Quintessence international最新文献

{"title":"Daily supervised toothbrushing in kindergartens: second and third years of 'Smiles' oral health promotion program among preschool children.","authors":"Hadas Goldberg, Guy Tobias, Zvi Feine, Merav Kynan Orenstein, Harold Sgan-Cohen, Jonathan Mann, Avi Zini, Nirit Yavnai, Yuval Vered","doi":"10.3290/j.qi.b6156591","DOIUrl":"10.3290/j.qi.b6156591","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the second and third years of 'Smiles,' with the objective of demonstrating feasible, practical, and realistic aspects of enhancement of daily toothbrushing skills and integration of a supportive environment of daily supervised toothbrushing in kindergartens.</p><p><strong>Method and materials: </strong>In total, 36 out of 180 kindergartens (20%) across Israel that participated in the first year of the program, took part in the second and third years of the program. Eighteen kindergartens served as the study group with a supervised toothbrushing routine, and 18 kindergartens served as controls without a supervised toothbrushing routine. Toothbrushing skills were recorded using the Simmons Index at baseline among 3-year-old children, after 1 year, and finally after 2 years among 5-year-old children. Early childhood caries was evaluated by decayed, missing, and filled tooth (dmft) Index among 5-year-old children at the end of the program. Statistical analysis included the chi-square test, Mann-Whitney test, and a generalized linear model.</p><p><strong>Results: </strong>1,028 preschool children (503 of them in the daily toothbrushing kindergartens), their parents, and their educational staff took part in the program. The average number of brushing days per week at the daily supervised toothbrushing kindergartens met the desired threshold of 3 days a week. The average daily percentage of preschool children brushing their teeth exceeded 80%. High levels of program cooperation and satisfaction (> 80%) were recorded. Children in toothbrushing kindergartens demonstrated statistically significant three-fold higher levels of toothbrushing skills improvement as compared to children in control kindergartens (33% compared to 11%, respectively; P .001). Being in the Jewish sector and participation in the daily toothbrushing program were revealed as predictors of low dft scores among 5-year-old children (odds ratio [OR] = 0.320, OR = 0.552, respectively; P .001).</p><p><strong>Conclusion: </strong>The successful performance and positive atmosphere of 'Smiles' at all its levels (the organization, the staff, the parents, and the children) made this endeavor an example of a large-scale demonstration program with practical and realistic enhancement of daily toothbrushing skills and integration of daily supervised toothbrushing among preschool children in kindergartens. Following the introduction of the 'Smiles' program results to the Ministry of Health in 2017, this service became part of the dental health service for pupils in Israel in 2018.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"354-363"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995822","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":"Management and coping of dental clinics during the COVID-19 pandemic: a cross-sectional study in three countries.","authors":"Gisela Berenstein Ajzman, Shada Fadela, Patricia Batista Lopes do Nascimento, Leticia Maria Correia Pimentel, Sonu Acharya, Sarit Naishlos, Sigalit Blumer","doi":"10.3290/j.qi.b6153663","DOIUrl":"10.3290/j.qi.b6153663","url":null,"abstract":"<p><strong>Objective: </strong>To examine the changes in dental practice in response to the COVID-19 pandemic 6 to 12 months after its outbreak.</p><p><strong>Method and materials: </strong>An electronic survey was disseminated among dental practitioners from Brazil, India, and Israel between August 2020 and April 2021. The questionnaire comprised two sections: 1) participant demographics and participant characteristics, and 2) working conditions during the COVID-19 pandemic.</p><p><strong>Results: </strong>In total, 979 respondents (72.6% females) completed the questionnaire (56.9% Brazilian, 24.6% Israeli, 18.5% Indian). About two-thirds of Brazilian (62.1%) and Indian respondents (68.4%) and 54.8% of Israeli respondents provided emergency care during the first wave of the pandemic; a fifth or lower treated patients with COVID-19. Most respondents reported changes in their appointment management, along with decreased income compared to the period before the pandemic, attributed to the decrease in the number of treatments together with increased expenses, mainly on equipment, protection, and disinfection. More than half of Indian and Israeli respondents reported that guidelines provided by the Ministry of Health were very clear, compared to 31% of Brazilian dental practitioners. Only 35.8% of Brazilian respondents reported that they had received clear instructions regarding conduct in the clinic compared to 69% and 72% of Indian and Israeli respondents, respectively.</p><p><strong>Conclusions: </strong>Dental practitioners from three very different countries around the world faced similar challenges in their practices during the first months of the COVID-19 pandemic. Although most participants adjusted to the alterations in their professional routines necessitated by pandemic-related restrictions, these modifications also resulted in shifts in clinicians' workloads, elevated expenditures, and reduced income. Public health guidelines provided to dental practices by the authorities were not always clear. Understanding these challenges and how to deal with them should help cope better with future worldwide crises.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"412-423"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014607","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 manifestations of Morgellons disease: current understanding of a psychiatric condition - a case series.","authors":"Fabiola Stiernhuvud, Leonardo Caixeta, Manuela Herrera-Martinez, Camilo Ábalos-Labruzzi","doi":"10.3290/j.qi.b6156580","DOIUrl":"10.3290/j.qi.b6156580","url":null,"abstract":"<p><p>Morgellons disease is a rare controversial illness in individuals which is characterized by having a fixed, false belief (delusion) in which they are infested by non-living organisms, despite medical evidence which proves the contrary. The symptoms can appear solely in the oral cavity, a condition that had not previously been described in the dental literature. The underlying mechanisms behind these findings remain unclear; moreover, established diagnostic criteria or effective treatments were unsuccessful. This case report highlights the sensations of feeling hair and threads between the teeth of patients with Morgellons disease, as well as an unusual perception of the tongue and saliva that was self-reported. Conventional medical treatments have not been effective in alleviating those oral symptoms. Taking into account the scarcity of cases in the dental literature, the article underscores the importance of interdisciplinary approaches, in order to enhance diagnosis and treatment by integrating oral and mental health care.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"394-400"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041562","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 evaluation of photobiomodulation therapy and local 1.2% atorvastatin gel as an adjunct to subgingival instrumentation in patients with stage II periodontitis: a randomized controlled trial.","authors":"Dinesh Babu Ashokan, Magesh Kumar Shekar, Kalaiselvan Dharani, Ebenezer Mani, Priyanka Pampani, Balaji Ravichandran","doi":"10.3290/j.qi.b6218534","DOIUrl":"https://doi.org/10.3290/j.qi.b6218534","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the present study is to compare the effectiveness of photobiomodulation therapy versus local 1.2% atorvastatin gel as an adjunct to subgingival instrumentation in the treatment of stage II or III periodontitis.</p><p><strong>Materials and methods: </strong>In this randomized study, a total of 60 individuals with pocket depths of 4-7mm bilaterally in both sexes (Males and Females) who were 25 years old or older, diagnosed with stage II or III periodontitis were selected. 60 Patients with at least 4 teeth demonstrating pocket depth of ≥ 4-7mm were selected. Exclusion criteria included patients with systemic conditions, smokers, pregnant or lactating women, and those who had received periodontal therapy or antibiotics within the previous six months. Baseline clinical parameters which include full mouth plaque scores, full mouth bleeding scores, probing pocket depth and clinical attachment level were recorded. All the eligible patients underwent supra and subgingival instrumentation. The patients were then randomly divided into two groups: GROUP-A: 30 Patient (120 pocket sites) received photobiomodulation (PBM) therapy with 680 nm for 60 sec(6J/cm2) with 0.1watt power GROUP-B: 30 Patient (120 pocket sites) received 1.2% Atorvastatin (ATV) gel as local drug delivery After the applications of local drug, the treated periodontal pockets were secured with N-butyl-2- cyanoacrylate. Patient were recalled at baseline and after 1 month and 3 months andClinical periodontal parameters were recorded.</p><p><strong>Results: </strong>On intergroup comparison, this trial demonstrated notable improvements in all clinical parameters at the 3 month interval after Subgingival instrumentation in combination with PBM or LDD. While in intragroup comparison, at 3 months interval, the reductions in probing depth and clinical attachment gain is more significantly evident in group-B (1.2%Atorvastatin gel) compared to group-A (PBM). These findings are consistent with the available literature, which recognizes subgingival instrumentation as an effective non-surgical therapy for periodontitis. Adjunctive treatment modalities are widely investigated to determine whether they can further enhance the clinical outcomes achieved by subgingival instrumentation.</p><p><strong>Conclusion: </strong>The principal results of this study showed improved periodontal status and a significant improvements in clinical parameters in patients in GROUP-B (1.2% Atorvastatin gel). Within the limitations of the study, it was concluded that both Photobiomodulation and 1.2% Atorvastatin gel can be effectively used as adjuncts to subgingival instrumentation in the treatment of periodontitis.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079883","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":"Resin infiltration for the esthetic treatment of molar incisor hypomineralization: 1-year follow-up.","authors":"Rafaelly Cubas Camargo, Cristian Higashi, João Luiz Bittencourt De Abreu, Ronaldo Hirata","doi":"10.3290/j.qi.b6217993","DOIUrl":"https://doi.org/10.3290/j.qi.b6217993","url":null,"abstract":"<p><p>Molar-Incisor Hypomineralization (MIH) is a qualitative developmental defect of the enamel that affects one or more permanent first molars, with or without incisor involvement. This condition often requires esthetic treatment, and therapeutic approaches may vary considerably. The purpose of this case report is to describe a step-by-step clinical protocol for a 20-year-old female patient who presented with dissatisfaction regarding the appearance of her smile due to hypomineralized spots on the maxillary and mandibular anterior teeth. After anamnesis and clinical examination, the diagnosis of MIH was established. Treatment consisted of in-office bleaching followed by resin infiltration for the maxillary teeth, and microabrasion combined with resin infiltration for the mandibular teeth. This sequence of minimally invasive techniques effectively resolved the esthetic alterations caused by MIH, showing satisfactory results that remained stable over one year.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079888","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":"Prevalence and associated factors of pathologic root resorption in primary molars and canines: a retrospective cross-sectional study.","authors":"Elif Ece Kalaoglu, Zeynep Ozturkmen","doi":"10.3290/j.qi.b6184182","DOIUrl":"https://doi.org/10.3290/j.qi.b6184182","url":null,"abstract":"<p><strong>Objectives: </strong>Pathological root resorption in primary teeth affects dental health and future orthodontic needs. This study aimed to evaluate the prevalence and associated factors of pathological root resorption in a paediatric population.</p><p><strong>Method and materials: </strong>A retrospective cross-sectional analysis was performed using panoramic radiographs from 691 pediatric patients aged 4-11 years at a university hospital in Türkiye. Teeth were evaluated for internal (IRR) and external pathological root resorption (ERR) by two calibrated observers, adhering to the 2023 European Society of Endodontics (ESE) Position Statement. Tooth status was categorized as healthy, carious (with or without pulp involvement), filled, or endodontically treated, and dental crowding was also recorded. Statistical analyses included chi-square tests, multiple logistic regression, and post-hoc analyses, with significance set at p < 0.05.</p><p><strong>Results: </strong>A total of 7,729 primary teeth (5,075 molars and 2,654 canines) were evaluated, with interobserver reliability of 82% and intraobserver reliability of 98.8%. The study cohort included 691 children (mean age: 7.05 ± 1.45 years; 49.8% boys, 50.2% girls). Pathological root resorption was observed in 21.2% of cases (n = 1,638), with ERR accounting for 81% and IRR for 19%. Among 2,654 healthy teeth, 3.76% exhibited pathological resorption, with no significant association with dental crowding. Significant relationships were identified between pathological root resorption and age (p = 0.000), tooth status (p = 0.049), and gender (p = 0.042).</p><p><strong>Conclusion: </strong>Reducing high caries levels in Türkiye is critical to lowering pathological root resorption and associated complications. Further studies should explore dental crowding and pathological root resorption relationships in larger samples.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030866","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":"Thermal, mechanical, and densification analysis of osteotomy drill designs for implant placement: an analysis on foam blocks representing type IV bone.","authors":"Ayşegül Öztürk, Volkan Arısan, Godoberto Guevara Rojas","doi":"10.3290/j.qi.b6184384","DOIUrl":"https://doi.org/10.3290/j.qi.b6184384","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze the effects of three osteotomy drill designs (conventional [CON], reverse helix [REX], and densification [DEN]) and running directions on heat generation, primary implant stability (PS), block-to-implant contact (BIC)%, peri-implant block volume (BV), and resistance to unscrewing forces in a low-density alveolar bone model.</p><p><strong>Method and materials: </strong>Eighty-eight dental implants were inserted into artificial bone blocks using manual and computer-controlled osteotomies. Temperature changes (Δ°C), insertion torque value (ITV), resonance frequency analyses (ISQ), BIC%, and BV were measured. Statistical analyses used ANOVA and Kruskal-Wallis tests (p<0.05).</p><p><strong>Results: </strong>DEN drilling produced the lowest Δ°C (17.52±2.57°C and 28.06±4.35°C for 2nd and 3rd drills), while CON had the highest (27.53±5.17°C and 38.03±8.08°C). Counter-clockwise (CCW) CON drilling significantly reduced Δ°C compared to clockwise (CW). DEN achieved highest PS (38.01±1.87 N/cm, 65±4.69 ISQ) and removal torque (25.4±5.08 N/cm), while CON CW had lowest (33.23±2.91 N/cm, 61.83±4.28 ISQ). DEN showed the highest BV (87.71±4.23 mm³) but the lowest BIC (49.12%±2.93%). CCW CON drilling improved ITV over CW (36.21±3.63 vs 33.23±2.91 N/cm).</p><p><strong>Conclusion: </strong>DEN drilling demonstrated superior performance in heat reduction, PS, and BV, but had lower BIC%. CCW running of CON drills showed improvements over CW in several parameters. While DEN excelled in most aspects, its lower BIC% and the positive outcomes of CCW CON drilling warrant further investigation.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041666","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":"The effect of surface treatment and glass-ceramic coating on the wear behavior of different types of zirconia and their antagonists.","authors":"Märit Martha Müller, Sebastian Hahnel, Angelika Rauch, Martin Rosentritt","doi":"10.3290/j.qi.b6184321","DOIUrl":"https://doi.org/10.3290/j.qi.b6184321","url":null,"abstract":"<p><strong>Objectives: </strong>In-vitro study to investigate the influence of different pre-treatments and surface coatings on the wear of different zirconia and their antagonists.</p><p><strong>Method and materials: </strong>Zirconia specimens (3-, 4- and 5-mol yttria tetragonal zirconia; n=160/material) were subjected to pre-treatment (sandblasting 50 μm Al2O3 1 bar; 120 μm Al2O3 3 bar; polishing) and surface coating (spray glazing, micro-layering, layering, veneering). References comprised no pre-treatment or coating. Wear tests were performed (50 N, 120,000 cycles). Wear (mean, maximum, antagonist) and arithmetic mean roughness Ra and average roughness depth Rz were determined.</p><p><strong>Statistics: </strong>ANOVA, Bonferroni, Pearson correlation (α=0.05).</p><p><strong>Results: </strong>Ra/Rz showed significant (p < .001) differences (Ra: 0.01 ± 0.01 μm to 0.71 ± 0.06 μm, Rz: 0.31 ± 0.09 μm to 4.33 ± 0.44 μm). Two groups could be distinguished by mean and maximum wear with significant (p < .001) differences: I.) glaze sprayed and without coating (mean wear: 9.4 ± 2.6 μm to 57 ± 21.3 μm, max. wear: 24.1 ± 6.9 μm to 125.4 ± 18.2 μm) and II.) All coating procedures (mean wear: 129.2 ± 22.8 μm to 236.5 ± 62.0 μm, max. wear: 188.7 ± 21.4 μm to 444.2 ± 110.6 μm). Antagonist wear (9.2 ± 4.5% to 29.7 ± 5.0%) showed a significant (p < .001) correlation to surface coating, mean and maximum wear, Ra and Rz. Mean wear significantly (p < .001) correlated with surface coating, maximum wear, and antagonist wear.</p><p><strong>Conclusion: </strong>Under clinical conditions, layering or veneering can lead to increased wear of the restoration, but in return reduce the abrasion of antagonists. Excessively rough surface treatments should be avoided, as they might increase antagonist wear.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"0"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064427","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":"Transition of care and dental-medical integration: shared experiences from the complex care center.","authors":"Furqan Alwaely, Francis Coyne, Adela Planerova","doi":"10.3290/j.qi.b6168799","DOIUrl":"https://doi.org/10.3290/j.qi.b6168799","url":null,"abstract":"","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"56 4","pages":"258-259"},"PeriodicalIF":1.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021500","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":"Assessing the efficacy of nonsurgical periodontal treatment on rheumatoid arthritis: an umbrella review.","authors":"Xuyan Sheng, Xinjian Ye, Hefei Yuan, Changbo Zheng, Tao Zheng, Qianming Chen, Shuli Deng","doi":"10.3290/j.qi.b6043843","DOIUrl":"10.3290/j.qi.b6043843","url":null,"abstract":"<p><strong>Objective: </strong>The relationship between periodontitis and rheumatoid arthritis has attracted considerable interest. However, the effect of nonsurgical periodontal treatment (NSPT) on rheumatoid arthritis remains uncertain. This umbrella review aims to consolidate current research to establish a stronger evidence base.</p><p><strong>Method and materials: </strong>Medline, Embase, and the Cochrane library were searched from inception to August 2024. Two independent reviewers handled study selection, data extraction, and quality assessment (AMSTAR 2). The qualitative analysis covered clinical activity, joint symptoms, inflammatory markers, cytokines, and autoantibodies. Quantitative results for disease activity score 28 (DAS28), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) were reported as mean differences with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>A total of 2,982 records were screened, with 41 full-text articles assessed for eligibility, and 9 selected for evidence synthesis. Qualitative analysis suggests that NSPT may reduce clinical activity in patients with periodontitis and rheumatoid arthritis. Quantitative analysis provided suggestive evidence on the effects of NSPT on DAS28, with the mean difference ranging from -0.38 (95% CI -0.46 to -0.31) to -1.18 (95% CI -1.43 to -0.93). One-third of the included studies were rated as 'high' quality, while another one-third were 'critically low.'</p><p><strong>Conclusions: </strong>The present evidence suggests that NSPT may provide benefits in managing rheumatoid arthritis symptoms in patients with periodontitis; however, the potential bias of current evidence calls for further rigorous studies. Clinicians should account for the complex interplay between periodontitis and rheumatoid arthritis when devising treatment strategies.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"260-272"},"PeriodicalIF":1.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606039","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}