Studies on oral health in mentally retarded adults.
Identifieur interne : 002C51 ( PubMed/Checkpoint ); précédent : 002C50; suivant : 002C52Studies on oral health in mentally retarded adults.
Auteurs : P. Gabre [Suède]Source :
- Swedish dental journal. Supplement [ 0348-6672 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte, Aggregatibacter actinomycetemcomitans (croissance et développement), Caractéristiques de l'habitat, Caries dentaires (épidémiologie), Comportement alimentaire, Déficience intellectuelle (), Désinstitutionnalisation, Humains, Hygiène buccodentaire, Incidence, Institutionnalisation, Lactobacillus (croissance et développement), Maladies de la bouche (épidémiologie), Maladies des dents (épidémiologie), Mâchoire partiellement édentée (épidémiologie), Parodontite (épidémiologie), Perte dentaire (épidémiologie), Prevotella (), Prevotella intermedia (croissance et développement), Prévalence, Résorption alvéolaire (épidémiologie), Saccharose alimentaire (administration et posologie), Salive (microbiologie), Soins dentaires pour personnes handicapées, Streptococcus mutans (croissance et développement), Suède (épidémiologie), Syndrome de Down, Études de suivi.
- MESH :
- administration et posologie : Saccharose alimentaire.
- croissance et développement : Aggregatibacter actinomycetemcomitans, Lactobacillus, Prevotella intermedia, Streptococcus mutans.
- microbiologie : Salive.
- épidémiologie : Caries dentaires, Maladies de la bouche, Maladies des dents, Mâchoire partiellement édentée, Parodontite, Perte dentaire, Résorption alvéolaire, Suède.
- Adulte, Caractéristiques de l'habitat, Comportement alimentaire, Déficience intellectuelle, Désinstitutionnalisation, Humains, Hygiène buccodentaire, Incidence, Institutionnalisation, Prevotella, Prévalence, Soins dentaires pour personnes handicapées, Syndrome de Down, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aggregatibacter actinomycetemcomitans (growth & development), Alveolar Bone Loss (epidemiology), Deinstitutionalization, Dental Care for Disabled, Dental Caries (epidemiology), Dietary Sucrose (administration & dosage), Down Syndrome, Feeding Behavior, Follow-Up Studies, Humans, Incidence, Institutionalization, Intellectual Disability (classification), Jaw, Edentulous, Partially (epidemiology), Lactobacillus (growth & development), Mouth Diseases (epidemiology), Oral Hygiene, Periodontitis (epidemiology), Prevalence, Prevotella (classification), Prevotella intermedia (growth & development), Residence Characteristics, Saliva (microbiology), Streptococcus mutans (growth & development), Sweden (epidemiology), Tooth Diseases (epidemiology), Tooth Loss (epidemiology).
- MESH :
- chemical , administration & dosage : Dietary Sucrose.
- classification : Intellectual Disability, Prevotella.
- epidemiology : Alveolar Bone Loss, Dental Caries, Jaw, Edentulous, Partially, Mouth Diseases, Periodontitis, Sweden, Tooth Diseases, Tooth Loss.
- growth & development : Aggregatibacter actinomycetemcomitans, Lactobacillus, Prevotella intermedia, Streptococcus mutans.
- microbiology : Saliva.
- Adult, Deinstitutionalization, Dental Care for Disabled, Down Syndrome, Feeding Behavior, Follow-Up Studies, Humans, Incidence, Institutionalization, Oral Hygiene, Prevalence, Residence Characteristics.
Abstract
During the last decades, a new policy involving normalisation, integration, equality and deinstitutionalisation of mentally retarded (MR) individuals has been accepted in Sweden. Consequently, many institutions have been closed and an increased number of people with MR are now integrated into the Swedish community. The general aim of this thesis was to investigate if a greater degree of independence for MR adults influenced the prevalence of oral diseases.
PubMed: 11204135
Affiliations:
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Gabre</name><affiliation wicri:level="3"><nlm:affiliation>Department of Oral Diagnosis and Hospital Dentistry, Institute of Odontology, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oral Diagnosis and Hospital Dentistry, Institute of Odontology, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j">Swedish dental journal. 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(épidémiologie)</term><term>Parodontite (épidémiologie)</term><term>Perte dentaire (épidémiologie)</term><term>Prevotella ()</term><term>Prevotella intermedia (croissance et développement)</term><term>Prévalence</term><term>Résorption alvéolaire (épidémiologie)</term><term>Saccharose alimentaire (administration et posologie)</term><term>Salive (microbiologie)</term><term>Soins dentaires pour personnes handicapées</term><term>Streptococcus mutans (croissance et développement)</term><term>Suède (épidémiologie)</term><term>Syndrome de Down</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Dietary Sucrose</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Saccharose alimentaire</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Intellectual Disability</term><term>Prevotella</term></keywords><keywords scheme="MESH" qualifier="croissance et développement" xml:lang="fr"><term>Aggregatibacter actinomycetemcomitans</term><term>Lactobacillus</term><term>Prevotella intermedia</term><term>Streptococcus mutans</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Dental Caries</term><term>Jaw, Edentulous, Partially</term><term>Mouth Diseases</term><term>Periodontitis</term><term>Sweden</term><term>Tooth Diseases</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="growth & development" xml:lang="en"><term>Aggregatibacter actinomycetemcomitans</term><term>Lactobacillus</term><term>Prevotella intermedia</term><term>Streptococcus mutans</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Caries dentaires</term><term>Maladies de la bouche</term><term>Maladies des dents</term><term>Mâchoire partiellement édentée</term><term>Parodontite</term><term>Perte dentaire</term><term>Résorption alvéolaire</term><term>Suède</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Deinstitutionalization</term><term>Dental Care for Disabled</term><term>Down Syndrome</term><term>Feeding Behavior</term><term>Follow-Up Studies</term><term>Humans</term><term>Incidence</term><term>Institutionalization</term><term>Oral Hygiene</term><term>Prevalence</term><term>Residence Characteristics</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Caractéristiques de l'habitat</term><term>Comportement alimentaire</term><term>Déficience intellectuelle</term><term>Désinstitutionnalisation</term><term>Humains</term><term>Hygiène buccodentaire</term><term>Incidence</term><term>Institutionnalisation</term><term>Prevotella</term><term>Prévalence</term><term>Soins dentaires pour personnes handicapées</term><term>Syndrome de Down</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">During the last decades, a new policy involving normalisation, integration, equality and deinstitutionalisation of mentally retarded (MR) individuals has been accepted in Sweden. Consequently, many institutions have been closed and an increased number of people with MR are now integrated into the Swedish community. The general aim of this thesis was to investigate if a greater degree of independence for MR adults influenced the prevalence of oral diseases.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">11204135</PMID><DateCompleted><Year>2001</Year><Month>05</Month><Day>31</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0348-6672</ISSN><JournalIssue CitedMedium="Print"><Issue>142</Issue><PubDate><Year>2000</Year></PubDate></JournalIssue><Title>Swedish dental journal. Supplement</Title><ISOAbbreviation>Swed Dent J Suppl</ISOAbbreviation></Journal><ArticleTitle>Studies on oral health in mentally retarded adults.</ArticleTitle><Pagination><MedlinePgn>1-48</MedlinePgn></Pagination><Abstract><AbstractText Label="UNLABELLED">During the last decades, a new policy involving normalisation, integration, equality and deinstitutionalisation of mentally retarded (MR) individuals has been accepted in Sweden. Consequently, many institutions have been closed and an increased number of people with MR are now integrated into the Swedish community. The general aim of this thesis was to investigate if a greater degree of independence for MR adults influenced the prevalence of oral diseases.</AbstractText><AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">The caries incidence and prevalence, number of remaining teeth, incidence of tooth mortality and interproximal bone loss were investigated in a group of MR adults, aged 21-40 years, all with protracted, regular preventive dental care. The studied variables were related to living arrangements and degree of MR, and were followed during 8.5 years (Papers I, II and VI). Incidence and reasons for tooth mortality were studied during 10 years in institutionalised MR individuals (Paper III). In connection with the closing-down of an institution for MR adults, the changes of oral hygiene habits, sucrose intake and oral microbiological flora were studied in the new integrated living (Papers IV and V).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Less restrictive living arrangements and mild forms of MR were correlated to a high caries prevalence in persons with MR. After 8.5 years, the caries incidence had decreased in all subjects, but persons with mild MR and those who lived integrated still had a higher caries prevalence than other MR adults. With the exception of subjects with Down syndrome, the interproximal bone loss during 8.5 years was similar or lower compared to normal Swedish populations. Institutionalised MR subjects had lost an average of 3.72 teeth during 10 years. Periodontitis was the main reason for tooth mortality. Persons who cooperated well with dental treatment and those who used neuroleptics lost fewer teeth during the 10-year period compared to other MR individuals. The proportion of subjects with high levels of mutans streptococci and subjects who showed growth of P. intermedia/P. nigrescens decreased after deinstitutionalisation, and less subjects consumed sucrose frequently. The oral hygiene routines, and the levels of lactobacilli, P. gingivalis and A. actinomycetemcomitans were not influenced by the change in living arrangements. A simplified saliva sampling method, involving licking directly on the bacteria culture, was developed to count lactobacilli in saliva when delivering whole saliva was impossible.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Less restrictive living and a mild degree of MR were correlated to a high caries prevalence. Subjects with poor ability to cooperate with dental treatment and those with Down syndrome have an obvious risk of deteriorated oral health. However, compared to normal Swedish populations, the MR subjects studied in this thesis had, after several years of regular dental care, satisfactory oral health.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gabre</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Oral Diagnosis and Hospital Dentistry, Institute of Odontology, Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>Swed Dent J Suppl</MedlineTA><NlmUniqueID>7905899</NlmUniqueID><ISSNLinking>0348-6672</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019422">Dietary Sucrose</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016976" MajorTopicYN="N">Aggregatibacter actinomycetemcomitans</DescriptorName><QualifierName UI="Q000254" MajorTopicYN="N">growth & development</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016301" MajorTopicYN="N">Alveolar Bone Loss</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003688" MajorTopicYN="N">Deinstitutionalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003730" MajorTopicYN="N">Dental Care for Disabled</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019422" MajorTopicYN="N">Dietary Sucrose</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004314" MajorTopicYN="N">Down Syndrome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005247" MajorTopicYN="N">Feeding Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007326" MajorTopicYN="N">Institutionalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008607" MajorTopicYN="Y">Intellectual Disability</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007778" MajorTopicYN="N">Lactobacillus</DescriptorName><QualifierName UI="Q000254" MajorTopicYN="N">growth & development</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009059" MajorTopicYN="N">Mouth Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009910" MajorTopicYN="N">Oral Hygiene</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010518" MajorTopicYN="N">Periodontitis</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018720" MajorTopicYN="N">Prevotella</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018713" MajorTopicYN="N">Prevotella intermedia</DescriptorName><QualifierName UI="Q000254" MajorTopicYN="N">growth & development</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="N">Residence Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013295" MajorTopicYN="N">Streptococcus mutans</DescriptorName><QualifierName UI="Q000254" MajorTopicYN="N">growth & development</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013548" MajorTopicYN="N">Sweden</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014076" MajorTopicYN="N">Tooth Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2001</Year><Month>2</Month><Day>24</Day><Hour>12</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>6</Month><Day>2</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2001</Year><Month>2</Month><Day>24</Day><Hour>12</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">11204135</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Gabre, P" sort="Gabre, P" uniqKey="Gabre P" first="P" last="Gabre">P. 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