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Effects of statins as local drug delivery agents in treating chronic periodontitis and their antimicrobial effects using polymerase chain reaction 他汀类药物局部给药治疗慢性牙周炎的效果及聚合酶链反应的抗菌作用
Pub Date : 2020-11-19 DOI: 10.25259/jgoh_22_2020
Ritunja Singh, G. Singh, Soumya Gupta, A. Agrawal
The aim of the study was to evaluate the anti-inflammatory effect of statin medication in chronic periodontitis patients and to compare the change in periodontal probing depth and clinical attachment level using 1.2% atorvastatin (ATV) gel and scaling and root planning (SRP) compared to SRP alone.This study was carried out on a sample size of 40 patients with equal male and female ratio between the age group of 40–60 years having chronic periodontitis with a minimum of 20 teeth that were selected for the study. Bilateral quadrants were selected and a split mouth study was conducted. Supragingival scaling was carried out in each patient in one long appointment. The patient was then recalled after 1 week for subgingival SRP. Root planing was carried out in two consecutive visits. Left side of the mouth on the 1st day followed by right side of the mouth on the next day. On the 2nd day, after completion of the root planning, followed by placement of 1.2% ATV gel and finally the Coe Pak was placed in one quadrant which was called the test site. In the other quadrant which was called control site placebo gel was placed and the treated site was covered by the Coe Pak. The recording of clinical parameters (plaque index [PI], gingival index [GI], probing pocket depth, and clinical attachment loss) was done at baseline, 1 month and 3 months. The selected site was sampled for subgingival microflora. The data obtained were subjected to statistical analysis. One-way ANOVA, Tukey’s HSD test, and student t-test were used for intergroup and intragroup comparison.In our study, when intergroup comparison of mean value for PI at baseline, 1 month and 3 months was found to clinically insignificant for control and test groups, while for GI, periodontal pocket depth, and clinical attachment level it was found insignificant at baseline while significant at 1 and 3 months. Similarly, when comparison was made for microbial count it was found clinically insignificant between control and test group at baseline, while significant was noted at 3-month interval.Our study evaluated the anti-inflammatory, osteoconductive and antimicrobial effects of atorvastatin giving significant reduction in PI, GI, PPD and gain in CAL along with significant decrease in the microbial load.
本研究的目的是评估他汀类药物对慢性牙周炎患者的抗炎作用,并比较使用1.2%阿托伐他汀(ATV)凝胶和刮治和牙根计划(SRP)与单独使用SRP相比,牙周探诊深度和临床附着水平的变化。本研究选取40名年龄在40 - 60岁的慢性牙周炎患者为样本,男女比例相等,至少有20颗牙齿。选择双侧象限,进行裂口研究。每位患者在一次长时间预约中进行龈上刮治。1周后召回患者进行龈下SRP检查。在连续两次就诊中进行根治刨平。第一天是左侧口腔,第二天是右侧口腔。第2天,根规划完成后,放置1.2% ATV凝胶,最后将Coe Pak放置在一个象限,称为试验点。在另一个象限被称为对照部位,安慰剂凝胶被放置,治疗部位被Coe Pak覆盖。在基线、1个月和3个月记录临床参数(菌斑指数[PI]、牙龈指数[GI]、探诊袋深度和临床附着丧失)。对选定的地点进行龈下菌群取样。对获得的数据进行了统计分析。组间和组内比较采用单因素方差分析、Tukey’s HSD检验和学生t检验。在我们的研究中,当组间比较基线、1个月和3个月时PI的平均值时,发现对照组和试验组在临床上不显著,而GI、牙周袋深度和临床附着水平在基线时不显著,而在1个月和3个月时显著。同样,当比较微生物计数时,对照组与试验组在基线时的临床差异不显著,而在3个月时的临床差异显著。我们的研究评估了阿托伐他汀的抗炎、骨传导和抗菌作用,可以显著降低PI、GI、PPD和CAL的增加,同时显著降低微生物负荷。
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引用次数: 1
Prevalence of depressive symptoms and associated factors among dental students: A cross sectional study 牙科学生抑郁症状的流行及相关因素:一项横断面研究
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_30_2019
Bhavna Sabbarwal, M. Puranik, K. Sowmya
Depression is a common mental health problem which affects all strata of life. As a result of the increase in competitiveness, there is a need to pay attention toward the presence and level of depression among students.The aim of the study was to assess the depressive symptoms and its associated factors among clinical dental students in Bengaluru city.A cross-sectional study was conducted among third and final years dental students (n = 200) randomly selected from four dental colleges in Bengaluru city.A self-administered questionnaire was used to assess depressive symptoms using Beck’s Depression Inventory.Association of depression with non-academic and academic factors was assessed using the Chi-square test. Student’s t-test was used to compare mean depression scores among study years. P < 0.05 was considered as significant.The prevalence of depression was found to be 49%. Significantly higher proportion of females (57.0%) had depression compared to males (43.0%) (P = 0.04). Mean depression score was higher among final year dental students (16.10 ± 9.76) compared to third year (13.77 ± 6.85) (P = 0.05). Level of severity of depression was significantly associated with the year of study (P < 0.001). Among non-academic and academic factors; the problem with friends, medical illness, and lack of interest in the course, fear of failure, respectively, was significantly associated with depression.Depression was evident considerably among dental students. The prevalence of depression was higher among females and final year students.
抑郁症是一种常见的心理健康问题,影响着生活的各个层面。由于竞争的增加,有必要关注学生中抑郁的存在和程度。本研究的目的是评估在班加罗尔市临床牙科学生的抑郁症状及其相关因素。横断面研究在班加罗尔市四所牙科学院随机抽取的三年级和大四牙科学生(n = 200)中进行。采用贝克抑郁量表(Beck’s Depression Inventory)对抑郁症状进行评估。使用卡方检验评估抑郁症与非学术因素和学术因素的关联。学生t检验用于比较不同学习年限的平均抑郁得分。P < 0.05为差异有统计学意义。抑郁症的患病率为49%。女性患抑郁症的比例(57.0%)明显高于男性(43.0%)(P = 0.04)。牙科专业高年级学生抑郁得分(16.10±9.76)高于大三学生(13.77±6.85)(P = 0.05)。抑郁严重程度与研究年份显著相关(P < 0.001)。在非学术因素和学术因素之间;与朋友的问题、疾病、对课程缺乏兴趣、害怕失败分别与抑郁显著相关。抑郁在牙科学生中相当明显。抑郁症的患病率在女性和大四学生中较高。
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引用次数: 2
Human dental pulp stem cells and its applications in regenerative medicine – A literature review 人牙髓干细胞及其在再生医学中的应用——文献综述
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_54_2019
Saravana Priyan Gl, Subachanya Ramalingam, Yogeshwari Udhayakumar
Human dental pulp-derived stem cells have varied applications in regenerative medicine. Dental pulp stem cells (DPSCs) are considered to be neural crest cells. They are known to have higher regenerative potential than the bone marrow-derived mesenchymal stem cells. DPSCs have multipotency, immunomodulatory function, and self-renewal capacity. They are highly proliferative, clonogenic and are capable of differentiating into adipocytes, neural cells, odontoblasts, and various other cells. DPSCs are effective for various diseases, such as spinal cord injuries, Parkinson’s disease, Alzheimer’s disease, cerebral ischemia, myocardial infarction, muscular dystrophy, diabetes, liver diseases, eye diseases, immune diseases, and oral diseases. This article provides an overview of properties and regenerative applications of human DPSCs.
人牙髓源性干细胞在再生医学中有多种应用。牙髓干细胞(DPSCs)被认为是神经嵴细胞。它们比骨髓来源的间充质干细胞具有更高的再生潜力。DPSCs具有多能性、免疫调节功能和自我更新能力。它们具有高度增殖、克隆性,能够分化为脂肪细胞、神经细胞、成牙细胞和各种其他细胞。DPSCs对多种疾病有效,如脊髓损伤、帕金森病、阿尔茨海默病、脑缺血、心肌梗死、肌肉萎缩症、糖尿病、肝病、眼病、免疫疾病、口腔疾病等。本文综述了人DPSCs的性质及其再生应用。
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引用次数: 6
Ozone: A paradigm shift in dental therapy 臭氧:牙科治疗的范式转变
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_56_2019
S. Srinivasan, B. Amaechi
Ozone has been used in medicine for over a century, but its clinical applications in dentistry have just begun to be explored. The effects of ozone either as gas, water, or oil in the treatment of dental diseases such as caries, periodontitis, and hypersensitivity have been investigated and the results are promising. Thus, the objective of this review is to shed light on the recent clinical oral applications of ozone and summarize the various research findings regarding the use of ozone in dentistry. This review would enable researchers to know the background of ozone in dentistry and to help them formulate new and improved protocols to study the possible applications of ozone in clinical dentistry.Pertinent literature on the application of ozone to treat various dental diseases was thoroughly searched using Medline, PubMed, Central, Cochrane, and Embase.Clinical use of ozone is a minimally invasive approach toward the prevention and control of oral diseases. The present literature review observed encouraging results on the use of ozone in various modalities of dental treatments. However, the use of ozone in dentistry needs further investigation using controlled clinical trials, with sufficient, follow-up period and standardized measurements to establish ozone therapy as a standard treatment modality in dental practice.
臭氧用于医学已有一个多世纪的历史,但它在牙科方面的临床应用才刚刚开始探索。臭氧作为气体、水或油在治疗龋齿、牙周炎和过敏症等牙病方面的效果已经进行了调查,结果很有希望。因此,本综述的目的是阐明最近臭氧的临床口腔应用,并总结有关臭氧在牙科中的应用的各种研究成果。这一综述将使研究人员了解臭氧在牙科中的背景,并帮助他们制定新的和改进的方案来研究臭氧在牙科临床中的可能应用。利用Medline、PubMed、Central、Cochrane、Embase等网站全面检索臭氧治疗各种牙病的相关文献。临床应用臭氧是预防和控制口腔疾病的一种微创方法。目前的文献综述观察到令人鼓舞的结果在使用臭氧在各种方式的牙科治疗。然而,臭氧在牙科中的使用需要进一步的研究,通过对照临床试验,有足够的随访期和标准化的测量,以建立臭氧治疗在牙科实践中的标准治疗方式。
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引用次数: 11
Prevalence of alexithymia among a cohort of well controlled HIV-infected adolescents and non-HIV-infected adolescents 一组控制良好的艾滋病毒感染青少年和非艾滋病毒感染青少年述情障碍的患病率
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_4_2018
M. M. Gurupriya, K. Iyer, P. Kumar
With the introduction of highly active antiretroviral therapy (HAART) in 1996, the quality of life of people living with HIV has improved. Although people diagnosed and living with HIV are overwhelmed by emotions, we found that various emotional manifestations are understudied within this group of patients. One such aspect is alexithymia which is seen at exorbitantly high rates among patients with depression, causing a major public health concern. In our study, we hypothesized that clinically significant changes with HAART would be associated with changes in depression, anxiety, and alexithymia.A cross-sectional study was conducted with a convenient sample of 44 HIV-seropositive children and 30 healthy school children of age 12–15 years. We obtained permission from participants to access their medical records to obtain data regarding their CD4 cell counts and viral loads over the entire study period. The enrolled participants were administered a validated 20-item Toronto alexithymia scale (TAS-20) to assess their alexithymic levels.Mean alexithymia score of healthy children was 0.67 ± 1.26 and mean of children living with HIV was 4.48 ± 7.80. When comparing the TAS-20 scores of children living with HIV and healthy children, children living with HIV revealed scores slightly higher than healthy children, but none showed scores equal to 40. There was statistically significant difference between both groups (P = 0.003).Our study revealed that there was a significant difference between the TAS scores of HIV-seropositive children on HAART and healthy children, none of their scores indicated alexithymic condition. In the health sector, alexithymia has been emphasized as barriers to patient-practitioner communication. Clinicians should be aware of the decrease in alexithymic traits among HIV subjects who are under HAART. This study highlights the benefits of the HAART era, namely the chronicity of the infection and the possibility of disease management, thus improving the mental status of such population.
随着1996年采用高效抗逆转录病毒疗法(HAART),艾滋病毒感染者的生活质量得到了改善。虽然艾滋病毒感染者和被诊断出患有艾滋病毒的人被情绪所压倒,但我们发现,在这组患者中,各种情绪表现尚未得到充分研究。其中一个方面是述情障碍,在抑郁症患者中发病率过高,引起了重大的公共卫生问题。在我们的研究中,我们假设HAART的临床显著变化与抑郁、焦虑和述情障碍的变化有关。对44名艾滋病毒血清阳性儿童和30名12-15岁的健康学龄儿童进行了一项横断面研究。我们获得了参与者的许可,可以访问他们的医疗记录,以获取他们在整个研究期间的CD4细胞计数和病毒载量的数据。研究人员对被试进行了20项多伦多述情量表(TAS-20),以评估他们的述情水平。健康儿童述情障碍平均得分为0.67±1.26,感染HIV儿童述情障碍平均得分为4.48±7.80。在比较艾滋病毒感染儿童和健康儿童的TAS-20得分时,艾滋病毒感染儿童的得分略高于健康儿童,但没有儿童的得分达到40分。两组间差异有统计学意义(P = 0.003)。我们的研究显示,hiv血清阳性儿童在接受HAART治疗时的TAS评分与健康儿童之间存在显著差异,他们的评分均未显示述情障碍。在卫生部门,述情障碍被强调为医患沟通的障碍。临床医生应该意识到接受HAART治疗的HIV患者述情特征的下降。这项研究强调了HAART时代的好处,即感染的慢性性和疾病管理的可能性,从而改善了这类人群的精神状态。
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引用次数: 0
Career prospects among dental and medical residents: A cross-sectional study 牙科和内科住院医师的职业前景:一项横断面研究
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_57_2019
Abdul Saheer, A. Suresh, Shabnam Shaji, A. Rajendran, Ashik Muhammed, S. Majid
Career is the progress and actions taken by a person throughout lifetime, especially those related to that person’s occupation, and is often composed of the jobs held, titles earned, and work accomplished over a long period of time. It plays a very important role in the success of one’s life.The aim was to compare the career prospects among medical and dental residents in a private institution in Thodupuzha, Kerala.The study included a total of 60 medical residents and 52 dental residents and was carried out using a self-administered questionnaire. Descriptive statistics and Chi-square test were performed for statistical analysis. P < 0.05 is considered to be statistically significant.In medical profession, it was found that majority (71%) of the residents were satisfied with their career. In dental category, 88% wished for medical sector, whereas in medical category, 60% would opt for engineering. It was reported that poor pay scale among 54% of the medical category and 59% of dental residents suggested less job in the market was the reason for dissatisfaction. Majority (73%) in medical residents and a very minimal (23%) of the dental residents would recommend the own profession to the fellow colleagues (P < 0.05).The dental residents were found to be dissatisfied with their career compared with medical graduates. Better job perspectives and better placements need to be created. Endorsement of effective policies is required.
职业是指一个人一生中所取得的进步和所采取的行动,尤其是那些与这个人的职业有关的行动,通常由长期以来所从事的工作、获得的头衔和完成的工作组成。它在一个人的人生成功中起着非常重要的作用。目的是比较喀拉拉邦Thodupuzha一家私人机构的医疗和牙科住院医生的职业前景。该研究共包括60名住院医生和52名牙科住院医生,并采用自填问卷进行调查。采用描述性统计和卡方检验进行统计分析。P < 0.05认为差异有统计学意义。在医疗职业方面,大多数居民(71%)对自己的职业感到满意。在牙科类别中,88%的人希望进入医疗行业,而在医疗类别中,60%的人会选择工程学。据报道,54%的医疗类别和59%的牙科住院医生认为,市场上的工作机会较少是他们不满的原因。大多数内科住院医师(73%)和极少量牙科住院医师(23%)会向同事推荐自己的专业(P < 0.05)。与医学毕业生相比,牙科住院医师对自己的职业不满意。需要创造更好的工作前景和更好的就业机会。需要有效政策的背书。
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引用次数: 1
Current knowledge, attitude and practices of dental residents towards biomedical waste management: A cross sectional study 当前牙科居民对生物医学废物管理的知识、态度和做法:一项横断面研究
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_31_2019
S. Kulkarni, V. Sushanth, G. Prashant, Mohamed Imranulla, H. P. Vivek, Fhelen Debbie da Costa
To assess the knowledge, attitude and practices towards biomedical waste (BMW) management among residents of dental colleges of Davangere city.A cross- sectional questionnaire based study was carried out among 150 residents from dental colleges (85 from College of Dental Sciences and 65 from Bapuji Dental College and Hospital) in Davangere Karnataka. The responses were analyzed using Frequency distribution and Pearson Chi Square test using SPSS (Statistical package for social sciences, software Version 22.0)94% residents said that they were aware about BMW management out of which 90% could correctly describe the BM waste. Out of 150, 71% residents were aware about the storage duration. Only 41.3% residents knew the correct symbol for biohazard. When asked about color codes for disposal of waste only 50.7% residents knew the color code for the disposal of human anatomical waste and 58.7% residents knew the correct color code for the disposal of used gloves and masks.Though majority of the residents had fair knowledge of BMW management, the need for training regarding their practice of BMW disposal should be the focus.
评估达万热市牙科学院居民对生物医学废物管理的知识、态度和做法。本研究以横断面问卷为基础,对卡纳塔克邦达万吉尔牙科学院的150名居民(85名来自牙科学院,65名来自巴普吉牙科学院和医院)进行调查。使用SPSS(社会科学统计软件包,软件版本22.0)使用频率分布和皮尔逊卡方检验对响应进行分析,94%的居民表示他们了解宝马管理,其中90%可以正确描述BM废物。在150人中,71%的居民知道储存时间。只有41.3%的居民知道生物危害的正确符号。当被问及废物处理的颜色代码时,只有50.7%的居民知道处理人体解剖废物的颜色代码,58.7%的居民知道处理用过的手套和口罩的正确颜色代码。虽然大多数居民对宝马管理有一定的了解,但需要对他们进行宝马处置实践的培训应该是重点。
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引用次数: 7
Conventional diagnostic aids in dental caries 龋齿的常规诊断辅助工具
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_42_2019
Adepu Srilatha, D. Doshi, S. Kulkarni, M. Reddy
Dentistry is rapidly evolving from a surgical and reparative profession into a healing profession focused on overall patient wellness. The oral systematic connection has been well established, with the condition and status of the oral cavity being a great indicator of the patient’s overall health. In today’s scenario, most of the focus is towards prevention, early diagnosis, and intervention to minimize treatment, to enable the most desirable outcomes. Thus, the dental practitioner’s should have efficient cognitive skills to be a diagnostician and for case management. Furthermore, the diagnostic modalities available have been expanded greatly on the foundation of a comprehensive visual assessment, with a ultimate goal of improving both the sensitivity and specificity level for any caries detecting diagnostic tool.
牙科正在迅速从外科和修复专业发展成为一个专注于患者整体健康的治疗专业。口腔系统的联系已经很好地建立起来,口腔的状况和状态是患者整体健康状况的重要指标。在今天的情况下,大多数重点是预防、早期诊断和干预,以尽量减少治疗,实现最理想的结果。因此,牙科医生应该有有效的认知技能,是一个诊断和病例管理。此外,在全面的视觉评估的基础上,现有的诊断方式已经大大扩展,其最终目标是提高任何龋检测诊断工具的敏感性和特异性水平。
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引用次数: 3
Knowledge, attitude and practice towards preventive dental care- A KAP study 预防性牙齿护理的知识、态度和实践——一项KAP研究
Pub Date : 2019-09-25 DOI: 10.25259/jgoh_34_2019
Tanvi Bhardwaj, S. Tandon, S. Chand, Abhinav Bhargava
The aim of the study was to evaluate knowledge, attitude, and practices regarding preventive dental practice among private dental practitioners in Gurugram city.A descriptive cross-sectional survey was conducted using a 40-item self-administered, closed ended, and structured questionnaire. A total of 163 available private dental practitioners, from the IDA list of Gurugram city made up the sampling frame of study out of which, 105 participated. Microsoft Excel and IBM SPSS Statistics version 25.0 software were used for statistical analysis of the data collected. Statistical evaluation was done by Chi-square test and Pearson’s test.A total of 105 dental professionals participated in this questionnaire study, 55.2% out of which were females. 88.57% dentists were generally aware of the possibility of remineralization in initial carious lesions. When there was a comparison of knowledge in relation to age distribution, mean was found to be 14.57 ± 2.569 for age <30 years and 15.85 ± 2.449 for age more than 30 years and results were found to be highly significant (P= 0.011).Majority of dentists had good knowledge and attitude regarding preventive dentistry and they were adopting preventive measures in their practice.
本研究的目的是评估古鲁格拉姆市私人牙医对预防性牙科治疗的知识、态度和实践。描述性横断面调查采用40项自我管理的封闭式结构化问卷进行。来自古鲁格拉姆市IDA名单的163名现有私人牙医构成了研究的抽样框架,其中105人参与了研究。采用Microsoft Excel和IBM SPSS Statistics version 25.0软件对收集到的数据进行统计分析。统计学评价采用卡方检验和皮尔逊检验。共有105名牙科专业人员参与问卷调查,其中女性占55.2%。88.57%的牙医普遍意识到初始龋齿有再矿化的可能。对年龄分布的知识进行比较时,年龄<30岁的平均值为14.57±2.569,年龄> 30岁的平均值为15.85±2.449,结果具有高度显著性(P= 0.011)。大部份牙医对预防牙科有良好的知识和态度,并在执业时采取预防措施。
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引用次数: 10
Assessment of knowledge, attitude and practices of diet and nutrition on oral health among dental students 对牙科学生口腔健康的饮食营养知识、态度和实践的评估
Pub Date : 2019-09-25 DOI: 10.25259/JGOH_32_2019
Fhelen Debbie da Costa, G. Prashant, V. Sushanth, Mohamed Imranulla, Allama Prabhu, S. Kulkarni
Oral health is governed by a multitude of factors and of importance among these is diet and nutrition. Patients need to be made aware of the effect diet and nutrition has on their oral health. Patients should also be encouraged to reduce the frequency of intake of sugary foods. Dentists need to have adequate knowledge regarding diet and nutrition and its effects on oral health. Dental students can be targeted at an early stage as they will be the beacons of dentistry and carry on the knowledge into private practice.The aim of the study was to assess the knowledge of the undergraduate dental students regarding diet and nutrition and its impact on oral health and to assess their attitude and practice towards the same.A cross sectional questionnaire based study was carried out among 203 undergraduate students (122 third BDS, 22 Final BDS and 59 Residents) from dental colleges in Davangere, Karnataka. The responses were subjected to statistical analysis using SPSS (Statistical Package for the Social Sciences) version 22 and the tests used were Frequency distribution and Pearson Chi-Square test.Most of the participants (82.3%) were aware that sucrose is the most cariogenic sugar. 84.2% of the students knew the type of food that helps in preventing dental caries and strengthening the periodontium, yet only a few (19.2%) were able to correctly choose the most anticariogenic food among the options.While most of the students were aware of the basic knowledge of diet and nutrition and its effect on the oral health, their attitude and eagerness towards the concept should be nurtured through extensive and in detail addition of diet in the curriculum to ultimately help patients maintain a better oral hygiene and prevent oral diseases.
口腔健康是由许多因素决定的,其中最重要的是饮食和营养。患者需要了解饮食和营养对口腔健康的影响。还应鼓励患者减少摄入含糖食物的频率。牙医需要对饮食和营养及其对口腔健康的影响有足够的了解。牙科学生可以在早期阶段作为目标,因为他们将成为牙科的灯塔,并将知识带入私人实践。本研究的目的是评估牙科本科学生对饮食和营养的知识及其对口腔健康的影响,并评估他们对饮食和营养的态度和实践。采用横断面问卷调查法,对来自卡纳塔克邦达万吉尔县牙科学院的203名本科生(第三届BDS 122人,最后届BDS 22人,住院医师59人)进行了调查。使用SPSS (statistical Package for The Social Sciences)第22版进行统计分析,采用频率分布和皮尔逊卡方检验。大多数参与者(82.3%)知道蔗糖是最易患龋齿的糖。84.2%的学生知道有助预防蛀牙及加强牙周组织的食物种类,但只有少数学生(19.2%)能正确选择最具抗龋性的食物。虽然大部分学生都知道饮食和营养的基本知识及其对口腔健康的影响,但通过在课程中广泛而详细地添加饮食,培养他们对这一概念的态度和热情,最终帮助患者保持良好的口腔卫生,预防口腔疾病。
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引用次数: 1
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Journal of Global Oral Health
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