Oral Hygiene Practice among Hospitalized Patients: An Assessment by Dental Hygiene Students

Lupi, Saturnino Marco; Pascadopoli, Maurizio; Maiorani, Carolina; Preda, Camilla; Trapani, Benedetto; Chiesa, A; Esposito, Francesca; Scribante, Andrea; Butera, Andrea

doi:10.3390/healthcare10010115

Cited by 11 publications

(16 citation statements)

References 42 publications

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“…This result suggests that dental students, despite studying for more years and taking more courses on the topic, did not always show significantly better knowledge about DDE than dental hygiene students. This finding underlines the importance of the role that dental hygienists, as competent and qualified health professionals, play within a dental team,, as previously reported [ 33 ].…”

Section: Discussionsupporting

confidence: 82%

Dental and Dental Hygiene Students’ Knowledge and Capacity to Discriminate the Developmental Defects of Enamel: A Self-Submitted Questionnaire Survey

et al. 2022

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Background: A prompt and accurate diagnosis of developmental defects of enamel (DDE) is mandatory for proper treatment management. This cross-sectional survey, designed and carried out using anonymous self-administered questionnaires, aimed to assess dental and dental hygiene students’ knowledge and their capability to identify different enamel development defects. Methods: The questionnaire consisted of twenty-eight closed-ended questions. Two different samples of undergraduate students were selected and enrolled: a group of dental hygiene (GDH) students and a group of dental (GD) students. A multivariate logistic regression was performed by adopting the correct answers as explanatory variables to assess the difference between the two groups. Results: Overall, 301 completed questionnaires were analyzed: 157 from the GDH and 144 from the GD. The dental student group showed better knowledge than the GDH of enamel hypomineralization and hypoplasia (p = 0.03 for both). A quarter (25.25%) of the total sample correctly identified the period of development of dental fluorosis with a statistically significant difference between the groups (p < 0.01). Amelogenesis imperfecta (AI) was identified as a genetic disease by 64.45% of the sample, with a better performance from the GD (p = 0.01), while no statistical differences were found between the groups regarding molar incisor hypomineralization. Multivariate analysis showed that AI (OR = 0.40, [0.23;0.69], p < 0.01) and caries lesion (OR = 0.58, [0.34;0.94], p = 0.03) were better recognized by the GD. Conclusions: Disparities exist in the knowledge and management of DDE among dental and dental hygiene students in Italy; however, significant knowledge gaps were found in both groups. Education on the diagnosis and treatment of DDE during the training for dental and dental hygiene students needs to be strongly implemented.

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Section: Discussionsupporting

confidence: 82%

Dental and Dental Hygiene Students’ Knowledge and Capacity to Discriminate the Developmental Defects of Enamel: A Self-Submitted Questionnaire Survey

et al. 2022

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“…In general, medical specialists need to be aware of the periodontal status of their patients, not only at the outpatient clinic. One particular study showed that the presence of gingival index, plaque index and gingival inflammation is high among hospitalized patients across various wards, including the internal medicine infirmary [ 61 ]. In addition, limited knowledge of using dental aids within this group was observed [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

“…One particular study showed that the presence of gingival index, plaque index and gingival inflammation is high among hospitalized patients across various wards, including the internal medicine infirmary [ 61 ]. In addition, limited knowledge of using dental aids within this group was observed [ 61 ]. Oral health will improve through dental and oral hygienist visits, also by stimulating the use of correct therapeutics; for example, using an electric toothbrush, fluoridated toothpaste and interdental aids.…”

Section: Discussionmentioning

confidence: 99%

“…More, larger epidemiological studies are needed among multimorbid patients. Furthermore, proactive action, such as screening for PD by medical specialists, is recommended; this in conjunction with the self-reported questionnaire to screen for PD (from Verhulst et al (2019) [ 66 ] and Nijland et al (2021) [ 31 ]) to refer the patients to an oral health specialist if necessary and introducing oral health prevention programs in hospitals [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Periodontal Disease among Patients at the Outpatient Clinic of Internal Medicine in an Academic Hospital in The Netherlands: A Cross-Sectional Pilot Study

Leung

Nijland²,

Gerdes³

et al. 2022

JCM

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There is a worldwide increase in individuals suffering ≥ 2 chronic diseases (multimorbidity), and the cause of combinations of conditions remains largely unclear. This pilot study analysed the prevalence of periodontal disease (PD) among (multi)-morbid patients at the outpatient clinic of internal medicine. PD is an inflammatory disease of the tooth supporting tissues and has a negative impact on the overall health. Data were obtained from 345 patients, on demographics, systemic conditions and presence of PD. The possible differences in the distribution of PD status among patients with/without multimorbidity and Medical Subject Headings (MeSH) disease chapters were explored. In total, 180 (52.2%) patients suffered from multimorbidity. The prevalence of severe PD was 16.2%, while the prevalence of mild and severe PD combined (Total PD) was 53.6%. Patients with disease chapter cardiovascular diseases (CVD) had a significantly higher prevalence of severe PD (odds ratio (OR) 2.33; 95% confidence interval (CI) 1.25, 4.33) and Total PD (OR 1.61; 95% CI 1.04, 2.50) than patients without CVD. After subsequent analyses, myocardial infarction was significantly associated with severe PD (OR: 4.68 (95% CI; 1.27 to 17.25)). Those suffering from multimorbidity showed to have a non-significant increased risk for severe (OR 1.27; 95% CI 0.69, 2.34) or Total PD (OR 1.23; 95% CI 0.81, 1.88). In conclusion, PD is highly prevalent in multimorbidity patients. Furthermore, PD was significantly prevalent in patients with CVD. However, larger epidemiological studies are necessary to confirm that the prevalence of PD is significantly increased among multimorbid patients.

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“…The use of an electric toothbrush, gels and mouthwashes with an antimicrobial character, and also improving the quality of food, can reduce the plaque deposits and prevent bacterial gingivitis and further complications. In the case of institutionalized children, this help must come from the caregivers or volunteers who are visiting the orphanages and offer their time to educate and teach the children the importance of oral hygiene [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Pathological Manifestation of the Oral Mucosa in Institutionalized Children from Romania

Stoica

Kovacs-Ivacson²,

Stoica³

et al. 2022

IJERPH

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Institutionalized children, regardless of their age, are prone to psychiatric disorders, compared to those who live in two-parent families, due to the unfavorable physical and psychological conditions in which they develop. Unpropitious psychological conditions affect the child’s general health and induce local manifestations that can be found in the oral cavity, affecting both soft tissues and teeth. Therefore, the purpose of our study was to assess and diagnose a series of pathological manifestations of the oral mucosa associated with poor living conditions or closely related to psychological stress. The clinical examination was performed by 4 specialist dentists, who consulted 150 children representing the study group and 52 children representing the control group, all having ages between 14 and 18 years old and meeting the same inclusion criteria. From the control group, 62.5% presented plaque-induced gingivitis (26.6% girls, 35.8% boys), 26.6% presented mucosal lesions produced by lip and cheek biting (23.3% girls, 35.8% boys), and 11.7% presented geographic tongue (6.6% girls, 5% boys), herpes simplex eruptions (3.3% girls, 4.2% boys) and oral ulcerations (12.5% girls, 10.8% boys). Morsicatio buccarul is a chronic, self-mutilating habit, currently becoming one of the most common tics encountered among institutionalized children. Furthermore, these children do not benefit from constant support and guidance to perform their dental hygiene, so the incidence of gingivitis induced by bacterial plaque and calculus is very high.

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Oral Hygiene Practice among Hospitalized Patients: An Assessment by Dental Hygiene Students

Cited by 11 publications

References 42 publications

Dental and Dental Hygiene Students’ Knowledge and Capacity to Discriminate the Developmental Defects of Enamel: A Self-Submitted Questionnaire Survey

Dental and Dental Hygiene Students’ Knowledge and Capacity to Discriminate the Developmental Defects of Enamel: A Self-Submitted Questionnaire Survey

Prevalence of Periodontal Disease among Patients at the Outpatient Clinic of Internal Medicine in an Academic Hospital in The Netherlands: A Cross-Sectional Pilot Study

Clinical and Pathological Manifestation of the Oral Mucosa in Institutionalized Children from Romania

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