Clinical, Cosmetic and Investigational Dentistry最新文献

{"title":"Rehabilitation of Complex Iatrogenic Prosthodontic Failures: A Case Report on Comprehensive Full-Mouth Reconstruction.","authors":"Rawan Alrethia","doi":"10.2147/CCIDE.S633204","DOIUrl":"https://doi.org/10.2147/CCIDE.S633204","url":null,"abstract":"<p><p>The management of partial edentulism with severe occlusal disharmony and failed prosthodontic restorations requires careful multidisciplinary treatment. A 48-year-old male presented with defective restorations, marginal discrepancies, excess cement, poor contours, a collapsed occlusal plane, missing teeth, hyper-erupted posterior teeth, occlusal interferences, and localised stage II grade B periodontitis. After written informed consent, the treatment was completed in four phases: non-surgical periodontal therapy, endodontic retreatment with post-core reconstruction, selective extractions, and definitive fixed prosthodontic rehabilitation. A mounted diagnostic wax-up established the restored vertical dimension and group-function occlusal scheme. IPS e.max lithium disilicate crowns were bonded anteriorly, while monolithic zirconia crowns were cemented posteriorly. At the 4-week follow-up, the patient demonstrated complete resolution of periodontal inflammation, elimination of occlusal interferences, stable group function, and high satisfaction with masticatory function and smile aesthetics.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"633204"},"PeriodicalIF":1.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Prosthetic Material Type on the Survival of Tooth-Supported Fixed Dental Prostheses: A Systematic Review of the Literature.","authors":"Sirine Harrach, Morchad Bouabid","doi":"10.2147/CCIDE.S622581","DOIUrl":"https://doi.org/10.2147/CCIDE.S622581","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the influence of prosthetic material type on the survival of tooth-supported fixed dental prostheses by comparing metal-ceramic, all-ceramic, and zirconia restorations, as well as the associated technical and biological complications.</p><p><strong>Materials and methods: </strong>A systematic review of the literature was conducted using PubMed, ScienceDirect, and Wiley Online Library databases for the period 2015-2026. The search strategy was based on keywords related to fixed dental prostheses. Seventeen studies were included after applying inclusion and exclusion criteria. Qualitative analysis of the data was performed owing to the methodological heterogeneity of the included studies.</p><p><strong>Results: </strong>Seventeen studies were included in this systematic review. Metal-ceramic restorations showed high survival rates, reaching 100% at 5 and 10 years in some studies. All-ceramic restorations demonstrated survival rates ranging from 88% to 100%, with excellent esthetic performance but mechanical variability depending on the material. Zirconia restorations showed variable survival rates, ranging from 71% to over 100%, depending on the study and follow-up duration, with a higher frequency of technical complications, particularly chipping of the veneering ceramic in layered restorations.</p><p><strong>Conclusion: </strong>Metal-ceramic restorations are a benchmark for clinical reliability. All-ceramic and zirconia restorations are effective alternatives, particularly when high esthetic demands are involved. Material selection should be individualized and based on biomechanical constraints, esthetic requirements, and patient-specific characteristics to optimize the long-term clinical outcomes.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"622581"},"PeriodicalIF":1.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13544153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148896456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic Stress and Temporomandibular Disorder Symptoms in Dental Students: Preliminary Cross-Sectional Study Findings on Prevalence, Severity, and Associated Factors.","authors":"Basem H Al-Huthaifi, Ehab M Abdu, Abdullmalik N Al-Hamati, Mohammed M Al Moaleem, Khalid Aldhorae, Baker M Abdullah, Ali H Al-Surri, Helal Y Al-Sabri, Saleh L Alnamer, Awab M Al-Hattami, Talal M Alghurbani, Mohannad A Al-Safani","doi":"10.2147/CCIDE.S632129","DOIUrl":"10.2147/CCIDE.S632129","url":null,"abstract":"<p><strong>Purpose: </strong>Temporomandibular disorders (TMD) are prevalent among dental students who are exposed to significant academic stressors. However, the relationship between stress severity and TMD symptomatology remains poorly characterized. This study assessed the prevalence of TMD symptoms, academic stress, and their associations among dental students.</p><p><strong>Methods: </strong>This multicenter, classroom-based survey invited 850 undergraduate dental students at five universities. Of 792 returned questionnaires (return rate, 93.2%), 756 were included in the final analysis (88.9% of those invited). TMD symptoms were screened with the Fonseca Anamnestic Index (FAI), academic stress with a locally adapted 10-item Dental Environment Stress Scale (DESS)-derived measure, and six selected Brief COPE items for coping strategies. The multivariable logistic model included age, gender, year of study, marital status, sleep duration, prior TMD diagnosis, screen time, caffeine intake, and physical activity.</p><p><strong>Results: </strong>FAI-positive TMD symptoms (FAI ≥20) were reported by 56.6% of participants. Academic stress was moderate in 43.8% and severe in 27.5% of the participants. In adjusted analysis, female gender (AOR=1.62, 95% CI: 1.15-2.29, p=0.006) and a self-reported prior TMD diagnosis (AOR=3.32, 95% CI: 2.15-5.12, p<0.001) were associated with current FAI screen positivity. Sleep deprivation (<5 h/night) was associated with higher stress (p<0.001), but not with TMD risk. Model performance was modest (Nagelkerke R2=0.105; Hosmer-Lemeshow p=0.724). The most frequently employed coping strategies were religious/spiritual beliefs (mean 3.38±0.75) and concentrating efforts (3.15±0.72).</p><p><strong>Conclusion: </strong>Self-reported TMD symptoms and academic stress were common and co-occurred in this sample. Because exposure and outcome were measured concurrently and no clinical TMD examination was performed, the associations are preliminary and should not be interpreted as causal, predictive, or diagnostic. Longitudinal studies incorporating DC/TMD examinations are needed before preventive or screening effects can be inferred.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"632129"},"PeriodicalIF":1.8,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13532888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Degradation of the Strength of Elastomeric Chains Exposed to Energy Drinks in a Simulated Oral Environment.","authors":"Fernanda-Elizabeth Quezada-Calle, Miriam Lima-Illescas, Katherine Cuenca-León, Edisson-Mauricio Pacheco-Quito","doi":"10.2147/CCIDE.S604910","DOIUrl":"10.2147/CCIDE.S604910","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to evaluate the degradation of strength in memory elastomeric chains after repeated exposure to different energy drinks under simulated oral cavity conditions.</p><p><strong>Methods: </strong>The study included 180 memory elastomeric chains from three commercial brands. Their initial strength was measured at six time points after daily immersion in energy drinks. A descriptive analysis was performed, and the assumptions of repeated-measures ANOVA were verified. ANOVA was then applied to evaluate the variation in strength according to brand and immersion solution, followed by Tukey's post-hoc test (p<0.05).</p><p><strong>Results: </strong>The decrease in strength of various brands of elastomeric chains intensified over time, following a similar decay pattern. The elastomeric chains lost approximately 46% of their initial strength after 28 days of immersion in an energy drink, compared to a loss of 43% in the control group. Among the manufacturers evaluated, one group exhibited the greatest resistance to force degradation.</p><p><strong>Conclusion: </strong>Considering the effects of manufacturer, duration, and type of energy drink, exposure to these beverages significantly accelerates force degradation in elastomeric chains. These findings support limiting the consumption of energy drinks during orthodontic treatment or selecting materials with greater resistance to force degradation.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"604910"},"PeriodicalIF":1.8,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Digital Workflows on the Design of Fixed Prostheses: A Systematic Literature Review.","authors":"Nour Chellaoui, Siham Sadik, Bouabid Morchad","doi":"10.2147/CCIDE.S623463","DOIUrl":"https://doi.org/10.2147/CCIDE.S623463","url":null,"abstract":"<p><strong>Introduction: </strong>The digital transformation in dentistry has profoundly changed the design protocols for fixed, tooth-supported prostheses. The integration of computer-aided design and manufacturing (CAD/CAM) technologies raises the question of their effectiveness compared to conventional methods. The objective of this systematic review is to analyze, through a review of the literature, the impact of the digital workflow on the design of fixed prostheses in comparison with the conventional workflow.</p><p><strong>Materials and methods: </strong>A literature search was conducted in the PubMed and Scopus databases over a 10-year period (2016-2026). The following inclusion/exclusion criteria were applied: in vivo and in vitro studies focusing on tooth-supported fixed prostheses that evaluated either digital impressions or a fully digital workflow, comparing it to a conventional workflow. Studies were selected following the PRISMA chronology (identification, selection, eligibility, inclusion). Extracted data included: study characteristics, sample type, objectives, evaluated outcomes, quantitative results, measurement methods, and conclusions.</p><p><strong>Results: </strong>A total of 11 studies were included in this review. The analysis of the results highlights significant heterogeneity in methodologies and evaluation criteria, particularly regarding impression accuracy, marginal adaptation, chairside time, and reproducibility. Overall, the available data do not provide sufficient evidence to demonstrate the superiority of the digital workflow over the conventional workflow. However, some studies suggest comparable, or even superior, performance of the digital workflow under specific conditions.</p><p><strong>Conclusion: </strong>Digital design of fixed prostheses offers an alternative to traditional conventional methods. However, the lack of consensus and the heterogeneity of current data do not allow for the confirmation of its superiority. Standardized long-term clinical results are needed to confirm these findings and clarify the optimal indications for the digital workflow.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"623463"},"PeriodicalIF":1.8,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13484643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Flavored, Blond, and Filterless Cigarette Smoke on the Color Stability and Surface Roughness of a Nanohybrid Resin Composite: An in vitro Study.","authors":"Nicole Roxana Modragon De Los Santos, Raúl Antonio Rojas Ortega, Victor Moreno-Prieto","doi":"10.2147/CCIDE.S614528","DOIUrl":"https://doi.org/10.2147/CCIDE.S614528","url":null,"abstract":"<p><strong>Purpose: </strong>This in vitro study evaluated the effect of cigarette smoke from three tobacco types on the color stability and surface roughness of a nanohybrid resin composite.</p><p><strong>Material and methods: </strong>Sixty standardized Filtek Z350 XT nanohybrid resin composite discs were prepared and randomly allocated into three groups (n = 20) according to cigarette type: flavored tobacco, blond tobacco, and filterless tobacco. Baseline color and surface roughness measurements were obtained before smoke exposure. Color was assessed using the CIE L*a*b* system, and overall color change (ΔE) was calculated after the experimental period. Surface roughness was measured as arithmetic mean roughness (Ra, μm). The specimens were exposed to cigarette smoke using a custom-built smoking device under standardized conditions for 30 consecutive days, followed by final color and roughness measurements. Intergroup and intragroup comparisons were performed using appropriate parametric and non-parametric tests, with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>All groups exhibited color alteration after smoke exposure. Mean ΔE values were 10.09 ± 1.78 for flavored tobacco, 13.19 ± 1.97 for blond tobacco, and 16.57 ± 3.74 for filterless tobacco, with significant intergroup differences (p < 0.001). The filterless tobacco group showed the greatest chromatic alteration. Surface roughness increased significantly within all groups after smoke exposure (all p < 0.001). Mean ΔRa values were 0.116 ± 0.039 μm, 0.139 ± 0.049 μm, and 0.148 ± 0.054 μm for flavored, blond, and filterless tobacco, respectively; however, intergroup differences in ΔRa were not statistically significant (p = 0.100).</p><p><strong>Conclusion: </strong>Cigarette smoke adversely affected both the color stability and surface roughness of the tested nanohybrid resin composite. Filterless tobacco produced the greatest color alteration, whereas all tobacco types significantly increased surface roughness without significant intergroup differences in ΔRa. Under the present experimental conditions, color change was more discriminative than surface roughness for detecting differences among cigarette types.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"614528"},"PeriodicalIF":1.8,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three-Dimensional Evaluation of Temporomandibular Joint Intraosseous Distances According to Skeletal Class Using Cone Beam Computed Tomography.","authors":"Gissela Maribel Lema-Paguay, Magaly Noemí Jiménez-Romero, Miriam Lima-Illescas, Fabián Darío Bautista Rojas","doi":"10.2147/CCIDE.S602113","DOIUrl":"10.2147/CCIDE.S602113","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between sagittal temporomandibular joint (TMJ) spaces and skeletal class using cone-beam computed tomography (CBCT).</p><p><strong>Materials and methods: </strong>Forty-eight CBCT scans were analyzed and equally distributed among skeletal class (I, II, and III) based on the Beta angle. Anterior (AS), superior (SS), and posterior (PS) joint spaces were measured on standardized sagittal reconstructions using an Instrumentarium OP300 unit. Condylar positional patterns were analyzed according to skeletal class.</p><p><strong>Results: </strong>Significant intergroup differences in joint space measurements were identified (p < 0.05), primarily on the right side. Skeletal Class II presented the greatest dimensions (AS: 2.67 ± 1.04 mm; SS: 3.03 ± 0.98 mm; PS: 2.58 ± 0.87 mm), consistent with a more posterior and inferior condylar position. Conversely, Skeletal Class III consistently exhibited the lowest values (AS: 1.85 ± 0.65 mm; SS: 2.12 ± 0.62 mm; PS: 1.74 mm), indicating reduced joint space dimensions.</p><p><strong>Conclusion: </strong>Sagittal evaluation using CBCT revealed that skeletal class influences joint space dimensions, with larger joint space dimensions observed in Skeletal Class II patients. Bilateral variations may reflect morphological adaptations associated with skeletal patterns.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"602113"},"PeriodicalIF":1.8,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13436081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Chronic Inflammatory Gingival Enlargement Using Conventional and Electrosurgical Techniques in an Orthodontic Patient: A Case Report.","authors":"Sischa Ramadhani, Prajna Metta, Faris Hernando Reviansyah, Aldilla Miranda","doi":"10.2147/CCIDE.S613808","DOIUrl":"10.2147/CCIDE.S613808","url":null,"abstract":"<p><strong>Background: </strong>Chronic inflammatory gingival enlargement associated with orthodontic appliances may interfere with oral hygiene maintenance and orthodontic treatment. When non-surgical therapy is unsuccessful, gingivectomy may be indicated. Conventional scalpel and electrosurgical techniques are both established treatment modalities for gingival tissue excision, each with distinct clinical characteristics. This case report aims to describe the management of chronic inflammatory gingival enlargement in an orthodontic patient treated with conventional scalpel and electrosurgical gingivectomy.</p><p><strong>Case presentation: </strong>A 14-year-old female undergoing orthodontic treatment presented with localized chronic inflammatory gingival enlargement affecting the maxillary teeth, which interfered with proper orthodontic bracket placement and oral hygiene maintenance. Following initial periodontal therapy, gingivectomy was performed using a conventional scalpel technique in the maxillary left region (teeth 23-24). At a subsequent visit, electrosurgical gingivectomy was performed in the maxillary right region (teeth 14-15) after discussion of alternative treatment options with the patient and her parent. Both procedures resulted in satisfactory healing and restoration of physiological gingival contours. The electrosurgical approach was associated with improved hemostasis and less patient-reported postoperative discomfort.</p><p><strong>Conclusion: </strong>Both conventional scalpel and electrosurgical gingivectomy resulted in satisfactory clinical outcomes in the management of orthodontic-associated chronic inflammatory gingival enlargement. In this patient, the electrosurgical approach was associated with improved hemostasis and less postoperative discomfort. However, these findings are limited to a single case and should be interpreted with caution.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"613808"},"PeriodicalIF":1.8,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Rehabilitation Under General Anesthesia in a Child with Cerebral Palsy and Epilepsy: A Case Report.","authors":"Cut Meutia Fitriani, Risti Saptarini Primarti, Iwan Ahmad M, Prima Andisetyanto, Naninda Berliana Pratidina","doi":"10.2147/CCIDE.S608801","DOIUrl":"10.2147/CCIDE.S608801","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is a non-progressive neurodevelopmental disorder that often coexists with epilepsy and oromotor dysfunction, leading to poor oral hygiene, high caries burden, and limited cooperation during dental care. Comprehensive dental rehabilitation under general anesthesia (GA) may be required to deliver safe and definitive treatment in children with extensive disease and significant treatment barriers.</p><p><strong>Objective: </strong>This case report aimed to describe comprehensive oral rehabilitation under general anesthesia in a child with cerebral palsy and epilepsy, and to evaluate short-term mother-reported outcomes after treatment.</p><p><strong>Methods: </strong>A clinical case report was prepared based on history taking, extraoral and intraoral examination, perioperative documentation, and mother-reported follow-up. Tooth notation followed the Federation Dentaire Internationale (FDI) two-digit system. Radiographic examination was not performed because the patient was unable to maintain the required posture.</p><p><strong>Case report: </strong>A 9-year-old girl with spastic cerebral palsy and tonic-clonic epilepsy presented with fever and multiple untreated carious lesions. Examination revealed mixed dentition, poor oral hygiene, limited mouth opening, reversible pulpitis in teeth 62, 63, 72, 26, 16, 36, 46, and 83, and pulpal necrosis with non-restorable root remnants in teeth 85, 84, 75, 74, 55, and 54. Single-session full-mouth rehabilitation under GA included scaling and prophylaxis, composite restorations of teeth 62, 63, 72, 26, 16, 46, and 83, pulpotomy of tooth 36, extractions of teeth 85, 84, 75, 74, 55, and 54 and topical fluoride application. Transient postoperative facial edema occurred and was managed conservatively. At 1-month follow-up, the mother reported improved feeding comfort, pain-free sleep, and a 2-kg weight gain.</p><p><strong>Conclusion: </strong>Full-mouth dental rehabilitation under GA provided a feasible approach for managing extensive dental disease in a child with CP and epilepsy when conventional chairside treatment was not possible. The intervention enabled completion of definitive dental care in a single session and was associated with mother-reported improvements in feeding comfort, sleep, and short-term weight gain. Longer follow-up and standardized outcome measures are needed to evaluate sustained oral health, function, and quality-of-life benefits in similar patients.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"608801"},"PeriodicalIF":1.8,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148444908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Dental Aesthetics and Psychosocial Well-Being: A Cross-Sectional Study Among Health Sciences Students in Yemen.","authors":"Basem H Al-Huthaifi, Ahlam H Al-Hababi, Khalid Aldhorae, Asala Muharram, Abeer Dahaba, Asmaa Ghaleb, Rawan Tareq, Rawan Taha, Ehab M Abdu, Baker M Abdullah, Mohammed M Al Moaleem","doi":"10.2147/CCIDE.S619857","DOIUrl":"10.2147/CCIDE.S619857","url":null,"abstract":"<p><strong>Background and aim: </strong>Dental aesthetics has an increasing effect on young adults' psychosocial well-being; this effect is particularly true for patient-facing professions, in which people's appearance influences how others interact with them. However, there is currently limited evidence from conflict-affected, resource-poor settings regarding this relationship. The current study aimed to explore the relationship between the psychosocial effects of dental aesthetics and self-esteem and perceived need for orthodontic treatment among health sciences students in Sana'a, Yemen.</p><p><strong>Methodology: </strong>A cross-sectional, Internet-based survey was conducted among 300 health sciences students (18-25 years) from public and private universities in Sana'a between August and September 2025. The survey included the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Rosenberg Self-Esteem Scale (RSES), and Aesthetic Component of the Index of Orthodontic Treatment Needs (IOTN-AC). Data were analyzed using SPSS version 26.0.</p><p><strong>Results: </strong>Of 385 targeted participants, 300 responded (70.7% female; mean age 22.3 years). The mean PIDAQ score was 2.40 ± 0.62, indicating a mild psychosocial impact based on established PIDAQ scoring conventions. Male students had significantly higher PIDAQ scores than females (2.52 ± 0.69 vs. 2.35 ± 0.56; p = 0.026). No statistically significant correlation was detected between PIDAQ and RSES scores in this sample (r = -0.012, p = 0.834). Academic year progression predicted higher self-esteem (β = 0.281, p = 0.002). Self-perceived orthodontic need (IOTN-AC) showed a dose-response relationship with PIDAQ scores (definite need: 2.82 ± 0.41 vs. no need: 2.34 ± 0.35; p < 0.05).</p><p><strong>Conclusion: </strong>Dental aesthetics significantly affects psychosocial well-being among health sciences students in Yemen, with unexpectedly higher impact among male students. No direct association was found between dental aesthetics and global self-esteem in this sample. Academic achievement emerged as a predictor of self-esteem. Gender-sensitive screening and integrated wellness programs are recommended for resource-limited settings.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"18 ","pages":"619857"},"PeriodicalIF":1.8,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13340287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148403919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}