{"title":"Is root canal treatment and an indirect coronal restoration of a mandibular first molar cost-effective compared to extraction and an implant-supported crown? A decision analytic approach.","authors":"Nikki Savolainen, Fredrik Frisk, Thomas Kvist","doi":"10.2340/aos.v84.42894","DOIUrl":"10.2340/aos.v84.42894","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to compare the cost-effectiveness of root canal treatment and an indirect restoration (RCT + PC) versus an implant-supported single crown (ISSC) in the case of a decayed first mandibular molar with a necrotic pulp. The study was based on Swedish population and the reference prices for dental treatments in Sweden.</p><p><strong>Materials and methods: </strong>The cost-effectiveness for RCT + PC and ISSC were calculated with the help of two decision trees. The initial costs were from the Swedish dental reference prices in 2024, and the probability values were from published articles based on Swedish data.</p><p><strong>Results: </strong>In Decision tree I, the expected costs for RCT + PC and for ISSC were 17,400 and 18,800 SEK, respectively. In the Decision tree II, the respected expected costs were 19,500 SEK and 18,800 SEK. The threshold probability values were 83 and 93% for RCT survival.</p><p><strong>Conclusions: </strong>Given the assumptions and limitations of this decision analysis, the probability of survival for RCT + PC needs to be in the range of 83-93% in order for it to be more cost-effective than ISSC, when deciding about treatment on a compromised first mandibular molar.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"95-103"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514322","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}
Ramaa Balkaran, Satu Lahti, Visha Ramroop, Jorma I Virtanen
{"title":"Oral health-related quality of life in children attending university special needs and paediatric dental clinics in Trinidad and Tobago: A parental perspective.","authors":"Ramaa Balkaran, Satu Lahti, Visha Ramroop, Jorma I Virtanen","doi":"10.2340/aos.v84.43009","DOIUrl":"10.2340/aos.v84.43009","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the Oral Health-Related Quality of Life (OHRQoL) of 6-18-year-old children visiting the special needs and paediatric dental clinics of the University of the West Indies (UWI). Material and methods: Parents/caregivers of all 6-18-year-old children (n = 201) attending the Special Needs Dental Clinic (SNDC) and Child Dental Health Clinic (CDHC) were recruited. The Oral Health Impact Profile (OHIP-14), shortened version, was employed. Outcomes calculated were severity, prevalence, and OHIP-14 domains. Chi-square and Mann-Whitney U tests, and logistic regression models served for statistical analyses.</p><p><strong>Results: </strong>Parents/caregivers of children with disabilities (n = 101) and without (n = 100) participated. The mean age of the children was 10.6 (3.4 standard deviation [SD]) from the SNDC and 11.3 (2.8 SD) from the CDHC. The OHRQoL differed slightly between mean severity scores for children with disabilities (6.41 ± 9.09) and without (7.01 ± 6.87) (p = 0.020). When adjusted for confounders, OHIP-14 impacts perceived occasionally, daily or very often, children with disabilities had poorer OHRQoL.</p><p><strong>Conclusions: </strong>The overall OHRQoL among the children visiting the UWI dental clinics was poor. The OHRQoL was poorer in children with disabilities in terms of oral impacts perceived occasionally, daily or very often. Children attending for 'pain and filling' had higher odds of having OHIP-14 impact than others.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"103-111"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522509","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}
Carlos Wesley Lopes Brasil da Silva, Beatriz Melare De Oliveira, Jheinis Stefany Pascuineli Duarte, Thalya Fernanda Hortsh Maltarollo, Henrico Badaoui Strazzi-Sahyon, Gustavo Sivieri-Araújo
{"title":"Can the interleukin TNF-α be used as a biomarker for pulp necrosis?","authors":"Carlos Wesley Lopes Brasil da Silva, Beatriz Melare De Oliveira, Jheinis Stefany Pascuineli Duarte, Thalya Fernanda Hortsh Maltarollo, Henrico Badaoui Strazzi-Sahyon, Gustavo Sivieri-Araújo","doi":"10.2340/aos.v84.43034","DOIUrl":"10.2340/aos.v84.43034","url":null,"abstract":"<p><p>N/A.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"93-94"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514320","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":"The effect of different variables on push-out tests in 3D-printed oval and round-shaped root canals: a methodological study.","authors":"Tuba Gok, Guzide Cankaya, Bilge Hakan Sen","doi":"10.2340/aos.v84.42958","DOIUrl":"10.2340/aos.v84.42958","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of slice thickness (ST), plunger size (PS), shape and region of the root canal on push-out tests using standardized artificial root canals.</p><p><strong>Materials and methods: </strong>Two teeth with round and oval root canal anatomy were selected using cone beam computed tomography. Teeth were prepared, scanned with micro computed tomography and stereolithography data were obtained. Seventy-two round and 72 long oval artificial root canals were produced using a 3D printer. Root canals were obturated, then divided into two main groups (oval-round) and further divided into six subgroups (n = 12) according to ST (1, 1.5, and 2-mm) and PS (0.5, 0.75, and 1-mm). Push-out tests were performed and dislocation resistance values were calculated. The data were analyzed using the ANOVA two-way test (p = 0.05).</p><p><strong>Results: </strong>Different STs showed similar results in oval canals (p > 0.05). 1-mm ST showed higher results in round canals (p < 0.05). There was a significant difference between 0.75 and 1-mm PSs (p < 0.05). Middle and coronal regions showed similar results in oval canals (p > 0.05), and coronal region showed lower results in round canals (p < 0.05).</p><p><strong>Conclusion: </strong>ST, PS, root canal shape and region variables affected the dislocation resistance of core material in standardized root-filled canals.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"86-92"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405374","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":"Who requires dental treatment under general anesthesia due to pain and severe dental anxiety? Findings from panoramic X-ray images and anamnesis.","authors":"Vilde Aardal, Caroline Hol, Anne Rønneberg, Sudan Prasad Neupane, Tiril Willumsen","doi":"10.2340/aos.v84.42895","DOIUrl":"10.2340/aos.v84.42895","url":null,"abstract":"<p><strong>Objective: </strong>The aims were to describe the dental status and mental and somatic health profile of patients with severe dental anxiety requiring dental treatment under general anesthesia (GA) in Rogaland County, Norway (2018-2021), and to compare patients with and without reported abuse history.</p><p><strong>Material and methods: </strong>Dental status was assessed by panoramic X-rays. General health variables were collected from patient records. Statistical comparisons of patients with and without abuse experience by tests of association (significance level p < 0.05). Results: 38 women and 18 men (mean ± standard deviation [SD]: 37.9 ± 9.2 years) were included; 27 reported abuse experience. Dental assessment showed 4.6 ± 3.8 missing teeth, 4.8 ± 3.0 root remnants, 5.8 ± 3.7 teeth with caries and 2.6 ± 1.9 teeth with apical periodontitis, among patients with ≥1 of the respective findings. 57.1% used analgesics due to dental pain. 55.4% had comorbid psychiatric conditions; 35.7% used psychopharmaceuticals. There were no statistical differences in dental variables but the abuse experience group had higher frequencies of comorbid psychiatric disorders (p = 0.01) and mixed somatic conditions (p = 0.03).</p><p><strong>Conclusions: </strong>Patients with severe dental anxiety requiring dental treatment under GA have complex health problems. They need access to treatment under GA, as treatment of serious odontogenic conditions is otherwise unmanageable.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"78-85"},"PeriodicalIF":1.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187956","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":"Why do researchers decline reviewer invitations? Response to the editorial 'The Peer Review Process: Growing Problem in Recruiting Qualified Reviewers'.","authors":"Elin Hadler-Olsen","doi":"10.2340/aos.v84.42853","DOIUrl":"10.2340/aos.v84.42853","url":null,"abstract":"<p><p>N/A.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"76-77"},"PeriodicalIF":1.4,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078325","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}
Lucas Arrais Campos, Terhi Kaikkonen, Kaisa Ylitervo, Leena Ylikontiola, Anna-Sofia Silvola
{"title":"Translation, cross-cultural adaptation, and psychometric properties of the Finnish version of the Malocclusion Impact Questionnaire (MIQ).","authors":"Lucas Arrais Campos, Terhi Kaikkonen, Kaisa Ylitervo, Leena Ylikontiola, Anna-Sofia Silvola","doi":"10.2340/aos.v84.42833","DOIUrl":"10.2340/aos.v84.42833","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to translate and adapt the Malocclusion Impact Questionnaire (MIQ) into Finnish; to estimate its psychometric properties when applied to Finnish adolescents; and to estimate the effect of demographic characteristics on the perceived impact of malocclusion.</p><p><strong>Methods: </strong>The Finnish version of MIQ (MIQ-Fi) was established through translation, back-translation, and a pilot study. Psychometric properties were estimated using factorial validity (confirmatory factor analysis [CFA]), convergent validity (Average Variance Extracted [AVE]), and reliability (αordinal and ω). Structural Equation Model estimated the effect of demographic characteristics on malocclusion impact.</p><p><strong>Results: </strong>A total of 268 Finnish adolescents participated in the study (mean age = 13.4 [standard deviation, SD = 1.5] years, 48.5% girls). MIQ-Fi factor model presented an adequate fit to the data after refinements (CFA: comparative fit index [CFI] = 0.96, Tucker-Lewis index [TLI] = 0.95, standardized root mean square residual [SRMR] = 0.08, exclusion of 4 items and 1 correlation between items error). Convergent validity (AVE = 0.61) and reliability (αordinal and ω ≥ 0.90) were adequate. Gender and self-reported need for orthodontic treatment had moderate effects on malocclusion impact (βstandardized = 0.36 and 0.30, respectively, p < 0.01), while other demographic characteristics had weak effects (βstandardized < |0.18|, p < 0.04).</p><p><strong>Conclusion: </strong>MIQ-Fi demonstrated adequate psychometric properties and can measure malocclusion impact in Finnish adolescents. Demographic characteristics had weak to moderate effect on the malocclusion impact.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"54-64"},"PeriodicalIF":1.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063218","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":"Parental knowledge, awareness, and attitudes towards children's oral habits: a descriptive cross-sectional study.","authors":"Sarah Almugairin, Alanoud Alwably, Nada Alayed, Alanoud Algazlan, Hadeel Alrowaily, Elzahraa Eldwakhly, Abdullazez Almudhi","doi":"10.2340/aos.v84.42643","DOIUrl":"10.2340/aos.v84.42643","url":null,"abstract":"<p><strong>Background: </strong>Oral health is fundamental to children's health and well-being. Parental knowledge, awareness, and practices towards oral habits significantly influence children's oral health. Early diagnosis and intervention to break abnormal oral habits are vital to prevent long-term detrimental effects on oral and facial development.</p><p><strong>Objective: </strong>This study aimed to assess parents' knowledge, awareness, and attitudes towards their children's oral habits in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study design was employed, where 2,000 participants were enrolled, of whom 563 Saudi mothers residing in Riyadh met the inclusion criteria. A validated, self-administered questionnaire was used to collect data on demographics, child information, parental awareness, and parental attitudes. Results: Regarding awareness, moderate overall awareness was reported among mothers, with the majority (over 70%) correctly identifying the negative effects of prolonged pacifier/bottle use and other habits on children's oral health. As for the attitudes, most mothers recognized the importance of stopping sucking habits (digit and/or pacifier) by 18 months and agreed that persistent oral habits cause malocclusion and growth problems. However, a significant gap existed between knowledge and practice, with most mothers (92.9%) never consulting a dentist regarding their child's ongoing oral habits. Mothers with higher education levels reported encouraging their children to stop habits and documented improvements observed after habit cessation. Conclusions: Although most mothers demonstrated moderate awareness of the detrimental effects of prolonged oral habits, a clear gap remains between knowledge and practice. This study emphasizes the need for educational programs to improve parental knowledge, attitudes, and practices regarding children's oral habits. Additionally, addressing cultural beliefs and cost barriers to dental treatment could increase the utilization of dental services, improving children's oral health.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"65-75"},"PeriodicalIF":1.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063216","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}
Viveca Wallin Bengtsson, Christel Lindahl, Sven Scholander
{"title":"Patient-reported outcomes of esthetics, function and oral hygiene with single dental implants 10-15 years after placement: a cross-sectional study.","authors":"Viveca Wallin Bengtsson, Christel Lindahl, Sven Scholander","doi":"10.2340/aos.v84.42724","DOIUrl":"10.2340/aos.v84.42724","url":null,"abstract":"<p><strong>Aims: </strong>Little attention has been paid to patients' perception of function and esthetics with single dental implants. The aim of this study was therefore to describe patient-reported function and esthetic outcomes in single dental implants. A second aim was to study the objective esthetics in single dental implants.</p><p><strong>Material and methods: </strong>Patients with one single dental implant in the esthetic zone were selected. Two questionnaires with visual analog scales (VAS) were filled in by the patients, and intraoral photographs were taken. One of the questionnaires related to satisfaction with cleaning and function, and the other involved the esthetics of the single dental implant. One dentist reviewed the photographs using the pink esthetic score/white esthetic score (PES/WES) index. Results: For chewing and for speaking, the scores were 8.8 and 9.9 respectively on a VAS (best 10). The overall esthetic score on a VAS was 8.6 (best 10). The PES/WES in the present study was 14.6 (standard deviation [SD] ± 1.9), and 3/45 (6.7%) of the single dental implants never reached clinical acceptability. Conclusions: Patients reported high satisfaction with both the function and the esthetics of single dental implants. Both subjectively and objectively, the peri-implant mucosa was less favorable compared with the crown.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"47-53"},"PeriodicalIF":1.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998480","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}
Marta Relvas, Luciana Rocha, Paulo Rompante, Filomena Salazar, Luís Monteiro, Ana Sofia Vinhas, Maria Gonçalves
{"title":"Oral lesions and disorders and their prevalence arising from the use of illicit drugs in a prison population.","authors":"Marta Relvas, Luciana Rocha, Paulo Rompante, Filomena Salazar, Luís Monteiro, Ana Sofia Vinhas, Maria Gonçalves","doi":"10.2340/aos.v84.42721","DOIUrl":"10.2340/aos.v84.42721","url":null,"abstract":"<p><strong>Background: </strong>The dependence on the illicit drugs has been proven to be harmful to the oral cavity and may lead to a series of abnormal manifestations. The main objective of this study was to observe the effects caused by the consumption of illicit drugs in the oral cavity, in a prison population in the North of Portugal.</p><p><strong>Methods: </strong>A cross-sectional observational study was conducted involving 91 male inmates aged 25-75 years (mean age 41.14 ± 8.98), from Paços de Ferreira Prison. The participants were subjected to a medical interview and a clinical examination. Descriptive statistics and the Chi-square test were used to assess the association between the qualitative variables. The level of statistical significance used was α ≤ 0.05.</p><p><strong>Results: </strong>The consumption of illicit drugs proved to be a common practice (86.8%), where cannabis, heroin and cocaine were the most prevalent (29.1%). Thirty-one inmates were attending the methadone rehabilitation program (34.1%). Most of patients consuming illicit substances, were also smokers (93.7%) (p<.001). Of the 91 participants, 82 (90.1%) presented oral manifestations, with caries lesions being the most prevalent (61.0%) and oral mucosa lesions the least observed (3.7%). Heavy drug consumption was related with rampant caries lesion (p=.011) and chewing difficulty (p=.024) when compared with cannabis consumption.</p><p><strong>Conclusion: </strong>The main oral manifestations found, associated to the consumption of illicit drugs were caries lesions, tooth loss and sensitivity, periodontal diseases, temporomandibular disorders, xerostomia, and bruxism.</p>","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":"84 ","pages":"37-46"},"PeriodicalIF":1.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998476","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}