Special Care in Dentistry最新文献

{"title":"Erdheim Chester Disease and Its Impact on Dental Care: A Case Report.","authors":"Georgina Prosser, Fatimah Alsayer","doi":"10.1111/scd.70023","DOIUrl":"https://doi.org/10.1111/scd.70023","url":null,"abstract":"<p><p>Erdheim Chester disease (ECD) is a rare histiocytic disorder that was recently acknowledged as a neoplastic disorder owing to the discovery of recurrent activating MAPK pathway mutations. The initial symptoms tend to vary, and the clinical presentation can range from asymptomatic bony lesions to multi-systemic, life-threatening disease. Although rare, lesions of the jaws have been reported in the literature has the higher prevalence of alveolar bone loss rending many individuals with this disease edentulous at a young age. The aim of this paper is to present the case of a 38-year-old male patient with ECD who presented with high dental needs, and to highlight the impact that the disease and the subsequent medical treatments can have on the oral cavity and the overall provision of dental care. Although the disease is rare, dental professionals should have an awareness of histiocytic disorders; this is to enable them to perform a risk assessment, devise pre-operative, intra-operative, and post-operative treatment modifications where appropriate.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70023"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651456","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":"Osteoradionecrosis Incidence and Dental Implant Survival in Irradiated Head and Neck Cancer Patients: A Systematic Review and Meta-Analysis.","authors":"Mansour Gorjizad, Majid Aryannejad, Ali Shahriari, Mahsa Aslani Khiavi, Maedeh Barkhordari Dashtkhaki, Amirhossein Rigi, Zhina Mohamadi, Pouya Asgari, Shirindokht Shirazi, SeyedMehdi Ziaei, Mahsa Asadi Anar","doi":"10.1111/scd.70022","DOIUrl":"https://doi.org/10.1111/scd.70022","url":null,"abstract":"<p><strong>Background and aim: </strong>The use of implants in irradiated patients has been critically questioned due to the presence of Osteoradionecrosis and other side effects of radiation therapy. Hence, our objective is to examine the likelihood of dental implant survival and the incidence of osteoradionecrosis in patients with head and neck cancer who have undergone radiation therapy. This analysis will aid in making informed therapeutic decisions on oral rehabilitation for individuals at high risk, ensuring maximal benefit.</p><p><strong>Method: </strong>PubMed, Scopus, and Web of Science were queried until April 2024. The digital data were extracted using the Web plot digitizer. We utilized the most recent iteration of STATA (version 18) to perform a meta-analysis of the data. The studies were evaluated for quality using the New Castle-Ottawa Scale. Egger's test was used to evaluate the presence of publication bias caused by modest research effects.</p><p><strong>Result: </strong>The study analyzed data from 21 research papers on 753 head and neck cancer patients. The majority were male, with a mean age of 60.25 years. 46% underwent radiotherapy, with 2261 dental implants inserted. The mandible was the most used implant site, accounting for 62.4%. The mean time between implant placement and radiotherapy was 5.3 weeks, with a median waiting period of 30.7 months for secondary surgery. After an average follow-up of 42.25 months, 58% of implants failed in the irradiated control group, while 6% failed in the non-irradiated control subgroup. Osteoradionecrosis was seen in 26 patients, resulting in an incident rate of 1.81%. As a result of this problem, an average of 2.5 implants per patient were not successfully retained. Radiotherapy was found to be a significant risk factor for implant survival.</p><p><strong>Conclusion: </strong>Our research indicates that the survival rate of implants in patients who have undergone radiation therapy is lower compared to those who have not received radiation therapy. Additionally, although rare, osteoradionecrosis is a significant complication that every oral and maxillofacial surgeon should be ready to address. Enhancing the quality of care, mitigating hazards, and reducing treatment duration may hinge upon implementing a systematic approach to patient selection and therapy.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70022"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651458","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 Mucositis and Pain in Hypofractionated Head and Neck Radiotherapy Protocols.","authors":"Nadini Spolaore de Souza, Alexandre Colello Bruno, Tatiane Cristina Ferrari, Ana Laura Polizel Ranieri, Leandro Dorigan de Macedo, Hilton Marcos Alves Ricz, Lara Maria Alencar Ramos Innocentini","doi":"10.1111/scd.70019","DOIUrl":"https://doi.org/10.1111/scd.70019","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70019"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626398","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":"Fluoride Levels in Saliva After the Application of Fluoride Varnishes in a Preventive Oral Health Program in Pregnant Women: A Randomized Controlled Trial.","authors":"Iciar Fernández-Pizarro, Antonio José Ortiz-Ruiz, Clara Serna-Muñoz, Amparo Pérez-Silva, Francisco Javier Ibáñez-López, Sandra Gallego-Reyes, Yolanda Martínez-Beneyto","doi":"10.1111/scd.70020","DOIUrl":"https://doi.org/10.1111/scd.70020","url":null,"abstract":"<p><strong>Purpose: </strong>Gestation is a time in women's lives when many physiological changes occur that have systemic and oral repercussions, especially in the periodontium. The aim of the study is to determine the oral health status, plaque index, oral health related quality of life, and concentration of fluoride in saliva, after the application of fluorinated varnishes, of pregnant women participating in a preventive oral health program.</p><p><strong>Material and methods: </strong>A randomized clinical trial was carried out on pregnant patients involved in an oral health program. Data was collected on socio-demographic aspects, hygiene habits, beliefs, epidemiological indexes such as Decayed, Missing, and Filled Teeth (DMFT); International Caries Detection and Assessment System (ICDAS); Community Periodontal Index (CPI); Caries Management by Risk Assessment (CAMBRA); and the Oral Health Related Quality of Life Index (OHIP-14). Three reviews were carried out during the gestation period (Day 1, 15, and 30). The fluoride varnishes applied in the study were Clinpro White Varnish, Profluorid Varnish, and MI Varnish.</p><p><strong>Results: </strong>A total of 89 women were evaluated. Most patients were Spanish and married, with a mean age of 34.3. The mean DMFT was 7.2 (± 4.51), the plaque index was 52%, and there was a low risk of caries. A poorer quality of life was linked to an increased risk of caries, high DMFT values, high ICDAS codes, and high plaque index. The concentration of fluoride in saliva immediately after the application with MI Varnish reaches values of fluor concentration 238.51 ± 151.87 much higher than the other varnishes (p < 0.05); however, after 30 days the values were reduced without significant differences for the three study groups Clinpro White Varnish (0.21 ± 0.29), MI Varnish (0.34 ± 0.34) and Profluorid Varnish (0.16 ± 0.07).</p><p><strong>Conclusion: </strong>In general, pregnant women had good oral health, which improved after participating in the program, and good oral quality of life, with a negative influence due to caries lesions and plaque. In all study groups concentration values dropped to baseline 15 and 30 days after the application of fluoride.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70020"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606535","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":"How Are Patient Perspectives of Oral Health Reflected in the International Classification of Functioning?","authors":"Marie-Sophie Bogner, Sasha Scambler, Nada El-Osta, Caroline Eschevins, Denise Faulks","doi":"10.1111/scd.70017","DOIUrl":"https://doi.org/10.1111/scd.70017","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to link patients' experience of oral health to the International Classification of Functioning. Data were analyzed from a previous qualitative study exploring experience and perception of the mouth, oral health, functioning, and the social environment among adults with disabilities and complex health conditions.</p><p><strong>Methods and results: </strong>Eighteen participants took part in 17 semi-structured interviews that were transcribed verbatim. All meaningful concepts were identified in the transcripts and these were linked to ICF items using established rules. Overall, 116 ICF items were cited in at least three interviews, of which 39 from the Body functions domain, 11 from the Body structures domain, 49 from the Activities and Participation domain, and 17 from the Environmental factors domain.</p><p><strong>Conclusions: </strong>The patient perspective of oral health reinforces the imperative of social function as the main rehabilitation goal in Special Care Dentistry rather than just the elimination of disease. The data provided by this study is also an important step forward for the development of an ICF Core Set for Oral Health.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70017"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606536","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":"Mandibular Bone Imaging Assessment in Individuals With Rheumatoid Arthritis: A Comparative Cross-Sectional Study.","authors":"Luciana Munhoz, Daniella Estanho, Sarah Raquel Marinho da Costa, Sílvia Paula de Oliveira, Bruno Augusto Benevenuto de Andrade, Plauto Christopher Aranha Watanabe, Jefferson R Tenório","doi":"10.1111/scd.70012","DOIUrl":"https://doi.org/10.1111/scd.70012","url":null,"abstract":"<p><strong>Objective: </strong>To assess the risk of low bone mineral density (BMD), evaluated by mandibular cortical index (MCI), W-index (WI), and the continuity of the mandibular canal cortices in rheumatoid arthritis (RA) patients in comparison with healthy subjects.</p><p><strong>Material and methods: </strong>A retrospective and comparative study was conducted in individuals diagnosed with rheumatoid arthritis (Study Group-SG) and healthy individuals without comorbidities (Control Group-CG). MCI, WI, and the continuity of the mandibular canal cortices were evaluated by two experienced observers. Conditional logistic regression was performed to verify associations between MCI and other variables.</p><p><strong>Results: </strong>The study included 37 RA patients and 37 healthy controls, matched by sex, age, and ethnicity. Six patients from each group were considered C1 (without BMD reduction in mandibular cortical bone). No differences between the BMD were detected for WI (p = 0.54). The odds ratio analysis did not demonstrate associations between the lower MCI and the variables: presence of RA, ethnicity, sex, glucocorticoid, bisphosphonate intake, and the mandible cortices continuity.</p><p><strong>Conclusion: </strong>Most individuals with RA had altered MCI, but no association was observed between the variables studied.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70012"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544012","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":"Ageism and Empathy Among Dental Students in Southern Brazil.","authors":"Luísa Helena do Nascimento Tôrres, Magáli Beck Guimarães, Leonardo Marchini, Oscar Rysavy, Patrick Barlow, Chandler Pendleton, Alexandre Fávero Bulgarelli","doi":"10.1111/scd.70021","DOIUrl":"10.1111/scd.70021","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association of ageism, empathy, and other possible explanatory factors among dental students in southern Brazil.</p><p><strong>Methods: </strong>An online questionnaire and in-person visits were used for collecting sociodemographic data, dental training experiences, and attitudes toward aging, and employing the validated Brazilian versions of the Ageism Scale for Dental Students (ASDS-Braz) and Jefferson Scale of Empathy (JSE). Confirmatory factor analysis (CFA) was used to validate the JSE and ASDS-Braz, and structural equation modeling (SEM) was then employed to explore the relationships between total ageism score, total empathy score, and other factors.</p><p><strong>Results: </strong>CFA for ASDS-Braz and JSE and the SEM showed marginal root mean square error of approximation (RMSEA) values and displayed expected loading directions. Among 626 predoctoral dental students (91.5% response rate), SEM revealed significant associations between the university attended and total empathy score with total ageism score, and sex with total empathy score.</p><p><strong>Conclusion: </strong>Among southern Brazilian dental students, university attended and overall empathy levels are strongly linked to the total ageism score. At the same time, gender shows a significant correlation with the overall empathy score.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70021"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659183","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":"Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis.","authors":"Katie Kettelkamp, Jhanvi Desai, Stephanie Lewis, Carissa Comnick, Leonardo Marchini","doi":"10.1111/scd.70013","DOIUrl":"10.1111/scd.70013","url":null,"abstract":"<p><strong>Introduction: </strong>Silver diamine fluoride (SDF) is a safe and convenient method for managing root caries in older adults, but the amount of time that this intervention extends the life of an affected tooth is not clear. This paper aims to evaluate the outcomes of SDF use in older adults in a dental school setting using a retrospective cohort analysis of electronic health records over a period of 2 years.</p><p><strong>Methods: </strong>A total of 169 patient records were selected for survival analysis after screening using the selection criteria. Demographic and treatment variables were collected. Multivariable Accelerated failure time (AFT) models were used to evaluate relationships between the survival of teeth that received SDF treatment and available variables.</p><p><strong>Results: </strong>The 24-month survival for the whole sample of patients was found to be 45%. Patients who had SDF reapplied after an initial SDF treatment had a greater increase in the length of time until tooth failure than did those who only received an initial SDF treatment over a 2-year period. For patients receiving SDF treatment, those with more baseline restorative treatments experienced tooth failure more quickly than did those with fewer such treatments. We found a low to moderate association between survival times and the number of sites where SDF was applied, and between survival times and prescription of high-fluoride toothpaste.</p><p><strong>Conclusion: </strong>In older adults receiving SDF application, multiple reapplications at the site prolonged survival time while poorer outcomes were seen in patients who had higher baseline restorative treatment needs.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70013"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568439","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":"Comparative Evaluation of Music and Movement Therapy and Visual Pedagogy as Interventional Tools in Promoting Oral Health in Children With Autism Spectrum Disorder: A Randomized Controlled Trial.","authors":"Ramya Raja, Aruna Sharma, Bhuvaneshwari Ramesh, Eswari Ramassamy, Nivedha Esai Amudhan, Hari Prasath N, Ezhumalai Govindasamy","doi":"10.1111/scd.70015","DOIUrl":"https://doi.org/10.1111/scd.70015","url":null,"abstract":"<p><strong>Aim: </strong>To compare the effectiveness of music and movement therapy (M&MT) and visual pedagogy (VP) as interventional tools in promoting oral health in children with Autism spectrum disorder (ASD).</p><p><strong>Materials and methods: </strong>Seventy-two children with ASD aged 7-15 years were randomized into two groups (N = 36), Group I received M&MT and Group II received VP. Plaque and gingival indices were recorded at baseline and the end of first, second, and third months. Perception questionnaires and a checklist to evaluate toothbrushing skills were distributed to their parents. An inter-group comparison with independent t-test and Intra group Comparison using paired t-test were performed.</p><p><strong>Results: </strong>The mean plaque index score for Group I and II at the end of third month (0.27 + 0.71, 0.71 + 0.26), and the mean gingival index score for Group I and II at the end of third month 0.29 + 0.15, 0.62 + 0.26 which was statistically significant (p = 0.001). Significant improvement in toothbrushing skills was observed in children of Group I.</p><p><strong>Conclusions: </strong>Children with ASD in Group I learnt toothbrushing skills expeditiously when compared to children in Group II. Therefore, it can be concluded that M&MT could be an effective tool in training toothbrushing skills.</p><p><strong>Trial registration: </strong>CTRI/2022/10/046615 (Clinical Trial Registry).</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70015"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573799","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 Implants in Patients With End-Stage Renal Disease: A Case Series.","authors":"Gustavo Vargas da Silva Salomão, Daniel I Sendyk, Karem L Ortega, André Luiz Ferreira Costa, Bruna Di Profio, Paulo Henrique Braz-Silva, Claudio M Pannuti","doi":"10.1111/scd.70014","DOIUrl":"https://doi.org/10.1111/scd.70014","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic kidney disease (CKD), a widespread health problem marked by a gradual loss of kidney function, presents unique challenges in various aspects of patient care. As such, this case series aimed to assess the feasibility of dental implants in end-stage renal disease (ESRD) patients.</p><p><strong>Materials and methods: </strong>Parathyroid hormone (PTH) levels were measured at the time of implant placement and implant uncovering. Radiographic evaluations were performed at 7, 15, 30, 90, and 180 days after implant placement and 180 days after prosthetic rehabilitation. Bone remodeling was evaluated based on the values of radiographic marginal bone loss, measured as the distance between the implant shoulder and the marginal bone levels.</p><p><strong>Results: </strong>Fifteen patients with ESRD received a total of 27 implants (5 in the maxilla and 22 in the mandible) installed in different regions, with a diameter of 3.75 mm, height of 8.5 mm, platform of 4.1 mm, and Morse taper connection. No correlation was found between PTH levels and primary implant stability (ρ = 0.04, p value = 0.860). PTH levels ranged from 105.1 to 1965 pg/mL (mean 613.51 ± 494.38 pg/mL). Only one implant did not demonstrate primary stability during surgery, the others ranged from 15  to 50 Ncm of stability. Seven implants failed during the evaluation due to varying degrees of bone loss. There was no significant effect of primary stability or PTH levels on implant loss.</p><p><strong>Conclusion: </strong>Accelerated marginal bone loss within 6 months and reduced osseointegration in ESRD patients may lead to early implant loss and treatment challenges.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70014"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634923","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}