Document Detail


Move of adults with mental retardation from institutions to community-based living: changes in the oral microbiological flora.
MedLine Citation:
PMID:  11332525     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the Western world, the policy of deinstitutionalization and integration of individuals with mental retardation is generally accepted. We tested the hypothesis that de-institutionalization may lead to changes of habits with a potential to influence oral health. When 57 adults with mental retardation moved from an institution to community-based living, their oral hygiene habits, gingival bleeding, and a three-day food record were registered one month before and 9 and 21 months after the move. Mutans streptococci and lactobacilli in saliva, P. intermedia/P. nigrescens, P. gingivalis, and A. actinomycetemcomitans in supragingival plaque, and C. albicans on mucous membranes were analyzed. After 21 months of community-based living, fewer persons showed high classes of mutans streptococci, growth of P. intermedia/P. nigrescens, and high frequency of sucrose intake, and more subjects showed growth of C. albicans. In a short perspective, the indicators of oral diseases suggest an unchanged or lower risk of oral diseases after the de-institutionalization of individuals with moderate or severe mental retardation.
Authors:
P Gabre; M Wikström; T Martinsson; L Gahnberg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of dental research     Volume:  80     ISSN:  0022-0345     ISO Abbreviation:  J. Dent. Res.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-05-02     Completed Date:  2001-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0354343     Medline TA:  J Dent Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  421-6     Citation Subset:  D; IM    
Affiliation:
Samariterhemmet Hospital Dental Clinic, Public Dental Health Services, Uppsala, Sweden. pia.gabre@samarit.ftv.lul.se
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MeSH Terms
Descriptor/Qualifier:
Actinobacillus actinomycetemcomitans / isolation & purification
Adult
Aged
Candida albicans / isolation & purification
Deinstitutionalization*
Dental Plaque / microbiology*
Diet Records
Female
Humans
Lactobacillus / isolation & purification
Male
Mental Retardation / microbiology*,  rehabilitation
Middle Aged
Oral Hygiene / utilization
Periodontal Index
Porphyromonas gingivalis / isolation & purification
Prevotella intermedia / isolation & purification
Saliva / microbiology*
Statistics, Nonparametric
Streptococcus mutans / isolation & purification

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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