{"title":"Outcomes of Silver Diamine Fluoride (SDF) Treatment Among Older Adults: A Retrospective Analysis.","authors":"Katie Kettelkamp, Jhanvi Desai, Stephanie Lewis, Carissa Comnick, Leonardo Marchini","doi":"10.1111/scd.70013","DOIUrl":"10.1111/scd.70013","url":null,"abstract":"<p><strong>Introduction: </strong>Silver diamine fluoride (SDF) is a safe and convenient method for managing root caries in older adults, but the amount of time that this intervention extends the life of an affected tooth is not clear. This paper aims to evaluate the outcomes of SDF use in older adults in a dental school setting using a retrospective cohort analysis of electronic health records over a period of 2 years.</p><p><strong>Methods: </strong>A total of 169 patient records were selected for survival analysis after screening using the selection criteria. Demographic and treatment variables were collected. Multivariable Accelerated failure time (AFT) models were used to evaluate relationships between the survival of teeth that received SDF treatment and available variables.</p><p><strong>Results: </strong>The 24-month survival for the whole sample of patients was found to be 45%. Patients who had SDF reapplied after an initial SDF treatment had a greater increase in the length of time until tooth failure than did those who only received an initial SDF treatment over a 2-year period. For patients receiving SDF treatment, those with more baseline restorative treatments experienced tooth failure more quickly than did those with fewer such treatments. We found a low to moderate association between survival times and the number of sites where SDF was applied, and between survival times and prescription of high-fluoride toothpaste.</p><p><strong>Conclusion: </strong>In older adults receiving SDF application, multiple reapplications at the site prolonged survival time while poorer outcomes were seen in patients who had higher baseline restorative treatment needs.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70013"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568439","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}
Gustavo Vargas da Silva Salomão, Daniel I Sendyk, Karem L Ortega, André Luiz Ferreira Costa, Bruna Di Profio, Paulo Henrique Braz-Silva, Claudio M Pannuti
{"title":"Dental Implants in Patients With End-Stage Renal Disease: A Case Series.","authors":"Gustavo Vargas da Silva Salomão, Daniel I Sendyk, Karem L Ortega, André Luiz Ferreira Costa, Bruna Di Profio, Paulo Henrique Braz-Silva, Claudio M Pannuti","doi":"10.1111/scd.70014","DOIUrl":"https://doi.org/10.1111/scd.70014","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic kidney disease (CKD), a widespread health problem marked by a gradual loss of kidney function, presents unique challenges in various aspects of patient care. As such, this case series aimed to assess the feasibility of dental implants in end-stage renal disease (ESRD) patients.</p><p><strong>Materials and methods: </strong>Parathyroid hormone (PTH) levels were measured at the time of implant placement and implant uncovering. Radiographic evaluations were performed at 7, 15, 30, 90, and 180 days after implant placement and 180 days after prosthetic rehabilitation. Bone remodeling was evaluated based on the values of radiographic marginal bone loss, measured as the distance between the implant shoulder and the marginal bone levels.</p><p><strong>Results: </strong>Fifteen patients with ESRD received a total of 27 implants (5 in the maxilla and 22 in the mandible) installed in different regions, with a diameter of 3.75 mm, height of 8.5 mm, platform of 4.1 mm, and Morse taper connection. No correlation was found between PTH levels and primary implant stability (ρ = 0.04, p value = 0.860). PTH levels ranged from 105.1 to 1965 pg/mL (mean 613.51 ± 494.38 pg/mL). Only one implant did not demonstrate primary stability during surgery, the others ranged from 15 to 50 Ncm of stability. Seven implants failed during the evaluation due to varying degrees of bone loss. There was no significant effect of primary stability or PTH levels on implant loss.</p><p><strong>Conclusion: </strong>Accelerated marginal bone loss within 6 months and reduced osseointegration in ESRD patients may lead to early implant loss and treatment challenges.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70014"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634923","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}
Roshni Maria Irwina Alwin, Priyadharshini Ragavane
{"title":"Effectiveness of Oral Health Interventions Among Intellectually Disabled Children-A Systematic Review.","authors":"Roshni Maria Irwina Alwin, Priyadharshini Ragavane","doi":"10.1111/scd.70018","DOIUrl":"https://doi.org/10.1111/scd.70018","url":null,"abstract":"<p><strong>Aim: </strong>This review aims to compare the effectiveness of various oral health interventions to improve the oral hygiene and oral health status of intellectually disabled children.</p><p><strong>Methods: </strong>A comprehensive literature search was performed and screened for articles in PubMed, Cochrane-CENTRAL, Google Scholar, EMBASE databases, and gray literature databases from January 2013 to December 2023. The search focused on randomized and clinical trials aimed at improving oral health status in children with intellectual disabilities were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Data extraction was performed independently by two authors, involving 11 studies that met the inclusion criteria. The studies were assessed using the Cochrane Rob Tool. A descriptive summary of the significant findings was reported.</p><p><strong>Results: </strong>The studies used various oral health promotion strategies such as supervised tooth brushing, fluoride application, and oral health education interventions in reducing dental caries, gingival disease, and improving oral health among intellectually disabled children. All the included studies were of level 2 evidence.</p><p><strong>Conclusion: </strong>This review highlights the effectiveness of fluoride applications, specialized toothbrushes, and caregiver training in improving the oral health of children with intellectual disabilities.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70018"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634924","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}
Larissa Conrado da Silva, Pedro Albuquerque Counago Marques, Bruna Cristina Oliveira Dos Santos, Thalyta Cristina Souza da Silva Cruz, Bruno Augusto Benevenuto de Andrade, Karem L Ortega, Luciana Munhoz, Jefferson R Tenório
{"title":"Mandibular bone imaging assessment in thalassemia - a systematic review.","authors":"Larissa Conrado da Silva, Pedro Albuquerque Counago Marques, Bruna Cristina Oliveira Dos Santos, Thalyta Cristina Souza da Silva Cruz, Bruno Augusto Benevenuto de Andrade, Karem L Ortega, Luciana Munhoz, Jefferson R Tenório","doi":"10.1111/scd.13076","DOIUrl":"10.1111/scd.13076","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to verify if individuals with thalassemia present changes in radiomorphometric indices and fractal analysis that can be accessed using panoramic radiographs.</p><p><strong>Material and methods: </strong>Observational studies that evaluated cortical and trabecular bone patterns in dental routine radiographs were selected from six bibliographic databases. Risk of bias was analyzed using the Joanna Briggs Institute Critical Appraisal Checklists. Quality of evidence was verified using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.</p><p><strong>Results: </strong>Two hundred three studies were initially retrieved from databases. Three cross-sectional studies, encompassing a total of 129 thalassemic patients, were deemed eligible after applying the inclusion criteria. Bone mineral density (BMD) evaluations were performed using panoramic radiographs and considered the following radiomorphometric indexes: mandibular cortical index (MCI), mandibular cortical width (MCW), panoramic mandibular index (PMI). Fractal dimension analysis (FDA) and simple visual estimation (SVE) were also employed. Overall, FDA and MCW from thalassemia individuals were lower than controls.</p><p><strong>Conclusion: </strong>FDA and MCW are frequently altered in patients with thalassemia and may be employed as screening tools for reduced BMD. However, the certainty of evidence for this outcome was very low, mainly due to methodological flaws.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13076"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510339","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":"Correction to Abnormalities of Teeth and Jaws in Thalassemia Pediatric Patients.","authors":"","doi":"10.1111/scd.13105","DOIUrl":"https://doi.org/10.1111/scd.13105","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"1"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014027","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}
Talia Becker, Mishel Kleinerman Kuperberg, David Domb
{"title":"Treatment outcomes in adult patients experiencing dental anxiety: A comparative retrospective study.","authors":"Talia Becker, Mishel Kleinerman Kuperberg, David Domb","doi":"10.1111/scd.13100","DOIUrl":"https://doi.org/10.1111/scd.13100","url":null,"abstract":"<p><strong>Aims: </strong>To assess and compare the effectiveness of pharmacological and cognitive-behavioral modalities-behavioral methods (BM), nitrous oxide inhalation sedation (NOIS), and premedication with Diazepam-for alleviating anxiety during dental treatment, using completed treatment sessions and adverse outcomes as indicators.</p><p><strong>Methods and results: </strong>For 239 patients (515 dental records), 18-53 y/o, who underwent dental treatments under anxiety reduction measures, sessions under NOIS were categorized as \"nitrous group\" (456 sessions) versus premedication with Diazepam or behavioral strategies (control, 59 sessions). Outcomes were completed treatment sessions considering demographic and clinical parameters, and adverse outcomes during and between sessions. Adjusted logistic regression showed significantly higher odds of completing treatment sessions after NOIS (p = 0.014) as compared to controls. Univariate analyses demonstrated failure of anesthesia was higher in the control versus the nitrous group (p < 0.001). Adverse outcomes were more frequent in controls (p = 0.005). No significant effects of age, gender, and general health condition on completion rates of treatment plans were demonstrated. The complexity of the treatment plan had a significant effect on its completion (p = 0.03).</p><p><strong>Conclusions: </strong>NOIS modality yielded significantly superior outcomes as compared to BM and premedication with Diazepam, with no significant effects of age or gender on the completion of treatment plans.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13100"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013955","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 Manifestations in a Child With Distal Renal Tubular Acidosis, and Refractory Rickets.","authors":"Nikhil Shrivastava, Saurabh Sharma, Morankar Rahul, Nitesh Tewari, Kalpana Bansal, Vijay Mathur","doi":"10.1111/scd.13101","DOIUrl":"https://doi.org/10.1111/scd.13101","url":null,"abstract":"<p><p>Renal tubular acidosis (RTA) is a group of disorders in which there is an alteration in acid-base homeostasis because of the impairment of nephrons to excrete hydrogen ions or reabsorb bicarbonate ions, resulting in chronic metabolic acidosis. RTA is an important cause of rickets, particularly 'resistant rickets'. Dental manifestations frequently reported in patients with RTA include enamel hypoplasia and amelogenesis imperfecta, affecting permanent dentition. To the best of our knowledge, the literature pertaining to the dental manifestations in RTA with secondary rickets is scarce. This case highlights oral manifestations in a 6-year-old girl with RTA, distal, four with haemolytic anaemia a rare form diagnosed on genetic testing, and refractory rickets having multiple missing teeth and enamel hypo-mineralisation. The radiograph revealed alveolar bone loss in both jaws with widened pulp chambers and root canals in primary teeth. Pre-eruptive enamel breakdown in multiple unerupted permanent teeth was also evident radiographically.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"1-6"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014011","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}
Siti Hajar Ibrahim, Farah Natashah Mohd, Mohd Yusmiaidil Putera Mohd Yusof, Lukman Ade Chandra, Aidi Ahmi, Mas Suryalis Ahmad
{"title":"Nonpharmacological Management of Dental Anxiety in the General Population and Individuals With Learning Disabilities: A Bibliometric Analysis.","authors":"Siti Hajar Ibrahim, Farah Natashah Mohd, Mohd Yusmiaidil Putera Mohd Yusof, Lukman Ade Chandra, Aidi Ahmi, Mas Suryalis Ahmad","doi":"10.1111/scd.13102","DOIUrl":"https://doi.org/10.1111/scd.13102","url":null,"abstract":"<p><strong>Aims: </strong>Dental anxiety (DA) is reported among the general population, including individuals with learning disabilities (LDs). In many studies, nonpharmacological interventions have been applied to significantly improve DA among patients. This study aimed to examine publication trends and patterns in both populations to identify the current research trends and literature gaps.</p><p><strong>Methods: </strong>A descriptive analysis of bibliographic data and network visualization were conducted using Microsoft Excel and VosViewer, focusing on literature published in the Scopus database between 1994 and 2023 and using \"title\" as the search field.</p><p><strong>Results: </strong>For the study period, the following were identified: 1429 authors, 5858 total citations, and an h-index of 36. From a total of 2058 publications discovered, 363 publications were included in the study. Of these, only 11 articles addressed nonpharmacological management for people with LDs. In terms of the research country, the United Kingdom was the leading contributor, with 56 publications. Ad de Jongh was the most productive author, with 13 publications and 447 citations. The most highly cited paper was Lehrner et al. (2005), with 312 citations.</p><p><strong>Conclusion: </strong>This study determined the number of publications related to nonpharmacological management of DA over three decades. The number of studies involving people with LDs was lower than that involving the general population, suggesting future research should occur in this area.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"1-13"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014032","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}
Mariana Sarmet Smiderle Mendes, Camila Lopes Ferreira, Maria Aparecida Neves Jardini, Christopher Andrew Childs, Leonardo Marchini
{"title":"The effects of compassionate care on oral health outcomes: A scoping review.","authors":"Mariana Sarmet Smiderle Mendes, Camila Lopes Ferreira, Maria Aparecida Neves Jardini, Christopher Andrew Childs, Leonardo Marchini","doi":"10.1111/scd.13087","DOIUrl":"10.1111/scd.13087","url":null,"abstract":"<p><strong>Purpose: </strong>To access and synthesize the existing literature about the effects of compassionate care on oral health outcomes.</p><p><strong>Methods: </strong>A scoping review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify articles from six electronic databases: MEDLINE via the PubMed interface, Embase, Age-Line, Scopus, CINAHL, and Cochrane.</p><p><strong>Results: </strong>Among 30 studies reporting on compassion in dental treatment, only two reported on the effects of compassionate care on oral health outcomes. One study is cross-sectional and evaluated oral health outcomes in children, while the other is a cohort study evaluating oral health outcomes in older adults. Each study used different tools to assess oral health outcomes. However, both studies used the Jefferson Scale of Physician Empathy (JSPE) to assess empathy among dental students, dentists, or dental hygienists.</p><p><strong>Conclusion: </strong>The retrieved studies used different methodologies and had discrepant results. More clinical studies investigating the effects of compassionate care on the outcomes of dental treatment are necessary.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13087"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956628","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}
Rianne de Soet, Hans J J de Soet, Catherine M C Volgenant
{"title":"Oral Health and Oral Health-Related Beliefs in Young Adults With a Mild Intellectual Disability.","authors":"Rianne de Soet, Hans J J de Soet, Catherine M C Volgenant","doi":"10.1111/scd.70011","DOIUrl":"10.1111/scd.70011","url":null,"abstract":"<p><strong>Objective: </strong>Over 1.1 million people in the Netherlands have a mild intellectual disability (MID). This population also exhibits a higher prevalence of poor oral health. The present study aims to investigate the oral health status and oral health-related beliefs of young adults with MID and co-occurring challenges like mental health issues.</p><p><strong>Material and methods: </strong>A questionnaire was administered to 76 individuals in residential care facilities of the Salvation Army in Amsterdam, accompanied by intraoral examinations. The study group comprised young adults (ages 18-29; mean 21.7 ± 2.5 years). Data were compared with a reference group of Dutch young adults of low socioeconomic position.</p><p><strong>Results: </strong>No significant difference was found between the participants (4.8 ± 4.3) and the reference group (4.6; t(73) = 0.45, p > 0.05) mean DMFS scores. The average Locus of Control score (M = 23.6; scale 10-50) indicated no relationship between oral health beliefs and actual oral health status. Adjusting for whether participants had their own dentist, a weak negative correlation was observed between DMFS score and LOC (n = 30, r = -0.25, p = 0.04). The restorative care index was significantly lower in participants (33%) compared to the reference group (76%; Z = -5.72, p < 0.001).</p><p><strong>Conclusion: </strong>These findings highlight the critical need for enhanced professional oral healthcare for young adults with MID, given their compromised oral hygiene and treatment backlog. A flexible, tailored approach is essential to meet the treatment needs of this population.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70011"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484332","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}