差异(t=-1.589,P=0.126);传统SRP完成后DFS量表得分为(40.70±12.63)分,PE+SRP完成后DFS量表得分为(41.57±12.61)分,两者无显著差异(t=0.404,P=0.690)。结论PE辅助SRP治疗牙周炎患者残留牙周袋后各项牙周临床指标均显著改善,且与传统SRP相比,PE辅助SRP对牙周炎患者的生活质量和心理状况没有负面影响,可以临床广泛推广。

近代牙科知识的传播与话语建构

牙齿作为人体重要器官,其健康状况有着重要意义。明清以来,在医学理论方面,人们对牙齿问题论述比较详尽,但在日常实践中,普通民众对牙齿的关注却不尽如人意。19世纪下半叶,西方牙科学传入中国,与以往不同的近代牙科知识逐渐进入人们的视野。在社会和国家的双重推动下,近代牙科知识的传播手段不断丰富,传播范围也愈加广泛,通过大众传媒、讲座展览会、学校教育和国家宣传等传播方式,提示民众关注牙齿健康、重塑卫生观念。与此同时,近代牙科知识在传播中也逐渐被构建成科学、健康、资本和政治的综合性话语。

学龄前儿童龋病及家长的口腔健康认知现状调查

目的调查学龄前期儿童龋病现状及家长的口腔健康认知情况并探讨其影响因素。方法采取多阶段分层随机抽样法,于2022年抽取郑州市1872例学龄前儿童及其家长,调查儿童龋病发生情况及家长口腔健康认知情况。结果本次调查有1800例学龄前期儿童纳入分析,龋病发生率为54.72%。多因素回归分析显示,年龄、家长文化程度、开始刷牙时间、夜间进食频率、进食甜食频率、饮用碳酸饮料频率、家长接受口腔健康知识教育、儿童定期口腔检查、早晚刷牙、饭后漱口、使用含氟牙膏均是学龄前期儿童龋病的影响因素(均P<0.05);男性、家庭月收入≤5000元、文化程度中专及以下、农村均是家长口腔健康认知不佳的影响因素(均P<0.05)。结论郑州地区学龄前期儿童龋病的发生率较高,家长口腔健康认知度不高。亟需开展有效的宣教,提高该群体的健康素养,降低儿童龋病风险。

老年慢性牙周炎患者口腔健康自我效能现状及影响因素分析

目的:调查老年慢性牙周炎患者口腔健康自我效能现状并分析其影响因素。方法:采用便利抽样的方法,应用一般情况调查表、中文版口腔健康自我效能量表(GSEOH)和牙科恐惧量表(DFS)对288例老年慢性牙周炎患者进行调查。结果:老年慢性牙周炎患者的GSEOH的得分为(57.84±4.28)分,DFS得分为(37.69±9.78)分;老年慢性牙周炎患者牙科恐惧水平与GSEOH总分呈负相关(r=-0.457,P<0.001);多元回归分析显示,年龄、教育程度、月收入、居住地、牙周炎严重程度、牙科恐惧水平是老年慢性牙周炎患者口腔健康自我效能的影响因素(P<0.05)。结论:老年慢性牙周炎患者的口腔健康自我效能水平有待提高,护士应评估患者的相关影响因素,并采取针对性的护理干预,以提升其口腔健康自我效能。

慢性牙周炎患者应用牙种植修复治疗的效果研究

目的研究慢性牙周炎患者应用牙种植修复治疗的效果。方法选取80例行牙种植修复治疗的患者,其中40例为牙周健康者(对照组),40例为慢性牙周炎患者(观察组)。两组均实施牙种植修复治疗。比较两组治疗前后牙周指数、基质金属蛋白酶[基质金属蛋白酶-9(MMP-9)、基质金属蛋白酶-8(MMP-8)、基质金属蛋白酶-2(MMP-2)]、咀嚼功能评分;分析观察组牙槽骨吸收情况。结果治疗前,观察组牙周探诊深度、龈沟出血指数、菌斑指数、牙龈乳头指数分别为(1.58±0.20)mm、(0.28±0.13)、(0.50±0.13)、(2.78±0.56),均高于对照组的(1.43±0.15)mm、(0.14±0.11)、(0.40±0.12)、(2.32±0.57)(P<0.05)。治疗后,观察组患者的牙周探诊深度、龈沟出血指数、菌斑指数分别为(1.54±0.23)mm、(0.25±0.17)、(0.47±0.15),与对照组的(1.56±0.21)mm、(0.21±0.16)、(0.49±0.14)相差不明显(P>0.05),观察组牙龈乳头指数(2.05±0.50)较对照组的(0.98±0.42)更高(P<0.05)。治疗前后,观察组MMP-9、MMP-8、MMP-2均显著高于对照组(P<0.05);治疗前后,两组咀嚼功能评分比较相差不明显(P>0.05)。观察组患者治疗1个月牙槽骨吸收(1.29±0.25)mm,治疗3个月牙槽骨吸收(1.52±0.39)mm,治疗5个月牙槽骨吸收(1.69±0.47)mm。结论对慢性牙周炎患者执行牙种植修复法效果明显。

2020-2021年重庆某口腔医学院本科生焦虑及睡眠状况调查

目的:了解突发公共卫生事件COVID-19疫情及常态化疫情防控期间重庆某高校口腔医学生焦虑及睡眠状况,为采取积极干预措施提供依据。方法:重庆某高校口腔医学生作为调查对象,应用焦虑自评量表(SAS)等,采取在线问卷方式调查COVID-19疫情及常态化疫情防控期间口腔医学生焦虑及睡眠状况。结果:2021年常态化疫情防控期间与2020年COVID-19疫情期间相比,本科生睡眠时间减少,有显著差异。2021年与2020年焦虑得分以及焦虑情绪检出率无统计学差异。本科生每日睡眠时间与焦虑得分有负相关性。结论:COVID-19疫情及后疫情防控期间,高校应持续增加积极社会支持,维护高校学生心理健康。

综合口腔护理在龋齿患儿中的应用

目的探讨综合口腔护理在龋齿患儿中的应用。方法选取2021年5月至2023年5月德州口腔医院收治的60例龋齿患儿,采用随机数字表法分为对照组(30例)和研究组(30例)。对照组予以常规护理干预,研究组予以综合口腔护理干预。比较两组口腔健康行为评分及护理配合度。结果研究组口腔卫生情况、饮食习惯、牙齿健康评分均高于对照组(P<0.05)。研究组护理总配合率高于对照组(P<0.05)。结论综合口腔护理可提高龋齿患儿的口腔健康行为评分及护理配合度,值得临床推广应用。