Quintessence international最新文献

{"title":"Effect of diode laser on oral pigmentation, pain, and wound healing in patients with gingival hyperpigmentation: a meta-analysis.","authors":"Wentian Zheng, Yongzhi Pang, Hui Gong, Min Shi, Ning Song, Tao Guo, Yingying Jiang","doi":"10.3290/j.qi.b5695436","DOIUrl":"10.3290/j.qi.b5695436","url":null,"abstract":"<p><strong>Objectives: </strong>Diode laser represents a practical clinical strategy for treating gingival hyperpigmentation. However, its effectiveness remains controversial. The aim of this meta-analysis was to evaluate the quantitative effects of diode laser therapy on gingival hyperpigmentation.</p><p><strong>Method and materials: </strong>PubMed, Embase, Web of Science, and Cochrane Library were systematically searched for the use of diode laser in gingival hyperpigmentation. The primary outcomes assessed were the Dummett-Gupta Oral Pigmentation Index (DOPI), visual analog scale pain scores, and the Wound Healing Index (WHI) for overall evaluation. The I2 index was calculated to identify heterogeneity, and sensitivity analyses were performed to identify sources of heterogeneity. Funnel plots and the Egger test were utilized to evaluate publication bias.</p><p><strong>Results: </strong>Thirteen randomized controlled trials involving a total of 233 participants were included in the study. The analysis demonstrated that diode laser had a significant effect on DOPI (standard mean difference [SMD] = -0.245, 95% CI -0.451 to -0.040, P = .019) and pain (SMD = -0.809, 95% CI -1.332 to -0.285, P = .002), with no significant effect on WHI (SMD = -0.224, 95% CI -1.100 to 0.653, P = .617). Despite the significant heterogeneity in VAS and WHI indicated by the I2 index statistic, the sensitivity analyses' results demonstrated the main findings' reliability. While no significant publication bias was detected for DOPI and WHI, the pain results exhibited notable publication bias.</p><p><strong>Conclusion: </strong>The study demonstrated that diode laser prolongs gingival repigmentation time and reduces pain compared to other treatments. However, efficacy in wound healing was not significantly affected.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"692-702"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005101","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":"Effectiveness of interventions on improving early-life dental care utilization: a systematic review and meta-analysis.","authors":"Oriana Ly-Mapes, Hoonji Jang, Nisreen Al Jallad, Noha Rashwan, Daniel A Castillo, Xingyi Lu, Kevin Fiscella, Jin Xiao","doi":"10.3290/j.qi.b5640008","DOIUrl":"10.3290/j.qi.b5640008","url":null,"abstract":"<p><strong>Objectives: </strong>Although early-life dental care is crucial for preventing early childhood caries and has numerous benefits, the utilization rate of such care remains remarkably low worldwide, especially in families of low socioeconomic status. The aim of this study was to systematically review the scientific evidence relating to the effectiveness of interventions on improving early-life dental care utilization of very young children.</p><p><strong>Method and materials: </strong>Scientific evidence relating to these positive changes was reviewed, with seven randomized controlled trials after qualitative evaluation. Interventions assessed included prenatal oral health promotion, motivational interviewing, intra-oral camera use alongside social work consultations to aid in decreasing barriers to care, monetary incentives for tooth brushing, fluoride varnish applications, and probiotic usage.</p><p><strong>Results: </strong>The intervention was significantly effective in reducing the incidence of dental caries among children, especially in caries risk. Caries reduction was significant when oral health information was provided at frequent intervals prenatally. Caries increment was also reduced when probiotics were introduced when administered daily. Interventions that attempted to increase parental involvement in oral health care by increasing motivation and decreasing barriers had inconclusive results within the study groups.</p><p><strong>Conclusions: </strong>Considering high rates of early childhood caries, early establishment and preservation of a dental home should be a focus in public health measures. Continuous monitoring and parental involvement are key components to maintaining healthy oral conditions. Future studies could explore and test various innovative strategies that utilize technological platforms to engage with parents and promote early-life dental care utilization among the underserved population.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"722-732"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793219","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 interplay of stress and work-related musculoskeletal disorders in dental practitioners.","authors":"Anke-Marei Thies, Joy Backhaus, Manuel Olmos, Stephan Eitner","doi":"10.3290/j.qi.b5687916","DOIUrl":"10.3290/j.qi.b5687916","url":null,"abstract":"<p><strong>Objectives: </strong>Prevalence of work-related musculoskeletal disorders (WRMSDs) among general dental practitioners and orthodontists is approximated to range between 64% and 93%. Etiology of WRMSDs in the mentally and physically demanding occupation remains unclear, for which reason the aim of the study was to clarify the interplay of physical, psychological, and mental factors on WRMSDs.</p><p><strong>Method and materials: </strong>Of 94 orthodontists and 187 general dental practitioners (mean age = 35 years) questioned using an online survey, 84% reported persisting tension or pain in the back, neck, or shoulders. While 71% of females were employed (29% self-employed), only 39% of male participants were employed. Cluster analysis was used to characterize dental practitioners according to their movement profile and the moderating effect of stress on certain WRMSDs.</p><p><strong>Results: </strong>Three movement profiles of general dental practitioners and orthodontists were significantly predictive of WRMSD. The minority could be characterized as healthy (n = 45), whereas twice as many reported nearly twice as much pain (n = 90). Stress proved to be a strong, significant moderator of WRMSDs in relation to sex, employment status, and body mass index.</p><p><strong>Conclusion: </strong>The prevalence of WRMSDs found was alarming. Given the feminization of dentistry, and that being female, stressed, and an employee (rather than self-employed) is a significant predictor of WRMSDs, this represents a danger to the German health system.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"756-765"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988738","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 role of dental practitioners in managing medically complex patients.","authors":"Nadejda Stefanova Stephens, Linda Rasubala","doi":"10.3290/j.qi.b5795701","DOIUrl":"https://doi.org/10.3290/j.qi.b5795701","url":null,"abstract":"","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"55 9","pages":"684-685"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506745","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 the Composite Dietary Antioxidant Index and periodontitis in US adults: a cross-sectional analysis.","authors":"ZhengYong Jia, KeLi Chen","doi":"10.3290/j.qi.b5714863","DOIUrl":"10.3290/j.qi.b5714863","url":null,"abstract":"<p><strong>Background: </strong>The pathogenesis of periodontitis may be related to host-mediated inflammatory and immune responses caused by accumulation of oral microbial plaque. Nutrients have anti-inflammatory and pro-inflammatory capabilities. Dietary intake of antioxidants and micronutrients is associated with the inflammatory burden of the diet. The Composite Dietary Antioxidant Index (CDAI) is a composite index for assessing the antioxidant properties of a diet, and the relationship with periodontitis is unclear. The aim of this study was to investigate the relationship between periodontitis and CDAI.</p><p><strong>Method and materials: </strong>The study was a cross-sectional design and included 7,471 participants from the National Health and Nutrition Examination Survey (NHANES) 2009 to 2014 database. Participants were divided into experimental and control groups according to the relevant criteria, where the control group consisted of participants with no/mild periodontitis (including 3,646 participants) and the experimental group consisted of participants with moderate/severe periodontitis (including 3,825 participants). First, baseline characteristics of the two groups of participants were compared. Weighted logistic regression analyses was used to explore the relationship between periodontitis and CDAI. The linear relationship between the two was assessed using restricted cubic spline. Finally, subgroup analyses were used to assess model stability.</p><p><strong>Results: </strong>Differences between the two groups of participants were statistically significant in age, sex, race, education, ratio of household income to poverty, body mass index, smoking status, drinking status, and prevalence of diabetes. CDAI, as a continuous variable, was not found to be significantly associated with periodontitis. The CDAI was converted to categorical variables according to quartile. In model 1, participants in the second and third quartile groups had a lower risk of developing periodontitis compared with participants in the lowest quartile group (OR [95% CI] 0.810 [0.681, 0.963], P = .021; OR [95% CI] 0.811 [0.691, 0.951], P = .014; respectively). In model 2, participants in the second, third, and fourth quartile groups had a lower risk of developing periodontitis compared to the lowest quartile group (OR [95% CI] 0.803 [0.660, 0.978], P = .0349; OR [95% CI] 0.753 [0.632, 0.897], P = .003; OR [95% CI] 0.753 [0.617, 0.920], P = .008; respectively). There was a non-linear relationship between CDAI and periodontitis (P non-linearity = .0055), with the inflection point occurring at a CDAI equal to 0.6342.</p><p><strong>Conclusion: </strong>There is a nonlinear relationship between CDAI and periodontitis in US adults. However, further prospective studies are still needed to validate the results.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"734-742"},"PeriodicalIF":1.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073688","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":"A randomized clinical trial comparing the effects of music and informative videos on patient anxiety during root canal treatment and retreatment.","authors":"Sarah Ali Abdulhameed, Venkateshbabu Nagendrababu, Mehmet Omer Gorduysus, Paul M H Dummer, Vellore Kannan Gopinath","doi":"10.3290/j.qi.b5640066","DOIUrl":"10.3290/j.qi.b5640066","url":null,"abstract":"<p><strong>Objectives: </strong>This randomized clinical trial compared the effectiveness of music and informative videos as distraction tools to reduce the anxiety of patients during root canal treatment and retreatment.</p><p><strong>Method and materials: </strong>A total of 90 patients were enrolled in the study. The patients were randomly allocated to three groups: Group 1 listened to music during the treatment (n &#61; 30), Group 2 watched an informative preoperative video (n &#61; 30), and a control group underwent treatment without a distraction method (n &#61; 30). Prior to treatment, the Corah Dental Anxiety Scale (CDAS) and a visual analog scale for pain were used to assess anxiety and preoperative pain. Systolic blood pressure, diastolic blood pressure, heart rate, and oxygen saturation were recorded before the intervention (T1), after the local anesthetic (T2), following pulp extirpation or removal of root fillings (T3), and immediately following rubber dam removal (T4). One-way ANOVA, followed by post-hoc Bonferroni tests for multiple comparisons, were used to compare mean values of systolic blood pressure, diastolic blood pressure, heart rate, and oxygen saturation among the groups. A P value of 5% was considered as significant.</p><p><strong>Results: </strong>Listening to music reduced systolic blood pressure, heart rate (P .001), and diastolic blood pressure (P &#61; .003) in patients undergoing root canal treatment and retreatment at T4 compared to the baseline (T1). Music (P .001) and informative video (P &#61; .003) groups had significantly lower postoperative visual analog scale pain scores.</p><p><strong>Conclusion: </strong>Listening to music during root canal treatment and retreatment reduced anxiety levels in patients compared to informative preoperative videos and no distraction technique.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"670-680"},"PeriodicalIF":1.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793218","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 association of systemic condition and medications on alveolar bone loss and tooth attrition.","authors":"Nirit Tagger-Green, Asaf Refael, Serge Szmukler-Moncler, Carlos Nemcovsky, Liat Chaushu, Roni Kolerman","doi":"10.3290/j.qi.b5640181","DOIUrl":"10.3290/j.qi.b5640181","url":null,"abstract":"<p><strong>Objective: </strong>Periodontal disease is caused by subgingival bacteria that adversely affect the host immune system and create and maintain unmitigated inflammation in gingival and periodontal tissues. The condition is also linked to systemic conditions including cardiovascular disease, diabetes, and arthritis. Periodontitis elevates the bacterial load and spreads systemic inflammation through infection and inflammation. The main radiographic sign of periodontitis is marginal bone loss. Risk factors, including medications, smoking, age, and sex, are known to influence periodontal health. However, there is little information about the impact of systemic conditions and medications on tooth wear. The aim of the present study was to assess the association between systemic conditions and medications and radiographic signs of tooth wear and marginal bone loss.</p><p><strong>Method and materials: </strong>This retrospective analysis was conducted on a group of 2,223 consecutive patients who came for dental treatment in the clinics of a large Health Maintenance Organization in Israel. Data available for the study included details of concomitant systemic diseases and medication and full-mouth radiographic surveys. Odds ratio and logistic regression analysis were used to detect associations between systemic conditions and medication, and marginal bone loss and tooth wear.</p><p><strong>Results: </strong>The results indicated an elevated odds ratio for tooth wear associated with age, sex, and smoking across all age groups. Among young patients, those using proton pump inhibitors and psychiatric medications had an elevated risk of tooth wear. Age, smoking, and diabetes conditions were associated with an increased odds ratio for marginal bone loss in all age groups. Psychiatric medications and sex elevated the odds ratio for marginal bone loss only among older patients.</p><p><strong>Conclusion: </strong>The results highlight the significant impact of age, sex, and smoking on tooth wear, and extend these risks to alveolar bone loss when combined with diabetes and psychiatric conditions.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"616-628"},"PeriodicalIF":1.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793220","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":"Integrative approach for supernumerary teeth: a single-center retrospective analysis.","authors":"Yifat Manor, Hanan Safadi, Nir Shpack, Sigalit Blumer, Gabriel Gal","doi":"10.3290/j.qi.b5503749","DOIUrl":"10.3290/j.qi.b5503749","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to provide a comprehensive case analysis from a single center, with the objective of clarifying the optimal timing and recommendations for a preferred treatment strategy customized to the specific presentation of each type of supernumerary tooth identified in the research.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method and materials: &lt;/strong&gt;A retrospective study was conducted on patients who presented with a supernumerary tooth and were treated interdisciplinarily at the clinic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 55 patients with 81 supernumerary teeth of the permanent dentition were analyzed, 30 males and 25 females. The dentition status of the patients was as follows: 31 patients with mixed dentition, no patients with primary dentition, and 24 patients with permanent dentition. The diagnosis of supernumerary tooth was primarily made by general or pediatric dental practitioners and/or orthodontists. Patients were then referred to maxillofacial surgeons for treatment decision. The timing of treatment was mainly determined by the oral surgeon, based on the recommendations of the other specialists involved. Cases involving maleruption or malalignment of permanent teeth required both surgical and orthodontic treatment. Patients over 9 years old were treated either under local anesthesia or sedation, whereas those under 9 years old were treated under deep sedation or general anesthesia. A comprehensive investigation of cases involved the utilization of CBCT at the supernumerary tooth site to facilitate treatment planning. There was a significant correlation between younger age and the preference for treatment under sedation or general anesthesia (P &#61; .01, t test). Similarly, a strong association was found between younger age and the need for additional orthodontic treatment (P &#61; .016, t test). Cases of surgical removal of a supernumerary tooth at a young age typically did not require orthodontic traction of the permanent tooth, in contrast to cases of late surgical intervention (patients over 11 years old), which often did necessitate such traction. There was a strong tendency for treating supernumerary teeth in the maxilla. The proximity of supernumerary teeth to vital anatomical landmarks significantly influenced treatment decisions. Patients with supernumerary teeth near the mental foramen or the inferior dental canal in the premolar area were exclusively placed under follow-up care (P &#61; .002, Pearson chi-square test). However, in the maxilla, the proximity of supernumerary teeth to vital structures such as the floor of the nose and the incisive nerve did not affect the treatment approach, and those supernumerary teeth were mostly removed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;A team approach for managing supernumerary teeth is recommended. The timing of treatment should carefully consider the advantages and disadvantages of early versus late intervention. Early surgical treatment in cases where eruption is","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"640-650"},"PeriodicalIF":1.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443202","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 whitening dentifrices on dental enamel: an analysis of color, microhardness, and surface roughness in vitro.","authors":"Sabrina Barth de Andrade Luz, Rayrane Iris Melo da Cunha Oliveira, Letícia Alvares Leite Guanabara, Beatriz Barros Viana, Rebeca Tibau Aguiar Dias, André Ulisses Dantas Batista, Marília Regalado Galvão Rabelo Caldas, Diana Ferreira Gadelha de Araújo","doi":"10.3290/j.qi.b5517931","DOIUrl":"10.3290/j.qi.b5517931","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the influence of different whitening toothpastes on color change and alteration in enamel surface roughness and microhardness compared to a conventional toothpaste.</p><p><strong>Method and materials: </strong>Fifty bovine incisors were selected, cleaned, and stored before being divided into five groups: a conventional toothpaste group and three whitening toothpaste groups containing different abrasive agents: silica, hydrogen peroxide, and activated charcoal. Specimens underwent simulated brushing, staining with black tea solution, and subsequent analyses of color, surface roughness, and microhardness. Statistical analysis was performed using three-way ANOVA and Tukey post-hoc tests (P .05).</p><p><strong>Results: </strong>The results showed that the color analysis revealed similar whitening potential among all toothpastes. They showed significant differences in surface roughness (P .001) and microhardness (P .001) after simulated brushing. While all toothpastes caused a decrease in microhardness, the charcoal-based toothpaste showed a significant increase in surface roughness compared to the initial condition.</p><p><strong>Conclusion: </strong>All toothpastes demonstrated whitening capability. Surface roughness changed after brushing with activated charcoal-based whitening toothpaste, but final roughness was similar across all groups. Whitening toothpastes led to a decrease in enamel microhardness, with similar final performance across all toothpastes analyzed.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"630-638"},"PeriodicalIF":1.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141458985","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 era of big data, mobile health, and artificial intelligence in dentistry and craniofacial research.","authors":"Galit Almoznino, Yuval Shahar, Dorota T Kopycka-Kedzierawski","doi":"10.3290/j.qi.b5763083","DOIUrl":"10.3290/j.qi.b5763083","url":null,"abstract":"","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"55 8","pages":"604-606"},"PeriodicalIF":1.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352707","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}