Special Care in Dentistry最新文献

{"title":"Influence of Oral Health Literacy Levels Among Foster Caregivers on the Use of Dental Services by Foster Children in Pak Kret, Thailand: A Cross-Sectional Study.","authors":"Nithimar Sermsuti-Anuwat, Rawitsara Suwannimit","doi":"10.1111/scd.70034","DOIUrl":"https://doi.org/10.1111/scd.70034","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to evaluate the influence of foster caregivers' oral health literacy (OHL) levels on their foster children's use of dental services.</p><p><strong>Methods and results: </strong>Data were collected through self-reported questionnaires among foster caregivers in Pak Kret foster homes, Thailand. The Thai version of the Health Literacy in Dentistry scale (HeLD-Th) was used to measure OHL. Additionally, we examined the foster children's dental records from the 2021 fiscal year, focusing on dental visit frequency. The Mann-Whitney U test, Pearson's Chi-square test, and binary logistic regression were used for analysis. A total of 436 foster caregivers participated in the study. Caregivers with higher HeLD-Th scores, specifically in the \"Economic Barriers\" and \"Utilization\" domains, were associated with an increased number of dental visits for foster children. However, multivariate analysis did not show a significant association between the caregivers' OHL levels and the foster children's use of dental services. Lower OHL was more prevalent among male caregivers, particularly those with limited education, lower income, shorter toothbrushing duration, and infrequent dental visits.</p><p><strong>Conclusion: </strong>Foster caregivers' OHL levels did not significantly influence foster children's use of dental services.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70034"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056290","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":"Osteoradionecrosis Incidence and Dental Implant Survival in Irradiated Head and Neck Cancer Patients: A Systematic Review and Meta-Analysis.","authors":"Mansour Gorjizad, Majid Aryannejad, Ali Shahriari, Mahsa Aslani Khiavi, Maedeh Barkhordari Dashtkhaki, Amirhossein Rigi, Zhina Mohamadi, Pouya Asgari, Shirindokht Shirazi, SeyedMehdi Ziaei, Mahsa Asadi Anar","doi":"10.1111/scd.70022","DOIUrl":"10.1111/scd.70022","url":null,"abstract":"<p><strong>Background and aim: </strong>The use of implants in irradiated patients has been critically questioned due to the presence of Osteoradionecrosis and other side effects of radiation therapy. Hence, our objective is to examine the likelihood of dental implant survival and the incidence of osteoradionecrosis in patients with head and neck cancer who have undergone radiation therapy. This analysis will aid in making informed therapeutic decisions on oral rehabilitation for individuals at high risk, ensuring maximal benefit.</p><p><strong>Method: </strong>PubMed, Scopus, and Web of Science were queried until April 2024. The digital data were extracted using the Web plot digitizer. We utilized the most recent iteration of STATA (version 18) to perform a meta-analysis of the data. The studies were evaluated for quality using the New Castle-Ottawa Scale. Egger's test was used to evaluate the presence of publication bias caused by modest research effects.</p><p><strong>Result: </strong>The study analyzed data from 21 research papers on 753 head and neck cancer patients. The majority were male, with a mean age of 60.25 years. 46% underwent radiotherapy, with 2261 dental implants inserted. The mandible was the most used implant site, accounting for 62.4%. The mean time between implant placement and radiotherapy was 5.3 weeks, with a median waiting period of 30.7 months for secondary surgery. After an average follow-up of 42.25 months, 58% of implants failed in the irradiated control group, while 6% failed in the non-irradiated control subgroup. Osteoradionecrosis was seen in 26 patients, resulting in an incident rate of 1.81%. As a result of this problem, an average of 2.5 implants per patient were not successfully retained. Radiotherapy was found to be a significant risk factor for implant survival.</p><p><strong>Conclusion: </strong>Our research indicates that the survival rate of implants in patients who have undergone radiation therapy is lower compared to those who have not received radiation therapy. Additionally, although rare, osteoradionecrosis is a significant complication that every oral and maxillofacial surgeon should be ready to address. Enhancing the quality of care, mitigating hazards, and reducing treatment duration may hinge upon implementing a systematic approach to patient selection and therapy.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70022"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651458","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":"A Global Provision of Preventive Oral Health Measures for Children With Special Needs: A Scoping Review.","authors":"Yahya S Alholimie, Diaa Almutairi, Hussain Ali Alhasan, Ali Abdalwhab Alkhamis","doi":"10.1111/scd.70027","DOIUrl":"https://doi.org/10.1111/scd.70027","url":null,"abstract":"<p><strong>Background: </strong>Policymakers should consider the preventive measures provided to children with special health care needs (CSHCN) to reduce inequalities in dental treatment measures. This scoping review aimed to develop a conceptual framework regarding preventive measures and barriers to implementing them to find the gap in knowledge and the lack of a comprehensive framework of studies published in this area.</p><p><strong>Method: </strong>In this review, nine steps for scoping review were employed. Five electronic databases were searched: PubMed/Medline, EMBASE, Scopus, Web of Science, and EBSCO Host from January 2014 to January 2024. Thematic analysis was developed with the help of data extracted from the included articles, which were divided into categories. Finally, a litmap and conceptual map were developed according to the JBI manual for evidence synthesis.</p><p><strong>Results: </strong>After analyzing 129 articles that fulfilled inclusion criteria, 44 were included. Four main categories were identified, which were further divided into 19 subthemes. The four main categories were Interventional measures, perspectives of dentists and caregivers, barriers and unmet treatment needs, and Governmental policies. According to these themes, a conceptual map was developed to assess the needs of CSHCN that can help develop preventive measure policies. These policies can eventually help service providers develop proper treatment measures for these vulnerable groups.</p><p><strong>Conclusion: </strong>This scoping review concludes that there is a need for an assessment of treatment needs for CSHCN, which can help develop policies. By analyzing parents' and dentists' perceptions, policymakers can make a policy to support these vulnerable children's oral health care needs. This approach will eventually reduce the barrier and inequality in oral health preventive services provided to CSHCN.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70027"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018414","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":"Conservative Management of Tourette Syndrome Tics Using Intraoral Occlusal Devices: Report of Two Cases.","authors":"Andrea Hoette Stahlke, Daniel Bonotto, Danielle Veiga Bonotto, Priscila Brenner Hilgenberg-Sydney","doi":"10.1111/scd.70032","DOIUrl":"https://doi.org/10.1111/scd.70032","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study is to present and discuss two cases of patients with Tourette syndrome controlled with intraoral occlusal devices.</p><p><strong>Methods and results: </strong>This paper presents two case reports: one of a 10-year-old male patient and another of a 17-year-old male patient who underwent treatment using a conservative approach that has garnered increasing clinical interest: the use of an occlusal device. This device is placed over the lower teeth, creating a space between the mandible and maxilla. Patients reported improvements in tic frequency as well as enhancements in their ability to focus and concentrate on academic activities following the installation of the occlusal device.</p><p><strong>Conclusions: </strong>The use of these occlusal devices demonstrates promising success in managing tics associated with Tourette syndrome.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70032"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030454","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":"Overlap Diagnostic Odyssey and Full Mouth Rehabilitation of a Juvenile Patient With IFIH1-Related Disorder: A Case of Aicardi-Goutières and Singleton Merten Syndromes Overlap.","authors":"Clive Friedman, Timucin Ari, Gürkan Ünsal, Tugce Balci, Matthew Morrison, Nilgun Ari","doi":"10.1111/scd.70026","DOIUrl":"10.1111/scd.70026","url":null,"abstract":"<p><strong>Objective: </strong>This case report describes the prosthetic rehabilitation of a 15-year-old female patient with a rare IFIH1-related interferonopathy, presenting features from both Aicardi-Goutières Syndrome (AGS) and Singleton-Merten Syndrome (SMS). The report highlights the unique dental and maxillofacial challenges, and the multidisciplinary treatment approach required in such patients.</p><p><strong>Methods: </strong>The patient underwent a comprehensive prosthetic rehabilitation, which included two stages of extractions, followed by the fabrication of a complete upper denture and a two-implant-retained mandibular overdenture. Pre- and post-treatment assessments, including panoramic radiographs and cone beam computed tomography (CBCT), were utilized to guide treatment.</p><p><strong>Results: </strong>Initial assessments revealed root formation anomalies, multiple impacted teeth, internal resorption, and associated dental anomalies. Following extractions and ridge augmentation, two freestanding implants were successfully placed in the anterior mandible, with no complications during osseointegration. The patient reported satisfaction with the function, esthetics, and stability of her dental prostheses.</p><p><strong>Conclusions: </strong>This case underscores the importance of a multidisciplinary approach for managing dental anomalies and bone fragility in patients with IFIH1-related disorders. Early genetic diagnosis and thorough treatment planning are critical for successful prosthetic rehabilitation and optimal patient outcomes.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70026"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11977043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803342","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 Mucositis and Pain in Hypofractionated Head and Neck Radiotherapy Protocols.","authors":"Nadini Spolaore de Souza, Alexandre Colello Bruno, Tatiane Cristina Ferrari, Ana Laura Polizel Ranieri, Leandro Dorigan de Macedo, Hilton Marcos Alves Ricz, Lara Maria Alencar Ramos Innocentini","doi":"10.1111/scd.70019","DOIUrl":"https://doi.org/10.1111/scd.70019","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70019"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626398","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":"How Are Patient Perspectives of Oral Health Reflected in the International Classification of Functioning?","authors":"Marie-Sophie Bogner, Sasha Scambler, Nada El-Osta, Caroline Eschevins, Denise Faulks","doi":"10.1111/scd.70017","DOIUrl":"10.1111/scd.70017","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to link patients' experience of oral health to the International Classification of Functioning. Data were analyzed from a previous qualitative study exploring experience and perception of the mouth, oral health, functioning, and the social environment among adults with disabilities and complex health conditions.</p><p><strong>Methods and results: </strong>Eighteen participants took part in 17 semi-structured interviews that were transcribed verbatim. All meaningful concepts were identified in the transcripts and these were linked to ICF items using established rules. Overall, 116 ICF items were cited in at least three interviews, of which 39 from the Body functions domain, 11 from the Body structures domain, 49 from the Activities and Participation domain, and 17 from the Environmental factors domain.</p><p><strong>Conclusions: </strong>The patient perspective of oral health reinforces the imperative of social function as the main rehabilitation goal in Special Care Dentistry rather than just the elimination of disease. The data provided by this study is also an important step forward for the development of an ICF Core Set for Oral Health.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70017"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606536","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":"Comment on \"Reproducibility of Tongue Pressure Values in Adults With Down Syndrome\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1111/scd.70028","DOIUrl":"https://doi.org/10.1111/scd.70028","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70028"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040834","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":"Fluoride Levels in Saliva After the Application of Fluoride Varnishes in a Preventive Oral Health Program in Pregnant Women: A Randomized Controlled Trial.","authors":"Iciar Fernández-Pizarro, Antonio José Ortiz-Ruiz, Clara Serna-Muñoz, Amparo Pérez-Silva, Francisco Javier Ibáñez-López, Sandra Gallego-Reyes, Yolanda Martínez-Beneyto","doi":"10.1111/scd.70020","DOIUrl":"10.1111/scd.70020","url":null,"abstract":"<p><strong>Purpose: </strong>Gestation is a time in women's lives when many physiological changes occur that have systemic and oral repercussions, especially in the periodontium. The aim of the study is to determine the oral health status, plaque index, oral health related quality of life, and concentration of fluoride in saliva, after the application of fluorinated varnishes, of pregnant women participating in a preventive oral health program.</p><p><strong>Material and methods: </strong>A randomized clinical trial was carried out on pregnant patients involved in an oral health program. Data was collected on socio-demographic aspects, hygiene habits, beliefs, epidemiological indexes such as Decayed, Missing, and Filled Teeth (DMFT); International Caries Detection and Assessment System (ICDAS); Community Periodontal Index (CPI); Caries Management by Risk Assessment (CAMBRA); and the Oral Health Related Quality of Life Index (OHIP-14). Three reviews were carried out during the gestation period (Day 1, 15, and 30). The fluoride varnishes applied in the study were Clinpro White Varnish, Profluorid Varnish, and MI Varnish.</p><p><strong>Results: </strong>A total of 89 women were evaluated. Most patients were Spanish and married, with a mean age of 34.3. The mean DMFT was 7.2 (± 4.51), the plaque index was 52%, and there was a low risk of caries. A poorer quality of life was linked to an increased risk of caries, high DMFT values, high ICDAS codes, and high plaque index. The concentration of fluoride in saliva immediately after the application with MI Varnish reaches values of fluor concentration 238.51 ± 151.87 much higher than the other varnishes (p < 0.05); however, after 30 days the values were reduced without significant differences for the three study groups Clinpro White Varnish (0.21 ± 0.29), MI Varnish (0.34 ± 0.34) and Profluorid Varnish (0.16 ± 0.07).</p><p><strong>Conclusion: </strong>In general, pregnant women had good oral health, which improved after participating in the program, and good oral quality of life, with a negative influence due to caries lesions and plaque. In all study groups concentration values dropped to baseline 15 and 30 days after the application of fluoride.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70020"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606535","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":"Orofacial Manifestations in Patients Diagnosed With Malaria in the Western Brazilian Amazon: A Cross-Sectional Study.","authors":"Antonio Arlen da Silva Freire, Lídia Audrey Rocha Valadas, Celiane Mary Carneiro Tapety, Radamés Bezerra Melo, Emmanuel Arraes de Alencar Júnior","doi":"10.1111/scd.70025","DOIUrl":"10.1111/scd.70025","url":null,"abstract":"<p><strong>Objective: </strong>Considering the little evidence about the action of the dentist in the management of patients diagnosed with malaria, this study aimed to analyze the main orofacial changes that affect these patients.</p><p><strong>Materials and methods: </strong>This is a cross-sectional study where 38 patients diagnosed with malaria are included. An extraoral physical examination was carried out using the diagnostic criteria for temporomandibular disorders instrument. Signs of changes in the oral cavity were detected through intraoral physical examination.</p><p><strong>Results: </strong>The xerostomia was measured according to the xerostomia inventory scale score (XISS). In this study participated 33 men (87%) and 5 women (13%), with a notable diagnosis of Plasmodium vivax (n = 26). When assessed, the incidence of orofacial changes in the sample studied stands out as myalgia in the chewing muscles (92.1%) and arthralgia in the temporomandibular joint (65.7%). In this study, the results show that there is an association between types of malaria and dysgeusia (p = 0.01).</p><p><strong>Conclusion: </strong>Given the data obtained, it appears that the patients most affected by the infection are men, and the most commonly found changes are color changes in the oral mucosa, petechiae, xerostomia, arthralgia, myalgia in the chewing muscles, and dysgeusia, even without prior use of antimalarial medication.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 2","pages":"e70025"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803259","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}