Quintessence international最新文献

{"title":"DMS • 6: All new !","authors":"A Rainer Jordan, Jörg Wiltfang, Werner Geurtsen, Guido Heydecke","doi":"10.3290/j.qi.b6044427","DOIUrl":"https://doi.org/10.3290/j.qi.b6044427","url":null,"abstract":"","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"56 11","pages":"S2-S3"},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650357","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":"Molar incisor hypomineralization: results of the 6th German Oral Health Study (DMS • 6).","authors":"Katrin Bekes, Hendrik Meyer-Lueckel, A Rainer Jordan, Kathrin Kuhr, Ulrich Schiffner","doi":"10.3290/j.qi.b5986273","DOIUrl":"10.3290/j.qi.b5986273","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to determine the prevalence of molar incisor hypomineralization (MIH) in Germany. A secondary goal was to analyze a possible connection between MIH and caries, as well as to investigate the influence of MIH on oral health-related quality of life (OHRQoL).</p><p><strong>Method and materials: </strong>All younger adolescents (12-year-olds) from the 6th German Oral Health Study (DMS • 6) were examined for MIH according to the criteria of the European Academy of Paediatric Dentistry (EAPD). The caries experience and OHRQoL were also determined.</p><p><strong>Results: </strong>In total, 922 younger adolescents were included in the analysis. The prevalence of MIH was 15.3%; 63.3% of cases were mild forms; 8.2% of affected subjects had a caries experience. OHRQoL did not vary significantly between healthy and MIH-affected children.</p><p><strong>Conclusion: </strong>In Germany, every seventh child aged 12 years old suffers from MIH. These data on MIH in younger adolescents in Germany conform to data from regional studies; the prevalence is in the upper middle range in an international comparison.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"56 11","pages":"S70-S74"},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650359","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":"Tooth loss and denture status: results of the 6th German Oral Health Study (DMS • 6).","authors":"Bernd Wöstmann, Stefanie Samietz, A Rainer Jordan, Kathrin Kuhr, Ina Nitschke, Helmut Stark","doi":"10.3290/j.qi.b5986257","DOIUrl":"10.3290/j.qi.b5986257","url":null,"abstract":"<p><strong>Objectives: </strong>The German Oral Health Study (DMS) is a series of consecutive studies designed to assess the oral health status of adults, seniors, and children in Germany. DMS is a major program of the Institute of German Dentists (Institut der Deutschen Zahnärzte) with the aim to produce health statistics for Germany. Tooth loss, edentulism, and prosthetic care have considerable socioeconomic significance; it is the aim of this paper to report findings on these aspects.</p><p><strong>Method and materials: </strong>The survey combines interviews and clinical examinations. Previous DMS studies focused primarily on tooth loss, edentulism, and prosthetic care. In the DMS • 6 survey, the condition of removable dentures and need for adjustments were additionally recorded, as well as necessary repair measures that were grouped according to their complexity (chairside or laboratory).</p><p><strong>Results: </strong>The prevalence of edentulism decreased considerably compared to that in the Fifth German Oral Health Study (DMS V) in 2014. Among younger adults (35- to 44-year-olds), the prevalence of edentulism was negligible, with an average of 26.6 teeth present. The younger senior group (65- to 74-year-olds) had an average of 19.3 teeth; the prevalence of edentulism was 5%, which is a reduction of > 50% compared to 2014 (12.4%). Lower education status was an important prognostic factor for tooth loss. Owing to the low prevalence of edentulism in younger adults, removable dentures were not prevalent in this age group, whereas combined fixed-removable dentures were most frequently used in seniors. Regarding the type of denture, a shift towards fixed as well as implant-supported types was observed. Of the removable dentures, 50% to 60% were in a very good or good clinical condition. Problems were mainly identified with simple acrylic dentures. Nonetheless, participants' satisfaction with removable dentures was extremely high, and the dentures were used almost continuously.</p><p><strong>Conclusion: </strong>The most important finding in this study is the continued significant decline in the prevalence of complete edentulism among seniors that suggests a further reduction in edentulism in the future with an estimate of around 4% in 2030. The shift observed in primary prosthetic care from removable to fixed prostheses as well as the increasing prevalence of implants placed are positive developments. The data revealed further compression of morbidity compared to DMS V. Complete edentulism declined, and fixed partial dentures, including implant-supported prostheses, were increasingly used. Lower education status was an important predictor for tooth loss.</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"56 11","pages":"S60-S68"},"PeriodicalIF":1.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650366","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":"Allergies in dentistry and potential cofactors: a case-control study.","authors":"Lisa Corvin, Sandra Freitag-Wolf, Christof Dörfer, Guido Heine","doi":"10.3290/j.qi.b5907068","DOIUrl":"10.3290/j.qi.b5907068","url":null,"abstract":"<p><strong>Objective: </strong>Allergic reactions during dental procedures are suspected frequently. Still, data on the confirmed allergens are rare. This study aimed to identify allergens in dentistry and potential cofactors in sensitization.</p><p><strong>Method and materials: </strong>Patients with suspected allergic reactions in the context of dental (study group) or surgical (control group) procedures were analyzed in a monocentric 3-year retrospective and 2-year prospective file chart analysis between 2018 and 2023. Descriptive statistics and multiple logistic regression analysis were performed.</p><p><strong>Results: </strong>In total, 129 patients were allocated to the study group and 123 to the control group. Confirmed allergy was less frequent in the study group (10%) than in the control group (28%, P .001). Local anesthetics triggered most dental reactions, but were rarely confirmed allergic (1 of 55 cases). Dental materials and implant material in the control group were confirmed in 16% and 15% of clinically relevant sensitizations, respectively. Multiple logistic regression identified reactions to local anesthetics or dental materials/implant material with a 33.33- or 2.63-fold lower risk of sensitization. A concomitant immune disease was associated with higher risk for a confirmed allergic reaction in dentistry in the cohort (OR 9.12, 95% CI 2.40 to 35.10).</p><p><strong>Conclusion: </strong>Allergy to dentally administered drugs is rare. Most local anesthetic-triggered reactions were unspecific. Reactions to dental materials resulting in objective symptoms require allergy diagnostics. (Quintessence Int 2025;56:162-170; doi: 10.3290/j.qi.b5907068).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"162-170"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922753","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 use of chlorhexidine mouthwash and diagnosis of primary hypertension in a large hospital cohort.","authors":"Joseph Katz, Isabel Garcia","doi":"10.3290/j.qi.b5872795","DOIUrl":"10.3290/j.qi.b5872795","url":null,"abstract":"<p><strong>Objectives: </strong>Small-scale studies reported increased blood pressure in patients using chlorhexidine mouthwash with the rationale that the rinse mitigates nitric oxide production by oral bacteria. The present study evaluated whether prior use of chlorhexidine mouthwash can be associated with an increased odds ratio (OR) for primary hypertension in a large hospital cohort.</p><p><strong>Method and materials: </strong>The i2b2 NIH-established platform was used to search for deidentified medical information coded by ICD-10 for subjects with a hypertension diagnosis who have used chlorhexidine rinses before between October 2015 and May 2024. Binary statistics and logistic regression were used to calculate the OR for hypertension in the group that used chlorhexidine mouth rinse before and after adjustments for demographic data, diabetes, and periodontal disease.</p><p><strong>Results: </strong>The unadjusted OR for primary hypertension in subjects who used chlorhexidine gluconate mouthwash before was significantly elevated (OR 3.09, 95% CI 3.03 to 3.16, P .0001). It remained significant after adjusting for male sex (OR 3.07, 95% CI 3.00 to 3.13, P .0001), age 45 years (OR 4.00, 95% CI 3.92 to 4.09, P .0001), White race (OR 2.49, 95% CI 2.44 to 2.55, P .0001), diabetes (OR 2.68, 95% CI 2.61 to 2.74, P .001), and periodontal disease (OR 3.21, 95% CI 3.21 to 3.34, P .0001). The OR for hypertension for subjects with gingivitis or periodontal disease after adjustment for chlorhexidine mouthwash was elevated (OR 20.11, 95% CI 20.11 to 21.44, P .0001).</p><p><strong>Conclusions: </strong>With the caveat of a retrospective study design, the results indicate an increased OR for primary hypertension for subjects with prior use of chlorhexidine mouthwash. (Quintessence Int 2025;56:138-142; doi: 10.3290/j.qi.b5872795).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"138-142"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787034","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":"Diagnostic image legend quality in the oral and maxillofacial radiology published literature: a pilot study.","authors":"Mel Mupparapu, Anwar Almuzaini, Derek Hong, Brad Hong, Steven Singer, Irene Kim","doi":"10.3290/j.qi.b5907061","DOIUrl":"10.3290/j.qi.b5907061","url":null,"abstract":"<p><strong>Objectives: </strong>This pilot study aimed to evaluate the quality of legends associated with diagnostic images in the published oral and maxillofacial radiology literature using a novel rating scale.</p><p><strong>Method and materials: </strong>Images and their corresponding legends were randomly selected from published manuscripts over the last 10 years in the Oral Radiology journals, namely Dentomaxillofacial Radiology, Imaging Science in Dentistry, Oral Radiology, and Oral Surgery Oral Medicine Oral Pathology Oral Radiology. An Image Legend Quality Scale (ILQS) was introduced to assess the quality of the legends associated with images. A program was developed for the rating scale form using Google Apps Script API to gather and analyze the data. The rating scale ranged from 1 to 5, with 5 as the highest rating.</p><p><strong>Results: </strong>The highest average ILQS rating for one journal was 3.04. The overall ILQS rating average across all four journals was 2.87, which is a 2.13 rating score lower than the ideal score of 5.</p><p><strong>Conclusions: </strong>There is room for improvement in the legends that accompany diagnostic images and figures in the oral and maxillofacial radiology literature. A proper legend provides an excellent diagnostic teaching opportunity for the reader and enhances the quality of a publication. (Quintessence Int 2025;56:144-152; doi: 10.3290/j.qi.b5907061).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"144-152"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922755","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":"What to do if a patient presents with an iatrogenic trigeminal nerve injury.","authors":"Tyler Jacobs, Mina Ayoub, John Zuniga, Vincent Ziccardi","doi":"10.3290/j.qi.b5984306","DOIUrl":"10.3290/j.qi.b5984306","url":null,"abstract":"<p><strong>Objective: </strong>Injuries to branches of the trigeminal nerve can occur during various dental procedures, leading to neurosensory deficits. The aim of this article is to educate those who are not specialized in diagnosis and management of iatrogenic trigeminal nerve injuries what to do if such a situation arises in their practice.</p><p><strong>Data sources: </strong>Treatment protocols, prospective and retrospective studies, and literature reviews were reviewed.</p><p><strong>Results: </strong>Patient history, neurosensory testing, and radiographic imaging are used to diagnose trigeminal nerve injuries. Based on findings, patients are either immediately referred to a specialist or managed conservatively. Conservative management includes pharmacologic treatment, neurosensory training exercises, and serial neurosensory testing. Consulting with local oral and maxillofacial surgeons or orofacial pain specialists, contacting local and state societies, or searching for providers on websites such as the American Association of Oral and Maxillofacial Surgeons, Academy for Orofacial Pain, American Board of Orofacial Pain, Oral and Maxillofacial Surgery National Insurance Company, or Axogen are different methods that can be used to find a specialist to refer to if indicated.</p><p><strong>Conclusions: </strong>Many providers are not trained to diagnose and manage iatrogenic trigeminal nerve injuries. Understanding indications for monitoring, conservative treatment, and when to refer these patients to orofacial pain specialists or oral and maxillofacial surgeons trained in trigeminal nerve microsurgery is critical to maximize positive patient outcomes and to minimize medicolegal exposure. (Quintessence Int 2025;56:154-160; doi: 10.3290/j.qi.b5984306).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"154-160"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459287","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":"Computer-assisted contouring combined with bone ostectomy for dental implant placement of craniofacial fibrous dysplasia involving the right maxilla.","authors":"Fares Kablan, Shadi Daoud, Iris Slutzky-Golberg, Samer Srouji, Adeeb Zoabi","doi":"10.3290/j.qi.b5826619","DOIUrl":"10.3290/j.qi.b5826619","url":null,"abstract":"<p><strong>Objective: </strong>Craniofacial fibrous dysplasia affecting the jaws can result in facial asymmetry, posing a unique challenge for dental implant placement in edentulous areas. This case report introduces an innovative approach for rehabilitating the posterior maxilla affected by craniofacial fibrous dysplasia using a computer-guided technique for maxillary recontouring and substitution bone grafting at implant sites.</p><p><strong>Case presentation: </strong>A 58-year-old edentulous woman with a craniofacial fibrous dysplasia bone lesion affecting the right maxilla was referred for correction of asymmetry and dental implant placement. A computer guide was devised for shaving and contouring the right maxilla. Following virtual maxillary reduction, a second guide was created over the osteomized 3D model to plan the location of future dental implants and guide bone ostectomies for allograft substitution. Particulate bone substitute was applied to ostectomy sites in the affected maxillary alveolar ridge. Four implants were placed successfully 4 months postoperatively, with integration confirmed by clinical examination after 1 year of follow-up.</p><p><strong>Conclusion: </strong>This treatment approach emerges as a reliable and effective modality for simultaneous dental implant rehabilitation in edentulous alveolar bone and jaw contouring in craniofacial fibrous dysplasia cases. (Quintessence Int 2025;56:130-137; doi: 10.3290/j.qi.b5826619).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"130-137"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142627003","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 use of technology to address access-to-care barriers in remote and rural communities.","authors":"Amrinderbir Singh, Elis Batistella, Liran Levin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"56 2","pages":"96-98"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503824","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":"Observational prospective study to determine the association and diagnostic utility of salivary nitrite levels in periodontitis.","authors":"Leonardo Lorente, Esther Hernández Marrero, Pedro Abreu González, Angel Daniel Lorente Martín, Agustín F González-Rivero, María José Marrero González, Carmen Hernández Marrero, Olga Hernández Marrero, Alejandro Jiménez, Cándido Manuel Hernández Padilla","doi":"10.3290/j.qi.b5872791","DOIUrl":"10.3290/j.qi.b5872791","url":null,"abstract":"<p><strong>Objective: </strong>It has been found that patients with chronic periodontitis showed higher salivary concentrations of reactive nitrogen species than healthy subjects. However, only a study of elderly Koreans has reported that high salivary reactive nitrogen species concentrations are associated independently with periodontitis. The objective of the present study was to determine whether salivary nitrite concentrations are associated with periodontitis-controlling risk factors in other populations (such as a European population).</p><p><strong>Method and materials: </strong>This was a prospective and observational study carried out in a dental clinic including European subjects without periodontitis (including subjects with periodontal health or with localized gingivitis in 30% sites) or with periodontitis (thus, with loss of periodontal tissue). The levels of nitrite in saliva were assessed using the Griess method. A multivariate regression analysis was performed to determine that variables were associated independently with periodontitis. To determine the association between salivary malondialdehyde levels and the severity of periodontitis, Spearman rho correlation coefficient was used. A receiver operating characteristic analysis with salivary nitrite levels and periodontitis diagnosis was performed.</p><p><strong>Results: </strong>Subjects with periodontitis (n = 54) in comparison to subjects without periodontitis (n = 30) had higher salivary nitrite levels (P = .003), a higher rate of arterial hypertension history (P = .02), and were older (P .001). Nevertheless, differences between subjects with and without periodontitis in other variables were not found. A positive correlation was found between salivary nitrite levels and periodontitis severity (rho = 0.23; P = .04). Multiple logistic regression analysis showed that elevated salivary nitrite levels > 209 nmol/mL were associated with periodontitis, controlling for arterial hypertension history and age (OR = 10.212; 95% CI = 2.665 to 39.128; P = .001) and controlling for diabetes mellitus and smoking (OR = 8.793; 95% CI = 3.038 to 24.450; P .001). The area under the curve for periodontitis diagnosis by salivary nitrite levels was 69% (95% CI = 58% to 79%; P .001). The selected point of salivary nitrite levels > 209 nmol/mL for periodontitis diagnosis had 72% sensitivity (58% to 84%), 77% specificity (58% to 90%), a 3.1 positive likelihood ratio (1.6 to 6.1), 0.4 negative likelihood ratio (0.2 to 0.6), 85% positive predictive value (74% to 92%), and 61% negative predictive value (49% to 71%).</p><p><strong>Conclusions: </strong>Salivary nitrite concentrations could be associated independently with periodontitis, could be associated with periodontitis severity, and could help in periodontitis diagnosis in a European population according to the results of this preliminary study. (Quintessence Int 2025;56:100-107; doi: 10.3290/j.qi.b5872791).</p>","PeriodicalId":20831,"journal":{"name":"Quintessence international","volume":"0 0","pages":"100-107"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787032","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}