4,319 research outputs found
Microbiological findings at tongue piercing sites – implications to oral health
No full textBackground: Body piercing enjoys a widespread popularity among juveniles and young people. The tongue is the most commonly pierced oral site. Tongue jewellery, however, can damage the teeth and periodontium and may provide an ideal environment for microorganisms. The aim of this report was to investigate if and in case in which amount periodontopathogenic organisms can be found at tongue piercing sites. Methods: Patients with tongue piercings visiting the authors' dental office for a dental check-up volunteered. A questionnaire was used to collect data on the type of material used in the piercing, the time the device was in place, oral and piercing hygiene practices and smoking habits. The dental examination included an oral hygiene index and the periodontal screening index. From the surface of the piercing jewellery adjacent to the tongue perforation, microbiological samples were collected and analysed for the presence of 11 periodontopathogenic bacteria. Results: A total of 12 patients with tongue piercing were asked and examined. Their tongue piercings had been in place between 2 and 8 years. The microbiological analysis showed an increased or substantially increased concentration of periodontopathogenic bacteria in all cases. It became obvious that the longer a piercing had been in place, the more pronounced was the shift from bacteria with a moderate periodontopathogenic potential to bacteria with a high periodontopathogenic potential. Conclusion: Tongue piercing provides a potential reservoir for periodontopathogenic bacteria.Hain Lifescience, Nehren, German
Oral health of hemodialysis patients: A cross-sectional study at two German dialysis centers
No full textThe aim of the study was to investigate the oral hygiene behavior and state of oral health of hemodialysis (HD) patients in Germany. HD patients attending two dialysis centers were asked to participate in the study. Anamneses and oral hygiene behavior were recorded in a questionnaire. Dental examination included the dental status (DMF-T) and the degree of gingival inflammation (PDI: Periodontol Disease Index). Of 129 patients contacted, 54 (42%), aged 63.9 +/- 13.0 years (23 women and 31 men), took part in the study. At an average, dialysis was required for 4.1 years. The cause of terminal renal failure was glomerulonephritis in 30% of patients and diabetic nephropathy in 22% of patients. Since dialysis therapy, 63% of the patients (n = 34) only visited a dentist when they had complaints. In 46 cases (85%), the dentist had been informed about the patient's requirement for dialysis, and in most cases (70%), the dental treatment took place on the day after dialysis. The mean DMF-T of the HD patients was 22.1 +/- 6.5. The proportion of carious teeth was low (D-T: 0.7 +/- 1.2), of missing teeth (M-T) high (16.2 +/- 9.3). The median degree of gingival inflammation (PDI) was 1. Availing themselves of dental treatment after patients needed to have dialysis was mostly complaint oriented. In addition to a high proportion of missing teeth, a good level of restoration of caries was found. The gingiva showed only a low level of inflammatory changes
A pilot study on the oral conditions of severely alcohol addicted persons
No full textThe aim of this study was to investigate the oral status, drinking, smoking, and oral hygiene habits of alcoholics. One hundred severely addicted alcoholics were examined during the in-patient treatment for detoxification (mean age: 44 years; 68 males/32 females) The study included a questionnaire and an oral examination that measured DMF-T, QHI, PBI, and CPI. The majority of alcoholics were heavy smokers (>30 cigarettes/day). Fifty-two percent of the alcoholics stated they frequently forgot to brush their teeth and 43% observed bleeding of their gums. The mean DMF-T was 20 (2 D-T, 9 M-T, 9 F-T), the mean QHI was 2.4, and the mean PBI was 1.8. Forty-nine percent of the sextants were scored CPI 3 or 4; about 25% were edentulous (CPI X). Our results indicate severe alcoholics have a high risk of periodontal break down and tooth loss. To what extent these findings were caused by general/oral neglect alone (in combination with nicotine abuse) is at present unknown
Re: Clinical Periodontal and Microbiologic Parameters in Patients With Rheumatoid Arthritis. Ziebolz D, Pabel SO, Lange K, Krohn-Grimberghe B, Hornecker E, Mausberg RF. (J Periodontol 2011; 82: 1424-1432. Epub March 15, 2011.) Response
No full textA pilot study on the oral conditions of severely alcohol addicted persons
No full textThe aim of this study was to investigate the oral status, drinking, smoking, and oral hygiene habits of alcoholics. One hundred severely addicted alcoholics were examined during the in-patient treatment for detoxification (mean age: 44 years; 68 males/32 females) The study included a questionnaire and an oral examination that measured DMF-T, QHI, PBI, and CPI. The majority of alcoholics were heavy smokers (>30 cigarettes/day). Fifty-two percent of the alcoholics stated they frequently forgot to brush their teeth and 43% observed bleeding of their gums. The mean DMF-T was 20 (2 D-T, 9 M-T, 9 F-T), the mean QHI was 2.4, and the mean PBI was 1.8. Forty-nine percent of the sextants were scored CPI 3 or 4; about 25% were edentulous (CPI X). Our results indicate severe alcoholics have a high risk of periodontal break down and tooth loss. To what extent these findings were caused by general/oral neglect alone (in combination with nicotine abuse) is at present unknown
Initial periodontal screening and radiographic findings - A comparison of two methods to evaluate the periodontal situation
No full textBackground: The periodontal screening index (PSI) is an element of the initial dental examination. The PSI provides information on the periodontal situation and allows a first estimation of the treatment required. The dental panoramic tomography (DPT) indicates the proximal bone loss, thus also allowing conclusions on the periodontal situation. In this study, the results of both methods in determining the periodontal situation are compared. Methods: The clinical examination covered DMF-T, QHI, and PSI scores at four proximal sites per tooth; the examining dentist was unaware of the radiographic finding. Based on the PSI scores, the findings were diagnosed as follows: score 0 - 2 "no periodontitis", score 3 and 4 "periodontitis". Independent of the locality and time of the clinical evaluation, two dentists examined the DPTs of the subjects. The results were classified as follows: no bone loss = "no periodontitis", and bone loss = "periodontitis". Results: 112 male subjects (age 18 to 58, circle divide 37.7 +/- 8 years) were examined. Regarding the PSI, 17 subjects were diagnosed "no periodontitis" and 95 subjects "periodontitis". According to the evaluation of the DPTs, 70 subjects were diagnosed "no periodontitis" and 42 "periodontitis". A comparison of both methods revealed that the diagnosis "no periodontitis" corresponded in 17 cases and "periodontitis" in 42 cases (53%). In 47% (53 cases) the results were not congruent. The difference between both methods was statistically significant (p < 0.001; kappa = 0.194). Conclusion: The present study shows that the initial assessment of the periodontal situation significantly depends on the method of evaluation
Long-term effects of tongue piercing — a case control study
No full textThe aim of this study was to evaluate tooth and periodontal damage in subjects wearing a tongue piercing (TP) in comparison to matched control subjects without tongue piercing. Members of the German Federal Armed Forces who had TP (group TP) and a matched control group (group C) volunteered to take part in the study. The time in situ, localization and material of TP were documented. Dental examinations included DMF-T, oral hygiene, enamel fissures (EF), enamel cracks (EC) and recessions. Statistical analysis was determined by chi (2) test and the t test. Both groups had 46 male subjects (mean age 22.1 years). The piercings had been in situ for 3.8 +/- 3.1 years. Subjects in the TP group had a total of 1,260 teeth. Twenty-nine subjects had 115 teeth (9.1%) with EF (67% lingual). In group C (1,243 teeth), 30 subjects had 60 teeth with EF (4.8%, 78% vestibular) (p < 0.01). Thirty-eight subjects belonging to group TP had EC in 186 teeth (15%). In group C, 26 subjects with 56 teeth (4.5%) were affected by EC (p < 0.001). Twenty-seven subjects in group TP had 97 teeth (7.7%) with recessions. Lingual surfaces of anterior teeth in the lower jaw were affected most frequently (74%). In group C, 8 subjects had 19 teeth (1.5%) with recessions (65% vestibular). Differences between the two groups were statistically significant (p < 0.001). Tongue piercing is correlated with an increased occurrence of enamel fissures, enamel cracks and lingual recessions. Patients need better information on the potential complications associated with tongue piercing
Dental care and oral health in solid organ transplant recipients: a single center cross-sectional study and survey of German transplant centers
No full textAim of this study was to collect information about oral health of patients before and after SOT as well as information about center-based recommendations for dental care. In a single center cross-sectional study, the oral situation of 20 patients before and 20 after SOT were examined including dental (DMF-T), periodontal (PSR (R)/PSI), and oral hygiene findings (modified QHI). In a second project, a survey among 50 transplant centers in Germany was questioned regarding their recommendations for dental care of SOT recipients. Patients before and after SOT showed similar quality of dental findings (DMF-T), but worse compared to the general population. In addition, most patients in both groups showed pronounced periodontal treatment need (PSR (R)/PSI score 3 or 4). Oral hygiene findings (modified QHI) after SOT were significantly worse than in patients on the waiting list (P = 0.032). In a second project, the questionnaire was returned by 28 of 50 centers. Interpretation of data showed that 89% carry out a dental examination before SOT and 67% contacted the patients' dentists. After SOT, 83% of the transplant centers recommend antibiotic cover before dental measures. The results of our study revealed lacks in the dental care of SOT recipients. Consistent recommendations regarding the dental care of patients before and after SOT should be determined
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