{"title":"Swiss Dental Hygienists' Attitudes on Treating Elderly Patients.","authors":"Marie-Laure Grandjean, Emilien Jeannot, Angela Stillhart, Murali Srinivasan","doi":"10.1111/scd.70007","DOIUrl":"https://doi.org/10.1111/scd.70007","url":null,"abstract":"<p><strong>Objective: </strong>This survey evaluated the attitudes of Swiss dental hygienists toward treating elderly patients and their opinions on the geriatric curriculum in their educational programs.</p><p><strong>Methods and results: </strong>Qualified dental hygienists working in private practices (PP) and dental hygiene students (DHS) were recruited. The Geriatric Attitude Scale (GAS-14) questionnaire and an additional questionnaire on the geriatric curriculum were used. Demographic information including age, sex, nationality, religion, marital-, and accommodation-status was collected. Three hundred and five hygienists (PP: n = 148, mean-age: 43.7 ± 11.9 years; DHS: n = 157, mean-age: 25.4 ± 4.6 years) participated. The overall mean GAS-14 scores were significantly different (p = 0.008) between PP (3.48 ± 0.36) and DHS (3.61 ± 0.42). GAS-14 scores were not correlated to demographic parameters. DHS valued the geriatric curriculum more (p = 0.002) and rated their training higher (p = 0.001). PP lacked confidence in treating elderly patients alone (p < 0.001). DHS wanted more hands-on training (p < 0.001). PP preferred hospital- (p < 0.001) or nursing home- (p = 0.039) treatment settings, DHS preferred mobile clinics (p = 0.028) for treating immobile elders.</p><p><strong>Conclusions: </strong>Swiss dental hygienist students and hygienists in private practice exhibit a favorable attitude toward treating elderly patients, with students showing a slightly more positive perspective. The results underscore the need for continuing education programs and hands-on workshops in geriatric dentistry to boost the practitioners' confidence and attitudes.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70007"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415319","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":"Psychological interventions for gagging: Implications for dental practice.","authors":"Freddie O'Donald, Molly Smith, Lindsay-Jo Sevier-Guy, Abigail Heffernan","doi":"10.1111/scd.13090","DOIUrl":"10.1111/scd.13090","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13090"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956611","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}
Mathangi Kumar, Sulochana Badagabettu, Keerthilatha M Pai, Baby S Nayak
{"title":"Dental management of people with congenital hemophilia: An integrative review of case reports and case series from a global scenario.","authors":"Mathangi Kumar, Sulochana Badagabettu, Keerthilatha M Pai, Baby S Nayak","doi":"10.1111/scd.13099","DOIUrl":"10.1111/scd.13099","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the various dental management strategies adopted to manage patients with hemophilia in a dental clinical setup.</p><p><strong>Methods: </strong>An electronic database search was carried out using MEDLINE by PubMed, Scopus, Google Scholar, Web of Science, and EMBASE databases from January 2000 to August 2023 for case reports and case series published in English language. Case reports addressing the dental treatments for people with hemophilia A/hemophilia B were included. Cases of acquired hemophilia and cases of hemophilia who are inhibitor positive were excluded.</p><p><strong>Results: </strong>There was a total of 286 articles that were identified of which 24 reports were included for the review. This included 20 case reports and four case series which addressed various dental treatment procedures performed on people with mild/moderate/severe hemophilia A or hemophilia B. A total of 28 patients were presented with a mean age of 20.4 years. The pre-treatment factor ranged from 200 to 2500 IU and the post-treatment factor range was 1000-3000 IU.</p><p><strong>Conclusions: </strong>There was a wide range of variation in the utilization of prophylactic factors for dental treatment procedures among people with hemophilia. This variation highlights the need for larger prospective clinical studies that address the rationale for using clotting factor concentrate and its impact on dental treatment outcomes for individuals with mild, moderate, or severe hemophilia.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13099"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872231","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}
Mohammed Alshanbari, Erin Bouldin, Hesham Alhazmi, Kenneth Knapp
{"title":"Investigating the impact of oral health status on the prevalence of falls among caregivers and non-caregivers in the United States: A retrospective study.","authors":"Mohammed Alshanbari, Erin Bouldin, Hesham Alhazmi, Kenneth Knapp","doi":"10.1111/scd.13097","DOIUrl":"10.1111/scd.13097","url":null,"abstract":"<p><strong>Objective: </strong>Examining the association between oral health and the prevalence of falls among US caregivers.</p><p><strong>Background: </strong>There is a scarcity of research on the association between oral health status and the prevalence of falls among older adults and caregivers.</p><p><strong>Materials and methods: </strong>Data from the Behavioral Risk Factor Surveillance System (BRFSS) surveys from 2016 to 2020 were analyzed. The analysis was limited to individuals aged 45 years and older (n = 97 550). The outcome variable was if a person had fallen at least once during the past 12 months. The main predictor variables were the number of teeth removed, the last dentist visit, and caregiver status. Data were analyzed using bivariate descriptive statistics, chi-square tests, and logistic regression to estimate adjusted odds ratios (AORs).</p><p><strong>Results: </strong>Having one to five teeth removed was linked to an increased prevalence of falls [AOR: 1.13, 95% confidence interval (95% CI): 1.02-1.25, p = .017] and was highest for complete tooth loss (AOR: 1.35, 95% CI: 1.15-1.58, p < .001). Caregivers had increased fall odds (AOR: 1.23, 95% CI: 1.10-1.38, p < .001). Caregivers' prevalence of fall increases with six or more teeth removed (AOR: 1.41, 95% CI: 1.02-1.94, p = .038) and all teeth removed (AOR: 1.47, 95% CI: 1.03-2.09, p = .030). Dental visits in the past year were associated with a 21% reduced fall risk for caregivers (AOR = 0.79, 95% CI: 0.64-0.98, p = .035).</p><p><strong>Conclusion: </strong>The study showed that maintaining good oral health and utilizing dental services may be associated with lower fall risks, particularly among caregivers, suggesting the need for integrating oral health into fall prevention strategies.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13097"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872913","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}
Torill Arntsen, Stefan Axelsson, Yi-Qian Sun, Hilde Nordgarden, Vaska Vandevska-Radunovic
{"title":"Orthodontic Treatment of Patients With Disabilities in Norway: A Survey Among Orthodontists.","authors":"Torill Arntsen, Stefan Axelsson, Yi-Qian Sun, Hilde Nordgarden, Vaska Vandevska-Radunovic","doi":"10.1111/scd.70003","DOIUrl":"https://doi.org/10.1111/scd.70003","url":null,"abstract":"<p><strong>Aim: </strong>The objective of this study was to examine orthodontic treatment of patients with disabilities in Norway, as perceived by orthodontists.</p><p><strong>Methods and results: </strong>A digital questionnaire was sent out to the 220 registered members of the Norwegian Orthodontic Society and a response rate of 41% (n = 90) was achieved. The majority (92%) had received referrals for patients with disabilities, 53% reported treating up to 10 patients, while 37% reported treating up to 50 patients in the last 5 years. Most of the participants (64%) showed a willingness to treat more patients with disabilities, with this interest significantly and conversely linked to years in practice (p = 0.02, chi-squared test). Orthodontists desire more referrals to increase patient intake, and also financial incentives play a relevant role in this context. Regarding the preferred location for orthodontic treatment for patients with disabilities, 34% prefer treatment in specialized centers rather than the current setup in optional private practices. An association exists between this perspective and the readiness to treat additional patients (p = 0.009) CONCLUSION: Most orthodontists in Norway have treated patients with disabilities. Among the surveyed orthodontists, a notable 64% expressed a positive inclination toward treating more patients with disabilities or initiate such services. To enhance their acceptance of these patients, it seems crucial to increase referrals and provide improved financial incentives.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70003"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060907","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}
Letícia Maria Pereira Teixeira, Laís Furlaneto Marega, Beatriz Costa, Daniela Rios, Gisele da Silva Dalben
{"title":"Riga-Fede Disease in a Child With Neuropsychomotor Impairment: A Case Report.","authors":"Letícia Maria Pereira Teixeira, Laís Furlaneto Marega, Beatriz Costa, Daniela Rios, Gisele da Silva Dalben","doi":"10.1111/scd.70001","DOIUrl":"https://doi.org/10.1111/scd.70001","url":null,"abstract":"<p><p>Riga-Fede disease (RFD) is a rare, benign condition marked by traumatic ulceration on the tongue's ventral side in infants. It arises from friction between the tongue and lower incisors during sucking, potentially worsening into a keratinized lesion if the cause is not addressed. This report details the case of a 1-year-6-month-old male with hydrocephalus, cleft palate, corpus callosum dysgenesis, neuropsychomotor developmental delay, and tracheostomy and gastrostomy needs. He presented to the Hospital for Rehabilitation of Craniofacial Anomalies of Bauru with a persistent tongue lesion. Clinical examination showed a yellowish-white lesion with defined edges, closely associated with teeth 71 and 81. A biopsy under general anesthesia confirmed RFD. Initial treatment involved smoothing the incisors and applying fluoride varnish to reduce sensitivity. Due to the child's repetitive tongue movements, the lesion persisted. Consequently, low-level laser therapy was introduced weekly, leading to substantial improvement. The laser's anti-inflammatory and tissue repair properties demonstrated effectiveness. This case underscores the importance of tailoring treatment to the individual clinical circumstances of each patient.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70001"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060911","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}
Jay Kishor Somkuwar, Pallavi Parasramka, Afroz Alam Ansari, Rajeev Kumar Singh
{"title":"Goldenhar Syndrome and Its Clinical Manifestation With Dentofacial Considerations: A Case Report.","authors":"Jay Kishor Somkuwar, Pallavi Parasramka, Afroz Alam Ansari, Rajeev Kumar Singh","doi":"10.1111/scd.70009","DOIUrl":"https://doi.org/10.1111/scd.70009","url":null,"abstract":"<p><p>Goldenhar syndrome, a variant of hemifacial microsomia, is a rare congenital condition characterized by mandibular hypoplasia, epibulbar dermoids, preauricular tags, and vertebral anomalies. This article discusses the case of a young boy presenting with classical signs of Goldenhar syndrome along with bilateral mandibular second premolar (BMSP) agenesis. While this syndrome can lead to significant physical and functional difficulties, timely recognition and tailored management are pivotal in enhancing the patient's quality of life and long-term health outcomes.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70009"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434067","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}
Victoria Geisa Brito de Oliveira, Isis Raquel Ghelardi, Karina Tamie Ichimura, Isadora Maria de Souza Reinato, Maria Aparecida Neves Jardini, Sérgio Lucio Pereira de Castro Lopes, Mariana Sarmet Smiderle Mendes
{"title":"Sedation in Home Care Surgical Procedures for a Patient With Dental Phobia: A Case Report.","authors":"Victoria Geisa Brito de Oliveira, Isis Raquel Ghelardi, Karina Tamie Ichimura, Isadora Maria de Souza Reinato, Maria Aparecida Neves Jardini, Sérgio Lucio Pereira de Castro Lopes, Mariana Sarmet Smiderle Mendes","doi":"10.1111/scd.70006","DOIUrl":"https://doi.org/10.1111/scd.70006","url":null,"abstract":"<p><p>An 88-year-old woman received dental evaluation at home after missing out on regular dental checks due to a stroke 3 years ago. Her orofacial complaints included pain in the right side of the face and a desire to use dental prosthetics. Her comorbidities included systemic arterial hypertension and sequels from episodes of a thrombotic stroke and an acute myocardial infarction. Medications used were a beta-blocker, an angiotensin-converting enzyme inhibitor, a statin, and an antiplatelet agent. During the initial evaluation, the patient was alert, using a wheelchair, and was quite anxious and apprehensive, reporting episodes of dental phobia. On intraoral examination, findings consistent with the orofacial pain mentioned by the patient were observed. Sequentially, a treatment plan was developed to address the oral condition. The treatment was initiated with basic periodontal therapy and restorative procedures, performed with non-pharmacological stress reduction management. However, due to the patient's behavior during previous follow-ups, it was decided to perform extractions under sedation with antihistamine and nitrous oxide in the home setting. The procedure was conducted with vital signs monitoring, and the use of antiplatelet drugs was not suspended. Local bleeding control measures were applied, and the postoperative period occurred without complications. Besides promoting accessibility, home dental care provides treatment in a safe environment for the patient, which enhances comfort and reduces patient anxiety. Additionally, using sedation with antihistamine and nitrous oxide achieved an adequate level of relaxation for more effective stress control during the extractions.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70006"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256979","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}
Hassan Abed, Ali Alqarni, Jameel Abuljadayel, Abdulaziz Alosaimi, Nawaf Muhaymidan, Abdullah Althobaiti, Fahad Aladwani, Abdullah Alshammari
{"title":"Dentistry and Sturge-Weber syndrome: Case report and narrative review.","authors":"Hassan Abed, Ali Alqarni, Jameel Abuljadayel, Abdulaziz Alosaimi, Nawaf Muhaymidan, Abdullah Althobaiti, Fahad Aladwani, Abdullah Alshammari","doi":"10.1111/scd.13088","DOIUrl":"10.1111/scd.13088","url":null,"abstract":"<p><p>Sturge-Weber syndrome (SWS) or encephalotrigeminal angiomatosis is a rare congenital disorder that affects the skin, brain, and eye. It is characterized by facial port-wine stains, leptomeningeal angiomas, and glaucoma. SWS can also cause neurological complications, such as seizures, headaches, cognitive impairment, and stroke. Antiepileptic drugs that are used to treat seizures associated with SWS lead to the development of gingival hyperplasia which requires non-surgical and/or surgical dental treatment. The purpose of this case report and narrative review is to provide an overview of the etiology, pathophysiology, clinical features, diagnosis, and treatment of SWS. This paper will also discuss the oral manifestations and dental considerations of SWS.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13088"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630431","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}
João Miguel Alves Lauria Soares, Sebastião Silvério Sousa-Neto, Cleiton Rone Dos Santos Lima, Victor Zanetti Drumond, Bruno Augusto Benevenuto de Andrade, Ricardo Alves Mesquita, Lucas Guimarães Abreu, José Alcides Almeida de Arruda, Gerhilde Callou Sampaio
{"title":"Oral and Maxillofacial Manifestations of Kallmann Syndrome: A Systematic Analysis of the Literature.","authors":"João Miguel Alves Lauria Soares, Sebastião Silvério Sousa-Neto, Cleiton Rone Dos Santos Lima, Victor Zanetti Drumond, Bruno Augusto Benevenuto de Andrade, Ricardo Alves Mesquita, Lucas Guimarães Abreu, José Alcides Almeida de Arruda, Gerhilde Callou Sampaio","doi":"10.1111/scd.13104","DOIUrl":"https://doi.org/10.1111/scd.13104","url":null,"abstract":"<p><strong>Aims: </strong>Kallmann syndrome (KS) is a rare genetic disorder characterized by congenital hypogonadotropic hypogonadism and varied clinical features. Despite its recognition, the oral and maxillofacial manifestations remain poorly understood. This study synthesized clinical aspects and management of KS-related oral and maxillofacial alterations.</p><p><strong>Methods: </strong>Searches were conducted in the PubMed, Web of Science, Scopus, Embase, and LILACS databases, supplemented by manual scrutiny and gray literature. Case series and/or case reports were included. The Joanna Briggs Institute tool was employed for critical appraisal of the studies.</p><p><strong>Results: </strong>A total of 46 studies comprising 108 cases were included. The mean age of individuals was 19.8 (±12.6) years, and there was a marked predominance of males (79.3%). Cleft lip/palate (32.7%) was the predominant oral condition, followed by high-arched palate (21.7%), and dental agenesis (19.8%). Oral treatment consisted of corrective surgery of the cleft lip and/or palate (n = 9), myoplasty (n = 1), and tooth extraction/orthodontic treatment (n = 1). Hyposmia/anosmia (71.3%) was the most frequently reported manifestation.</p><p><strong>Conclusion: </strong>Early diagnosis and interdisciplinary collaboration are essential for addressing the complex nature of KS-related oral and maxillofacial alterations and improving patient outcomes. The scarcity of data on oral treatment underscores the need for additional research and clinical attention in this field.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"1-21"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014008","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}