Journal of Evidence-Based Dental Practice最新文献

{"title":"Effect of nonsurgical periodontal therapy on coronary artery disease or metabolic syndrome: a systematic review and meta-analysis","authors":"Yule Su ,&nbsp;Yuhang Cao ,&nbsp;Xingtao Bing ,&nbsp;Chen Chen ,&nbsp;Hongli Yan ,&nbsp;Hongjiao Zhao ,&nbsp;Yilin Wang ,&nbsp;Shixin Liu ,&nbsp;Yuchen Xie ,&nbsp;Chanjuan Li ,&nbsp;Yaqin Wang ,&nbsp;Junhua Yuan","doi":"10.1016/j.jebdp.2025.102136","DOIUrl":"10.1016/j.jebdp.2025.102136","url":null,"abstract":"<div><h3>Background</h3><div>Periodontitis is closely related to the occurrence and development of coronary artery disease (CAD) and metabolic syndrome (MetS). However, the role of nonsurgical periodontal therapy (NSPT) in these 2 diseases is still controversial. To investigate the efficacy of NSPT in managing individuals with CAD or MetS and the differences in effects and benefits of NSPT between the 2 patient populations.</div></div><div><h3>Methods</h3><div>Literature was searched in PubMed, Embase, Cochrane, CNKI, VIP, and Wanfang databases from their inception to August 2024. The effect measures were mean differences (<em>MD</em>) and 95% confidence interval (95% <em>CI</em>). Meta-analyses were performed using random-effects models. Subgroup analysis of health status, follow-up time, antibiotic use and periodontitis severity were performed.</div></div><div><h3>Results</h3><div>Twenty-one publications involving 1619 subjects were included. Comparing to the control, NSPT significantly reduced the levels of CRP ([<em>MD</em>] -0.61 mg/L; 95% <em>CI</em> -1.11 to -0.12), TNF-α ([<em>MD</em>] -3.48 pg/mL; 95% <em>CI</em> -4.49 to -2.48), IL-6 ([<em>MD</em>] -1.56 pg/mL; 95% <em>CI</em> -2.30 to -0.83), IL-8 ([<em>MD</em>] -1.56 pg/mL; 95% <em>CI</em> -3.95 to -1.59; <em>I²</em> = 56%) and fasting blood glucose ([<em>MD</em>] -5.81 mg/dL; 95% <em>CI</em> -9.96 to -1.67).</div></div><div><h3>Conclusions</h3><div>Meta-analysis showed that NSPT exerted beneficial effects on CAD by controlling systemic inflammation levels, which was not observed in patients with MetS.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102136"},"PeriodicalIF":4.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942306","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}

{"title":"HOW TO REPORT OUTCOMES IN CLINICAL DENTAL RESEARCH","authors":"Danchen Qin PhD ,&nbsp;Feiyang Guo PhD ,&nbsp;Fang Hua PhD","doi":"10.1016/j.jebdp.2024.102053","DOIUrl":"10.1016/j.jebdp.2024.102053","url":null,"abstract":"<div><div>Outcomes, also known as endpoints, are a critical component in clinical research evaluating the effects of healthcare interventions. The validity of a clinical study depends on the appropriate selection and usage of outcomes. Therefore, complete, accurate, and transparent reporting of outcomes is essential for the critical appraisal of a study's methods and findings. However, empirical research has shown that the reporting of outcomes is often incomplete and selective in clinical dental research, hindering evidence synthesis and evidence-based dental practice. To improve and standardize outcome reporting, reporting guidelines that provide specific guidance for all types of outcomes, namely the SPIRIT-Outcomes 2022 and CONSORT-Outcomes 2022, have been developed and released recently. In addition, reporting guidelines for certain types of outcomes have also been published, including harms, patient-reported outcomes (PROs), and surrogate outcomes. The present article describes common classifications of outcomes, current issues in outcome reporting, and using reporting guidelines to standardize and improve outcome reporting in clinical dental research. The role of core outcome sets in outcome reporting is also discussed. This article aims to provide guidance and suggestions to help improve the completeness and transparency of outcome reporting and reduce relevant research waste in clinical dental research.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102053"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611429","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":"PERSONALIZED PROFILES OF ORAL HEALTH AND DISEASE: USING HIGH-DIMENSIONAL VECTOR MODELS FOR GUIDING PRECISION DENTAL CARE","authors":"CASEY D. WRIGHT ,&nbsp;MARCUS G. WILD ,&nbsp;REBECCA CUTLER ,&nbsp;KIMON DIVARIS","doi":"10.1016/j.jebdp.2024.102048","DOIUrl":"10.1016/j.jebdp.2024.102048","url":null,"abstract":"<div><div>Operationalizing the oral health experience is an ongoing effort with various clinical and patient-reported outcomes contributing to such conceptualizations. Computational technology has afforded advances in the ability to model complex interactions between various phenomena and provides an opportunity to reconsider the way oral health is conceptualized. High-dimensional vector space modeling is introduced and discussed as a theoretical way to incorporate all relative features associated with understanding oral health, including clinical, patient-reported, and demographic information. Specifically, a novel application of high-dimensional vector space models is proposed as a vehicle to operationalize the 3P model of oral health. Additionally, this paper outlines how this approach can 1) create more precise, person-level characterizations of oral health; 2) track oral health over time, offering greater opportunities for behavioral interventions to prevent, mitigate, or treat the negative impacts of dental, oral, and craniofacial diseases; and 3) offer comparisons to dynamically tuned comparison vectors which can define “good” oral health and quantify disparities and features on which to intervene to mitigate them.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102048"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611727","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":"ORAL HEALTH IMPACT OF DENTAL HYGIENE AND DENTAL THERAPY PATIENT POPULATIONS—AN EVIDENCE UPDATE IN 2024","authors":"APARNA INGLESHWAR ,&nbsp;MIKE T. JOHN ,&nbsp;PHONSUDA CHANTHAVISOUK ,&nbsp;NICOLE THEIS-MAHON ,&nbsp;DANNA R. PAULSON","doi":"10.1016/j.jebdp.2024.102083","DOIUrl":"10.1016/j.jebdp.2024.102083","url":null,"abstract":"<div><h3>Objectives</h3><div>Dental patient-reported outcomes, especially the Oral Health-Related Quality of Life (OHRQoL) construct, are vital for evidence-based dentistry. This construct includes four dimensions (4D): Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. This study updates previous work characterizing 4D OHRQoL impairment among patients in dental hygiene (DH) and dental therapy (DT) settings.</div></div><div><h3>Methods</h3><div>An expert panel revised previously determined DH and DT patient population groups to align them with current scopes of practice. An updated systematic review was then conducted to incorporate recent studies using the Oral Health Impact Profile (OHIP) to assess 4D OHRQoL in these populations. The search spanned 6 databases from January 1, 2023, to April 16, 2024.</div></div><div><h3>Results</h3><div>The panel identified 20 patient populations, representing the scope of DH and DT practice. The systematic review contained 19 studies (17 from the previous review and 2 new ones). Studies’ OHRQoL data covered only 30 % of dental hygiene and dental therapy patient populations identified by the panel. The most frequently studied group was “therapeutic periodontal treatment–patients with periodontitis” (<em>n</em> = 17, 89 %), followed by “oral hygiene instructions–all patients” (<em>n</em> = 13, 68 %). Only four studies provided 4D OHRQoL data, showing the greatest impacts in Orofacial Pain (baseline OHIP: 3.10-4.20; follow-up: 1.52-3.60) and Orofacial Appearance (baseline OHIP: 0.44-2.50; follow-up: 0.91-2.25). Among studies reporting summary OHIP scores only (<em>n</em> = 15), overall OHRQoL impairment ranged from 1.40 to 42.35 at baseline and 1.50-40.56 at follow-up. All studies demonstrated a general trend of reduced OHRQoL impairment over time with treatment. Risk of bias was low, with no evidence of publication bias.</div></div><div><h3>Conclusion</h3><div>Current evidence on OHRQoL impairment in DH and DT patient populations is limited, covering only a third of those treated by dental hygienists and therapists. Especially, scarce 4D OHRQoL data prompts the need for more research in this format. Despite these limitations, the findings show promising trends of reduced OHRQoL impairment over time for DH and DT patient populations.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102083"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611730","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}