Can dental panoramic radiography help screen osteoporosis in postmenopausal women?
Abstract
Methodology: Dental clinics, procedures and instruments in thelab. liable to cross contamination were test run using culture sensi-tivity tests on blood agar and Mc.conkey mediums in addition toswabs on monthly bases as for the following:1 Clinics and laboratory air environment was tested2 Alginate impressions, brushes, ragged wheels, pumice andlathes were tested3 The laboratory better operated as a “Clean Dental Labora-tory” not “Standard Dental Laboratory”Results: Gram -ve pathogens as Klebsiella and fungal infection aswell as commensals (staph.albicans) were present. By proper suctionsystem in the clinics and lab. and regular air-conditioning filterscleaning fungal growth was avoided.Virkon 2% as a surface disinfec-tant and instruments soaked for 24 h were used to eradicate patho-genic and non pathogenic bacteria.Presept half gram tablets dilutedin half liter of water sprayed, wrapped and left for 10 min on incom-ing material to the lab. as impressions, bite blocks, face-bows crownsalso eradicated the pathogenic and non pathogenic organismsConclusion: The infection control measures should be taken veryseriously for all patients and dental personnel for a better andhealthier life.FC305Tobacco-Use Cessation in Dental Clinics: A Survey of Dentist’sKnowledge, Attitude and PracticesThanveer Kalantharakath, Ajith Krishnan, Pulikt KalyanDepartment of Public Health Dentistry, Sumandeep Vidyapeeth,Vadodara, IndiaAim: To assess tobacco-use cessation related knowledge, attitudeand practices among practicing dentists.Material and methods: A cross sectional questionnaire survey wasconducted among dental practitioners registered in Indian dentalassociation, Vadodara Branch, India.All the registered dentists in Indian Dental Association, Vadod-ara were selected for the survey. A self administered pre-testedclose ended questionnaire consisting of questions related to theirgraduation, number of years in active dental practice, knowledgeattitude and practices towards tobacco use and cessation advice tothe patients was used. The questionnaire was piloted among 20clinical practitioners. Only completely filled questionnaires andresponse from those who are in active practice since the last5 years were considered for the study.Results: Out of the 180 completed questionnaires, 129 (71.6%)respondents were graduates and 51 (28.3%) respondents were postgraduates. Ninety-three (51.6%) respondents had never undergoneany formal training in tobacco cessation. Only 56 (31.1%) respon-dents strongly agreed that tobacco cessation advice is the responsi-bility of dental practitioners. Only 92 (51.1%) of the practitionersadvice tobacco cessation to their patients.Conclusion: It is concluded from the results that just over fifty per-cent of dentists surveyed were cognizant of tobacco cessationmethods and incorporated the same in their practice. The need fordentist to acquire knowledge and assume responsibility towardsthis cause in principle and practice has been strongly felt.FC306Can Dental Panoramic Radiography Help Screen Osteoporosisin Postmenopausal Women?Fırat Selvi1, Sean Geary2, Meredith August31Department of Oral and Maxillofacial Surgery, IstanbulUniversity, Istanbul, Turkey,2Harvard School of Dental Medicine,Boston, MA, USA,3Department of Oral and MaxillofacialSurgery, Massachusetts General Hospital, Boston, MA, USAAim: Early detection of osteoporosis is an important public healthgoal and dentists might play an important role in its diagnosiswith dental radiographs having a great potential as a screeningtool.Material and methods: Using a retrospective cohort study design,the authors enrolled a sample composed of female subjects whowere ≥50 years of age, who had a dental panoramic radiographand a bone mineral density (BMD) scan within 2 years of eachother between 2006 and 2012. The predictor variables includeddemographics, average gonial and antegonial angles, mandibularcortical bone integrity (MCBI), periodontal disease status, numberof remaining teeth, body mass index (BMI) and bisphosphonateusage. The primary outcome measure was BMD T-score (BMDT-sc) as determined by dual emission x-ray absorptiometry.Results: Descriptive and logistic regression statistics were com-puted and p-values < 0.05 were considered significant. Samplecomposed of 274 subjects with a mean age of 64 9.3 years.Average BMDT-sc was 1.59 1.11. Sample’s 27.11% were nor-mal (BMDT-sc > 1), 50.92% were osteopenic (BMDT-scbetween 1 and 2.5), and 21.98% were osteoporotic (BMDT-sc < 2.5). Of the predictor variables examined, MCBI(p = 0.019), age (p < 0.0001), BMI (p < 0.0001), and bisphospho-nate usage (p = 0.037) showed significance with a BMD diagnosisof osteopenia/osteoporosis. Other variables didn’t demonstrate sig-nificance. In a multivariate logistic regression analysis, MCBIdidn’t demonstrate significance (p = 0.6), whereas age and BMIremained significant (p < 0.0001).Conclusions: In conclusion, given MCBI’s significance in univariateanalysis and biologic plausibility, dentists might use it as a riskassessment tool to recommend a BMD scan for elderly womenpatients.FC307Areca Nut Chewing Among Primary School Children of Karachi,PakistanAmbrina Qureshi,Arham Nawaz ChohanDepartment of Community Dentistry, Dr. IshratulEbad KhanInstitute of Oral Health Sciences, Dow University of HealthSciences, Karachi, PakistanObjective: Areca nut chewing is more prevalent in South East partof subcontinent. Objective was to present prevalence and associ-ated factors of this habit among primary school children of Kar-achi, Pakistan.Methodology: A sample size of 600 was calculated. Multi stagerandom sampling was used. Nine out of 18 towns of Karachi wereidentified and two schools (public and private) from each townInternational Dental Journal 2013; 63 (Suppl. 1): 297--378© 2013 The authors. International Dental Journal © 2013 FDI World Dental Federation302
URI
http://hdl.handle.net/20.500.12627/97376https://onlinelibrary.wiley.com/doi/epdf/10.1111/idj.12052
https://doi.org/10.1111/idj.12049.
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