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Stan uzębienia mieszanego u dzieci wczesnoszkolnych zgłaszających się do gabinetu stomatologicznego

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Fux-Zalewska K., Szalewski L., Pietryka-Michałowska E., Szymańska J.
Pediatria i Medycyna Rodzinna
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2017
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vol. 13
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issue 3
384-389
EN
Introduction: Negligence of the healthy behaviour associated with oral health, dental prevention and treatment in primary school children can be a source of serious health problems, both dental and systemic. Aim: The aim of this study was to evaluate the effects of selected demographic factors and reasons for visiting a dental office on the dental health of primary school children. Material and methods: The study included 210 patients aged 7–11 years, who in 2015 visited one of the dental offices in Lublin, where dental services are provided both under the contract with the National Health Fund or after payment. Dental condition was assessed by calculating dmf/DMF (decayed, missing, filled) index for deciduous/permanent teeth. Results: More than three-quarters of children (77.14%) visited a dentist for check-up, 20.0% – due to a toothache and 2.86% – due to the loss of filling. The average DMF number was 4.24 ± 3.47, and the average DMF index value was 1.74 ± 2.06. The highest intensity of caries in the primary teeth was found in children visiting the dentist due to toothache, lower – in those reporting for check-up visits and the lowest – due to the loss of filling. In the case of permanent dentition, the highest number of fillings was observed in children attending a check-up visit. Conclusions: High incidence of caries in primary school children confirms the insufficient health knowledge of parents/guardians on the oral health and insufficient dental prevention and treatment in both preschool and early-school children.
PL
Wstęp: Zaniedbania w zachowaniach prozdrowotnych dotyczących jamy ustnej i w stomatologicznej opiece profilaktyczno- -leczniczej nad dziećmi w wieku wczesnoszkolnym mogą być źródłem poważnych problemów zdrowotnych, zarówno stomatologicznych, jak i ogólnoustrojowych. Cel badań: Celem pracy była ocena wpływu wybranych czynników demograficznych i przyczyn zgłoszenia się do lekarza dentysty na stan uzębienia dzieci w wieku wczesnoszkolnym. Materiał i metody: Badaniem objęto 210 dzieci w wieku wczesnoszkolnym (7–11 lat), które zgłosiły się w ciągu całego roku 2015 do jednego z lubelskich gabinetów stomatologicznych, gdzie świadczenia stomatologiczne udzielane są zarówno w ramach kontraktu z Narodowym Funduszem Zdrowia, jak i odpłatnie. Stan uzębienia oceniono, obliczając liczbę puw/PUW (próchnica, usunięte, wypełnione), odpowiednio dla uzębienia mlecznego i dla uzębienia stałego. Wyniki: Ponad ¾ dzieci (77,14%) zgłosiło się na wizytę kontrolną, 20,0% – z powodu bólu zęba, a 2,86% – ze względu na utratę wypełnienia. Średnia wartość liczby PUW wyniosła 4,24 ± 3,47, a średnia wartość PUW – 1,74 ± 2,06. Najwyższą intensywność próchnicy w zębach mlecznych stwierdzono u dzieci zgłaszających się z powodu bólu zęba, niższą – u zgłaszających się na wizyty kontrolne, najniższą – u zgłaszających się ze względu na utratę wypełnienia. W przypadku uzębienia stałego największą liczbę wypełnień mieli pacjenci zgłaszający się na wizytę kontrolną. Wnioski: Wysoka zachorowalność na chorobę próchnicową wśród dzieci wczesnoszkolnych potwierdza niedostateczną wiedzę prozdrowotną rodziców/opiekunów w zakresie zdrowia jamy ustnej oraz uchybienia w stomatologicznej opiece profilaktyczno-leczniczej nad małymi dziećmi i dziećmi w wieku przedszkolnym.
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An Analysis of the Selected Sociodemographic Characteristics in Removable Denture Wearers

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Szalewski L., Pietryka-MichaŁowska E., Szymańska J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 2
70-72
EN
Introduction. Dental prosthetic replacements allow restoring the masticatory function, thus contributing to proper nutrition and correct speech, and also improving facial aesthetics. Aim. The aim of the study was to assess the selected sociodemographic characteristics of people using removable dentures (patient-paid and funded by the National Health Fund). Material and methods. A questionnaire survey involved 321 individuals, resident in the Lubelskie Voivodship, who used removable dental prostheses. Their selected sociodemographic characteristics were analysed: age, sex, education, place of residence and material status, as well as the form of payment for prosthetic replacements. The obtained results were analysed statistically. Results. Almost 70% of the studied population wearing removable prostheses had their dentures funded by the National Health Fund. In each age group, women used National Health Fund funded prostheses twice more frequently than men. Prostheses funded by the National Health Fund were used significantly more frequently by patients aged 51-70 years, living in cities and with a higher education level, in comparison to the respondents from other age groups, with different place of residence and education level. Conclusions. There is correlation between sex, age, place of residence and education level of patients and the frequency of their wearing removable dentures, both patient-paid and funded by the National Health Fund.
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Assessment of the Dentition in Children Aged 3-4 Years in the Mazowieckie Province

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Bożyk A., Krawczyk J., Szalewski L., Kiworkowa E., Szymańska J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 2
63-65
EN
Introduction. Caries of deciduous teeth in the population of Polish children is a significant health, social and organizational problem. Aim. The aim of the study was to evaluate the dentition of 3- and 4-year-old children in the Mazowieckie Province. Material and methods. The study comprised 393 kindergarten children aged 3 and 4 years in the Mazowieckie Province, 202 girls and 191 boys, including 159 children aged 3 years and 243 children aged 4 years. In all subjects the state of dentition was assessed. The prevalence of caries was calculated as the percentage of people affected by this disease, and the intensity of dental caries was determined using the dmft index. The results were compared with those that Polish researchers obtained in the 3 – and 4-year-olds after 2000. Results. In the studied group of 3- and 4-year-olds the prevalence of caries was 62.85%, among girls – 61.88% and among boys – 63.87%. For all subjects the average scores for dmft index were 3.22 and its components dt – 2.72 (decayed teeth), mt – 0.1 (missing teeth), ft – 0.4 (filled teeth). Conclusions. The prevalence and intensity of dental caries in 3- and 4-year-old children attending kindergartens in the Ma-zowieckie Province is high and close to the national average. It is advisable to increase the preventive and curative measures in this age group of children on dental caries.
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Prevalence of Joint Hypermobility Syndrome Amongst Dental Students of the Medical University of Lublin

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Szalewska M., Lupa M., Pochroń N., Pudzianowski S., Szalewski L., Bożyk A., Borowicz J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 2
73-76
EN
Introduction. The joint hypermobility syndrome is a connective tissue disorder affecting the entire organism. The symptoms include laxity of joint-stabilizing capsules and ligaments, excessive joint mobility and other accompanying symptoms. Some symptoms manifest in the oral cavity, which is of importance to dentists. Aim. The authors attempted to determine the prevalence of joint hypermobility syndrome in the population studied. Material and methods. The questionnaire study was conducted amongst students of the Faculty of Medicine with Dentistry Division, Medical University of Lublin. The study population consisted of 321 individuals, including 283 Polish students and 37 students of south-eastern nationalities (Saudi Arabia, Taiwan). Results and conclusions. The prevalence of constitutional hypermobility amongst dental students is comparable to that reported in literature. Constitutional hypermobility is more common in students of south-eastern nationalities than in Polish students.
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