Jennifer E Hartshorn, Pamela C Nwachukwu, Tessa Heeren, McAllister Castelaz, Tessa Johnson, Chandler Pendleton, Paul Glassman, Steve M Levy, Julie C Reynolds
{"title":"Asynchronous teledentistry program in two long-term care facilities: Iowa's virtual dental home pilot project.","authors":"Jennifer E Hartshorn, Pamela C Nwachukwu, Tessa Heeren, McAllister Castelaz, Tessa Johnson, Chandler Pendleton, Paul Glassman, Steve M Levy, Julie C Reynolds","doi":"10.1111/scd.13074","DOIUrl":"10.1111/scd.13074","url":null,"abstract":"<p><strong>Introduction: </strong>Older adults living in long-term care facilities (LTCFs) often have poor oral health and difficulty accessing dental services. The aim was to implement a virtual dental home (VDH) program for residents in two LTCFs utilizing asynchronous teledentistry techniques and mobile dental equipment.</p><p><strong>Methods: </strong>This pilot project was a 6-month longitudinal cohort study in two LTCFs. Dental hygienists and dentists from a local community health care center utilized asynchronous teledentistry to provide diagnostic and preventive dental services onsite and to establish a dental home for additional comprehensive care services. Data were collected, including resident's demographics, oral health status, and dental services received. Descriptive data analyses, Wilcoxon signed rank, and McNemar tests were conducted.</p><p><strong>Results: </strong>Thirty-four residents completed in-person baseline oral exams and 16 residents completed the recall exams. Ninety-two percent (n = 23) of dentate residents (n = 25) had untreated caries and 64% (n = 16) of dentate residents had at least one sextant of severe gingival inflammation. The median number of teeth with active untreated caries (p = .01) significantly decreased and arrested caries (p = .02) significantly increased from baseline.</p><p><strong>Conclusion: </strong>Iowa's VDH pilot project was successful in establishing a dental home using asynchronous teledentistry for residents in two LTCFs and providing resident access to preventive and disease control dental services.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13074"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477640","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":"Periodontal treatment needs in children and adolescents with inflammatory bowel disease.","authors":"Aglaia Zellos, Vassiliki Koutsochristou, Konstantina Dimakou, Ioanna Panayotou, Sultana Siahanidou, Eleftheria Roma-Giannikou, Alexandra Tsami","doi":"10.1111/scd.13077","DOIUrl":"10.1111/scd.13077","url":null,"abstract":"<p><strong>Background: </strong>Increased incidence of periodontal disease is described in adult patients with inflammatory bowel disease (IBD), implicating similarities in gut immunopathogenesis and periodontitis.</p><p><strong>Aim: </strong>Evaluation of periodontal status and treatment needs of children with IBD in remission, according to disease phenotype, sex, age, and oral hygiene status, and compare them to age-matched healthy population of a dental practice.</p><p><strong>Methods: </strong>Fifty-five children with IBD (mean age 12.27 ± 3.67 years) and 55 matched healthy controls of a dental practice (mean age 12.21 ± 3.96 years) were assessed with the simplified gingival index (GI-S) and the plaque control record (PCR) index and the community periodontal index of treatment needs (CPITNs). A dental questionnaire on therapy, oral hygiene, gum bleeding, and dental attendance was completed by participants.</p><p><strong>Results: </strong>Children with IBD in remission had higher gingival inflammation and periodontal treatment needs compared to controls. In patients with IBD, the CPITN was higher in older compared to younger children (59.37% vs. 47.83%) and in boys compared to girls (65% vs. 46.67%). Among controls, CPITN was also higher in older children (21.88% vs. 4.34%) and in boys (16% vs. 13.33%).</p><p><strong>Conclusion: </strong>Older children and boys with IBD have more periodontal treatment needs, compared to controls, despite similar oral hygiene.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13077"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510341","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":"Exploring the oral health status of children living with hypoxic ischemic encephalopathy (HIE): A caregiver described self-report.","authors":"Rachyl L Adams, Sarah Al-Mayahi, Mathew D Mara","doi":"10.1111/scd.13081","DOIUrl":"10.1111/scd.13081","url":null,"abstract":"<p><strong>Introduction: </strong>Hypoxic Ischemic Encephalopathy (HIE) is a birth complication due to loss of oxygen flow, resulting in a wide range of physical and cognitive differences often requiring support from multidisciplinary healthcare teams. Despite this population's increased need, little is known about their oral health status and the role of the dentist as a member of the care team.</p><p><strong>Methods: </strong>A 32-item oral health questionnaire was shared to 8700 members within the patient advocacy non-profit, Hope for HIE's, Facebook group. The survey assessed caregiver-reported oral health status and facilitators and barriers to receiving dental care.</p><p><strong>Results: </strong>Two hundred sixty-two individuals responded to the survey. The majority were white (90%, 177/196) parents of children with HIE (99%, 259/262) that lived in the U.S. (76%, 148/195) and cared for children under 3 (42%, 106/251). 36% (85/236) reported cavity experience, 81% (180/223) reported visiting the dentist for a dental check-up, however, 58% (147/255) considered the dentist to be a member of their child's care team.</p><p><strong>Conclusion: </strong>Children diagnosed with HIE likely experience similar oral health status as their peers, however, qualitative developmental work is necessary to assess facilitators and barriers to receiving dental care, and how to integrate the dentist into the care team.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13081"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630434","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":"Abnormalities of teeth and jaws in thalassemia pediatric patients.","authors":"Jinda Lertsirivorakul, Parichamon Sukanindr, Arunee Jetsrisuparb, Waranuch Pitiphat, Pipop Sutthiprapaporn","doi":"10.1111/scd.13091","DOIUrl":"10.1111/scd.13091","url":null,"abstract":"<p><strong>Aims: </strong>To assess the prevalence of abnormalities of teeth and jaws in thalassemia patients and their association with the severity and type of thalassemia.</p><p><strong>Methods and results: </strong>This cross-sectional study was conducted among thalassemia patients, attending the Pediatric Outpatient Clinic at a university hospital in Thailand. Data were collected from medical records, clinical and orthopantomographic examinations. Descriptive statistics, Fisher's exact test, and binary logistic regression were employed for data analyses. The study included 163 patients, aged 1.9-28.6 years, with 148 accepting panoramic radiographic examination. Dental caries, convex profile, malocclusion, abnormal teeth, small maxillary sinus, absent inferior alveolar canal, and eroded mandibular cortex presented in 93.9%, 76.7%, 86.3%, 22.9%, 52.7%, 49.3%, and 29.7% of the participants, respectively. Severe thalassemia patients had a higher prevalence of malocclusion (p < .01) and small maxillary sinus (p = .02) than non-severe group. Compared to patients with β-thalassemia, those with coinheritance of α- and β-thalassemia demonstrated less malocclusion (p = .03) and small maxillary sinus (p < .001). No significant associations were found between the severity and type of thalassemia with other abnormalities.</p><p><strong>Conclusion: </strong>Thalassemia pediatric patients manifested several dental and jaw abnormalities, with malocclusion and small maxillary sinuses being associated with severe thalassemia and β-thalassemia.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13091"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802909","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":"Impact of cartoon-animated video, caregiver-supervised training, and pamphlet on plaque control, oral hygiene status, and oral hygiene knowledge, attitude, and practices in orphaned adolescents: A randomized controlled trial.","authors":"Kasthuripriya K, Senthil M, Ram Surath Kumar, Mamata Hebbal, Boopathi Kangusamy","doi":"10.1111/scd.13092","DOIUrl":"10.1111/scd.13092","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of cartoon animated video, caregiver-supervised training, and pamphlet-based oral health education on plaque control, oral hygiene status, and oral health knowledge, attitude, and practice (KAP) among orphaned adolescents with plaque-induced gingivitis.</p><p><strong>Methods: </strong>A total of ninety adolescents were randomly selected and allocated into three different groups. Group A received the pamphlet (n = 30), Group B received the cartoon animated video (n = 30), and Group C received the caregiver-supervised training (n = 30). A two-stage random sampling methodology was employed to select orphanages and the study population in Puducherry, India. Clinical examinations were conducted using the plaque index and simplified Oral Hygiene Index (OHI-S), and a pre-validated questionnaire was administered to assess oral hygiene KAP, which were recorded at baseline, 3-month, and 6-month intervals.</p><p><strong>Results: </strong>All three groups experienced statistically significant reductions in plaque scores (from 3.7 ± 0.8 to 0.9 ± 0.2 in the pamphlet group, 3.9 ± 0.8 to 0.4 ± 0.2 in the animated video group, and 3.6 ± 0.8 to 0.7 ± 0.1 in the caregiver group) and OHI-S scores (from 3.9 ± 0.6 to 1.3 ± 0.3, 3.7 ± 0.5 to 1.0 ± 0.2, and 3.9 ± 0.7 to 0.5 ± 0.1, respectively). Notably, the caregiver-based training and animated video methods demonstrated superior outcomes in reducing dental plaque and improving oral hygiene, while also an increase in the KAP scores compared to the pamphlet method.</p><p><strong>Conclusion: </strong>Both caregiver-supervised training and cartoon animated video methods proved to be more effective than the pamphlet method on plaque control and improvement of oral hygiene status, oral health knowledge, attitude, and its application in oral hygiene maintenance.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13092"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856033","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":"Comments on \"the Influence of COVID-19 on Temporo-Mandibular Disorders\".","authors":"Subramanian Balachandran, Selvamani Muthamizh, Elangovan Dilipan","doi":"10.1111/scd.70002","DOIUrl":"https://doi.org/10.1111/scd.70002","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70002"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060905","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}
Caitlin R Hurley, John Winters, Melanie McAlpine, Michelle Ng, Robert P Anthonappa
{"title":"Gingival Debulking Surgery for a Child With Severe Aplastic Anemia: A Case Report.","authors":"Caitlin R Hurley, John Winters, Melanie McAlpine, Michelle Ng, Robert P Anthonappa","doi":"10.1111/scd.13106","DOIUrl":"10.1111/scd.13106","url":null,"abstract":"<p><strong>Introduction: </strong>Aplastic anemia (AA) is a rare condition that frequently manifests with pancytopenia. Management of severe disease is through either allogenic stem cell transplantation or immunosuppressive therapy with supportive care. Drug-induced gingival overgrowth (DIGO) is a potential complication of a number of medications, including cyclosporine and amlodipine.</p><p><strong>Case report: </strong>The following report presents the case of a male child who was diagnosed with severe AA at 7 years of age. He was managed with immunosuppressive therapy and developed DIGO as a side effect of treatment, exacerbated by poor oral hygiene. Nonsurgical and surgical management strategies were utilized. Gingival debulking surgery was completed at 9 years of age, once the patient's condition had stabilized. Postoperative care included regular dental prophylaxis and oral hygiene instruction. The patient's medical condition remained stable, and his oral health was maintained without relapse of DIGO.</p><p><strong>Conclusion: </strong>This case emphasizes the importance of coordinated care for managing DIGO in immunocompromised pediatric patients and describes the successful management of DIGO using both nonsurgical and surgical methods.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13106"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053923","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}
Karen Lansdown, Kim Bulkeley, Margaret McGrath, Michelle Irving, Claudia Zagreanu, Hayley Smithers-Sheedy
{"title":"Dental care and services of children and young people with cerebral palsy in Australia: A comprehensive survey of oral health-related quality of life.","authors":"Karen Lansdown, Kim Bulkeley, Margaret McGrath, Michelle Irving, Claudia Zagreanu, Hayley Smithers-Sheedy","doi":"10.1111/scd.13098","DOIUrl":"10.1111/scd.13098","url":null,"abstract":"<p><strong>Aims: </strong>To investigate caregiver-reported dental care experiences and oral health-related quality of life (OHRQoL) of children and young people with cerebral palsy (CP).</p><p><strong>Methods: </strong>Between May and August 2023, caregivers of children and young people from three Australian states were invited to complete questionnaires, including the Child Oral Health Impact Profile (COHIP-SF 19).</p><p><strong>Results: </strong>Sixty-eight caregivers participated in the survey. Most children and young people had spastic CP (69.1%) with unilateral spasticity most common (51.1%). The COHIP-SF 19 average score was 51.9% ± 12.4, indicating moderate OHRQoL. Gender, communication, oral health daily routine, participation in dental exams and treatment, special arrangements needed to attend the practice, and urgent dental care due to pain or other problem(s) all significantly impacted OHRQoL (p < 0.05).</p><p><strong>Conclusion: </strong>OHRQoL of children and young people with CP is moderately impacted, as indicated by the COHIP-SF 19 scores. To improve OHRQoL in this population group, it is crucial to prioritize key factors such as upskilling dental professionals and creating more inclusive dental environments.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13098"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11817915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928155","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}
Mariana Sarmet Smiderle Mendes, Camila Lopes Ferreira, Maria Aparecida Neves Jardini, Christopher Andrew Childs, Leonardo Marchini
{"title":"Ageism combating strategies in oral healthcare: A systematic review.","authors":"Mariana Sarmet Smiderle Mendes, Camila Lopes Ferreira, Maria Aparecida Neves Jardini, Christopher Andrew Childs, Leonardo Marchini","doi":"10.1111/scd.13094","DOIUrl":"10.1111/scd.13094","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to investigate the existing evidence regarding the effectiveness of strategies aimed at combating ageism against older adults among dental students.</p><p><strong>Methods: </strong>A systematic review was performed following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify articles from seven electronic databases: MEDLINE via the PubMed interface, Embase, Age-Line, Scopus, Web of Science, CINAHL, and Cochrane.</p><p><strong>Results: </strong>Among twenty-four references reporting on ageism among oral health care providers and/or students, only two reported on the outcomes of strategies for combating ageism at dental schools, with a 12-year gap between them. Both studies showed that non-geriatric-specific clinical activities during dental school might reduce ageism among students. Notably, each article used a different tool to assess ageism.</p><p><strong>Conclusion: </strong>Although the dental literature calls for action to reduce ageism in many published articles, there is a need for more studies evaluating the outcomes of strategies to combat ageism in oral healthcare.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13094"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773630","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}
Jaideep Mahendra, Pavithra Dave, Lakshmi Priya, Moongilpatti Arumugam, Pradeep Kumar Yadalam, Carlos M Ardila
{"title":"Improvement of salivary biomarkers vitronectin and fetuin-A levels in periodontitis patients with coronary artery disease post scaling and root planing.","authors":"Jaideep Mahendra, Pavithra Dave, Lakshmi Priya, Moongilpatti Arumugam, Pradeep Kumar Yadalam, Carlos M Ardila","doi":"10.1111/scd.13073","DOIUrl":"10.1111/scd.13073","url":null,"abstract":"<p><strong>Introduction: </strong>Two biomarkers that are gaining attention for their roles in the progression of both periodontal and cardiovascular diseases are vitronectin and fetuin-A. This study evaluated vitronectin and fetuin-A expression in saliva samples of periodontitis (P) patients with and without coronary artery disease (CAD) after scaling and root planing (SRP).</p><p><strong>Methods: </strong>Sixty patients were divided into three groups: PH + SH (periodontally and systemically healthy), P (stage II/III grade B periodontitis), and P + CAD (periodontitis with CAD). Demographic, periodontal, and cardiac parameters were recorded. Unstimulated saliva samples were collected at baseline (day 0) and after SRP. On day 90, periodontal parameters and vitronectin/fetuin-A expression were reassessed.</p><p><strong>Results: </strong>P + CAD patients had higher age, weight, BMI, and lower income (p < .001, .025, .002, < .001, respectively), along with elevated plaque index, bleeding on probing, probing pocket depth, and reduced clinical attachment levels (p < .001). Vitronectin was elevated, while fetuin-A was lower in P + CAD, but both improved post-SRP (p < .001).</p><p><strong>Conclusions: </strong>Enhanced vitronectin and fetuin-A levels post-SRP indicate their potential as biomarkers and therapeutic targets for both periodontal and CAD.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13073"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510338","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}