Contributions
Abstract: EP1732
Type: Poster Sessions
Abstract Category: Therapy - Others
Background: Multiple Sclerosis(MS) patients with high scores of Expanded Disability Status Scale(EDSS), appear more susceptive to oral infectious diseases, due to their ineffective oral hygiene and inaccessibility to dental services. Untreated dental pathologies, caries or periodontitis lead to tooth loss and patients have to undergo extensive prosthodontics rehabilitation to restore their chewing efficacy.
Objectives: This study aims to evaluate the oral and dental status of MS patients in Greece and appraise their prostodontic restorations and to associate them with the EDSS score, Disease Type, Age and accessibility deteriorations to dental services.
Methods: 157 MS patients under regular follow-up at the Outpatient Demyelinating Diseases Clinic of the Aeginition Hospital, at the 1st Department of Neurology, of NKUA participated in the study. The mean age of the sample was 43.33±12.7, 63,1% female, 56,4% married, 48,4% of Tertiary Education and Mean Healthy Lifestyle Score 6.1±1.9. Median EDSS was 3.0, mean age at disease onset 32.5±10.84, mean disease duration in months 129,18±107,13, RRMS 67.7%. They consented to answer a questionnaire on their health and OHS, accessibility to dental services and QoL, and to receive a dental examination. DMFT(Decayed-Missing-Filled Teeth) scores measured the OHS.
Results: DMFT scores were significantly related to: age, disease type, age at disease onset and EDSS scale. Only four patients had dental implants. and four patients had received dental treatment at home. Highest scores of EDSS were associated with more missing teeth and untreated need of prosthetic restoration, while there was a great number of combined fixed and removable prosthesis among them. Denture wearers were comfortable cleaning them extra-orally and speaking, but lacked chewing attribution and aesthetics, whereas patients restored with fixed partial dentures were satisfied in all fields. 75,8% of the patients attended their dentist regularly and only 24,2% of them mentioned a reason of inaccessibility. Inaccessibility correlated significantly with age, EDSS and disease type.
Conclusion: MS patients of high EDSS scores and disease duration have more missing and less restored teeth, due to inaccessibility of dental services. Treating patients at home could improve their oral health status considering that MS is a disease of periodical mobility deterioration, preventing tooth loss and help patients avoid complicated restorative procedures.
Disclosure: Charitomeni Chatzinikolaou: Nothing to Disclosure
Artemis Artemiadis: Nothing to Disclosure
Serafim Katsavos: Nothing to Disclosure
Phophi Kamposiora: Nothing to Disclosure
Maria Anagnostouli: Nothing to Disclosure
Abstract: EP1732
Type: Poster Sessions
Abstract Category: Therapy - Others
Background: Multiple Sclerosis(MS) patients with high scores of Expanded Disability Status Scale(EDSS), appear more susceptive to oral infectious diseases, due to their ineffective oral hygiene and inaccessibility to dental services. Untreated dental pathologies, caries or periodontitis lead to tooth loss and patients have to undergo extensive prosthodontics rehabilitation to restore their chewing efficacy.
Objectives: This study aims to evaluate the oral and dental status of MS patients in Greece and appraise their prostodontic restorations and to associate them with the EDSS score, Disease Type, Age and accessibility deteriorations to dental services.
Methods: 157 MS patients under regular follow-up at the Outpatient Demyelinating Diseases Clinic of the Aeginition Hospital, at the 1st Department of Neurology, of NKUA participated in the study. The mean age of the sample was 43.33±12.7, 63,1% female, 56,4% married, 48,4% of Tertiary Education and Mean Healthy Lifestyle Score 6.1±1.9. Median EDSS was 3.0, mean age at disease onset 32.5±10.84, mean disease duration in months 129,18±107,13, RRMS 67.7%. They consented to answer a questionnaire on their health and OHS, accessibility to dental services and QoL, and to receive a dental examination. DMFT(Decayed-Missing-Filled Teeth) scores measured the OHS.
Results: DMFT scores were significantly related to: age, disease type, age at disease onset and EDSS scale. Only four patients had dental implants. and four patients had received dental treatment at home. Highest scores of EDSS were associated with more missing teeth and untreated need of prosthetic restoration, while there was a great number of combined fixed and removable prosthesis among them. Denture wearers were comfortable cleaning them extra-orally and speaking, but lacked chewing attribution and aesthetics, whereas patients restored with fixed partial dentures were satisfied in all fields. 75,8% of the patients attended their dentist regularly and only 24,2% of them mentioned a reason of inaccessibility. Inaccessibility correlated significantly with age, EDSS and disease type.
Conclusion: MS patients of high EDSS scores and disease duration have more missing and less restored teeth, due to inaccessibility of dental services. Treating patients at home could improve their oral health status considering that MS is a disease of periodical mobility deterioration, preventing tooth loss and help patients avoid complicated restorative procedures.
Disclosure: Charitomeni Chatzinikolaou: Nothing to Disclosure
Artemis Artemiadis: Nothing to Disclosure
Serafim Katsavos: Nothing to Disclosure
Phophi Kamposiora: Nothing to Disclosure
Maria Anagnostouli: Nothing to Disclosure