Special Care in Dentistry最新文献

{"title":"Main oral characteristics and treatment of ligneous gingivitis and periodontitis in individuals with plasminogen deficiency: A systematic review.","authors":"Diego Belmiro do Nascimento Santos, Larissa Conrado da Silva, Isabelle do Vale Dantas da Silva, Bruno Augusto Benevenuto de Andrade, Lucianne Cople Maia, Jefferson R Tenório","doi":"10.1111/scd.13068","DOIUrl":"10.1111/scd.13068","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review evaluated the main clinical, radiographic, histopathological and treatment-related characteristics of ligneous gingivitis (LG) and periodontitis (LP) in individuals with plasminogen deficiency (PD).</p><p><strong>Material and methods: </strong>Studies in humans diagnosed with PD, focusing on the evaluation of oral characteristics and treatment of the LG/LP were considered for inclusion criteria. Electronic searches were performed up to April 2024 in five databases and in the grey literature. Risk of bias was assessed according to the Joanna Briggs Institute Critical Appraisal Checklists for case reports. It was provided a narrative synthesis of the results.</p><p><strong>Results: </strong>A total of 17 studies were included. All were case reports that analyzed 17 individuals with PD who presented with LG/LP. The relative frequency of PD type I was 56%, while type II constitutes the remaining 44%. In most studies, patients exhibited ulceration clinically, bone loss radiographically, and subepithelial eosinophilic material accumulation on histopathological evaluation. Conventional periodontal scaling was the most used management. All included studies provided well-described clinical characteristics and confirmed plasminogen deficiency through laboratory testing. Only three studies had a risk of bias values lower than 15%.</p><p><strong>Conclusions: </strong>Current evidence is limited and varied, complicating the diagnosis and treatment of GL/PL. Future studies should provide a more detailed account of treatments and include extended clinical and radiographic follow-up.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13068"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336902","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":"Comparative Effects of Facemask Therapy and Anteroposterior TransForce Appliance in Unilateral Cleft Lip and Palate (UCLP) Patients With Developing Class III Malocclusion: A Single-Center Prospective Randomized Clinical Trial.","authors":"Vishnuprasad Hari A, Puneet Batra, Stuti Mohan, Achint Juneja, Aditya Talwar, Sundereshwar C Sood","doi":"10.1111/scd.70008","DOIUrl":"10.1111/scd.70008","url":null,"abstract":"<p><strong>Objective: </strong>To comparatively evaluate the effects of Sagittal TransForce appliance and Tooth borne Facemask appliance in Unilateral Cleft Lip and Palate patients.</p><p><strong>Setting: </strong>Single-center prospective randomized clinical trial conducted in a hospital setting.</p><p><strong>Sample population: </strong>Patients from the age group of 7-12 years with a repaired complete Unilateral Cleft Lip and Palate (UCLP) and GOSLON score of 3 requiring maxillary protraction and preparation for secondary alveolar bone grafting were selected for the study.</p><p><strong>Materials and methods: </strong>Patients were randomly divided into two groups of 18 patients each. Group I patients received tooth-borne Facemask therapy with Alt-RAMEC protocol and Group II received Sagittal TransForce appliance. Cone-beam computed tomography (CBCT) scans were done before (T₀) and at the end of the active treatment (T₁). Two lateral cephalograms were obtained from CBCT scans at the Pretreatment stage (T₀) and Posttreatment stage (T₁).</p><p><strong>Result: </strong>In patients treated with the TransForce appliance, a statistically significant difference was found in dental parameters like U1-NA angular (7.67° ± 1.49), U1-NA linear (2.01 ± 1.82 mm) measurement and U1-SN (13.98° ± 6.82), whereas in the Face mask group, skeletal parameters were found to be statistically significant, such as SNA angle (3.020 ± 1.72) and convexity at point A (3.260 ± 0.27). Pitchfork analysis shows 80% dental changes and 20% skeletal changes for the TransForce group whereas 41% dental and 58% skeletal changes for the Facemask group.</p><p><strong>Conclusion: </strong>While overjet correction was observed in both groups. Tooth-borne facemask with Alt-RAMEC protocol seemed to be effective in improving mild to moderate skeletal discrepancy whereas the Transforce appliance seemed to be effective in improving the dental profile of the patients.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70008"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415832","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":"Exploring the association of self-rated oral health with self-rated general and mental health among older adults in a resource-poor context: Insights for advancing Sustainable Development Goal 3.","authors":"Daniel Amoak, Roger Antabe, Joseph Asumah Braimah, Williams Agyemang-Duah, Yujiro Sano, Isaac Luginaah","doi":"10.1111/scd.13033","DOIUrl":"10.1111/scd.13033","url":null,"abstract":"<p><strong>Introduction: </strong>Older adults in Ghana have been disproportionately affected by oral health issues such as caries and periodontitis. This situation calls for comprehensive attention within health and healthcare policies, due to the established connections between oral health and other aspects of health and well-being in high-income countries, including physical and mental health. However, there is a significant gap in the literature when it comes to exploring the association of oral health with physical and mental health in resource-constrained settings like Ghana.</p><p><strong>Methods: </strong>To address this void, we collected a cross-sectional sample comprising older adults aged 60 and above (n = 1073) and analyzed self-rated health measures to investigate the relationship between oral health and general and mental health in Ghana.</p><p><strong>Results: </strong>The results of our logistic regression analysis revealed a significant association: older adults who reported poor oral health were more likely to rate their general (OR = 5.10; p < .001) and mental health (OR = 4.78, p < .001) as poor, compared to those with good oral health, even after accounting for demographic and socioeconomic variables.</p><p><strong>Conclusions: </strong>Based on these findings, we discuss the policy implications of our findings, especially in the context of advancing Sustainable Development Goal 3 in Ghana and other resource-constrained settings.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1661-1670"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307112","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":"Outpatient and inpatient dental care for patients with disabilities in Brazil's public healthcare system: A population-based approach from 2014 to 2023.","authors":"Ana Paula Gomes E Moura, Ricardo Barbosa Lima, Alexandra Mussolino de Queiroz, Léa Assed Bezerra da Silva, Raquel Assed Bezerra Segato","doi":"10.1111/scd.13030","DOIUrl":"10.1111/scd.13030","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate outpatient and inpatient dental care for patients with disabilities from 2014 to 2023.</p><p><strong>Material and methods: </strong>A time series analysis was carried out with data from Brazil's public healthcare system, considering the outpatient productivity of Special Needs Dentistry specialists and hospitalizations (inpatient admissions) of patients with disabilities for dental procedures, both normalized to every 100,000 inhabitants (incidence). The significance level was set at 5%.</p><p><strong>Results: </strong>In the last 10 years, 22,420,859 procedures were carried out and 89,380 hospitalizations were approved. Trend analysis showed no significant temporal variation in the incidence of both variables. Regarding the procedures, the majority were low-complexity (82.1%, p < .001) and clinical (71.2%, p < .001). Periodontal (19.9%) and restorative (19.5%) procedures were the most frequent. Considering the hospitalizations, almost (R$) 40 million was allocated, and the majority were classified as elective (71.9%, p = .002) and of short duration (less than a day).</p><p><strong>Conclusion: </strong>Dental care for patients with disabilities presented patterns related to the types of procedures, complexity and circumstance, in addition to not showing significant temporal variation over the last 10 years.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1642-1650"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307113","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":"Two years outcome of an individualized oral health preventive program for preschool children with neurodevelopmental disorders.","authors":"Eleni Vatsolaki, Andreas Agouropoulos, Evangelia Papagiannoulis, Sotiria Gizani","doi":"10.1111/scd.13029","DOIUrl":"10.1111/scd.13029","url":null,"abstract":"<p><strong>Aims: </strong>Limited data exist on the effectiveness of oral health preventive programs in children with Neurodevelopmental Disorders (NDD). The aim of this study was to evaluate the effectiveness of an individualized preventive oral health program for preschool children with NDD at a rehabilitation center, over a two years period.</p><p><strong>Methods and results: </strong>In this study, 102 preschool children with NDD were assessed for caries (dmft), oral hygiene status (Green & Vermillion Index) and presence of developmental dental defects. An individualized preventive program was applied based on caries risk and children were followed for two years. Effectiveness of the program was assessed for caries and dental plaque change and explanatory individual factors were used in multivariate models. After two years prospective, dmft increased significantly from 1.1 (SD = 2.7) to 2.04 (SD = 3.6), while GVPI was reduced significantly from 1.8 (SD = 0.9) to 1.4 (SD = 0.9). Children in the moderate and high-risk groups missed significantly more follow-ups compared to the low caries risk group (p < .001) while older maternal age (OR = 1.38, 95%CI = 1.057-1.808) and consumption of more than three sugary snacks/day (OR = 0.005, 95%CI = 0-0.0794) were significantly correlated with dental caries.</p><p><strong>Conclusion: </strong>The individualized preventive program for preschool children with NDD was effective in improving oral hygiene but not dental caries status.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1633-1641"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238686","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":"The impact of vitamin E and vitamin A on the severity of oral mucositis.","authors":"Hossein Gholami, Freshteh Osmani, Mohamad Amir Mohamadifard, Leili Alizadeh","doi":"10.1111/scd.13031","DOIUrl":"10.1111/scd.13031","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1818-1819"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427955","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 fracture in medication-associated osteonecrosis following infliximab therapy: A case report.","authors":"Waleska Tychanowicz Kolodziejwski, Camila Adriane Leffa Rosa, Angela Maira Guimarães, Priscila Queiroz Mattos da Silva, Melissa Rodrigues de Araujo","doi":"10.1111/scd.13035","DOIUrl":"10.1111/scd.13035","url":null,"abstract":"<p><strong>Introduction: </strong>Medication-associated osteonecrosis of the jaws (MRONJ) is characterized by the presence of exposed bone or an intraoral or extraoral fistula in the maxillofacial region in patients with a history of treatment with anti-resorptive and anti-angiogenic drugs, such as monoclonal antibodies, and without a history of radiotherapy or metastatic diseases in the area.</p><p><strong>Objective: </strong>The aim of this study is to report a case of a pathological mandibular fracture in an area of MRONJ in a patient diagnosed with Crohn's disease treated with infliximab.</p><p><strong>Case report: </strong>A 53-year-old male patient, an active smoker for 35 years, diagnosed with Crohn's disease, undergoing intravenous administration of infliximab 300 mg for 1 year and 3 months, with no previous history of anti-angiogenic or anti-resorptive medication, presenting with an extraoral fistula in the submandibular region for 4 months, with painful symptoms, diagnosed as MRONJ. He was initially treated conservatively, using antimicrobial photodynamic therapy (aPDT), antibiotic therapy, and the PENTO protocol. However, the patient evolved with a pathological fracture in the mandibular parasymphysis, requiring surgical reconstruction.</p><p><strong>Final considerations: </strong>Pathological fracture of the mandible is a complication of MRONJ that compromises the patient's quality of life. The management of patients with MRONJ is complex and challenging.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1558-1563"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499284","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":"Augmenting patient monitoring during intravenous moderate sedation with artificial intelligence: A pilot study.","authors":"Melanie N Mincer, Reeva C Mincer, Eric C Sung","doi":"10.1111/scd.13056","DOIUrl":"10.1111/scd.13056","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>A precordial stethoscope (PS) is essential for ensuring clear breath sounds during open airway sedations. However, a traditional PS limits the ability of new users to simultaneously listen to heart and lung sounds alongside experienced practitioners, hindering their learning and development. Bluetooth speaker systems allow for multiple providers but amplify all noise. An artificial intelligence (AI) PS has the potential to selectively reduce ambient noise, allowing multiple providers to monitor concurrently and provides a visual representation of the sound waves. The study looks at the benefits of AI PS in teaching in the dental setting.</p><p><strong>Methods: </strong>A questionnaire was created to compare the new AI PS to a conventional PS during intravenous moderate sedation in a dental clinic setting.</p><p><strong>Results: </strong>Sixteen individuals involved in sedations (four dental attendings, seven dental residents, and five dental assistants), were polled with a 100% response rate. 75% of participants agreed that clarity was improved using the AI PS and 81.25% of participants agreed that breath sounds and loudness were improved using the AI PS. 93.75% reported the AI PS was beneficial in allowing attendees to concurrently monitor a sedation case alongside dental residents. 100% of assistants reported that the AI PS benefited from their participation in sedation cases.</p><p><strong>Conclusion: </strong>As technology advances, it is important that we as providers continue to evolve and consider implementing AI to improve our ability to monitor patients and enhance educational experiences for dental resident trainees.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1788-1792"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037343","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":"Role of pediatric dentist in West syndrome rehabilitation: A case report.","authors":"Deepshikha Mehrotra, Prajna P Nayak, Shilpa Shetty Naik, Nidhish Krishna","doi":"10.1111/scd.13059","DOIUrl":"10.1111/scd.13059","url":null,"abstract":"<p><strong>Aim: </strong>West syndrome is characterized by a triad of infantile spasms, arrested psychomotor development, and pronounced paroxysmal electroencephalogram (EEG) abnormalities, notably hypsarrhythmia. This case report aims to discuss the various considerations and strategies for the dental management of a child with West syndrome.</p><p><strong>Method and result: </strong>This report focuses on a case of a 5-year-old girl diagnosed with West Syndrome who presented for her first dental visit with complaints of pain and swelling in the right posterior tooth region for the past three weeks. Due to frequent seizure episodes, neuropsychomotor delay, and multiple dental treatment needs, comprehensive full-mouth rehabilitation was performed under general anesthesia.</p><p><strong>Conclusion: </strong>Awareness of syndromes like West syndrome equips dentists to better manage children with complex conditions. Additionally, parental counselling and early preventive measures can significantly reduce the added burden of dental diseases in these patients.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1615-1620"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113334","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, treatment burden and demographics of elders with care-resistant behavior: A cross-sectional study.","authors":"Mohamed El Gedaily, Hansmartin Spatzier, Murali Srinivasan","doi":"10.1111/scd.13057","DOIUrl":"10.1111/scd.13057","url":null,"abstract":"<p><strong>Aims: </strong>To assess oral health, treatment burden, mortality risk, and demographics in elders with care-resistant behaviors (CRB) in nursing homes (NH) and compare them with those without CRB.</p><p><strong>Methods and results: </strong>503 participants from eight NH who received dental treatment through a mobile dental clinic were included. Their medical and dental records were screened regarding oral/dental health, treatment history, general health, demographics, and CRB. Statistical analysis was performed to show correlations between CRB and the measured parameters. Data were verified for normal distribution; a point-biserial correlation model was used (95% CI: α = 0.05). No correlation was found between CRB and Decayed Missing Filled Teeth (DMF-T) (r_pb= -0.061, p = .177), as well as periodontal status (r_pb= 0.004, p = .946). A negative correlation was observed between CRB and the required number of treatment procedures (r_pb= -0.181, p < .0001), time (r_pb= -0.118, p = .010), and costs (r_pb= -0.100, p = .028). Sex predilection for men regarding CRB was evident (r_pb= -0.155, p = .01). No correlation appeared between CRB and vital status (r_pb= -0.41, p = .355).</p><p><strong>Conclusion: </strong>Oral health seems to be similar in institutionalized elders with or without CRB. Treatment burden was not elevated, but even reduced in elders with CRB, evincing that few/no treatment procedures were performed in those elders. CRB demonstrated a sex predilection for men. An association between CRB and increased mortality was not evident.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"1793-1803"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126962","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}