Can Dental Panoramic Radiography Help Screen Osteoporosis in Postmenopausal Women?

INTERNATIONAL DENTAL JOURNAL 2013; 63 (Suppl.1) p.302 / 101st FDI Annual World Dental Congress, İstanbul, Türkiye, 28 Ağustos 2013, cilt.63, ss.302

Yayın Türü: Bildiri / Özet Bildiri
Cilt numarası: 63
Doi Numarası: 10.1111/idj.12049.
Basıldığı Şehir: İstanbul
Basıldığı Ülke: Türkiye
Sayfa Sayıları: ss.302
İstanbul Üniversitesi Adresli: Evet

Özet

Methodology: Dental clinics, procedures and instruments in the

lab. liable to cross contamination were test run using culture sensi-

tivity tests on blood agar and Mc.conkey mediums in addition to

swabs on monthly bases as for the following:

1 Clinics and laboratory air environment was tested

2 Alginate impressions, brushes, ragged wheels, pumice and

lathes were tested

3 The laboratory better operated as a “Clean Dental Labora-

tory” not “Standard Dental Laboratory”

Results: Gram -ve pathogens as Klebsiella and fungal infection as

well as commensals (staph.albicans) were present. By proper suction

system in the clinics and lab. and regular air-conditioning ﬁlters

cleaning 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 diluted

in half liter of water sprayed, wrapped and left for 10 min on incom-

ing material to the lab. as impressions, bite blocks, face-bows crowns

also eradicated the pathogenic and non pathogenic organisms

Conclusion: The infection control measures should be taken very

seriously for all patients and dental personnel for a better and

healthier life.

FC305

Tobacco-Use Cessation in Dental Clinics: A Survey of Dentist’s

Knowledge, Attitude and Practices

Thanveer Kalantharakath, Ajith Krishnan, Pulikt Kalyan

Department of Public Health Dentistry, Sumandeep Vidyapeeth,

Vadodara, India

Aim: To assess tobacco-use cessation related knowledge, attitude

and practices among practicing dentists.

Material and methods: A cross sectional questionnaire survey was

conducted among dental practitioners registered in Indian dental

association, Vadodara Branch, India.

All the registered dentists in Indian Dental Association, Vadod-

ara were selected for the survey. A self administered pre-tested

close ended questionnaire consisting of questions related to their

graduation, number of years in active dental practice, knowledge

attitude and practices towards tobacco use and cessation advice to

the patients was used. The questionnaire was piloted among 20

clinical practitioners. Only completely ﬁlled questionnaires and

response from those who are in active practice since the last

5 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 post

graduates. Ninety-three (51.6%) respondents had never undergone

any 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 practitioners

advice 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 cessation

methods and incorporated the same in their practice. The need for

dentist to acquire knowledge and assume responsibility towards

this cause in principle and practice has been strongly felt.

FC306

Can Dental Panoramic Radiography Help Screen Osteoporosis

in Postmenopausal Women?

Fırat Selvi

, Sean Geary

, Meredith August

Department of Oral and Maxillofacial Surgery, Istanbul

University, Istanbul, Turkey,

Harvard School of Dental Medicine,

Boston, MA, USA,

Department of Oral and Maxillofacial

Surgery, Massachusetts General Hospital, Boston, MA, USA

Aim: Early detection of osteoporosis is an important public health

goal and dentists might play an important role in its diagnosis

with dental radiographs having a great potential as a screening

tool.

Material and methods: Using a retrospective cohort study design,

the authors enrolled a sample composed of female subjects who

were ≥50 years of age, who had a dental panoramic radiograph

and a bone mineral density (BMD) scan within 2 years of each

other between 2006 and 2012. The predictor variables included

demographics, average gonial and antegonial angles, mandibular

cortical bone integrity (MCBI), periodontal disease status, number

of remaining teeth, body mass index (BMI) and bisphosphonate

usage. 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. Sample

composed 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-sc

between 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 diagnosis

of osteopenia/osteoporosis. Other variables didn’t demonstrate sig-

niﬁcance. In a multivariate logistic regression analysis, MCBI

didn’t demonstrate signiﬁcance (p = 0.6), whereas age and BMI

remained signiﬁcant (p < 0.0001).

Conclusions: In conclusion, given MCBI’s signiﬁcance in univariate

analysis and biologic plausibility, dentists might use it as a risk

assessment tool to recommend a BMD scan for elderly women

patients.

FC307

Areca Nut Chewing Among Primary School Children of Karachi,

Pakistan

Ambrina Qureshi,

Arham Nawaz Chohan

Department of Community Dentistry, Dr. IshratulEbad Khan

Institute of Oral Health Sciences, Dow University of Health

Sciences, Karachi, Pakistan

Objective: Areca nut chewing is more prevalent in South East part

of 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 stage

random sampling was used. Nine out of 18 towns of Karachi were

identiﬁed and two schools (public and private) from each town

International Dental Journal 2013; 63 (Suppl. 1): 297--378

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