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Topic: Pattern Of Tooth Loss And Its Impacts On Oral Health Quality Of Life Among Patients In LASUTH, Ikeja Lagos State
Tooth loss result to deteriorating diet which can cause both functional and aesthetic impairements, and ultimately affect the oral health quality of life of an individual.Caries and periodontitis are the most common oral diseases that have tooth loss as their final stage of disease progression.The objectives of this study was to determine the impact of tooth loss on oral health -related quality of life of patients. Methodology: An observational study which consisted of structured questionnaire and clinical examination. An instrument was used to assess OHRQoL and obtained OHIP-14 scores from score values which are dichotomised into low, moderate and high impacts. Results: Loss of premolars and molars were significantly associated with a high negative impact on OHRQoL(p<0.01). Females are made up of higher proportion of respondents presented with tooth loss. Tooth loss is predominately seen in the maxilla than the mandible, and dental caries was the most common cause of tooth loss. The most frequent high oral impacts were in the domains of self-consciousness due to missing teeth, embarrasment and discomfort on chewing . No socio-demographic variables was significantly associated with tooth loss. Conclusion: Analyses showed that OHRQoL gradient was consistent with type of tooth loss with high impacts on oral function and pain experience. This demonstrates importance of masticatory inefficiency and chewing difficulties related to tooth loss. In the society, oral health promotion strategies were used to prevent tooth loss and to replace missing teeth .
|1.||M.Sc (Restorative and Aesthetic Dentistry)||Faculty of Medicine and Dentistry, School of Dentistry, University of Manchester.UK||2015|
Evaluation of Candida and Oral microbes with or without use of dentures among prosthodontic patients in Lagos, South Western Nigeria
Introduction: The oral cavity is a complex environment exposed to numerous opportunistic microbial pathogens. These are preserved by immune factors to maintain a healthy oral environment and prevent development of disease. The rate of edentulousness varies from 7% to 69% of the world's adult population.
Aim and Objectives: To compare the dominant oral micro-flora between denture wearers and non-denture wearers. To analyse the bacterial composition of the oral microbiome of denture wearers using modern diagnostic kit. To assess the changes in the diversity and composition of the microbiome against candida and to understand the bacterial and fungal interactions important in denture stomatitis.
Material and Methods: A correlational, cross-sectional study conducted in the prosthodontic clinic, Dental centre, Lagos state University Teaching Hospital, Ikeja from January to May 2019. Informed consents obtained. Questionnaires would be completed by participants. Oral samples would be obtained using sterile swabs on the fitting surface of denture and non -denture wearers. The organisms will be identified using Clinical laboratory Scientific Institute Guideline and tested using microbiological reactions with the aid of Microbact 12A and B, and associated Software. Analysis of the predominant organisms would be compared to socio-demographic and medical condition data. The data will be processed and analysed using SPSS.
Conclusion: Candida species adhere with different species of oral bacteria such as Streptococcus mutans, and increase their potential colonisation of dentures. Streptococcus mutans is a common inhabitant of natural teeth and acrylic denture plays an important role in biofilm formation by providing binding sites for bacterial colonisation and promotes adhesion of candida species. It is therefore that oral and denture cleanliness would reduce the bacterial and fungal invasion of denture wearers in our society.
ADENUGA-TAIWO OLUGBENGA is a Senior Lecturer at the Department of Restorative Dentistry
ADENUGA-TAIWO has a M.Sc in Restorative and Aesthetic Dentistry from Faculty of Medicine and Dentistry, School of Dentistry, University of Manchester.UK