Volume 3, Number 2. October 2002
Contents
Abstracts The treatment needs of adults with inherited bleeding disordersJ Fiske1, R J McGeoch2, G F Savidge3 and M P Smith41Senior Lecturer, Honorary Consultant in Special Care Dentistry, 2Staff Grade Dentist, Guy’s, King’s and St. Thomas’ Dental Institute, King’s College London3Professor of Coagulation Medicine, 4Senior Lecturer, Honorary Consultant in Haematology, Haemophilia Reference Centre, St. Thomas’ Hospital, Guy’s, King’s and St. Thomas’ NHS Trust, London Aim: To describe the dental treatment needs of people with inherited bleeding disorders (IBD) attending a dental service established specifically for their care. Design of the study: A case note review study. Subjects: The first 50 people attending this newly established dental clinic. Outcome measures: Type of bleeding disorder, HIV and hepatitis status, dental attendance patterns, barriers to oral health care, caries experience, periodontal treatment needs and restorative dentistry treatment needs. Results: The commonest bleeding disorders in the first 50 attendees were Haemophilia A, Haemophilia B and von Willebrand’s Disease. Twenty-six people claimed to be regular dental attenders (at least once a year). Anxiety was the principal reason for avoiding dental treatment. Twenty-two people had a positive HIV, Hepatitis B and/or Hepatitis C status. Caries experience measured using the DMFT index ranged from 0-36 with a mean of 14.4. Active caries affected between 0 and 8 teeth with a mean of 3. Forty-nine people required periodontal treatment. Twenty-five people needed a scale and polish and 24 required root planing; 37of the group required restorative treatment, 30% extractions and 10% needed partial dentures. All participants completed treatment. Six people required intravenous sedation to do so. Conclusion: The dental treatment needs of this group of people with IBD were high. Key words: Dental need, inherited bleeding disorders, haemophilia Oral health status in children with Down syndromeF Seymen1, Z Aytepe1 and B Kiziltan 21Professor Dr., 2Dr.University of Istanbul Faculty of Dentistry, Department of Pedodontics, Istanbul, TurkeyAim: It is known that in children with Down syndrome (DS) the oral findings are different from non-intellectually disabled children. The aim of this study was to compare the caries prevalence and the periodontal status in 48 children with DS (29 boys and 19 girls) and 48 controls ( 30 boys and 18 girls). The age ranged from 3-15. Method: The following were determined:dft, dfs, DMFT, DMFS, approximal plaque index (API) and sulcus bleeding index (SBI). Analysis was undertaken by dentition; primary, mixed and permanent. Data were subjected to the Mann Whitney U test. Results: The results demonstrated that the caries prevalence of both groups of children were similar for the primary and mixed dentitions but that there were statistically significant differences in the permanent dentition; DMFT and DMFS scores in DS were significantly lower (p<0.001) than in controls. There were no significant differences in API scores between DS and control groups in the primary dentition. However, in the mixed and permanent dentitions, API scores for the DS groups were significantly higher (p<0.001) than in controls. There were no significant differences in SBI scores between the groups for all dentitions. Conclusions: It is concluded that in DS children, oral hygiene is poor, but caries prevalence is similar to healthy children. More studies are required in these children. Key words: Down syndrome, caries prevalence, periodontal status Denture care of patients in a general hospitalS Barber, M Jerreat , D C Jagger and A HarrisonDivision of Restorative Dentistry, Lower Maudlin Street, BristolAim: To investigate the denture care of in-patients in a general hospital. Design and subjects: A survey in the form of a self-completed questionnaire was carried out on nursing staff (including student, ancillary and other trained nursing staff) in a general hospital. The topics covered included denture hygiene and general denture care procedures on the ward together with aspects of general denture care included in the nurse training programme. The questionnaire was given to 103 nursing staff with a 100% response rate. Attitudes towards denture cleansing regimes, knowledge of denture cleansers, denture marking and management of denture related problems were recorded. Results: Highlighted the lack of information provided to nurses with regards to denture care. In light of the results, and the attitudes and enthusiasm of nursing staff towards the study, an information sheet was formulated to assist them in providing a better service based on an appropriate level of knowledge and understanding. Key words: Denture care, nursing, in-patients Swalloaid, a new prosthetic appliance for edentulous elderly people with dysphagia: a case reportFumiyo Tamura1, Shiro Suzuki2, Miki Mizukami3 and Yoshiharu Mukai41Assistant Professor, 3Dental Hygienist, 4Professor; Department of Hygiene and Oral Health, Showa University School of Dentistry, Tokyo, Japan,2Professor, Department of Prosthodontics & Biomaterials, University of Alabama at Birmingham, School of Dentistry, Birmingham, Alabama, USA. A new prosthetic appliance (Swalloaid), which consists of a modified maxillary denture with soft bite rims, was devised for use by a dysphagic, elderly population and evaluated with a patient. It was well accepted, and oral dyskinesia was improved. A more controlled swallow was achieved through mandibular stabilisation and prevention of tongue thrust. Key words: Prosthetics, edentulousness, elderly people, dysphagia, swallowing, jaw stabilisation
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