Special Care in Dentistry最新文献

{"title":"Anthropometric and Sociodemographic Correlates of Dental Caries and Gingival Health in Children With Special Healthcare Needs at a Saudi Tertiary Care Hospital.","authors":"Sanaa N Al-Haj Ali, Lama S Alkhudhayr, Rawan R Alwattban, Ra'fat I Farah","doi":"10.1111/scd.13103","DOIUrl":"10.1111/scd.13103","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the impact of anthropometric and sociodemographic factors on dental caries and gingival health among children with special healthcare needs (SHCN).</p><p><strong>Methods and results: </strong>This cross-sectional study involved 108 children, aged 4-14 years, with congenital heart disease, childhood cancer, bleeding disorders, various syndromes, and multiple conditions. Caregivers completed a sociodemographic questionnaire, and children underwent dental examinations to assess caries, gingival health, and oral hygiene. Anthropometric measures-weight, height, and body mass index (BMI)-were obtained and categorized into percentiles (<10, 10-90, >90) using age- and gender-specific growth charts. Dental caries was highly prevalent (93.5%), with a mean dmft/DMFT value of 7.70 (SD ± 5.22). The mean gingival index was 0.43 (SD ± 0.52). Total dmft/DMFT values were significantly higher in children ≤6 years and those with fathers of lower educational levels. Poor oral hygiene was a strong predictor of adverse outcomes for both caries and gingival health. Higher gingival indices correlated with children in the >90th weight percentile.</p><p><strong>Conclusion: </strong>The findings highlight the need for comprehensive oral health interventions that integrate meticulous oral hygiene, paternal education, and holistic growth monitoring beyond BMI. The results support implementing a 3-month recall program for professional dental care, combined with individualized oral hygiene instruction for caregivers. This approach is particularly crucial for the younger age group (≤6 years) where targeted early intervention could significantly reduce caries risk.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e13103"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014020","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":"Mother's Sense of Coherence and Oral Health of Children and Adolescents With Cerebral Palsy-Matched Cross-Sectional Study.","authors":"Vanessa Lira Siqueira, Valéria Bordallo Pacheco, Laura Costa Gonçalves, Natália Cristina Ruy Carneiro, Ana Cristina Borges-Oliveira, Maria Teresa Botti Rodrigues Dos Santos","doi":"10.1111/scd.70010","DOIUrl":"10.1111/scd.70010","url":null,"abstract":"<p><strong>Background: </strong>The sense of coherence (SOC) is important for the well-being, especially mothers of children and adolescents with cerebral palsy (CP).</p><p><strong>Objective: </strong>This study aimed to investigate the relationship between Mother's SOC and oral health status in children/adolescents with and without CP.</p><p><strong>Materials and method: </strong>A paired cross-sectional study was conducted with 102 children/adolescents with CP, 102 without CP, and their respective mothers. Participants were aged between 3 and 17 years, matched by sex and age. Antonovsky's SOC questionnaire (SOC-13) was answered by mothers from both groups, characteristics and the oral status of the children were investigated. Clinical type of CP, Gross Motor Function (GMFCS), oral hygiene quality (OHI-S), and dental caries experience (DMFT/dmft) were evaluated.</p><p><strong>Results: </strong>The CP condition of the children was significantly associated with Mother's SOC (P < 0.001). Mothers of children with CP had lower SOC scores (mean: 27.6 [±3.0]) than mothers of children without CP (mean: 30.2 [±7.7]). In the CP group, level IV, V of Gross Motor function was associated with lower mother's SOC scores (p = 0.001). In both groups, dental caries experience was associated with lower mother's SOC scores, CP group (p < 0.001), without CP group (p = 0.002). Regarding the individual characteristics, CP group presented with lower-quality of oral hygiene (p < 0.001) and high prevalence of dental caries (p = 0.001). Regarding marital status, mothers of CP group were majority single, separated, or divorced (p < 0.001), and presented more difficulties in finding a dentist for their child (p < 0.001).</p><p><strong>Conclusion: </strong>Mother's SOC was statistically significantly associated with the presence of dental caries in children/adolescents with and without CP. Mothers of children/adolescents with CP presented with lower values of SOC.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70010"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450493","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":"Effectiveness of oral health educational program on the knowledge and practice of institutionalized orphan children in Alexandria, Egypt.","authors":"Osama Safwat Mohamed, Ahmed Elsayed Ahmed, Yara Mohamed Adam, Menna Mohammed ElSayed, Mohamed Ashraf Hall, Inas Karawia","doi":"10.1111/scd.13084","DOIUrl":"10.1111/scd.13084","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to measure dental caries and to evaluate the improvement in the knowledge and practice of Orphan Children after implementing an educational program.</p><p><strong>Materials and methods: </strong>This study was an intervention pre-post design that included 80 children, aged 6-12 years. Intervention with an oral health education program was introduced to the orphans. The data was collected at baseline using a questionnaire to collect data about the knowledge, practice, and examination of DMFT (decayed, missing, and filled permanent teeth), dft (decayed, filled deciduous teeth), and OHI-S (oral hygiene index-simplified) was done. The knowledge part of the questionnaire was distributed immediately after the intervention. After 6 months, the knowledge, practice, and OHI-S index were determined, the data were then analyzed using Mann-Whitney A U non-parametric test, Wilcoxon matched pair signed rank test, and Fridman's 2-way ANOVA test in SPSS version 25 software.</p><p><strong>Results: </strong>89% of the children had dental caries, with mean DMFT 2.23 ± 2.1 among males and 3.3 ± 2.3 among females, dft among males was 3.1 ± 2.5 and 3.3 ± 2.1 among females. The mean score of OHI-S significantly decreased after health education intervention from 4.79 ± 1.4 to 0.62 ± 1.0. Mean scores of total knowledge and practice significantly increased after 6 months from 3.4 ± 1.3 to 7.1 ± 1.1 and 1.3 ± 0.9 to 4.9 ± 0.3, respectively.</p><p><strong>Conclusions: </strong>The orphans had moderate DMF and dft, fair knowledge about their oral cavity, poor OHI-S, and practices at baseline. The educational program had succeeded in improving their knowledge and practice.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13084"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689201","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 complications associated with trigeminal trophic syndrome: A case report.","authors":"Temitope Omolehinwa, Andres Davila, Roopali Mahajan, Thomas P Sollecito, Eric T Stoopler, Roopali Kulkarni","doi":"10.1111/scd.13085","DOIUrl":"10.1111/scd.13085","url":null,"abstract":"<p><strong>Introduction: </strong>Destruction of the trigeminal (Gasserian) ganglion or peripheral damage to the trigeminal nerve may lead to trigeminal trophic syndrome (TTS), a rare condition characterized by self-inflicted trauma. To date, under 200 cases of TTS are documented in medical literature, with only sparse studies reporting on oral complications secondary to this condition.</p><p><strong>Case report: </strong>The following report presents a well-documented case of oral complications associated with TTS in an 83-year-old Caucasian female presenting with right-sided lesions on her nasal ala, scalp, buccal mucosa, and tongue, secondary to self-inflicted injury following their second microvascular decompression for surgical management of trigeminal neuralgia.</p><p><strong>Discussion/conclusion: </strong>The paucity of literature on oral complications associated with TTS supports the need for understanding guiding management modalities of such lesions for clinical practice. To the authors' knowledge, this is the first manuscript detailing present and potential intraoral complications associated with TTS alongside treatment modalities for the practicing clinician.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13085"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630344","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":"Why Ageism in Dentistry Can't Be Ignored.","authors":"Leonardo Marchini, Mariana Sarmet Smiderle Mendes","doi":"10.1111/scd.70004","DOIUrl":"https://doi.org/10.1111/scd.70004","url":null,"abstract":"","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70004"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060915","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":"Factors related to parents' perceptions of oral health for children with Down syndrome in Japan.","authors":"Tomoyuki Onishi, Takahiro Funatsu, Takafumi Ooka, Yoshiyuki Okada, Miki Kadena, Hiroyoshi Kawaai, Jin Sekino, Luc A M Marks, Shouji Hironaka, Tadashi Ogasawara","doi":"10.1111/scd.13064","DOIUrl":"10.1111/scd.13064","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the perceptions of parents on general health, oral health, and dental care for children with Down syndrome (DS), and to investigate factors related to parents' perceptions of oral health.</p><p><strong>Methods and results: </strong>An online questionnaire survey was conducted of parents of children with DS. Forty-three percent and 81% of the parents rated their child's oral health and general health as good, respectively. Parent-rated oral health was strongly associated with general health, followed by the parents' satisfaction with their child's dentist, halitosis, difficulty in dental examination, and the number of times they helped their child with toothbrushing. Seventy-seven percent of the parents were satisfied or rather satisfied with their child's dentist. The parents expected the dentist to reassure their child and to be specialized in the treatment of persons with disabilities. Seventy-three percent of the parents brushed their child's teeth at least once a day, and 92% brushed their own teeth at least twice a day. The number of times the parents brushed their own teeth was strongly associated with the frequency of brushing their child's teeth.</p><p><strong>Conclusion: </strong>General health, a trusting relationship with the dentist, and parental perceptions of oral hygiene affect parent-rated oral health of children with DS.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13064"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298615","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":"Traumatic dental injuries and oral health-related quality of life in children and adolescents with special health care needs in Eastern India: A case-control study.","authors":"Sri Priya Narayanan, Shilpa Mahapatra, Hitesh Kumar Sahoo, Lipsa Padhihary, Shivani Gupta","doi":"10.1111/scd.13078","DOIUrl":"10.1111/scd.13078","url":null,"abstract":"<p><strong>Aim: </strong>This matched case-control study aimed to investigate the prevalence of traumatic dental injuries (TDI) and its impact on oral health-related quality of life (OHRQoL) in hearing and/or visually impaired children attending government special schools in Eastern India.</p><p><strong>Methods: </strong>A two-step cluster analysis was performed to define cases and controls based on the Parental-Caregivers Perceptions Questionnaire (PCP-Q) scores from the 228 parent/guardian responses. The cases included children with a higher negative impact on OHRQoL (89 subjects), whereas the controls were those with a lower negative impact on OHRQoL (139 subjects). Groups were matched for age and gender and researchers were blinded to case/control status. Binary logistic regression was performed.</p><p><strong>Results: </strong>The prevalence of TDI among the study subjects was 24.12%. Compared to subjects in the control group (16.5%), a significantly higher proportion of cases (36%) reported a history of TDI. Children with TDI had considerably higher OHRQoL scores across all P-CPQ sub-scales. Falls were the most common cause of TDI, primarily at home or school and none received treatment.</p><p><strong>Conclusion: </strong>TDI significantly impacts OHRQoL in these children. Lack of treatment highlights the need for caregiver awareness and improved dental access for children with special needs. Further research with larger samples and specialized OHRQoL tools is recommended.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13078"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584623","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":"Reproducibility of Tongue Pressure Values in Adults With Down Syndrome.","authors":"Hisaho Yamaguchi, Yuki Oda, Gaku Aoki, Yasushi Orihashi, Hironori Miyazaki, Masako Morimoto, Sachiko Yamada, Mitsuyoshi Yoshida, Yoshiyuki Okada","doi":"10.1111/scd.70005","DOIUrl":"10.1111/scd.70005","url":null,"abstract":"<p><strong>Aim: </strong>Down syndrome (DS) involves an extra chromosome 21 and tongue hypotonicity. This study examined reproducibility of tongue pressure measurement (TPM) in DS patients.</p><p><strong>Methods: </strong>Thirty patients with DS (13 females) who were able to complete three measurements underwent a tongue pressure test (TPT). Reproducibility was evaluated using intraindividual standard deviation (SD) and coefficient of variation (CV). Patients were divided into two groups based on developmental age (DA): DA ≥ 4 years (over-4 DA) and DA < 4 years (under-4 DA).</p><p><strong>Results: </strong>Thirty DS patients with a mean age of 33.0 ± 11.7 years and mean DA of 3.8 ± 1.2 years were analyzed. Median tongue pressure was 17.6 kPa, SD was 2.0 kPa, and CV was 11.9. Eleven patients were in the under-4 DA group, and 19 were in the over-4 DA group. Significant differences in speech presence and CV values were observed between the groups (p = 0.002, 0.043).</p><p><strong>Conclusions: </strong>The reproducibility of the TPT in DS patients with a DA ≥ 4 years is comparable to that in normal subjects.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70005"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415834","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":"Comparison of Oral Hygiene and Gingival Outcomes in Children With Special Care Needs Using Powered or Manual Toothbrushes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Anam A Shaikh, Ashwin M Jawdekar, Tanvi A Saraf","doi":"10.1111/scd.70000","DOIUrl":"10.1111/scd.70000","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review and meta-analysis (SRMA) compares oral hygiene and gingival outcomes in children with special care needs (CSCNs) using powered or manual toothbrushes.</p><p><strong>Material and methods: </strong>Two authors searched articles using PubMed and Cochrane library; the search was extended to other databases to include publications until July 2024. RCTs available in English were included. Oral hygiene and gingival outcomes in CSCNs, using powered or manual toothbrushes were: plaque index (PI), Quigley Hein plaque index (QHPI), gingival index (GI), and oral hygiene index simplified (OHI-S). ROB and publication bias was assessed using Cochrane tool and funnel plots, respectively. Meta-analyses were performed using forest plots. GRADE was used for the quality.</p><p><strong>Results: </strong>Twelve studies were included in SR and 11 studies in MA. In relation to GI and in the subgroup analysis of QHPI, powered toothbrushing was superior to manual toothbrushing with SMD -0.681 [95% CI (-0.911 to -0.451)] and SMD -0.85 [95% CI (-1.166 to -0.53)], respectively using REM. Comparisons with other indices exhibited no significant differences. The ROB and publication bias were moderate, quality of evidence was low to moderate GRADE.</p><p><strong>Conclusion: </strong>Powered toothbrushes had favorable outcomes in a few but not all parameters. The overall quality of evidence is low.</p><p><strong>Prospero registration id: </strong>CRD42024579260.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":"45 1","pages":"e70000"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048068","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":"Access to dental care among individuals with intellectual and developmental disabilities in India: A scoping review.","authors":"Philcy Philip, Beulah Amulyavathi Gangaraju, Mathew Albert Wei Ting Lim, Gregory Armstrong, Nathan Grills","doi":"10.1111/scd.13067","DOIUrl":"10.1111/scd.13067","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with intellectual and developmental disabilities (IDDs) face numerous challenges in accessing dental care. Despite difficulties, more evidence exploring difficulties among this cohort in India is needed. This study aims to conduct a scoping review of articles published in India exploring access to dental care among individuals with IDD.</p><p><strong>Method: </strong>We followed the Arksey O'Malley framework for scoping reviews and the PRISMA guidelines for reporting studies. Findings were analyzed based on Levesque's framework for access.</p><p><strong>Results: </strong>Seventeen articles were collated from five databases. The perceived need for dental care was low, and dental visits were mainly need-based and infrequent. Knowledge regarding dental care did not translate to dental visits. Patient-related barriers were cost, transportation difficulties, fear, lack of dentist skills, patient behavior, and cooperation. From the providers' perspective, most dentists were willing to treat but noted infrastructural and knowledge-based limitations.</p><p><strong>Conclusion: </strong>Access to dental care was limited due to infrastructure constraints and a lack of dentist training. Caregivers and individuals with IDD did not prioritize dental health, faced communication barriers, and were afraid of dental procedures. It is important to improve preventive dental care and raise awareness among caregivers of individuals with IDD in India. Training dentists and incorporating special care dentistry into the standard dental curriculum will improve access.</p>","PeriodicalId":47470,"journal":{"name":"Special Care in Dentistry","volume":" ","pages":"e13067"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394232","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}