Tag Archives: ORAL HYGIENE

Infective Endocarditis Prophylaxis in Patients Undergoing Oral Surgery

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1 / F. Anagnostou2 / S. Dalampiras3 / L. Zouloumis3 / C. Pliakos4

1Postgraduate Program of Hospital Dentistry Dental School of Aristotle University of Thessaloniki, Greece
2National School of Public Health
3Department of OMFS Dental School of Aristotle University of Thessaloniki
4Department of Cardiology AXEPA Hospital Thessaloniki, Greece

Summary

Infective endocarditis (IE), an infection of the endocardium that usually involves the valves and adjacent structures, may be caused by a wide variety of bacteria and fungi that entered the bloodstream and settled in the heart lining, a heart valve or a blood vessel. The IE is uncommon, but people with some heart conditions have a greater risk of developing it. Despite advances in medical, surgical, and critical care interventions, the IE remains a disease that is associated with considerable morbidity and mortality. Hence, in order to minimize the risk of adverse outcome and achieve a yet better management of complications, it is crucial to increase the awareness of all the prophylactic measures of the IE.

For the past 50 years, the guidelines for the IE prophylaxis have been under constant changes. The purpose of this paper is to review current dental and medical literature considering the IE prophylaxis, including the new and updated guidelines from the American Heart Association (AHA, 2007 and 2015), the National Institute for Health and Clinical Excellence (NICE, 2015), the European Society of Cardiology (ESC, 2009 and 2015) and the British Society for Antimicrobial Chemotherapy (BSAC, 2006).

Keywords: Infective Endocarditis; Antibiotic Prophylaxis; Bacteraemia; Oral Hygiene

References

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Citation Information: Balkan Journal of Dental Medicine. Volume 20, Issue 1, Pages 5–14, ISSN (Online) 2335-0245, DOI: https://doi.org/10.1515/bjdm-2016-0001, April 2016

Assessment of Knowledge and Attitudes to Preserve Oral Health among Older People Aged 60+ in FYROM

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1 / F. Tozja2

1PZU “ProdentIdadija”, Skopje
2Institute of Public Health, Faculty of Medicine, Skopje, FYROM

Summary

Introduction. In the last decade, the impact of oral health on overall health status in the elderly has attracted considerable attention. Elderly people are often not aware that oral diseases and tooth loss can be prevented. Oral health behaviour involves acquisition of individual habits for preservation and maintenance of oral health, such as regular brushing and brushing teeth, using fluoride-rich toothpastes and dental floss, reducing sugar in the diet and habit of regular visits to the dentist. The aim of this research was to assess knowledge and attitude toward maintenance and preservation of oral health in people over 60 years in FYROM.

Methods. This is a cross-sectional study of the population, older than 60 years in FYROM, who use dental services and treatment in public health institution, at the Faculty of Dentistry in Skopje (Clinic of Mouth and Periodontal Diseases) and in the Health Centre in Skopje. As an instrument of this research, a questionnaire which included issues related to oral health behaviour was used for the targeted population. 193 patients answered the questions in this questionnaire.

Results. The age of respondents was significantly associated with the frequency of brushing their teeth and interdental spaces, as well as the habits of frequent dental care visits to the dentist. The gender of the patients had a highly significant effect on the use of fluoride toothpastes and the time that had passed since their last visit to the dentist (p<0.01). Education level in elderly patients significantly affected the knowledge of the individual oral health care.

Conclusion. Respondents with higher education brushed their teeth and interdental spaces more frequently and had regular dental check-ups. Furthermore, they almost always used fluoride toothpaste when brushing their teeth. The increased concern for their own health correlated to a higher level of knowledge, awareness and attitudes about oral health care, and follow recommendations by a dentist. In FYROM, oral health behaviour of patients above 60 years is far behind the levelof care that is achieved in higher developed countries.

Keywords: Oral Health Care; Oral Health Behaviour; Population, old

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Citation Information: Balkan Journal of Dental Medicine. Volume 19, Issue 1, Pages 26–32, ISSN (Online) 2335-0245, DOI: https://doi.org/10.1515/bjdm-2015-0030, July 2015