Factors related to oral hygiene in persons with scleroderma
| Autor: | K Rossie, Virginia D. Steen, C Brewer, Claudia Conte, JL Poole, CC Good |
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| Rok vydání: | 2005 |
| Předmět: |
Male
media_common.quotation_subject Dental Plaque Dentistry Dental Caries Xerostomia Oral hygiene law.invention Upper Extremity Dental floss Scleroderma Limited Hygiene law Hand strength Humans Medicine Dentistry (miscellaneous) media_common Muscle contracture Mouth business.industry Tooth surface Middle Aged Oral Hygiene Dental personnel stomatognathic diseases Scleroderma Diffuse Female Toothbrush Epidemiologic Methods business |
| Zdroj: | International Journal of Dental Hygiene. 3:13-17 |
| ISSN: | 1601-5037 1601-5029 |
| DOI: | 10.1111/j.1601-5037.2004.00108.x |
| Popis: | Objectives: The purpose of this study was to assess potential risk factors for the development of poor oral hygiene and increased dental caries in individuals with scleroderma. Methods: Twenty-two subjects with scleroderma participated in this study. All subjects were examined with the Patient Hygiene Performance (PHP) Index, which assesses the extent of plaque and debris over a tooth surface. In addition, oral aperature, xerostomia and dominant upper extremity strength, motion, skin thickness, and dexterity were measured. Results: None of the subjects had good or excellent hygiene. Fifteen subjects had fair oral hygiene and seven subjects had poor oral hygiene as measured by the PHP Index. Significant differences were seen between these two groups for oral aperture, percentage of teeth with caries, skin thickness, dexterity and finger flexion. Dexterity and joint motion correlated significantly with the number of decayed surfaces and number of caries. Oral aperture correlated with the PHP Index and the number of dental caries. Conclusions: Subjects with poor oral hygiene required more time to complete manual dexterity task and had decreased hand strength and joint motion. Moreover, these same subjects had more contractures, scars, ulcers, and higher skin scores (more disease activity) than subjects in the fair hygiene group. In addition to frequent dental exam and routine cleaning, dental personnel may want to consider exercises to increase oral aperature and investigate toothbrush and dental floss selection used by persons with scleroderma. |
| Databáze: | OpenAIRE |
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