Evaluation of caries prevalence in children and adolescents in Zabrze subjected to planned stomatological care

In a group of 923 children aged 8 to 15 years (475 girls and 448 boys) caries was found in 80.61%. The intensity of the carietic process (DMF) was for the whole group 3.08 teeth. The study demonstrated increasing prevalence of caries with age. The intensit and the prevalence of caries were greater in girls than in boys. The analysis of the components of the DMF index showed a considerably large proportion of teeth with active caries with a low proportion of filled and removed teeth. The mean D index in the whole group was 2.09, in girls it was 2.22, in boys 1.93. The mean number of filled teeth was low: 0.91 for all children, 1.09 for girls, and 0.72 for boys. In the studied population the characteristic age, that is reaching of equal DMF values for the maxilla and mandible, was at the end of the 12th year of life and earlier in girls. Moreover, it was found that the intensity of caries was greatest in molar teeth and lowest in canine teeth. This was due, among others, to the condition of sixth teeth which was unsatisfactory. The mean DMF of the first permanent molars was 2.28 for the whole group, 2.46 for girls and 2.09 (teeth) for boys.     

Influence of long-term dispensary stomatologic care of adults on the epidemiology of periodontal diseases

Epidemiological examinations using the GPM/T-index and the CPITN were conducted on 400 subjects of the age group 50-59 years for monitoring the periodontal status. All subjects had a percentage of 30% with Code 4, but the patients under stomatological dispensatory care had more natural teeth and less teeth with pockets.     

Dental care in psychiatric hospitals in the Netherlands

This study determined the method of organization of dental care In psychiatric hospitals in the Netherlands, investigated patients' dental problems, and examined hospital nurses' role in prevention and diagnosis of dental problems. A bad oral condition, bad oral hygiene, and badly fitting dentures were the problems most frequently noticed. If the patients neglected brushing their teeth, 70% of the nurses interviewed never took over, 20% sometimes did, and 8% always did. It was concluded that, although most psychiatric hospitals had their own dental clinic or alternative dental facilities, adequate dental care had not yet been realized everywhere. The role of the nursing staff in preventing and diagnosing dental disease can further be strengthened     

Attempt of conservative treatment efficiency evaluation of inhabitants of Wroclaw

2979 inhabitants of Wroc?aw aged from 18-80 years, in this 1581 women and 1398 men, have been examined stomatologically. Clinical material has been collected and analysed, average values of D, M, F in women and men in 5 age groups have been calculated. Indicators D/DMF, M/DMF and M/DMF as well as percentage of people under examination with toothlessness and frequency they take advantage of stomatological care have been calculated. The results point out higher D/DMF medicinal demand in men than in women. Along with the age of persons under examination percentage of extracted teeth in the DMF, M/DMF values increases and the proportion of effective healing to the demand F/DMF decreases. Over 80% of persons under examination take occasionally advantage of stomatological care without pain symptoms.     

Ultrastructural pattern of enamel in initial caries

In beginning caries of particular interest are destructive changes in the enamel layers just below the surface. The studied material comprised about twenty enamel blocks obtained from 10 teeth with carietic spots removed for orthodontic reasons in children aged 12-14 years. The aim of the study was assessment of the initial enamel damage under electron microscope. In all electronograms of the enamel involved by the carietic spot various grades of demineralization of the enamel below its surface were seen. The changes in initial caries seemed well delineated from the remaining healthy enamel, although within the carietic focus demineralization was observed from very slight widening of the area around the prisms to massive destruction of prism structure. The changes in the carietic spot under electron microscope showed a wide variety of patterns of destruction of enamel prisms, although clinically the surface of the enamel involved by beginning caries was small and not damaged.     

The condition of teeth and the need for teeth treatment in drug addicts

The condition of teeth was studied in 30 drug addicts aged 21-34 years (drug addiction duration 3-16 years) comparing the results with those obtained in a similar group of 30 age-matched subjects without drug addiction. The needs for stomatological treatment were determined also. It was found that drug addicts had twice the number of teeth with active caries and missing teeth, and four times less filled teeth as compared with controls. Most drug addicts had lost 45-100% chewing ability, and loss of teeth included all anatomical groups. The mean number of teeth requiring treatment per one addict was 8, and 2.8 teeth required removal. Only 3 addicts were not in need of prosthetic treatment, the remaining ones (90%) should have been given permanent of removable replacements (including complete denture). Drug addiction was found to produce intensification of caries and mutilation of the stomatognathic system.     

Clinical pattern of secondary dental caries in relation to tissue defect class and type of filling material

The purpose of the study was assessment of the development of secondary caries in relation to filling type in various classes of carietic dental tissue defects. The study was carried out in 320 patients aged 16 to 55 years and 3884 teeth were examined. Out of this material 2423 teeth were filled: with amalgam--853, with silica cement--1197, with composites--373. Secondary caries was found in 1341 teeth (56.34%). In teeth filled with amalgam in classes I and II of carietic defect in women secondary caries was noted in 27.26% and 47.73% of cases respectively. In case of composite filling secondary caries was found in 72.12% and 81.82% of fillings. In class III of carietic defects in women with fillings with composite materials secondary caries developed in 48.8%, and after filling with silica preparations in 55%. In class IV secondary caries was present at 45% of composite fillings and 77.78% of silica cement fillings. In class V secondary caries was found at 11.42% of amalgam fillings and 36.67% of composite fillings, and in 45% at silica cement fillings. Similar values were found in men.     

Health problems of the stomatognathic system in the Polish population covered by stomatological health care. Place of residence and work

The condition of the stomatognathic system was studied in 5682 adult patients attending stomatological care services in regional outpatient clinics, health service centres, and industrial health service units in 6 provinces. Most frequently, the patients came to these services with emergency symptoms. Poor state of teeth was observed in all these service units, but the worst oral hygiene and the highest percent of parodontal diseases were found in industrial health service institutions. In this group tooth loss was most frequent. These results indicate that the stomatological health care in industrial service units despite an above average equipment of dental care rooms, better availability of dental care, and sufficient staffing is not better than in the stomatological care units available to the general population.     

广西65-74岁人群口腔健康行为抽样调查

目的：了解广西65-74岁城乡人群口腔卫生行为、口腔卫生服务利用等情况,为广西口腔卫生保健工作提供信息支持。方法：对广西壮族自治区65-74岁城乡常住人口430人进行口腔健康问卷抽样调查。结果：广西87.21%的65-74岁老年人每天刷牙,城市为95.33%,农村为79.17%,城市好于农村（P〈0.001）。近半数（48.84%）认为自己牙齿健康状况不好,但绝大部分（88.84%）不愿意主动就医。有46.28%的老人从未看过牙,城、乡分别为17.76%、74.54%,农村高于城市（P〈0.05）。结论：广西部分65-74岁老年人未建立口腔健康行为,大部分老人对自身口腔疾病及危害认识不足,未能充分利用现有的口腔卫生资源,城乡差别较大。     

Iron content of carious and non-carious milk teeth hard tissues

Using the method of atomic absorption spectrophotometry the iron level was determined in the hard tissues of carietic and non-carietic milk teeth. The studied material comprised 163 milk teeth, including 81 with caries. All teeth were obtained from children of both sexes living in Lublin. The material was divided into age groups aged up to 6 years, 6-10 years and over 10 years. The obtained results were subjected to statistical analysis with an IMP 85 m computer. A significant correlation was found between the iron level in the hard tissues of the milk teeth and caries. The carietic milk teeth contained significantly less iron as compared to healthy teeth. The iron level in non-carietic milk teeth decreased with age. Sex was without effect on the level of this element in the dental hard tissues.     

Dental service provision in Victorian residential aged care facilities

BACKGROUND: The Australian population is ageing, and a growing proportion of elderly Australians are now living in residential aged care facilities (RACFs). These residents are at high risk of developing dental diseases, have more teeth present now than at any time in the past 50 years and often have difficulty maintaining adequate oral hygiene. Traditionally, dental service provision has been problematic and sporadic for these residents. METHODS: A postal survey of a random sample of Victorian general dentists and Directors of Nursing (DONs) of Victorian RACFs was undertaken in 2006 to ascertain the participation of dentists in the provision of dental care and to identify factors impacting on the organization and provision of dental care for residents. RESULTS: The response rate for dentists was 57.3 per cent, and for DONs 64.4 per cent. Half of the dentists reported that they had provided care to residents of aged care facilities in the past 12 months, and they spent an average of one hour per month providing care. Overall, dentists were concerned with their level of undergraduate education and training in various aspects of dentistry for residents of aged care facilities. DONs reported significant difficulty obtaining adequate dental care for their residents. Common problems identified by both dentists and DONs included a preference for dentists to treat residents in their own practice, dentists not willing to go to RACFs and a lack of portable dental equipment for dentists to use. CONCLUSIONS: There were low levels of interest and participation from Victorian dentists in providing dental care for residents of aged care facilities. Dentists had a strong preference for treating patients at their own practice, and there were a number of significant barriers that appeared to impact on the provision of dental care in RACFs.     

厦门近郊农村老年人口腔健康及相关因素初步调查

目的:调查分析厦门近郊农村影响老年口腔健康相关因素,为提供厦门地区农村开展老年口腔预防保健服务和措施的依据.方法:采用下乡入户调查方式,对161例60岁以上农村老年人的口腔健康状况和影响因素进行调查.结果:龋齿患病率为95.03%,牙根龋患病率12.11%;牙周病患病率47.20%;牙列缺损患病率77.02%;牙列缺失患病率10.56%;楔状缺损患病率为47.20%;口腔卫生保健意识率0.62%.结论:厦门地区农村老年人口腔健康状况较差,自我口腔保健知识匮乏.如何提高和改善该地区农村老年人的口腔健康水平,重视和加强乡镇医院医务人员的口腔专业的培训应作为一项紧迫的公共卫生项目.以及采用地方方言,对农村老年人进行文化和传统上可以接受的口腔健康教育,也是开展农村老年口腔预防医学和口腔保健的有效措施之一.     

Teeth condition in children aged 7 years in Warsaw and the province of Warsaw

Teeth were examined in 180 children aged 7 years of either sex in three randomly selected regions: Warsaw, Sulejówek and Wiazowna community by the routine method in school stomatological offices. The assessment of teeth was done according to the WHO principles. In the studied population 85.3% erupted permanent molars, 71.1% medial incisors, and 29.2% lateral incisors were found. No significant differences were found in the per cent of erupted permanent teeth between these three regions, but the proportion of erupted teeth was greater in girls than boys. The prevalence of caries in the permanent teeth in this population was 25%, and again no difference of this prevalence was found between these three regions, but in girls this prevalence was greater than in boys. The DMF index was not different in these regions, but in girls it was twice that in boys (0.6 vs 0.3).     

Oral health conditions and denture treatment needs in institutionalized elderly people in Japan

Oral health conditions, including dental conditions, temporomandibular joint (TMJ) conditions, denture status, and oral hygiene status, were assessed on 1908 institutionalized elderly people 65 yr of age and older at 29 of the 30 existing institutions in the city of Kitakyushu, Japan. The percentage of edentulous people was 27% in the 65-74-yr-old group, and increased with age to 56% in the 85 yr and older group. In dentate persons, the mean number of remaining teeth and DF teeth were 13.4 and 8.6, 9.5 and 6.8, and 8.4 and 6.5 in the groups aged 65-74 yr old, 75-84 yr old, and 85 yr and older, respectively. 81% of all the persons examined had no unusual symptoms in their TMJ. A clicking sound was the most frequent symptom (17%). Hygiene of both their teeth and dentures was very poor. Of all the subjects, 36% needed new full and/or partial denture(s), and 41% needed only repair. When the institutionalized elderly people were compared according to their general health condition, no clear differences were observed in percentage of edentulousness, mean number of remaining teeth and DF teeth, and TMJ conditions. However, a higher level of both untreated teeth and denture treatment needs, and poorer oral hygiene, was found in elderly people having poor general health than was observed in those with better health.(ABSTRACT TRUNCATED AT 250 WORDS)     

Stomatological morbidity analysis in deep-sea fishermen in the GDR

465 male seamen of the GDR's Deep-Sea Fishery (about 10%) had stomatologically been examined at the open sea on board of various cargo-ships. The DMF-T index, the distribution of kinds of fillers, the proportion of primary and secondary caries, the number of teeth being missed, the distribution of Eichner classes and the mode and frequency of dentures had been analysed. The quantity and quality of the stomatological care in deep-sea fishers depends on numerous factors of influence, not at least on the stomatological care preceding their first employment aboard. Though the effectiveness of the existing system of care could be presented, possibilities of a further improvement of effectiveness of the care are explained.     

太原市养老机构老年人口腔健康状况的调查分析

目的 了解太原市养老机构老年人的口腔保健意识及其健康状况,以针对性地开展口腔疾病的防治,提高养老机构老年人的生活质量.方法 随机抽取太原市6个行政区48所养老机构内的359名老人,分别对口腔保健意识、态度及行为设计问卷调查,并进行口腔检查,所得数据通过SPSS 20.0软件进行统计分析.结果 太原市养老机构老年人口腔保...     

上海市静安区800名老年人口腔健康状况调查

目的 了解静安区老年人口腔健康状况,探索社区老年人口腔保健新措施。方法 上门检查800例60－74岁老年人的口腔健康状况。指数和标准参照全国第二次口腔流行病学调查的标准。结果 龋病患病率为80．15％,牙龈炎患病率为66．42％,牙周病患病率为32．38％,牙列缺损患病率为88．13％,牙列缺失患病率为16．25％,楔状缺损患病率为54．63％。结论 老年人口腔健康状况较差,缺乏自我保健意识。提示：在社区卫生保健服务中,应有计划、有目的的对老人进行卫生宣教,并实施预防、康复治疗。     

Periodontal destruction and loss of the remaining natural teeth

Interproximal bone levels were measured from orthopantograms of a consecutive group of 373 patients who had all their remaining teeth extracted in a dental teaching hospital. There was little periodontal destruction below the age of 40. In older patients (those aged 40 or over) 77% of the teeth had lost at least 25% of their supporting bone. 64% of the older patients had at least one tooth with advanced (more than 50%) bone loss. Only 15% of the patients had generalised advanced periodontal destruction (more than 50% of their teeth with advanced bone loss) at clearance. Men had more periodontal destruction than women. It was concluded that severe periodontal disease was limited to a small proportion of the patients in which it was a major factor in the loss of their dentition. However, in many cases it was doubtful whether the periodontal condition was of any consequence when the decision was taken to remove the remaining natural teeth.     

Oral status and acceptance of dental services among some elderly persons in Oslo

Oral conditions were studied clinically and radiographically in a group of people aged 67-94 years. The group comprised 70 persons living in an institution for elderly people and 111 persons living in their homes in the surrounding area. The participants were classified according to sex, age and former occupation. The examination was carried out in a dental office established at the institution. 63% of the participants were dentulous with a mean number of 13 teeth. Almost 50% of the teeth were previously restored and 13% of the teeth were decayed at the examination. 45% had complete maxillary dentures and 39% had complete mandibular dentures. The need for dental treatment according to defined criteria was registered, and treatment-offers were given. Comparisons were made between the treatment suggested and the treatment actually given. Of the total group, 129 persons needed dental treatment. Of these, 65 persons accepted all or part of the treatment suggested. In general, sex was not a good predictor of the need for an acceptance of dental services. However, age was found to be useful as a predictor. Social background was an unreliable predictor of the need for and acceptance of dental services.