Wgr

*

VolumulXX-Nr. ll20L7

de

We

a

Beuista Bom0n[ ilewV

IhI T II I G I 1IA II E]ITARA

Uolumul ll[, ll]. l, 20ll

Beuislil editatil ileA*.x(*

{m}*=^-*

l^\

Uniunea Nalionald aAsocia[i i lor Stomatolog icestr. Mitropolit Filaret, nr.24,

sector 4, Bucuregtitel./fax: 021 3356187

021 3370040e-mail : office@unas. ro

www.unas.roISSN 1847 - 6942

t"

COMITET EDITORIAL

Director publica{ie: dr. Alexandru BrezoescuRedactor-qef: prof. dr. Teodor Trlistaru

Redactor-qef adjunct: dr. Dan ClminescuEditori $tiin{ifici: prof. dr. Rodica Luca

prof. dr. Andrei lliescuprof. dr. Anca Silvia Dumitriuasis. univ. dr. Bogdan Calenic

Editor coordonator: Dorina PirIu

Colegiul $tiinfificProf. Dr. Grigore Bdciu!Prof. Dr. Dana Cristina BodnarProf. Dr. Alexandru BucurProf. Dr. Vasile BurluiProf. Dr. Ioan Ddnil[Prof. Dr. Horia Traian DumitriuProf. Dr. Norina FornaProf. Dr. Andrei IliescuProf. Dr. Ecaterina IonescuProf. Dr. Rodica LucaProf. Dr. Silvia MarfuProf. Dr. TraianAugustin MihaiProf. Dr. Ion PStraqcuProf. Dr. Mihaela Rodica PdunaProf. Dr. Angela PodariuAcad. Prof. Dr. Constantin PopaProf. Dr. Sorin PopqorConf. Dr. Alexandru RafilaProf. Dr. Dragog StanciuProf. Dr. Mihai Surp6{eanuProf. Dr. Teodor TrdistaruProf. Dr. $erban Petru Radu lovaruProf. Dr. Dragoslav Dukanovi6 - SerbiaProf. Dr. Ady Garfunkel - IsraelProf. Dr. Simone Grandini -ItahaProf. Dr. Betiil Kargul - TurciaProf. Dr. Samuel Kaufmann - IsraelProf. Univ., Dr. hab. in med. Ion Lupan

- Rep.MoldovaProf. Dr. Argiris L. Pissiotis - GreciaConf. Dr. Aurelia Spinei - Rep. MoldovaProf. Dr. Mihnea Strugurescu - CanadaDr. Uri Zilberman, DMD, PhD - Israel

MembriProf. Dr. Mihaela Blciu(Conf. Dr. Cristina BodnarProf. Dr. Emanoil Bratu$ef Lucr. Dr. Liliana BurlibaqaProf. Dr. Radu Septimiu CdmpianProf. Dr. Hab. Andreea Cristiana Didilescu

Prof. Dr. Bogdan Dimitriu$ef Lucr. Dr. Alexandru-Titus FarcagiuConf. Dr. AlexandruAndrei IliescuConf. Dr. Ileana Ionescu

$ef Lucr. Dr. RaduAnton MarinescuConf. Dr. Dan MarigProf. Dr. Viorica Maria MilicescuAsist. Univ. Dr. Aneta MunteanuConf. Dr. Vanda NimigeanProf. Dr. Victor NimigianAsist. Univ. Dr. Luminifa OanceaProf. Dr. Mariana PdcurarConf. Dr. Gabriela PdtroiProf. Dr. Br0nduga PopaProf. Dr. Alexandra Roman-ClujProf. Dr. Ioan SirbuConf. Dr. Elina TeodorescuProf. Dr. Constantin V6rlan$ef Lucr. Dr. Arina Vinereanu

Conf. Dr. Mihai BLrt'l:'L.rts.r

Dr. Alina Dragonrir'Dr. Alexandru \I :.,:., \ .., .L,.

Prof. Dr'. ,\1erant!'-. 'i,.--'. P::r'eDr. Monica Pr'.'Lii ,.

Reprezentanfi re gionaliDr'. DL:r:'" :Dr'. Tne. B-... .

Dr C'1,.D:' L,i): L' -l,- 'l

'I

n GRUPUL EDITORIAL $r. Fnrrzigdi rr- $t!, sector4, Bucuregti-"\ NATIONAL re.-: Glr plrrrirar:021€324870;"--,";-;;;;.;^

Secretariatul Colegiului $tiin{ific

!

-1 L\I - progresul tehnologic de la clasic la modern

I\I - Technologic Progress from Classical to Modern ............. ..................5

i. Carmen Stadoleanu , A. T. Cigu, M.l Popovici, Oana Cucoveica, G. Costin

" :rcdicale de stomatologie ale Germaniei

-.- rtunci)

, !"rimului Rizboi Mondial (1914-1918). . r.. sl sen'ices of Germany

. - :llt time)- j \\ ar I (1914-1918).... ............19

-.,. Srmion Gh. Dumitru, Radu Costea, Mihai David

r pacienlii cu proteze totale

. -, .1mong patients with complete dentures. .......41

-,1',-',\ ski Mihajlo, Papakoca Kiro, Terzieva Olivera, Zlatanovska Katerina

(Clrl>rtitrsi

I

-.. Rt)nt.:i:-". - . .l-. ,:.; D;tttrtt.ri

lgieno ptotezeilo pscientii cq ptoteze totqle

Denture hygiene qmong pqtientswith complete dentores

Kocovski Darko, Petrovski Mihajlo, Papakoca Kiro, TerzievaOlivera, Zlatanovska Katerina

Rezumot

rroducere: Tratamentul de reabilitare cu proteze are succes numai dacii purtdtorii sunt mo-' i cunosc utilizarea ;i igiena adecvatd a protezei. Igiena precard a protezei s-a raportat ca

' rttd majord a purtdtorilor de proteze, care rezultd in acumularea mai mare a placii bacteriene.rafaya protezei.

: Scopul acestui studiu afost sd analizeze conduita;i obiceiurile de igiend ale purtdtorilori in rdndul populaliei din Bitota si sd stabileascd nivelul de menlinere a igienei protezelor.

'tteriale ;i metode: Pentru realizarea acestui sondaj s-a elaborat un chestionar adecvat pentru'tt'ii de proteze qi un examen clinic pentru a stabili inclicele cle placd. in sondaj s-a inclus untotal de 300 de purtdtori neinstitu{ionalizali de proteze din Bitola. Chestionarul cuprindettii. cum ar -fi-' vdrsta' sexul, perioada de utilizare a protezei actuale, metoda cle curdtare

'iro curdldrii, obiceiul de apdstra protezele tn mediu umed, curdlarea cavitd{ii orale, obiceiulrrta proteza noaptea.

: trltute: Tbli responden{ii au declarat cd nu intdmpind dificuttali la curdyarea protezelor ;i i;i: nrotezele cel pulin o datii pe zi. Fiecare respondent iqi periazd proteza, 600% utilizau numaioerierea protezei. Majoritatea acestora au rdspuns cd i;i curdld doar proteza.

'tcluz,ia: Purtdtorii de proteze demonstreazd o igiend nesatisfdcdtoare a piesei protetice, pre-'tbiceiuri necorespunzdtoare. De aceea este necesar sd se elaboreze programe ;i instructaj

41

Reristct Rctmdnii de Medicind Dentard

adecvat pentru ingrijirea zilnicd pentru a menline o igiend orald adecvatd in rdndul acestei populalii.

Cuvinte-cheie: edentalie, igiend nesatisfdcdtoare, periaj, purtdtori de proteze, curdtrarea pro-

tezelor

f,bstrsct

Introduction: Rehabilitation treatmentwith dentures is successful only ifwearers are motivated

and aware ofproper dentures use and hygiene. Poor hygiene on dentures has been reported a maior

problem in denture wearers which leads to higher plaque accumulation on the prosthesis sudace

Aim: The aim of this study was to analyze the behavior and hygiene habits of denture wearers

among the population in Bitola and determine the level oJ matntenance oJ hygtene to dentures.

Materials and methods: For realization ofthis survey adequate questionnairefor dentureweor-of hygiene to dentures.Bitola and determine the level of maintenance

ers was made, and clinical examination for determinate a plaque index was made. In the survey

was included total number of 300 non-institutionalized denturewearersfrom Bitola. Questionnaire

contains certain information like: age, gender, time of use of current dentures, method of cleaning,

frequency of cleaning, habit of soaking dentures, cleaning of the oral cavity, nocturnal denture-

wearing habit.Results: All respondents answered that they have no dfficulty in cleaning dentures and cleaned

their dentures least once a day.Every respondent brush their dentures, 600% used only water while

brushing their denture. MajoriQ of them answered that they cleaned their dentures only.

Conclusion: Denture wears demonstrate unsatisfactory hygiene of prosthetic devices, as well

as inadequate habits. It is therefore necessary to develop appropriate programs and trainingfor

the daity care to maintain adequate oral hygiene among this population.

Key-.words: edentulous, unsatisfoctory hygiene, brushing, denture wearers, dentures clearing

lntroducere:

Numdrul pacienlilor cu edentalie.este inc6 incregtere. Petersen et al. [1] atatd cd aproximativ

69% dirpopulalia global[ este afectat[ de ano-

donlie, definit[ ca pierderea tuturor din]ilor per-

manenli. Protezele se utilizeazd" pentta a reface

cerinlele funclionale qi estetice ale pacienfilor.

Purtarea protezelor este asociatdin mod uzual

cu satisfaclia pacientului qi unele complicalii.tratamentul de reabilitare cu ptoteze are,succes

numai dac[ purtdtorii sunt motivaii gi cunosc uti-hzarea qi igiena adecvatd aptotezet.Igiena pro-

tezei este importantI pentru menlinerea s6n5tSlii

orale. ingrijirea propice a sdn5t[lii orale poate

imbun[tdfi viala in rdndul purt[torilor deproleze,

in special la prevenirea diferitelor afecliuni orale.

lntroduction:

of proper dentures use and hygiene.Der:

hygiene is important for maintaining oral he-

lirn

S

a

Sl

pdcl

nt

u-l

F

The number of edentulous patients is s

increasing. Petersen et al. [1] show that aroL.

69oh of the global population is affected by t.

anodontia, defined as the loss of all permar:.

teeth. Dentures are used to restore the func

nal and aesthetic requirements of the patie

Wearing dentures is commonly associated "'

patient's satisfaction and some complicatl -

Rehabilitation treatment with dentures is s

cessful only if wearers are motivated and aw

Good oral health care can improve the qr'ral.

life among the denture wearers, especialll -'

prevention of different oral diseases.

' ,rttanii de Medicind Dentcu'ii

- re precarS aprotezets-a rapofiat ca proble-rra a puftAtorilor de proteze, ceea ce rezultd,

:rLrlare mai mare a tartrului pe suprafafa

-. si in consecintA o activitate bacterian[ qi

.ra. p[tarea protezelor, halitozS qi stoma-

,ezelor. Cur[farea zilnicd, a protezelor s-a

. ca mod major de prevenire a inflamdrii,le in rdndul purlStorilor de proteze l2l.- et al. [3] a recomandat curdlarea zilnicd,

-zelor cu agen{i mecanici gi chimici qi

,.a pieselor protetice in timpul nopfii gi

: :r in dezinfectant. Maj oritatea purtdtori lor-ze awtilizatmetode mecanice pentru a-qi

::otezele, in mod uztal,periu!6 gi ap[. Un'r'strans de purt[torr at ttlhzat metode,

irlersia protezelor in substan{e chimice,-si cur[fa protezele [4].

, '.1 necorespunzdtoare a protezelor s-a

,-a cel mai imporlant factor local pentru.ntec{iei cu Candida albicans. in condilii"i orali precard qi consumul mdrit de

:ntele din acrilat qi de celulele epiteliale

r-m Kokubu et al. [6] purlitorii de prote-:rnd dificultA! la curdfareaprotezelor, in

- :rsoanele instituf ion alizate. ComparAnd,.e vdrsth identice, Vidzis et al.l7l suge-, purtdtorii institufionahzali de proteze;siend orald, mat buni decdt purtdtorii.i onaliza[i de proteze.. irnbunltdfirea igienei orale, Asociafiatrgicd Americand (American Dental.rn (ADA) l8l a recomandat linii direc-.ru mentinerea adecvatd, a igtenei orale:'i i de prote ze pentru a reduce afec{iun ilezate de proteze.. principal al acestui studiu a fost s[. conduita qi obiceiurile igienice alerr de proteze in rAndul popula{iei dinsa stabileascb nivelul de menlinere a

:.otezelor, pentru a imbundtdti obiceiu-

Poor hygiene on dentures has been reported

a major problem in denture wearers which leads

to higher plaque accumulation on the prosthesis

surface and consequently bacterial and fungalactivity, staining of dentures, halitosis and den-

ture stomatitis. Daily cleaning of dentures was

reported as a major way to prevent mucosal in-flammation among denture wearers [2].Strajnic et

al. [3] recommend daily cleaning ofthe dentures

by mechanical andchemical agents and removing

of the prosthetic devices overnight and keepingin disinfectant. Majority ofthe prosthetic wearers

used mechanicalmethods to clean their denfures

commonly tooth brush and water. A small number

of wearers used methods like immersion of the

dentures in chemical substances to clean theirdentures[4].

The inadequate hygiene to dentures has been

reported as the most important local factors foroccuffenceof Candida albicans infection. In condi-

lions of poor oral hygiene and increased intake ofcarbohydrates, Candida albicans attaches to com-

ponents of acrylate and the oral epithelial cells [5].According to Kokubu et al. f6]denture wearers

have difficulty in cleaning their dentures espe-

c i ally institution alize dindividuals. C ompari son

among identical age groups, Vidzis et al. l7lsuggests that institutionalized denture wearers

had b etter or al hy giene oppo sed to non-instituti -

onalized denture wearers.

For improving the oral hygiene AmericanDental Association (ADA) [8] recommendedguidelines for proper maintenance of oral hygienein denture wearers in order to reduce oral diseases

caused by denfures.

The main aim of this study was to analyzethebehavior and hygiene habits of denture wearers

among the population in Bitola and determine thelevel of marntenance of hygiene to dentures, inordertoimprove the habits and knowledge about

Rslu ira Rorntind de Medicinii Dentard

rile qi cunoqtinlele despre igiena protezelor gi inconsecin!5 sdnltatea ora15 in ansamblu qi a reduce

afecliunile orale cauzate de proteze.

Mqteriqle gi metode

In sondaj a fost inclus un num6r total de 300

purtitori ne instituli onalizali de proteze. Populalianum6r total de 300

de purtdtori include persoane ftzice, cu v6rste

intre 53-89 de ani. Cercetarea s-a desfdgurat inperioada din septembrie pdndin decembrie 2016-

Pacienlii au provenit din trei clinici stomatolo-

gice, unde l:ucreazd specialiqti in proteticd, inregiunea Bitola, Republica Macedonia

Pentru r eaLizareaacestui studiu s-a elaborat un

chestionar adecvat pentru purtdtorii de proteze

qi o examinare clinicE pentru a stabili indicele

de plac6. Chestionarul cuprinde informafii,cum ar fi; v6rsta, sexul, perioada de luttlizate a

protezei actuale, metoda de curifare, frecvenfa

cur[!6rii, obiceiul de a plstra protezele in mediu

umed, cwdlarea cavitdlii orale, obiceiul de a

purta pr oteza noaptea. Pentru realizarea acestui

studiu, purtdtorii au rSspuns la patru intrebdri,

care ficeau parte dintr-un chestionar.

S-a efectuat examinarea clinicd pentru a stabili

indicele de placd la proteze, pentru a urmdri inmod obiectiv nivelul igienei orale intre aceqtia.

Igiena protezei s-a stabilit drept excelentd (dacd

nu era prezentd placd dentar[ sau existau doar

cAteva zone minore cu plac[ dentard), bund (pro-

tezdutprezenlapldcli dentare mai mare dec6t cea

menlionatl anterior, dar pe mai pulin de jum6tate

din protezl) qi nesatisfrc[tor (atunci cAnd peste

jumltate dir- baza protezei este acoperitl cu

placd dentard,pigmentare gi depuneri solide) [9].Examinarea privind acumularea plIcii dentare

in rdndul purtdtorilor de proteze in Bitola s-a

stabilit cu albastru de metilen, un agent chimic

pentru descoperirea acumuldrii de placd dentar.

Examinarea clinicd s-a efectuat in trei cabinete

stomatologice din Bitola, Republica Macedonia.

the hygiene to dentures and consequently the

overall oral health and reducing the oral diseases

caused by dentures.

In the survey was included total number of300 non-institutionalized denture wearers. The

wearer's population includes individuals between

the ages of 53-89 years. The research was con-

ducted in the period from September to December

2016. Patients came from three dental clinics in

which specialist-prosthodontics is working, in the

region ofBitola, Republic of Macedonia

For realization of this survey adequate qu-

estionnaire for denture wearers was made, and

clinical examination for determinate a plaque

index was made. Questionnaire contains certairl

information like: age, gender, time of useoi

current dentures, method of cleaning, frequeno

of cleaning,habit of soaking dentures, cleanin!

of the oral cavity, nocturnal denture- wearit.t.-

habit. For realization of this survey, wearer:

answered four questions, which were part fior:

one questionnaire.

Clinical examination was made, to determina.-

the plaque index on dentures, in order to obje'

tively observe the level of oral hygiene amol'-

them. Hygiene of dentures was assessed oS e\C 'llent (if not present dental plaque or only a l.minor areas with dentalplaque), good (prosthe .

with the presence of dental plaque than the p- '

vious mentioned, but less than halfthe prosth-

base) and unsatisfactory ( when more than :

the prosthetic base is covered with dentalpla-pigmentation and solid deposits)[9].The e\'lnation for dental plaque accumulationan:

denture wearers in Bitola was determined

methylene blue, chemical agent for displa

of dental plaque accumulation. Clinical er'nation was made in three dental offices in B

in

Republic of Macedonia.

Revista Romdnd de Medicind Dentard

Datele oblinute din examinarea clinic6 dupd

colectare s-au procesat statistic. Pentru proce-

sarea statisticd s-a :utilizat un software specialpentru procesarea statisticd a datelor.

Rezultote

V6rsta medie a respondenlilor a fost de I l+6,48 ani. 63,50 din subieclii examinali au fost

b[rba]i qi36,5Yo au fost femei.

Tofi respondenfii au declarat c5 nu intAmpind

lificult[1i la curS]area protezelor. Din analizarrimei intrebdri ,,De cdt timp utiliza\iproteza?"bservdm cd peste jum[tate (55%) din purtS-,rii de proteze au utilizat protezele actuale

.tre doi qi cinci ani. Mai pu{in de doi ani le-au

tlizat 260/o dintre subiecli qi peste cinci ani

. firlizat protezele actuale l9oh din purtStori-,ibelul 1).

The data obtained from the clinical examina-tion after the collection was statistically proces-

sed. For statistical processing was used special

software for statistical processing of data.

Results

Average age of the respondents was 1l+ 6.48years. 63.5% ofresearch subjects were male and

36.5% were female.

A11 respondents answered that they have no

difficulty in cleaning dentures.

Through the analysis of the first question howlong have you been using the current denfures?

We can notice that more than half (55%) of den-

ture wearers used their current dentures between

two and five years. Less thantwo years usedthem26 percentages of the subj ects, and more than fiveyears used their current dentures 19 percentages

of the wearers (Table 1).

In the present study sample, all patients used

mechanical method for denture cleansing. Themajority (60%) answered brushing only withwater. 35% used toothpaste while 5oZ used soap

with the toothbrush (Table 2).

Most of the subjects in the study cleaned theirdentures (56%) only once a day,twice a day clea-ned their dentures 35o/o of the subjects and just

:;est lot de studiu, toli pacienlii au tttlizat: mecanici pentru cur[{area protezelor.:atea (60%) au rdspuns c[ o periazd nu-

apd. 35oh at :utrlizat pastd de dinli, in

= 5o% au utrhzat sdpun cu periufa de dinli1 2).rai mulli dintre subieclii studiului iqi cur[-:zele (56oh) doar o datd pe zi,35oh dintre

Tabelul 1. Distribuirea purtdtorilor in funclie de perioada de utilizare a protezelor actuale

Durata de utilizare a protezelor Procentaj ele purtdtorilor

<2 ani 26%

2 ani- 5 anr ss%>5 an1 19%

Table 1. Distribution of the wearers according to the time of using the current dentures

The time of using the current dentures Percentages of the wearers

<2 years 26%

2years - 5 years ss%

)5 vears t9%

Rev i.s tct Romdnii de Medicind Dentarii

subiecli igi cur[leau protezele de doudqi doar 9o/o dintre subiecJi iqi cur[{eaudupS fiecare mas6 (Tabelul2).

ori pe ziprotezele

Conform rezultatelor acestui studiu, 82oh dinpurtdtori iqi pdstreazd,protezele in mediu umed,l2oh auutilizat numai apd,in timp ce lUYo atutllizatpe l6ngd apd,agenli chimici de curdlare aprotezei (Tabelul3).

Dintre toli purtitorii intervievali de prote-ze, 65Yo din pacienli iqi curSlau doar proteza,in timp ce 35Yo igi ingrijesc igiena lesuturilorinconjurdtoare. Aproap e toli (98%) dintre purtdtoriau rdspuns cd iqi scot protezanoaptea (Tabelul 3).

Dupd procesarea datelor referitoare la igienaacfiialdaprotezei,s-aconstatatcdlaaproximativjumdtate dintre subieclii purtdtori de proteze igi-ena era satisfdcltoare (52o/o), cu o cantitate marede biofilm, sfbrmituri, pigmentarea qi grdsimisolide, intruc6t majoritatea acestora igi periazd,

protezele doar cu apd, ceea ce nu este suficient

9Yo of the subjects cleaned their dentures aftereach meal (Table 2).

According the results of this study 82o/o olwearers soaks their dentures, 72Yo used onlywater,while l0o/o despite water used chemicaldenture cleanser (Table 3).

Of all interviewed denture wearers, 65yo

of patients cleaned their dentures only, while35oh take care of the hygiene of surroundin-goral tissues. Almost all (98%) of the wearersanswered that removed their dentures at night(Table 3).

After processing the data concerning thepresent hygiene of dentures it was found thatapproximately half of subj ects' denture wearershygiene was unsatisfactory (52%),with a grealamount of biofilm, debris, pigmentation and

solid fat, because most of them brushed theirprostheses only with water that is not enough

Tabelul 2. Distribulia purtbtorilor conform metodei qi frecvenlei de cur[fare a protezelor acestora

RIspuns Procentaj ele purtdtorilor

Metoda de curd{are

apd qi periuld de dinli 60%

periufd de dinli qi past[ de dinfi 3s%

periu{d de dinfi, sdpun 5%

Frecven{a curdtdrri

O datd.pe zi s6%

De doui orrpe zi 3s%

Dupd fiecare masd 9%

Table 2. Distribution of the wearers according to method and frequency of clearing their dentures

Response Percentages of the wearers

Method of cleaning

water and toothbrush 60%

toothbrush and toothpaste 35%

toothbrush and soap 5%

Frequency of clearing

Once a day s6%

Twice a day 3s%

After each meal 9%

I

,.,ntand de Medicirtii Dentard

a indep6rta complet placa dentar[. O to remove dental plaque completely.Good oral

rucal[ bund s-a constatat la36o/, dintre hygiene was found among 36% of subjects.

i. Doar l2yo dintrerespondenli au avut o Onlyl2Yo of the respondents had excellent

lra16 excelent[, la care nu este prezentd oral hygiene, where it is not present or dental

entar[ sau este prezerfidnumai pe cAteva plaque only a few small areas of dental plaque

te mici (Tabelul4). (Table 4).

Tabelul 3. Distribulia purtatorilor conform obiceiurilor acestora de a p0stra protezele in mediu umed,

cwd[areafesuturilor orale qi obiceiul de a scoate proteza noaptea.

Obiceiurile purtdtorilor Rdspuns Procentaj ele purtdtorilor

)biceiul de a inmuia proteze

Nu se inmoaie r8%

inmoaie in apd 72%

inmoaie in agent de curdlare proteze r0%

Curd[ar ea cavitAlii bucale Nu curdtd 6s%

CurF"]gFt 3s%

biceiul de a purta protezain

timpul nopliiScot proteza in timpul noPlii 98%

Nu scot protezain timPul noPlii 10/L /o

Distribution of the wearers according to their habits for soaking dentures, cleaning of the oral tissues and habit

for the removes denture at night.

Habits of the wearers Response Percentages of the wearers

Habit of soaking den-

tures

Does not soak t8%

Soaks in water 72%

Soaks in denture cleanser r0%

Cleaning of the oral

cavity

Does not clean 6s%

Clean 3s%

Noctumal denfure-

wearing habit

Removes denture at night 98%

Does not remove denture at night.ro/L/O

Tabelul 4. Distribu,tia purtdtorilor in funclie de nivelul de igiend a protezelor

Igiena protezelor Procentaj ele purtdtorilor

Excelentd t2%

Bunl 36%

Nesatisfrcdtoare 52%

Table 4'.Distribution of the wearers according to level of hygiene of the dentures

Hygiene of the dentures Percentages of the wearers

Excelled t2%

Good 36%

Unsatisfactory 52%

-

Relistct Romdnd de Medicinii Dentarii

Discutie

Igiena protezelor este importantd, intrucdtdepozitele de placd dentard,, ciuperci si placdbactenatdpot fi responsabile de diverse afecjiunisau boli bucale, cum ar fi stomatita proteticd,,che i liti s angulari s, hip erplazia fibro as 5 infl ama-to ar e, halito za, cari i le dentare (pr ote ze p afiiale),mucozita, periimplantitis, distrugerea accelerutd"amateialelor dentare.

Conform rezultatelor acesfui sfudiu, majorita-tea respondenlilor iqi periazl protezele o dati pezi. S-au oblinut rczultate similare la studiile decdtre Memon et al. [10], Ozcan et al. [11], Cakanetal.ll2]. Un procent mai mic al respondenlilor,care iqi curdtfi, protezele o datdpe zi s-a consta-tatin studiul Sahaet al. [13]. insd un numdr maimare de studii a indicat o frecventd,maimare a

curdtdrli, Pietrokvoskiet al. ll4l aratd cd,96%o dinpurtdtorii intervievali iqi curSlSprotezele de dou[ori pe zi. in ldrile dezvoltate, existd o abordaremai bund a sdndtd[li orale qi de aceea Peracinietal. [15] araportat cd,73,58o/o iqi curdld protezelede trei oripe zi.

tn sfudiu s-au prezentatrezultate care aratdcdpurtdtorii de proteze au ar,.ut o igien[ precard" a

pieselor protetice ale acestora, intruc6t cei maimu11i iqi periazd, protezele doar cu apd., ceea ce

nu este suficient pentru a indep5rta complet pla-ca bacteriand. Rezultatele noastre se coreleazdct rezultatele de la Khasawneh qi al-Wahadni

116l, la care pacienlii aveau o igiend precard, a

protezelor acestora. Igiena oral6 nesatisfrcltoares-a constata qi la cercetdrile lui Kulak et al. 1171,Fenlonet al. [18], Yilmas et al. [19], care demon-streazd, rela[ia intre stomatita dentarl qi igienaorald,precard". Igiena qi starea corespunzdtoare a

protezei s-a indicat in cercetarea lui Apratim etal.1201, care a examinat obiceiurile igienice alepacienlilor mai in etate, care poart6 proteze com-plete, foarte similare cu cele din studiul nostru.

Discossion

The hygiene of dentures is important becausethe deposits of dental plaque, fungi and tartarcan be responsible for dif[erent oral condilionsor diseases like stomatitis protetica, cheilitisangularis, inflammatory fibrous hyperplasia, ha-litosis, dental caries (partial dentures), mucositis,periimplantitis, accelerated destruction of dentalmaterials.

According the results of this study majorityof the respondents brushing their dentures oncea day. Similar results were obtained in studiesbyMemon et al. [10], Ozcanet al. [11], Cakan etal.ll2l. A lower percentage of respondents whoclean their dentures once daily was found in thestudy of Sahaet al. [13]. But bigger number ofstudies showed a higher frequency of cleaning,Pietrokvoskiet al. [14] shows that 96% of thoseinterviewed wearers cleaning their dentures twotimes daily. In developed countries there is betterapproach to their oral health and therefore pera-

ciniet a1.[5] reported that13.58% cleaned theirdentures three times per day.

In the study were presented results thatshow that denture wearers had poor hygiene ontheir prosthetic devices, because most of thembrushed their prostheses only with water that isnot enough to remove dental plaque completely.Our results correlate with the results fromKha-sawneh and al-Wahadni [16] where patients hadpoor hygiene of their dentures. Unsatisfactoryoral hygiene was found also in the researches ofKulak et al.ll7l, Fenlonet al. [18], Yilmas et al.

[9], which demonstrated the relationship be-tween dentures stomatitis and poor oral hygienetoo. Good hygiene and condilion of the dentureswas shows in the research of the Apratim et al.

[20]who examinedhygiene habits among elderlypatients wearing complete dentures, very similarto our research.

G

t

^a

(

(

L

Analiza datelor din studiul nostru a indicatfaptul cd 60Yo din purtdtorii de proteze utilizaunumai periu!6 qi apd pentru axdlareaprotezelor.Cei mai mul1i dintre aceqtia iqi periau protezelenumai ct apd., care nu este suficientd pentru inde_pdrtarea completd a plicii bacteriene. tn articoleleacestora, Patel et al.l2ll qi peraciniet al. [15] auajuns la un rezultat similar pentru materialeleutilizate,asociatecucurdlareaprotezelor.Aceastdvaloare a fost mult mai scdzstd, dec6t cea rapor_tatd de Roshene-Ret al.1221, dar mai mare decdtcea raportatd de Azatet al. l23l intre pacienfiidin institutul stomatologic al fo4elor armate dinRawalpindi.

Conclqzie

Fiecare dintre respondenli a utilizato anumitdmetodd de igiend a protezelor, dar majoritateapurtdtorilor nu cunoqteau mlsurile de curdlarea protezei. Purtdtorii de proteze demonstreazd,o igiend nesatisfrcitoare a protezelor, precumqi obiceiuri necorespunzdtoare. Cei mai mul1ipacienli auutilizat doar apd,pentru igiena prote-zelor, ceea ce nu este suficient pentru indepdrta-rea pl5cii bacteriene. Pentru a imbundtd[i igienaora16 intre purtltorii de proteze este necesarpredarea protezelor sd se facd de stomatologi qisd existe un protocol pentru igiena orald a paci_enlilor, care trebuie s[ adere de asemenea la acestprotocol. Este necesar s[ se constientizeze maimult purtdtorii prin dezvoltarea programelor qiinstructajelor adecvate pentru ingrijirea zllnicd,in vederea menlinerii igienei orale adecvate inr6ndul acestei populajii.

1. Petersen PE. Bourgeois D. Bratthall D. Ogawa H;Sisterne de infonnare stomatologic6

- pentru mdsurareaprosls5ulLli la promovarea s6nAt6tii orale qi prevenireabolilor. Bull World Health Organ 2005; 83:6g6_693

l. Keneth S; Igiena dentard: o revizuire si actualizare. J( rrntcnlp Dent Pract 2000; 2:28-41 .

Data analysis from our study showed that60Yo of the denture wearers used only too_thbrush and water for cleaning their dentures.Most of them brushed their prostheses onlywith water thatis not enough to remove dentalplaque completely.In their articles of patel etal.l21l and Peraciniet al. [15] found a similarresult for used materials associated with dentu_res cleaning. This value was much lower thanthat reported by Roshene-Ret al. 1221, bfihi_gher than that reportedbyAzatet aI. l23lamongpatients at armed forces institute of dentistryin Rawalpindi.

Conclusion

Each of the respondents used some methodfor the hygiene of dentures but the majority ofthe wearers were unaware of measures of clea_ning their denture s. Denfure wearers demonstrateunsatisfactory hygiene of dentures as well asinadequate habits. most patients used only waterfor hygiene of dentures that not enough to removedental plaque. To improve oral hygiene amongdenture wearers is necessary dentists with thehandover ofdentures assign them and protocolfor oral hygiene of the patients who also need toadhere to the protocol. It is necessary to increa_se the awareness among wearers by developingappropriate programs and training for daily careto maintain proper oral hygiene among this po.pulation.

3. Strajnic L. Djokic M. Vr-rcinic p; Metode contempor".qi dispozitive mobile de curdtare a protezelor qi sentrcalia acestora pentru popula{ia in etate, Med pregl. lr64:191-502.

4. Sharanya. H. Gounder R; Evaluarea diferitelor mt,_de mentinere a igienei dentare. practici intre pacrer

Revista Romdnd de Medicind Dentard

etate din populalia din sudul Indiei J. Pharm. Sci. & Res.

20t6, (tt),1320-1323.

5. Lee H. Li C. Chang H. Yang Y. Wu J; Efectele diferitelormetode de cur[fare a protezelor pentru a elimina Candidaalbicans din materialtl pe bazd de rdgina acrilic5, Journalof Dental Sciences (2011) 6:216 - 220

6. Kokubu K. Senpuku H. Tada A. Saotome Y. UematsuH; Impactul ingrijirii orale de rutind asupra agenfilorpatogeni oportuniqti la seniorii institulionalizafi. J MedDent Sci 2008;55:7-73.

7. Yidzis A. Cema I.Brinkmane A. Krasta I. Broka K;Analiza cantitativ5 qi calitativ[ a proteticii dentare inrAndul rczidentllor la vdrsta pensiondrii din cdmine de

seniori, din diferite regiuni ale Letoniei qi al pacienfilordin clinicile stomatologice din Riga. Stomatologij a,2012;t4(l):23-7.

8. Felton D. Cooper L. Duqum I. Minsley G. Guckes A.Haug S. et al; Linii directoare pebazd de probe pentruingrijirea qi menlinerea protezelor complete, Journal ofProsth. 201 1 : 20:S1-312

9. Petrovski M; Sdn6tatea oral6 intre seniorii institulional-izali,tezd, de master, Facultatea de Stomatologie, Skopje,2073:43

10. MemonAB. Saikh IA. JabbarAJ. Sahito MA. MemonMY; Obiceiuri de igiend ora16 in rdndul purtdtorilor deproteze complete, Pakistan Oral & Dental Jomal;2014;34(4):676 - 679.

ll. Ozcan M. Kulak Y. Arikan A.Silahtar E; Atitudineapurt[torilor de proteze complete fa[[ de adezivli dentariin Istanbul; J Oral Rehabil 2004;31:731-134.

12. Cakan U. Yuzbasioglu E. Kurt H. Kara HB. TurungR. Akbulut A. et al; Atitudinile igienice le purtdtorilorde proteze pa(iale mobile; Nigerian Journal of ClinicalPractice 2015;

13. Saha A.Dutta S. Varghese RK. Kharsan V. AgrawalA; Un sondaj pentru constatarea modurilor de men{inerea igienei protezei in rAndul pacien{ilor in estate. Journal

of International Society of Preventive & CommunityDentistry. 20 I 4; 4(3) : I 45 - I 48

14. Pietrokovski J. Azuelos J. Tau S. Mostavoy R; Con-statlri orale la c6mine de seniori din !6rile selecfionate.Condifii de igiend oralS Ei acumularea pl[cii bateriene pe

suprafala protezelor. J Prosthet Dent 1995; 73: 136-141.

15. Peracini A. Andrade IM. Paranhos HdeF. Silva CH.de Souza RF; Conduite gi obiceiuri de igienl la purt[toriide proteze complete. Braz Dent J.2010;21(3):247-52.

16. Khasawneh S. al-Wahadni A; Un control al pl[ciidentare qi inflamafiei mucoasei la purtdtorii de protezeJournal of Irish Dental Association . 2002;a8@):132-8.

17. Kulak-Ozkan,Y.Kazazoglt, E. Arikan, A; Obiceiuride igiend orald, gradul de curdlenie al protezei, prezenlacandidozelor qi stomatitei la seniori. J Oral Rehabil 29:300-4,2002.

18. Fenlon, MR. Sherriff, M. Walter JD; Factori asocialict prezer\a stomatitei aferentd protezelor, la purtdtoriide proteze complete: o investigafie preliminard. Eur J

ProsthodontRestor Dent 4: 145-147, 1998.

l9.Y{maz HH. Aydrn U. Ipek C; Are leg[turd stomatitadentard cu igiena protezelor? Giilhane Trp Dergisi 2002;44 @):a12 - 414

20. ApratimA. Shah SS. Sinha M. Agrawal M. ChhapariaN. Abubakkar A; Obiceiurile igienei orale in rdndul pa-cienlilor in etate, care poartdproteze complete. J ContempDent Pract. 2012; 14:1161-4.

2l.Patel IB. Madan G. Patel B, Solanki K, Chavda R;Conduite gi obiceiuri igienice pe un eqantion de populafiede purtdtorii de proteze complete inAhmedabad. J Int OralHealth. 2012;4:29-38.

22. Roshene R. Robin P. Raj J;A Studiu de igiend oraldla pacienlii in etate; Journal of Pharmaceutical Sciences

and Research, 201 5 ; 7( 1 0) : 897-900

23. AzadAA. Butt MM. AhmedA. MalikAS; Obiceiuride igieni oraldlapacienfii cu edenta{ie; Pakistan Oral &Dental Journal; 2015 35(4):735 - 737 .

Aqteptdm opiniile dumneavoastrd in legdturd cu acest articol la adresa opinii@unas.ro

m