Mohammad-Hassan Akhavan Karbassi, Fatemeh Owlia, Henghameh Zandi, Samira Hajimaghsoodi,
Volume 7, Issue 1 (3-2019)
Abstract
Background and objectives: The association of oral micro-organisms with infectious diseases such as bacterial endocarditis is a concern in dentistry. Bacterial endocarditis is a serious disease with a mortality rate of 40%. The present study was conducted to investigate the effect of using chlorhexidine mouthwash on concentrations of some groups of bacteria in gingival sulcus, which is the main contact point of oral flora with circulating blood during scaling.
Methods: In this Randomized controlled clinical trial, participants were selected among referrals to the department of gingival diseases of Yazd dental school. Participants underwent determining plaque index and after scaling, sampling of the buccal and lingual gingival groove of mandibular central and lateral teeth was performed by paper with walking movement.
Results: participants were 53 patients who divided into two groups. Group A consisted of 27 patients (15 women and 12 men) ranging in age from 21 to 54 years mean of 35) who used 50 mL chlorhexidine mouthwash and Group B consisted of 26 patients (13 females and 13 males) ranging in age from 19 to 51 years old with a mean of 35.76 who used 50 mL normal saline before scaling. Study groups were not significantly different in terms of age, sex and plaque index. (P-values= 0.755, 0.348 and 0.708)
Mann Whitney-Wilcoxon test compared the counted values of Streptococcus viridance and Staphylococcus aureus in control group was significantly higher than the study group. (P-value = 0.000)
Conclusion: according to the results of our study chlorhexidine mouthwash prior to scaling teeth significantly reduced Streptococcus viridance and Staphylococcus aureus colony counts and could be recommended as a complementary agent for antibiotic prophylaxis in high risk patients prone to endocarditis, or as the only agent in moderate risk cardiac patients that antibiotic prophylaxis does not been used.
Maryam Kazemipoor, Fatemeh Owlia, Mehri Esfandyar, Ali Dehghani, Hossein Fallahzadeh, Amir Houshang Mehrparvar, Mohammad Javad Zare Sakhvidi, Masoud Mirzaei,
Volume 7, Issue 2 (7-2019)
Abstract
Backgrounds and Objectives: Afew large population-based studies have been conducted on the prevalence of oral mucosal lesions in relation to fertility status in the Iranian population. The aim of study was determine the prevalence of oral mucosal lesions in relation to fertility status in women participants of Shahedieh cohort study.
Materials and Methods: A descriptive cross-sectional study was conducted on 4935 women who participated in the Shahedieh cohort study. The age range of participants was 35-71 years with a mean age of 47.12 years. The prevalence of oral mucosal lesions considering fertility variables including pregnancy, number of pregnancy, oophorectomy, tubectomy, hysterectomy, infertility, menopause, normal menopause, and abortion, application of infertility and oral contraceptive drugs and hormone replacement therapy were recorded.
Results: The total prevalence of oral mucosal lesions in the studied women were 3.8%. The most commonly affected age group was 40-49 years, followed by 30-39, 50-59 and 60-71 years, respectively. Considering the fertility variables, only menopause (P=0.047) and normal menopause (P=0.024) significantly related to the prevalence of oral mucosal lesions.
Conclusions: The findings of the present study provide information on the prevalence of the oral mucosal lesions considering fertility status in a large population-based study in Iran. With due attention to the higher prevalence of oral mucosal lesions in menopause women, an improved comprehension of oral manifestations at menopause and preventive and treatment approaches during this period should be programmed with health care services to meet the needs of patients deservingly.
