Journal of International Society of Preventive and Community Dentistry最新文献

{"title":"<i>In Vitro</i> Apatite-Forming Ability of Different Root Canal Sealers (A Comparative Study).","authors":"Raghad A Al-Askary, Wiaam M O Al-Ashou, Sawsan H Al-Jubori","doi":"10.4103/jispcd.jispcd_12_25","DOIUrl":"10.4103/jispcd.jispcd_12_25","url":null,"abstract":"<p><strong>Aim: </strong>Hydroxyapatite (HA) formation ability of endodontic sealers is considered an index of their bioactivity and plays a significant role in hard-tissue inductivity and elevating the sealing ability of the root canal system. This study evaluated and compared <i>in vitro</i> the apatite-forming ability of endodontic sealers after immersion in phosphate buffer saline (PBS).</p><p><strong>Methods: </strong>Eighty sealer specimens, 20 samples for each sealer (GuttaFlow2, GuttaFlow Bioseal, ProRoot mineral trioxide aggregate [MTA], and MTA Fillapex), measuring 1.0 ± 0.1 mm in thickness and 20 ± 0.1 mm in diameter, were prepared, then incubated at 37°C and 95% relative humidity for three times their setting time to ensure complete setting. The disc samples were de-molded, and 10 sealer discs of each sealer were immersed for 28 days in PBS, while the other discs were not immersed. Morphological and elemental analyses for the surface precipitate of each sealer's disc were analyzed with a field emission scanning electron microscope with energy-dispersive X-ray spectroscopy (FESEM). In addition, X-ray diffraction (XRD) and Raman spectroscopy analyses were used to assess the HA precipitate.</p><p><strong>Results: </strong>The FESEM revealed a superficial layer of apatite spherulites coated on (GuttaFlow Bioseal, ProRoot MTA, and MTA Fillapex) sealers after 28 days of immersion in PBS. The calcium to phosphorus (Ca/P) ratio of the coating indicated the formation of HA deposits which is higher for ProRoot MTA followed by MTA Fillapex and then by GuttaFlow Bioseal. Apatite deposits were confirmed by XRD through their characteristic peaks and Raman spectra through their band at 960 cm^-1.</p><p><strong>Conclusions: </strong>This <i>in vitro</i> research approves the excellent bioactivity of ProRoot MTA. In addition, both MTA Fillapex and GuttaFlow Bioseal sealer have bioactive ability.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"173-183"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health and Climate Change: Working Toward Adaptive Strategies to the Changing Environment.","authors":"Saurabh RamBihariLal Shrivastava, Prateek Sudhakar Bobhate, Monal Kukde","doi":"10.4103/jispcd.jispcd_228_24","DOIUrl":"10.4103/jispcd.jispcd_228_24","url":null,"abstract":"<p><p>Climate change has been acknowledged as one of the current's century most significant global public health challenges. Climate change has resulted in a multifaceted impact on oral health, including the exacerbation of periodontal diseases, enamel erosion, and the increased risk of oral cancers. At the policy level, oral healthcare initiatives should be incorporated into climate adaptation strategies. Key recommendations include promoting climate-resilient dental practices (like mobile clinics and tele-dentistry), integrating sustainable oral healthcare practices, and advocating for water conservation. To summarize, these findings offer a blueprint to mitigate oral health disparities and augment the resilience of dental care systems, emphasizing the linkages between environmental policies and oral health outcomes.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"192-195"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Proximal Contact Tightness in Anterior Resin Composite Restorations: A Comparative <i>In Vitro</i> Study of Injectable, Flowable, and Universal Composites.","authors":"Nantawan Krajangta, Seelassaya Leeraponglit, Chanakan Paaopanchon, Padiyapong Sagnanert, Wis Boonmasuwaran, Chayanit Angkananuwat","doi":"10.4103/jispcd.jispcd_220_24","DOIUrl":"10.4103/jispcd.jispcd_220_24","url":null,"abstract":"<p><strong>Aim: </strong>Proximal contact tightness (PCT) is critical for periodontal health, stability, and longevity of restorations. However, limited evidence exists comparing PCT in anterior restorations using injectable and flowable resin composites with transparent silicone indices versus universal composites with a putty index. This study compared the PCT of injectable resin composites (IJ), flowable resin composites (FL), and universal resin composites (U) in Class IV anterior restorations.</p><p><strong>Methods: </strong>Forty-five standardized Class IV restorations were performed on typodont models by an experienced restorative dentist, divided into three groups (<i>n</i> = 15/group): IJ, FL, and U. Modified Fédération Dentaire International (FDI) criteria were used for qualitative assessment of PCT scores, while a digital force gauge provided quantitative measurements. Statistical analyses were performed using the chi-square test for PCT scores and Kruskal-Wallis one-way analysis of variance for PCT forces, with significance set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>The U group achieved the highest mean PCT force (5.05 ± 1.73 N, <i>P</i> < 0.01) and the highest percentage of ideal/strong PCT scores (80%-86.7%). In contrast, the IJ and FL groups demonstrated lower forces (2.07 ± 0.59 N and 2.09 ± 0.86 N, respectively) and a higher incidence of weak/inadequate contacts (20%-40% for FL; 33.33%-40% for IJ). No significant difference was found between IJ and FL groups (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Universal composites with a putty index provide superior PCT in Class IV restorations compared to injectable and flowable composites with transparent silicone indices. Clinicians using injectable or flowable composites should consider additional adjustments to optimize PCT. Future research should validate the effects of shrinkage and variability on PCT.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"144-154"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment Factors for Managing First Permanent Molars in Children with Poor Prognosis: A Systematic Mapping of Clinical Evidence.","authors":"Nurfarhana Ilyas, Saraswathy Devi Sinniah, Norashikin Abu Bakar","doi":"10.4103/jispcd.jispcd_234_24","DOIUrl":"10.4103/jispcd.jispcd_234_24","url":null,"abstract":"<p><strong>Background: </strong>Managing the first permanent molar (FPM) with a poor prognosis can be challenging as it depends on several modifying factors that must be considered, and each approach has potential implications and clinical outcomes.</p><p><strong>Aim: </strong>This review aimed to systematically review the assessment factors that should be considered prior to managing FPM with poor prognosis in children.</p><p><strong>Methods: </strong>A computerized database search was conducted using Cochrane, PubMed, and Scopus with predefined search terms related to \"management, treatment, extraction, restoration, endodontic, and orthodontic\" involving the \"FPM.\" The search included studies published in English between 1990 and 2024. Two reviewers independently extracted data and assessed whether the studies met the inclusion criteria. The inclusion criteria specified management approaches for FPM with poor prognosis in children aged 6-16. Any disagreement between reviewers was resolved through discussion.</p><p><strong>Results: </strong>A total of 1815 studies were screened, and 37 full-text articles were retrieved. Seven retrospective observational studies met the inclusion criteria. All the included studies focused on orthodontic assessment factors, such as the presence of a third molar and angulation of the second permanent molar, aimed at achieving spontaneous space closure following FPM extraction. However, no studies have addressed restorative perspectives on managing this problem, particularly in pediatric patients.</p><p><strong>Conclusion: </strong>This review highlights a lack of well-established and robust studies on managing poor prognosis in FPM. The absence of research on long-term functional outcomes, patient-reported experiences, and the role of restorative alternatives, especially in children, reveals significant gaps in the current literature. Incorporating these findings into clinical practice could lead to more personalized and effective treatment strategies that focus on both immediate and long-term oral health outcomes for children. Given the complexity of FPM management, a multidisciplinary approach combining restorative, orthodontic, and preventive strategies is crucial. Therefore, further studies with stronger evidence are needed to explore a comprehensive clinical approach that could enhance treatment outcomes.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"101-113"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Thai <i>Kaempferia Parviflora</i> Extract on Human Gingival Fibroblasts: An <i>in vitro</i> Study of Wound Healing.","authors":"Sarut Thairat, Varunya Chantadul, Jirattikarn Kaewmuangmoon, Supaporn Mala","doi":"10.4103/jispcd.jispcd_214_24","DOIUrl":"10.4103/jispcd.jispcd_214_24","url":null,"abstract":"<p><strong>Aim: </strong>Gingival fibroblasts are key players in oral wound healing as they migrate to the wound and produce extracellular matrix. Although contemporary methods can enhance healing, there is ongoing interest in alternative medicine due to its accessibility. <i>Kaempferia parviflora</i>, a traditional Thai herb, has been comprehensively studied for its pharmacological properties; however, its specific roles in wound healing remain to be explored. Thus, our study aimed to investigate the effects of <i>K. parviflora</i> extract (KPE) on the proliferation, migration, and collagen production of human gingival fibroblasts (HGFs).</p><p><strong>Methods: </strong>HGFs were treated with 0.46-7.5 mg/mL KPE, followed by determination of cell viability using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay on days 1, 3, 5, and 7, and cell migration was assessed using scratch assay at 12, 24, and 48 h. Collagen production was analyzed by picrosirius red staining and real-time polymerase chain reaction (qRT-PCR) on days 7, 14, and 21.</p><p><strong>Results: </strong>At 0.46 mg/mL, KPE induced cell proliferation in HGFs on days 3, 5, and 7, whereas higher concentrations were cytotoxic to HGFs. This concentration also enhanced cell migration at all time points, whereas higher doses hampered this process. KPE at 0.46 mg/mL stimulated collagen production and upregulated the expressions of <i>COL3A1</i> and <i>COL1A1</i> genes on day 14, although these levels were decreased by day 21.</p><p><strong>Conclusions: </strong>KPE could promote proliferation, migration, and collagen production in HGFs, demonstrating its potential use as an adjunctive treatment for oral wounds. Nevertheless, establishing a safety margin is crucial before clinical application due to the possibility of cytotoxicity at higher concentrations.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"126-133"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Luteolin Nanoparticles on Bond Strength, Hardness, and Roughness of Tissue Conditioners: An <i>In Vitro</i> Study.","authors":"Nada Z Mohammed, Amrah Y Al-Jmmal, Luma M Al-Nema","doi":"10.4103/jispcd.jispcd_6_25","DOIUrl":"10.4103/jispcd.jispcd_6_25","url":null,"abstract":"<p><strong>Background: </strong>Tissue conditioners are widely used to manage traumatized oral tissues under dentures, but their mechanical limitations restrict long-term use. Luteolin, a flavonoid with known anti-inflammatory and wound healing properties, may enhance these materials when incorporated as nanoparticles (NPs).</p><p><strong>Aim: </strong>To investigate the effect of incorporating luteolin NPs into an acrylic-based tissue conditioner on its tensile bond strength, surface hardness, and surface roughness.</p><p><strong>Materials and methods: </strong>Sixty samples were divided into control (<i>n</i> = 15) and experimental groups (<i>n</i> = 45), with luteolin NPs incorporated at 1%, 2%, and 4% w/w concentrations. Tensile bond strength was tested using a universal testing machine, surface hardness via Shore A durometer, and surface roughness with a profilometer. Data were analyzed using analysis of variance and Tukey's <i>post hoc</i> test (<i>P</i> ≤ 0.05).</p><p><strong>Results: </strong>The 2% luteolin NP group demonstrated the highest tensile bond strength (0.28 MPa), lowest surface hardness (26.52), and surface roughness (2.20 µm). Incorporation at 2% and 4% significantly improved bond strength, while 1% and 2% significantly reduced surface hardness (<i>P</i> < 0.05). No statistically significant change in surface roughness was observed across groups.</p><p><strong>Conclusion: </strong>Tissue conditioners modified with 2% luteolin NPs showed improved bonding and optimal surface properties without compromising material performance. These findings support the potential clinical utility of luteolin-enhanced tissue conditioners for managing traumatized oral tissues.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"184-191"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Complications After Extraction of Impacted Mandibular Third Molars: A Clinical Observational Study On Dental Position And Risks.","authors":"Daniela Camila Nunes Miguel, Rudyard Dos Santos Oliveira, Francine Kühl Panzarella","doi":"10.4103/jispcd.jispcd_110_24","DOIUrl":"10.4103/jispcd.jispcd_110_24","url":null,"abstract":"<p><strong>Aim: </strong>This study examined the associations between the position of impacted mandibular third molars and postoperative complications, with a focus on pain, swelling, and their associations with proximity to the mandibular canal.</p><p><strong>Methods: </strong>A retrospective cohort of 270 patients who underwent surgical extraction of mandibular third molars was analyzed. Preoperative panoramic radiographs were evaluated by three experienced surgeons to classify the tooth position (Winter classification) and proximity to the mandibular canal (Rood and Shehab classification). Postoperative complications (pain, swelling, trismus, paresthesia, hematoma, and hemorrhage) were assessed via standardized questionnaires and clinical records 7 days postoperatively. Data analysis included descriptive statistics and multinomial logistic regression.</p><p><strong>Results: </strong>Mesioangular and horizontal impactions were significantly associated with increased postoperative pain and swelling. Logistic regression indicated that the mesioangular position increased the odds of pain by 95% (odds ratio [OR] = 1.95) and swelling by 85% (OR = 1.85). The horizontal impact increased the odds of pain by 2.8 times (OR = 2.8) and swelling by 5.0 times (OR = 5.0). Tooth position was a significant predictor of postoperative complications (<i>P</i> = 0.007), whereas proximity to the mandibular canal, patient age, and the mandibular side were not. Root darkening emerged as a notable radiographic finding.</p><p><strong>Conclusions: </strong>The position of impacted mandibular third molars, particularly mesioangular and horizontal angulations, significantly influences postoperative pain and swelling. These findings highlight the importance of considering the tooth position in surgical planning to reduce complications. Although panoramic radiography is useful in resource-limited settings, cone-beam computed tomography is advised for complex cases or when vital structures are at risk.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"155-172"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Implant Macro-geometry in Primary Stability in Low-Density Bone: An <i>in vitro</i> Study.","authors":"Fakhrana Ariani Ayub, Sunarso Sunarso, Ratna Sari Dewi","doi":"10.4103/jispcd.jispcd_155_24","DOIUrl":"10.4103/jispcd.jispcd_155_24","url":null,"abstract":"<p><strong>Aim: </strong>This study assessed the primary stability of implants featuring various geometries in polyurethane bone blocks simulating low-density bone types 3 and 4.</p><p><strong>Methods: </strong>The study included 36 implants divided into three groups (Straumann BLT, <i>n</i> = 12; Zimmer TSV, <i>n</i> = 12; and Dentium Superline [DSL], <i>n</i> = 12). Implants featuring three different thread designs, a tapered body, a diameter of 4.0-4.1 mm, and a length of 10 mm were inserted into polyurethane bone blocks (20 and 15 PCF) to simulate bone types 3 and 4. Primary stability was evaluated using implant stability quotient (ISQ), insertion torque (IT), and removal torque (RT). IT and RT were compared using ANOVA, while ISQ was analyzed using the Kruskal-Wallis test. A <i>P</i> value < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>For bone type 3, the highest IT (30.21 ± 1.38 N cm) and RT (23.25 ± 2.30 N cm) value were observed for the Zimmer TSV, and the highest ISQ values (63.29 ± 0.54 N cm) were observed for DSL. For bone type 4, the highest IT (18.07 ± 1,71 Ncm) and RT (14.48 ± 1.81 Ncm) values were observed for the Zimmer TSV, and the highest ISQ values (58.46 ± 0.78 N cm) were observed for the DSL. The ISQ, IT, and RT values of the implant groups were significantly different (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Implant geometry and bone density were key factors influencing primary stability in this study. The outcomes of the present study may help clinicians make decisions, especially when dealing with bone that has a less favorable quality. These findings may have important clinical implications related to immediate or early loading protocols, highlighting the critical role of implant design in attaining sufficient stability.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"134-143"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost Savings of Primary Care Versus Hospital-Based Dental Services for the Elderly in Southern Thailand: A Client-Centered Perspective.","authors":"Suthasinee Sa-Nguanchuea, Sukanya Tianviwat, Songchai Thitasomakul","doi":"10.4103/jispcd.jispcd_147_24","DOIUrl":"10.4103/jispcd.jispcd_147_24","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the cost savings in dental services provided to elderly individuals by comparing primary care units (PCUs) and hospital-based care in Southern Thailand.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 322 elderly participants aged 60 years and above. Participants were recruited through multistage sampling from health facilities in three contracted units of primary care (CUPs). Data were collected via structured interviews using validated questionnaires, focusing on total client costs, including treatment, transportation, and opportunity costs. Descriptive and multilevel linear regression analyses were performed using R software, adjusting for key variables such as vehicle type, occupation, and religion.</p><p><strong>Results: </strong>The mean-adjusted client cost per visit was 59 Baht at PCUs and 176 Baht at hospital settings, yielding a cost-saving of 117 Baht (3.17 USD) per visit. Transportation costs, the largest component, were significantly lower in PCUs (4 Baht) compared to hospitals (72 Baht). Sensitivity analysis over 3 fiscal years (2021-2023) demonstrated consistent cost-savings, with a maximum cumulative saving of 709,937 Baht (19,600 USD) in one CUP. Multilevel linear regression analysis revealed that the type of vehicle and client income significantly influenced total costs. PCUs provided comparable dental services with reduced geographical and economic barriers, enhancing accessibility and affordability for elderly clients.</p><p><strong>Conclusion: </strong>Delivering dental care at PCUs is a cost-effective alternative to hospital-based care, offering substantial financial benefits and promoting equitable healthcare access for the elderly. Policymakers should consider integrating dental services within primary healthcare frameworks to optimize resource allocation and improve health outcomes in aging populations.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 2","pages":"114-125"},"PeriodicalIF":1.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Paper Information Leaflets on Dental Anxiety and Well-Being in Czech Patients: A Randomized Clinical Trial.","authors":"Robert Plachý, Lenka Krejčová, Vladimír Machoň, Michele Bujda","doi":"10.4103/jispcd.jispcd_171_24","DOIUrl":"10.4103/jispcd.jispcd_171_24","url":null,"abstract":"<p><strong>Aim: </strong>Dental anxiety and well-being significantly influence patients' oral health and quality of life. This study investigated whether providing paper information leaflets (PILs) before performing dental procedures improved psychological well-being and reduced anxiety in Czech patients.</p><p><strong>Materials and methods: </strong>This parallel-group, single-blind randomized, prospective clinical trial was conducted at a private dental clinic in the Czech Republic in 2020. A total of 167 adult patients were randomly assigned to either the experimental group (<i>n</i> = 82), receiving both verbal information and a PIL, or the control group (<i>n</i> = 85), receiving only verbal information before their dental procedure (fillings, endodontic treatment, prosthetic restorations, or extractions). Pre- and post-procedure psychological well-being and anxiety were assessed using study-specific questionnaires. Data analysis was conducted in R using RStudio, with a significance level set at <i>P</i> < 0.05. Between-group differences were assessed while controlling for gender and education. Linear regression was used to analyze pre-procedure anxiety, and logistic regression was used to analyze post-procedure well-being outcomes (reporting \"everything was fine,\" \"unpleasant mouth sensations,\" and \"quick adjustment\"). The Benjamini-Hochberg correction was applied to control for multiple comparisons. Sensitivity analysis used the \"best-worst and worst-best case\" method to evaluate nonrandom missing data. Power analysis determined a minimum of 64 participants per group for a two-tailed <i>t</i> test.</p><p><strong>Results: </strong>Baseline anxiety levels, measured on a 1-6 scale, were similar between the PIL group (mean 4.26, SD 1.11) and the control group (mean 4.36, SD 1.17; <i>β</i> = -0.11, <i>P</i> = 0.54). Post-procedure, while fewer patients in the PIL group reported that \"everything was fine\" (28/82 vs. 39/85), this difference was not statistically significant after correction for multiple comparisons (uncorrected <i>P</i> = 0.038, <i>α</i> _FDR = 0.01). No significant differences were found between groups regarding \"unpleasant mouth sensations\" (<i>P</i> = 0.84) or \"quick adjustment\" (<i>P</i> = 0.52).</p><p><strong>Conclusion: </strong>Providing PILs in addition to verbal information did not significantly impact pre-procedure anxiety or post-procedure well-being in this sample of Czech dental patients. These findings indicate that verbal communication alone may be sufficient for managing patient anxiety and promoting well-being in this context. Further research using validated instruments and exploring different communication strategies is warranted.</p>","PeriodicalId":47247,"journal":{"name":"Journal of International Society of Preventive and Community Dentistry","volume":"15 1","pages":"69-79"},"PeriodicalIF":1.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}