Mohammed Mana Alzamanan, Abdullah Abdulrahman Albassam, Emad Mahmoud Khattab, Faisal Turki Alghamdi
{"title":"Micro-computed tomography evaluation of dentinal cracks after root canal preparation with different endodontic rotary files: An ex vivo study.","authors":"Mohammed Mana Alzamanan, Abdullah Abdulrahman Albassam, Emad Mahmoud Khattab, Faisal Turki Alghamdi","doi":"10.17219/dmp/149733","DOIUrl":"https://doi.org/10.17219/dmp/149733","url":null,"abstract":"<p><strong>Background: </strong>The occurrence of dentinal cracks is rather frequent during root canal preparation and increases with some endodontic file systems. There have been few ex vivo studies on the incidence of the formation of microcracks after root canal preparation, using the micro-computed tomography (micro-CT) analysis.</p><p><strong>Objectives: </strong>The aim of the present study was to compare the incidence of dentinal cracks after using the XP-endo® Shaper, TRUShape®, ProTaper Next™ (PTN), and ProTaper Universal™ (PTU) instruments in the preparation of mandibular premolar teeth with oval canals, using the micro-CT evaluation method.</p><p><strong>Material and methods: </strong>Thirty-six extracted human mandibular premolars with single oval root canals were distributed randomly to 4 experimental groups (n = 9) for root canal preparation: group 1 - XP-endo Shaper; group 2 - TRUShape; group 3 - PTN; and group 4 - PTU. The teeth were scanned using micro-CT with high resolution, before and after mechanical root preparation. Then, the cross-sectional images of preand post-scanning were visualized simultaneously to detect new dentinal cracks. The number of dentinal cracks was determined as percentage for each group, and the results were statistically analyzed using the Wilcoxon signed rank test and the Kruskal-Wallis test.</p><p><strong>Results: </strong>A total of 49,628 cross-sectional images were obtained from preand post-scanning with micro-CT. Dentinal cracks were observed in 11,223 (22.6%) of the images. No new dentinal cracks were formed after using XP-endo Shaper, TRUShape or PTN. New dentinal cracks were found in the PTU group, and the difference between the percentages of the preand post-preparation dentinal cracks was statistically significant (37.6% vs. 62.4%) (p = 0.008).</p><p><strong>Conclusions: </strong>The use of the heat-treated nickel-titanium (NiTi) files (XP-endo Shaper, TRUShape, PTN) did not lead to the formation of new dentinal cracks. New dentinal cracks were formed while using the traditional NiTi file (PTU) only. Future studies are required to investigate the association between the formation of dentinal cracks and new endodontic file systems.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"89-98"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcin Sielski, Kamila Chęcińska, Natalia Turosz, Maciej Chęciński, Maciej Sikora
{"title":"Single intra-articular administration of injectable platelet-rich fibrin (I-PRF) in alleviating temporomandibular joint pain: A pilot clinical trial.","authors":"Marcin Sielski, Kamila Chęcińska, Natalia Turosz, Maciej Chęciński, Maciej Sikora","doi":"10.17219/dmp/188273","DOIUrl":"10.17219/dmp/188273","url":null,"abstract":"<p><strong>Background: </strong>Intracapsular injections are a recognized therapeutic method for temporomandibular joint (TMJ) pain and limited mandibular mobility. Among many injectables, injectable platelet-rich fibrin (I-PRF) is noteworthy for its safety, promising clinical results and potential regenerative effects. The minimal invasiveness of a single injection makes it attractive as compared to arthrocentesis or a series of administrations.</p><p><strong>Objectives: </strong>This single-arm, open-label clinical trial aimed to verify the research hypothesis that a single administration of I-PRF into TMJ relieves articular pain.</p><p><strong>Material and methods: </strong>The study sample included adults with a history of TMJ articular pain treatment. A single injection of I-PRF into the affected TMJ was performed. Each patient assessed (1) articular pain within the last 7 days, (2) the articular pain provoked by a physical examination, (3) muscular pain, (4) headache, and (5) neck pain before and 14 days after the intervention. The investigator measured (6) pain-free and (7) maximal voluntary mandibular abduction.</p><p><strong>Results: </strong>The study sample included 33 patients and 44 TMJs. No adverse events were observed at the recipient sites (TMJs). The treatment reduced the spontaneous articular pain by 0.5 ±1.5 and the provoked articular pain by 1.2 ±1.9 visual analog scale (VAS) points, with the differences being statistically significant (p < 0.05). Improvement was observed in 39-48% of Wilkes II-V patients, and 5-14% experienced deterioration up to 2 VAS points. Mandibular mobility decreased by an average of 1-2 mm, and no statistically significant effect on muscle pain, headache or neck pain was recorded.</p><p><strong>Conclusions: </strong>A single intra-articular injection of I-PRF into TMJ brings statistically significant articular pain relief, regardless of the assessment method. In non-respondents, subsequent administrations may be considered.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"187-192"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Santhanam Divakar, Manu Rathee, Prachi Jain, Sanju Malik, Sarthak Singh Tomar, Maqbul Alam
{"title":"Comparative evaluation of mechanical effects of two designs of immediately placed customized root-analogue zirconia implants in the maxillary and mandibular posterior regions: A finite element analysis.","authors":"Santhanam Divakar, Manu Rathee, Prachi Jain, Sanju Malik, Sarthak Singh Tomar, Maqbul Alam","doi":"10.17219/dmp/152315","DOIUrl":"https://doi.org/10.17219/dmp/152315","url":null,"abstract":"<p><strong>Background: </strong>Customized root-analogue implants (RAIs) with a press-fit design, inserted immediately after tooth extraction, have garnered attention from the researchers and dentists due to their ability to generate frictional force within the tooth extraction socket.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the stress distribution and microdisplacement of 2 designs of customized root-analogue zirconia implants in the maxillary and mandibular posterior regions using finite element analysis (FEA).</p><p><strong>Material and methods: </strong>Four computer-aided design (CAD) models of maxillary and mandibular bone with standard density were constructed based on standard tooth dimensions. The models featured 2 distinct designs, namely fin and bulb designs of RAIs, with 2 models designated for the maxillary first molar and 2 models for the mandibular first molar. All three-dimensional models were converted into finite element models using Altair® HyperMesh® software. Thereafter, loads of 300 N and 100 N were applied in the axial direction to analyze the stress distribution and microdisplacement on peri-implant bone areas using FEA.</p><p><strong>Results: </strong>The customized root-analogue zirconia implant with the bulb design showed better stress distribution in the surrounding bone when compared to the RAI with the fin design. The micromotion values of the fin design were found to be lower than those of the bulb design, indicating that the former exhibits superior primary stability. The stress distribution of both designs demonstrated reduced stress values in the maxillary posterior region compared to the mandibular posterior region.</p><p><strong>Conclusions: </strong>The customized root-analogue zirconia implant with added press-fit geometry, i.e, fin or bulb design, has a positive effect on stress distribution and provides enhanced primary stability.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"99-106"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retrospective analysis of the relationship between Schneiderian membrane thickness and periodontitis severity using cone beam computed tomography (CBCT).","authors":"Sathyavalli Veluri, Sruthima Naga Venkata Satya Gottumukkala, Gautami Penmetsa, Ramesh Santosh Venkata Konathala, Geetanjali Darna, Mohan Kumar Pasupuleti, Satyanarayana Raju Mantena","doi":"10.17219/dmp/147105","DOIUrl":"https://doi.org/10.17219/dmp/147105","url":null,"abstract":"<p><strong>Background: </strong>Due to the close proximity of maxillary molars to the maxillary sinuses, the bacteria at the root tip region of the sinus can quickly access the maxillary sinus. This can result in maxillary sinus mucosal inflammation and thickening of the Schneiderian membrane.</p><p><strong>Objectives: </strong>The aim of the study was to determine the thickness of the maxillary sinus membrane and to correlate this thickening with the severity of periodontitis using cone beam computed tomography (CBCT) analysis.</p><p><strong>Material and methods: </strong>The CBCT data of 231 patients, with a mean age of 40.59 years, was assessed to evaluate the mucosal thickness (MT), the remaining height of the alveolar bone (RHAB), the type of periodontitis, the type of defect, and the extent of bone loss.</p><p><strong>Results: </strong>When RHAB was ≤4 mm, mucosal thickening was evident in the majority of the images (128 (89.5%); p = 0.000). The multivariate logistic regression analysis demonstrated that the probability of MT increase is proportionate to the severity of periodontal disease (odds ratio (OR): 9.179, confidence interval (CI): 2.831-29.761; p = 0.000). First molars were most frequently associated with mucosal thickening (OR: 1.050, CI: 0.311-3.541; p = 0.009). Additionally, mucosal thickening was more evident on the sinus floor in cases where RHAB was less than 4 mm.</p><p><strong>Conclusions: </strong>The increase in MT is associated with the severity and distribution of periodontal disease, particularly with horizontal defects.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"65-72"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the personality traits in subjects in need of orthodontic treatment using the Big Five model: A cross-sectional questionnaire-based study.","authors":"Tarulatha Shyagali, Ajay Kubavat, Deepak Bhayya","doi":"10.17219/dmp/165799","DOIUrl":"https://doi.org/10.17219/dmp/165799","url":null,"abstract":"<p><strong>Background: </strong>Malocclusion can be regarded as a civilizational disease, and its psychological implications remain a subject of debate.</p><p><strong>Objectives: </strong>The aim of the study was to examine different personality traits of the individuals with malocclusion using the Big Five personality trait model.</p><p><strong>Material and methods: </strong>A cross-sectional questionnaire-based study was conducted on 260 individuals with malocclusion, aged 15-24 years. The subjects were examined for the dental health component (DHC) of the index of orthodontic treatment need (IOTN) and graded by an expert orthodontist. The questionnaire contained 44 questions designed to evaluate various personality traits, namely extroversion, agreeableness, conscientiousness, neuroticism, and openness. The subjects were instructed to complete the questionnaire within a designated time frame of 10 min. The collected data was organized and scored. The individuals were then sorted into different categories of personality traits. A descriptive statistical analysis was performed on the collected data, and an analysis of variance (ANOVA) was conducted to determine the difference between the IOTN grading and various personality traits.</p><p><strong>Results: </strong>All the subjects demonstrated low levels of extroversion, agreeableness and conscientiousness. In comparison to individuals with IOTN grade 1, those with grades 2 and 3 exhibited significantly higher levels of neuroticism (p < 0.005). The scores for the openness personality trait were moderate for all IOTN grades. Individuals with a high and moderate need for orthodontic treatment demonstrated elevated levels of neuroticism.</p><p><strong>Conclusions: </strong>A definite influence of malocclusion on the personality traits of an individual was observed. Subjects requiring more extensive orthodontic treatment exhibited a higher prevalence of neuroticism.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"49-56"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of coating fillers with HEMA-phosphate copolymer on the mechanical properties of an experimental composite resin.","authors":"Niusha Golbari, Azam Valian, Farhood Najafi","doi":"10.17219/dmp/134147","DOIUrl":"https://doi.org/10.17219/dmp/134147","url":null,"abstract":"<p><strong>Background: </strong>The water sorption and hydrolysis of silane over time can compromise the filler-resin matrix interface and cause the mechanical degradation of composite resins. The use of hydrophobic polymers for the surface treatment of fillers may improve the mechanical properties and durability of composites.</p><p><strong>Objectives: </strong>The present study aimed to assess the effect of the surface treatment of fillers with hydroxyethyl methacrylate (HEMA)-phosphate copolymer on the mechanical properties of an experimental composite resin.</p><p><strong>Material and methods: </strong>In this in vitro experimental study, HEMA-phosphate copolymer was synthesized and coupled with nano-silica powder. To assess the presence of the copolymer coating on the fillers, Fourier-transform infrared spectroscopy (FTIR) and thermogravimetric analysis (TGA) were performed. The fillers treated with different percentages of HEMA-phosphate copolymer were mixed with the resin matrix to fabricate experimental composites. The three-point flexural strength, microhardness and degree of conversion (DC) of 78 fabricated composite specimens were measured. Data was analyzed with the one-way analysis of variance (ANOVA) and Tukey's test.</p><p><strong>Results: </strong>Fourier-transform infrared spectroscopy and TGA confirmed the attachment of the copolymer to the nano-silica filler for the synthesis of the composites. Group 1 (control) showed the maximum and group 6 showed the minimum hardness. Hardness decreased with an increase in the percentage of copolymer in the study groups. The maximum and minimum flexural strength and DC were noted in group 6 and the control group, respectively. Increasing the percentage of copolymer and its combination with silane non-linearly increased the flexural strength and DC of the experimental composites.</p><p><strong>Conclusions: </strong>Increasing the percentage of HEMA-phosphate copolymer with/without silane for the coating of fillers improved the mechanical properties of the experimental composites, particularly their flexural strength and DC.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"115-124"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marta Mazur, Artnora Ndokaj, Ilaria Brugnoli, Martina Francescangeli, Tamara Moubayidin, Maciej Jedliński
{"title":"Insect flour and dental caries: Friends or foes?","authors":"Marta Mazur, Artnora Ndokaj, Ilaria Brugnoli, Martina Francescangeli, Tamara Moubayidin, Maciej Jedliński","doi":"10.17219/dmp/196883","DOIUrl":"https://doi.org/10.17219/dmp/196883","url":null,"abstract":"<p><p>This article explores the cariogenic potential of insect flours, highlighting their nutritional benefits and sustainability, while emphasizing the need for further research on their impact on oral health.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"9-12"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of botulinum toxin type A in bruxism management: A systematic review.","authors":"Sinda Yacoub, Gharbi Ons, Mehdi Khemiss","doi":"10.17219/dmp/186553","DOIUrl":"https://doi.org/10.17219/dmp/186553","url":null,"abstract":"<p><p>Botulinum toxin type A (BTX-A) injections have emerged as a promising alternative for the management of bruxism. In this context, a systematic review of randomized controlled trials on the impact of BTX-A on patients with bruxism was conducted. A literature search of multiple online electronic databases (PubMed®, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL)) was undertaken from their inception to February 1, 2024. The Medical Subject Headings (MeSH) included \"Botulinum Toxins\", \"Botulinum Toxins, Type A\", \"Bruxism\", and \"Sleep Bruxism\", which were combined with the Boolean operators \"AND\" and \"OR\". The methodological quality of each included study was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. Reducing muscle pain and activity were assessed as primary outcomes, while the quality of sleep was considered as a secondary outcome. Twelve articles met the inclusion criteria. The risk of bias was low in 10 studies and moderate in 2. Bilateral injections of BTX-A into the masseter, temporalis and medial pterygoid muscles were compared to saline injections, the use of occlusal splints and conventional treatment. Of the 12 studies, 6 reported a reduction in muscle activity recorded by rhythmic masticatory muscle activity (RMMA) and electromyography (EMG) after the administration of BTX-A. In addition, 3 studies indicated that the intensity of muscle pain, measured using the visual analogue scale (VAS), decreased significantly in individuals with bruxism who received BTX-A. Finally, 1 study highlighted improved sleep quality in patients with bruxism who were rehabilitated with a single-arch implant overdenture and received either BTX-A or occlusal appliances. Botulinum toxin type A can effectively reduce symptoms of bruxism. However, the included studies exhibited heterogeneity and methodological differences. Long-term follow-up studies with large sample sizes and the incorporation of repeated injections are necessary to further validate the findings.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"145-160"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saray Aranda Romo, Irma Yvonne Amaya-Larios, Karla López Macías, Francisco Javier Tejeda Nava, Arturo Garrocho Rangel, Alan Roger Dos Santos Silva, Cesar Carranza-López
{"title":"Prevalence of systemic diseases in 82,363 patients at a dental school in San Luis Potosí, Mexico: A cross-sectional study.","authors":"Saray Aranda Romo, Irma Yvonne Amaya-Larios, Karla López Macías, Francisco Javier Tejeda Nava, Arturo Garrocho Rangel, Alan Roger Dos Santos Silva, Cesar Carranza-López","doi":"10.17219/dmp/185608","DOIUrl":"10.17219/dmp/185608","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of medically compromised patients seeking dental care varies across different countries. There have been no published reports about this clinical topic in Mexico.</p><p><strong>Objectives: </strong>We aimed to determine the prevalence of systemic diseases in patients who attended the Diagnostic Clinic at the Faculty of Dentistry of the Autonomous University of San Luis Potosí in Mexico from 2011 to 2019.</p><p><strong>Material and methods: </strong>The study was based on the analysis of electronic files from 82,363 medically compromised patients registered in the clinic during the aforementioned period. Each file was entered into an electronic medical record using the Microsoft Visual Basic.NET software and completed by an undergraduate student based on a personal interview. The collected information was then analyzed with the use of Stata 14 statistical package.</p><p><strong>Results: </strong>The global prevalence of medically compromised patients among the patient population was 39.1%. Comorbidities were more prevalent in female patients (71.9%) compared to male patients (28.1%). The most prevalent diseases in adults were gastrointestinal diseases (16.5%), arterial hypertension (14.1%) and diabetes mellitus (8.6%).</p><p><strong>Conclusions: </strong>In a third of the registered cases, an associated comorbidity was identified. It is therefore necessary for dental undergraduate students to receive comprehensive training during their academic formation to facilitate the timely and accurate diagnosis of systemic diseases, as part of the dental care protocol for adult patients.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"31-39"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wojciech Dąbrowski, Kacper Jagiełło, Małgorzata Mossakowska, Klaudia Suligowska, Tomasz Roman Zdrojewski, Jerzy Chudek, Renata Górska
{"title":"Evaluating changes in dental status among Polish older adults over a decade: A comparative analysis of PolSenior (2009) and PolSenior2 (2019) surveys.","authors":"Wojciech Dąbrowski, Kacper Jagiełło, Małgorzata Mossakowska, Klaudia Suligowska, Tomasz Roman Zdrojewski, Jerzy Chudek, Renata Górska","doi":"10.17219/dmp/196535","DOIUrl":"https://doi.org/10.17219/dmp/196535","url":null,"abstract":"<p><strong>Background: </strong>The aging global population poses new challenges to healthcare systems, including dental healthcare. This study analyzes the evolution of dental status within the aging population of Poland over the last pre-pandemic decade.</p><p><strong>Objectives: </strong>The goal of the study was to examine changes in dental health among Poland's aging population, with a specific focus on edentulism, partial tooth loss and functional dentition. Furthermore, the study aimed to evaluate the influence of sociodemographic factors on oral health, assess the effectiveness of public health initiatives, and identify persistent inequities in oral health.</p><p><strong>Material and methods: </strong>The study utilized data from 2 representative population-based studies: the PolSenior (PS) (2008-2009); and the PolSenior2 (PS2) (2018-2019). The comparative analysis involved 4,773 (PS) and 4,627 (PS2) Polish adults aged more than 65 years. The participants were categorized based on the number of teeth present (0 - edentulism, 1-19 - partial tooth loss, ≥20 - functional dentition) and analyzed for various factors, including age, sex, education level, and place of residence.</p><p><strong>Results: </strong>The dental status of Polish older adults has improved over the past decade, with the prevalence of edentulism decreasing from 45.8% to 36.1%, and the proportion of individuals with functional dentition increasing from 6.0% to 15.0%. The prevalence of edentulism dropped from 49.4% to 40.5% among women and from 40.3% to 29.3% among men, while functional dentition increased 2.5-fold in both sexes. The most significant improvements were observed among the youngest seniors, with a reduction in edentulism and an increase in functional dentition.</p><p><strong>Conclusions: </strong>The findings of this study indicate a notable improvement in dental status of Polish older adults, as evidenced by a decline in the prevalence of edentulism and an increase in functional dentition. The research underscores the persistent disparities related to basic needs in relation to sociodemographic factors in dental treatment.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 1","pages":"23-30"},"PeriodicalIF":2.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}