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Introduction. Oral health largely depends on proper hygiene, which in elderly people is not different from generally accepted standards, however, must be adjusted to specific conditions in oral cavities of the elderly. Aim. The aim of the study was the assessment of oral hygiene habits in people over the age of 65 residing in Lublin Nursing Homes and in family homes basing on questionnaire survey. Material and methods. The study was conducted among 240 people over the age of 65: 117 residents of the four Lublin Nursing Homes (group I) and 123 seniors living in their own homes in Lublin (group II). Assessment of the oral hygiene habits was conducted basing on the questionnaire survey concerning the frequency of tooth brushing, type of toothpaste, the use of additional oral aids as well as the frequency of toothbrush replacement. Results. Questionnaire survey revealed that seniors residing in Nursing Homes who had their own teeth most frequently brushed them once daily e.g. 37.25%, whereas the surveyed who lived in their family homes twice daily – 47.67%. In both groups the people who brushed their teeth used fluoride toothpastes. Additional oral hygiene aids were used by 31.71% of the surveyed living with their families. Both, the residents of Nursing Homes and those who lived with their families most frequently reported replacing their toothbrushes at least every 3 months. Conclusions. Nursing Homes residents essentially more frequently revealed considerable neglect and irregularities in oral hygiene in comparison to seniors living with their families. Population of elderly people, especially residents of nursing homes, should be provided with complex dental care.
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.
EN
Introduction. Studies in the relationships between periodontal diseases and cardiovascular diseases are one of the main research areas in contemporary periodontology. The data published in recent years indicate periodontitis as one of the potential risk factors for coronary heart disease (CHD) and myocardial infarction (MI). Thus the population with cardiovas-cular diseases is recommended as a target for dental prophylaxis and pro-health educational programmes. Aim of the study. The aim of this study was the assessment of oral hygiene levels and dental pro-health behaviours among patients with CHD and MI. Material and methods. The study encompassed 86 individuals with MI (group 1), and 84 persons with stable CHD (group 2). The control group comprised 50 persons without cardiovascular diseases. Clinical examinations of oral hygiene level using API, gingivitis level using mSBI, and an individual questionnaire regarding dental pro-health behaviours and oral hygiene maintenance methods were performed. Results. Low oral hygiene levels were observed in the examined groups (mean API value: 68.72%, 68.44%, and 60% respectively). Data from the questionnaires revealed a lack of proper periodontal prophylaxis. Gum bleeding was not considered as a pathological symptom, about 60% of patients never participated in oral hygiene training, and the frequency of dental control check-ups and professional hygiene procedures was too low. Only a few percent of patients cleaned interdental spaces. Conclusions. The results obtained indicate a low level of dental pro-health behaviours and could support recommendations regarding the necessity of educational, prophylactic and treatment programmes for patients with CHD / MI – performed by dentists / periodontologists and cardiologists together.
PL
Wstęp. Zależności epidemiologiczne pomiędzy periodontopatiami a schorzeniami układu sercowo-naczyniowego stanowią obecnie ważny nurt badawczy światowej periodontologii. Periodontitis zostało zaliczone do czynników ryzyka choroby niedokrwiennej (CHNS) i zawału serca (ZS), a osoby z tymi schorzeniami stały się grupą populacyjną, która powinna podlegać profilaktycznym badaniom stanu jamy ustnej oraz działaniom o charakterze szeroko pojętej edukacji prozdrowotnej i promocji zdrowia. Cel pracy. Ocena zachowań prozdrowotnych oraz poziomu higieny jamy ustnej wśród chorych po ZS i ze stabilną CHNS. Materiał i metody. Badaniami objęto 86 osób po ZS (grupa 1) oraz 84 osoby ze stabilną CHNS (grupa 2). Do grupy kontrolnej zakwalifikowano 50 osób bez schorzeń układu krążenia. Przeprowadzono kliniczną ocenę higieny jamy ustnej wg wskaźnika API, ocenę stanu zapalnego dziąseł wg wskaźnika mSBI oraz badanie ankietowe dotyczące objawów chorób przyzębia i zachowań prozdrowotnych w odniesieniu do jamy ustnej, w tym metod utrzymania higieny jamy ustnej. Wyniki. Stwierdzono niezadowalający poziom higieny w badanych grupach (średnia wartość API odpowiednio: 68,72%, 68,44%, 60%). Wyraźnie ujawnił się brak świadomości pacjentów w odniesieniu do patologicznego charakteru objawu krwawienia dziąseł. Wykazano zaniedbania w zakresie profilaktyki periodontopatii: ok. 60% pacjentów nie otrzymało profesjonalnego instruktażu higieny jamy ustnej, zbyt małe odsetki pacjentów używały instrumentarium do oczyszczania przestrzeni międzyzębowych. Wysoce niezadowalająca jest też częstotliwość stomatologicznych wizyt kontrolnych i profesjonalnych zabiegów higienizacyjnych. Wnioski. Uzyskane wyniki wskazują na niski poziom zachowań prozdrowotnych w odniesieniu do jamy ustnej. W aspekcie profilaktyki progresji i zaostrzeń schorzeń układu sercowo-naczyniowego podjęcie działań edukacyjno-prewencyjnych i leczniczych w tej grupie chorych, wdrażanych wspólnie przez lekarzy stomatologów / periodontologów i lekarzy rodzinnych / kardiologów, wydaje się być w pełni uzasadnione.
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