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Official Journal of the Italian Society of Odontostomatology and Maxillofacial Surgery
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Minerva Stomatologica 2013 November-December;62(11-12):419-30

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English, Italian

Aspects related to a periodontal home prevention program for disabled patients: a clinical trial

Cingano L. 1, Aonzo E. 2, Servetto R. 3, Calcagno E. 4

1 Section of Dentistry, University of Genoa Genoa, Italy; 2 Private Practitioner, Genoa, Italy; 3 Unit of Dentistry, G. Gaslini Hospital Genoa, Italy; 4 Private Practitioner, Genoa, Italy


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Aim: The aim of the present study was to highlight the relationship between the level of oral hygiene and the context in which the patient receives dental treatment, demonstrating that home service is essential and effective to decrease the incidence of periodontal diseases.
Methods: The study was initially conducted on a heterogeneous sample of patients including 48 individuals with psycho-motor deficits. The study included 28 males (58.3%) and 20 females (41.7%) aged between 18 and 50 years, coming from two different stes (“Fa.Di.Vi… e oltre” and “Dentistry Unit, Istituto G. Gaslini” in Genoa). The patients were evaluated during the period 2008-2009. After this first pilot study, a clinical trial was conducted within the educational center “Il Granello”, with the participation of 20 patients with disabilities.
Results: This study demonstrates that home assistance is essential and effective to decrease the incidence of those periodontal diseases induced by bacterial dental plaque accumulation, and associated with aggravating factors like the repeated use of drugs, such as benzodiazepines, phenylhydantoin, and cyclosporin A, that cause gingival hypertrophia.
Conclusion: This study was proposed to demonstrate that the availability of a dental service within institutions could improve not only the dental-periodontal conditions of the participants, but also decrease the admission of these subjects to hospitals, contributing to the reduction of public expenditure by the Health Care System.

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lfcingano@libero.it