lilia doichinova - Academia.edu (original) (raw)

Papers by lilia doichinova

Research paper thumbnail of Study of the prevalence of dental caries in adults

MedInform, Dec 20, 2022

Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Mater... more Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Materials and methods: Patients over 18 participated in the study after signing informed consent. The risk factors for developing dental caries were evaluated-carbohydrate diet, oral hygiene, and saliva with its characteristics. Results: The obtained results show that the risk factors for developing dental caries intake of carbohydrate foods and oral hygiene in most participants are high risk, leading to their oral risk profile. Conclusion: The present study demonstrated significant levels of carbohydrate intake and poor oral hygiene in most of the patients; according to WHO recommendations for improving the oral health of the population, the focus should be placed on prevention, health education, promotion of oral health, and implementation of preventive measures in them by creating preventative programs.

Research paper thumbnail of Evaluate the effect of the implementation of the parent training program and the oral risk profile of their children

MedInform, Apr 29, 2022

Introduction: Oral literacy (OHL) is an essential factor in an individual's oral health and gener... more Introduction: Oral literacy (OHL) is an essential factor in an individual's oral health and general well-being. Parents with adequate OHL play an essential role in preventing oral diseases. Aim: The study aims to assess the oral risk profile of children aged 6 to 10 years after implementing a program to increase their parents' oral health literacy training. Materials and methods: The study involved 243 parents, including 209 women and 34 men, after signing informed consent and their children aged 6 to 10. After assessing their attitudes and knowledge of dental care and oral health, a dental health education program was established. The change of their children's oral health is realized through a preventive plan for modeling the oral environment individually for each child with their parents' active participation and assistance. It included prophylactic approaches after assessing the unique combination of caries risk factors. The primary strategy of each prevention plan was to model the behavior of children to improve oral hygiene (frequency), how to conduct it, the most commonly used movements of the toothbrush, duration (duration), use of fluoride toothpaste, and control of oral care. Results: After one year of implementation of the parents' health education program, the oral risk profile of their children was assessed in terms of oral hygiene, diet, fluoride prevention, and caries activity. Conclusions: The results show that increasing the health literacy of parents correlates positively with the improvement of the oral risk profile of their children.

![Research paper thumbnail of Dentists` Awareness of white spot lesions during treatment with fixed orthodontic appliances](https://attachments.academia-assets.com/109424128/thumbnails/1.jpg)

MedInform, Mar 26, 2020

Introduction: Fixed orthodontic appliances are used for the treatment of jaw deformities for a ce... more Introduction: Fixed orthodontic appliances are used for the treatment of jaw deformities for a certain period of time, but they are a risk factor for development of dental caries, because they are retentive and support plaque accumulation. The elements of fixed orthodontic technique can change the biological balance in the oral cavity and put the patients treated with such orthodontic appliances at high risk of developing dental caries.

Research paper thumbnail of Dietary Intake of Vitamin D and Dental Caries Incidence in People with Overweight and Obesity

Acta Medica Bulgarica, Mar 22, 2023

The aims of the present study are to investigate the relationship between the anthropometric indi... more The aims of the present study are to investigate the relationship between the anthropometric indicators and peculiarities of the nutritional intake in people with overweight and obesity and the risk factors for the development of dental caries in adults. Materials and Methods: The study involved 264 individuals aged between 18 and 60 years. The following risk factors for the development of dental caries were traced: diet (carbohydrate intake), oral hygiene habits and social status in overweight and obese people. The dental caries incidence was determined through the DMFT index, by assessing the total number of teeth which are decayed (D), missing (M) due to caries, or fi lled (treated, F). Results: The age-related distribution was as follows:

Research paper thumbnail of Program to health knowledge about oral health in adults aged 19 to 64 years

Research paper thumbnail of Level of health awareness and the development of dental caries in adults

MedInform, Dec 20, 2022

Objective: The study aimed to assess the relationship between health knowledge, demographic deter... more Objective: The study aimed to assess the relationship between health knowledge, demographic determinants, and dental caries intensity in adults. Materials and methods: The study involved 100 patients aged 19 to 64 years. A structured questionnaire assessed sociodemographic factors and oral health knowledge. The DMFT+t index evaluates the incidence of dental caries in them. Results: The Intensity of dental caries was high in participants with low oral health literacy (9.37 ± 3.17), followed by those with a satisfactory level of health knowledge (6.25 ± 2.53) and participants with a high level of health knowledge (4.73 ± 1.22). Participants' age and gender were not significantly associated with health knowledge, in contrast to education (Rho= 0.818, p<0.001) and employment (Rho=−0.476<0.01), where a significant correlation was found. Conclusion: A significant association between health knowledge with DMFT score was found in participants.

Research paper thumbnail of Assessing the Influence of Increased Stress on Bruxism During the COVID-19 Pandemic

Journal of IMAB, Feb 15, 2022

Aim of the study: This study aims to evaluate the possible relationship between the occurrence of... more Aim of the study: This study aims to evaluate the possible relationship between the occurrence of bruxism and perceived stress during the Covid-19 pandemic period. Material and methods: Two questionnaires were administered to one hundred forty-five (145) respondents randomly selected from different age groups and gender. Each patient was screened with and Perceived Stress Scale-10 (PSS-10) containing ten questions. The questionnaire assessed patients about stress related to everyday problems, personal events, and coping methods. The answers were scored using an ordinal five-point scale. In this study, a sixitem self-administered questionnaire was used to evaluate self-reported awake and sleep bruxism. Results: In the present study, bruxism was not statistically significantly correlated with self-reported perceived stress based on PSS-10 (rank correlation coefficient was rho (145) = 0.080, p < 0.341). There was no statistically significant difference within the study group between genders in the frequency of low, moderate, and high PSS-10 results (U = 2329.5, p = 0.339). The analysis also showed no statistically significant difference between males and females regarding bruxism score (U = 2381.5, p = 0.434). Conclusions: Results do not confirm the findings of a positive association between bruxism and perceived stress. Within the limitations of this study, the data suggest that the relationship between perceived stress and the expression of bruxism is more complex. Given the results of the current research, this issue requires further investigation.

Research paper thumbnail of Assessment of the association of bruxism with caffeine consumption and nicotine intake

MedInform, Jan 29, 2022

Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used p... more Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used psychoactive substances. The relationship between these popular daily stimulants and bruxism is insufficiently investigated. The evidence on the association between these factors and bruxism is controversial. Aim: Our study aimed to investigate the possible association between using the most marketable daily stimulants-nicotine and caffeine, and self-reported bruxism. Material and methods: The study included 137 (n=137) participants aged from 30 to 61 years (Mean 47.08±0.59; SD=6.92)-44.53% (n=61) of participants were male, and 55.47% (n=76) were female. Questionnaires evaluated the relationship between cigarette smoking, caffeine consumption and bruxism. Results: Bruxism was associated highly with tobacco use. Smoking appears is more prevalent among bruxers (71.43%). The cigarette smoking was significantly associated with the bruxism (rho (137)=0.327, p <0.001). Consumption of coffee and caffeine containing beverages was not related to the bruxism (rho(137)=-0.096, p ˃0.05). Chi-square test for independence indicated no significant association between bruxism, caffeine consumption (χ2 (2, n=137)=2.391, p=0.303, phi = 0.132.) and nicotine intake (χ2 (1, n=137)=4.967, p=0.083, ph =0.190.) in terms of gender. Conclusions: Based on limited evidence in this study, bruxism was associated positively with nicotine intake. The association between the studied stimulants could not be neglected. However, there is still a necessity for additional evidence. This association should be further assessed in the presence of confounding factors.

Research paper thumbnail of Assessment of the Effectiveness of Different Methodologies for Oral Hygiene Training

MedInform, Dec 17, 2014

Oral health is connected to the knowledge, motivation and level of oral hygiene of each individua... more Oral health is connected to the knowledge, motivation and level of oral hygiene of each individual. The strict conduct of oral-hygiene care is essential to maintaining good dental health. Aim: The study aims to implement three methods for oral hygiene training and to assess their effectiveness. The study covers 60 children aged 4-12 years. The children were divided into three groups depending on the method of training: I Method using motivational materials and audiovisual materials; II Method-education in the group; III Method-individual education. The assessment of the oral-hygiene status was accomplished by the simplified oral hygiene index-Greene & Vermillion. The reported results were compared to a control group of children, who continued their traditional oral-hygiene practice. Results and conclusions: In both the experimental and control groups, prior to the training, oral hygiene was found inadequate. The results showed improvement in oral hygiene to be the most significant in children with individual training, followed by the group trained with motivational materials and children educated in a group. The oral hygiene status of the participants in the control group remains unsatisfactory at the end of the study.

Research paper thumbnail of Assessment of Oral Hygiene Habits in Children 6 to 12 Years

Journal of IMAB, Nov 25, 2014

INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildre... more INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildren. AIM: The study aims to assess the skills when conducting oral hygiene of a group of schoolchildren and to conduct training in its rules. MATERIAL AND METHODS: The study covers 30 children aged 6-12 years. The training was conducted by the methods of the visual pedagogy and implementation of the technique "Say, show, do". The assessment of the oral-hygiene status was held by the simplified oral hygiene index-Greene & Vermillion. RESULTS AND CONCLUSION: The children do not have proper oral hygiene habits. The daily oral care is inadequate. The number of cleaned tooth surfaces during oral hygiene practice is small. Children have no developed proper oral hygiene skills, and brush only the vestibular surfaces of the teeth (80%), 13.3% the vestibular and the occlusal, and 6.7% only cover lingual surfaces too. The unsatisfactory oral hygiene status is also a result of using only one type of toothbrush movements. The improvement of children's health knowledge should play key role in correcting their oral hygiene technique.

Research paper thumbnail of Types of microorganisms in proximal caries lesion and ozone treatment

Biotechnology & Biotechnological Equipment, 2019

The purpose of this clinical study was to investigate the types of microorganisms in deep proxima... more The purpose of this clinical study was to investigate the types of microorganisms in deep proximal caries lesions and the efficacy of elimination of microorganisms after a 24 s ozone application to proximal cavity lesions prepared for restoration. Sixteen caries-active volunteers (female: 8, male: 8; age range: 35-55), with proximally situated deep caries lesions on premolars or molars, were included in the study. Each patient underwent two microbiological investigations. First, the caries decay before treatment was assessed. Second, the dentine tissue was assessed after the removal of necrotic tooth decay and 24 s ozone application. The prevalence of oral streptococci was determined. In addition, we isolated Candida albicans, Enterococcus faecalis and Peptostreptococcus spp. from deep proximal caries lesion in caries-active patients. All microorganisms found in the deep proximal caries lesions were destroyed following 24 s ozone application. Our findings suggest that S. anginosus group, C. albicans and E. faecalis should be considered as an index for caries activity in caries-active patients, but additional studies are necessary to confirm this suggestion. This study demonstrated that 24 s of gaseous ozone application to the deep proximal caries lesions effectively eliminated microbial species.

Research paper thumbnail of Program to health knowledge about oral health in adults aged 19 to 64 years

Journal of Medical and Dental Practice

Research paper thumbnail of Study of the prevalence of dental caries in adults

Journal of Medical and Dental Practice

Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Mater... more Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Materials and methods: Patients over 18 participated in the study after signing informed consent. The risk factors for developing dental caries were evaluated-carbohydrate diet, oral hygiene, and saliva with its characteristics. Results: The obtained results show that the risk factors for developing dental caries intake of carbohydrate foods and oral hygiene in most participants are high risk, leading to their oral risk profile. Conclusion: The present study demonstrated significant levels of carbohydrate intake and poor oral hygiene in most of the patients; according to WHO recommendations for improving the oral health of the population, the focus should be placed on prevention, health education, promotion of oral health, and implementation of preventive measures in them by creating preventative programs.

Research paper thumbnail of Assessing the Influence of Increased Stress on Bruxism During the COVID-19 Pandemic

Journal of IMAB - Annual Proceeding (Scientific Papers), 2022

Aim of the study: This study aims to evaluate the possible relationship between the occurrence of... more Aim of the study: This study aims to evaluate the possible relationship between the occurrence of bruxism and perceived stress during the Covid-19 pandemic period. Material and methods: Two questionnaires were administered to one hundred forty-five (145) respondents randomly selected from different age groups and gender. Each patient was screened with and Perceived Stress Scale–10 (PSS-10) containing ten questions. The questionnaire assessed patients about stress related to everyday problems, personal events, and coping methods. The answers were scored using an ordinal five-point scale. In this study, a six-item self-administered questionnaire was used to evaluate self-reported awake and sleep bruxism. Results: In the present study, bruxism was not statistically significantly correlated with self-reported perceived stress based on PSS-10 (rank correlation coefficient was rho (145) = 0.080, p < 0.341). There was no statistically significant difference within the study group betwee...

Research paper thumbnail of Assessment of the association of bruxism with caffeine consumption and nicotine intake

Journal of Medical and Dental Practice, 2022

Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used p... more Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used psychoactive substances. The relationship between these popular daily stimulants and bruxism is insufficiently investigated. The evidence on the association between these factors and bruxism is controversial. Aim: Our study aimed to investigate the possible association between using the most marketable daily stimulants-nicotine and caffeine, and self-reported bruxism. Material and methods: The study included 137 (n=137) participants aged from 30 to 61 years (Mean 47.08±0.59; SD=6.92)-44.53% (n=61) of participants were male, and 55.47% (n=76) were female. Questionnaires evaluated the relationship between cigarette smoking, caffeine consumption and bruxism. Results: Bruxism was associated highly with tobacco use. Smoking appears is more prevalent among bruxers (71.43%). The cigarette smoking was significantly associated with the bruxism (rho (137)=0.327, p <0.001). Consumption of coffee and caffeine containing beverages was not related to the bruxism (rho(137)=-0.096, p ˃0.05). Chi-square test for independence indicated no significant association between bruxism, caffeine consumption (χ2 (2, n=137)=2.391, p=0.303, phi = 0.132.) and nicotine intake (χ2 (1, n=137)=4.967, p=0.083, ph =0.190.) in terms of gender. Conclusions: Based on limited evidence in this study, bruxism was associated positively with nicotine intake. The association between the studied stimulants could not be neglected. However, there is still a necessity for additional evidence. This association should be further assessed in the presence of confounding factors.

Research paper thumbnail of Changing oral health knowledge and habits of kindergarten educators within the oral health promotion program for preschool children

Journal of Medical and Dental Practice, 2018

Introduction: Educators should be involved in children oral health education due to the fact that... more Introduction: Educators should be involved in children oral health education due to the fact that the children spend a significant amount of time with them in the kindergarten, where they could be taught good health habits. They could emphasize and consolidate knowledge about the significance of sugary snacks and drinks, the benefits of a healthy diet, good oral hygiene habits and dental visits. Material and methods: 49 people took part in the study-24 educators and 25 support staff in kindergartens. Didactic trainings were organized for them in the course of three weeks.

Research paper thumbnail of Types of microorganisms in proximal caries lesion and ozone treatment

Biotechnology & Biotechnological Equipment, 2019

The purpose of this clinical study was to investigate the types of microorganisms in deep proxima... more The purpose of this clinical study was to investigate the types of microorganisms in deep proximal caries lesions and the efficacy of elimination of microorganisms after a 24 s ozone application to proximal cavity lesions prepared for restoration. Sixteen caries-active volunteers (female: 8, male: 8; age range: 35-55), with proximally situated deep caries lesions on premolars or molars, were included in the study. Each patient underwent two microbiological investigations. First, the caries decay before treatment was assessed. Second, the dentine tissue was assessed after the removal of necrotic tooth decay and 24 s ozone application. The prevalence of oral streptococci was determined. In addition, we isolated Candida albicans, Enterococcus faecalis and Peptostreptococcus spp. from deep proximal caries lesion in caries-active patients. All microorganisms found in the deep proximal caries lesions were destroyed following 24 s ozone application. Our findings suggest that S. anginosus group, C. albicans and E. faecalis should be considered as an index for caries activity in caries-active patients, but additional studies are necessary to confirm this suggestion. This study demonstrated that 24 s of gaseous ozone application to the deep proximal caries lesions effectively eliminated microbial species.

Research paper thumbnail of Awareness of Dentists About Oral Health of Children with Disabilities

Journal of IMAB - Annual Proceeding (Scientific Papers), 2014

Research paper thumbnail of Assessment of food habits in children aged 6–12 years and the risk of caries

Biotechnology & Biotechnological Equipment, 2014

Food is necessary for the proper growth and development of children. The excessive intake of low-... more Food is necessary for the proper growth and development of children. The excessive intake of low-molecular carbohydrates constitutes a serious health issue, which has an unfavourable impact on the dental health status. The aim of this study was to assess the food habits in healthy children aged 6À12 years and the effect on their oral risk profile. The study included 100 children. The assessment of their nutrition was done with the help of a seven-day reproduction of the food intake and a survey used to determine their underlying food habits and preferences. The results revealed unbalanced nutrition of the children and increased intake of simple sugar, which will increase the risk of development of dental caries. The observed high levels of DMFT (number of decayed, missing and filled teeth) in 54% of the children is a logical result of the frequent intake of sugary foods and beverages for a long period of time, as this will increase the acid production by microorganisms in dental plaque, which is one of the leading etiologic factors for the development of caries. It is necessary for dentists to administer control over the carbohydrate intake and the food habits of children, as well as to encourage non-cariogenic diet in order to keep their good oral health.

Research paper thumbnail of Assessment of the Relationship Between Temporomandibular Joint Sounds and Bruxism

Journal of IMAB - Annual Proceeding (Scientific Papers), 2022

Aim of the study: The study aims to assess the possible relationship between bruxism and TMJ soun... more Aim of the study: The study aims to assess the possible relationship between bruxism and TMJ sounds. Material and methods: The relationship between temporomandibular joint (TMJ) sounds and bruxism was evaluated in a sample composed of 62 females and 39 males varied in age from 21 to 56 years with a mean age of 40.0±1.07. The participants were informed about the purpose of this study, and they gave their consent. The main methods we used in registering TMJ sound were palpation and auscultation. A self-administered Bruxism Assessment Questionnaire assessed bruxism. Results: The prevalence of bruxism in study group was 60.39% (n = 61) – sleep bruxism (SB) and awake bruxism (AB) were 38.2% and 23.4%, respectively. A total of 53.47% (n = 54) of the sample exhibited some type of clicking joint sound. Chi-square test for independence (with Yates Continuity Correction) indicated significant association between bruxism and TMJ sounds, χ2 (1, n = 101) = 4.183, p = .046, phi = .28. Conclusions...

Research paper thumbnail of Study of the prevalence of dental caries in adults

MedInform, Dec 20, 2022

Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Mater... more Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Materials and methods: Patients over 18 participated in the study after signing informed consent. The risk factors for developing dental caries were evaluated-carbohydrate diet, oral hygiene, and saliva with its characteristics. Results: The obtained results show that the risk factors for developing dental caries intake of carbohydrate foods and oral hygiene in most participants are high risk, leading to their oral risk profile. Conclusion: The present study demonstrated significant levels of carbohydrate intake and poor oral hygiene in most of the patients; according to WHO recommendations for improving the oral health of the population, the focus should be placed on prevention, health education, promotion of oral health, and implementation of preventive measures in them by creating preventative programs.

Research paper thumbnail of Evaluate the effect of the implementation of the parent training program and the oral risk profile of their children

MedInform, Apr 29, 2022

Introduction: Oral literacy (OHL) is an essential factor in an individual's oral health and gener... more Introduction: Oral literacy (OHL) is an essential factor in an individual's oral health and general well-being. Parents with adequate OHL play an essential role in preventing oral diseases. Aim: The study aims to assess the oral risk profile of children aged 6 to 10 years after implementing a program to increase their parents' oral health literacy training. Materials and methods: The study involved 243 parents, including 209 women and 34 men, after signing informed consent and their children aged 6 to 10. After assessing their attitudes and knowledge of dental care and oral health, a dental health education program was established. The change of their children's oral health is realized through a preventive plan for modeling the oral environment individually for each child with their parents' active participation and assistance. It included prophylactic approaches after assessing the unique combination of caries risk factors. The primary strategy of each prevention plan was to model the behavior of children to improve oral hygiene (frequency), how to conduct it, the most commonly used movements of the toothbrush, duration (duration), use of fluoride toothpaste, and control of oral care. Results: After one year of implementation of the parents' health education program, the oral risk profile of their children was assessed in terms of oral hygiene, diet, fluoride prevention, and caries activity. Conclusions: The results show that increasing the health literacy of parents correlates positively with the improvement of the oral risk profile of their children.

![Research paper thumbnail of Dentists` Awareness of white spot lesions during treatment with fixed orthodontic appliances](https://attachments.academia-assets.com/109424128/thumbnails/1.jpg)

MedInform, Mar 26, 2020

Introduction: Fixed orthodontic appliances are used for the treatment of jaw deformities for a ce... more Introduction: Fixed orthodontic appliances are used for the treatment of jaw deformities for a certain period of time, but they are a risk factor for development of dental caries, because they are retentive and support plaque accumulation. The elements of fixed orthodontic technique can change the biological balance in the oral cavity and put the patients treated with such orthodontic appliances at high risk of developing dental caries.

Research paper thumbnail of Dietary Intake of Vitamin D and Dental Caries Incidence in People with Overweight and Obesity

Acta Medica Bulgarica, Mar 22, 2023

The aims of the present study are to investigate the relationship between the anthropometric indi... more The aims of the present study are to investigate the relationship between the anthropometric indicators and peculiarities of the nutritional intake in people with overweight and obesity and the risk factors for the development of dental caries in adults. Materials and Methods: The study involved 264 individuals aged between 18 and 60 years. The following risk factors for the development of dental caries were traced: diet (carbohydrate intake), oral hygiene habits and social status in overweight and obese people. The dental caries incidence was determined through the DMFT index, by assessing the total number of teeth which are decayed (D), missing (M) due to caries, or fi lled (treated, F). Results: The age-related distribution was as follows:

Research paper thumbnail of Program to health knowledge about oral health in adults aged 19 to 64 years

Research paper thumbnail of Level of health awareness and the development of dental caries in adults

MedInform, Dec 20, 2022

Objective: The study aimed to assess the relationship between health knowledge, demographic deter... more Objective: The study aimed to assess the relationship between health knowledge, demographic determinants, and dental caries intensity in adults. Materials and methods: The study involved 100 patients aged 19 to 64 years. A structured questionnaire assessed sociodemographic factors and oral health knowledge. The DMFT+t index evaluates the incidence of dental caries in them. Results: The Intensity of dental caries was high in participants with low oral health literacy (9.37 ± 3.17), followed by those with a satisfactory level of health knowledge (6.25 ± 2.53) and participants with a high level of health knowledge (4.73 ± 1.22). Participants' age and gender were not significantly associated with health knowledge, in contrast to education (Rho= 0.818, p<0.001) and employment (Rho=−0.476<0.01), where a significant correlation was found. Conclusion: A significant association between health knowledge with DMFT score was found in participants.

Research paper thumbnail of Assessing the Influence of Increased Stress on Bruxism During the COVID-19 Pandemic

Journal of IMAB, Feb 15, 2022

Aim of the study: This study aims to evaluate the possible relationship between the occurrence of... more Aim of the study: This study aims to evaluate the possible relationship between the occurrence of bruxism and perceived stress during the Covid-19 pandemic period. Material and methods: Two questionnaires were administered to one hundred forty-five (145) respondents randomly selected from different age groups and gender. Each patient was screened with and Perceived Stress Scale-10 (PSS-10) containing ten questions. The questionnaire assessed patients about stress related to everyday problems, personal events, and coping methods. The answers were scored using an ordinal five-point scale. In this study, a sixitem self-administered questionnaire was used to evaluate self-reported awake and sleep bruxism. Results: In the present study, bruxism was not statistically significantly correlated with self-reported perceived stress based on PSS-10 (rank correlation coefficient was rho (145) = 0.080, p < 0.341). There was no statistically significant difference within the study group between genders in the frequency of low, moderate, and high PSS-10 results (U = 2329.5, p = 0.339). The analysis also showed no statistically significant difference between males and females regarding bruxism score (U = 2381.5, p = 0.434). Conclusions: Results do not confirm the findings of a positive association between bruxism and perceived stress. Within the limitations of this study, the data suggest that the relationship between perceived stress and the expression of bruxism is more complex. Given the results of the current research, this issue requires further investigation.

Research paper thumbnail of Assessment of the association of bruxism with caffeine consumption and nicotine intake

MedInform, Jan 29, 2022

Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used p... more Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used psychoactive substances. The relationship between these popular daily stimulants and bruxism is insufficiently investigated. The evidence on the association between these factors and bruxism is controversial. Aim: Our study aimed to investigate the possible association between using the most marketable daily stimulants-nicotine and caffeine, and self-reported bruxism. Material and methods: The study included 137 (n=137) participants aged from 30 to 61 years (Mean 47.08±0.59; SD=6.92)-44.53% (n=61) of participants were male, and 55.47% (n=76) were female. Questionnaires evaluated the relationship between cigarette smoking, caffeine consumption and bruxism. Results: Bruxism was associated highly with tobacco use. Smoking appears is more prevalent among bruxers (71.43%). The cigarette smoking was significantly associated with the bruxism (rho (137)=0.327, p <0.001). Consumption of coffee and caffeine containing beverages was not related to the bruxism (rho(137)=-0.096, p ˃0.05). Chi-square test for independence indicated no significant association between bruxism, caffeine consumption (χ2 (2, n=137)=2.391, p=0.303, phi = 0.132.) and nicotine intake (χ2 (1, n=137)=4.967, p=0.083, ph =0.190.) in terms of gender. Conclusions: Based on limited evidence in this study, bruxism was associated positively with nicotine intake. The association between the studied stimulants could not be neglected. However, there is still a necessity for additional evidence. This association should be further assessed in the presence of confounding factors.

Research paper thumbnail of Assessment of the Effectiveness of Different Methodologies for Oral Hygiene Training

MedInform, Dec 17, 2014

Oral health is connected to the knowledge, motivation and level of oral hygiene of each individua... more Oral health is connected to the knowledge, motivation and level of oral hygiene of each individual. The strict conduct of oral-hygiene care is essential to maintaining good dental health. Aim: The study aims to implement three methods for oral hygiene training and to assess their effectiveness. The study covers 60 children aged 4-12 years. The children were divided into three groups depending on the method of training: I Method using motivational materials and audiovisual materials; II Method-education in the group; III Method-individual education. The assessment of the oral-hygiene status was accomplished by the simplified oral hygiene index-Greene & Vermillion. The reported results were compared to a control group of children, who continued their traditional oral-hygiene practice. Results and conclusions: In both the experimental and control groups, prior to the training, oral hygiene was found inadequate. The results showed improvement in oral hygiene to be the most significant in children with individual training, followed by the group trained with motivational materials and children educated in a group. The oral hygiene status of the participants in the control group remains unsatisfactory at the end of the study.

Research paper thumbnail of Assessment of Oral Hygiene Habits in Children 6 to 12 Years

Journal of IMAB, Nov 25, 2014

INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildre... more INTRODUCTION: Oral hygiene is an essential element of health education programs for schoolchildren. AIM: The study aims to assess the skills when conducting oral hygiene of a group of schoolchildren and to conduct training in its rules. MATERIAL AND METHODS: The study covers 30 children aged 6-12 years. The training was conducted by the methods of the visual pedagogy and implementation of the technique "Say, show, do". The assessment of the oral-hygiene status was held by the simplified oral hygiene index-Greene & Vermillion. RESULTS AND CONCLUSION: The children do not have proper oral hygiene habits. The daily oral care is inadequate. The number of cleaned tooth surfaces during oral hygiene practice is small. Children have no developed proper oral hygiene skills, and brush only the vestibular surfaces of the teeth (80%), 13.3% the vestibular and the occlusal, and 6.7% only cover lingual surfaces too. The unsatisfactory oral hygiene status is also a result of using only one type of toothbrush movements. The improvement of children's health knowledge should play key role in correcting their oral hygiene technique.

Research paper thumbnail of Types of microorganisms in proximal caries lesion and ozone treatment

Biotechnology & Biotechnological Equipment, 2019

The purpose of this clinical study was to investigate the types of microorganisms in deep proxima... more The purpose of this clinical study was to investigate the types of microorganisms in deep proximal caries lesions and the efficacy of elimination of microorganisms after a 24 s ozone application to proximal cavity lesions prepared for restoration. Sixteen caries-active volunteers (female: 8, male: 8; age range: 35-55), with proximally situated deep caries lesions on premolars or molars, were included in the study. Each patient underwent two microbiological investigations. First, the caries decay before treatment was assessed. Second, the dentine tissue was assessed after the removal of necrotic tooth decay and 24 s ozone application. The prevalence of oral streptococci was determined. In addition, we isolated Candida albicans, Enterococcus faecalis and Peptostreptococcus spp. from deep proximal caries lesion in caries-active patients. All microorganisms found in the deep proximal caries lesions were destroyed following 24 s ozone application. Our findings suggest that S. anginosus group, C. albicans and E. faecalis should be considered as an index for caries activity in caries-active patients, but additional studies are necessary to confirm this suggestion. This study demonstrated that 24 s of gaseous ozone application to the deep proximal caries lesions effectively eliminated microbial species.

Research paper thumbnail of Program to health knowledge about oral health in adults aged 19 to 64 years

Journal of Medical and Dental Practice

Research paper thumbnail of Study of the prevalence of dental caries in adults

Journal of Medical and Dental Practice

Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Mater... more Aim: The study aimed to investigate the prevalence of dental caries in individuals over 18. Materials and methods: Patients over 18 participated in the study after signing informed consent. The risk factors for developing dental caries were evaluated-carbohydrate diet, oral hygiene, and saliva with its characteristics. Results: The obtained results show that the risk factors for developing dental caries intake of carbohydrate foods and oral hygiene in most participants are high risk, leading to their oral risk profile. Conclusion: The present study demonstrated significant levels of carbohydrate intake and poor oral hygiene in most of the patients; according to WHO recommendations for improving the oral health of the population, the focus should be placed on prevention, health education, promotion of oral health, and implementation of preventive measures in them by creating preventative programs.

Research paper thumbnail of Assessing the Influence of Increased Stress on Bruxism During the COVID-19 Pandemic

Journal of IMAB - Annual Proceeding (Scientific Papers), 2022

Aim of the study: This study aims to evaluate the possible relationship between the occurrence of... more Aim of the study: This study aims to evaluate the possible relationship between the occurrence of bruxism and perceived stress during the Covid-19 pandemic period. Material and methods: Two questionnaires were administered to one hundred forty-five (145) respondents randomly selected from different age groups and gender. Each patient was screened with and Perceived Stress Scale–10 (PSS-10) containing ten questions. The questionnaire assessed patients about stress related to everyday problems, personal events, and coping methods. The answers were scored using an ordinal five-point scale. In this study, a six-item self-administered questionnaire was used to evaluate self-reported awake and sleep bruxism. Results: In the present study, bruxism was not statistically significantly correlated with self-reported perceived stress based on PSS-10 (rank correlation coefficient was rho (145) = 0.080, p < 0.341). There was no statistically significant difference within the study group betwee...

Research paper thumbnail of Assessment of the association of bruxism with caffeine consumption and nicotine intake

Journal of Medical and Dental Practice, 2022

Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used p... more Introduction: Caffeine and nicotine are two legal stimulants among the world's most widely used psychoactive substances. The relationship between these popular daily stimulants and bruxism is insufficiently investigated. The evidence on the association between these factors and bruxism is controversial. Aim: Our study aimed to investigate the possible association between using the most marketable daily stimulants-nicotine and caffeine, and self-reported bruxism. Material and methods: The study included 137 (n=137) participants aged from 30 to 61 years (Mean 47.08±0.59; SD=6.92)-44.53% (n=61) of participants were male, and 55.47% (n=76) were female. Questionnaires evaluated the relationship between cigarette smoking, caffeine consumption and bruxism. Results: Bruxism was associated highly with tobacco use. Smoking appears is more prevalent among bruxers (71.43%). The cigarette smoking was significantly associated with the bruxism (rho (137)=0.327, p <0.001). Consumption of coffee and caffeine containing beverages was not related to the bruxism (rho(137)=-0.096, p ˃0.05). Chi-square test for independence indicated no significant association between bruxism, caffeine consumption (χ2 (2, n=137)=2.391, p=0.303, phi = 0.132.) and nicotine intake (χ2 (1, n=137)=4.967, p=0.083, ph =0.190.) in terms of gender. Conclusions: Based on limited evidence in this study, bruxism was associated positively with nicotine intake. The association between the studied stimulants could not be neglected. However, there is still a necessity for additional evidence. This association should be further assessed in the presence of confounding factors.

Research paper thumbnail of Changing oral health knowledge and habits of kindergarten educators within the oral health promotion program for preschool children

Journal of Medical and Dental Practice, 2018

Introduction: Educators should be involved in children oral health education due to the fact that... more Introduction: Educators should be involved in children oral health education due to the fact that the children spend a significant amount of time with them in the kindergarten, where they could be taught good health habits. They could emphasize and consolidate knowledge about the significance of sugary snacks and drinks, the benefits of a healthy diet, good oral hygiene habits and dental visits. Material and methods: 49 people took part in the study-24 educators and 25 support staff in kindergartens. Didactic trainings were organized for them in the course of three weeks.

Research paper thumbnail of Types of microorganisms in proximal caries lesion and ozone treatment

Biotechnology & Biotechnological Equipment, 2019

The purpose of this clinical study was to investigate the types of microorganisms in deep proxima... more The purpose of this clinical study was to investigate the types of microorganisms in deep proximal caries lesions and the efficacy of elimination of microorganisms after a 24 s ozone application to proximal cavity lesions prepared for restoration. Sixteen caries-active volunteers (female: 8, male: 8; age range: 35-55), with proximally situated deep caries lesions on premolars or molars, were included in the study. Each patient underwent two microbiological investigations. First, the caries decay before treatment was assessed. Second, the dentine tissue was assessed after the removal of necrotic tooth decay and 24 s ozone application. The prevalence of oral streptococci was determined. In addition, we isolated Candida albicans, Enterococcus faecalis and Peptostreptococcus spp. from deep proximal caries lesion in caries-active patients. All microorganisms found in the deep proximal caries lesions were destroyed following 24 s ozone application. Our findings suggest that S. anginosus group, C. albicans and E. faecalis should be considered as an index for caries activity in caries-active patients, but additional studies are necessary to confirm this suggestion. This study demonstrated that 24 s of gaseous ozone application to the deep proximal caries lesions effectively eliminated microbial species.

Research paper thumbnail of Awareness of Dentists About Oral Health of Children with Disabilities

Journal of IMAB - Annual Proceeding (Scientific Papers), 2014

Research paper thumbnail of Assessment of food habits in children aged 6–12 years and the risk of caries

Biotechnology & Biotechnological Equipment, 2014

Food is necessary for the proper growth and development of children. The excessive intake of low-... more Food is necessary for the proper growth and development of children. The excessive intake of low-molecular carbohydrates constitutes a serious health issue, which has an unfavourable impact on the dental health status. The aim of this study was to assess the food habits in healthy children aged 6À12 years and the effect on their oral risk profile. The study included 100 children. The assessment of their nutrition was done with the help of a seven-day reproduction of the food intake and a survey used to determine their underlying food habits and preferences. The results revealed unbalanced nutrition of the children and increased intake of simple sugar, which will increase the risk of development of dental caries. The observed high levels of DMFT (number of decayed, missing and filled teeth) in 54% of the children is a logical result of the frequent intake of sugary foods and beverages for a long period of time, as this will increase the acid production by microorganisms in dental plaque, which is one of the leading etiologic factors for the development of caries. It is necessary for dentists to administer control over the carbohydrate intake and the food habits of children, as well as to encourage non-cariogenic diet in order to keep their good oral health.

Research paper thumbnail of Assessment of the Relationship Between Temporomandibular Joint Sounds and Bruxism

Journal of IMAB - Annual Proceeding (Scientific Papers), 2022

Aim of the study: The study aims to assess the possible relationship between bruxism and TMJ soun... more Aim of the study: The study aims to assess the possible relationship between bruxism and TMJ sounds. Material and methods: The relationship between temporomandibular joint (TMJ) sounds and bruxism was evaluated in a sample composed of 62 females and 39 males varied in age from 21 to 56 years with a mean age of 40.0±1.07. The participants were informed about the purpose of this study, and they gave their consent. The main methods we used in registering TMJ sound were palpation and auscultation. A self-administered Bruxism Assessment Questionnaire assessed bruxism. Results: The prevalence of bruxism in study group was 60.39% (n = 61) – sleep bruxism (SB) and awake bruxism (AB) were 38.2% and 23.4%, respectively. A total of 53.47% (n = 54) of the sample exhibited some type of clicking joint sound. Chi-square test for independence (with Yates Continuity Correction) indicated significant association between bruxism and TMJ sounds, χ2 (1, n = 101) = 4.183, p = .046, phi = .28. Conclusions...