International journal of dental hygiene最新文献

{"title":"Dental Flossing and Oral Health Outcomes in Adults Over A 10-Year Period: A Cohort Study.","authors":"Icaro Santiago de Aquino, Adriano de Aguiar Filgueira, Mariana Ramalho de Farias, Rodrigo Otavio Rego, Luiz Roberto Augusto Noro, Ana Karine Macedo Teixeira","doi":"10.1111/idh.70165","DOIUrl":"https://doi.org/10.1111/idh.70165","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the effect of flossing on dental caries and periodontal conditions in adults from Sobral, Ceará, Brazil over 10 years.</p><p><strong>Methods: </strong>This was a prospective cohort. The sample was 260 adults (aged 27-31) who participated in 2012 and 2022 follow-ups. The outcomes analysed were dental caries, tooth loss due to caries, gingival bleeding, dental calculus and periodontal pockets. The trajectory of flossing between 2012 and 2022 was analysed using three groups: always flossed, sporadically flossed and never flossed. Negative binomial regression was employed to conduct a longitudinal analysis and estimate the relative risk of tooth decay, tooth loss and periodontal conditions in adulthood, adjusting for gender, family income and toothbrushing frequency.</p><p><strong>Results: </strong>53.8% of the participants reported never having used dental floss, whereas 25.4% of them have used it sporadically and 20.8% have always used it. The average incidence of decayed teeth was 4.66 (SD = 3.33). Adults who did not floss in 2022 had a higher prevalence of untreated caries, bleeding gums and dental calculus. The final longitudinal model revealed that never having flossed was a risk factor for the incidence of tooth loss (RR = 1.07 [95% CI 1.03-1.12]), gingival bleeding (RR = 1.36 [95% CI 1.09-1.70]) and dental calculus (RR = 1.32 [95% CI 1.04-1.67]). Individuals who sporadically flossed also exhibited a risk of new cases of tooth loss (RR = 1.13 [95% CI 1.04-1.22]).</p><p><strong>Concluding remarks: </strong>Young adults who have never flossed for 10 years are at greater risk of oral health problems. Flossing complementary to toothbrushing is recommended as a measure to prevent and control oral health problems such as caries and periodontal conditions.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Nitrous Oxide-Oxygen Inhalation on Pain and Physiological Responses During Supragingival Ultrasonic Scaling: A Prospective Cohort Study.","authors":"Rong Tang, Tingting Yin, Ying Deng, Jia Liang, Wei Peng, Li Wang","doi":"10.1111/idh.70170","DOIUrl":"https://doi.org/10.1111/idh.70170","url":null,"abstract":"<p><strong>Background: </strong>Nitrous oxide-oxygen (N₂O-O₂) inhalation is widely utilized for anxiolysis in dentistry; however, its clinical efficacy and physiological impact during routine supragingival scaling remain insufficiently assessed.</p><p><strong>Methods: </strong>This prospective observational cohort study enrolled 100 adult patients. Participants were allocated to either the N₂O-O₂ sedation group (n = 50) or a non-sedated control group (n = 50) based on treatment preference. Vital signs, including heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP), were monitored at baseline (T₀), intraoperatively (T₁), and postoperatively (T₂). Pain intensity was assessed immediately after supragingival ultrasonic scaling using a 0-10 Visual Analogue Scale.</p><p><strong>Results: </strong>All 100 participants successfully completed the study. Intra-group analysis revealed that the sedation group experienced a significant reduction in HR during scaling (T₁) compared to baseline (T₀, p = 0.0004), whereas the control group remained physiologically stable with no significant HR fluctuations (p > 0.05). SBP and DBP showed no significant intra-group or inter-group variations across all time points (p > 0.05). Pain intensity was significantly lower in the sedation group compared with the control group (p < 0.001). No adverse events were recorded.</p><p><strong>Conclusions: </strong>N₂O-O₂ inhalation sedation significantly attenuates procedural pain and stabilizes heart rate during supragingival ultrasonic scaling without compromising hemodynamic safety. These findings suggest N₂O-O₂ sedation is a safe and feasible adjunct for routine periodontal prophylaxis.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Professional Prophylaxis on Clinical Parameters and Patient Comfort: Randomized Split-Mouth Clinical Trial.","authors":"João Nascimento, Mário-Rui Araújo, Sandra Ribeiro Graça","doi":"10.1111/idh.70169","DOIUrl":"https://doi.org/10.1111/idh.70169","url":null,"abstract":"<p><strong>Introduction: </strong>The removal of soft and hard plaque from dental surfaces using manual and mechanical instruments is a regular part of dental practice for the control and prevention of oral diseases. To achieve this goal in a less invasive and more comfortable manner for the patient, the Guided Biofilm Therapy protocol was developed.</p><p><strong>Objective: </strong>To compare the effects of the Guided Biofilm Therapy (test) protocol versus the traditional scaling protocol on short-term gingival health parameters and patient comfort.</p><p><strong>Materials and methods: </strong>A blind randomized, split-mouth clinical trial was performed on healthy patients. Each patient was instrumented in two opposing alternate quadrants (1st and 3rd quadrants and 2nd and 4th quadrants) using the two methods under evaluation. A questionnaire was carried out using a Likert scale to measure the comfort felt by the patient during instrumentation. Plaque and bleeding indexes were evaluated at 1 and 3 weeks.</p><p><strong>Results: </strong>Both protocols were associated with short-term improvements in bacterial plaque and gingival inflammation throughout the follow-up evaluations. However, no statistically significant differences were found between protocols for the clinical parameters assessed. The main difference observed was higher comfort during instrumentation with the test protocol (p = 0.002).</p><p><strong>Conclusion: </strong>Within the short follow-up of this study, the findings do not demonstrate clinical superiority of the Guided Biofilm Therapy protocol over the conventional protocol for gingival health parameters. The main observed difference relates to greater patient comfort during treatment.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Exposure to Tobacco Smoke Modify the Clinical Periodontal Parameters After Non-Surgical Periodontal Therapy With and Without the Addition of a Chlorhexidine-Based Antiseptic? - A Controlled Clinical Trial","authors":"Aleksandar Pupovac,&nbsp;Davor Kuiš,&nbsp;Ivana Mišković,&nbsp;Stjepan Špalj,&nbsp;Ella Sever,&nbsp;Jelena Prpić","doi":"10.1111/idh.70059","DOIUrl":"10.1111/idh.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate whether tobacco smoking modifies the clinical outcomes of non-surgical periodontal therapy (NSPT) in adults with periodontitis and what are the added benefits of a chlorhexidine-based antiseptic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sample included 60 subjects aged 24 to 75 years (median 49; 67% females) diagnosed with periodontitis; 50% of them were regular smokers. All subjects underwent clinical periodontal examination that included measuring Full Mouth Plaque Score (FMPS), Full Mouth Bleeding Score (FMBS), Pocket Depth (PD), Clinical Attachment Level (CAL), Gingival Recession (GR) and Tooth Mobility (TM). All subjects underwent NSPT. Half of the subjects in each group used a 0.12% CHX-based mouth-rinse twice a day for 15 days. Clinical examination was repeated 8 weeks after NSPT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>FMPS significantly decreased after NSPT in all groups (<i>p</i> ≤ 0.013). FMBS was reduced in non-smokers (with and without CHX) (<i>p</i> ≤ 0.038) with a greater effect when using CHX. No major differences in FMBS in smokers were noted. NSPT reduced PD in all non-smokers (<i>p</i> ≤ 0.016) with a greater effect with CHX use; and in smokers with CHX (<i>p</i> ≤ 0.016). The same findings were in gain of CAL (<i>p</i> ≤ 0.028). The effect of NSPT on GR and TM was small. In multiple regression analysis, the use of CHX and male sex were significant predictors of a reduction in the proportion of deep pockets (≥ 5 mm), when age and exposure to tobacco smoke were controlled for (R² = 0.170; <i>p</i> = 0.033).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Smoking reduces the success of NSPT but the addition of antiseptic proved to be an additional benefit.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"633-641"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health Beliefs and Behaviours Among Adults in the Seychelles: An Extended Health Belief Model Perspective.","authors":"C Y S Noshir, P Brijlal","doi":"10.1111/idh.70173","DOIUrl":"https://doi.org/10.1111/idh.70173","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored oral health beliefs and behaviours among adults in the Seychelles through the perspective of the Extended Health Belief Model. The findings aim to inform contextually appropriate oral health promotion and prevention strategies for this population.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted among 84 purposively selected adults from Mahé, Praslin and La Digue in the Seychelles. Data were collected through 60 semi-structured individual interviews and three focus group discussions involving 24 additional participants. Qualitative data were analysed thematically using a hybrid deductive-inductive approach guided by the Extended Health Belief Model. Data collected from the structured introductory questions, including demographic and oral health-related information, were summarised using descriptive statistics in Microsoft Excel.</p><p><strong>Results: </strong>Participants perceived themselves to be susceptible to oral diseases and regarded these conditions as serious, with pain serving as the primary cue to action for seeking dental care. Despite demonstrating awareness of recommended oral health practices, behaviours remained predominantly reactive rather than preventive. Preventive behaviours were influenced by culturally embedded beliefs, family and social norms, financial constraints, time limitations, fear and anxiety, and challenges within the oral health system. Although participants reported relatively high self-efficacy, this was not consistently reflected in their preventive oral health practices.</p><p><strong>Conclusion: </strong>Oral health behaviours among adults in the Seychelles were shaped by both individual beliefs and broader social, economic and health system factors. The Extended Health Belief Model provided a useful framework for understanding participants' oral health beliefs and behaviours. The findings further highlight the importance of considering the broader social, economic, cultural and health system context in which these behaviours occur. Oral health promotion strategies should therefore extend beyond information provision to address both individual beliefs and the conditions that influence people's ability to adopt and sustain preventive oral health behaviours.</p>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antimicrobial Efficacy of Pelargonium Graveolens Gold Nanoparticles: A Novel Mouthwash for Children","authors":"Ahmed Yousif Mahdi Asker,&nbsp;Aseel Haidar M. J. Al Haidar","doi":"10.1111/idh.70071","DOIUrl":"10.1111/idh.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nowadays, there is a trend to promote the use of natural materials in dentistry. One of these compounds that has lately grown significantly in relevance in clinical research is <i>Pelargonium Graveolens</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study was conducted to evaluate the antimicrobial efficacy of gold nanoparticles (AuNPs) of <i>Pelargonium Graveolens</i> leaves extract for children in comparison with the commonly used chlorhexidine. There are no previously available studies concerning the anti-microbial activity of <i>Pelargonium Graveolens</i> leaves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Method</h3>\u0000 \u0000 <p>Sixty participants with mild to moderate gingivitis were randomly allocated in a ratio of 1:1 to receive twice-daily mouthwash for 3 weeks (30 with a novel herbal mouthwash containing <i>Pelargonium Graveolens</i> AuNPs as a study group and 30 children with chlorhexidine as a control group). Clinical parameters (plaque index and gingival index) were assessed at the baseline (before the use of mouthwash), and then they were assessed 3 times at one-week intervals after the first assessment through the period of the study. On the other hand, microbiological examination was done using supragingival plaque sampling with a curette for those participants at the baseline and three weeks after the use of the mouthwash.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After completing the intervention, although the study group had lower plaque scores compared to the control group, the difference was statistically significant. On the other hand, the study group had a significant reduction in the gingival index scores compared to the control group (<i>p</i> = 0.000). The microbiological analysis revealed that the treatment mouthwash significantly depleted the count of <i>S. mutans</i> in the last visit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The novel <i>Pelargonium Graveolens</i> AuNPs mouthwash was effective in improving (PI) and (GI), which mean improve oral health status. Rinsing with <i>Pelargonium Graveolens</i> AuNPs mouthwash reduced the count of oral <i>Streptococcus mutans</i> significantly in children. Clinical trial registration Number: ClinicalTrials.gov on April 15, 2023, with ClinicalTrials.gov ID: NCT05816512.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"495-505"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Regular Dental Scaling and Risk of Dementia in Patients With Moderate to Severe Periodontitis Longitudinal Study Using Korean National Health Insurance Service-National Health Screening Cohort Data Base","authors":"Seon-Rye Kim,&nbsp;Minkook Son,&nbsp;Yu-Rin Kim","doi":"10.1111/idh.70061","DOIUrl":"10.1111/idh.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to determine the effectiveness of regular dental scaling by evaluating the association between the frequency of dental scaling and the risk of dementia in individuals with moderate to severe periodontal disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used the Korean National Health Insurance Service-National Health Screening cohort database. Following the implementation of the dental scaling reimbursement policy, subjects were categorised into three groups based on the frequency of dental scaling. To enhance comparability of dementia risk across dental scaling frequency categories, we applied the inverse probability of treatment weighting method. Restricted cubic splines were utilised to examine hazard ratio trends for dementia. Landmark analyses were conducted to further strengthen the reliability of the results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the Landmark analysis with follow-up after 1 year, the adjusted hazard ratio was 0.51, and the inverse probability of treatment weighting hazard ratio was 0.40. In the Landmark analysis with follow up after 2 years, the adjusted hazard ratio was 0.50, and the inverse probability of treatment weighting hazard ratio was 0.39.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggested that regular dental scaling in patients with moderate to severe periodontitis is associated with a reduced risk of dementia. In particular, changes in reimbursement policies are needed to ensure that underprivileged individuals with periodontal disease have access to regular dental scaling services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"521-530"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/idh.70061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147672606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental Hygienists' Attitudes to Treating People With Disabilities: A Comparative Study Between Portugal and Other European Countries","authors":"Diogo Lobo Rosinha,&nbsp;Maria de Fátima Bizarra,&nbsp;Sandra Ribeiro Graça","doi":"10.1111/idh.70060","DOIUrl":"10.1111/idh.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To analyse and compare the attitude of dental hygienists trained in Portugal (DH-Portugal) and other European countries (DH-Other Countries) regarding the treatment of people with disabilities (PwD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional descriptive study applied an online adapted questionnaire of the ‘Dental Student's Attitudes towards the Handicapped Scale’ that was sent to all dental hygiene associations members of the European Dental Hygienists Federation. The questionnaire collected sociodemographic data, educational experience and instructor perception (Factor 1) and interpersonal attitudes and future interactions with PwD (Factor 2). Statistical analysis included the Independent <i>t</i>-test, Kruskal–Wallis and Mann–Whitney tests with a significance level of 5%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 124 dental hygienists answered to the questionnaire: 66 from Portugal and 58 from other countries. In factor 1, the mean total attitude score for all participants was 4.00 (±0.60), with DH-Portugal scoring 4.25 (±0.44) and DH-other countries scoring 3.72 (±0.64) (<i>p</i> = 0.001). For factor 2, the mean score was 4.15 (±0.50) [2.62–5.00], with DH-Portugal scoring 4.23 (±0.44) and DH-other countries scoring 4.06 (±0.55) (<i>p</i> = 0.063). Attitudes towards PwD were not different regarding years of experience and number of PwD in a 6-month period, However involvement in community activities was associated with higher attitude scores (<i>p</i> = 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although there is global positive attitude towards treatment of PwD, DH-Portugal demonstrated a more positive attitude compared to DH-Other Countries, with better educational experience and greater satisfaction with the training received.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"615-624"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Performance of Bioglass-Enriched Resin Modified Glass Ionomer in Sealing Moderate Carious Lesions: An 18-Month Split-Mouth Clinical Trial","authors":"Juliana Aguiar Costa Mesquita,&nbsp;Ana Carolina Soares Diniz,&nbsp;Mayenne Rabelo Araujo,&nbsp;Etevaldo Matos Maia Filho,&nbsp;Leily Macedo Firoozmand","doi":"10.1111/idh.70058","DOIUrl":"10.1111/idh.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Dental materials with the potential for caries progression prevention have been an attractive alternative to minimally invasive treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This randomized controlled split-mouth clinical trial aimed to assess, after 18 months, the retention, restoration quality, and caries progression or arrestment of active moderate carious lesions (International Caries Detection and Assessment System [ICDAS] 3–4) sealed with resin-modified glass ionomer cement (RMGIC) and 45S5 bioglass-enriched RMGIC (RMGIC/45S5).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A total of 52 molars with occlusal caries (ICDAS 3–4) were selected. For this split-mouth clinical trial, the permanent molars without mechanical preparation were randomly sealed with RMGIC or RMGIC/45S5. After 18 months, the restorations were compared with the initial treatment (baseline) regarding retention, quality of the remaining material (anatomical shape, marginal adaptation, surface texture, and marginal discoloration), and clinical/radiographic caries progression. The Wilcoxon and Fisher's exact tests were used for data evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After 18 months, no statistically significant differences were found in the retention and material quality of teeth treated with RMGIC or RMGIC/45S5 (<i>p</i> &gt; 0.05). The clinical and radiographic evaluations showed no statistical difference between the materials when considering caries arrestment and progression (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The addition of 45S5 bioglass to RMGIC did not change the retention, restoration quality, and caries progression or arrestment levels after 18 months of follow-up.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"581-591"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/idh.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily and Professional Oral Care in Long-Term Care Facilities During the COVID-19 Pandemic: A Cross-Sectional Survey","authors":"Barbara Janssens,&nbsp;Lynn Janssens,&nbsp;Inès Phlypo","doi":"10.1111/idh.70080","DOIUrl":"10.1111/idh.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Long-term care settings for care-dependent older adults have been disproportionately affected by repeated outbreaks of COVID-19 among residents and care staff. The aim of the present paper was to assess the delivery of daily and the access to professional oral care in long-term care facilities during COVID-19 as experienced by the care staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Data were collected in December 2020 by an online self-administered questionnaire for care home staff in Flanders and descriptive analysis were performed. The study was approved by the ethics committee of Ghent University Hospital (B.U.N.: B6702020000715).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The response rate at care home level was 8% and the study sample consisted of 95 staff members from 66 care homes. Oral healthcare was considered as important or even more important since the COVID-19 pandemic started. Nevertheless, 41.2% of the participants suggested daily oral care was left behind more often compared to other aspects of basic care. Natural teeth of residents and removable dentures were mostly brushed once a day but for care home staff who were not directly involved in the provision of daily oral care, the uncertainty around brushing frequency increased during the pandemic. A considerable part of the respondents (35.7%) were faced with urgent unmet oral care needs of residents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Experiences of care home staff suggest that COVID-19 might have negatively affected the delivery of daily and access to professional oral care. However, the low response rate, the possible response bias due to the overrepresentation of care staff implementing an oral care programme, and the lack of observational data to confirm the survey responses require careful interpretation of the results. Yet, an improved response at the level of oral care is needed during future health crises affecting this setting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13791,"journal":{"name":"International journal of dental hygiene","volume":"24 4","pages":"608-614"},"PeriodicalIF":1.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147770841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}