Department of Community Oral Healthhttp://hdl.handle.net/11394/372024-03-29T13:46:32Z2024-03-29T13:46:32ZComparison between pre-menopause and post-menopause women regarding periodontal health status in SudanElmubarak, Duoaahttp://hdl.handle.net/11394/106672024-03-12T00:29:38Z2024-01-01T00:00:00ZComparison between pre-menopause and post-menopause women regarding periodontal health status in Sudan
Elmubarak, Duoaa
Introduction
Little attention is given to oral health; national oral health guiding principles and strategies in several developing countries must be more evident.
Hormonal variations that occur before, during, and after menopause can influence the teeth and periodontium. These changes also affect the body's response to even minor injuries or sustain an equilibrium between beneficial and injurious bacteria in the mouth.
Various changes can occur in the oral cavity during the different hormonal phases of a woman's life. However, the most common postmenopausal oral features have been documented, and it is speculated that the decreasing oestrogen levels accompanying menopause may be a risk factor for developing periodontal disease.
Aim
The research aimed to determine whether oral health or oral health behaviour affects the periodontal disease status of women before menopause (pre-menopause) and after menopause (postmenopausal).
Magister Chirurgiae Dentium - MChD
2024-01-01T00:00:00ZOral health care of the patient receiving Chemotherapy and/or bone marrow transplantationSolomon, Charlene S.http://hdl.handle.net/11394/103462023-06-27T00:02:35Z1996-01-01T00:00:00ZOral health care of the patient receiving Chemotherapy and/or bone marrow transplantation
Solomon, Charlene S.
Between September 1992 and August 1995, all patients with haematological malignancies who were treated as in-patients in the Haematology Unit at Groote Schuur Hospital received a twice weekly, oral and perioral examination. Sixty patients were monitored while following the traditional hospital oral care protocol (chlorhexidine, hydrogen peroxide, sodium bicarbonate, thymol glycol, benzocaine mouth rinse and nystatin). The mouth care protocol was then changed (protocol A = chlorhexidine, benzocaine lozenges, amphotericin B lozenges) and patients monitored until the sample size matched that of the hospital mouth care regimen (n = 60). A further 60 patients were then monitored using a third protocol (protocol B = benzydamine hydrochloride, chlorhexidine, benzocaine lozenges, amphotericin B lozenges).
A statistically significant reduction in oral complications was found upon introduction and maintenance of protocols A and B. The findings of this study suggest that improved oral care and a structured oral care routine reduces the number of oral complications associated with chemo- and radiotherapy.
>Magister Scientiae - MSc
1996-01-01T00:00:00ZOral manifestations of HIV infection : implications for delivery of oral health care serviceShaikh, Najmahttp://hdl.handle.net/11394/103032023-06-21T00:01:38Z2001-01-01T00:00:00ZOral manifestations of HIV infection : implications for delivery of oral health care service
Shaikh, Najma
The prevalence and determinants of oral lesions related to Human Immunodeficiency Virus (HIV) infection were examined in the context of the delivery of oral health care services. This was complemented by an examination of the perceptions and experiences of oral health workers and HIV infected patients with regard to oral health care services. Method: A cross sectional study was carried out on 239 patients who attended a HIV outpatient clinic. participants' dental history and perceptions were determined through structured interviews, whilst
clinical and medical details were obtained from physical examinations and clinical records. A qualitative study of oral health care workers was carried out to assess their perceptions and experiences with regard to service provision. A costing exercise was done to determine the average cost of care per visit. Results: Oral HIV lesions presented in 68.6% of the sample. Significant determinants of oral lesions presence included, CD4 cell counts <2OO (OR 2.07), smoking (OR 2.74, presence of calculus (OR 4.27) and poor access to oral care (OR 6.36). The majority of the patients sought dental care from the public sector services (670lo) and the prime reason was for emergency care (/0olo). The
main barriers to care from the patient perspective were cost (337"), fear of pain (21%) and rejection (16%). The majority (87%) of the oral health care workers were in favour of providing comprehensive care at primary level. The main concerns of the oral health care providers were the management of needle-siick injuries and their skills deficiency in managing complex @ses. The average cost of care per visit was R130.73. Conclusion: Oral Iesions presented in more than two thirds of the sample. Barriers to care, lowered immune status, smoking and high calculus deposits were significantly associated with the presence of lesions. The most commonly reported barriers to seeking care were cost and fear of pain. Patients' perception of oral health and their health seeking behaviour were influenced by oral symptoms. The rising cost of treating oral lesions will impact on the delivery of health care services. Oral morbidity related to HIV infection can be reduced with the application of simple preventative, health promotive measures such as promoting smoking cessation and good oral hygiene, removal of local tooth deposits and improved acess to health services.
Magister Chirurgiae Dentium - MChD
2001-01-01T00:00:00ZOral & perioral piercing in TshwaneEbrahim, Ruebeccahttp://hdl.handle.net/11394/101952023-06-14T00:03:53Z2007-01-01T00:00:00ZOral & perioral piercing in Tshwane
Ebrahim, Ruebecca
This study investigated the common sites and complications associated with oral and perioral piercings, and the oral hygiene practices of people with piercings (piercees)' The attitude and behaviour of piercers towards the prevention and control of complications was also reviewed. The piercees completed a self-administered questionnaire, and were visually examined for sites of piercings and complications, and l0 piercers took part in an interviewed questionnaire. The completed questionnaires were coded, and the responses entered into a spreadsheet for analysis. Of the 126 participants (107 females and 19 males; ages ranging from under-16 to 24) 88.10/o had a tongue piercing, lg.}4yo had a lip piercing, and 7.94Yo had both. One-hundred-and-seven (84.92%) had their piercing at a piercing or tattoo parlour, thirteen (10.31%) had the piercing procedure provided by a doctor or dentist, three went to a hairdressing salon, while one had a friend do the piercing and one individual did his own piercing. The most common post-procedure sequelae were pain (69.05%), swelling(52.38%) and difiiculty eating, speaking and swallowing (70.63%). Post-piercing complications were reported by 17.56%o (n:22) of the sample, and these included chipping of teeth (n:13), gingival recession (n: 2), damage to tongue and palate (n : 3), sore gums (n : l), and sensitivity of teeth (n: l). Those individuals who experienced chipping of teeth, had tongue piercings, and the gingival recession occurred in subjects with labial piercings or labrettes. These findings suggest that there is an association between piercings of the tongue and damage to teeth and piercing of the lower lip and gingival recession. All the piercers reported adequate cross-infection measures, and informed piercees of post-piercing care. It is apparent from the present study that few people had serious problems related to lip and tongue piercings, notwithstanding the damage to hard and soft tissue, however, the providers of these procedures, and dental personnel should inform prospective piercees of the potential risks'
Magister Scientiae Dentium - MSc(Dent)
2007-01-01T00:00:00Z