Special Care in Dentistry最新文献

{"title":"Assessing Caries Experience Among Individuals With Disabilities: Insights From Rehabilitation Centers in Selangor, Malaysia.","authors":"Afsary Jahan Khan, Mas Suryalis Binti Ahmad, Aminda Faizura Binti Omar, Budi Aslinie Md Sabri, Tasnova Rahman","doi":"10.1111/scd.70041","DOIUrl":"https://doi.org/10.1111/scd.70041","url":null,"abstract":"<p><strong>Introduction: </strong>Poor oral health (OH) can led to severe general health issues, including respiratory infections and malnutrition, impacting the quality of life. In Malaysia, high prevalence of oral diseases including dental caries among individuals with disabilities (IWDs) has been reported, indicating a possible gap in the current system. This study aimed to analyze caries experience using DMFT index of IWDs in community-based rehabilitation (CBR) centers across Selangor, Malaysia.</p><p><strong>Methods: </strong>A CBR centers-based cross-sectional study was conducted on IWDs or CBR trainees in the period between August 2022 and December 2023. Recruitments of the study participants were done via census sampling method, involving all the trainees within the specific centers. Data collection was done using the World Health Organization oral health survey tool (WHO, 2013) and analyzed using SPSS 24.</p><p><strong>Results: </strong>Two hundred and twenty-six students with the age range of 2-47 years old were included in the study. Clinical examination of CBR trainees revealed (1) the mean DMFT scores were low for primary dentition (2.02), moderate for both mixed (3.86), and permanent dentitions (4.17); (2) prevalence of caries among those with primary, mixed, and permanent dentitions as 44.44%, 74.4%, and 74.80%, respectively.</p><p><strong>Conclusions: </strong>Trainees with primary dentition had a low prevalence of dental caries and mean DMFT score, while those with mixed and permanent dentition exhibited moderate levels. A statistically significant association was observed between the total DMFT scores for participants with primary dentition with both gender and disability types.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70041"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016023","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":"Cerebral Palsy and Ankyloglossia: Improved Sleep, Speech, Swallowing, and Breathing After Tongue-Tie Release: A Case Series.","authors":"Richard Baxter, Robyn Merkel-Walsh","doi":"10.1111/scd.70046","DOIUrl":"10.1111/scd.70046","url":null,"abstract":"<p><strong>Aims: </strong>To assess the impact of tongue-tie (ankyloglossia) and lip-tie release on functional outcomes in pediatric patients with cerebral palsy (CP) and explore the role of oral restrictions in hindering therapy progress.</p><p><strong>Methods: </strong>Four female patients with CP, aged 10 months, 3 years, 6 years, and 7 years, underwent tongue-tie release with concomitant lip-tie and/or buccal-tie release. Pre- and postprocedure assessments focused on parental reports of quality of life improvements.</p><p><strong>Results: </strong>All four patients demonstrated significant functional improvements following the release procedures. Reported improvements included better speech clarity, more effective swallowing, improved breathing, increased postural balance, reduced fascial tension, alleviation of gastrointestinal symptoms, and improved sleep patterns. These changes were observed consistently across all patients, suggesting a positive correlation between the release of oral restrictions and functional gains in children with CP.</p><p><strong>Conclusions: </strong>Undiagnosed oral restrictions may impair mobility and development in children with CP. Addressing these restrictions may improve speech, swallowing, and other critical functions. Proper assessment of oral restrictions in children with CP or other comorbidities is essential to optimize therapeutic outcomes and enhance quality of life. This case series highlights the importance of considering oral restrictions in children with special healthcare needs and the ongoing need for further research.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70046"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035075","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 status and dental anomalies among children with congenital heart disease in contemporary times.","authors":"Megha Sethi, Shveta Sood, Naresh Sharma, Akshara Singh, Pooja Sharma, Prachi Kukshal","doi":"10.1111/scd.12815","DOIUrl":"10.1111/scd.12815","url":null,"abstract":"<p><strong>Aims: </strong>The aim of the study was to assess the oral health, hygiene status, and prevalence of dental anomalies in children suffering from congenital heart disease (CHD).</p><p><strong>Material and methods: </strong>The study was conducted on 300 children, aged 2-16 years, diagnosed with CHD.</p><p><strong>Results: </strong>Overall, the oral health status of the children with CHD was found to be poor in this study. The prevalence of caries was found to be 56.7%. It was significantly higher in children with acyanotic CHD compared to cyanotic CHD. Mean DMFT was 0.6 ± 1.6. Mean Debris index was 0.8 ± 0.9. Mean calculus index was 0.3 ± 0.6. The prevalence of dental anomalies was 9%. Most common anomaly was enamel opacities/hypoplasia (8.0%) followed by hypodonita (0.7%) and fusion (0.3%). The mean dmft score and Calculus Index were found to be significantly higher in cyanotic CHD group compared to acyanotic CHD group. Prevalence of caries, Debris Index, Calculus Index, and Oral Health Index were found to be increasing with increasing age (> 5 vs. < 5 years).</p><p><strong>Conclusion: </strong>Overall, the oral health status of the children with CHD was found to be poor in this study.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e12815"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474807","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":"Empowering Dental Professionals in South Asia to Manage Patients With Autism Spectrum Disorder.","authors":"Shah Saif Jahan, M Tasdik Hasan, Rajat Das Gupta, Sultana Sadia Islam, Mohammad Delwer Hossain Hawlader, Nazeeba Siddika, Mushfiq Hassan Shaikh, Ehsanul Hoque Apu","doi":"10.1111/scd.70044","DOIUrl":"https://doi.org/10.1111/scd.70044","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70044"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046160","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":"Access to and Utilization of Dental Care Services by Older Adults in Nigeria: Barriers and Facilitators.","authors":"Sunkanmi Folorunsho, Victor Ajayi, Munirat Sanmori, Medinah Suleiman, Raji Abdullateef, Abdulazeez Abdulganiyu","doi":"10.1111/scd.70040","DOIUrl":"https://doi.org/10.1111/scd.70040","url":null,"abstract":"<p><strong>Aims: </strong>Nigeria's rapidly aging population presents urgent challenges for the healthcare system, particularly in oral health, which remains an overlooked aspect of well-being. While older adults are especially vulnerable to dental issues such as tooth loss, periodontal disease, and oral pain, access to care remains limited due to systemic, economic, and cultural barriers. This qualitative study explored the lived experiences of older Nigerians in accessing and utilizing dental care, with the goal of identifying key barriers, facilitators, and policy-relevant insights.</p><p><strong>Methods: </strong>Fifteen participants aged 50-83 years were purposively selected from urban and peri-urban areas of Ilorin, North-Central Nigeria. Using a semi-structured interview guide, data were collected through face-to-face interviews and analyzed thematically following Braun and Clarke's methodology.</p><p><strong>Results: </strong>Three overarching themes emerged: (1) barriers to accessing dental care, including high treatment costs, geographic inaccessibility, mobility challenges, and long waiting times; (2) facilitators of care, such as family support, employment-based insurance, and culturally supportive health beliefs; and (3) perceptions of dental care, with participants recognizing its importance for nutrition, dignity, and overall quality of life. Findings reveal that dental care for older adults in Nigeria is shaped by a combination of structural neglect and individual adaptation. While participants valued preventive care, financial constraints, poor infrastructure, and a lack of geriatric-trained professionals limited consistent access. However, social support networks and respectful provider interactions were critical enablers of care.</p><p><strong>Conclusions: </strong>This study points to the need for age-inclusive health policies that integrate dental services into primary healthcare, expand insurance coverage, and strengthen community-based outreach. Addressing these gaps is not only a matter of public health, but of equity, dignity, and the right to age well.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70040"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988078","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":"Translation and Preliminary Validation of the Turkish Version of an Ageism Scale for Dental Students.","authors":"Berna Aydemir, Basak Aslanturk, Derya A Demirci, Guven Gunver, Gulbahar Isik-Ozkol","doi":"10.1111/scd.70055","DOIUrl":"10.1111/scd.70055","url":null,"abstract":"<p><strong>Aims: </strong>Ageism, also known as age-based discrimination, refers to the discrimination individuals face due to their older adult status. This type of discrimination is recognized internationally as a problem that has negative effects on individuals. The Ageism Scale for Dental Students (ASDS) was developed to evaluate dental students' attitudes toward providing oral healthcare to older adults and has been successfully implemented across different cultures. The aim of this study is to translate and validate the ASDS in Turkish (ASDS-Tr).</p><p><strong>Methods: </strong>This study utilized the original 27-item ASDS along with five demographic questions. The study group consisted of 270 undergraduate students from the Istanbul University Faculty of Dentistry.</p><p><strong>Results: </strong>The scale items assessing dental students' attitudes toward older adults were analyzed using Principal Component Analysis (PCA). The final PCA model comprised 15 items and five components, explaining a total variance of 58.9%. The Cronbach's α coefficient for these 15 items was 0.582, indicating acceptable internal consistency.</p><p><strong>Conclusion: </strong>ASDS-Tr has undergone a preliminary validation study for use in Turkey, yielding positive results. The preliminary validation of ASDS-Tr produced 15 items scale with five components with acceptable validity and reliability. This scale aims to effectively assess dental students' attitudes toward older adults in Turkey.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70055"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095390","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":"Correction to \"Diagnostic Odyssey and Full Mouth Rehabilitation of a Juvenile Patient With IFIH1-Related Disorder: A Case of Aicardi-Goutières and Singleton Merten Syndromes Overlap\".","authors":"","doi":"10.1111/scd.70049","DOIUrl":"https://doi.org/10.1111/scd.70049","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70049"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001313","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":"Severe Palatal Myiasis in a Young Patient With Neurological and Physical Disabilities: A Case Report.","authors":"Marcelo Santos Bahia, Yuri de Lima Medeiros, Luan Viana Faria, Alexandre Elias Trivellato, Cassio Edvard Sverzut","doi":"10.1111/scd.70039","DOIUrl":"https://doi.org/10.1111/scd.70039","url":null,"abstract":"<p><strong>Aims: </strong>Myiasis can be particularly debilitating in pediatric patients with neurological impairments, as communication challenges in expressing symptoms may delay diagnosis and appropriate treatment. We report a case of palatal myiasis in a young Latin American patient with neurological deficits.</p><p><strong>Methods and results: </strong>A 16-year-old female with a history of severe meningitis, which resulted in neurological sequelae including spastic paralysis and epilepsy, presented with an oral lesion in the buccal cavity and episodes of fever. Upon admission, she was diagnosed with bacterial pneumonia, multiple foci of myiasis in the hard and soft palate, and dyspnea caused by larval migration to the oropharyngeal region. Larvae were manually removed, and the patient was treated with intravenous ceftriaxone, clindamycin, and ivermectin. Nitrofurazone paste was also applied topically. Four days later, surgical debridement was performed to remove necrotic mucosa from the palate. No further larvae were detected, and the patient's condition stabilized. The patient has been under follow-up for 1 year.</p><p><strong>Conclusion: </strong>Severe palatal myiasis is a rare condition that demands prompt diagnosis and a multidisciplinary approach. This case highlights the complexity of managing myiasis in patients with physical and cognitive disabilities, especially in unfavorable socioeconomic conditions.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70039"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054506","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 Use of Video-Based Learning to Elucidate the Biological Mechanisms Linking Oral Health With Specific Systemic Medical Conditions.","authors":"Yago Leira, Pilar Batalla, Mariana Morgado, Vanessa Machado, José João Mendes, João Botelho, Juan Blanco","doi":"10.1111/scd.70057","DOIUrl":"10.1111/scd.70057","url":null,"abstract":"<p><strong>Introduction: </strong>Video-based learning has emerged as a powerful tool to overcome the well-documented limitations of traditional lectures. Hence, the aim of this study was to investigate the impact of the implementation of a video animation on academic performance and student's opinion.</p><p><strong>Methods: </strong>A video animation on biological mechanisms behind the link between periodontitis and its treatment with atherosclerosis and diabetes was projected in addition to the traditional lecture to 46 4th-year undergraduate dental students enrolled in the 2024-2025 academic course at the University of Santiago de Compostela. A multiple-choice test including eight questions was delivered to assess student's knowledge after the lesson. Also, student´s perception on the use of this video animation was evaluated by the User Experience Questionnaire.</p><p><strong>Results: </strong>The video animation tested in this study shows excellent results in terms of attractiveness, perspicuity, efficiency and dependability. Good results are observed for stimulation and novelty. Almost 3/4 of undergraduate dental students obtained very good or outstanding marks in the test.</p><p><strong>Conclusions: </strong>The use of a video animation to explain biological mechanisms underlying the link between periodontitis and systemic diseases appears to be a helpful tool for undergraduate dental students.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70057"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121101","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":"Craniofacial Manifestation and Oral Health Care Needs in Pediatric Population With Fetal Alcohol Syndrome: A Systematic Review.","authors":"Shannon Samuel, Joe Mathew Cherian, Mebin George Mathew, Alpana Kumari, Abi M Thomas, Nirmal Kurian","doi":"10.1111/scd.70060","DOIUrl":"https://doi.org/10.1111/scd.70060","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aims to investigate craniofacial symptoms, oral healthcare requirements, and management approaches for children diagnosed with Fetal Alcohol Spectrum Disorder (FASD).</p><p><strong>Methods: </strong>Electronic searches were conducted across five databases (PubMed, Embase, Cochrane Library, Scopus, Web of Science, and LILACS). The inclusion criteria focused on original research for children with FASD, up to 18 years, emphasizing craniofacial symptoms, oral health, and management protocols. Data extraction was performed independently by two researchers using predetermined criteria. The JBI Critical Appraisal Tool was used to assess the risk of bias in the selected studies. PICO criteria guided study selection, with a focus on low risk of bias. Data analysis was carried out independently by two researchers.</p><p><strong>Results: </strong>Among 361 identified papers, 215 were screened, and 16 studies meeting research criteria were included. The findings established a body of evidence linking characteristic craniofacial symptoms to FASD. They highlighted heightened oral health needs for children with FASD, emphasizing the significance of frequent recall and preventive measures.</p><p><strong>Conclusion: </strong>This review solidifies the connection between maternal alcohol consumption during pregnancy and dentofacial complications in children with FASD, including cleft lip/palate, malocclusion, increased DMFT, and craniofacial dysmorphia. It underscores the pivotal role of pediatric dentists in early identification and intervention.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70060"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152302","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}