Acta Stomatologica Croatica最新文献

{"title":"Microhardness and Chemical Composition of Glass Ionomer and Glass Hybrid Cements Modified with Experimental Bioactive Glasses.","authors":"Antonela Šošić, Ivan Šalinović, Ivana Miletić, Salvatore Sauro, Ivana Kekez, Ana Ivanišević","doi":"10.15644/asc60/2/1","DOIUrl":"10.15644/asc60/2/1","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this <i>in vitro</i> study was to evaluate the effect of bioactive glasses containing a small proportion of fluoride and zinc in lower (BAG1) and higher ratios (BAG2) on the Vickers microhardness (VHN), surface morphology and chemical composition of high-viscosity glass ionomer cement and glass hybrid cement.</p><p><strong>Materials and methods: </strong>Fuji IX (Fuji) and Equia Forte HT (Equia) were modified with 5 wt% BAG1 and BAG2. Six groups were prepared and stored in distilled water: Fuji, Fuji+ BAG1, Fuji+BAG2, Equia, Equia+ BAG1, and Equia+BAG2. BAG1 and BAG2 were characterized using FTIR. VHN was measured after 24 hours and 7 days. Representative samples from all groups were stored in phosphate buffered solution and analyzed using SEM-EDS. Data were analyzed using ANOVA and paired t-tests (α = 0.05).</p><p><strong>Results: </strong>Fuji and Fuji+BAG1 showed the highest VHN at both time points, whereas BAG2 significantly reduced microhardness compared to original materials Fuji and Equia (p<0.05). All groups exhibited increased VHN over 7 days (p<0.05). FTIR confirmed the amorphous silicate and fluoride content. SEM-EDS confirmed the absence of crystalline precipitates on the material's surface when stored in phosphate containing solution.</p><p><strong>Conclusions: </strong>BAG1 preserved or slightly enhanced microhardness, while BAG2 significantly reduced it. There were no crystalline precipitates on original or on materials modified with 5 wt% bioactive glass. Optimizing BAG composition is essential to balance mechanical stability and bioactivity of glass ionomers.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"158-172"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325402","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":"Histomorphometric Evaluation of Socket Preservation Healing Using Xenogeneic Bone Substitute Combined with Statin: A Prospective Split-Mouth Clinical Pilot Study.","authors":"Tomislav Katanec, Luka Šimunović, Robert Likić, Igor Smojver, Stjepanka Lešić, Ivica Pelivan, Dragana Gabrić","doi":"10.15644/asc60/2/6","DOIUrl":"10.15644/asc60/2/6","url":null,"abstract":"<p><strong>Objective: </strong>Statins exhibit pleiotropic effects on bone metabolism, including osteogenic and angiogenic activity. The aim of this pilot study was to evaluate whether local application of simvastatin combined with a bovine-derived xenogeneic bone substitute enhances histomorphometric outcomes of socket preservation compared with the bone substitute alone after a three-month healing period.</p><p><strong>Materials and methods: </strong>This prospective split-mouth clinical study included nine patients requiring bilateral tooth extraction. One socket was treated with cerabone® plus alone (control), while the contralateral socket received cerabone® plus combined with locally applied simvastatin (1 mg/0.2 mL saline). Bone core biopsies were harvested three months after grafting and analyzed histomorphometrically. The proportions of newly formed bone (NB/TV), residual bone substitute material (BSM/TV), and connective tissue (CT/TV) were quantified. Paired t-tests and Wilcoxon signed-rank tests were used for statistical analysis.</p><p><strong>Results: </strong>Histomorphometric analysis demonstrated a similar tissue composition in both groups. Connective tissue represented the predominant component in the control and statin-treated sites (59.1 ± 12.0% and 64.3 ± 9.4%, respectively; p = 0.31). Newly formed bone accounted for 31.0 ± 15.5% in the control group and 26.2 ± 11.6% in the statin group (p = 0.45). Residual bone substitute material showed comparable values between groups (9.9 ± 8.5% vs. 9.5 ± 9.7%; p = 0.91). No statistically significant differences were observed.</p><p><strong>Conclusions: </strong>The addition of locally applied simvastatin to a bovine-derived xenogeneic bone substitute did not result in significant histomorphometric differences in socket preservation after three months. At the tested dose and delivery method, simvastatin did not enhance early mineralized tissue formation compared with the bone substitute alone.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"224-235"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325441","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":"The Effect of Oil Pulling on Oral Health-Related Quality of Life: A Pilot Study.","authors":"Christine Zürcher, Kristian Vukoje, Vera Wiesmüller, Ines Kapferer-Seebacher","doi":"10.15644/asc60/2/5","DOIUrl":"10.15644/asc60/2/5","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this randomized-controlled, examiner-blinded parallel-group study was to evaluate the impact of daily oil pulling compared to distilled water on oral health-related quality of life (OHRQoL).</p><p><strong>Material and methods: </strong>Eighty participants from the University Hospital for Conservative Dentistry and Periodontology diagnosed with gingivitis were randomly assigned to either the test group (oil) or the control group (distilled water). Within the test group, participants received either pure sesame oil or sesame-based tooth oil. They were instructed to perform daily oil pulling in the morning for 15 minutes over a period of eight weeks using their assigned fluid, in addition to their daily oral hygiene routine. Oral Health Impact Profile (OHIP-14) scores were recorded at baseline, and after four and eight weeks.</p><p><strong>Results: </strong>The test group (oil) demonstrated a statistically significant reduction in total OHIP-14 scores from baseline to week four (p < 0.001) and week eight (p = 0.002). Similarly, the control group (distilled water) showed a statistically significant decrease in total OHIP-14 scores from baseline to week four (p = 0.005) and week eight (p = 0.003). No statistically significant differences were observed in total OHIP-14 scores between test and control groups at baseline (p = 0.178), week four (p = 0.384) and week eight (p = 0.250).</p><p><strong>Conclusion: </strong>Daily oil pulling can have a positive impact on OHRQoL, regardless of whether oil or distilled water is used. <b>Clinical relevance:</b> Oil pulling may be considered a supportive measure alongside mechanical oral hygiene to improve oral health-related quality of life.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"215-223"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325429","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":"Third Molar Impaction Influence on Dental Estimation: A Systemic Review.","authors":"Paula Rebéca Rodrigues, Maria Clara Panciera, Ricardo Henrique Alves da Silva, Paulo Henrique Viana Pinto","doi":"10.15644/asc60/2/8","DOIUrl":"10.15644/asc60/2/8","url":null,"abstract":"<p><strong>Background: </strong>Dental age estimation is a relevant procedure in forensic odontology, but it becomes increasingly challenging as age advances. In such cases, the use of third molars stands out, as they are the last teeth to complete the maturation process. However, it has been observed that these teeth have the highest rate of impaction.</p><p><strong>Objectives: </strong>The aim of this systematic review was to assess whether dental impaction influences the mineralization process of third molars and whether this condition affects the accuracy of age estimation methods.</p><p><strong>Methods: </strong>A search was carried out in the Embase, LILACS, PubMed/MEDLINE, SciELO, Scopus, and Web of Science databases, using terms related to the topic in Portuguese, English, and Spanish. Two independent evaluators applied eligibility criteria to select and evaluate the relevant articles.</p><p><strong>Results: </strong>After selection by title, abstract, and full-text reading, 11 articles were included. The risk of bias was analyzed using the checklist proposed by the Joanna Briggs Institute. Data extraction revealed that the populations studied were from India, Germany, Lebanon, Switzerland, China, Canada, South Africa, and Denmark. All studies were separated by sex, though in different sample sizes, except for one study, which used equal numbers of 260 orthopantomograms for each sex. Furthermore, all studies demonstrated that dental impaction, regardless of its degree, influences tooth mineralization.</p><p><strong>Conclusion: </strong>In conclusion, third molar impaction may delay the process of dental mineralization, raising concerns that these teeth, when impacted, should not be considered the first choice for age estimation methods.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"253-267"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325448","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":"Protocols and Trends in Maintaining the Stability of Orthodontic Treatment Outcomes in Croatia over 10 Years: A Repeated Cross - Sectional Study.","authors":"Martina Žigante, Vaska Vandevska-Radunović, Stjepan Špalj","doi":"10.15644/asc60/2/3","DOIUrl":"10.15644/asc60/2/3","url":null,"abstract":"<p><strong>Objectives: </strong>The aim was to analyze current orthodontic retention protocols in Croatia and their trend over a 10-year period.</p><p><strong>Subjects and methods: </strong>In a repeated cross-sectional survey, questionnaires were distributed to 150 orthodontists in Croatia in 2013 and 185 of them in 2023 (representing 69% and 85% of practicing orthodontists with response rates of 61% and 75%).</p><p><strong>Results: </strong>Significant changes in retainer types across different malocclusions and treatment protocols were observed over a 10-year period. There was an increase in the use of VFR and a decrease in acrylic retention plates in both jaws (p≤0.001). Over the decade, the use of only fixed retention in the mandible declined from 20% to 7% (p=0.007), and the combination of fixed and removable retention in the maxilla dropped from 29% to 17% (p≤0.033). Increased use of removable retainers was noted in cases involving rotations, open bites, and extractions. Conversely, fixed-removable retainers were more frequently used in spacing cases (p≤0.001). There was a trend toward fewer check-ups (p=0.001) and toward increased patient self-monitoring (p=0.021). Personal experience as the primary reason for choosing a retention protocol increased from 39% to 62% (p<0.001). Additionally, the use of written information on retention rose from 39% to 69% (p<0.001).</p><p><strong>Conclusion: </strong>Retention practices in Croatia have evolved over the past decade, characterized by increased use of VFRs, more frequent implementation of dual retention in the mandible, and greater provision of written retention information. Additionally, follow-up protocols have shifted toward fewer scheduled visits, with increased emphasis on patient self-monitoring.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"184-196"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325397","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":"Impact of PVM/MA Copolymer on Dentin Bond Durability.","authors":"Fusun Ozer, Frances Park, Batu Can Yaman, Zeynep Ozkurt-Kayahan, Francis Mante, Markus B Blatz","doi":"10.15644/asc60/2/2","DOIUrl":"10.15644/asc60/2/2","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the effect of Polymethyl vinyl ether-co-maleic anhydride (PVM/MA) copolymer incorporation and aging with thermocycling on the shear bond strength (SBS) of an etch-and-rinse adhesive (Adper Single Bond Plus-ASB) and two different self-etch adhesive systems (Clearfil SE Bond-CSE and Fluorobond II-FLB) to dentin.</p><p><strong>Materials and methods: </strong>Adhesive systems were applied to 240 dentin sections randomly selected from the occlusal surfaces of 60 extracted molar teeth. The test groups were as follows (n=20): (G1) Pure Clearfil SE (CSE) Bond; (G2) CSE with copolymer (50 mg/ml PVM/MA); (G3) Pure FL II Bond (FLB); (G4) FLB with copolymer (50 mg/ml PVM/MA); (G5) Pure Adper Single Bond (ASB); and (G6) ASB with copolymer (50 mg/ml PVM/MA). A resin composite (Clearfil Majesty Posterior) was applied to the dentin surfaces and light-cured. Half of the specimens from each group were tested immediately after preparation (IM) and the other half was tested after exposure to 20,000 thermal cycles (TC; 5-55 °C). SBS values were measured at a crosshead speed of 0.5 mm/min. Data were analyzed with ANOVA and Tukey's HSD.</p><p><strong>Results: </strong>The PVM/MA copolymer incorporation improved the performance of CSE in the IM group and ASB in the TC group, however, it showed no influence in the other adhesive groups. The self-etch adhesive CSE with the PVM/MA copolymer showed the highest bond strength to dentin surfaces in the IM group (22.0±1.7 MPa). However, copolymer corporation did not increase bonding performance of Fluor containing bonding agent FLB. Thermocycling of test specimens significantly decreased bond strengths in all test groups except for ASB resin adhesive with PVM/MA copolymer.</p><p><strong>Conclusion: </strong>Incorporating PVM/MA into ethanol-based, hydrophilic all-in-one bonding agents may offer a valuable strategy to improve the long-term stability of adhesive systems.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"173-183"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325378","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":"Cytotoxicity and Genotoxicity of Fluoride Toothpastes in Buccal Cells.","authors":"Jasen Vladislavić, Antonija Tadin, Davor Želježić, Ivana Šutej, Krešimir Bašić, Nada Zorica Vladislavić, Kristina Peroš","doi":"10.15644/asc60/2/7","DOIUrl":"10.15644/asc60/2/7","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated whether toothpastes containing different fluoride compounds influence cytotoxic and genotoxic alterations in buccal mucosal cells, with particular attention to the type of fluoride, the presence of fluoride itself, and the duration of exposure.</p><p><strong>Materials and methods: </strong>Eighty-eight participants were randomly assigned to four parallel groups: a control group using fluoride-free toothpaste and three intervention groups using formulations containing sodium fluoride, sodium monofluorophosphate, or amine fluoride. Buccal cell samples were obtained at baseline (T0), after 30 days (T1), and after 45 days (T2), and evaluated using the buccal micronucleus cytome assay to quantify nuclear abnormalities and cytotoxic markers.</p><p><strong>Results: </strong>All fluoride-containing toothpastes led to higher frequencies of micronuclei, nuclear buds, and \"broken egg\" cells at T1 and T2 compared with the control group (<i>P</i> ≤ 0.001). Amine fluoride and sodium monofluorophosphate produced sustained increases in cytogenetic markers, including nuclear buds (AmF: <i>P</i> = 0.013; NaMFP: <i>P</i> ≤ 0.001) and \"broken egg\" cells (AmF: <i>P</i> ≤ 0.001; NaMFP: <i>P</i> = 0.004), while sodium fluoride demonstrated a slower, progressive increase in \"broken egg\" cells (<i>P</i> = 0.036).</p><p><strong>Conclusion: </strong>The findings suggest that fluoride-based toothpastes may modulate cytogenetic responses in buccal epithelial cells, and that these effects differ according to the fluoride compound and exposure duration. The findings should be interpreted with caution due to study limitations, and further research is needed to clarify the long-term biological consequences of repeated fluoride exposure in oral hygiene.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"236-252"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325362","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":"Acceptance of Non-Aesthetic Caries Treatment Approaches in Children: a Systematic Review.","authors":"Arlet Guusje Reinhard, Caio Sampaio, Igor Renan-Zen, Iasmim da Fonseca Barros, Juliano Pelim Pessan, Clarissa Calil Bonifacio, Tamara Kerber Tedesco","doi":"10.15644/asc60/2/4","DOIUrl":"10.15644/asc60/2/4","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the acceptance of non-aesthetic treatment approaches for dental caries in children as perceived by parents, children, and dental professionals.</p><p><strong>Materials and methods: </strong>A systematic search was conducted across four databases: PubMed, Scopus, Web of Science, and Embase. The included studies comprised cross-sectional or cohort studies, and randomized controlled trials assessing the acceptance of non-aesthetic treatments for dental caries in children, as reported by parents, children, and dental professionals. The risk of bias was assessed using the ROB-2, ROBINS-I, and JBI tools, depending on the study design.</p><p><strong>Results: </strong>A total of 126 studies were included in this systematic review. The acceptance rate of Silver Diamine Fluoride (SDF) treatment for posterior primary molars in children ranged from 71.4% to 100% (median 93.2%). Among parents, it ranged from 3.2% to 91% (median 69.9%), and for dental professionals it ranged from 13.2% to 95% (median 61.6%). The acceptance rate for Stainless-Steel crowns (SSC) or Hall technique (HT) treatment in posterior primary molars for children, ranged from 32% to 100% (median 90%), for parents, it ranged from 14.5% to 100% (median 81.9%), and for dental professionals it ranged from 1% to 96% (median 44%). Parents had higher acceptance of SDF treatment for posterior teeth compared to anterior teeth.</p><p><strong>Conclusion: </strong>Non-aesthetic treatment options are generally accepted by children, parents, and, to a lesser extent, dental professionals, particularly for posterior teeth. However, most of the included studies presented a high risk of bias. The systematic review protocol was registered in OSF platform (doi: 10.17605/OSF.IO/P7CNY).</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 2","pages":"197-214"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13292662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148325390","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":"Two-Year Clinical and Patient Outcomes of Resin Infiltration in Anterior MIH Teeth.","authors":"Kristha Jannette Parajón-Oliveros, Aline Leite de Farias, Diego Fernando Rojas-Gualdrón, Juan Diego Mejía, Diego Girotto Bussaneli, Lourdes Santos-Pinto, Manuel Restrepo","doi":"10.15644/asc60/1/7","DOIUrl":"10.15644/asc60/1/7","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate a two-year clinical performance of resin infiltration in anterior teeth affected by Molar Incisor Hypomineralisation (MIH), focusing on esthetic outcomes, hypersensitivity control, and patient-reported satisfaction.</p><p><strong>Materials and methods: </strong>This retrospective observational study included 106 MIH-affected permanent incisors from children aged 7-10 years, treated at a university-based pediatric dental clinic. The primary outcome was esthetic improvement (colour match, FDI criteria). Secondary outcomes included patient-reported hypersensitivity (VAS), additional esthetic and biological properties from the FDI index, and patient and guardian satisfaction. Esthetic and biological properties, hypersensitivity, and satisfaction were recorded at 1, 12, and 24 months following resin infiltration of demarcated opacities. Data were analysed using descriptive and comparative statistics.</p><p><strong>Results: </strong>A two-year clinical success rate of resin infiltration was 96.2% based on colour match. Hypersensitivity scores (VAS 0-10) decreased from 8 at baseline to 0 at 24 months. Success rates for esthetic and biological properties, as assessed with the FDI index, all exceeded 90%. Patient and guardian satisfaction was high at 1 and 12 months but declined at 24 months, particularly in cases with yellow-brown demarcated opacities.</p><p><strong>Conclusion: </strong>Resin infiltration showed high effectiveness for improving esthetic integration and colour match in anterior teeth affected by MIH, with high initial satisfaction reported by patients and guardians.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 1","pages":"97-113"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147669678","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":"The Effects of Untreated Caries on Oral-Health-Related Quality of Life and Body Mass Index in 11-12-Year-Old Children.","authors":"Seray Sahin, Betul Sen Yavuz, Betul Kargul","doi":"10.15644/asc60/1/8","DOIUrl":"10.15644/asc60/1/8","url":null,"abstract":"<p><strong>Objectives: </strong>Untreated dental caries is a very widespread childhood disease that can damage the quality of life (QoL), growth, and education, while increasing healthcare costs. This study aimed to determine whether untreated and current dental caries affect both QoL and growth and development.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 145 systemically healthy children aged 11-12 who visited the Pediatric Dentistry Department at Marmara University. Body Mass Index (BMI) was calculated using height and weight and categorized as underweight, normal, or overweight. Oral Health-Related Quality of Life (OHRQoL) was evaluated using the Child Oral Impacts on Daily Performances(C-OIDP) scale. Caries severity was assessed with the International Caries Detection and Assessment System (ICDAS)-II system and classified as: no caries (ICDAS 0), initial (1-2), moderate (3-4), or extensive (5-6). Untreated caries were evaluated using the Pulpal involvement, Ulceration, Fistula, and Abscess (PUFA/pufa) index and grouped as PUFA/pufa=0 (none) or PUFA/pufa>0 (present).</p><p><strong>Results: </strong>Of the children, 56.5% were female. The mean score of pufa and PUFA was 0.6 ± 1.2 and 0.1 ± 0.3, with a total C-OIDP score of 10.1 ± 12.3. The distribution of BMI by sex and age showed no significant differences (p=0.451 and p=0.129). Additionally, no significant relationship was found between BMI and clinical complications resulting from untreated caries (p=0.317) or caries severity (p=0.219).</p><p><strong>Conclusions: </strong>This study underscores the role of oral health in children's well-being. Higher ICDAS-II scores were associated with lower OHRQoL, while caries-free children showed better outcomes, possibly due to greater awareness or psychosocial factors. Caries severity negatively affected emotional well-being. These findings highlight the need for comprehensive assessments and early preventive care.</p>","PeriodicalId":7154,"journal":{"name":"Acta Stomatologica Croatica","volume":"60 1","pages":"114-128"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147669694","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}