Special Care in Dentistry最新文献

{"title":"Response: Beyond Oral Hygiene: Medication Burden, Oral Function, and Dysphagia in Alzheimer's Disease.","authors":"Mayron Guedes Silva, Matheus Bastos Vasconcelos, Raphael Guedes Silva, Maria Áurea Lira Feitosa","doi":"10.1111/scd.70258","DOIUrl":"10.1111/scd.70258","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70258"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978438","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":"Adverse Oral Mucosal Reaction to Sublingual Captopril: A Case Report With Exploratory Insights Into AI-Assisted Clinical Reasoning.","authors":"Antônio Roberto Garcia Júnior, Catarina Melquiades Velane, Larissa Araújo Silva, Caroline Akemi Mendes Magario, Paulo Sergio Pina, Carina Domaneschi, Camilla Vieira Esteves","doi":"10.1111/scd.70248","DOIUrl":"10.1111/scd.70248","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70248"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921358","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":"Cephalometric Assessment in Nonsyndromic Microtia Patients: Cross-Sectional Study with Comparison Group.","authors":"Cléuber Roberto Peixoto, Bernardo Olsson, Suyany Gabriely Weiss, Eduardo Caleme, Francielle Topolski, Rafaela Scariot, Alexandre Moro","doi":"10.1111/scd.70263","DOIUrl":"10.1111/scd.70263","url":null,"abstract":"<p><strong>Aims: </strong>To assess and compare the cephalometric characteristics of patients with nonsyndromic microtia.</p><p><strong>Methods and results: </strong>This cross-sectional comparative study evaluated the cephalometric characteristics of 16 patients with nonsyndromic microtia and 48 patients without microtia (n = 48). A retrospective analysis was performed using lateral cephalograms, orthopantomograms, dental casts, facial photographs, and intraoral photographs. ANB (p = 0.044), FMA (p < 0.001), SN.GoGn (p = 0.003), Y-axis (p = 0.024), LAFH (p < 0.001), and 1-NB (p = 0.014) were higher in the microtia group, whereas 1.NA (p = 0.018) and IMPA (p = 0.029) were lower relative to controls. Twelve patients had deviation of the mandibular midline to the microtia side; one patient had left-sided microtia and deviation of the midline to the right side, and three patients did not exhibit mandibular midline deviation.</p><p><strong>Conclusion: </strong>Patients with microtia showed prevalence of a Class II skeletal and dolichocephalic pattern, predisposition to upper incisor movement in the vertical direction, and lower incisor protrusion. In addition, they showed a tendency toward deviation of the lower midline to the affected side.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70263"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018252","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":"Dental Management of a Child With Mitochondrial DNA Deletion Syndrome (Kearns-Sayre Syndrome): A Case Report.","authors":"Maria Sarapultseva, Alexey Sarapultsev","doi":"10.1111/scd.70269","DOIUrl":"https://doi.org/10.1111/scd.70269","url":null,"abstract":"<p><strong>Background: </strong>Kearns-Sayre syndrome (KSS) is a rare mitochondrial DNA deletion disorder characterized by progressive external ophthalmoplegia, pigmentary retinopathy, and cardiac conduction abnormalities. Dental management may be complicated by developmental enamel defects, high caries burden, limited cooperation, and anesthetic considerations related to multisystem mitochondrial disease. Published dental case reports focused specifically on pediatric KSS remain extremely sparse.</p><p><strong>Case description: </strong>We describe the staged dental management of a 10-year-old girl with genetically confirmed KSS and ASA III systemic status. Clinical and radiographic assessment revealed multiple active cavitated carious lesions, localized demarcated enamel hypomineralization, plaque-induced gingivitis, chronic apical and furcation inflammatory lesions associated with teeth 47 and 46, and early apical inflammatory changes at tooth 37. Notably, the radiographic extent of posterior mandibular pathology exceeded the severity of the overlying soft-tissue findings. Treatment was organized in stages and included extraction of non-restorable teeth (37, 46, 47, 55, and 65) under elective endotracheal general anesthesia in a licensed day-care dental facility, followed by restorative treatment of the remaining teeth under local anesthesia during short, structured outpatient visits using pragmatic, time-efficient techniques and intensive caregiver-supported prevention.</p><p><strong>Conclusion: </strong>This case shows that comprehensive dental care in a child with KSS is feasible when treatment is staged, interdisciplinary, and explicitly adapted to medical vulnerability and limited cooperation. In such patients, radiographically significant apical pathology may be present despite only modest clinical soft-tissue signs. Because chronic apical periodontitis can progress silently in any child with irregular dental attendance, the principal practical lesson is the importance of timely radiographic assessment when deep caries or pulpal involvement is suspected, particularly in medically complex children.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70269"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065142","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":"Intraoral Condition as a Risk Factor for Dysphagia in Non-Hospitalized Older People: An Updated Systematic Review.","authors":"Ariyanti Rezeki, Lindawati S Kusdhany, Muslita Indrasari, Czeresna Heriawan Soejono","doi":"10.1111/scd.70253","DOIUrl":"10.1111/scd.70253","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the association between intraoral conditions and OD in community-dwelling elderly populations to identify key screening indicators.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, Scopus, and Cochrane databases for original research published between 2015 and 2025, following PRISMA guidelines. Inclusion criteria focused on studies involving subjects aged 65 years or older that examined the relationship between oral health status and OD. Methodological quality was assessed using the JBI critical appraisal checklist. The analysis methods and inclusion criteria were documented in a protocol published in the Prospective International Register of Systematic Reviews (PROSPERO) under the registration number CRD420261324418.</p><p><strong>Results: </strong>Fifteen articles met the inclusion criteria. All included studies demonstrated at least one positive correlation between an intraoral component and dysphagia. Key findings include; a reduced number of remaining teeth, lack of occlusal support, and poor functional tooth units (FTUs) were consistently associated with increased OD risk. Both subjective xerostomia and objective hyposalivation were linked to increased swallowing effort and impaired bolus transport. Reduced tongue strength, lip force, and buccinator muscle strength were identified as significant risk factors for sarcopenic dysphagia.</p><p><strong>Conclusion: </strong>Intraoral conditions play a critical role in the oral preparatory phase of swallowing. Establishing a standardized list of intraoral indicators-such as tooth count, salivary flow, and muscle strength is essential for health professionals to effectively screen for dysphagia risk during routine oral examinations.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70253"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964002","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":"Beyond Oral Hygiene: Medication Burden, Oral Function, and Dysphagia in Alzheimer's Disease.","authors":"Satya Ranjan Misra, Rupsa Das","doi":"10.1111/scd.70255","DOIUrl":"10.1111/scd.70255","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70255"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992050","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":"Opioid Dependence Is Associated With Increased Odds for Acute Periapical Abscesses.","authors":"Ilan Rotstein, Joseph Katz","doi":"10.1111/scd.70254","DOIUrl":"10.1111/scd.70254","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to assess the odds ratio for acute periapical abscesses (PAs) in opioid-dependent patients and compare it to non-users.</p><p><strong>Methods: </strong>Data aggregated from 1 799 122 patients visiting the medical center were recorded. Data from the corresponding diagnosis codes for opioid dependence and acute PAs was retrieved by searching the appropriate query in the database. The odds ratio (OR) of acute PAs and their association with opioid dependence were calculated and analyzed statistically.</p><p><strong>Results: </strong>Opioid-dependent patients showed significantly more acute PAs than non-users. The OR for acute periapical abscesses in opioid-dependent patients was 8.9. The difference in prevalence compared to the total hospital patient population was statistically significant. Following adjustment for diabetes co-morbidity, the OR for acute PAs in opioid- dependent patients was 7.52, and the difference in prevalence as compared to the total hospital patient population was statistically significant. Following adjustment for smoking co-morbidity, the odds ratio for acute periapical abscesses in opioid-dependent patients was 3.34, and the difference in prevalence as compared to the total hospital patient population was statistically significant.</p><p><strong>Conclusions: </strong>Under the conditions of this study, it appears that the odds for acute periapical abscesses is significantly higher in opioid-dependent patients as compared to non-users.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70254"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963962","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":"Considerations in Restorative Management and New Oral Findings in a Patient With Congenital Insensitivity to Pain With Anhidrosis.","authors":"Pui Ling Chay, Melissa Mei-Yi Khor, Boon Hui Chan, Vanessa Yan Xiu Kwek, Angela Yun June Tan, Koh Ai Ling, Siew Luan Toh","doi":"10.1111/scd.70252","DOIUrl":"10.1111/scd.70252","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital Insensitivity to Pain with Anhidrosis (CIPA) is a rare, autosomal recessive genetic condition characterized by an inability to sweat, intellectual disability, a lack of pain sensation and self-mutilating behaviours. This report describes the dental management and longitudinal oral findings of a child with CIPA, highlighting a restorative approach and novel findings in the permanent dentition.</p><p><strong>Introduction: </strong>Methods: A 3-year-10-month-old boy presented with severe early childhood caries, premature exfoliation of primary teeth, traumatic tongue biting and recurrent oral ulceration. Comprehensive dental treatment was performed under general anaesthesia, including restorations and extraction of unrestorable primary teeth.</p><p><strong>Introduction: </strong>Results: Subsequent follow-up revealed altered eruption sequence, premature eruption and hypomineralisation and hypoplasia of permanent teeth. At 7-year-1-month, he developed a large palatal ulcer and swelling associated with a recently exfoliated upper left second molar (#65). Wound debridement, excision of malformed upper left second premolar (#25) and restorative treatment of affected permanent teeth were performed under general anaesthesia. Tooth morphology was modified to reduce soft tissue trauma. Healing was observed 1 month post-operatively.</p><p><strong>Introduction: </strong>Conclusion: Conservative restorative management may preserve oral function in selected patients with CIPA, while long-term surveillance is essential because of developmental dental anomalies, altered eruption sequence and recurrent traumatic injury.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70252"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963954","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 a CARE-ORIENT Education Program on Oral Hygiene Among Institutionalized Older Adults: A Double Blinded Cluster Randomized Controlled Study.","authors":"Gummalla Sreeja, Gaurav Mishra, Sumit Kumar, Vinay Kumar Gupta, Nishita Kankane, Sifpsa Diwakar, Aayushi Aggarwal, Aditya Agarwal, Deepak S","doi":"10.1111/scd.70240","DOIUrl":"10.1111/scd.70240","url":null,"abstract":"<p><strong>Background: </strong>Older adults residing in long-term care facilities often depend on caregivers for daily oral care. Inadequate caregiver training may contribute to poor plaque control and denture hygiene.</p><p><strong>Methods: </strong>A six-month parallel-arm cluster randomized controlled study was conducted in selected long-term care facilities in Northern India. Two old age homes were randomly selected, with one allocated to the intervention group and the other to the control group. A total of 150 older adults and 46 caregivers participated. Caregivers in the intervention group received a structured caregiver oriented oral health education. Clinical assessments were performed at baseline, 3 and 6 months. Outcomes included Debris Index, Turesky-Gilmore-Glickman Plaque Index, Denture Plaque Index and Denture Stomatitis Index. Caregiver knowledge and practice were evaluated using a validated questionnaire.</p><p><strong>Results: </strong>Caregiver knowledge and practice scores improved significantly in the intervention group at 3 and 6 months. Significant differences were observed in Debris Index (DI), Plaque Index (PI), and Denture Plaque Index (DPI) in the intervention group over the six-month follow-up (p < 0.001). The Debris Index decreased from 2.76 ± 0.07 at baseline to 1.54 ± 0.05 at 6 months. Plaque Index scores declined from 3.26 ± 0.06 to 1.85 ± 0.08, and Denture Plaque Index scores reduced from 3.22 ± 0.03 to 1.74 ± 0.05. Denture Stomatitis Index improved over time; however, intergroup differences were not statistically significant.</p><p><strong>Conclusion: </strong>Structured caregiver-focused oral health education significantly improved oral hygiene among institutionalized older adults over six months, supporting integration of caregiver training within routine long-term care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70240"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907636","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":"Comment on: \"Adverse Oral Mucosal Reaction to Sublingual Captopril: A Case Report With Exploratory Insights Into AI-Assisted Clinical Reasoning\".","authors":"Juliana Bertoldi Franco","doi":"10.1111/scd.70259","DOIUrl":"10.1111/scd.70259","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70259"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978401","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}