Analiza oralno-higijenskih navika, parodontoloških indeksa i stanja oralne sluzokože kod studentske populacije
Committee membersPejčić, Ana
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The study deals with the research of risk factors related to oral health in stu-dents of the Medical Faculty of the University of Nis. The study was conduct-ed as a prospective, longitudinal study and processed a total of 880 subjects. The main goal of this epidemiological research was to determine the oral hygiene habits of the student population of the Medical Faculty of the University of Nis, and to evaluate the factors that affect it. The specific objectives are: to determine the state of oral hygiene habits of the said student population by surveying; as well as habits, attitudes and behav-iors in relation to oral and dental health; assess the state of oral and periodon-tal health of students and their knowledge about it; assess the health status of the oral mucosa and periodontium by clinical examination and periodontal indices; determine the interdependence of knowledge and habits in relation to oral health, as well as the impact of knowledge and behavior on the state of oral he...alth; determine the level of knowledge, attitudes and behavior of stu-dents in relation to oral hygiene habits and risk factors in relation to: study direction, year of study, socio-economic status and level of education of par-ents. The research included students of the Medical Faculty of the University of Nis (880), both sexes, aged 19 to 25 years. The groups are organized as a group of medical, dental, pharmaceutical and vocational students, with a number proportional to the number of students enrolled in the appropriate field. Students are divided into two groups: those who are in preclinical (group 1) and those who are in clinical subjects (group 2). Prior to the clini-cal examination, subjects completed an anonymous survey, which contained four aspects: (1) sociodemographic data; (2) oral hygiene habits and behav-iors; (3) health risk behaviors, disorders, drug use, parafunctional habits; (4) maintaining oral health. All subjects underwent a clinical examination, as well as an assessment of oral hygiene (plaque index, tartar index), assess-ment of gingival health (gingival index, gingival bleeding index) and as-sessment of periodontal condition (Ramfjord PDI and CPITN). Also, the existence of changes in the oral mucosa, the presence of prosthetic and con-servative restorations, caries and / or gingivoparodontal diseases, as well as risk factors for the development of oral diseases were diagnosed. In both groups, parents were mostly employed, with the representation of employed fathers significantly higher in group 1 (p <0.05), which is also the only statistically significant difference between student groups. Oral hygiene, as expected, showed that a high percentage of respondents brush their teeth daily (97.22%). The largest percentage of all respondents (45.45%) sometimes use interdental brushes / floss / toothpicks. Tooth brush-ing lasted 3 minutes in 39.39% of subjects. Of all respondents, 63.89% are non-smokers. Of all respondents, 49.96% went to the dentist regularly. The distribution of answers to this question varies among groups (p <0.001), which is a consequence of significantly higher regularity of visits to the dentist in group 2 (p <0.001). The largest amount of information regarding the mouth and teeth 66.92% of respondents received from their dentist. There is a statistically significant difference in the health status of the gin-giva and periodontium between the groups of p <0.05. In students of group 1 there is a higher incidence of aphthae compared to students in group 2 at the level of statistical significance of p <0.01. The conclusion of the doctoral dissertation is unique, and it concerns the importance of knowledge about oral health and oral hygiene practices, atti-tudes and behavior among students. This study provided a new understanding of risk factors for oral health among medical program students at the University of Nis. Education and promotion of oral health through dental visits, electronic and print media and public health programs are needed to improve oral hygiene among young adults as well as among the general population. The results of this study show that students in clinical subjects have better knowledge of oral hygiene compared to students in the preclinical medical program. It is necessary to educate pre-clinical students to raise awareness of the importance of oral health.