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Dental awareness and oral health of pregnant women in Poland

100%
Gaszyńska E., Klepacz-Szewczyk J., Trafalska E., Garus-Pakowska A., Szatko F.
International Journal of Occupational Medicine and Environmental Health
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2015
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vol. 28
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issue 3
603-611
EN
Objectives The level of dental awareness of a pregnant woman affects the sanitary condition of her own teeth and the health of the child to be born. Poor oral health is considered to be a probable risk factor for the pre-term birth or low birth weight. The aim of this work was to assess the level of oral health knowledge that determines oral health condition of pregnant women in Poland. Material and Methods Empirical data were obtained from the National Monitoring of Oral Health and Its Determinants, financed by the Ministry of Health. This socio-epidemiological study assessed oral health status and dental health awareness, which affects that status. Study subjects included 1380 pregnant women at the age ranging from 15 to 44, randomly-selected from urban and rural environments. Dental health status was recorded in the clinical examination sheets supplied by the World Health Organization, and the socio-medical data were recorded in the questionnaire interview sheets. Results Almost 3/4 of the pregnant women evaluated their dental health as unsatisfactory or poor. Over 60% of the pregnant women rated their knowledge and practical skills concerning care of their own teeth and of the child to be born as limited, inadequate or none. Only 40% of the pregnant women provided right answers to the questions about dental issues. Conclusions Low oral health awareness results in poor oral health status of the study subjects. A statistical pregnant woman has a total of 13 teeth showing the symptoms of tooth decay or caries. Over 70% of the pregnant women developed gingivitis or periodontitis. There is an urgent need in Poland to make the European principle of treating pregnant women as a dentally vulnerable group obligatory.
2
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The influence of tobacco smoking on dental periapical condition in a sample of an adult population of the Łódź region, Poland

86%
Sopińska K., Bołtacz-Rzepkowska E.
International Journal of Occupational Medicine and Environmental Health
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2019
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vol. 33
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issue 1
45-57
EN
ObjectivesEpidemiological studies show that apical periodontitis (AP), alongside tooth decay, is the most common oral disease. The aim of the study was to evaluate the influence of smoking on the prevalence of AP in the population of the Łódź region, Poland.Material and MethodsThe study involved 815 first-time, randomly selected patients reporting to the Central Teaching Hospital of the Medical University of Lodz. The studied group was a systematic sample of the population admitted for treatment in 2016. The study consisted of a questionnaire and a radiological part. Each patient filled out a questionnaire containing demographic data, and an interview regarding smoking and diabetes. The radiological part of the study included the analysis of panoramic radiographs which showed the periapical status, and the presence and quality of root canal treatment.ResultsTeeth with AP were observed more frequently in patients addicted to tobacco either at the time of the study or in the past (group 1) – 7.2% than in people who had never smoked (group 2) – 5.2% (p < 0.0005). In the teeth without root canal treatment, AP was observed more frequently in group 1 – 3.5% than in group 2 – 1.9% (p < 0.0005). A statistically significant difference was found in the percentage of endodontically treated teeth between group 1 and group 2 (10.7% vs. 9.6%) (p = 0.017). However, no difference was observed in the frequency of AP in the endodontically treated teeth in both groups (37.6% vs. 35.8%) (p = 0.451).ConclusionsSmokers are a group facing an increased risk of AP and, therefore, there is a need for an early detection and treatment of caries and its complications in this group of patients. The multifactorial etiology of AP indicates the necessity to undertake further studies on the effect of smoking on the periapical status.
3
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Higiena jamy ustnej osób z niepełnosprawnością intelektualną – konteksty zdrowotne i edukacyjne

72%
Mach A.
Annales Universitatis Mariae Curie-Skłodowska, sectio J – Paedagogia-Psychologia
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2018
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vol. 31
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issue 2
EN
Scientific literature, both Polish and foreign, highlights the high risk of developing oral diseases by persons with intellectual disabilities. The possible reasons include congenital dental defects, abnormalities of the masticatory system distinctive for certain genetic disorders, health complications affecting the dental condition, poor hygiene, poor diet, but also difficulties in accessing specialized dental offices or the fact that parents may not be aware of their existence. Parents are possibly the most important people responsible for a person’s oral health; they can do so by scheduling doctor’s appointments, as well as taking care of the child’s diet and oral hygiene. The aim of the presented research was to obtain the parents’ opinions on everyday oral hygiene needs, and dental care provided for their children with intellectual disabilities. Attention was drawn to the oral hygiene behaviors and attempts made by the person suffering from an intellectual disability, or if necessary, by their parent.
PL
W piśmiennictwie naukowym, polskim i zagranicznym, podkreśla się wysokie ryzyko wystąpienia chorób jamy ustnej u osób z niepełnosprawnością intelektualną. Przyczynami mogą być wrodzone wady uzębienia lub anomalie w budowie narządu żucia, charakterystyczne dla niektórych zespołów genetycznych, a także powikłania zdrowotne mające wpływ na stan uzębienia, niski poziom higieny, niewłaściwe odżywianie oraz niska dostępność do specjalistycznych gabinetów stomatologicznych lub niewiedza opiekunów o takich miejscach. Znaczące, o ile nie najważniejsze, ogniwo w utrzymaniu stanu zdrowia jamy ustnej pełnią rodzice, podejmujący odpowiednio wczesne wizyty stomatologiczne, dbający o prawidłowe odżywanie czy pielęgnację aparatu żuchwowego dziecka. Celem prezentowanych badań było poznanie opinii rodziców na temat potrzeb związanych z codzienną higieną jamy ustnej, jak również z opieką stomatologiczną ich dzieci z niepełnosprawnością intelektualną. Zwrócono też uwagę na zachowania zdrowotne w zakresie higieny jamy ustnej podejmowane przez samą osobę z niepełnosprawnością intelektualną lub – w razie konieczności – przez jej rodzica.
4
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Znaczenie opieki stomatologicznej w utrzymaniu zdrowia jamy ustnej u dzieci i młodzieży z cukrzycą typu 1

58%
Kuźmiuk A., Marczuk-Kolada G., Łuczaj-Cepowicz E., Obidzińska M., Chorzewska E., Wasilczuk U., Kierklo A., Szajda S. D.
Medycyna Pracy
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2018
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vol. 69
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issue 1
37-44
EN
Background Dental care for children and youth with type 1 diabetes should rely on reliable examination of the oral cavity, early treatment of dental caries and maintenance of the treatment results. This can be achieved through regular control visits consistent with the standards, and also through following the recommendations for prevention of dental caries and periodontal disease. The aim of the study was to investigate whether dental care allows to preserve good oral health of children and youth with type 1 diabetes. Material and Methods The study included 60 patients with type 1 diabetes, aged 7–17 years, and 30 healthy children and youth within the same age range. There were evaluated intensity of caries, the effectiveness of conservative treatment, periodontal health and oral hygiene. Results The results of examinations showed significantly lower caries prevalence and better periodontal health in the children and youth with type 1 diabetes. The effectiveness of conservative treatment was significantly higher among patients with mixed dentition. There was no significant difference in oral hygiene between the compared groups. Conclusions Diabetes is a risk factor for oral diseases, so children and youth with type 1 diabetes should be provided with special preventive care and curative measures. The main goal of the insulin-dependent diabetes care program is to early classify them to highrisk groups to improve general oral health and thus improve the quality of life. Proper dental care for children and yuoth with type 1 diabetes is a condition to maintain oral health. Med Pr 2018;69(1):37–44
PL
Wstęp Opieka lekarza stomatologa nad dziećmi i młodzieżą z cukrzycą typu 1 powinna polegać na rzetelnym badaniu jamy ustnej, wczesnej terapii zmian próchnicowych zębów i utrzymaniu wyników leczenia. Można osiągnąć to dzięki regularnemu, zgodnemu ze standardami, wizytami kontrolnymi, oraz stosowaniu się do zaleceń dotyczących profilaktyki choroby próchnicowej i chorób przyzębia. Celem pracy było zbadanie, czy opieka lekarza stomatologa pozwala na zachowanie zdrowia jamy ustnej dzieci i młodzieży z cukrzycą typu 1. Materiał i metody Badaniem stomatologicznym objęto 60 chorych z cukrzycą typu 1 w wieku 7–17 lat oraz 30 zdrowych dzieci i młodzieży w tym samym przedziale wiekowym. Oceniono intensywność próchnicy, efektywność leczenia zachowawczego, stan przyzębia i higienę jamy ustnej. Wyniki Stwierdzono istotnie niższą intensywność próchnicy oraz lepszy stan przyzębia u badanych dzieci i młodzieży z cukrzycą typu 1. Efektywność leczenia zachowawczego była istotnie wyższa u dzieci chorych z uzębieniem mieszanym. Nie wykazano znamiennych różnic w higienie jamy ustnej między porównywanymi grupami. Wnioski Cukrzyca jest czynnikiem ryzyka schorzeń jamy ustnej, dlatego dzieci i młodzież z cukrzycą typu 1 należy objąć szczególnymi działaniami prewencyjnymi i leczniczymi. Głównym celem programu opieki nad dziećmi z cukrzycą insulinozależną jest wczesne zakwalifikowanie ich do grupy wysokiego ryzyka w celu poprawy stanu ogólnego zdrowia jamy ustnej, a tym samym zwiększenia komfortu życia. Właściwa opieka stomatologiczna nad dziećmi i młodzieżą z cukrzycą typu 1 jest warunkiem utrzymania zdrowia jamy ustnej. Med. Pr. 2018;69(1):37–44
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