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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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Selected caries diagnostic methods

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Kuchta E., Szymanska J.
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vol. 27
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issue 3
195-198
EN
Standard caries diagnostic methods include a visual tactile method, as well as several radiographic methods. The former is a subjective method, while bitewing radiographs and digital radiographs (radiovisiography) enable detection of caries lesions only after 30% of hard dental tissue mineral substances have been lost. The paper presents methods based on electrical and optical phenomena that allow early caries diagnosis. Strengths and weaknesses of each presented method are discussed, basing this on recent literature review. The methods of caries detection generally used in daily clinical practice, combined with alternative methods, make it possible to significantly increase the effectiveness of dental caries diagnosis.
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Prevalence of dental caries and oral hygiene habits in patients with Crohn’s disease living in urban and rural regions of southern Poland

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SZCZEKLIK K., OWCZAREK D., ŻAROW M., PYTKO-POLOŃCZYK J., MACH T.
Medicina Internacia Revuo
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2017
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vol. 28
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issue 109
280-287
EN
Patients with Crohn’s disease (CD) prefer carbohydrates and foods, which easy to digest, both risk factors of caries disease. The aim of this study was to evaluate the dental caries prevalence and oral hygiene habits in CD patients who live in urban and rural areas of the southern part of Poland in comparison to controls. Seventy one adult patients with CD and 61 age – and sex – matched volunteers were enrolled; 52% of patients were living in urban areas, 48% in rural regions. We studied: findings on clinical examination, calculation of BMI, blood hemoglobin and serum CRP levels, oral examination according to the WHO recommendations, with assessment of oral hygiene habits, dental history, visits to dentists. Presence of decayed (D), missing (M), filled teeth (F) were assessed, and the “Decayed, Missing, and Filled Teeth Index” (DMF-T) was calculated. Statistical methods included non-parametric tests and Spearman correlation coefficient estimation. Dental caries assessed by DMF-T index was higher in CD patients compared to controls. DMF-T was similar in patients from urban and rural areas (14.2±4.7 vs 15.4±2.1, respectively). M and F scores were comparable in both groups, but D score was higher in CD patients (p<0.01). No correlation was found between DMF-T index and place of living. Patients from rural areas less frequently used tooth brushing (68% vs 57%, p<0.05) and dental floss (11% vs 5%, p<0.05). Patients from urban areas visited dentists more frequently than those from rural regions. The prevalence of dental caries in the middle aged CD patients living in the southern region of Poland is higher in comparison to healthy controls. The prevalence of caries disease and oral hygiene habits in CD patients is comparable between patients living in urban areas and in rural regions.
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