Evaluation of oral health status in the population above 50: evidence from the ardakan cohort study on aging (ACSA).

BACKGROUND: The global population is undergoing rapid aging, and older individuals are more susceptible to various health issues, including oral health problems. Despite the increasing attention given to healthy aging, oral health has often been overlooked in discussions related to health problems. This study aims to assess the oral health status of middle-aged and older adults in Iran. METHODS: This cross-sectional study analyzed data from 4970 men and women aged 50 years and above, who participated in the Ardakan Cohort Study on Aging (ACSA) between 2020 and 2022. Trained personnel administered a questionnaire and conducted oral health examinations to determine the oral health status and oral hygiene behaviors of the participants. RESULTS: The mean value (SD) of the total Decayed, Missing, and Filled Teeth (DMFT) index was 21.3 (10.7). Approximately 46% of all participants were completely edentulous (without natural teeth). Moreover, 58.5% of the total sample wore dentures, and the mean age (SD) when they started using dentures was 48.5 (20.7) years. About 71% of participants with natural teeth reported brushing their teeth at least once a day, while about 63% of denture wearers cleaned their dentures daily. In the sample, 28% of individuals had visited a dentist in the last year. The prevalence of difficulty in biting and chewing food among the participants was 48.2% and 44.6%, respectively. Additionally, nearly 68% of all samples reported experiencing at least one difficulty in daily functioning due to oral/dental conditions. The study identified cutoff points of seven (sensitivity = 56.8 and specificity = 77.5) and 10 (sensitivity = 72.1 and specificity = 71.1) missing teeth, indicating the presence of at least one problem in daily functioning due to oral/dental conditions in middle-aged and older adults, respectively. CONCLUSION: The study reveals a high prevalence of edentulism and denture use among participants aged 50 years and above. The majority of samples reported difficulties in daily functioning due to oral and dental conditions, especially in biting and chewing food. These findings highlight the importance of proactive measures to address oral health issues in middle-aged and older adults, thereby enhancing their overall health and well-being.

Dental caries and associated factors among Turkish children and adults: Findings from the 3rd National Oral Health Survey.

BACKGROUND: Information on the current status of oral health and related risk factors is lacking in Turkiye. This study aimed to evaluate dental caries and associated factors among the Turkish population using the findings of the third national oral health survey. METHODS: This cross-sectional epidemiological survey was carried out between March and September in 2018 including five index ages and age groups (5-, 12-, 15-year-olds, 35-44 and 65-74 age groups). A multistage cluster sampling design was used to obtain a national representative sample of these age groups. Participants were interviewed face-to-face using a structured questionnaire, and oral examinations were performed based on the methods and criteria suggested by the World Health Organization. The adjusted prevalence ratio for dental caries was estimated considering sociodemographic and behavioural characteristics by using log-binomial and robust Poisson regression analysis in R and SAS software. RESULTS: After data cleaning, a total of 11 091 participants remained. The prevalence of dental caries was 76.5% (95% confidence interval: 75.4%-77.7%) and determined to be associated with age, dental visit, and pain or discomfort history during the previous year among the Turkish population. Prevalence was also associated with the mother's education level among 5-, 12- and 15-year-olds. For the 35-44 age group, individuals living in urban areas had lower dental caries than those living in rural areas. For 65-74 age group, none of the factors were significantly associated with dental caries. CONCLUSION: A high prevalence of dental caries was observed in Turkish children and adults. Therefore, it is necessary to strengthen current preventive oral health programs. Regular disease surveillance should be maintained. National oral health targets should be formulated in accordance with Turkiye's needs, resources and structure.

Association between salivary flow and dental caries in institutionalized adolescents: Cross-sectional study.

Background: Brazil has a larger number of adolescent offenders, but studies evaluating their oral health are still limited. Objective: Assess the association between salivary flow and caries experience in youngsters deprived of liberty. Methodology: Sixty-eight male adolescents in conflict with the law, aged between 15 and 19 years, from a Socio-Educational Assistance Center in Brazil participated in the present study. They answered a structured questionnaire, and oral examination was performed by the Decayed, Missing, and Filled Teeth (DMFT) index. The salivary flow rate was obtained using the mechanically stimulated total saliva method. Adjusted Poisson regression was used for the association with total DMFT and its decayed component, using the salivary flow (continuous fashion) or the hyposalivation (≤1 ml/min) as independent variables. Results: Participants were divided into two groups, those who did not have any decayed teeth at the moment of the examination (n = 39) and those who had at least one decayed tooth (n = 29). Moreover, two groups were formed based on the DMFT: those who had DMFT = 0 (n = 20) and those who had DMFT≥1 (n = 48). In the multivariate analysis, hyposalivation was associated with DMFT≥1 (p = 0.048), but when the salivary flow was included, no significant association with DMFT index was identified (p = 0.178). Conversely, the presence of at least one decayed tooth was significantly associated with the salivary flow (p = 0.004), but not with hyposalivation (p = 0.091). Conclusions: Institutionalized adolescents who present hyposalivation or low salivary flow are associated with DMFT≥1 index or presence of at least one decayed tooth, respectively.

Relación entre el índice CPOD y la limitación para socializar en escolares de Ecuador / Relationship between the DMFT index and the limitation to socialize in schoolchildren from Ecuador

Introducción: La Organización Mundial de la Salud define a la caries dental como un problema de salud mundial que afecta entre el 60 al 90% de la población. Se considera una enfermedad transmisible de origen multifactorial, que evoluciona de manera progresiva hasta ocasionar la destrucción de los tejidos duros. Objetivo: Determinar la relación entre dientes cariados, perdidos y obturados, y la limitación para socializar en escolares de Ecuador. Métodos: Se realizó un estudio descriptivo de tipo correlacional sobre una población de 154 escolares de 12 años de la parroquia el Batán, de Cuenca-Ecuador (2016); para el análisis estadístico los datos fueron ingresados al programa SPSS, donde se efectuó estadística descriptiva para cada una de las variables y la limitación para socializar. Resultados: Se logró constatar que la población objeto presentó un índice de CPOD muy bajo (32,5 %), de igual forma se evidenció que el 62,7% no presentó limitación a la hora de socializar. En cuanto a la correlación entre ambas variables, se mostró una asociación positiva con un nivel de significancia de p=0,002. Una de las principales limitaciones del estudio fue el escaso contacto con los participantes. Se recomienda, efectuar investigaciones epidemiológicas longitudinales con la finalidad de observar la variación del coeficiente de correlación de las variables en fases de pretratamiento y de postratamiento. Conclusión: Al finalizar el estudio, se demostró que existe correlación estadística entre el índice CPOD y la limitación en el desempeño socializar en los escolares de 12 años de la parroquia el Batán.

Introduction: the World Health Organization defines dental caries as a global health problem that affects between 60 and 90% of the population. It is considered a communicable disease of multifactorial origin, which evolves progressively until it causes the destruction of hard tissues. Objective: to determine the relationship between decayed, missing and filled teeth and the limitation to socialize in schoolchildren from Ecuador. Methods: a descriptive correlational study was carried out on a population of 154 schoolchildren aged 12 years from the El Batán parish, Cuenca-Ecuador (2016); data was entered into the SPSS program for the statistical analysis, where descriptive statistics were performed for each of the variables and for the limitation to socialize. Results: it was possible to verify that the target population had a very low DMFT index (32.5%); in the same way it was evidenced that 62.7% did not have limitations when socializing. A positive association, with a significance level of p=0.002, was shown regarding the correlation between both variables. One of the main limitations of the study was the limited contact with the participants. We recommend to carry out longitudinal epidemiological investigations in order to observe the variation of the correlation coefficient of the variables in the pre-treatment and post-treatment phases. Conclusion: we showed, at the end of the study, that there is a statistical correlation between the DMFT index and the limitation in socializing performance in 12-year-old schoolchildren from the El Batán parish.

Prevalence of dental caries in pregnant Colombian women and its associated factors.

OBJECTIVE: To identify the prevalence of dental caries in pregnant women in the Colombian population and its association with the medical history and social determinants, based on data from the fourth National Oral Health Survey (ENSAB IV). MATERIALS AND METHODS: A total of 1,047 pregnant women from different areas of Colombia were evaluated. A dental evaluation was performed using a flat oral mirror and blunt-tipped probe (World Health Organization, 2007). For diagnosis of the dental condition, the DMFT index was used. A negative binomial regression analysis was performed to evaluate the association between social determinants and the DMFT index. RESULTS: The results of this national study show a 59% prevalence of caries in this population. Regarding the experience of caries, 89.9% of pregnant women showed having had caries. CONCLUSIONS: The results of this national study on pregnant women show a high prevalence of dental caries. The women's level of education is an important factor associated with dental caries and filled teeth, so the role of oral health education and dental check-ups are important. CLINICAL RELEVANCE: The findings of this study show the oral health situation of pregnant women, with a high prevalence of dental caries. This leads to the development and strengthening of oral health education strategies that empower pregnant women in their care. In addition, dental checkups during pregnancy should be implemented and reinforced to prevent and treat oral pathologies and thus prevent complications during this stage.

Developing and assessing the efficiency of VOSER software in recording dental caries according to WHO's criteria 2013.

Background/purpose: World Health Organization (WHO) oral health survey manual is the main guideline for most oral health surveys worldwide. It has been updated several times since 1971; however, using papers and pens for data recording remains unchanged. This study aimed to develop the Vietnam Oral Survey Electronics Recorder (VOSER) to record dental caries data based on the WHO 2013 criteria and assess its reliability and efficiency. Materials and methods: VOSER was developed and tested for reliability and efficiency by performing clinical examinations on 365 school children in three key indicator age groups: 120 5-year-old students with primary dentition, 123 8-year-old students with mixed dentition, and 122 12-year-old students with permanent dentition. One gold standard examiner and two trained clerks examined these children using either WHO's paper survey form or VOSER's digital form for dental caries. Recording time, spreadsheet time, DMFT/S, and dmft/s were analyzed to compare the efficiency of VOSER to the paper form. Cohen's Kappa, intraclass correlation coefficient, and Wilcoxon signed-rank test were adopted in the data analyses. Results: Median time of using VOSER was significantly shorter than the standard time in all three dentitions (P < 0.001). Cohen's Kappa values between data collected by VOSER and paper form showed almost perfect agreements (0.927-0.958). DMFT/S and dmft/s values calculated from data collected by both methods had good to excellent reliabilities (0.791-0.997). Conclusion: VOSER is efficient and reliable for conducting dental caries surveys according to the WHO 2013 criteria and should be utilized in the era of digital technology.

Prevalence of metabolic syndrome and its association with oral health: First results from the Kurdish cohort study.

Aims: Investigate the association between oral and dental health (ODH) and metabolic syndrome (MetS) in adults aged 35-70 years. Methods: The study utilized data from the enrollment phase of Dehgolan prospective cohort study in the west of Iran. A cross-sectional assessment was conducted on a total of 3996 participants, involving a comprehensive oral examination and the assessment of their oral hygiene behavior (ODH). MetS was defined according to the updated National Cholesterol Education Program Adult Treatment Panel III. Logistic regression used to calculate odds ratios (ORs) and 95% confidence intervals (CIs), adjusting for sociodemographic characteristics. Results: MetS was more prevalent among those who not daily brushing and flossing. Participants with missing teeth (MT) show higher prevalent of MetS. Being female, lower age, illiteracy, family history of diabetes, low physical activity, and salt at table were independently associated with increase odds of MetS (p < 0.05). Odds of MetS were significantly decreased with use flossing (OR = 0.75; CI = 0.60-0.93), decayed (OR = 0.83; CI = 0.72-0.97), filled (OR = 0.84; CI = 0.71-0.99), and increased with MT (OR = 1.45; CI = 1.16-1.81) as long as adjusted for ODH factors. When other potential confounder such as sociodemographic, personal and nutritional habits were adjusted, daily flossing was the only factor that still statistically decreased (OR = 0.79; CI = 0.62-0.99) the odds of MetS. Conclusion: Daily flossing was the only factor that independently associated with MetS. Relationship of other ODH factors with Mets were confounded by sociodemographic characteristics of the participants.

Salivary Nitric Oxide Levels in Adults with Different DMFT Scores in a Selected Iranian Population: A Cross-Sectional Study.

Objectives: Due to the emphasis on the protective and antimicrobial role of Nitric Oxide against gastrointestinal diseases, investigating its relationship with dental caries is a right topic. Therefore, this research has investigated the amount of saliva Nitric Oxide in different volumes of DMFT indicator in adults. Material and Methods: In this descriptive- analytical cross-sectional study, 80 participants (20-35 years old), without a history of systemic disease and drug use participated as research samples, (53.8% of the participants in the study were women). Participants were selected from patients who had visited dental Department. The participants were divided in four groups based on DMFT (DMFT=0, 1≤DMFT≤3, 3

Dental Caries Experience in Children in Public Kindergartens of Sarajevo, Bosnia and Herzegovina.

Objectives: Dental caries first occurs within primary dentition in toddlers and preschool children, in a form of early childhood caries (ECC). In every day's busy and employment burdened parenting, caretakers and institutions have become important even more nowadays, not only for forming child general behavior and character, but also for maintenance of their general and oral health as well. Aims: To evaluate the presence and severity of ECC in children who attended public kindergartens in Sarajevo, and to offer basic information for the maintenance and improvement of child oral health to their parents and kindergarten teachers. Methods: The study included 1722 preschool children aged 3-6 years who attended kindergartens within Sarajevo public kindergarten institution, together with their parents and kindergarten teachers. Dental team members gradually visited all kindergartens situated in four Sarajevo city municipalities and examined kindergarten children according to the WHO Oral Health Survey Manual. Oral health promotion material for parents and kindergarten teachers was also distributed simultaneously during sequential visits. Results: ECC was present in preschool kindergarten children in Sarajevo, with its high prevalence (67.71%); dmft-value (3.97) and severity (SiC index 8.79). There was also a significant lack of dental healthcare to examined children mostly related to lack of visiting dental offices by children's parents (CI=10.55%, RI=10.80%, TI=12.98%). Conclusion: Parental role in preserving and improving of their children oral health should be systematically and profoundly improved. Kindergarten officials and staff should recognize the importance of anticariogenic diet menus and oral hygiene maintenance within their institutions.

Evaluation of oral health-related quality of life in children with acute lymphocytic leukemia/acute myelocytic leukemia: A cross-sectional study.

OBJECTIVE: Chemotherapy and radiotherapy, used to treat childhood hematological malignancies (acute lymphocytic leukemia [ALL] and acute myelocytic leukemia [AML]) can negatively affect oral tissues and organs. This study aimed to evaluate the oral health-related quality of life in children with ALL/AML. MATERIALS AND METHODS: A total of 99 children, including 49 undergoing ALL/AML (41 with ALL and eight with AML) and 50 healthy volunteers, were included in this cross-sectional study. The mean age of the entire study group was 78.63 ± 34.41 months. The mean age of the ALL/AML and control groups was 87.12 ± 35.04 and 70.95 ± 34.85 months, respectively. The Simplified Oral Hygiene Index (SOHI), the Decayed, Missing, and Filled Teeth (DMFT/dmft) index, and the Turkish version of the Early Childhood Oral Health Impact Scale (ECOHIS-T) were administered to all children. The data were analyzed using SPSS software (version 22.0). The Pearson chi-square and Fisher's exact tests were used to compare demographic data. RESULTS: The age and gender distributions of the two groups were similar. According to ECOHIS-T, the children in the ALL/AML group had significantly more loss of function (eating, drinking, sleeping, etc.) than those in the control group. CONCLUSIONS: Oral health and self-care were negatively affected by childhood ALL/AML and its treatment.

Prevalence and associated factors of self-reported halitosis among institutionalized adolescents: Cross-sectional study.

OBJECTIVE: To assess the prevalence and associated factors of self-reported halitosis in institutionalized adolescents in a city in southern Brazil. METHODS: This cross-sectional study involved male institutionalized adolescents, aged 15-19 years old, at the Socio-Educational Assistance Center in the city of Passo Fundo, Brazil. Data collection was performed by a research team composed of two interviewers, two clinical examiners of oral health and two examiners of salivary flow. A structured questionnaire was applied, which included demographical, socioeconomical, general health behaviour, presence of health problems and oral health self-perception variables. Decayed, Missing, Filled Index was used for the clinical examination. The salivary flow collection was performed using the mechanically stimulated total saliva method, in which only the liquid component was measured. RESULTS: The prevalence of self-reported halitosis in this sample was 51.5% (n = 35). In the final multivariate analysis, halitosis was significantly associated with the non-white racial group (prevalence ratio [RP]:1.703; 95% confidence interval [95%CI]:1.101-2.634), use of crack (RP:1.857; 95%CI:1.270-2.714) and number of decayed teeth (PR: 1.123; 95%CI:1.008-1.252). The use of alcohol and access to dental care in the last 12 months were not significantly associated with self-reported halitosis. CONCLUSION: It was concluded that non-white and crack-user youngsters had a high occurrence of self-reported halitosis. Higher rates of dental caries are also associated with halitosis.

Relationship between index of orthodontic treatment need dental health component (IOTN-DHC) and caries prevalence in school-age children.

OBJECTIVES: The objectives of the study were to investigate the relationship between caries prevalence and the Index of Orthodontic Treatment Need Dental Health Component (IOTN-DHC) in school-age children who live in the dentistless area and to consider the effective way to reduce the potential progression of malocclusion with the growth through the dental survey in Arbulag district, Khövsgöl province, Mongolia. MATERIALS AND METHODS: The 95 school-age children (49 males, 46 females) who participated in the study were born in and were residents of Arbulag district, Khövsgöl province, Mongolia. The mean ages of the participants were 8.3 years (y) ± 1.7 y for males and 8.8 y ± 1.7 y for females. The Mann-Whitney U test was performed to determine the sex difference for the dmf/DMF index. The relationship between the IOTON-DHC and the dmf/DMF index was statistically examined using Spearman's rank correlation coefficient. RESULTS: Regarding the dmf/DMF index, no sex difference was observed. There were significant, fair positive correlations between the IOTON-DHC grade and F; between the IOTON-DHC grade and DMF index in males. There were significant, fair positive correlations between the IOTON-DHC grade and M; between the IOTON-DHC grade and DMF index in females. CONCLUSIONS: Significant, fair positive correlations were found between the caries prevalence and the grade of malocclusion. Thus, prevention and early treatment of dental caries in a mixed dentition may be effective to reduce the potential progression of malocclusions in dentistless area.

Effectiveness of comprehensive intervention on primary dental caries in 3-year-old children in Bengbu / 中国学校卫生

Objective@#To explore the effectiveness of the comprehensive intervention on prevention of deciduous primary caries in 3-year-old children, so as so provide reference for the prevention, health care and treatment of oral caries.@*Methods@#Three-year-old children selected by drawing lots from 10 public kindergartens in 5 districts of Bengbu were examined in 2021, and were randomly divided into intervention group ( n =300) and control group ( n =300). During the initial examination, caries loss (dmf) including dental caries, missing teeth, filling teeth were assessed in the two groups. At the initial examination, the intervention group received caries intervention while no intervention was administered in the non-intervention group until half a year later. Intervention measures included education, diet, self-cleaning and fluoride application intervention. The number of cases and the mean of caries loss in the two groups were compared by χ 2 test.@*Results@#Before the intervention, 43 children in the control group suffered from caries, with 88 dmf, including 44 dmf for boys and 44 dmf for girls. There were 45 children in the intervention group, with 101 dmf, including 49 dmf for boys and 52 dmf for girls. There was no significant difference in the number of dmf between the intervention group and the control group ( χ 2=0.91, P >0.05), and there was no significant difference in the prevalence rate (15.0%, 14.3%, χ 2=0.05, P >0.05). After the intervention, there were 26 new dental caries and 43 dmf in intervention group, including 25 dmf for boys and 18 dmf for girls. In the control group, there were 83 new dental caries and 168 dmf, including 72 dmf for boys and 96 dmf for girls. Compared with the control group, the new dmf in the intervention group was significantly different ( χ 2=75.38, P < 0.05). The number of new dental caries patients in the intervention group was significantly different from that in the control group ( χ 2=36.42, P <0.05).@*Conclusion@#Comprehensive interventions to prevent dental caries can significantly reduce the incidence of primary teeth caries in children. It is suggested to intervene dental caries as early as possible to reduce the incidence of dental caries and other oral diseases.

A Cross-Sectional Assessment of Effects of Imprisonment Period on the Oral Health Status of Inmates in Ghaziabad, Delhi National Capital Region, India.

BACKGROUND: Incarcerated individuals usually exhibit high oral health needs than the average population. Several factors contribute to these needs both before incarceration and during the sentence itself. Inmates are a marginalized group, who are at a higher risk for a variety of medical, dental, and emotional disorders than the general population. The aim of the study was to assess of effects of the imprisonment period on the oral health status of inmates. MATERIAL AND METHODS: A total of 532 inmates with imprisonment up to three years, three to six years, and six to ten years were included in the study. Incidence and prevalence of dental caries, decayed, missing, filled teeth (DMFT) index, and periodontal and prosthetic status were evaluated in detail. RESULTS: Results showed that the prevalence of dental caries was relatively high among the convicts. It was found that 98.2% of the inmates had one or more teeth decayed. Additionally, 31.2% (pocket >4mm) of the inmates had poor periodontal status with 4.5% of the subjects having a loss of attachment score of 4-5mm or more. A total of 3.5% of the inmates had full dentures, either upper or lower arch. The relative need for full prosthesis was projected to be around 1.4% of the studied population. CONCLUSION: Within the limitations of the study, the authors found that dental healthcare delivered and received by the inmates is much below the acceptable limit. Additionally, the incidence of dental caries in inmates was unexpectedly higher with tooth decay in 98.2% of subjects. Hence, the need of the hour is to critically incorporate and reinforce our efforts with a special focus on the risk factors of oral health.

Prevalence of dental caries and associated factors of detention center inmates in South Korea compared with Korea National Health and Nutrition Examination Survey (KNHANES) respondents: a retrospective study.

BACKGROUND: Correctional institution inmates have reduced access to dental care; however, a quantitative assessment of their oral health condition has not yet been performed in South Korea. Therefore, this study aimed to assess dental caries and compare the prevalence of dental caries and associated factors between inmates and the general South Korean population. METHODS: The dental records of two detention centers in South Korea were retrospectively analyzed to assess the clinical oral health condition of inmates using the Decayed, Missing, and Filled Teeth (DMFT) index and self-reported questionnaire. These data were compared with similar data obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) for the general South Korean population. RESULTS: In total, 642 inmates were analyzed and compared with 13,345 KNHANES participants in the KNHANES. The inmate and KNHANES groups demonstrated significant intergroup differences, with a higher prevalence of untreated caries, DMFT, decayed teeth (DT), and missing teeth (MT) values among the inmates. The prevalence of untreated caries decreased according to the history of dental pain in the inmate group but increased in the KNHANES group. The decrease in DMFT with a history of dental pain was significant only in the inmate group. Furthermore, self-rated oral health was significantly associated with prevalence of untreated caries, DMFT, DT, MT, and filled teeth (FT) in the inmate group but with prevalence of untreated caries, DMFT, DT, and MT in the KNHANES group. It was found that this is because there is an interaction effect by the group. CONCLUSIONS: The oral health of the inmate group was significantly poorer than that of the general group. Since DMFT, DT, MT, and FT values and prevalence of untreated caries in the inmate group were significantly related to their self-rated oral health, suggesting that self-rated oral health should be incorporated into the dental health screenings of correctional institution inmates.

Dental caries: Impact of tobacco product among tobacco chewers and tobacco smokers.

Objective: Tobacco is the most significant social burden and the leading cause of death. Tobacco is derived from "Nicotiana tabacum" which has nicotine as the main component. There are various disadvantages from tobacco on health which are reported in the medical literature. But the risk of caries among these tobacco users, such as chewers and smokers, is still debatable. Hence, the present study aims to determine the prevalence of dental caries among tobacco chewers and smokers. Materials and methods: In this study, 389 individuals were included. Out of 389 individuals, 304 were men and 85 were women aged between 18 and 60 years. They were classified into two groups. Group A had 207 individuals with habitual tobacco chewing, and Group B had 182 individuals with habitual tobacco smoking and provided a 6 months history. The DMFT index (Decayed, Missing, and filled teeth index-WHO modification 1997) was used to assess caries. Results: The study revealed a higher prevalence of dental caries among tobacco chewers compared to tobacco smokers. The DMFT scores were higher among gutka chewers compared to other types of tobacco use. The lower posterior tooth region showed higher dental caries in tobacco chewers compared to smokers. Conclusion: The higher presence of caries in the tobacco chewing group is due to the presence of sweeteners, which act as cariogenic agents. Similarly, smokers have a thiocyanate component that acts as an anticariogenic agent; therefore, the prevalence of caries was lower in tobacco smokers.

Estrategia educativa de Prevención de Enfermedades Bucales en colaboradores de una Universidad Privada dentro del marco del Proyecto de Responsabilidad Social Universitaria / Educational strategy for the Prevention of Oral Diseases in collaborators of a Private University within the framework of the University Social Responsibility Project

RESUMEN Introducción. La caries dental y las enfermedades gingivales son las patologías más comunes en la población mundial y se ha demostrado que las prácticas de higiene oral pueden controlarlas y prevenirlas Objetivo. Diseñar una estrategia educativa de prevención de enfermedades bucales e implementar en forma piloto en el personal de limpieza de la Universidad del Pacífico en Paraguay. Metodología. Estudio de intervención cuasiexperimental en el personal de limpieza de la Universidad del Pacífico en el periodo 2021. Se registraron índices CPOD y de O´Leary para establecer diagnóstico. Cada paciente recibió elementos de higiene bucal y semanalmente recibía mensajes, fotos y videos motivadores vía WhatsApp. Resultados. Participaron 13 individuos de entre 21 y 48 años, 69% del sexo femenino. Se realizaron 6 talleres con insumos para cada participante. El 49% de los participantes logró el objetivo de llegar al 20% del índice de O´Leary y el 40% de ellos reducir el 50% el índice Caries y el 100% de los que completaron los talleres resolvió la gingivitis. De 6 talleres realizados, 3 participantes acudieron al 100% de las actividades Conclusión. El cepillado dental bajo supervisión e instrucciones sencillas disminuye el Índice de O´Leary y controla la gingivitis. El uso de teléfonos celulares para realizar seguimiento y dar motivación constante compartiendo mensajes recordatorios, reflexiones positivas, imágenes de sonrisas agradables y videos demostrativos, evidenció ser altamente efectivo promover la constancia de los cuidados de salud bucal, sin embargo, no hubo impacto sobre la cantidad de caries activas presentes.

ABSTRACT Introduction. Dental caries and periodontal disease are the most common oral pathologies affecting the global population and it is proven that a good oral hygiene practices can control and prevent them. Objective. to design an educative strategy to prevent oral diseases and experimentally implement it with the cleaning workers of the Universidad del Pacífico in Paraguay. Methodology. Interventional quasi-experimental study with the cleaning workers at Universidad del Pacífico in 2021. DMF and O´Leary Indexes were measured to stablish diagnosis. Each patient received oral hygiene supplies in every control meeting. They also received weekly messages, photos, videos via WhatsApp. Results. 13 people between 21 to 48 years old participated in this study. 69% of them were female. 6 workshops were conducted where each individual received hygiene supplies. 49% of the participants achieved the goal of reducing to 20% or less in the O´Leary Index and 40% reduced their Decay Index to 50% and all the individuals who suffered initially from gingivitis were no longer affected by it at the end of the study. Out of 6 workshops, only 3 people participated in all of them. Conclusion. Supervised tooth brushing can help diminishing O´Leary index and controls gingivitis. It was proven that the use of cell phones to communicate with the participants with texting, photos or videos to promote the strategy and to rise the spirit was very helpful, nonetheless there were no impact over the amount of tooth decays.

Dental caries experience and its relationship to demographic factors in 2- to 6-year-old children in Fars-Iran in 2018.

PURPOSE: Among oral conditions, tooth decay is the most common chronic childhood disease. Children's dental caries are influenced by several factors, among which diet is one of the most highlighted ones. The present study was conducted to examine the decayed, missing and filled teeth in primary dentition (dmft) and caries-free (CF) indexes as well as the impact of nutrition and demographic factors on oral health of 2- to 6-year-old children in Fars Province. METHODS: A cross-sectional study was conducted on children aged 2-6 years old to evaluate dmft and CF indices according to the latest WHO standards as well as their demographic characteristics in 2018. A questionnaire was used for data collection. RESULTS: A total of 2220 children were recruited. The mean dmft was 1.37 ± 2.69. The components of the dmft score included decay (1.23 ± 2.6), missing (0.03 ± 0.11) and filling (0.11 ± 0.7) in primary dentition, and the prevalence of caries-free children was 66.5%. The results showed that dmft had a significant positive relationship with breastfeeding termination time, maternal education level and maternal age. Birth weight, consumption of iron, vitamin A and D supplements, age at onset of complementary feeding and maternal occupation had no significant relationship with dmft. CONCLUSIONS: The tooth decay index of 2- to 6-year-old children in Fars Province is very different from WHO global standards. Therefore, educating mothers about the duration of breastfeeding is important to achieve standard values for the dental caries index.

Políticas Públicas Odontológicas y su Relación con Historial de Caries en Menores Controlados en Atención Pública de Chile (2008-2017)

RESUMEN: Las enfermedades que afectan la salud bucodental en Chile son de alta prevalencia, severidad y afectan la calidad de vida de las personas. El Estado chileno ha implementado políticas públicas destinadas a mejorar la salud bucodent al, que benefician principalmente a niños y embarazadas. El trabajo consistió en un estudio observacional analítico. Se analizaron los índices COPD y ceod de las edades: 2, 4, 6 y 12 años, obtenidos de los Registros Estadísticos Mensuales (REM) de los años 2008-2017 (n=3.415.720). Análisis de datos: Excel 2011, EPIDAT 4.2 y SPSS; pruebas de Chi cuadrado y T-student (IC 95% y p<0,05). Disminución en prevalencia y severidad de caries durante los 10 años en estudio (p <0,05). Disminución estadísticamente significativa en la prevalencia y severidad de caries posterior a la implementación del programa que beneficia a los niños de 6 años. En cuanto a los programas Salud Oral Integral para la embarazada y Sembrando Sonrisas, solo tuvieron una disminución estadísticamente significativa en la severidad de caries. Se pudo observar impacto positivo de todas las políticas públicas estudiadas principalmente en la severidad de caries a lo largo de los años en estudio. No se pueden hacer comparaciones estadísticas con estudios previos por presentar metodologías muy disimiles con el presente. Se debe destacar la relevancia de un correcto registro de los índices en el REM. Es necesario realizar vigilancia epidemiológica según las metodologías y tiempos indicados para evaluar que papel ha jugado la prevención y promoción planteada en los objetivos estratégicos de la década que recién terminó.

ABSTRACT: Diseases affecting oral health in Chile are highly prevalent, severe and affect people's quality of life. The Chilean State has implemented public policies aimed at improving oral health, mainly benefiting children and pregnant women. This was an analytical observational study. DMF index for primary and permanent theeth were analyzed for ages: 2, 4, 6 and 12 years, obtained from the Monthly Statistical Records (MSR) for the years 2008-2017 (n=3.415.720). Data analysis: Excel 2011, EPIDAT 4.2 and SPSS; Chi-square and T-student tests (95% CI and p<0.05). Decrease in caries prevalence and severity during the 10 years under study (p<0.05). Statistically significant decrease in the prevalence and severity of caries after the implementation of the program benefiting 6-year-old children. As for the Oral Health Program for Pregnant Women and Sowing Smiles programs, they only had a statistically significant decrease in the severity of caries. A positive impact of all the public policies studied was observed, mainly in the severity of caries over the years under study. Statistical comparisons with previous studies cannot be made because they present very dissimilar methodologies. The relevance of a correct recording of the indices in the MSR should be emphasized. It is necessary to carry out epidemiological surveillance according to the methodologies and times indicated in order to evaluate the role played by prevention and promotion as set out in the strategic objectives of the decade that has just ended.

The Clinical Pattern and Prevalence of Streptococcus mutans and Streptococcus sobrinus among Adult and Children Patients with Dental Caries

Abstract Objective: To explore the clinical pattern, host factors, and presentation of Streptococcus mutans related to caries incidence among children and adults visiting Universitas Airlangga dental clinic. Material and Methods: This was an observational study with a cross-sectional approach with 50 patients in each group of carious children (6-12 years) and adults (18-35 years). Dental decay samples were taken by sterile excavator, put in a BHI's transport medium, and directly incubated overnight at 37 ºC. The next day, they were sub-cultured microbiologically in Tryptone Yeast Cystine Sucrose Bacitracin (TYCSB) selective medium. Bacterial species and serogroups were examined by PCR. All patient's data were collected from medical records and direct observation. Results: Caries were mostly media type in both children and adults. Oral hygiene (OHIS) in children was higher than in adults but not significantly different according to their DMFT. The highest scores for decay, missed and filled teeth were 16, 8 and 7, with an average of 6.82, 1.22 and 0.63, considered quite high. Conclusion: The prevalence of S. mutans was higher in children's caries than in adults, but among the adult patients the co-incidence of S. mutans and S. sobrinus was associated with higher DMFT. The mutans serotypes e, f, and d were more prevalent among children than adults.