Special Care in Dentistry最新文献

{"title":"Structural-visual approach for dental examination in children with autism spectrum disorder: A systematic review.","authors":"Alfini Octavia, Thanya Sitthisettapong, Iwan Dewanto","doi":"10.1111/scd.12827","DOIUrl":"10.1111/scd.12827","url":null,"abstract":"<p><strong>Introduction: </strong>Conducting Dental examination in children with autism is challenging due to the limitation in cooperativeness that is caused by impairment of communication, social interaction, and sensory sensitivities.</p><p><strong>Aims: </strong>This study aims to provide evidence base for the structural-visual approach in reducing uncooperativeness behavior to dental care in children with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>Searches were conducted in the electronic databases PubMed, PsycINFO, and Cochrane from inception to October 2021 (CRD42022383409). Randomized controlled trials (RCTs), non-RCTs, and pre/post-test and qualitative studies that conducting visual pedagogy and visual learning methods were included. The quality of evidence was assessed with Cochrane Collaboration's Risk of Bias Tool for RCTs, Risk of Bias in Non-randomized Studies-of Interventions (ROBINS-I) for non-RCTs, and Critical Appraisal Skill Program (CASP) for qualitative studies.</p><p><strong>Results: </strong>The initial search identified 270 studies, and 256 remained after removing duplicates. After screening titles and abstracts, 62 studies were remained for full-text assessed, and finally 13 eligible studies were selected for reviews. The studies analyzed various structural-visual interventions, participants, study design, countries, and outcomes.</p><p><strong>Conclusion: </strong>The structural-visual approach could reduce uncooperative behavior in children with ASD. Future study should investigate the wide range of age and varied behavior approach as the evidence-based of the clinical management.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e12827"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10542912","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":"Dento-Craniofacial Features of Tricho-Dento-Osseous Syndrome: A Systematic Review and Meta-Analysis.","authors":"Victor Zanetti Drumond, José Alcides Almeida de Arruda, Bruno Augusto Benevenuto de Andrade, Márcio Diniz-Freitas, Ricardo Alves Mesquita, Lucas Guimarães Abreu","doi":"10.1111/scd.70058","DOIUrl":"https://doi.org/10.1111/scd.70058","url":null,"abstract":"<p><strong>Aims: </strong>Tricho-dento-osseous syndrome (TDOS), a rare autosomal dominant condition caused by mutations in DLX3, is characterized by abnormalities in teeth, bone, and hair. This systematic review and meta-analysis summarized the most frequently reported dento-craniofacial features of TDOS.</p><p><strong>Methods: </strong>Searches were undertaken in five databases supplemented by manual scrutiny and a gray literature search. Observational and descriptive studies were included. Risk of bias was appraised using the Joanna Briggs Institute tools. Meta-analyses of continuous, binary, and proportion data were performed, with results reported as odds ratio (OR) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>Twenty-seven studies describing 297 individuals with TDOS were included. Most studies demonstrated a low risk of bias. Taurodontism (70.5%), enamel hypoplasia (34.5%), and dental infections (28.7%) were the most prevalent dental findings. Increased bone density/thickness (43.8%) was the primary skeletal manifestation, and sparse hair (27.2%) was the most common hair abnormality. Meta-analyses revealed high odds for taurodontism (OR = 42.71; 95% CI = 7.45-244.75) and consistent prevalence estimates for taurodontism (73%; 95% CI = 0.52-0.97) and enamel hypoplasia (71%; 95% CI = 0.52-0.97).</p><p><strong>Conclusion: </strong>Data confirm that TDOS predominantly affects dental, skeletal, and hair structures, highlighting the need for early diagnosis, multidisciplinary care, and tailored treatment approaches.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70058"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121055","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":"Comprehensive Communication for Improved Care of Patients With Special Needs.","authors":"Ying Gu, Zanab Malik, Avanti Karve","doi":"10.1111/scd.70047","DOIUrl":"https://doi.org/10.1111/scd.70047","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70047"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989566","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":"Characteristics of Patients Attending Gerodontology and Special Care Dentistry Outpatient Clinic in Thailand and the Referral Reasons by Dentists and Auxiliaries.","authors":"Worakarn Suwanvesh, Matana Kettratad-Pruksapong","doi":"10.1111/scd.70054","DOIUrl":"https://doi.org/10.1111/scd.70054","url":null,"abstract":"<p><strong>Background: </strong>There has been no study addressing referral reasons to gerodontology and special care dentistry (GD/SCD) clinics in Thailand. It was unclear how Thai dentists perceived the scope of care.</p><p><strong>Objectives: </strong>This study aimed to (1) describe the characteristics of patients attending the GD/SCD clinic of Thammasat University Hospital (TUH) and (2) explore the referral reasons from the perspectives of dentists and auxiliaries.</p><p><strong>Methods: </strong>We reviewed the electronic medical record (EMR) of the calendar year of 2019 for patient profiles as well as written reasons for referral. Later, we conducted in-depth interviews with seven dentists and five auxiliaries to explore their reasons. Inductive thematic content analysis was employed with the consensus between the two researchers.</p><p><strong>Results: </strong>EMR revealed that among 328 patients, most patients were in a young-old group (mean age 69.1±10.1), who had 5.1±3.8 comorbidities and took 8.2+5.5 medications. Reasons for referral include: complex dental problems, being dependent, and uncooperative. Dentists struggled with the treatment planning and the issue of efficiency. However, shorter waiting time for denture fabrication for healthy older adults was also identified. Interview informants expressed empathy/sympathy and referred patients to the GD/SCD clinic as they explained the clinic had specialized equipment and skills, ease of referral, and one-stop-service comprehensive care. In addition, we did not find that ageism or lack of financial incentive was an issue.</p><p><strong>Conclusion: </strong>Referrals were mostly due to behavioural challenges and uncertainties in treatment planning. However, some referrals of patients with no special needs were still evident.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70054"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081406","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 Training Effectiveness and Usability Evaluation of the Thai Version of the Oral Health Assessment Tool (T-OHAT) Mobile Application for Village Health Volunteers.","authors":"Suthasinee Inchai, Narathip Suwannabut, Yuttasin Klungnak, Monvorarat Pongpaibul, Matana Kettratad-Pruksapong","doi":"10.1111/scd.70043","DOIUrl":"https://doi.org/10.1111/scd.70043","url":null,"abstract":"<p><strong>Aims: </strong>To address challenges in accessing dental care for functionally dependent patients, including those in remote and hill tribe communities, by developing a mobile application for village health volunteers (VHVs) to screen oral health problems, communicate with healthcare professionals, improve referrals, and ensure timely oral health services.</p><p><strong>Methods and results: </strong>Dentists and programmers co-designed the \"Thai version of Oral Health Assessment Tool\" (T-OHAT) mobile application, offering training tutorials, real-time screenings, referral letter generation, and appointment management. Sixty-four VHVs were trained face-to-face by a dentist for 3 h followed by 3 days of self-paced exercises and summative evaluations within the app. OHAT scores from VHVs were compared with dentists' standards, and app usability was assessed. Posttest scores improved, with reduced screening times observed after training. The inter-examiner reliability between VHVs and dentists ranged from 0.81 to 0.99. Assessment of saliva condition exhibited the lowest kappa value among all categories. User satisfaction scored 4.58 ± 0.59.</p><p><strong>Conclusions: </strong>This pilot study demonstrated that the T-OHAT mobile application effectively trained VHVs to identify oral health problems in functionally dependent patients based on case scenarios. Further research is needed to investigate the app's effectiveness in real-world settings.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70043"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064961","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":"Evaluation of the Simplified Oral Hygiene Index and Community Periodontal Index in Patients With Major β-Thalassemia: A Case-Control Study.","authors":"Foad Yahyapour, Mozhgan Faezi, Hassan Semyari, Nahid Rejeh, Seyed Mohamad Kazem Nourbakhsh, Sara Monem Moharrer","doi":"10.1111/scd.70056","DOIUrl":"https://doi.org/10.1111/scd.70056","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare periodontal health between thalassemia patients and healthy individuals by assessing the Simplified Oral Hygiene Index (OHI-S) and the Community Periodontal Index (CPI).</p><p><strong>Materials and methods: </strong>This analytic case-control study was conducted at two centers in Tehran, Iran, involving 80 thalassemia patients (case group) and 80 healthy individuals (control group), matched by sex and age (15-25 years). Demographic data, OHI-S, and CPI were collected from all participants. For group comparisons, the Mann-Whitney U test was used for non-normally distributed data, while the Kruskal-Wallis test was employed for multiple comparisons. Multiple logistic regression and ANOVA were also applied. All statistical analyses were conducted using SPSS version 20, with a significance level set at 0.05.</p><p><strong>Results: </strong>The two groups showed statistically significant differences in the CPI and OHI-S indexes (p < 0.05). The multiple logistic regression model revealed that thalassemia affects the OHI-S index but not the CPI index.</p><p><strong>Conclusion: </strong>Patients with thalassemia major experience more severe periodontal disease than healthy individuals. Given the study's limitations, further research is recommended to investigate the risk factors for periodontal problems in thalassemia patients.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70056"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152303","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":"Caregiver's Oral Health Knowledge, Attitudes, and Practices Toward Special Needs Children, Zimbabwe.","authors":"Vimbai Mashanda, Saidah Tootla, Cathrine Malau","doi":"10.1111/scd.70038","DOIUrl":"https://doi.org/10.1111/scd.70038","url":null,"abstract":"<p><strong>Introduction: </strong>Children with special health care needs (CSHCN) rely heavily on their caregivers. Therefore, caregivers must possess adequate oral health knowledge, attitudes, and practices (KAP) to maintain the oral health of CSHCN.</p><p><strong>Objectives: </strong>To assess caregivers' oral health KAP toward CSHCN.</p><p><strong>Methods: </strong>A cross-sectional study using convenience sampling was conducted. Data from 295 caregivers attending support group meetings in Harare Province were analyzed using STATA, with p < 0.05 considered statistically significant.</p><p><strong>Results: </strong>Most caregivers were aged 31-40, with cerebral palsy being the most common disability. Caregivers' oral health knowledge and practices were satisfactory, while their attitudes were good. Significant associations were found between caregivers' oral health knowledge and educational level (p = 0.001), and between oral health attitude and both educational level and employment status (p = 0.001, p = 0.003, respectively).</p><p><strong>Conclusions: </strong>Caregivers generally had a positive attitude. However, their knowledge about oral health and their practical application of this knowledge was fair. This could be due to a lack of sufficient information or skills to effectively implement good oral health practices.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 3","pages":"e70038"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054377","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 Literature Review of Elder Abuse Curriculum in Dental Schools, Dental Hygiene Programs and Continuing Education.","authors":"Nechama Citrin, Reyes Enciso, Roseann Mulligan","doi":"10.1111/scd.70037","DOIUrl":"https://doi.org/10.1111/scd.70037","url":null,"abstract":"<p><strong>Aims: </strong>As mandated reporters of elder abuse in many states, dental providers require training in identifying, reporting, and managing suspected cases. This review aims to identify elder abuse and neglect (EAN) curricular models and training programs found in the literature for dental/dental hygiene (DH) students, and other dental professionals, as well as summarize surveys of EAN's knowledge of practicing dentists/DHs, and to suggest recommendations for enhancing training programs including a dental-focused EAN screening tool.</p><p><strong>Methods and results: </strong>An electronic search in PubMed, EMBASE, Web of Science, and Cochrane was performed up to and including July 2, 2024, to identify studies on elder abuse education/training found in dental schools, DH programs and continuing education courses for practicing dentists/DH. Nineteen studies on dental/DH curricula or surveys of knowledge about elder abuse were included in this review. Published studies included mailed or in-person surveys as well as in-person or online didactic training session(s) some of which contained pre- and post-session assessments. Survey results indicate that dental/DH students as well as practicing dentists have limited knowledge and confidence in reporting elder abuse. Included studies found that training programs are instrumental in increasing dental/DH student's and providers' knowledge and confidence in recognizing and reporting suspected cases of elder abuse during their clinical encounters.</p><p><strong>Conclusion: </strong>Reported dental/DH students and practitioners' knowledge about EAN is limited; however, training programs can improve knowledge and confidence. The inclusion of elder abuse education in dental school/DH curriculum and continuing education courses is needed to ensure current and future dental/DH practitioners possess adequate training in identifying, reporting, and managing suspected cases. The implementation of a standardized elder abuse screening tool for use in a dental clinical setting would be beneficial in identifying possible cases of abuse and neglect.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70037"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052876","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":"Erdheim Chester Disease and Its Impact on Dental Care: A Case Report.","authors":"Georgina Prosser, Fatimah Alsayer","doi":"10.1111/scd.70023","DOIUrl":"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":"Huntington's Disease and Dentistry: A Review of Its Etiology, Clinical Presentation, Symptomatic Pharmacotherapy, and Dental Management.","authors":"Hanad Duble, Aviv Ouanounou","doi":"10.1111/scd.70024","DOIUrl":"https://doi.org/10.1111/scd.70024","url":null,"abstract":"<p><strong>Aims: </strong>Patients with Huntington's Disease (HD) seeking dental care often present with poor oral health. Dentists often report that few protocols exist and there is a lack of understanding on how to manage these patients in the dental office. The aim of this review is to discuss the etiology and pathophysiology, clinical presentation, and management of this condition primarily from the dental perspective.</p><p><strong>Methods: </strong>A detailed literature review was conducted including articles searched on PubMed and Google Scholar using relevant keywords. Inclusion criteria prioritized studies based on relevance to oral care and HD with topics including caregiver-assisted oral hygiene, fluoride, dental preventative approaches, and case studies.</p><p><strong>Results: </strong>Research reveals the significant oral health issues patients with HD suffer from including dysphagia, xerostomia, and a high caries risk. Studies illustrate the need for tailored care emphasizing long term treatment planning, preventive, and clinically relevant approaches.</p><p><strong>Conclusion: </strong>This review presents the importance of a proactive, multidisciplinary strategy to dental care in HD patients. Early preventive strategies can greatly postpone the decline of oral health in this population. Future studies should focus on a conclusive dental care guideline, caregiver education initiatives, and improving access to care in this patient population.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70024"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11985692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018416","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}