Journal of Evidence-Based Dental Practice最新文献

{"title":"THE RELATIONSHIP BETWEEN ENTAMOEBA GINGIVALIS AND TRICHOMONAS TENAX WITH PERIODONTITIS AND GINGIVITIS: A SYSTEMATIC REVIEW, META-ANALYSIS, AND META-REGRESSION","authors":"Mahmood Moosazadeh PhD ,&nbsp;Mohammad A Sabeti DDS ,&nbsp;Seyyed Mohammad Hashemi MD ,&nbsp;Arezoo Ghazalgoo MD ,&nbsp;Tahoora Mousavi PhD ,&nbsp;Seifali Mahdavi PhD ,&nbsp;Erfan Ghadirzadeh MD","doi":"10.1016/j.jebdp.2025.102141","DOIUrl":"10.1016/j.jebdp.2025.102141","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite numerous studies investigating the link between <em>Entamoeba gingivalis</em> and <em>Trichomonas tenax</em> and periodontal diseases, findings remain inconclusive. To resolve this inconsistency, we conducted a meta-analysis to assess the association between <em>E. gingivalis</em> and <em>T. tenax</em> with both gingivitis and periodontitis.</div></div><div><h3>Methods</h3><div>We searched Google Scholar, Medline/PubMed, Scopus, Web of Science, and Embase search engines and databases, as well as a bibliographic section of related articles from their dates of inception to 20 April 2024. The included studies were assessed for potential biases and the overall quality of the evidence using the Newcastle-Ottawa Scale. Finally, 20 studies entered the meta-analysis.</div></div><div><h3>Results</h3><div>20 studies were qualified to be included in the current study. The prevalence of <em>T. tenax</em> was estimated to be 14% (95% CI: 8-20) among gingivitis patients and 26% (95% CI: 12-40) in periodontitis patients. The odds of gingivitis and periodontitis were estimated to be significantly higher in patients with <em>T. tenax</em> infection than in the control group (OR: 2.30; 95% CI: 1.21-4.35, and OR: 2.90; 95% CI: 1.01-8.37, respectively). Also, the prevalence of <em>E. gingivalis</em> was estimated to be 45% (95% CI: 32-58) among gingivitis patients and 55% (95% CI: 35-75) in periodontitis patients. The odds of gingivitis and periodontitis were estimated to be significantly higher in patients with <em>E. gingivalis</em> infection than in the control group (OR: 4.08; 95% CI: 2.36-7.06, and OR: 8.33; 95% CI: 3.04-22.81, respectively).</div></div><div><h3>Conclusion</h3><div>Our analysis shows that individuals infected with <em>E. gingivalis</em> or <em>T. tenax</em> are more prone to periodontal diseases than noninfected individuals.</div></div><div><h3>PROSPERO Registration ID</h3><div>CRD42024551772</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102141"},"PeriodicalIF":4.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREDICTORS OF HEALTH-RELATED QUALITY OF LIFE IN TEMPOROMANDIBULAR DISORDER PATIENTS: 8-YEAR COHORT STUDY","authors":"IBRAHIM OGHLI PhD ,&nbsp;BIRGITTA HÄGGMAN-HENRIKSON PhD ,&nbsp;ERIC L. SCHIFFMAN MS ,&nbsp;THOMAS LIST PhD","doi":"10.1016/j.jebdp.2025.102140","DOIUrl":"10.1016/j.jebdp.2025.102140","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to identify baseline factors that predict Health-Related Quality of Life (HRQoL) in patients with TMD 8 years later.</div></div><div><h3>Materials and Methods</h3><div>401 participants (333 women, mean age 45.8 years) from a multicenter cohort were examined using the Diagnostic Criteria for TMD (DC/TMD) and questionnaires. The main outcome was the 12-item Short Form Health Survey (SF-12), a HRQoL measure that provides physical (PCS) and mental (MCS) summaries. Baseline predictors included age, gender, self-reported health, Jaw Functional Limitation Scale (JFLS), pain intensity, pain frequency, and pain duration. Regression analysis with stepwise modeling identified predictive factors.</div></div><div><h3>Results</h3><div>54.3% had painful TMD, 15.7% had nonpainful TMD, and 27.7% were healthy controls. For the painful TMD group, the regression model was significant (<em>R²</em> = .25, <em>F</em> = 4.3, <em>P</em> &lt; .01), with age and favorable general health predicting PCS scores. In the nonpainful TMD group, the model was significant (<em>R²</em> = .58, <em>F</em> = 3.8, <em>P</em> &lt; .01), with JFLS and favorable general health (predicting PCS scores. The MCS model was significant in healthy controls (<em>R²</em> = .22<em>, F</em> = 1.8<em>, P</em> = .<em>05</em>), with JFLS as only predictor.</div></div><div><h3>Conclusion</h3><div>Predictors of mental HRQoL: JFLS in healthy controls, but no predictors were found in TMD groups. Predictors of physical HRQoL: General health in both TMD groups, JFLS in the nonpainful TMD group, and age in the painful TMD group.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102140"},"PeriodicalIF":4.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTIVENESS OF ASSISTED TOOTHBRUSHING ON PRESCHOOLERS’ ORAL HYGIENE: A CAREGIVER-INTERVENTION APPROACH","authors":"Luis Limo ,&nbsp;Ronald Espíritu Ayala-Mendívil ,&nbsp;Juliana Gabrielle Martins","doi":"10.1016/j.jebdp.2025.102138","DOIUrl":"10.1016/j.jebdp.2025.102138","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effectiveness of an intervention on caregivers' assisted toothbrushing techniques and oral health maintenance for preschool-aged children, and to determine whether these effects differ by age.</div></div><div><h3>Methods</h3><div>A single group pre/post intervention study was conducted among children aged 3-5 years and their caregivers in Callao, Peru. Eligible caregivers were trained on assisted toothbrushing using large and real-scale typodonts, along with practical demonstrations by a dentist. Additionally, they were instructed on healthy practices and oral health in children. Children's oral hygiene status (OHS) was assessed using the Simplified Oral Hygiene Index (OHI-S) at baseline and three months postintervention. To assess the effectiveness and quantify the magnitude of the difference between the OHI-S before and after the intervention, we used Wilcoxon signed-rank test and the Cliff's Delta test, respectively. Results were stratified by age group to examine potential differences.</div></div><div><h3>Results</h3><div>The sample (<em>n</em> = 210) predominantly comprised 3-year-old Peruvian females, primarily cared for by their mothers, who identified as single mothers who had not previously received instruction in oral hygiene practices. We found improvement in children's OHI-S in most age groups. Specifically, among 3-year-olds, the OHI-S score improved significantly from 'fair' (m = 2.6, ± 0.2, range 2.4-2.8) to 'good' (m = 1.1, ± 0.2, range 0.9-1.3). The intervention showed a moderate effect size (δ = −0.15, 95% CI −0.18, −0.10) in the 3-year-olds and a moderate effect size (δ = −0.05, 95% CI −0.08, −0.01) in the 4-year-olds. No significant improvements were observed in the 5-year-old group.</div></div><div><h3>Conclusion</h3><div>A caregiver-focused intervention significantly improved OHS among preschool-aged children, particularly in younger age groups. Substantial improvements in OHI-S scores were noted for 3- and 4-year-olds, while age-specific factors may have limited efficacy in the 5-year-old group. These findings highlight the importance of early, targeted oral health education for caregivers.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102138"},"PeriodicalIF":4.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Desensitizing Effect of Nanosilver Fluoride Compared to Photobiomodulation Therapy in Molar-Incisor Hypomineralization: A Randomized Clinical Trial","authors":"Nouran Nabil ,&nbsp;Aly A. Sharaf ,&nbsp;Marwa M. Essawy ,&nbsp;Reham S. Soliman","doi":"10.1016/j.jebdp.2025.102139","DOIUrl":"10.1016/j.jebdp.2025.102139","url":null,"abstract":"<div><h3>Objectives</h3><div>Molar-incisor hypomineralization (MIH) can cause hypersensitivity. This study compared nanosilver fluoride (NSF) and photobiomodulation therapy (PBMT) regarding desensitization in MIH-affected first permanent molars (FPMs) and plaque reduction.</div></div><div><h3>Methods</h3><div>Children aged 7-10 years, with 120 hypersensitive MIH-affected FPMs, were randomly assigned to receive NSF or PBMT. Hypersensitivity was assessed using the Schiff Cold Air Sensitivity Scale (SCASS) at baseline, after 15 minutes and 1 month. Plaque accumulation was assessed using the modified plaque index (PlI) of Silness and Löe at baseline and after 1 month. T-test and Mann–Whitney U test were used to compare groups. Intragroup comparisons were done using paired t-test and Friedman test. Multilevel ordinal logistic regression analysis was used to assess the effect of treatment on the outcomes, controlling for confounders.</div></div><div><h3>Results</h3><div>The study included 40 children, mean ± SD age = 8.03 ± 1.13 years. There was significantly less sensitivity and greater plaque reduction in the NSF than the PBMT group after 1 month (<em>P</em> &lt; .05). NSF and PBMT significantly reduced sensitivity over time (<em>P</em> &lt; .001), with the lowest scores after 1 month. In multilevel regression, NSF was associated with significantly less sensitivity than PBMT after 1 month (AOR = 0.18, 95% CI: 0.07, 0.51, <em>P</em> = .001). While both groups had reduced plaque accumulation, the decrease was significant only in the NSF group (<em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>NSF and PBMT reduced sensitivity associated with MIH and provided immediate pain relief. However, NSF was superior due to its longer-lasting effects on sensitivity and additional benefit in plaque reduction.</div></div><div><h3>Clinical significance</h3><div>NSF offers a promising alternative to PBMT in desensitizing MIH-related hypersensitivity, particularly for patients with limited access to laser therapy.</div></div><div><h3>Trial registration</h3><div>The trial was registered in the clinicaltrials.gov registry (# NCT06348849).</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102139"},"PeriodicalIF":4.1,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ANALGESIC EFFECTS OF PREEMPTIVE CELECOXIB OR TRAMADOL/ACETAMINOPHEN ADDED TO STANDARD POSTOPERATIVE PAIN MANAGEMENT IN IMPACTED MANDIBULAR THIRD MOLAR EXTRACTION: A MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL","authors":"SOO-HO KIM ,&nbsp;SOMI KIM ,&nbsp;YOON-SEON KIM ,&nbsp;MI-KYOUNG SONG ,&nbsp;JI-YEON KANG","doi":"10.1016/j.jebdp.2025.102135","DOIUrl":"10.1016/j.jebdp.2025.102135","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the efficacy and safety of adding single-dose preemptive celecoxib 200 mg (<em>Cc</em>) or tramadol 37.5 mg/acetaminophen 325.0 mg (<em>T/A</em>) to standard postoperative analgesia after impacted mandibular third molar extraction, a design not previously explored.</div></div><div><h3>Methods</h3><div>In this multicenter, prospective, randomized, double-blind, placebo-controlled, crossover within-subject study, participants were randomly assigned to 2 groups (<em>Cc</em> or placebo for group A; <em>T/A</em> or placebo for group B) and underwent impacted mandibular third molar extraction on both sides at 1-month intervals. Along with baseline characteristics, pain intensity in Visual Analogue Scale (VAS), first perceived pain occurrence, rescue medication use, and adverse events were evaluated.</div></div><div><h3>Results</h3><div>A total of 33 participants per group completed the trial. <em>Cc</em> reduced pain at 3 (−0.91 ± 2.17; <em>P</em> = .011) and 6 hours (−0.85 ± 2.24; <em>P</em> = .018), while <em>T/A</em> reduced pain at 1 (−1.40 ± 2.37; <em>P</em> &lt; .001), 2 (−0.79 ± 2.32; <em>P</em> = .030), and 6 hours (−0.91 ± 1.94; <em>P</em> = .006) postextraction, with some insignificant reductions at other times. Both <em>Cc</em> and <em>T/A</em> were effective in reducing the first perceived pain. Notably, <em>Cc</em> significantly decreased pain intensity, <em>T/A</em> significantly delayed the pain perception. Both drugs had no significant effect on the need for rescue medication or adverse event rates.</div></div><div><h3>Conclusions</h3><div>Based on these results, both <em>Cc</em> and <em>T/A</em> appears to aid in reducing postoperative pain following impacted mandibular third molar extraction without significant adverse effects.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102135"},"PeriodicalIF":4.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of myofunctional therapy for obstructive sleep apnea: A systematic review and network meta-analysis","authors":"Ying Xu Ph.D ,&nbsp;Ruicong Yang MSc ,&nbsp;Min Yu M.D. ,&nbsp;Xuemei Gao M.D., Ph.D.","doi":"10.1016/j.jebdp.2025.102137","DOIUrl":"10.1016/j.jebdp.2025.102137","url":null,"abstract":"<div><h3>Objectives</h3><div>Myofunctional therapy (MT) has emerged as an adjunct treatment for obstructive sleep apnea (OSA). This systematic review and network meta-analysis of randomized controlled trials (RCTs) aims to evaluate the efficacy of MT in treating adult and pediatric OSA.</div></div><div><h3>Methods</h3><div>Four electronic databases were searched until April 30, 2024. Meta-analysis, subgroup, and network meta-analysis using multivariate random effects were performed to estimate pooled differences, focusing on objective and subjective indicators.</div></div><div><h3>Results</h3><div>A total of 15 RCTs involving 473 adults and 139 children were eligible, with 10 adult studies (<em>n</em> = 380) included in the network meta-analysis. Compared to the controls, MT yielded an improved decrease in Epworth sleepiness scale (ESS) of −3.54 (95%CI −5.96 to −1.13, <em>P</em> = .004) and Pittsburgh sleep quality index (PSQI) of −2.24 (95%CI −3.46 to −1.01, <em>P</em> = .0003), though no statistically significant change in apnea-hypopnea index (AHI) (−8.73/h, 95%CI −21.19 to 3.74/h, <em>P</em> = 0.17). Improvements in arousal index and snoring intensity were also noted in adults. Combining MT with continuous positive airway pressure (CPAP) could lead to a pronounced reduction in AHI but did not significantly increase CPAP efficacy. Limited evidence suggests MT may benefit AHI and average SpO2 in pediatric OSA, with high compliance being essential.</div></div><div><h3>Conclusions</h3><div>The network meta-analysis supports MT as a promising adjunct for improving subjective indicators in adults and suggests that when daily training exceeds 30 minutes, MT can significantly improve AHI. Additionally, MTSP and MT combined with myofascial release may offer further benefits in subjective outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102137"},"PeriodicalIF":4.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LONG-TERM ORAL APPLIANCE THERAPY FOR OBSTRUCTIVE SLEEP APNEA MAY LEAD TO MORE CONSISTENT DENTOALVEOLAR THAN SKELETAL CHANGES","authors":"JARED LAYTON (Reviewers),&nbsp;KYLE HASTINGS,&nbsp;THIKRIAT AL-JEWAIR","doi":"10.1016/j.jebdp.2025.102130","DOIUrl":"10.1016/j.jebdp.2025.102130","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Chen Y, Alhozgi AI, Almeida FR. Dentoskeletal changes of long-term oral appliance treatment in patients with obstructive sleep apnea: A systematic review and meta-analysis. J Prosthodont 2024 (In eng). DOI: 10.1111/jopr.13946.</div></div><div><h3>Source of Funding</h3><div>No financial support was obtained for this study.</div></div><div><h3>Type of Study/Design</h3><div>Systematic review and Meta-Analysis</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102130"},"PeriodicalIF":4.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-DRIVEN NASOALVEOLAR MOLDING DESIGN FOR CLEFT PATIENTS MAY BE A PROMISING BUT EVOLVING APPROACH","authors":"AHMAD AL-KANDARI (Reviewers),&nbsp;PEDRO ANDRADE,&nbsp;THIKRIAT AL-JEWAIR","doi":"10.1016/j.jebdp.2025.102131","DOIUrl":"10.1016/j.jebdp.2025.102131","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><div>Artificial intelligence-driven automation of nasoalveolar molding device planning: A systematic review. Alqutaibi AY, Hamadallah HH, Alassaf MS, Othman AA, Qazali AA, Alghauli MA. J Prosthet Dent. 2024 Oct 4:S0022-3913(24)00637-1. <span><span>doi: 10.1016/j.prosdent.2024.09.011</span><svg><path></path></svg></span>. Epub ahead of print. PMID: 39368883.</div></div><div><h3>Source of Funding</h3><div>This research did not receive any grant from any funding agency in the public, commercial, or not-for- profit sectors. The authors declared that they had no financial interests or personal relationships that could influence the work reported in the study.</div></div><div><h3>Type of Study/Design</h3><div>Systematic Review.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102131"},"PeriodicalIF":4.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COMPARING THE EFFICACY OF OSSEODENSIFICATION OVER CONVENTIONAL DRILLING TECHNIQUE ON IMPLANT STABILITY AND BONE DENSITY IN LOW BONE DENSITY SITES: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"SHRADDHA SHILPI ,&nbsp;MONIKA BANSAL ,&nbsp;MAHESH KHAIRNAR ,&nbsp;GOKILA VANI SU ,&nbsp;ZAINAB AKRAM ,&nbsp;RASHIKA M ,&nbsp;SAKSHI AGARWAL","doi":"10.1016/j.jebdp.2025.102132","DOIUrl":"10.1016/j.jebdp.2025.102132","url":null,"abstract":"<div><h3>Purpose of the research</h3><div>To assess the efficacy of osseodensification (OD) over conventional drilling technique (CD) on implant stability and bone density in low bone density sites.</div></div><div><h3>Materials and methods</h3><div>An electronic and manual search were conducted to analyze the effect of OD over CD technique on implant stability and bone density in human-based randomized controlled trials (RCTs) and nonrandomized controlled trials (NRCTs). The risk of bias was assessed using (RoB 2.0) and (ROBINS-I) tools for RCTs and NRCTs respectively. The meta-analysis was applied with RevMan 5.4, using the random-fixed effects model. Heterogeneity was assessed by a Q test and quantified with I² statistics.</div></div><div><h3>Results</h3><div>Our literature search identified 1454 publications, of which only 6 met all the inclusion criteria. The meta-analysis of the included studies showed that the implant stability quotient (ISQ) was greater in OD than in the CD group without being statistically significant both immediately and at the follow-up period after implant placement, with a standardized mean difference of 2.13 [95%CI = −0.08, 4.35] with <em>P</em> = .06 and 1.81 [95%CI = −0.41, 4.03] with <em>P</em> = .11 respectively. The difference in bone density in the OD compared to the CD group was statistically significant, immediately after implant placement with a standardized mean difference of 2.14 [95%CI = 0.68, 3.59] with <em>P</em> = .004 and nonsignificant at 3 to 7 months with a standardized mean difference of 1.54 [95%CI = −0.34, 3.43] with <em>P</em> = .11.</div></div><div><h3>Conclusion</h3><div>The findings of the present review and meta-analysis show that dental implants placed using the OD technique reveal greater implant stability and improved bone density in areas with low bone density compared to the CD technique. However, more clinical studies are needed to validate the findings.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102132"},"PeriodicalIF":4.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"DANNA R. PAULSON ,&nbsp;APARNA INGLESHWAR ,&nbsp;NICOLE THEIS-MAHON ,&nbsp;LIFENG LIN ,&nbsp;MIKE T. JOHN","doi":"10.1016/j.jebdp.2024.102078","DOIUrl":"10.1016/j.jebdp.2024.102078","url":null,"abstract":"<div><h3>Objective</h3><div>The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.</div></div><div><h3>Methods</h3><div>A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.</div></div><div><h3>Results</h3><div>From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I²=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.</div></div><div><h3>Conclusions</h3><div>The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102078"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}