ObjectivesThe objectives of the study were to: (1) assess the knowledge and awareness of diabetic patients of their risk for systemic and oral diseases as complications associated with diabetes, (2) to assess their attitudes toward sustaining good oral health through proper oral hygiene and regular dental check-ups, and (3) to the extent that they are aware, to determine how they became aware.MethodsTwo hundred self-administered questionnaires were distributed to assess the main objectives of the study. Only completed questionnaires were used in the current study data analysis.ResultsA majority of the participants had Type 2 diabetes (58%). The awareness of diabetic patients of their increased risk for oral diseases is low compared to their awareness of systemic diseases. Their attitude toward maintaining good oral health was also not to desired standard. Of the participants, 50% brushed their teeth once daily and 66% never used dental floss. Regarding participants’ sources of awareness, 37% learned from dentists and 45% through other media sources.ConclusionsDiabetic patients are found to have little knowledge of their increased risk for oral diseases. In order to promote proper oral health and to reduce the risk of oral diseases, health professionals in both the dental and medical fields need to take the responsibility to develop programs to educate the public about the oral manifestations of diabetes and its complications on oral health.
Non-destructive methods, such as the ac-impedance technique, have recently been applied to early caries detection and to identify micro-leakage between tooth structure and filling materials. However, in vitro impedance measurements are affected by a number of external factors. The purpose of present study was to investigate the effect of the age of teeth on impedance measurements of human dentine by employing electrical impedance spectroscopy (EIS). Fully hydrated dentine samples were prepared from extracted third molars of 20 and 50 year old patients. Ac-impedance measurements were carried out over a wide frequency range. Impedance measurements showed that there were differences in impedance between young and older dentine. In their circuit models, both resistance and capacitance were found to be significantly different (p < 0.05) for the two age groups. One of the age-related changes in dentine is the formation of peritubular dentine on the inner walls of dentinal tubules and we propose that this is responsible for the differences in impedance. Sample or patient age therefore must be considered when making impedance measurements on any tooth.
AimsThe aims of this study were to assess the prevalence of self-reported halitosis, oral hygiene practices and related diseases among Libyan students and employees.MethodsSix hundred self-administered structured questionnaires were used to investigate self-perception of halitosis and oral hygiene practices among a group of Libyan volunteers. Chi square test was used to detect significant differences between frequencies and to test correlation between self-perception of halitosis and measures of oral hygiene.ResultsForty three percent of the subjects were males and 57% were females. Forty four percent of the males and 54% of the females revealed self-perception malodour. Malodour was reported with the highest frequency (68%) during wake up time. Malodour was perceived by 31.7% of the females and 23.4% of the males during the hand-on-mouth test (p=0.04). Significantly more females (89.9%) than males (75.7%) practiced brushing (p<0.001). Fifty one percent of the males and 49.6% of females had dental caries. Smoking was significantly (p<0.001) more prevalent among males (17%) than among females (1%). Brushing was practiced by 85% of non-smokers and 68% of smokers (p=0.004). About 71% of the subjects who practiced brushing reported malodour during wake up time in comparison to subjects who did not practice brushing (p=0.041).ConclusionsThe prevalence of self-perceived malodour among the Libyan volunteers in this study is within the range of other studies. There is a great demand to reduce the incidence of dental caries and periodontal diseases.
The results highlight the influence of oral self-care and lifestyle on malodour. Public awareness, diagnosis and treatment of malodour are primarily the responsibility of dentists. Malodour can have a distressing effect and the affected person may avoid socialising.
One of the age-related changes occurring in dentine structure is the formation of peritubular dentine on the inner walls of dentinal tubules leading to complete closure of tubules. Ac-impedance is safe, fast and non-invasive technique. In the last decade, the popularity of the technique has increased in dental research. Several investigators have used the technique to detect tooth cracks and caries. The results of in vitro studies showed that ac-impedance technique was more advanced for caries detection than visual and radiographic methods. However, other studies demonstrated that the accuracy of impedance measurements can be affected by many factors such as remineralization after tooth eruption. A study has been published on effect of age on impedance measurements by the authors for two age groups by employing ac-impedance spectroscopy. Therefore, the aim of this study was to demonstrate the importance of this technique by conducting further investigations on dentine samples of wider age groups. Dentine samples were prepared from extracted sound third molars of known patient age. The ac-impedance measurements were carried out over a wide range of frequency. After performing all electrical measurements, dentine samples were examined under SEM to correlate the electrical measurements with their structure. Impedance measurements showed that there were differences in impedance between young and old dentine. One-way ANOVA of the means of resistance and capacitance for all age groups (20, 25, 30, 40 and 50 years old dentine) revealed a significant difference (ANOVA, P < 0.0001) as a function of age. Applying Tukey's post hoc test, to the same data showed that this difference was due to the 50 years old dentine for resistance and was due to the 40 and 50 years old dentine for capacitance which were statistically different to all other groups. SEM investigation of dentine samples showed that young dentine is characterized by open dentinal tubules distributed all over the sample while in old dentine most dentinal tubules were occluded by peritubular dentine. It is believed that this peritubular deposition is responsible for differences in impedance measurements. In spite of increasing use of electrical techniques to understand electrical properties of teeth, it is clear from this study that local structural variations have a marked influence.
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