Acta Odontologica Scandinavica最新文献

{"title":"Mediterranean diet and its relationship with oral pathology.","authors":"Daniela Sánchez Cousiñoa, Sonia Egido-Moreno, Beatriz González-Navarro, Antonio Francisco López-Sánchez, Javier Fernández-Farhall, Jesús Rodríguez-Molinero, José López-López","doi":"10.2340/aos.v85.46815","DOIUrl":"10.2340/aos.v85.46815","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate whether adherence to the Mediterranean Diet (MD) is associated with a lower prevalence of oral and systemic diseases and to investigate the relationship between MD adherence and oral health parameters, including dental caries, periodontal disease, salivary flow, and salivary pH, in a multicenter population of adults.</p><p><strong>Materials and methods: </strong>We enrolled 232 patients, recorded their medical histories, and assessed their adherence to the MD using the \"Mediterranean Diet Adherence Screener\" questionnaire. We also randomly performed an intraoral examination on 43 patients from the adherence group and 30 patients from the non-adherence group.</p><p><strong>Results: </strong>We found a statistically significant difference in the prevalence of systemic conditions, such as cancer (p = 0.045) and cardiovascular disease (p = 0.02), between patients adhering to the MD and those who did not. Additionally, stimulated pH (p = 0.019), periodontal disease stage (p = 0.009), decayed, missing, and filled teeth (p = 0.048), and stimulated sialometry (p = 0.002) were also correlated with MD adherence.</p><p><strong>Conclusions: </strong>This study found that adherence to the MD acts as a protective factor against both oral and systemic diseases. An associative relationship exists between certain oral and systemic diseases and adherence to the MD.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"613-622"},"PeriodicalIF":1.7,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900039","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":"Bioinformatics analysis reveals shared gene signatures and molecular mechanisms between periodontitis and rheumatoid arthritis in the context of aging.","authors":"Hanlu Xiao, Yajun Zhao, Yishu Wang, Yuhan Wang, Dingxin Zhang, Rongzeng Huang, Chengwu Song, Shan Cao, Shuna Jin","doi":"10.2340/aos.v85.46622","DOIUrl":"10.2340/aos.v85.46622","url":null,"abstract":"<p><strong>Objective: </strong>The interplay between periodontitis (PD) and rheumatoid arthritis (RA) is well recognized, with aging being a central risk factor for both. However, the shared aging-related molecular mechanisms remain unclear. We aimed to identify common aging-related hub genes linking PD and RA and elucidate their underlying functional mechanisms.</p><p><strong>Material and methods: </strong>PD and RA gene expression profiles were obtained from Gene Expression Omnibus database. Crosstalk genes were identified via differential expression analysis and intersected with aging-related genes from GeneCards. Functional enrichment (GO/KEGG) was performed. Hub genes were screened using protein-protein interaction network analysis and two machine learning algorithms and validated with external datasets. Diagnostic performance was evaluated by nomogram and receiver operating characteristic analysis. Immune cell infiltration was analyzed using CIBERSORT.</p><p><strong>Results: </strong>We identified 191 aging-related crosstalk genes, enriched in immune-inflammatory pathways. Five hub genes (RAC2, CSF2RB, IL2RG, ENTPD1, and IL10RA) were confirmed, showing significant overexpression in PD and RA tissues with excellent diagnostic value. Immune infiltration revealed coordinated dysregulation of plasma cells and γδ T cells in both diseases.</p><p><strong>Conclusions: </strong>This study reveals shared aging-related genes, pathways, and immune cell dysregulation between PD and RA, elucidating how aging exacerbates both diseases through immune-inflammatory mechanisms. These findings provide a theoretical basis for novel biomarkers and therapies.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"597-612"},"PeriodicalIF":1.7,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13502060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786989","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":"Integrating machine learning and multi-omics analysis to identify and validate key genes associated with periodontitis.","authors":"Yierfan Nuermaimaiti, Reyila Jureti, Aierpati Maimaiti, Yiming Li, Gulinuer Awuti","doi":"10.2340/aos.v85.46662","DOIUrl":"https://doi.org/10.2340/aos.v85.46662","url":null,"abstract":"<p><strong>Aims: </strong>Early detection and intervention are crucial for effective management of periodontitis. Our study aims to identify diagnostic biomarkers for periodontitis by integrating single-cell RNA sequencing analysis, Mendelian randomization, and experimental validation.</p><p><strong>Methods: </strong>Gene Expression Omnibus (GEO) dataset GSE164241 was downloaded to analyze the cellular compositions and intercellular communications in periodontitis. GEO datasets GSE10334, GSE16134, GSE23586, and GSE106090 were downloaded, and differential expression genes (DEGs) and functional enrichment were analyzed, followed by investigation of endothelial-fibroblast signaling pathways. Molecular subtypes were defined based on myeloid and fibroblast markers, and their immune characteristics were analyzed. A diagnostic model was built using 106 algorithm combinations from 11 machine learning methods (Lasso, Ridge, Enet, Stepglm, SVM, glmBoost, LDA, RandomForest, GBM, XGBoost, and NaiveBayes) to screen reliable biomarkers. Key genes were identified using Mendelian randomization and validated via reverse transcription and quantitative polymerase chain reaction (RT-qPCR).</p><p><strong>Results: </strong>This study identified four novel periodontitis subtypes using consensus clustering based on myeloid cell and fibroblast markers: fibroblast-dominant, myeloid-dominant, fibroblast/myeloid quiescent, and fibroblast/myeloid mixed. These four subtypes exhibited unique biological patterns, potentially leading to different disease progression. Patients in the fibroblast/myeloid mixed and myeloid-dominant groups, in particular, may have a stronger inflammatory microenvironment. In addition, we found that IGFBP4, IL1B, LAPTM5, PSAP, and SRGN were closely related to the occurrence and development of periodontitis through random forest (RF) analysis and Mendelian randomization. RT-qPCR validation in gingival tissues from 13 stage III/IV periodontitis patients and healthy controls confirmed significant differences in the expression of IGFBP4, IL1B, and LAPTM5 (p < 0.001).</p><p><strong>Conclusion: </strong>Our findings suggest that IGFBP4, IL1B, and LAPTM5 could be potential biomarkers for periodontitis, paving the way for future research on its pathogenesis, diagnosis, and treatment.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"583-596"},"PeriodicalIF":1.7,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787025","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":"Deep learning-enhanced detection of dental restorations and orthodontic appliances in panoramic radiographs using a clinically annotated dataset.","authors":"Le-Cun Xiao, Hao-Ran Zhao, Ning Zhao, Yao-Xiang Xu, Wen-Lin Xiao","doi":"10.2340/aos.v85.46619","DOIUrl":"https://doi.org/10.2340/aos.v85.46619","url":null,"abstract":"<p><strong>Objective: </strong>Manual interpretation of dental panoramic radiographs is labor intensive and prone to diagnostic fatigue, particularly in high-volume settings. While artificial intelligence offers potential solutions, existing automated detection models often suffer from limited generalization due to small-scale, inconsistent datasets and scale mismatches between generic algorithms and dental structures. This study aimed to develop a deep learning framework trained on a clinically annotated retrospective dataset to improve the multiclass detection accuracy of dental restorations and appliances.</p><p><strong>Material and method: </strong>A retrospective dataset comprising 2,434 anonymized panoramic X-ray images was curated and annotated by trained dental professionals for six categories: crowns, root canal filling, fillings, bridges, implants, and braces. The baseline dataset used for contextual comparison had a different annotation scope and class composition from the enhanced dataset; therefore, it was used only as a descriptive reference rather than as a directly matched comparator. A faster Region based Convolutional Neural Network (R-CNN) model with a ResNet-50 Feature Pyramid Network backbone was trained using domain-specific optimizations, including customized anchor resizing (16-256 pixels) and adaptive data augmentation.</p><p><strong>Findings: </strong>The enhanced dataset setting achieved an mAP@0.5 of 0.75, which was numerically higher than the baseline setting but should not be interpreted as a directly controlled improvement because the datasets differed in source and annotation scope. The system demonstrated significant gains in detecting small targets, with average recall increasing from 0.59 to 0.81. Performance varied by category; implants achieved the highest precision at 0.93, while braces exhibited lower precision at 0.32 due to overlapping artifacts. The average processing time was under 1.2 s per image on the tested laptop workstation.</p><p><strong>Conclusion: </strong>These findings suggest that clinically curated data and domain-adaptive design may improve detection performance in panoramic radiography. The framework may have potential as a decision-support tool, but further external and multicenter validation is needed before clinical deployment.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"575-582"},"PeriodicalIF":1.7,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786952","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":"Orthodontic emergencies in a postgraduate clinic: a retrospective analysis.","authors":"Vegard B Vårum, Vaska Vandevska-Radunovic, Helen Pullisaar","doi":"10.2340/aos.v85.46620","DOIUrl":"10.2340/aos.v85.46620","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective study aimed to investigate the frequency, causes, and temporal distribution of orthodontic emergencies at the Department of Orthodontics, University of Oslo.</p><p><strong>Methods: </strong>All appointments coded as emergencies from 2015 to 2022 were reviewed and manually screened. Emergencies were classified into three categories: (1) during active treatment, (2) during retention, and (3) miscellaneous. A negative binomial generalized linear regression model was used to assess annual and monthly variations. Chi-square tests for independence were applied to analyze relationships between age group and year, gender and year, and reason for emergency. The significance level was set at p < 0.05.</p><p><strong>Results: </strong>Out of 7206 records screened, 3592 met the inclusion criteria, involving 1657 patients - 685 males (41.3%) and 972 females (58.7%). The mean number of emergencies per patient was 2.2, with no significant year-to-year variation in gender distribution. The most common age groups were 10-14 years and over 20 years. Annual emergency numbers ranged from 313 in 2015 to 638 in 2022, with statistically significant variation. Monthly variation was also significant, with July consistently having the fewest emergencies (p < 0.001). Most emergencies occurred during active treatment (n = 2021), followed by the retention phase (n = 1353), and miscellaneous reasons (n = 218). The most frequent causes were issues related to full fixed appliances and fixed retainers.</p><p><strong>Conclusions: </strong>No consistent pattern of orthodontic emergencies was observed, indicating that operator experience, the stage of postgraduate training, and seasonal fluctuations are likely the key influencing factors.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"568-574"},"PeriodicalIF":1.7,"publicationDate":"2026-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13492297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757057","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":"Prevalence of apical periodontitis in root-canal-filled teeth - a cross-sectional study.","authors":"Nikki Savolainen, Thomas Kvist, Helena Fransson, Fredrik Frisk","doi":"10.2340/aos.v85.46663","DOIUrl":"10.2340/aos.v85.46663","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this cross-sectional study was to assess the root canal filling quality and the frequency of apical periodontitis (AP) in root-canal-filled teeth in a randomly selected adult non-patient population in Sweden.</p><p><strong>Materials and methods: </strong>In 2023, 295 root-canal-filled teeth were identified in 126 adults in a cross-sectional study in Jönköping, Sweden. Periapical radiographs were assessed by two calibrated observers. The periapical status was scored according to the periapical index (PAI) and then dichotomized as either healthy (PAI 1-2) or diseased (PAI 3-5). The root canal filling quality was deemed as adequate/inadequate. An adequate root canal filling was considered to end 0.5-2 mm from the radiographic apex and to have no radiolucent voids.</p><p><strong>Results: </strong>Adequate root canal fillings were seen in 89 (30.2%) of the teeth. AP was present in 94 (31.9%) of the teeth, and of these, 72 (76.6%) had an inadequate root canal filling. Of the 122 root-canal-filled molars, 101 (82.8%) had inadequate root canal filling and 57 (46.7%) had AP.</p><p><strong>Conclusion: </strong>A large proportion of root-canal-filled teeth have inadequate root canal filling quality and AP, especially in molars. Both contributing factors and strategies for improvement require further study.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"559-567"},"PeriodicalIF":1.7,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13483715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719508","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":"Innovations using digital technologies for periodontal diagnosis and prognosis: a narrative review.","authors":"Nils Benedikt Liedtke, Christian Damgaard","doi":"10.2340/aos.v85.46561","DOIUrl":"10.2340/aos.v85.46561","url":null,"abstract":"<p><strong>Objective: </strong>This narrative review aims to identify and evaluate the available scientific literature on digital technologies assisting clinicians in periodontal diagnosis and prognosis, including electronic dental record systems, mobile applications, consumer-engaging platforms, and image recognition technologies.</p><p><strong>Methods: </strong>A literature search was performed in PubMed/MEDLINE, supplemented by manual screening of reference lists. Literature management was supported by Covidence. Given the narrative nature of this review, studies were selected based on relevance to the review topics without application of a formal systematic screening protocol.</p><p><strong>Results: </strong>The reviewed literature demonstrates considerable progress in periodontal care supported by artificial intelligence (AI). Deep learning models, particularly convolutional neural networks, have shown diagnostic accuracy rates ranging from approximately 70-98% for periodontitis classification from dental radiographs, with some models achieving very high sensitivity for bone loss detection. Mobile health applications and gamification strategies have shown promise for improving oral hygiene behaviors and patient engagement.</p><p><strong>Conclusions: </strong>AI and digital technologies represent promising tools for periodontal care, offering the potential for enhanced diagnostic accuracy, streamlined clinical workflows, and improved patient engagement. However, significant challenges remain regarding standardization, validation in diverse populations, and integration into clinical practice. Future research should focus on conducting multicenter prospective trials, developing standardized reporting frameworks, and addressing algorithmic bias and data privacy concerns.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"538-548"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13472741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705328","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":"Changes in toothbrushing and factors associated with less than twice daily toothbrushing by the age of four in the FinnBrain Birth Cohort Study.","authors":"Hanna Suokko, Mimmi Tolvanen, Jorma Virtanen, Auli Suominen, Linnea Karlsson, Hasse Karlsson, Satu Lahti","doi":"10.2340/aos.v85.46661","DOIUrl":"10.2340/aos.v85.46661","url":null,"abstract":"<p><p>This study examined toothbrushing and its associated factors in children aged 1-4 years, using data from 306 mother-father-dyads and their 308 children participating in the FinnBrain Birth Cohort Study. Longitudinal multivariable regression analysis was conducted using the generalized estimating equation method to model the outcome, parent-reported brushing of a child's teeth less than twice daily at the child's age of 12, 24 and 48 months, controlling for the intraindividual correlation between repeated measurements using compound symmetry (correlation structure). The independent variables as time-varying covariates from 12 to 48 months were mother's and father's own toothbrushing, couple relationship satisfaction, number of positive life events of father, and fixed covariates were number of siblings, education level of mother and age of parents. Among the children, 50% had stable good and 16% stable poor toothbrushing habits from 1 to 4 years. Both parents' less than twice daily brushing was strongly associated with less than twice daily brushing of a child's teeth. The strength of the association between brushing mother's own and the child's teeth varied across time, whereas this association in fathers remained consistent. Early family-based intervention is crucial for promoting parents' own brushing habits and thereby supporting children's oral hygiene.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"549-558"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13472758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148705345","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":"Development of a nomogram to predict 5-year tooth loss after root canal treatment in patients with cracked teeth and chronic irreversible pulpitis.","authors":"Qian Dong, Shiliang Guo","doi":"10.2340/aos.v85.46624","DOIUrl":"10.2340/aos.v85.46624","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the influencing factors of tooth retention within 5 years after root canal treatment (RCT) in patients with cracked teeth and chronic irreversible pulpitis, and to construct a nomogram model so as to provide a basis for the selection of clinical treatment regimen for such patients.</p><p><strong>Methods: </strong>This retrospective case analysis included 295 patients (295 affected teeth) with cracked teeth complicated with chronic irreversible pulpitis who were treated from January 2017 to January 2020. Tooth retention within 5 years was taken as outcome event; independent-samples t test and chi-square test were applied for single factor comparison. Lasso was used to screen the variables. Binary logistic regression analysis was utilized to analyze the related factors. The nomogram model was constructed by the 'rms' package of R software. Receiver operating characteristic (ROC) curve was drawn to evaluate the discrimination degree of the model. Hosmer-Lemeshow (H-L) test was performed and the calibration curve was drawn to evaluate the calibration degree of the model. Decision curve analysis was conducted to evaluate the clinical practicability of the model.</p><p><strong>Results: </strong>Successful and improved teeth were recorded as tooth survival. According to whether the teeth were retained within 5 years, the enrolled patients were categorized into survival group (265 cases) and non-survival group (30 cases), with the 5-year tooth survival rate of 89.9%. Multivariate analysis identified 2-3 RCT visits (Odds Ratio (OR) [95% Confidence Interval (CI)] = 0.15 [0.05, 0.50]), probing depth > 5 mm (OR [95% CI] = 2.99 [1.26, 7.09]), and crown restoration (OR [95% CI] = 0.28 [0.09, 0.83]) as independent predictors of 5-year tooth loss (p < 0.05). The nomogram was constructed based on multivariate results and the area under the ROC curve of the prediction model was 0.73 (0.62,0.84). H-L test revealed p = 0.682, and the calibration curve of the model had a high overlap degree with the ideal curve. The risk threshold ranged from 4 to 68%. The nomogram model line was located at the upper right of the None line and the All line.</p><p><strong>Conclusion: </strong>Multivariate analysis identified 2-3 RCT visits, probing depth > 5 mm, and crown restoration as independent predictors of 5-year tooth loss, and the nomogram constructed based on the above indicators has good practicability to predict tooth loss in patients. However, the sample size of our study was relatively limited, and the patient population was specific and may not be representative of the general population. Further external validation in a multi-center population is warranted.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"528-537"},"PeriodicalIF":1.7,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683130","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":"Oral health status and treatment needs among adults seeking dental anxiety treatment in general practice - a cross-sectional study.","authors":"Mariann Saanum, Bent Schøgren Stora, Tiril Willumsen","doi":"10.2340/aos.v85.46516","DOIUrl":"10.2340/aos.v85.46516","url":null,"abstract":"<p><strong>Objective: </strong>Dental anxiety affects approximately 15% of adults worldwide and is associated with adverse oral health outcomes. The aim of this cross-sectional study was to describe oral health status and treatment needs among adults seeking dental anxiety treatment in general practice. Further, it evaluates the associations between oral health, treatment needs, age, sex, dental anxiety, and years of dental avoidance.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 88 adults with self-reported dental anxiety recruited from a rural Norwegian general dental clinic. Oral health was assessed using panoramic and intraoral radiographs combined with clinical examination. Treatment needs were evaluated according to Norwegian clinical guidelines by two dentists who reached consensus.</p><p><strong>Results: </strong>Mean age was 38.9 ± 12.2 years; 66% of the respondents were women and mean Modified Dental Anxiety Scale score was 21.0 ± 3.0. Mean decayed teeth were 5.9 ± 4.8 and missing teeth 2.5 ± 4.1. Overall, 93% of the respondents required restorative treatment, 38% endodontic treatment, and 47% extractions. Male sex and longer dental avoidance were significantly associated with poorer oral health (p < 0.05).</p><p><strong>Conclusions: </strong>Adults seeking dental anxiety treatment in general practice exhibit severe oral health problems comparable to those in specialist dental anxiety clinics, supporting the need for low-threshold anxiety interventions in general dental practice.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"85 ","pages":"520-527"},"PeriodicalIF":1.7,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148672818","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}