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The number of disabled persons increases in the course of human life and in the aging population. The high prevalence, low treatment rate, long therapy period, and sophisticated procedures prevent most of disabled individuals from availing dental services. Moreover, special dental institutions for the disabled are insufficient, and a certain treatment standard is commonly not complied. This study performed analysis and evaluation, including treatment features, pretreatment procedures, patient communication, treatment factors, and treatment standards to provide a targeted solution for the special requirements of the oral therapy for disabled patients.
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<p><b>OBJECTIVE</b>This study aims to conduct a survey of the oral health status of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province. This study was also conducted to prepare caries prevention planning in the region.</p><p><b>METHODS</b>On the basis of the Oral Health Surveys: Basic Methods of WHO and the Third National Oral Health Epidemiological Sample Survey Scheme, we investigated caries infecting disabled individuals who live in one big city (Xichang city), three counties (Bhutto county, Muli Tibetan autonomous county, and Huili county), and 46 towns and villages of Liangshan Autonomous Prefecture in Sichuan province, by multi-stage stratified and cluster sampling.</p><p><b>RESULTS</b>Among 3,439 disabled individuals, 2,085 were males and 1,354 were females; among these individuals, 815 live in the city and 2,624 live in rural areas. Furthermore, 2,177 were Han natives and 1,262 were Yi natives (ethnic). The caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 87.1% and 9.53, respectively. In Yi, the caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 85.8% and 9.93, respectively; in Han, the caries prevalence rate and mean DMFT of disabled individuals in Liangshan Autonomous Prefecture in Sichuan province were 87.9% and 9.29, respectively. No significant difference was found in the two groups of native (P > 0.05). A very low filling rate of 0.2% was also recorded.</p><p><b>CONCLUSION</b>Disabled individuals from Liangshan Autonomous Prefecture in Sichuan province exhibited a high prevalence of caries in permanent teeth. The oral health status of this special group of disabled individuals should be provided intensive care.</p>
Subject(s)
Female , Humans , Male , China , Dental Caries , Oral HealthABSTRACT
<p><b>OBJECTIVE</b>To investigate the antibacterial activity of glycyrrhizic acid (GA) against Streptococcus mutans (S. mutans) under acidic environment in vitro.</p><p><b>METHODS</b>Working culture were prepared by inoculation of S. mutans into TPY broth followed by static incubation under anaerobic condition at 37 degrees C for 24 h. TPY broth was supplemented with three kinds density of GA (0.78, 1.57, 3.13 mg x mL(-1)), whose acidity was regulated to pH7.0, pH 5.5 and pH4.0. And the group of pH 7.0 was used as negative control. The growth of S. mutans was measured by A600 of bacteria suspension and counting colony forming unit (CFU). In addition, the survival rate of S. mutans was calculated.</p><p><b>RESULTS</b>In pH 5.5 groups, the survival rates of 0.78, 1.57 and 3.13 mg x mL(-1) GA groups were 60.96%, 60.27% and 45.58%, respectively, and in pH4.0 groups, the survival rates were 68.75%, 53.12% and 45.83%. In 0.78, 1.57 and 3.13 mg x mL(-1) GA groups, the survival rates of pH5.5 and pH4.0 were 52.25% and 39.05%, 74.39% and 43.11%, 86.38% and 55.30%, respectively.</p><p><b>CONCLUSION</b>GA could inhibit the growth of S. mutans under acidic environment, which the effect is improved as the acidity increased.</p>
Subject(s)
Anti-Bacterial Agents , Bacteria , Glycyrrhizic Acid , In Vitro Techniques , Streptococcus mutansABSTRACT
<p><b>OBJECTIVE</b>The aim of this survey was to obtain some information of the prevalence of dental caries in the youth aged 12, 15 and 18 years of Sichuan province.</p><p><b>METHODS</b>Based on WHO and national oral health survey standards, dental caries prevalence and treatment needs were investigated randomly in selected young individuals of Sichuan province in 1995.</p><p><b>RESULTS</b>The prevalent rates of caries of 12-, 15-, and 18-year-old adolescents were 28.47% and 36.40% and 39.54% respectively. The mean DMFT of 12-, 15- and 18-year-old were 0.52, 0.81, and 0.99. There are more pit and fissure caries than smooth caries in the young of 12-year-old than those of 15- and 18-year-old.</p><p><b>CONCLUSION</b>Despite improvement can be seen in adolescents' oral health in Sichuan, there remains a proportion of active untreated decays. Some simple prevention programs are needed to stabilize the caries.</p>
Subject(s)
Adolescent , Child , Female , Humans , Male , Age Factors , China , Epidemiology , DMF Index , Dental Caries , Epidemiology , Dental Health Surveys , Prevalence , Sampling Studies , Sex FactorsABSTRACT
0.05). Secondary caries were 6.85% and 9.20% in the group of ART, 6.35% and 8.62% in drill +glass ionomer restoration, 16.9% and 21.50% in amalgam restorations, respectively( P
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Objective:To assess whether ART sealants could be applied on children in school environment in China, and to evaluate long term effects of this treatments. Methods:The study was conducted in Deyang, Sichuan Province. Four dentists placed a total of 191 fissure sealants in 140 children in four secondary schools. Standard instruments and procedures for ART were used. The material used was a high-strength glass-ionomer (Ketac-Molara, ESPE). The treatments were evaluated annually by the same dentist who was not involved in the treatment using explorers and mouth-mirrors. Results:The cumulative 1-year, 2-year, 4-year and 6-year complete survival rates of the sealants were 75.4%,62.5%,50.0%,34.6% and the partial or complete retained survival rates were 89.6%, 78.8%, 68.5% and 57.9%. No incidence of new caries was occurred 1 year after ART sealants. The incidence of recurrent caries was very low after 2 and 3 years, which were 1.6% and 2.8% respectively. But there was a high increase of caries 4 years after sealants application. The prevalence of caries were 8.5%,16.1%,15.0% respectively over 4, 5 and 6 years after ART sealants application. Conclusion:The ART approach for preventing teeth caries in school children is effective and acceptable. The 3-year survival rates of the sealant are high with low prevalence of new caries. Six years after sealants application, the result is acceptable though there is a drop of survival rate. New caries is occurred with a highly increased prevalence three years after sealants missing without re-sealant. ART sealant is a simple, acceptable technique and is suitable for widespread application in China.
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Objectives: To assess the effects of ART in the preventio n of dental caries in school children.Methods: Standard instrument s and procedures of ART were used in 191 fissure seal in 140 children aged 12～1 3 years. The material used was a high-strength glass-ionomer material (Ketac-M olar, ESPE). The treatments were evaluated annually after ART by clinical examin ation.Results: The cumulative 1-,2- and 3-year retention rat es of the sealant were 89.6%,78.8% and 71.9% respectively. The incidence of recu rrent caries 2 years and 3 years after ATR was 1.6% and 2.8% respectively. Conclusion: ART approach for preventing tooth decay in school childre n is effective.
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Objective: To compare the efficacy of two commercially available dentifrices (colgate total toothpaste containing triclosan and copolymer was used as the experimental and a toothpaste containing triclosan without copolymer the control) in the control of dental plaque and gingivitis. Methods: A double blind clinical study was conducted in 200 adult male and female subjects from Chengdu, China were entered into the study and stratified into two treatment groups which were balanced for age, sex, baseline of Quigley Hein plaque index scores(PI) and baseline of Loe Silness gingival index scores(GI). Subjects received an oral prophylaxis and were instructed to brush their teeth for one minute twice daily with their assigned dentifrice. Three and six months after application of the dentifrices plaque and gingivitis examinations were conducted. Results: At the end of the study, 183 subjects complied with the protocol and completed the entire six month study. Before use of the dentifrices GI in experimental and control groups was 1.63?0.36 and 1.68?0.34, it was 0.45?0.30 and 0.52?0.33 in 3 months, and 0.43?0.32 and 0.58?0.38 in 6 months( P