Introduction: Evaluation of the prevalence and severity of periodontitis as a significant aspect in the overall assessment of oral health and needs of integrated treatment in gerodontology was performed. Objectives: In the population aged 65-74 evaluation of prevalence and severity of periodontitis as definied by CDC/AAP in the Polish cross-sectional epidemiological study. Material and methods: A total of 1,200 people aged 65-74, living in a city (Wrocław, 630,000 population) and in a small town (Oława, 33,000 population) located in southwestern Poland were randomly selected to participate in the study. 285 people from Wrocław and 102 from Oława took part in the epidemiological study. In a clinical dental examination the following aspects were assessed: the number of teeth, bleeding on probing (BoP), pocket probing depth (PPD) and the clinical attachment level (CAL) for all teeth at 4 measurement points. A periodontal diagnosis was made according to the CDC/AAP criteria. In the anamnestic study, variables related to the socioeconomic status, systemic conditions and behavioral factors related to selected oral health behaviors were determined. Results: The prevalence of periodontitis was 47.9% (20.8% moderately advanced and 21.2% severely advanced). Statistically, periodontitis occurred more frequently in persons with current nicotine addiction, with a history of a cardiovascular incident and also in men. In the multifactorial model it was found that the significant protection against periodontitis is related to the highest personal income, the correct pattern of daily tooth brushing and self-financed dental treatment, whereas the history of a cardiovascular incident is associated with its occurrence. Conclusions: The prevalence of periodontitis in seniors of Lower Silesia is lower, while the presence of its severe form is comparable to the findings of foreign regional studies.
The frequency of Axis I TMD diagnoses in Polish patients is similar to other populations, whereas Axis II findings slightly differ from previous reports from other countries.
Background and Aims: Helicobacter pylori (H. pylori) is an important pathogen in gastritis, peptic ulcer and possibly gastric cancer, but several questions remain unanswered. Particularly how the organism is transmitted and what is the relationship between oral presence of H. pylori and the gastric infection. Accordingly, we aimed to characterize the H. pylori in oral cavity and to evaluate its relationship to gastric H. pylori infection.
AimDenture-related stomatitis is a disorder that often affects denture wearers. The purpose of this study was to evaluate the intensity, genera, and frequency of yeasts in the oral cavity of complete denture wearers in terms of subject gender and age.Materials and methodsNine hundred twenty patients (307 males and 613 females) with complete upper dentures were selected for the study and divided into four age groups: ≤50 years, 51–60, 61–70, and >70 years. Yeast samples were taken as a smear from the palate. The data were collected from January 15, 2007 to January 15, 2012.ResultsThe distribution of the number of yeast colonies by gender was statistically significant (P=0.02). Across all subjects, there was a statistically significant relationship between the intensity of yeast growth and the gender (P=0.01). In every age group, the number of infection-free individuals was greater among males than females. Intermediate, intense, and abundant growth of yeast occurred most frequently in the youngest group of females.ConclusionThe genera of Candida species and the frequency of yeast infection in denture wearers appear to be influenced by both age and gender. The complete denture wearers ≤50 years of age appeared to have the greatest proclivity to oral Candida infections.
Background. The problems of fungal infections in edentulous have been discussed in literature. Findings show that oral mycosis has an influence on the mycosis of oesophageal mucosa. Based on this we started to follow from 2007 in patients who wear dentures mycological examination, to evaluate changes of yeasts numbers, the sensitivity to antibiotics and determine the impact of types of prosthesis, time of using, gender and age of patients. 1230 patients who were wearing dentures participated in the retrospective study. The material for mycological examination was sampled as a smear from the palate. After the mycological identification of Candida species and assessment of growth, the susceptibility testing with Fluconazole and Nystatin was made. The number of 23 Candida species was diagnosed microbiologically in five years. C. albicans and C. glabrata were increasing in number—from 33,7% to 46,9% and 6,7% to 14,0%, respectively. There was a significant statistical difference between yeasts growth and gender (P = 0, 017 < 0.05). The conclusion is that a large percentage of persons wearing removable denture has been affected by Candida species and that could lead to the mycosis of farther gastrointestinal tract sections. The mycological examination before treatment, especially in patients using acrylic denture, appears to be necessary.
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