E ASSESSMENT OF ORO-DENTAL HEALTH STATUS USING THE CAO AND EGOHID INDEXES AT THE YOUNG PEOPLE

CAO and CAOS epidemiological indices provide significant information for an overview assessment of dental health but can not make a nuanced type of carious lesions and involvement of the need for treatment. EGOHID system of clinical assessment and restoration of carious lesions provide evidence on lesion topography guided us on the degree of dental damage in motivating action supporting our dental health. The purpose of this study was to evaluate the comparative in terms of dental health indices CAO, CAOS and EGOHID system. Materials and methods: The study was conducted on a sample of 122 subjects with a mean age 23.53 years in which data were collected on the type of carious lesion and the type of restoration. Data were collected by clinical examination and observation files recorded according to codes. All patients in the study were informed verbally about the purpose of the study noting their consent. Statistical data processing was performed with SPSS 14.00 for Windows fixing the threshold of statistical significance of p ≤ 0.05. Results and discussion: Comparative analysis of two systems of assessment revealed that significant differences p ≤ 0.05 for the system of assessment of dental status in the system component EGOHID carious lesions, lesion assessment is accomplished underestimated component CS of CAOS index showing an average of 4.42 (± 4.132) compared with EGOHIDC is the index of the cavity showing an average of 10.38 (± 7.484). Conclusion: Data obtained through evaluation of dental caries is higher, providing a concrete image of the orientation dentistry, early diagnosis of dental caries, treatment and hence the technicallity and restorative treatments

COMPARATIVE STUDY ON BACTERIAL PLAQUE AND GINGIVITIS HEALTH STATUS INDICATORS

Introduction: The population is becoming more aware of the importance of oral hygiene in maintaining the health of the entire body. It is well known that the plaque is the main etiological factor in producing caries disease and periodontal disease. The purpose of this study was to evaluate the comparative value of indices of plaque and gingival inflammation in a group of yougers. Materials and methods: The study was conducted on a sample of 122 subjects. The study was clinical type. Data were collected after completion of revelation and clinical examination plaque noting the index values calculated for each observation sheet. The clinical evaluation of oral hygiene status, we used the API index (Approximal Plaque Index) and BI (bleeding index) indices for assessing periodontal status. All subjects included in the study were informed verbally about the purpose of the study noting the consent form. Examination of patients was performed in the Office Polyclinic No. 1, Ambulatory of Dentistry. Patients were placed in the database according to certain codes. Statistical data processing was done with software for Windows SPSS 14.00 settling a threshold of statistical significance of p ≤ 0.05. Results and Discussion: Comparative analysis of plaque presence and degree of gingival inflammation revealed that the differences statistically significant p ≤ 0.05 for having an API index value averaged 72.71 (± 23.48) gingival index BI compared with a mean of 20.05 (± 18.32) and using dental wire influences the index of periodontal inflammation. Conclusions: Gingival inflammation is present in those with plaque and is subject to use wire but not the frequency of tooth brushing showing that adjuvant use of adjuvants to remove dental plaque but not entirely

INFLUENCE OF CARDIOVASCULAR DISEASES ON SALIVARY PARAMETERS

Cardiovascular diseases are a major group of diseases with increased prevalence among the population. Antihypertensive drugs are incriminated as responsible for reducing salivary flow and harm to oral health. The purpose of this study was to evaluate the influence of cardiovascular disease and implicitly of cardiovascular medication on salivary parameters in patients with cardiovascular disease. Material and method. The cross-sectional study was conducted on 30 patients, an average age of 60.47 years. Subjects completed a questionnaire with general data and were clinical examined. The Saliva-Check Buffer (GC) tests were used to determine salivary pH, salivary flow and buffer capacity. Statistical analysis was performed with SPSS 14.0. Results: 50% of them had hypertension, treated with one type of antihypertensive drug, 73.3% using beta-blockers. 80% of subjects have a low salivary secretion, 53% have a reduced buffer capacity, 90% of subjects have a very low and low salivary pH. 86% of the subjects had dental caries and periodontal disease. Most of the subjects with monotherapy presented the lowest acidic pH cases. The saliva buffer capacity was lower for multi-therapy subjects. Conclusions: Cardiovascular disease is accompanied by changes in oral cavity homeostasis. Prevalence of dental caries, periodontal disease and edentation presented elevated values among subjects with cardiovascular disease

SOCIO-DEMOGRAPHIC FACTORS AND THE PARTIAL EDENTULISM IN THE ADULT POPULATION FROM IASI, ROMANIA

Partial edentulism is still prevalent in adult population from east european country. The aim of study is to evaluate the association between socio-demographic factors, and the partial edentulism in the adult population from Iasi, Romania. Materials and Methods: A cross-sectional study was conducted on a randomly selected population from Iasi. The study group included 214 patients who attended the Department of Prosthodontics of UMPh Gr.T.Popa Iasi during the 2015 – 2016. Data were acquired based on a questionnaire and clinical examination and was statistically analysed SPSS 15.0. Results: Out of 214 subjects, 50,5% were males partially edentulous, 64,5% were employed and 57,5% belonged to the medium level of education.Decay (61,7%) was the most common cause of tooth loss, followed by periodontal disease 30,8%. . Function restauration (72,9%) was the most common reason for replacement of missing teeth. 67,8% presented fixed treatment and 21,5% deemed both options as acceptable. Kennedy’s class I group was the most frequent type of partial edentulism, followed by class III, class I and the least frequent being class IV. Subjects with the medium level of education have a higher percentage of any type of prosthesis, the difference being statistically significant in terms of the amovible prosthesis between the two levels of education. Conclusion: The study show that partial edentulism frequence is influenced by the action of socio-demographic factors. It is necessary to develop programs that support oral health in the adult population through information regarding the prevention of edentulism

Prevalenței tulburărilor musculo-scheletale în rândul studenților de medicină dentară

Musculoskeletal disorders (MSD) are common among dental practitioners. The aim of the study was to assess the prevalence of MSD among dental students as well as the level of knowledge and attitudes about the principles of ergonomics. Material and Methods: The study was conducted among the 2nd and 6th year students of the Faculty of Dental Medicine, UMPh Gr.T.Popa University of Iasi. The questionnaire covered four main sections: the first section on demographic data collection, the second section assessed the work environment and work characteristics, the third section addressed ergonomics, while the fourth section assessed the prevalence of MSD based on body regions. Data analysis was performed with SPSS 14.0 Results: The response rate was 87% .72% of female subjects and 20% of male subjects reported MSD symptoms. 50% of students work with an assistant. They reported few symptoms of MSD at the elbow and forearm level. 70% of students have the ability to take over the instrument without making unnecessary movement. The number of clinical weekly workouts was significantly correlated with the discomfort experienced in the hands and fingers but also with the pain in the lumbar region. Conclusions: The prevalence of musculoskeletal disorders is higher in end-year students. The causes of these illnesses are the low level of knowledge about the ergonomic principles that need to be applied to improve medical activity and the reduction of the risk of installing muscle fatigue but also the lack of auxiliary staff to help the student achieve the treatments

ODONTAL STATUS AND ORAL HEALTH BEHAVIORS IN 6 YEARS OLD CHILDREN IN IAȘI

The aim of this study was to evaluate the dental status in 6 years old school children in Iași in correlation with behavioral factors and socio-economic status. Material and method. A longitudinal epidemiological study was initiated within the project “Evaluation of oral health and education for oral health in 6 and 12 year-old school-children in Iași, Romania” including 592 school children aged 6 from 21 schools in Iași. For oral health assessment EGOHID system was used. Results. The values for dmft /dmfs were 3,64 and 6,85 respectively. The prevalence of dental caries was 78,6% for d1-6mf and 67,9% for d3-6mf. The values for decayed teeth and surfaces was significantly higher than those for filled teeth and surfaces. A positive correlations between dmft index and the socio-economic level and between dmft index and sugar intake were established. 57,9% of subjects eat sweets between meals. More than half of children (56.3%) brush their teeth twice a day and 15% of them cleen their teeth occasionaly.Conclusions. Intensive preventive efforts by risk factors control are needed in order to decrease the high found prevalence of dental caries

PREVALENCE OF STRESS, EMOTIONAL EXHAUSTION, AND FEELINGS OF BURNOUT AMONG DENTISTS IN IASI COUNTY

The profession of dentistry comes with numerous challenges and responsibilities. Dental burnout is a form of professional exhaustion that affects many practitioners in the field of dentistry. The aim of our study was to assess the prevalence of stress, emotional exhaustion, and feelings of burnout among dentists in Iasi County. Material and methods: To assess the perception of dentists regarding the phenomenon of burnout, we conducted a questionnaire-based study with 12 questions involving 46 dentists from Iasi County. The data were statistically analyzed using the SPSS 26.0 (p<0.05). Results: The evaluation of health and wellbeing showed that 72.2% of the participants reported emotional exhaustion associated with their profession. 73.9% reported that stress affects the quality of the medical services they provide, 78% of respondents indicated difficulties in concentrating due to fatigue or stress, 84.2% of participants signaled a high impact of burnout on patient relationships. 87.5% of participants, especially dentists and orthodontists, have considered changing their profession. Dentists and orthodontists, along with those who have more than 11 years of practice, appear to be the most affected by burnout. Conclusions: These results indicate a high prevalence of stress, emotional exhaustion, and feelings of burnout among dentists in Iasi County. The phenomenon of burnout is frequently encountered among doctors with many years of professional experience

An Observational Study on Oral Health and Quality of Life for RPD Wearers in the N-E Region of Romania

There is a lack of information regarding the oral health of the elderly population in Romania; only a few articles have been published about their edentulism, and there are no official data regarding the oral health, OHRQoL, and prosthodontic status of this population. The objective of this study was to assess the relationship between the essential functional qualities of removable partial dentures (RPD) and participants&rsquo; oral-health-related wellbeing among an edentulous population from the N-E region in Romania using the OHIP-5-questionnaire. In total, 546 patients from Gr. T. Popa Iasi University were enrolled after following a set of sorting procedures. We used the Kruskal&ndash;Wallis test and the Mann&ndash;Whitney test to determine whether there were significant differences between the various groups of patients. For questions 1, 2, 3, and 5 of the OHIP, the null hypothesis was rejected, as there were statistically significant differences between the three groups. This study was limited to a specific group. However, it can provide an insight into RPD patients&rsquo; happiness when treated in an academic environment

ASPECTS OF THE CHOICE OF DENTAL MATERIALS USED IN THE TREATMENT OF SIMPLE CARIES IN TEMPORARY TEETH

The aim of the study was to assess the choice made by dentists on restoration materials used in the treatment of cavities in temporary teeth and determination of factors that influence their choice. The study was conducted over a period of 6 months on 40 dentists from Iaşi. The evaluation was carried out based on a questionnaire with questions on the type of dental practice (especially if physicians practice predominantly pediatric dentistry), seniority at work, the type of material preferred in the treatment of Black classified cavities. As regards to the type of dental practice, the results of the statistical analysis emphasize that 40% of subjects practice general dentistry and also pediatric dentistry, followed by those who practice only pediatric dentistry (35%). The analysis highlights that 37.5% of physicians use glass ionomer as filing material, 22.5% of them use only composite and 15% use both of them. The results of the study highlight the need for courses and workshops to facilitate the correct choice of restoration materials for temporary teeth cavities

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

Aims and Objectives: To investigate the trends in access to dental services among adults from the N-E region of Romania and to evaluate the factors that influence access to dental care. Material and Methods: A self-administered questionnaire was used to evaluate the access and utilization of dental care among a sample of adults. We collected data on their demographic characteristics, their type of medical insurance, their monthly income, the type of dental office they visited, their reasons for choosing a certain type of dentist office, and their oral hygiene habits. It was found that their financial status determined by the occupation of the individual, as well as their monthly income, influenced their access to medical services. Data were analyzed using SPSS 20.0. Results: Of a total of 696 participants, 55.6% were female, 83.3% were from urban areas, 42.1% were retired, 62.3% of the subjects utilized dental emergency services, and 67.9% of the subjects self-funded their treatment. The reasons for women not attending dental offices included costs (24.3%) and dental fear (9.8%), while men’s reasons were high costs (26.4%) and lack of time (5.9%). Significant differences were recorded between gender and reasons for visiting the dentist (p = 0.018), payment for dental services (p = 0.009), and preferred clinic (p = 0.010). In relation to occupation, there were significant differences for most of the variables evaluated (reasons to visit a dentist, payment for dental services, preferred dental clinic, self-rated oral health, etc.). Conclusions: Gender, occupation, and monthly income levels were found to influence access to dental medicine services of Romanians in the N-E region. Dental services were frequently accessed for emergency reasons. Dental services were found to be paid for by state insurance for those with low monthly incomes and self-funded for those with higher monthly incomes