Special Care in Dentistry最新文献

{"title":"Enhancing Communication and Consent Using 3-D Printed Models With a Pediatric Dental Patient Presenting With Odontogenic Keratocysts Associated With Gorlin Syndrome: A Case Report.","authors":"Romain Jacq, Margaux Picherit, Anne-Charlotte Bas","doi":"10.1111/scd.70257","DOIUrl":"10.1111/scd.70257","url":null,"abstract":"<p><strong>Aims: </strong>This case report aimed to describe the use of a patient-specific 3D printed model to support communication and informed consent in a pediatric patient diagnosed with Gorlin syndrome, a rare condition frequently associated with multiple odontogenic keratocysts.</p><p><strong>Methods and results: </strong>A 9-year-old girl with Gorlin syndrome presented with swelling of the maxilla and mandible. Imaging revealed two large cystic lesions. Conventional explanations using radiographs and CBCT slices failed to ensure adequate parental understanding, partly due to language barriers. A digital workflow was developed using free segmentation software (3D Slicer) and a low-cost fused deposition modelling printer to produce life-size maxillary and mandibular models, with cysts highlighted in color. The models were presented during consultation, enabling the family to visualize the extent of the lesions and their proximity to critical structures. According to parental feedback, the model made the pathology and surgical rationale \"much clearer\" than prior explanations. Informed consent was successfully obtained, and the family adhered to follow-up and referral recommendations.</p><p><strong>Conclusion: </strong>This case demonstrates that patient-specific 3D printed models can enhance comprehension, engagement, and trust in the care of children with complex conditions. Such models represent a feasible, low-cost adjunct to the informed consent process in dentistry.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70257"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978432","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 and Quality of Life in Patients With Schizophrenia in Remission-A Call for Integration Within Special Care Dentistry.","authors":"Vinamrata Kapoor Ghai","doi":"10.1111/scd.70262","DOIUrl":"10.1111/scd.70262","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70262"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991995","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":"A Case of CHARGE Syndrome With Tooth Eruption Disturbance Caused by Severe Calculus Accumulation.","authors":"Emi Inada, Yasutaka Yanagita, Haruyoshi Yamaza","doi":"10.1111/scd.70271","DOIUrl":"https://doi.org/10.1111/scd.70271","url":null,"abstract":"<p><p>Individuals with disabilities who are unable to maintain oral intake are at high risk of inadequate oral hygiene because of reduced masticatory stimulation and impaired self-cleansing, leading to excessive dental calculus accumulation. However, the effects of this on tooth eruption are poorly understood. Herein, we report the case of an 18-year-old boy with CHARGE syndrome managed with gastrostomy feeding since childhood. Following prolonged inadequate oral care, severe dental calculus accumulated throughout the dentition. Thick calculi encased the mandibular right first and second deciduous molars, physically obstructing eruption of the permanent premolars. Because safe delivery of care could not be ensured under local anesthesia, treatment was performed under general anesthesia. Full-mouth scaling, mobile deciduous tooth extraction, and restorative procedures were performed. No periodontal pockets were observed, and radiographic assessment showed no alveolar bone resorption. After calculus removal, the impacted premolar erupted spontaneously within 2 months and had achieved complete eruption 8 months later. This case demonstrates that severe dental calculus accumulation can cause reversible eruption disturbances in children who do not receive oral intake. Early dental intervention, continuous oral hygiene management, and multidisciplinary care are essential for preventing oral and systemic complications in children with disabilities.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70271"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116263","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, Hygiene, and Nutrition in Individuals with Disabilities: Comparing Institutional and Family Living Environments.","authors":"Zoumpoulakis Michail, Zouloumis Lambros, Venetis Grigorios, Tzanakis Nikolaos","doi":"10.1111/scd.70266","DOIUrl":"10.1111/scd.70266","url":null,"abstract":"<p><strong>Aims: </strong>Individuals with disabilities (IwD) often face challenges affecting oral and nutritional health, potentially influenced by their living environment. This study aimed to assess the relationships between oral health, hygiene, and nutrition among IwD in institutional and community settings.</p><p><strong>Methods & results: </strong>A cross-sectional study was conducted among IwD residing in institutions and the community. Data collection included structured questionnaires, clinical dental indices, oral function indicators, and anthropometric measures. Statistical analysis was performed using Stata18 with significance set at p ≤ 0.05. A total of 207 IwD were examined-105 institutionalized (mean ± SD age = 60.37 ± 18.19) and 102 community dwellers (65.53 ± 17.83). Both groups showed high dental treatment needs and compromised nutritional status. Institutionalized participants had poorer oral hygiene, higher caries burden, and greater caregiver dependence, whereas community dwellers exhibited better oral health but less favorable nutritional profiles. Significant associations were identified between anthropometric and oral health indicators.</p><p><strong>Conclusions: </strong>IwD exhibit poor oral health and hygiene overall. Living environment influences oral and nutritional outcomes, with multiple interrelations between them. Multidisciplinary interventions with caregiver support are essential, while longitudinal studies are needed to clarify causal links between diet and oral health.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70266"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065137","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":"Reliability and Diagnostic Performance of Digital Versus Clinical Assessment of Oral Hygiene and Gingival Health in Older Community-dwelling Adults.","authors":"Isabel Deeg, Christoph Matthias Schoppmeier, Karolin Höfer, Alicia Maria Meyer-Hofmann, Dirk Bleiel, Anna Greta Barbe","doi":"10.1111/scd.70268","DOIUrl":"10.1111/scd.70268","url":null,"abstract":"<p><strong>Aims: </strong>This study evaluated the diagnostic performance and interexaminer reliability of digital versus clinical oral hygiene assessments in community-dwelling older adults, focusing on the Plaque Index for Long-Term Care (PI-LTC), Quigley-Hein Index (QHI), and Marginal Gingival Index (MGI).</p><p><strong>Methods and results: </strong>Fifty-two participants aged ≥ 65 years (mean 77.2 ± 6.8 years) underwent standardized clinical and digital examinations before (PI-LTC, QHI, MGI) and after professional toothbrushing (QHI). Two independent digital examiners-one calibrated for gerodontology (D₁) and one uncalibrated (D₂)-assessed intraoral scans obtained with a 3Shape TRIOS 4 system (Straumann). Inter- and intraexaminer reliability were determined using intraclass correlation coefficients (ICC), and discriminative performance was analyzed via area under the receiver-operating characteristic curve (AUROC). Both PI-LTC and QHI demonstrated strong discrimination (AUROC 0.85-1.00). The QHI showed the highest and most consistent reliability (ICC ≈ 0.65-0.75), whereas the PI-LTC achieved higher sensitivity but moderate reproducibility (ICC ≈ 0.50), particularly in posterior regions. The MGI yielded fair to good reliability (ICC ≈ 0.45-0.55) and was more examiner dependent. The calibrated examiner (D₁) achieved near-perfect agreement with the clinical reference (D₀), while the uncalibrated examiner (D₂) also performed acceptably but with lower accuracy (ΔAUROC ≈ 0.10-0.20).</p><p><strong>Conclusion: </strong>Digital intraoral scanning enables reliable and valid assessment of oral hygiene in older adults. Examiner calibration substantially enhances diagnostic precision, though uncalibrated digital evaluations also remain clinically useful. The QHI offers superior reproducibility, whereas the PI-LTC provides greater sensitivity for plaque risk detection.</p><p><strong>Clinical trial registration: </strong>German Clinical Trials Register (DRKS), DRKS00032639, 19.07.2024.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70268"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13648007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138761","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":"Minimally Invasive Caries Arrest and Oral Rehabilitation for a Patient With Severe Recessive Dystrophic Epidermolysis Bullosa.","authors":"David K Langford, Jonathan N Sorsok, Tung T Wynn, Marcio Guelmann, Sandra Natalia Gonzalez Rodriguez","doi":"10.1111/scd.70256","DOIUrl":"https://doi.org/10.1111/scd.70256","url":null,"abstract":"<p><strong>Aims: </strong>To describe the stepwise, atraumatic dental management of a pediatric patient with severe recessive dystrophic epidermolysis bullosa (RDEB), emphasizing conservative caries arrest, the challenges of restorative care within a severely microstomia-limited oral opening, and coordinated multidisciplinary care.</p><p><strong>Methods and results: </strong>A male patient with severe RDEB was followed at a university pediatric dental clinic from Age 13 to 14 years within a dental home maintained since infancy. Serial silver diamine fluoride applications arrested multiple occlusal carious lesions. Glass ionomer sealants were placed on seven teeth without retraction or mirror use. At Age 14, comprehensive restorative care under general anesthesia included stainless-steel crown placement on a mandibular first molar and glass ionomer restorations on two additional teeth, all accomplished through a maximum interincisal opening of approximately 30 mm. Fiber-optic nasal intubation required multiple attempts. Six-month follow-up confirmed caries-free status and intact restorations.</p><p><strong>Conclusion: </strong>A guideline-driven, stepwise protocol combining conservative caries arrest, glass ionomer sealants and restorations, and targeted general anesthesia care preserved oral function while minimizing mucosal trauma. Multidisciplinary coordination supported the care episode, with anesthesiology managing the difficult airway, dermatology advising on the treatment setting and mucosal protection, and hematology optimizing the patient's baseline iron-deficiency anemia.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70256"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031722","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":"Impact of Braille Booklet, Audio-Tactile Performance and Caregiver-supervised Training on Oral Hygiene Status, Knowledge, Attitude and Practices among Visually Challenged Children- A Randomized Clinical Trial.","authors":"Priyadharshini Ragavane, Senthil Murugappan, Shivashankar Kengadaran, Boopathi Kangusamy, Priyanga Chandrasekaran","doi":"10.1111/scd.70265","DOIUrl":"10.1111/scd.70265","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of braille booklet, Audio-Tactile Performance using specialized model and caregiver-supervised training based oral health education on plaque control, oral hygiene status and oral health knowledge, attitude, practices among Visually challenged children.</p><p><strong>Methods: </strong>A total of sixty-six visually challenged children and adolescents were randomly selected and allocated into three different groups. Group A received oral health education through braille booklet (n = 22), Group B through Audio-Tactile Performance using a specialized model (n = 22), and Group C through caregiver-supervised training (n = 22). Clinical examination was conducted using the Simplified Oral Hygiene Index (OHI-S) and gingival scores using WHO 2013 Oral Health Assessment Form for Children. A pre-validated questionnaire was used to evaluate oral hygiene knowledge, attitudes, and practices (KAP) scores at baseline, 1-month, 2-month and 3-month intervals.</p><p><strong>Result: </strong>All the three groups showed statistically significant reduction in the mean OHI-S scores from 2.9± 0.6 to 1.5 ± 0.2 in the braille booklet group, 2.4 ± 0.8 to 0.9 ± 0.2 in the audio tactile performance using specialized model group and 2.7 ± 0.6 to 1.0 ± 0.26 in the caregiver-supervised training group and gingival scores reduced from (7.5 ± 1.6 to 3.0 ± 1.3, 3.4 ± 1.5 to 1.5 ± 0.9 and 7.2 ± 2.5 to 1.1 ± 1.0 respectively). Notably, the caregiver-supervised training and ATP demonstrated greater improvement in increasing the KAP scores and reducing the OHI-S and gingival scores compared to braille booklet group.</p><p><strong>Conclusion: </strong>Both caregiver-supervised training and audio tactile performance using specialized model method of oral health education proved to be more effective than the braille booklet group on plaque control and improvement in the oral hygiene status, oral health knowledge, attitude and practice in oral hygiene maintenance among visually challenged children and adolescents.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70265"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018289","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":"\"Overburdened…Can't Meet Demand\"-Experiences of Oral Health Professionals Providing Dental Care to Children With Special Healthcare Needs in South Africa.","authors":"Nancy Njoroge, Ansuyah Magan, Mpho M Molete, Phumzile Hlongwa","doi":"10.1111/scd.70227","DOIUrl":"10.1111/scd.70227","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70227"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13537025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876361","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":"A Multifactorial Evaluation of Parental Oral Health Literacy, Attitudinal Construct, and Clinical Oral Disease Burden in Children and Youth With Special Health Care Need (CYSHCN) in India.","authors":"Ritu Phogat, Bhavana Sabbarwal, Alona Joppan, Chandrika Mutyala, Bhoomi Shah, Namrata Trikala","doi":"10.1111/scd.70251","DOIUrl":"10.1111/scd.70251","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the association between parental oral health literacy, attitudinal constructs, and the clinical oral disease burden in children and youth with special health care needs (CYSHCN), in comparison with age-matched healthy paediatric controls.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A quantitative, cross-sectional comparative study included 116 children and youth with Special health care need (CYSHCN) (age 10-20 years) and 336 age-matched healthy controls drawn from five special schools. Parental oral health knowledge and attitudes were assessed using a rigorously developed, validated, and pilot-tested questionnaire, translated and culturally adapted to Hindi. Clinical oral health examinations employed World Health Organization (WHO) 2013 standardized criteria for dental caries, periodontal status, dental fluorosis, erosion, and trauma conducted on-site by a calibrated examiner under natural daylight conditions. Data were analyzed via descriptive, bivariate, and multivariate statistics including Chi-square tests and logistic regression, with significance set at p ≤ 0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study included 116 children with intellectual disabilities (mean age 14.11 ± 3.55 years; 75.9% male). Parental sociodemographic data showed a majority of fathers engaged in unskilled labor (33.6%) and mothers predominantly unemployed (84.5%), with limited education (one-third completed middle school). Parental oral health literacy revealed strengths, as 94% correctly identified sugary foods as cariogenic, but only 51.7% acknowledged the risks of chronic liquid medication. Child oral hygiene was often inadequate; less than half (46.6%) brushed independently, and 58.6% consumed sugary foods unrestrictedly. Dental caries prevalence was strikingly high in CYSHCN (70.7%) compared to healthy controls (35.3%), with a significantly elevated mean DMFT (2.59 ± 2.84 vs. 0.82 ± 1.47; p &lt; 0.001). Periodontal disease was prevalent but not significantly different (p = 0.239). Logistic regression demonstrated that children of parents with moderate oral literacy had higher caries odds (OR = 2.24; p = 0.056) and those with low literacy had a fourfold increased risk (OR = 4.07; p = 0.008). Structural equation modeling revealed that socioeconomic status positively influenced parental literacy (β = 0.21; p = 0.007), which in turn positively impacted oral health behaviors (β = 0.39; p = 0.006) and protected against oral disease burden (β = -0.33; p = 0.008). Caregiver attitudes also improved behaviors (β = 0.27; p = 0.03) and correlated with literacy (r = 0.29; p = 0.006) but showed no direct effect on disease. These findings underscore the critical role of caregiver literacy and behavior, shaped by socioeconomic factors, in mitigating oral health disparities among CYSHCN.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Oral health disparities in children with special care needs are multifactorial, rooted in parental knowledge gaps, attitudinal barr","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70251"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971718","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":"Unilateral Hearing Loss and Dental Care: A Questionnaire Survey of Patient Challenges and Provider Responses.","authors":"Jumpei Murakami, Yumi Okano, Yuki Oda","doi":"10.1111/scd.70264","DOIUrl":"10.1111/scd.70264","url":null,"abstract":"<p><strong>Aim: </strong>Unilateral hearing loss (UHL) refers to significant hearing impairment in one ear, with normal or near-normal hearing in the other. Individuals with UHL often have difficulty hearing in noisy environments, such as dental offices. This study was undertaken to examine the specific needs of individuals with UHL related to the dental care delivery process, such as speaking from the hearing side and reducing background noise.</p><p><strong>Methods: </strong>A web-based survey was conducted through the official website of Kikoiro, a Japanese community organization focused on individuals with UHL. Participants were individuals with UHL, defined as normal hearing in one ear and hearing loss of 25 dB HL to complete deafness in the other ear. Those with bilateral hearing loss and family members or proxies were excluded. The purpose, target population, and important information regarding the survey were clearly stated on the website. A link to the survey form, created using the SurveyMonkey application, was posted, with responses collected in a voluntary manner.</p><p><strong>Results: </strong>A total of 378 individuals with UHL participated in the survey. Many reported difficulties communicating in a noisy dental environment. Necessary adaptations noted included clear and slow speech, reduced background noise, visual cues, and communication from the hearing side, while visual aids and written explanations before and after treatment were also considered helpful. The results indicate the importance of specific communication and environmental adjustments when providing dental care for this population.</p><p><strong>Conclusions: </strong>In dental clinic settings, consideration of patient hearing ability is essential, especially for those with UHL. Improving the communication environment benefits not only affected patients but also contributes to more inclusive dental care.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70264"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018245","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}