Dens invagination and root dilaceration in double multilobed mesiodentes in 14-year-old patient with anorexia nervosa

This paper describes a rare case of erupted double supernumerary teeth with unusual morphology in a 14-year-old patient with an eating disorder. The coexistence of dental morphological anomalies: multilobed mesiodens, multiple dens in dente of different types and root dilaceration have not been previously reported. The paper highlights anatomical and radiological aspects of dental abnormalities and clinical implications of delayed treatment

Epidemiological analysis of dental caries in 12-year-old children residing in urban and rural settings in the Podlaskie region of north-eastern Poland

Introduction. Dental caries is still a social problem in many countries, including Poland. Through epidemiological studies conducted in index groups among children and adults, it is possible to monitor its progress and take appropriate action. The Podlaskie region is an area where the severity of dental caries in children has been the highest in the country for a few years, both in urban and rural settings. Objective. Evaluation and comparison of indicators of the progress of caries – Decayed Missing Filled Teeth (DMFT) – in 12-year-olds from the urban and rural areas of north-eastern Poland, measured between 2003–2010. Materials and method. In 2003 and 2010, respectively, 445 children were examined: in 2003 – 188: 101 boys, 87 girls; 98 from urban areas, 90 from rural areas, and in 2010 – 257 adolescents: 134 boys, 123 girls; 157 from urban areas and 70 from rural areas. The study protocol was strictly subordinated to the WHO study monitor guidelines. DMFT indices were evaluated in particular years. The distribution of their individual components was then compared and analyzed. The outcomes resulting from the place of residence and gender of the adolescents were taken into account. In the statistical analysis, Shapiro-Wilk test and Mann-Whitney U test were used. Results. In 2003, the mean value of DMFT was 4.76, and in 2010 it decreased to 3.36 (p<0.0001). In 2003, DMFT was 4.42 in the rural areas, and after 7 years it has risen to 4.77. There was a significant decrease in the value of the index (from 5.08 to 2.82, p<0.0001) in the urban areas. No significant differences based on gender were observed between these years. Conclusions. The values of caries intensity among 12-year-olds from the Podlaskie region, both in rural and urban areas, are still high. Among children from the rural areas, dental caries progression is more visible and has not improved during the years 2003–2010. These findings should lead to the development of programmes for the inhabitants of rural areas

Oral health-related quality of life in patients undergoing chronic hemodialysis

Ewa Rodakowska,1 Magdalena Wilczyńska-Borawska,2 Justyna Fryc,3 Joanna Baginska,4 Beata Naumnik5 1Department of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland; 2Department of Social and Preventive Dentistry, Medical University of Bialystok, Bialystok, Poland; 3Faculty of Medicine, Medical University of Bialystok, Bialystok, Poland; 4Department of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland; 5I Department of Nephrology and Transplantation with Dialysis Unit, Medical University of Bialystok, Bialystok, Poland Aims: The aims of the study were to determine oral health-related quality of life (OHRQoL) in chronic hemodialysis (HD) patients and to estimate which scale describing OHRQoL, Oral Health Impact Profile (OHIP-14) or Geriatric/General Oral Health Assessment Index (GOHAI), was more useful in this particular group. Methods: This was a cross-sectional study conducted by means of a census survey. The Polish versions of OHIP-14 and GOHAI were used to assess OHRQoL. The oral examination included decayed, missing and filled teeth (DMF-T) Index; Oral Hygiene Index simplified; Plaque Index and Gingival Index. In the statistical analysis, the Kruskal&ndash;Wallis test, Mann&ndash;Whitney U test, Pearson&rsquo;s &chi;2 test and Spearman&rsquo;s rank correlation coefficients were used as appropriate. Results: The final sample consisted of 72 patients (mean age 63.2&plusmn;15.2&nbsp;years). The mean duration of HD treatment was 43.8&nbsp;months. The mean number of teeth was 10.9. The majority of participants (81.9%) were dentate; only 22.2% of the respondents had &gt;20 teeth. Among the dentate subjects, 44.1% wore removable dental prostheses (60.7% women). The most prevalent items for GOHAI (mean 14.71; SD 7.21) were uncomfortable to swallow, discomfort when eating and unhappy with appearance. The most prevalent items for OHIP-14 (mean 8.87; SD 10.95) were uncomfortable to eat foods, and diet has been unsatisfactory. The internal reliability (Cronbach&rsquo;s alpha) was 0.637 for GOHAI and 0.918 for OHIP-14. Chewing problems were significantly related to GOHAI (p=0.001) and OHIP-14 (p&lt;0.001) scales. Higher OHIP-14 scores were significantly associated with dental treatment needs (p=0.029) and poor self-rated oral status (p=0.001). Conclusion: The HD patients had an unsatisfactory oral status, but using only OHRQoL scale was insufficient to capture all their oral health problems. The scales did not fully reflect poor oral health in HD patients. The oral problems were not a major concern for this group of patients, which could indicate the adaptation to impaired oral health or a change in health priorities. Regular dental examinations together with the assessment of OHRQoL in HD patients are required for a comprehensive patients&rsquo; state. In our study, more variables were significantly related to the OHIP-14 scale than to the GOHAI scale. Thus, the OHIP-14 scale may be more useful in assessing OHRQoL in HD patients. Keywords: oral health-related quality of life, OHIP-14, GOHAI, hemodialysis, OHRQo