Special Care in Dentistry最新文献

{"title":"Oral Health of Athletes in Special Olympics Bharat (SOB) 2022.","authors":"Lalitha S Jairam, Dhananjaya G, Ashmitha K Shetty, Aishwarya Arun Koparde","doi":"10.1111/scd.70229","DOIUrl":"10.1111/scd.70229","url":null,"abstract":"<p><strong>Background: </strong>Oral health is an essential component of overall well-being, significantly impacting the quality of life. Individuals with disabilities, including those with intellectual disabilities, are at a higher risk for oral health issues due to poor oral hygiene, limited dexterity, and barriers to accessing dental care. The Special Olympics Special Smiles (SOSS) program aims to improve the oral health of Special Olympics athletes by providing screening and awareness programs. However, there is limited data on the oral health status of individuals participating in Special Olympics Bharat (SOB).</p><p><strong>Objective: </strong>This study aimed to assess the oral health status and treatment needs of SOB athletes attending the \"Return to Play-Inclusion Revolution\" event in Bengaluru, India, on April 7, 2022.</p><p><strong>Methods: </strong>A total of 586 SOB athletes participated in the study. Data collection was done using the standardized SOSS form. Demographic details, oral hygiene practices, dental caries, missing teeth, periodontal health, traumatic dental injuries, and preventive care measures were recorded. Screening was conducted using disposable mouth mirrors, gloves, and flashlights in a field setting. Descriptive and inferential statistics were used for data analysis.</p><p><strong>Results: </strong>The mean age of participants was 27.16 ± 12.23 years, with 61.61% males and 38.39% females. About 79% of the athletes brushed their teeth at least once daily, but 99.31% had signs of gingival inflammation, indicating poor oral hygiene. The prevalence of dental caries was 95.9%, with 87% of untreated caries found in molars. Traumatic dental injuries were observed in 30.2% of participants, and edentulism was recorded in 14.7%. Preventive treatments such as fluoride application (4.6%) and sealants (3.7%) were notably low. Emergency dental referral was required for only 0.85% of participants, while 2.38% reported experiencing oral pain.</p><p><strong>Conclusion: </strong>The findings highlight a significant burden of unmet oral health needs among SOB athletes. Despite a high percentage of individuals brushing their teeth, poor gingival health and a high prevalence of dental caries indicate inadequate oral hygiene practices. The low uptake of preventive care suggests a need for targeted interventions, including improved access to dental services, caregiver training, and community-based oral health programs. Further studies should explore the correlation between disability type and oral health outcomes using advanced diagnostic tools like the International Caries Detection and Assessment System (ICDAS) and the Community Periodontal Index (CPI).</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70229"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13576874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971085","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":"Development and Content Validation of the Epidermolysis Bullosa Oral Health Assessment Form (EB-OHAF).","authors":"Sebastián Véliz, Colomba Besa-Witto, Susanne Krämer","doi":"10.1111/scd.70275","DOIUrl":"https://doi.org/10.1111/scd.70275","url":null,"abstract":"<p><strong>Objectives: </strong>Epidermolysis Bullosa (EB) is a rare skin disorder with significant phenotypic variations according to the primary type and subtype of the condition. As a rare disease with uncommon oral features and high phenotypic variability, identifying all characteristics is important to define a patient-specific treatment strategy and monitor the impact of different strategies on the oral outcomes. This project aims to develop and validate an EB-specific oral health assessment tool that helps clinicians to identify every specific oral feature that can be presented in patients with different types of EB, and aids in monitoring these features in time.</p><p><strong>Materials and methods: </strong>Literature review and instrument development were conducted using the World Health Organization Oral Health Assessment Form as a reference. A first advisory panel provided preliminary feedback, and a second panel was used to validate content through an online form. Content Validity Index (CVI), Item CVI (I-CVI), Scale-CVI (S-CVI), Universal Agreement (UA), and a modified Kappa value (K*) were calculated.</p><p><strong>Results: </strong>The instrument: Epidermolysis Bullosa-Oral Health Assessment Form (EB-OHAF) and its Appendix 1: Orthodontic Assessment were developed. The first draft considered assessing 30 domains. The validation process revealed that 28 domains had an I-CVI = 1, while domain #XIX (Emergency intervention) had an I-CVI of 0.875, and domain #XXIII (History of oral ulcers) an I-CVI of 0.5; S-CVI/Ave = 0.979 and S-CVI/UA = 0.93. Universal Agreement was reached in 28 domains (K* = 1), while domain #XIX presented a K* = 0.87, and domain #XXIII showed a K* = 0.312. Therefore, domain #XXIII (History of oral ulcers) was removed from the instrument. The final version of the EB-OHAF includes a total of 29 domains. The final assessment form and a clinical example are provided.</p><p><strong>Conclusions: </strong>The new Epidermolysis Bullosa-Oral Health Assessment Form and the Orthodontic Assessment appendix showed strong content validity and can be applied to patients with all types of EB.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70275"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149026","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":"Dental Care in High-Risk Pregnancy: A Scoping Review.","authors":"Kelly Fernanda Molena, Maya Fernanda Manfrin Arnez, Francisco Wanderley Garcia de Paula-Silva","doi":"10.1111/scd.70246","DOIUrl":"10.1111/scd.70246","url":null,"abstract":"<p><strong>Objectives: </strong>To map evidence on dental care and oral health conditions among women with high-risk pregnancies, identifying care settings, clinical approaches, and knowledge gaps relevant to oral health practice.</p><p><strong>Methods: </strong>This scoping review followed PRISMA-ScR guidelines and was registered in the Open Science Framework. PubMed/MEDLINE, Web of Science, SciELO, LILACS, the Cochrane Library, and Google Scholar were searched without language or publication-year restrictions. Eligible human studies included pregnant women explicitly classified as high-risk and addressed oral health conditions or dental care assessed or provided by licensed dentists.</p><p><strong>Results: </strong>Of 970 records identified, five observational studies met the eligibility criteria. The studies were conducted in Brazil and India and included 1985 high-risk pregnant women receiving care in primary, specialized outpatient, or hospital settings. Periodontal disease and untreated dental caries were prevalent. One study reported a significant association between periodontitis and preeclampsia. Limited access to dental services, insufficient prenatal dental counseling, and organizational barriers were also identified.</p><p><strong>Conclusion: </strong>Evidence on dental care in high-risk pregnancy is limited and heterogeneous and focuses mainly on oral disease prevalence and access to care rather than clinical management protocols. Greater integration of oral health into risk-stratified prenatal care and research on dental management strategies are needed.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70246"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921445","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 Microbiota Associated With Parkinson'S Disease: A Systematic Review.","authors":"Myllenne Dos Santos Abreu, Rayane Portela Lima de Morais, Tácio Fragoso Pereira, Pedro Henrique da Hora Sales, Jair Carneiro Leão, Alessandra de Albuquerque Tavares Carvalho","doi":"10.1111/scd.70272","DOIUrl":"10.1111/scd.70272","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the available evidence on the association between oral microbiota composition and Parkinson's disease (PD), including its relationship with disease severity and clinical features.</p><p><strong>Methods and results: </strong>This systematic review was registered in PROSPERO (CRD42024560059) and conducted according to the PRISMA 2020 statement. Searches were performed in PubMed, Embase, Web of Science, LILACS, Scopus, and SciELO. Observational studies evaluating the oral microbiota of adults with PD were included. Eleven studies, predominantly case-control, were analyzed, with 16S rRNA sequencing used in 90.9% of them. The genera most frequently associated with PD were Lactobacillus (45.45%), Prevotella (36.7%), and Streptococcus (36.7%). Most studies reported differences in beta diversity, indicating a distinct oral microbial profile in patients with PD. Higher Lactobacillus abundance and lower Neisseria abundance were associated with greater disease severity and poorer cognitive performance in some studies. According to the GRADE approach, the certainty of the evidence was very low.</p><p><strong>Conclusion: </strong>The available evidence suggests that PD is associated with alterations in oral microbiota composition. However, because the evidence is derived predominantly from observational studies, causal relationships cannot be established. Longitudinal studies using standardized microbiome methodologies are needed to validate these microbial signatures as candidate biomarkers.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70272"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149247","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":"Orthodontic and Craniofacial Skeletal Alterations in Individuals With Thalassemia: A Scoping Review.","authors":"Larissa Conrado da Silva, Diego Belmiro do Nascimento Santos, José Alcides Almeida de Arruda, Lucas Guimarães Abreu, Victor Zanetti Drumond, Thalyta Cristina Souza da Silva Cruz, Matilde da Cunha Gonçalves Nojima, Bruno Augusto Benevenuto de Andrade, Jefferson R Tenório","doi":"10.1111/scd.70243","DOIUrl":"10.1111/scd.70243","url":null,"abstract":"<p><strong>Background: </strong>Thalassemia is a well-recognized hereditary blood disorder with systemic complications. However, its craniofacial and orthodontic alterations remain incompletely characterized. Current evidence is fragmented, and no comprehensive synthesis has been published hitherto.</p><p><strong>Aims: </strong>To map and synthesize craniofacial and orthodontic alterations in individuals with thalassemia by identifying morphological patterns and associated clinical factors.</p><p><strong>Methods: </strong>This scoping review included cross-sectional studies, cohort studies, and clinical trials retrieved from four databases and gray literature. Data were analyzed descriptively.</p><p><strong>Results: </strong>Twenty-six studies (comprising 2,353 participants) published between 1964 and 2025 were included. Common findings included a Class II skeletal pattern, mandibular retrusion, maxillary protrusion, increased lower facial height, and thalassemic facies. Orthodontic anomalies included Class II malocclusion, anterior open bite, crowding, incisor protrusion, and transverse constriction of the arches (narrow skeletal arches). Greater severity was associated with chronic anemia, splenectomy, and delayed transfusion. Only one study evaluated functional appliance therapy, demonstrating improved mandibular advancement and facial esthetics.</p><p><strong>Conclusion: </strong>Thalassemia is associated with clinically relevant dentoskeletal alterations that affect function and esthetics. Early orthodontic evaluation and timely interceptive treatment should be prioritized, as they may attenuate deformity progression and improve craniofacial development, reducing the future need for complex orthognathic surgery.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70243"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851110","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 Clues to Undiagnosed Congenital Hemophilia: A Systematic Review of Case Reports.","authors":"Sulochana Badagabettu, Mathangi Kumar","doi":"10.1111/scd.70267","DOIUrl":"10.1111/scd.70267","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the oral symptoms documented in case reports that led to the identification of undiagnosed hemophilia.</p><p><strong>Methods: </strong>An electronic database search was carried out using MEDLINE (via PubMed), Scopus, CINAHL, ProQuest and EMBASE databases from inception to August 2025 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 282 articles that were identified of which seven reports (6 case reports and one case series) documented that prolonged oral bleeding following dental extraction was the first sign to suspect undiagnosed hemophilia. Delayed post-dental treatment bleeding from Day 2 should raise the suspicion toward undiagnosed hemophilia A/B.</p><p><strong>Conclusions: </strong>Mild hemophilia is often overlooked and undiagnosed due to the clinical manifestations that may be often neglected. Hence, this systematic review highlights the importance of dental professionals being the forefront of diagnosis of undetected bleeding disorder.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70267"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065087","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":"Professional Brushing Following Shortened Outreach Periodontal Therapy in Nursing Home Residents: A Prospective Extension Study With Historical Comparisons.","authors":"Anna Greta Barbe, Franka Lefering, Martin Hellmich, Max von Kohout, Sonja H M Derman, Dirk Bleiel","doi":"10.1111/scd.70270","DOIUrl":"10.1111/scd.70270","url":null,"abstract":"<p><strong>Aims: </strong>To substantiate the effectiveness of shortened outreach periodontal therapy in nursing home residents with periodontitis, we evaluated additional professional brushing every two weeks in a prospective extension study using historical comparison groups from a previously published randomized controlled trial.</p><p><strong>Methods and results: </strong>Participants receiving shortened outreach periodontal therapy with additional professional brushing every two weeks (intervention with brushing, IWB) were prospectively enrolled and compared with historical participants from a previously published randomized trial, including an intervention-only group (IO) and untreated controls.</p><p><strong>Primary outcome: </strong>bleeding on probing (BOP); secondary outcomes: plaque index (PI), probing pocket depth (PPD). Assessments were made at baseline and three months. Fifty-four participants (18 per group) were included. At three months, only IWB reduced BOP compared with baseline (ΔBOP -20 ± 20 percentage points; p = 0.002), with greater reductions than controls (p < 0.001) but not IO (p = 0.203). Both PI and PPD decreased with IWB (p = 0.005 and p = 0.001 vs. baseline, respectively) and IO (p = 0.014 and p = 0.005), but not in controls. The reduction in PPD (but not PI) was greater with IWB and IO than in controls (p < 0.001).</p><p><strong>Conclusion: </strong>Additional professional brushing every two weeks provided clinical benefits beyond shortened outreach periodontal therapy, particularly regarding periodontal inflammation, but did not fully compensate for inadequate daily oral hygiene.</p><p><strong>Trial registration: </strong>German Clinical Trials Register (DRKS), registration number DRKS00029392.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70270"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082511","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":"Dental Caries in Children and Youth With Cerebral Palsy: A Nationwide Study of Oral Health in Aotearoa New Zealand.","authors":"Alexandra Sorhage, John M D Thompson, Jessica Wilson, Karen Lansdown, Caitlin Agnew, Amy Hogan, Anna H Mackey, Susan Stott","doi":"10.1111/scd.70245","DOIUrl":"10.1111/scd.70245","url":null,"abstract":"<p><strong>Aim: </strong>To assess oral health outcomes for children with cerebral palsy (CP) in Aotearoa New Zealand and examine whether the level of motor impairment, using the Gross Motor Function Classification System (GMFCS), is associated with increased dental caries at ages 5 and 12 years.</p><p><strong>Methods: </strong>Longitudinal study linking clinical data from New Zealand Cerebral Palsy Register (NZCPR) for 1220 individuals with CP (aged ≤ 21 years) to national Community Oral Health Service records, 2008-2023. Oral health outcomes were measured using dmft/DMFT indices (decayed, missing, filled teeth) for primary and permanent dentitions.</p><p><strong>Results: </strong>981 (80%) participants had ≥ 1 dmft/DMFT records. 306/429 (71%) with recorded dmft at age 5 years and 167/230 (73%) with recorded DMFT at age 12 years were caries-free. Caries-free rates did not vary across GMFCS levels. Adjusting for confounders, dental decay was more common in children of NZ Māori, Pacific Peoples and Asian ethnicities compared to European children at age 5 years, [OR 3.60 (1.91, 6.80), OR 5.11 (2.36, 11.05), OR 3.06 (1.38, 6.79) respectively] and in NZ Māori at 12 years [OR 3.18 (1.42, 7.12)].</p><p><strong>Conclusions: </strong>GMFCS was not associated with poorer oral health outcomes. However, significant ethnic disparities highlight the need for culturally responsive oral health interventions.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70245"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963982","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":"Response to Letter to the Editor: Inconsistencies in the Measurement of Time Since Last Dental Visit in Peruvian Older Adults.","authors":"Neila C Quiroz-Silva, Jesús Roberto Quispe-Hinostroza, César A Palacios-Cortez, María Claudia Garcés-Elías, Roberto A León-Manco, Carlos Eduardo Alfaro-Pacheco","doi":"10.1111/scd.70250","DOIUrl":"10.1111/scd.70250","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 5","pages":"e70250"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992026","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":"Beyond Special Care Dentistry: Disability Competencies for the South-East Asian Dental Graduate.","authors":"Himanshu Dadlani, Satendra Singh","doi":"10.1111/scd.70212","DOIUrl":"https://doi.org/10.1111/scd.70212","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"46 4","pages":"e70212"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377562","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}