The Level of Fear in the Polish Police Population during the COVID-19 Pandemic with the Impact of Sociodemographic Variables.

This study has a twofold objective. First, we aim to measure the levels of fear among Polish police officers using the COVID-19 Fear Scale (FCV-19S) that has a stable unidimensional structure allowing for the provision of additional data by combining variables. This structure allows the second objective to be met to measure the correlation with sociodemographic variables. The utilitarian objective of the study is to provide information for updating support policies for stress management in the service. The questionnaire was completed by 1862 people with a mean age of 38.75 years with a good Cronbach's alpha (0.89). The perceived level of fear associated with COVID-19 should be considered relatively low. Caring for the elderly does not affect the level of fear. The factors of gender, age and having children statistically significantly differentiate the perceptions of fear. Therefore, there is a necessity to focus on building support for police officers who are over 50 years old, as well as for women, where higher levels of fear in both men and women can translate into the development of psychosomatic illnesses.

Level of Anxiety Caused by the Coronavirus (COVID-19) Pandemic among Dentists in Poland.

Background and Objectives: The early information on both the speed and high morbidity rate and, above all, mortality triggered the symptoms of COVID-19-related panic and anxiety. Dentists were listed in the top five professions with the highest risk of transmission of the virus. The aim of the present study was to investigate the correlation between the fear level of COVID-19 and sociodemographic variables in Polish dentists. Materials and Methods: A cross-sectional study was conducted via an online survey questionnaire with seven statements in the COVID-19 Fear Scale (FCV-19S). The online questionnaire was completed by 356 dentists. The SPSS and PQStat were used to analyze, validate, and assess correlations and logistic regression. Results: In the studied population of dentists, the perceived level of anxiety associated with COVID-19 should be considered relatively low. When the respondents had children, lived with the elderly, or looked after them, the observed level of anxiety was higher, and physical symptoms, such as sweating palms and increased heart rate, occurred. Conclusions: Studies concerning the anxiety level related to COVID-19 carried out among Polish dentists ascertained that the tested level of anxiety among dentists was relatively low. The COVID-19 Fear Scale (FCV-19S) adjusted to the Polish language requirements is a reliable tool that can be used effectively for analyzing the impact of any pandemic on the Polish-speaking population.

Late Post-Operative Occurrence of Dentin Hypersensitivity in Adult Patients Following Allogeneic Hematopoietic Stem Cell Transplantation-A Preliminary Report.

Allogeneic hematopoietic stem cell transplantation (alloHSCT) is one of the most commonly performed transplantation procedures nowadays. Despite the significant progress made in the treatment, alloHSCT is still associated with numerous complications also affecting the oral cavity. One of them is dentin hypersensitivity (DH)-a sharp, short-term pain that occurs when stimuli act on exposed dentin. Various authors point out that DH may result in a significantly lower quality of life, among other things by impeding the consumption of food as well as causing difficulties in daily oral hygiene. The aim of the study was a preliminary analysis of the incidence rate and severity of DH pain in adult patients during late period after alloHSCT. The impact of chronic graft-versus-host disease (cGvHD) and time after alloHCT were also considered. A total of 80 patients were examined. cGvHD was identified in 52 participants. The incidence rate and severity of DH pain was assessed on the basis of a questionnaire and a clinical examination. DH pain appeared a serious problem in late period after alloHSCT regardless of post-transplant time. DH primarily affected cGvHD patients. The prevention-treatment protocol for DH should be developed for this group.

Safety of Aesthetic Medicine Procedures in Patients with Autoimmune Thyroid Disease: A Literature Review.

Autoimmune thyroid diseases are the most common organ-specific autoimmune diseases, affecting 2-5% of the world's population. Due to the autoimmune background of thyroid diseases, we analyzed a wide range of cosmetic procedures, from minimally invasive cosmetic injections (mesotherapy) to highly invasive procedures, such as lifting threads. Out of the seven categories of treatments in aesthetic medicine analyzed by us-hyaluronic acid, botulinum toxin, autologous platelet-rich plasma, autologous fat grafting, lifting threads, IPL and laser treatment and mesotherapy-only two, mesotherapy and lifting threads, are not recommended. This is due to the lack of safety studies and the potential possibility of a higher frequency of side effects in patients with autoimmune thyroid diseases.

Oral health of adult patients undergoing hematopoietic cell transplantation. Pre-transplant assessment and care.

Hematopoietic cell transplantation (HCT) is now one of the frequent procedures used for treatment of malignant and non-malignant blood diseases, autoimmune disorders, and certain solid tumors. Despite improvements of therapeutic protocols, HCT still carries a high risk of non-relapse mortality due to early and late complications. Side effects of the therapy regimen frequently occur in the oral cavity and often significantly decrease the patients' quality of life. The complications may result from or may be exacerbated by improper oral preparation of the patient before transplantation. Therefore, it is mandatory that all patients referred to HCT undergo thorough dental examination and receive appropriate treatment before the procedure. It is also very important to develop an individual post-transplantation oral care protocol with special concerns to oral hygiene before implementation of the conditioning. This paper presents a review of dental management methods intended for patients before HCT proposed in literature as well as recommendations based on the experience of the Department of Comprehensive Dental Care and the Department of Conservative Dentistry of Warsaw Medical University and the Warsaw Institute of Hematology and Blood Transfusion. The article pays special attention to the problem of potential foci of infection and bleeding. It also presents protocol of oral hygiene in post-transplantation period, used by patients of Warsaw Medical University and Institute of Hematology and Blood Transfusion.

Prevalence of erosive lesions with respect to risk factors in a young adult population in Poland-a cross-sectional study.

OBJECTIVE: The study was conducted to investigate the prevalence of erosive lesions and related risk factors in the population of 18-year-old young adults in Poland. MATERIALS AND METHODS: Calibrated examiners measured erosive tooth wear according to Basic Erosive Wear Examination (BEWE) scoring system in 1869 patients and assessed the impact of risk factors with a questionnaire. RESULTS: Erosion was present in 42.3% of the patients. Early damage to the enamel was the most frequent finding (BEWE 1)-28.9%. More advanced lesions (BEWE 2) were observed in 12% of the patients. Advanced damage to the teeth (BEWE 3) was diagnosed rarely-1.4% of the examined population. Acidic diet, hygienic habits, and medical conditions such as asthma, eating disorders, and esophageal reflux showed statistical significance, as associated with erosion in the examined population. CONCLUSIONS: The present study indicates that dental erosion is a common oral disease in the 18-year-old population with prevalence of frequency and intensity in males. However, on the basis of observations carried out in recent years, it may be assumed that the prevalence of this type of lesion is increasing. CLINICAL RELEVANCE: Present findings support other longitudinal studies toward evaluation of the BEWE system as a valuable standard for assessing erosive and related risk factors among different populations.

[Epidemiological study of prevalence and risk factors for dental erosions among Polish young adults]. / Badania nad wystepowaniem erozji zebów i czynników ryzyka w populacji mlodych doroslych w Polsce.

UNLABELLED: Dental erosion for many years has been a pathology of secondary interest to dental public health authorities, but this point of view is changing. In recent years the occurrence and severity of erosive tooth wear seems to have increased. Various studies have shown that the prevalence of erosive tooth wear has particularly increased among younger population. AIM: Across-sectional oral health survey of randomly selected sample of 1886, 18-year old adults was carried out in Poland. Tooth wear was diagnosed according to BEWE index. Information about general health, oral hygiene habits, dietary habits, were gathered in a questionnaire. MATERIALS AND METHODS: Across-sectional oral health survey of randomly selected sample of 1886, 18-year old adults was carried out in Poland. Tooth wear was diagnosed according to BEWE index. Information about general health, oral hygiene habits, dietary habits, were gathered in a questionnaire. RESULTS: Out of 1886 young adults 42% had signs of dental erosion. Early damage to the enamel (BEWE 1) was diagnosed in 28.9% patients. More advanced lesions (BEWE 2) were observed in 12% of patients and the highest score (BEWE 3) was diagnosed in 1.4% of the examined population. About 85,7% of the population answered "I feel healthy", 2,7% had gastroesophageal reflux disease, 8,5% allergy, 2,7% asthma, 2,7% eating disorders. CONCLUSIONS: The present study indicate that the dental erosion is common oral disease in 18-year old population in Poland with prevalence of frequency and intensity in males. Acidic diet, hygienic habits and medical conditions such as asthma, eating disorders and esophageal reflux showed statistical significance, as associated with erosive in examined population. In this young adult sample 13,4% had signs of advanced tooth wear which may increase clinical problems in the future.

[Tooth erosion - a multidisciplinary approach]. / Erozje zebów - problem interdyscyplinarny.

During the last decades, an increasingly greater interest in dental erosion has been observed in clinical dental practice, in dental public health and in dental research because prevalence of erosive tooth wear is still increasing especially in young age group of population. Erosive tooth wear is a multifactorial etiology process characterized by progressive loss of hard dental tissue. It is defined as the exogenous and/or endogenous acids dissolution of the dental tissue, without bacterial involvement. In the development of dental erosive wear, interactions are required which include chemical, biological, behavioral, diet, time, socioeconomic, knowledge, education, and general health factors. Examples of risk groups could be patients with eating disorders, like anorexia nervosa or bulimia nervosa, gastroesophageal reflux disease, chronic alcohol abuse or dependence. Special nutrition habits groups with high consumption of soft or sport drinks, special diets like vegetarian, vegan or raw food diet, the regular intake of drugs, medications and food supplements can also increase the risk for dental erosion. Comprehensive knowledge of the different risk and protective factors is a perquisite for initiating adequate preventive measures.

Polish public programme of dental caries prevention in children aged 6, 12 and 18 years in 2012.

INTRODUCTION: Studies conducted within the framework of "Monitoring of oral health in Polish population", adapted by Ministry of Health, determined the percentage of children aged up to 18 years who were involved in prophylactic programme in schools. OBJECTIVE: The study aimed at analyzing the prophylactic programme conducted in 2012 in Poland, combined with the procedure of sealing of primary and permanent lateral teeth in 3 age groups. MATERIAL AND METHODS: A total of 5,723 children aged 6, 12 and 18 years living in 7 voivodeships were involved in epidemiological study. The study was conducted pursuant to WHO recommendations (Oral Health Surveys). RESULTS: The percentage of children in particular age groups involved in prophylactic programme was: 34.8% and 97.3%, while the 18-year-olds were not subject to prophylaxis. Taking into account the completion status of prophylactic programmes, considerable differences between voivodeships were observed. A minor percentage of children aged 6 years had primary and permanent teeth sealed with their respective share being 0.6% and 7.1%. The percentage of children aged 12 years with sealed teeth amounted to 33%. The noticed disprities in the percentage of sealed teeth in particular voivodeships ranged from 1.4 to 56.0%. Less than 1% (0.8%) of examined 18-year-olds required sealing of teeth as generally lateral teeth in this age were filled or affected by dental caries. CONCLUSIONS: 1. Having analyzed the place of residence (urban, rural area) in relation to the number of children involved in prophylactic programme, no differences were observed in children aged 6 years. However, considerable disparities were present between particular voivodeships. A minor percentage of 6-year-olds had sealed permanent teeth, its value was less regarding primary teeth. 2. Nearly all children aged 12 years were subject to fluoride prophylactic programme, while in four voivodeships it amounted to 100%. The percentage of sealed teeth was 33%. From the analysis of number of sealed teeth in examined children transpires that more than 67% of children had no sealing of teeth, while 13% of them had from 4 to 6 teeth with sealants.

Oral health and prophylactic-therapeutic needs of children aged 6 years in Poland in 2012.

BACKGROUND: Irrespective of the fact that in developed countries, a reduction of dental caries incidence is observed, it still remains the most common chronic disease affecting children in Poland. OBJECTIVES: In the paper, the results of nationwide epidemiological studies conducted in Poland in 2012 within the framework of the Nationwide Dental Health Monitoring Programme were presented. MATERIAL AND METHODS: The children aged 6 years were enrolled into the study. Clinical assessment of oral health status of children was made in accordance with WHO recommendations. RESULTS: The percentage of healthy children aged 6 years, who did not have any signs of dental caries manifested with cavity, tooth filling or tooth loss was only 14.4%. On average, only one tooth per child was filled due to dental caries and four out of five teeth affected by dental caries required invasive treatment. Index of conservative treatment was very low and amounted to 0.23 +/- 0.24. CONCLUSIONS: The results demonstrate high caries prevalence and significant prophylactic-therapeutic needs.

Prevalence of dental erosion in young adults aged 18 years in Poland.

AIM: The aim of this study was to assess the prevalence of tooth wear in young adults in Poland. METHODS: A total of 1,886 persons aged 18 years, selected on a basis of multistage sampling, were examined within the Nationwide Dental Health Monitoring Programme. Previously calibrated dentists measured tooth wear using the BEWE-scoring system (Basic Erosive Wear Examination). RESULTS: Out of 1,886 young adults, 42.2% presented the signs of dental erosion. Considered the severity of erosion, it was graded as 1, 2 and 3 in 28.9%, 11.9% and 1.5% of 18-year-olds, respectively. CONCLUSIONS: Results of clinical assessment of dental erosion in 18-year-old young adults revealed that erosive tooth wear is an important problem in this age group. Of them, 13.4% had signs of advanced tooth wear which may lead to serious clinical problems in the future.

Polish public caries prophylaxis programme for children aged 5, 7 and 15 years, implemented in the year 2011.

BACKGROUND: Continuous monitoring of oral health status improves the quality of dental health care and the effectiveness of implemented prevention programs. OBJECTIVES: The aim of the study was to assess the caries status in three age groups of Polish children and evaluation of the effectiveness of the nationwide caries prophylaxis program, including fissure sealing of deciduous and permanent teeth. MATERIAL AND METHODS: a group of 6,271 chidren, 5, 7 and 15 years old, coming from 16 provinces of Poland, was included in the epidemiological survey. The study was based on WHO guidelines (Oral Health Surveys). RESULTS: the percentage of children covered by the prophylaxis program in 2011 was as follows: 5 years old--3.8%, 7 years old--48.3%, 15 years old--7.2%. Five-year-old children took part in prophylaxis program in 4 provinces, seven-year-old children--in 10 provinces, and 15-year-old children--in 3 provinces. The percentage of five-year-old children with sealed primary and permanent teeth was 0.4% and 0.6%, respectively. In the group of seven-year-old children it was 1.7% and 16.4% respectively, whereas in the group of 15-year-old children, the percentage of sealed permanent teeth was 7.2%. The obtained results varied in different provinces of Poland. CONCLUSIONS: Caries prophylaxis program developed for Polish children was implemented insufficiently, with significant differences depending on sex, age group and regional conditions. The total percentage of children with sealed primary and permanent dentition was very low on national scale, regardless of age and place of residence.