Special Care in Dentistry最新文献

{"title":"Dental Care and Oral Manifestations in a Child With Costello Syndrome: A 5-Year Follow-Up Case Report.","authors":"Fábio Anevan Ubiski Fagundes, Lucas Fernando Oliveira Tomáz Ferraresso, Tatiane Garcia, Cássia Cilene Dezan, Farli Aparecida Carrilho Boer, Mariana Emi Nagata, Rodrigo Hayashi Sakuma","doi":"10.1111/scd.70174","DOIUrl":"https://doi.org/10.1111/scd.70174","url":null,"abstract":"<p><strong>Introduction: </strong>Costello Syndrome (CS) is a rare, autosomal dominant genetic disorder caused by mutations in the HRAS gene. Its systemic and orofacial manifestations are highly relevant to pediatric dentistry. This study reports the case of a Brazilian female child who began receiving dental care at 25 months of age at the Children's Specialties Clinic, located at the Baby Clinic of the State University of Londrina, with dental follow-up over five years.</p><p><strong>Case report: </strong>The patient presented systemic alterations (pulmonary valve stenosis, laryngomalacia, growth and developmental delay, among others), facial features (macrocephaly, hypertelorism, broad nasal base, wide mouth), and oral conditions (anterior open bite, posterior crossbite, enamel hypoplasia, diastemas, tooth gemination, bruxism, and oral hypersensitivity). The pediatric dental approach focused on individualized preventive strategies, including dental biofilm control, oral hygiene guidance for caregivers, dietary counseling, and topical application of silver diamine fluoride. At six years old, orthopedic treatment with the SN3 appliance was proposed, but adherence was low due to sensory issues.</p><p><strong>Results: </strong>Over a 5-year follow-up period, there was progressive improvement in clinical behavior, oral hygiene, and adoption of healthier habits.</p><p><strong>Conclusion: </strong>The manifestations of CS are diverse and affect multiple tissues, with significant systemic, facial, and oral alterations. Early multidisciplinary follow-up is essential for timely diagnosis and therapeutic planning, with an emphasis on oral health promotion, functional rehabilitation of the stomatognathic system, and aesthetic interventions aimed at improving the child's quality of life and that of their family.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70174"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Self-Reported Psychiatric Diseases and Oral Health Among Older Adults.","authors":"Humberto Alexander Baca Juárez, Luísa de Souza Maurique, Pedro Paulo de Almeida Dantas, Larissa Viana de Oliveira, Gabriele Winter Santana, Paulo Roberto Grafitti Colussi, Francisco Wilker Mustafa Gomes Muniz","doi":"10.1111/scd.70180","DOIUrl":"10.1111/scd.70180","url":null,"abstract":"<p><strong>Aims: </strong>This study assessed the association between self-reported psychiatric diseases and the number of present teeth in older adults.</p><p><strong>Methods: </strong>It was included 569 older adults selected using a probabilistic per cluster sampling strategy. Structured questionnaire was applied, and an oral health examination was performed. Self-reported psychiatric diseases were defined as the primary exposure, while the number of present teeth was the outcome. Adjusted analyses were performed using Poisson regression with robust variance (α < 0.05).</p><p><strong>Results: </strong>The prevalence of self-reported psychiatric disease was 16.5% (n = 94; 95% confidence interval [95% CI]: 13.5%-19.6%). In the final adjusted model, lower number of present teeth was associated with self-reported psychiatric diseases (rate ratio [RR]:0.69; 95% CI:0.51-0.94). Women (RR:0.72; 95% CI:0.61-0.84), those without access to the dentist (RR:0.54; 95% CI:0.45-0.65), and of higher age (RR:0.96; 95% CI:0.94-0.97) also presented lower number of present teeth when compared to their counterparts. Those with medium level of education presented higher number of teeth (RR:1.68; 95% CI: 1.43-1.98).</p><p><strong>Conclusions: </strong>Older adults with self-reported psychiatric diseases, females, and those without dental access exhibited higher rates of tooth loss. Public policies should aim to integrate mental and oral health, ensuring equitable access to dental care for these most vulnerable groups.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70180"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844595","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 Gastroesophageal Reflux Disease on Salivary Dynamics: A Cross-Sectional Study.","authors":"Indumathi N, Thayalan Dineshkumar, Bose Divya, Annasamy Rameshkumar, Rajkumar K, Poonguzhalnalli Kumar","doi":"10.1111/scd.70176","DOIUrl":"https://doi.org/10.1111/scd.70176","url":null,"abstract":"<p><strong>Background: </strong>Gastroesophageal reflux disease (GERD) is a chronic gastric condition that can alter the salivary dynamics. Its impact on salivary amylase levels remains understudied.</p><p><strong>Aims: </strong>This study aimed to analyze and compare salivary pH, salivary flow rate, and amylase levels in patients with untreated GERD, GERD patients under treatment, and healthy controls.</p><p><strong>Material and methods: </strong>This study included 30 newly diagnosed cases of GERD patients (Group II), 30 GERD patients receiving therapy (Group III), and 30 healthy controls (Group I). Saliva was obtained from the individuals, and salivary pH, flow rate, and salivary amylase levels were measured. Statistical analysis was performed using one-way ANOVA, with post-hoc Tukey HSD tests for pairwise comparisons.</p><p><strong>Results: </strong>Salivary pH was significantly lower in Group II patients than in Group III or Group I (p < 0.001). The lowest salivary flow rate was observed in Group II, with significant improvement noted in Group III and the highest values found in Group I (p < 0.001). Mean salivary amylase activity also differed significantly, being lowest in Group II (mean: 34.84 U/L).</p><p><strong>Conclusion: </strong>The observed changes in salivary pH, flow rate, and amylase activity, most prominent in untreated GERD patients, highlight the potential impact of GERD on oral health and support the importance of timely intervention to mitigate oral complications.</p><p><strong>Clinical trial registration: </strong>Not applicable.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70176"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Involucrum Formation Leading to Healing in Stage 3 Medication-Related Osteonecrosis of the Jaws.","authors":"Daya Masri, Dror Bar-Hai, Omar Ghanaiem, Gavriel Chaushu","doi":"10.1111/scd.70184","DOIUrl":"https://doi.org/10.1111/scd.70184","url":null,"abstract":"<p><strong>Introduction: </strong>An involucrum refers to the formation of new bone by the periosteum surrounding a bony sequestrum. Over time, the sequestrum undergoes resorption via creeping substitution, ultimately leading to complete bone healing. This phenomenon is well-documented in the context of long bone osteomyelitis.</p><p><strong>Method: </strong>We report a case of an 82-year-old woman who healed spontaneously from stage 3 medication-related osteonecrosis of the jaw following dentoalveolar surgery while on denosumab.</p><p><strong>Aim: </strong>The aim of this article is to highlight a rare instance of resolution through the process of involucrum, demonstrating its potential role in the natural healing of MRONJ.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70184"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"Individualized Oral Hygiene Home Visits for Children With Special Needs\".","authors":"Pantip Chitpitaklert, Thawatchai Aeksanti, Wirangrong Srithongklang, Schawanya Kaewpitoon Rattanapitoon, Nathkapach Kaewpitoon Rattanapitoon","doi":"10.1111/scd.70181","DOIUrl":"https://doi.org/10.1111/scd.70181","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70181"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser-Assisted Management of Amlodipine-Induced Gingival Overgrowth in a Medically Complex Patient.","authors":"Gerardo Gilligan, Pedro Benavides, Juan Cruz Romero-Panico, Federico Garola, Ana Clara Casadoumecq","doi":"10.1111/scd.70177","DOIUrl":"https://doi.org/10.1111/scd.70177","url":null,"abstract":"<p><strong>Background: </strong>Drug-induced gingival overgrowth (DIGO) is a well-recognized adverse effect associated with several systemic medications, including calcium channel blockers such as amlodipine. Management becomes particularly challenging in medically complex patients requiring continuous anticoagulant and antiplatelet therapy, in which conventional surgical approaches may increase the risk of perioperative bleeding.</p><p><strong>Case presentation: </strong>We report the case of a 66-year-old male patient with severe, multifocal amlodipine-induced gingival overgrowth associated with generalized severe periodontitis (Stage IV) and a complex cardiovascular history, including previous ischemic strokes. The patient was under long-term anticoagulant and antiplatelet therapy (acenocoumarol adjusted to therapeutic INR and acetylsalicylic acid 100 mg/day), as well as amlodipine 10 mg/day and other cardiovascular medications. Following interdisciplinary evaluation, amlodipine was discontinued, while antithrombotic therapy was maintained due to the patient's high cardiovascular risk. After initial periodontal therapy and partial lesion regression, persistent fibrotic gingival enlargements were surgically excised using a diode laser (810-980 nm) without interruption of antithrombotic medication.</p><p><strong>Results: </strong>Laser-assisted excision was performed uneventfully, providing excellent hemostatic control with no intraoperative or postoperative bleeding and without the need for sutures. Histopathological examination confirmed the diagnosis of DIGO. Complete healing was observed at the 15-day follow-up, with no recurrence or complications. Potential risks associated with laser use, such as thermal damage to adjacent tissues, were minimized through appropriate parameter selection and surgical technique.</p><p><strong>Conclusion: </strong>This case highlights the usefulness of diode laser surgery as a safe and effective therapeutic option for the management of severe DIGO in patients requiring continuous antithrombotic therapy. Its excellent hemostatic properties and minimal invasiveness make it particularly valuable in special care dentistry and in interdisciplinary management of high-risk cardiovascular patients.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70177"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health in Alzheimer's Disease: A Life-Course Perspective on Clinical Management and Caregiver Support.","authors":"Mayron Guedes Silva, Matheus Bastos Vasconcelos, Raphael Guedes Silva, Maria Áurea Lira Feitosa","doi":"10.1111/scd.70179","DOIUrl":"10.1111/scd.70179","url":null,"abstract":"<p><strong>Aim: </strong>To synthesize current evidence on oral health conditions in individuals with AD and to discuss stage-specific dental management strategies, including caregiver involvement, from a life-course perspective.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted in PubMed/MEDLINE, Scopus, Scielo, and Web of Science using MeSH and free-text terms related to Alzheimer's disease, oral health, and caregivers, with no language or time restrictions.</p><p><strong>Results: </strong>Individuals with AD commonly present with periodontal disease, root caries, xerostomia, traumatic mucosal lesions, and prosthesis-related complications. The available evidence does not strongly support a bidirectional causal relationship; instead, poor oral health and AD appear to be cumulative conditions influenced by shared antecedent factors, such as biological aging and chronic inflammation. Functional dependence and behavioral symptoms further contribute to oral deterioration over time. Effective dental care therefore requires stage-adapted approaches, ranging from preventive and restorative interventions in early stages to palliative strategies focused on infection control and comfort in advanced disease.</p><p><strong>Conclusion: </strong>Oral health care for individuals with AD should be grounded in a life-course and biopsychosocial framework, prioritizing realistic, stage-specific clinical management and structured caregiver support within interdisciplinary geriatric care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 3","pages":"e70179"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13150412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844619","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":"Validation of Ageism Scale for Dental Students (ASDS) in a Multicultural South and Southeast Asian Context.","authors":"Tee Yee Yong, Chen Yik Zhen, Jacob John, Mahmoud Danaee, Leonardo Marchini, Anand Marya, Lindawati S Kusdhany, Maria Angela G Gonzalez, Birlabose Bhuvaneswari, Yuniardini Septorini Wimardhani, Muslita Indrasari","doi":"10.1111/scd.70152","DOIUrl":"https://doi.org/10.1111/scd.70152","url":null,"abstract":"<p><strong>Objectives: </strong>Global populations are ageing rapidly, especially in Asia. The Ageism Scale for Dental Students (ASDS) was developed in 2018 to assess ageism among dental students. This study aims to validate the ASDS in a multicultural, multi-center Asian context to establish a robust tool for future educational and interventional research in gerodontology education.</p><p><strong>Methods: </strong>The original 27-items ASDS was distributed to dental students from five dental schools in Cambodia, India, Indonesia, Malaysia, and Philippines. Data were randomly split for Exploratory Factor Analysis (EFA; n = 400) and Confirmatory Factor Analysis (CFA; n = 355). Sampling adequacy and Bartlett's test were assessed. EFA employed Oblimin rotation, polychoric correlation matrix and maximum likelihood extraction with iterative item removal. Reliability and internal consistency were evaluated with Cronbach's alpha; convergent and discriminant validity were also examined.</p><p><strong>Results: </strong>EFA revealed 20-items five-factor structure explaining 55.2% of the variance namely therapeutic nihilism, empathy and advocacy, perceived noncompliance and oral health neglect, perceived clinical burden, and confidence and competence. Cronbach's alpha values ranged from 0.742 to 0.839. CFA of the modified model, with 2 items removed, confirmed the five-factor structure with 2-6 items per factor distribution, and good model fit indices (χ²/DF = 3.717, CFI = 0.968, GFI = 0.993, SRMR = 0.055, RMSEA = 0.088). Four factors demonstrated strong convergent validity (AVE ≥ 0.50), while discriminant validity was supported for all factors (HTMT < 0.85).</p><p><strong>Conclusion: </strong>The modified 18-item ASDS demonstrated robust reliability and validity across the five Asian countries, confirming its utility as a cross-cultural tool for assessing ageism in dental education and guiding the development of culturally sensitive strategies to prepare students for geriatric care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 2","pages":"e70152"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Oral Health Care Among Children With Cerebral Palsy-A Systematic Review.","authors":"Priya Kannan, Madhumitha Muthukumar, Shreya S, Senthil Eagappan, Deepthi Bolla, Nandini S","doi":"10.1111/scd.70169","DOIUrl":"https://doi.org/10.1111/scd.70169","url":null,"abstract":"<p><strong>Introduction: </strong>Children with cerebral palsy (CP) experience multiple barriers to oral health care. This systematic review aims to recognize and compile the barriers to accessing and utilizing oral health care services in this population.</p><p><strong>Methods: </strong>This systematic review was registered in PROSPERO (CRD420250651977) and conducted adhering to the PRISMA 2020 guidelines. A comprehensive search strategy was developed using MeSH terms search was conducted across various databases (PubMed, Google Scholar, and Cochrane Library). Studies were selected based on pre-defined inclusion criteria and further assessment using the Mixed Methods Appraisal Tool (MMAT) 2018.</p><p><strong>Results: </strong>The initial search retrieved 1441 studies and a final set of 8 studies were included, involving either parents or caregivers of children with CP, originating from 5 countries. All included studies were methodologically sound (MMAT score ≥4). The primary barriers identified were physical and behavioral challenges, transportation and distance-related issues, financial constraints, caregivers' attitude toward dental care, accessibility limitations, and service provider-related barriers.</p><p><strong>Conclusion: </strong>Children with CP face multifaceted challenges in accessing oral health services. Addressing these requires caregiver education, infrastructural improvements, and service provider training to deliver inclusive, accessible, and preventive dental care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 2","pages":"e70169"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental Care Access Among Children and Adolescents With Autism Spectrum Disorder: A Cross Sectional Survey in Juiz de Fora, Brazil.","authors":"Pedro Mattos Cardoso, Laís Canêdo Martins, Fernanda Campos Machado, Camila Faria Carrada, Flávia Almeida Ribeiro Scalioni","doi":"10.1111/scd.70158","DOIUrl":"10.1111/scd.70158","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the conditions of access to dental care among children and adolescents with Autism Spectrum Disorder (ASD) in Juiz de Fora, Brazil, and to identify the main barriers faced by this population.</p><p><strong>Methods and results: </strong>This cross sectional study used a convenience sampling strategy. Data were collected from 130 parents or caregivers of children and adolescents with ASD through a structured questionnaire disseminated via institutions and digital platforms. The instrument was developed based on previous studies and reviewed by experts to ensure content validity. Descriptive analyses and Pearson's chi-square (χ²) tests were performed. Most children with ASD (70.8%) had received dental care at least once, but 56.2% did not undergo regular follow-up. The main barriers were difficulty finding specialized professionals (54.5%), financial constraints (42.0%), and behavioral limitations (23.9%). Younger children and those with higher family income, level 1 support, and verbal communication showed better adherence and behavior during dental care. Associations are reported without effect sizes or confidence intervals, as these analyses were not included in the study design.</p><p><strong>Conclusion: </strong>Although most children and adolescents with ASD in Juiz de Fora had received dental care, ongoing barriers hinder consistent access, as identified through associative-not causal-relationships, given the cross sectional nature of the study. The shortage of specialized professionals, behavioral challenges, and financial difficulties remain major barriers to access. Early age, verbal communication, and higher family income were associated with, rather than predictive of, better access and adherence.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 2","pages":"e70158"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12937036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291490","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}