ABSTRACT
PURPOSE: The purpose of this study was to evaluate the prevalence and experience of clinical consequences of untreated dental caries in primary dentition in 5 and 7 year-old children from north-east Poland and to find whether there is a correlation between dmft and pufa indices. MATERIAL/METHODS: Two hundred fifteen children aged 5 and 7 years living in the Podlaskie region were examined in the course of the Polish National Oral Health Survey 2011. Caries prevalence and experience in primary dentition was evaluated according to WHO criteria (dmft index). The clinical consequences of untreated dental caries were assessed by pufa index. RESULTS: The dmft index was 5.56 ± 4.45 in 5-years-old children and 6.69 ± 3.14 in 7-years-olds. The prevalence/experience of pufa index was 43.4%/2.20 ± 3.43 and 72.4%/2.44 ± 2.22, respectively. Children living in rural areas presented a worse dental condition. A statistical analysis revealed a strong relation between dmft and pufa in both age groups. CONCLUSION: The present study revealed negligence in the dental treatment of children from north-east Poland resulting in the high prevalence and experience of the pufa index in primary dentition. This index is a valuable measurement tool to record the clinical consequences of untreated dental caries.
Subject(s)
Dental Caries/epidemiology , Dental Fistula/epidemiology , Oral Health/statistics & numerical data , Oral Ulcer/epidemiology , Severity of Illness Index , Child , Child, Preschool , Dental Caries/pathology , Dental Fistula/pathology , Dental Pulp Cavity/pathology , Female , Humans , Male , Observer Variation , Oral Ulcer/pathology , Poland/epidemiology , Prevalence , Risk Factors , Rural Population/statistics & numerical data , Tooth, Deciduous/pathologyABSTRACT
OBJECTIVES: To evaluate the knowledge and experience of the treatment of avulsed teeth amongst Polish dentists 5 years after the publication of IADT guidelines. METHODS: On the basis of IADT guidelines, a voluntary anonymous 12-item questionnaire was developed to evaluate dentists' knowledge on the treatment of avulsed teeth. The survey was conducted during three continuing education courses, which took place in Bialystok, Poland and covered 133 dentists. Data were analysed with Statistica 6.0 using Mann-Withney U- and Kruskal-Wallis tests (P < 0.05). RESULTS: The study revealed that Polish dentists were not prepared to deal with dental avulsion. 63.2% of respondents have never treated such patients, and 68.45% have never attended any postgraduate course on dental trauma. Sufficient knowledge was presented only according to the way of cleaning a contaminated tooth. Lack of knowledge was observed in fields: method of choice in first aid in dental avulsion (23.3% of correct answers) and critical extra-oral dry time (26.3%). Dentists practising <10 years had better knowledge than those with greater experience (P = 0.0000). Gender, previous experience in the treatment of avulsion, postgraduate education in dental trauma and subjective knowledge assessment were not statistically significant. CONCLUSIONS: There is a gap in the system of continuing dental education in Poland. Polish dentists need to familiarise themselves with the avulsion management procedures.
Subject(s)
Clinical Competence/statistics & numerical data , Education, Dental, Continuing , Practice Guidelines as Topic , Tooth Avulsion/therapy , Tooth Replantation/standards , Guideline Adherence , Humans , Poland , Surveys and Questionnaires , Tooth Replantation/methodsABSTRACT
Xerostomia resulting mostly from hyposalivation and alkaline salivary pH is a frequent but often underappreciated symptom in the diseased population of maintenance hemodialysis (HD) patients. We reviewed also other xerostomia-predisposing factors, its specific dental and oral clinical signs and features, as well as plausibly detrimental dialysis-specific pro-atherosclerotic and cardiovascular consequences. In view of increasing multidisciplinary importance of xerostomia, its general, pharmacological and emerging treatment methods were presented. Special attention was paid to the untoward and often neglected pro-xerostomic effects of multiple common medications and substances; they were listed and described in more detail. The combined therapeutic approach of dentists and nephrologists may effectively alleviate xerostomia and support general health condition of maintenance hemodialysis patients.
Subject(s)
Cardiovascular Diseases/etiology , Renal Dialysis/adverse effects , Xerostomia/etiology , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/mortality , Dental Caries/etiology , Humans , Morbidity , Periodontal Diseases/etiology , Risk Factors , Xerostomia/complications , Xerostomia/therapyABSTRACT
The aim of this study was to evaluate the condition and treatment needs of the periodontium in adults living in Podlasie region. Checked population was divided into three groups: 18 year old, 35-44 and 65-74 year old. The assessment of the periodontium status was performed on the basis of CPITN index. The study showed that young people usually did not need any periodontal treatment. The predominating treatment need was removing of dental calculus, respectively 7.4% subjects aged 18, 62.5% of second group and 58.7% of the oldest one. 10% persons aged 35-44 and 6.9% persons aged 65-74 required complex periodontal treatment. The number of excluded sextants grown with aged.
