Profiles of sugar fermenting bacteria of the oral cavity among children with dental caries attending stomatology services at Ruhengeri referral hospital in Musanze District, Northern Rwanda

Background: Dental caries remains a public health threat of concern among children. About 2.3 billion people are affected by dental caries, of which 530 million are children globally. Objective: This study was carried out to identify sugar fermenting bacteria in the oral cavity and their antibiotic susceptibility pattern, assess the association with sugar fermenter bacteria and dental caries and evaluate dental caries outcomes among children. Materials and Methods: This was a cross-sectional study conducted between October 2021 and February 2022 at Ruhengeri Referral Hospital. About 136 oral swab samples were collected from children with and without dental caries at 1:1 ratio. The samples were put in Stuart sterile container and transported to INES-clinical microbiology laboratory for microbial identification. Logistic regression analysis of demographic characteristics was performed to study the relationship between demographic variables and dental caries. Chi-square test was performed for the association between variables. Results: About 67.6% were male, while children of age 7­9 years (64.7%) dominated the age groups. Lactobacilli spp (15.29%) and Streptococcus mutans (12.94%) were the most predominant microorganisms observed in the oral cavity among children with dental caries. The S. mutans (x2 = 27.03, P < 0.00001, 95% confidence interval [CI]=0.2901­0.5785), S. aureus (x2 = 34.59, P < 0.00001, 95% CI = 0.3541­0.6292), Enterobacter aerogenes (x2 = 13.5, P = 0.000239, 95% CI = 0.151­0.4622), Serratia marcescens (x2 = 11.64, P = 0.00645, 95% CI = 0.1275­0.4418) and Klebsiella pneumonia (x2 = 13.51, P = 0.000237, 95% CI = 0.1511­0.4623) were significantly associated with dental caries. Teeth loss (x2 = 51.04, P < 0.00001, 95% CI = 0.4757­0.7205), teeth pain (x2 = 5.05, P = 0.0246, 95% CI = 0.0249­0.33499), and infection (x2 = 4.73, P = 0.02964, 95% CI = 0.0186­0.3441) were dental outcomes associated with tooth decay. Ciprofloxacin, clindamycin, and amoxicillin were the most sensitive antibiotics, while vancomycin and chloramphenicol were the most resistant. Conclusion: Sugar consumption favours the growth of sugar fermenter bacteria that cause dental caries among children. Dental caries is associated with adverse oral health outcomes among children. Oral health education is recommended for children. Parents are advised to reduce the consumption of sugary food for their children for oral health safety.

Oral Health of Vegetarians is a Neglected Aspect of Stomatological Research: A Reflection based on PubMed Evidence

The vegetarians form one-fifth of the global population. The vegetarians are a peculiar group of people; existing body of scientific evidence shows that they are a highly vulnerable group of people when it comes to oral diseases. The oral health of vegetarians is a critical aspect of dentistry; however, current evidence­based on PubMed database search­shows a dearth of literature on this thematic area. It appears this aspect is being neglected in the field of stomatological research. INTRODUCTION It is a general saying that 'you are what you eat'.This is a very true statement; what you eat goes a very long way in determining who you are, where you come from, what you are passing through, what you are up to, and why you eat [1].There are many factors that determine the pattern and choicespeople makeinfeeding themselves and/or their families [1]. For example, some people's choices of food are based on religious ideologies. In some religious societies, what one eatsmay determine how others perceive him/her i.e.being referred to as a faithful or a non-faithful. Whilstit is forbidden to eat pork in Jewish and Muslim societies, it is not forbidden insome non-Muslim and non-Jewish societies[2,3]. Arguably,the initiation, maintenance and modification of eating habits are complex processes. Who are Vegetarians?Based on the content of what is being eaten, people are classified as vegetarians and non-vegetarians. A vegetarian is a person who abstains from eating meat (flesh), seafood, and by-products of animal slaughter [4,5]. On the other hand, a non-vegetarian is a person who eats any or all of what vegetarians abstain from. A vegetarian diet is a very special diet and it includes variety of delicacies (Table 1) [4,5].

Oral complications of systemic sclerosis; a case report

Objective: Systemic Sclerosis is a connective tissue disorder with multi-system involvement. It is an autoimmune disease with multiple aetiological factors including; genetic, birth disorder, infectious and environmental factors. Sclerosis of the skin and systemic fibrotic manifestations are the hallmark of this condition. We report a case of a 30-year-old female, who presented to the Periodontology clinic of the University of Benin, Teaching Hospital, Benin City with complaints of breakage of her teeth and previous multiple extractions. Clinical examination revealed multiple carious lesions, retained root, mobile teeth with varying degrees of mobility, tooth wear lesions and gingival recession. Case Description: She also presented with extra-oral features which include sparse and fluffy hair, reduced lacrimation, progressively reducing mouth opening and thickening of skin of the forehead, cheeks, and extensor surfaces of the upper and lower limbs Conclusion: A multidisciplinary management approach, involving the periodontology's, oral surgeons, oral physicians, prosthodontist, rheumatologists, chest physicians and dermatologists, was instituted

Nigerian clinical level medical students' knowledge of dental specialty

The roles of physicians in oral healthcare delivery are very important due to the unequal distribution of the low oral health manpower as well as the lack of awareness of patients concerning the treatment of oral health problems by dentists in Nigeria. Aim: To assess the Nigerian clinical level medical students' knowledge of dental problems and conditions in relation to the dental specialty that treat them. Subjects and Methods: This questionnaire-based cross-sectional study of clinical level medical students of University of Benin; Benin City; Nigeria; was conducted between May and June; 2010.The knowledge of the students was graded as good (16-20); fair (8-15); and poor (8). Results: Out of the 350 questionnaires distributed; 279 were filled and returned giving an overall response rate of 79.7 (279/350). Of these; 47.0 (131/279); 50.2 (140/279); and 2.8 (8/279) of respondents showed poor; fair and good knowledge respectively. The trend showed a statistically significant increase in the mean level of knowledge of dental specialty with an ascent in the clinical level(P = 0.01). The level of knowledge of dental specialty in this survey was suboptimal and varied with different specialties which may have adverse implication in future patient care. The variation in the level of knowledge with different clinical level suggested gain in knowledge about dental specialty mainly through nonformal means among medical students