Acta Odontologica Scandinavica最新文献_第7页

Utilization of a public subsidy scheme for dental care services among socially vulnerable citizens out of labor in Copenhagen, Denmark. 丹麦哥本哈根，利用公共补贴计划为失业的社会弱势公民提供牙科护理服务。

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-26 DOI: 10.1080/00016357.2023.2279606

Marie Skov Kristensen, Annette Kjær Ersbøll, Ingelise Andersen, Esben Boeskov Øzhayat

{"title":"Utilization of a public subsidy scheme for dental care services among socially vulnerable citizens out of labor in Copenhagen, Denmark.","authors":"Marie Skov Kristensen, Annette Kjær Ersbøll, Ingelise Andersen, Esben Boeskov Øzhayat","doi":"10.1080/00016357.2023.2279606","DOIUrl":"10.1080/00016357.2023.2279606","url":null,"abstract":"Objective: Addressing social inequality in oral health and access to dental care is a global concern. This study aims to describe the utilization of a public subsidy scheme targeting vulnerable individuals out of labor in Copenhagen municipality (2013-2018) and to identify key characteristics of individuals eligible to apply.Material and methods: Data from Copenhagen municipality were combined with data from population and health registers. Employing logistic regression analyses, we examined the association between demographic, socioeconomic, and health-related characteristics and (1) having applied, (2) being granted, and (3) using the subsidy.Results: The study included 65,174 individuals aged 18-65. Of these 10,369 (15.9%) applied for subsidies, submitting a total of 18,529 applications. Overall, 83% of the applications were granted and 85% were used. Significantly increased odds of applying for subsidies were observed among individuals receiving social benefits non-stop over the past year versus none (odds ratio [OR] = 15.45, 95% confidence interval [CI] = 14.24-16.76), aged 50-65 versus 18-29 years (OR = 4.41, CI= 4.15-4.69), and having combined indicators of social vulnerability versus none (OR = 2.90, CI= 2.73-3.07).Conclusions: While the utilization of the public subsidy scheme is low, individuals who apply are likely to be granted a subsidy and use it. Vulnerability was associated with greater utilization of the scheme, yet a substantial portion of those at risk of poor oral health did not take advantage of it.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71476985","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}

引用次数: 0

Barriers for why pregnant women do not visit a dentist on a regular basis: using group concept mapping methodology. 孕妇不定期看牙医的障碍:使用群体概念图方法。

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-26 DOI: 10.1080/00016357.2023.2283198

Karoline Winckler, Marianne Uggen Rasmussen, Jeannet Laugenborg, Kathrine Hansen Bukkehave, Heidi Fischer, Berit Lilienthal Heitmann, Eva Ejlersen Wæhrens

{"title":"Barriers for why pregnant women do not visit a dentist on a regular basis: using group concept mapping methodology.","authors":"Karoline Winckler, Marianne Uggen Rasmussen, Jeannet Laugenborg, Kathrine Hansen Bukkehave, Heidi Fischer, Berit Lilienthal Heitmann, Eva Ejlersen Wæhrens","doi":"10.1080/00016357.2023.2283198","DOIUrl":"10.1080/00016357.2023.2283198","url":null,"abstract":"Objectives: Periodontitis in pregnancy represents a significant, but often overlooked challenge due to its association to adverse pregnancy (preeclampsia and gestational diabetes) and birth related outcomes (preterm birth and low birth weight). The overall study aim was to identify, organize, and prioritize barriers influencing dental visits among Danish pregnant women not seeing a dentist on a regularly basis.Materials and methods: Participants were pregnant women screened at weeks 11-13 of gestation, and were recruited if they were not seeing a dentist regularly. The study was conducted at Holbæk and Nykøbing Falster Hospital in Region Zealand, Denmark. The Group Concept Mapping (GCM) approach was applied. The pregnant women participated in brainstorming (n = 18), sorting (n = 20), and rating (n = 17) the seating question 'Thinking as broadly as you can, please list all barriers of importance to you for not seeing a dentist on a regular basis'.Results: A total of 38 unique barriers were identified, organized, and prioritized online. The multidimensional scaling analysis involved 10 iterations and revealed a low stress value of 0.21. A cluster solution with five clusters including 'economic reasons', 'lack of priority', 'lack of time and energy', 'no problems with teeth', and 'dental fear', was discussed and interpreted at a validation meeting.Conclusions: Five overall clusters explaining barriers for not seeing a dentist regularly were revealed. Of the five clusters, 'economic reasons' and 'lack of priority' were rated as the most important clusters. Accordingly, such barriers should be considered in the planning of future strategies of dental care during pregnancy.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138045977","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}

引用次数: 0

Associations of inflammatory polyarthritis with clinical and radiological findings of temporomandibular disorders. 炎症性多关节炎与颞下颌关节紊乱病的临床和放射学表现的相关性。

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-22 DOI: 10.1080/00016357.2023.2267118

Sari Oksanen, Kirsi Sipilä, Markku Heliövaara, Anna Liisa Suominen, Sisko Huumonen

{"title":"Associations of inflammatory polyarthritis with clinical and radiological findings of temporomandibular disorders.","authors":"Sari Oksanen, Kirsi Sipilä, Markku Heliövaara, Anna Liisa Suominen, Sisko Huumonen","doi":"10.1080/00016357.2023.2267118","DOIUrl":"10.1080/00016357.2023.2267118","url":null,"abstract":"Objective: To evaluate the association of different forms of inflammatory polyarthritis with clinical signs of temporomandibular disorders (TMD) and radiological findings in temporomandibular joint (TMJ), based on a nationwide health survey in Finland. The aim was also to assess the presence of clinical and radiological TMD findings in subjects with increased risk for developing rheumatoid arthritis (RA).Material and methods: Anationally representative sample included 6331 Finnish adults who participated in the Health 2000 Survey (BRIF8901). Subjects were examined for signs of TMD, findings in panoramic radiograph of TMJ, musculoskeletal health and serology (rheumatoid factor, RF, and anti-cyclic citrullinated peptide, aCCP).Results: Sixty-four percent of seronegative RAand 60% of seropositive RAsubjects had at least one sign of TMD. While adjusting for confounding factors (gender, age, dentures and smoking history), RAwas significantly associated with crepitation and abnormal radiological findings in TMJ. Seronegative RAwas also associated with restricted mouth opening. Systemic autoimmunity associated with RA(\"at risk of RA\") was not associated with clinical or radiological TMD findings.Conclusions: Clinical and radiological findings of TMD are more prevalent among subjects with inflammatory polyarthritis than among the population in general in the Finnish adult population.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41181774","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}

引用次数: 0

Longitudinal study of endodontic and periapical status of an adult Danish population examined in 2009, 2014, and 2019: a repeated cohort study. 2009年、2014年和2019年丹麦成年人群牙髓病和根尖周状况的纵向研究：一项重复队列研究。

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-22 DOI: 10.1080/00016357.2023.2268699

Ankur Razdan, Lars Schropp, Michael Væth, Lise-Lotte Kirkevang

{"title":"Longitudinal study of endodontic and periapical status of an adult Danish population examined in 2009, 2014, and 2019: a repeated cohort study.","authors":"Ankur Razdan, Lars Schropp, Michael Væth, Lise-Lotte Kirkevang","doi":"10.1080/00016357.2023.2268699","DOIUrl":"10.1080/00016357.2023.2268699","url":null,"abstract":"Objective: To describe endodontic changes in an adult Danish population (C2;2009-2014-2019) and compare them with a similar cohort (C1;1997-2003-2008).Material and methods: A randomly selected cohort (C2) with three full-mouth radiographic examinations. The frequencies of teeth, apical periodontitis (AP), root filled teeth, and lost teeth in C2 were compared to a similar cohort (C1) using regression analyses; effect of age, cohort, and period was assessed.Results: C1 had 330 and C2, 170 participants (mean age, C1: 42.9; C2: 47.3 years, p < .001). The proportion of individuals with no AP was similar in C1 and C2 (p = .46). C2 had a higher proportion of individuals with no root filled teeth (p < .001) and no tooth loss (p = .02) than C1. The proportion of AP and root filled teeth increased with age in both cohorts. C2 had fewer root filled teeth and lost teeth, fewest lost teeth in the youngest age groups.Conclusions: In C2, the prevalence of teeth with AP and root fillings increased with age, and few teeth were lost. Change in proportion of AP was similar in two cohorts; fewer root filled teeth and lost teeth in C2. The proportion of lost teeth in C2 showed cohort effect for older age groups.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49688336","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}

引用次数: 0

Supra- and sub-gingival instrumentation of periodontitis with the adjunctive treatment of a chloramine - a one-year randomized clinical trial study. 用氯胺辅助治疗牙周炎的龈上和龈下内固定-一项为期一年的随机临床试验研究。

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-22 DOI: 10.1080/00016357.2023.2281486

Viveca Wallin-Bengtsson, Ulrica Scherdin-Almhöjd, Ann-Marie Roos-Jansåker

{"title":"Supra- and sub-gingival instrumentation of periodontitis with the adjunctive treatment of a chloramine - a one-year randomized clinical trial study.","authors":"Viveca Wallin-Bengtsson, Ulrica Scherdin-Almhöjd, Ann-Marie Roos-Jansåker","doi":"10.1080/00016357.2023.2281486","DOIUrl":"10.1080/00016357.2023.2281486","url":null,"abstract":"Periodontitis is a bacterial-induced disease and for this reason controlling the microbiota is a necessity. Therapy includes self-performed daily oral hygiene in combination with supra- and sub-gingival instrumentation. An adjunctive antimicrobial agent may improve the outcome.Aims: To assess whether a chloramine (Perisolv®) has an adjunctive effect to non-surgical periodontal therapy and whether non-surgical periodontal therapy affects quality of life.Material and methods: Thirty-eight patients were randomized to a test or a control group. Clinical indices were performed at baseline and at three and twelve months. In the test group, Perisolv® was applied initially and after the sub-gingival instrumentation in pathological pockets. Oral health-related quality of life was measured with the Oral Health Impact Profile (OHIP) instrument at baseline and twelve months.Results: In both groups, an initial probing pocket depth (PPD) of > 4 mm and bleeding on probing (BOP) were statistically reduced (p < 0.002 and p < 0.002 respectively) at twelve months and after adjustment for Bonferroni. There were no significant differences between the test and the control group in terms of the number of PPD, BOP or plaque index, or in the mean OHIP score.Conclusions: Chloramine did not have an adjunctive effect, but the overall therapy was significantly efficacious both clinically and in terms of quality of life.Trial registration: Registered at www.Clinicaltrials: gov:NCT05757921.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92152227","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}

引用次数: 0

A cross-sectional study on oral health-care habits and oral-health-related quality-of-life in marginalized persons in Copenhagen. 哥本哈根边缘化人群口腔保健习惯和口腔健康相关生活质量横断面研究

IF 1.4 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-03-22 DOI: 10.1080/00016357.2023.2282648

Esben Boeskov Øzhayat, Ashraf Elmongy, Lene Tanderup, Sine Lykke Bordorff, Henrik Thiesen

{"title":"A cross-sectional study on oral health-care habits and oral-health-related quality-of-life in marginalized persons in Copenhagen.","authors":"Esben Boeskov Øzhayat, Ashraf Elmongy, Lene Tanderup, Sine Lykke Bordorff, Henrik Thiesen","doi":"10.1080/00016357.2023.2282648","DOIUrl":"10.1080/00016357.2023.2282648","url":null,"abstract":"Objective: The aim of this cross-sectional study was to investigate the oral-health-related quality-of-life (OHRQoL) and oral health-care habits in a population of marginalized persons in Copenhagen.Materials and methods: Patients attending a dental clinic for marginalized persons filled in the 14-item version of the oral-health-impact profile (OHIP-14) regarding their OHRQoLand a questionnaire on their oral health-care habits. Age, gender, smoking habits, need for general and oral health-care, and living conditions were further registered.Results: Of the 212 participants, 72% had not visited a dental clinic within the past two years and in 68% of the cases, the last dental visit was related to dental treatment. Tooth brushing at least once a day was reported by 93%. The mean OHIP-14 score in the participants was 24.9 (SD: 13.6). The most frequent problems were pain, chewing difficulties, being self-conscious, tense, and embarrassed as well as affected life. The mean OHIP-14 score was significantly higher in participants in need of general health-care (29.5, SD: 12.2) than in participants not in need of general health-care (22.8, SD: 13.9). The same applied to participants referred for dental treatment (26.1, SD: 12.7) compared to participants not being referred (20.2, SD: 15.9).Conclusions: The OHRQoLis poor in the population with pain, chewing difficulties and aesthetic issues as the most prominent problems. The participants had low and treatment-oriented use of the dental care system. This indicates a high need for dental care in the population with a focus on including them in the dental care system.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11302656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136395758","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}

引用次数: 0

Characterization of patients with odontogenic necrotizing soft tissue infections in the head and neck area. A retrospective analysis. 头颈部牙源性坏死软组织感染患者的特征。回顾性分析。

IF 2 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-01-01 Epub Date: 2023-09-09 DOI: 10.1080/00016357.2023.2254389

Signe Undall-Behrend Hansen, Frederik Viktor Bang Jespersen, Merete Markvart, Ole Hyldegaard, Christina Caroline Plaschke, Thomas Bjarnsholt, Claus Henrik Nielsen, Simon Storgård Jensen

{"title":"Characterization of patients with odontogenic necrotizing soft tissue infections in the head and neck area. A retrospective analysis.","authors":"Signe Undall-Behrend Hansen, Frederik Viktor Bang Jespersen, Merete Markvart, Ole Hyldegaard, Christina Caroline Plaschke, Thomas Bjarnsholt, Claus Henrik Nielsen, Simon Storgård Jensen","doi":"10.1080/00016357.2023.2254389","DOIUrl":"10.1080/00016357.2023.2254389","url":null,"abstract":"Objective: Necrotizing soft-tissue infection (NSTI) in the head and neck area may develop from odontogenic infections. The aim of this study was to characterize patients with NSTI in the head and neck with odontogenic origin in a well-defined prospectively collected cohort.Material and methods: Patients with NSTI in the head and neck, hospitalized between 2013 and 2017 at Copenhagen University Hospital and registered in the Scandinavian INFECT database were included. Medical records of identified patients and from the INFECT database were screened for a defined set of data including the primary focus of infection, comorbidities, predisposing factors, clinical and radiographic diagnostics, course of treatment, and treatment outcome.Results: Thirty-five patients with NSTI in the head and neck area were included in the study. A total of 54% had odontogenic origin, primarily from mandibular molars, and 94% had radiographic signs of infectious oral conditions. Overall, comorbidities were reported in 51% with cardiovascular disease being the most prevalent. In 20%, no comorbidities or predisposing conditions could be identified. The overall 30-day mortality rate was 9%.Conclusions: More than half of NSTI cases in the head and neck region had an odontogenic origin, and special attention should be paid to infections related to mandibular molars.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10246227","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}

引用次数: 0

Evaluation of jaw function, oral health-related quality of life, and nutritional status during oral rehabilitation procedures - a pilot study. 口腔康复过程中颌骨功能、口腔健康相关生活质量和营养状况的评估 - 一项试点研究。

IF 2 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-01-01 Epub Date: 2023-08-25 DOI: 10.1080/00016357.2023.2250423

Tina Thakrar, Abhishek Kumar, Catharina Göthberg, Anastasios Grigoriadis

{"title":"Evaluation of jaw function, oral health-related quality of life, and nutritional status during oral rehabilitation procedures - a pilot study.","authors":"Tina Thakrar, Abhishek Kumar, Catharina Göthberg, Anastasios Grigoriadis","doi":"10.1080/00016357.2023.2250423","DOIUrl":"10.1080/00016357.2023.2250423","url":null,"abstract":"Aims: To evaluate limitations in jaw function, oral health-related quality of life (OHRQoL), and nutritional status during extensive oral rehabilitation procedures.Material methods: Fourteen participants (mean age ± SD: 70 ± 3.8) undergoing major oral rehabilitation involving the restoration of a minimum of eight teeth were recruited in the study. Jaw function limitations scores (JFLS), oral health-impact profile (OHIP), and nutritional status were measured at different time points during, six months, and one year after the rehabilitation procedures. Nutritional status was evaluated by measuring the body weight and arm and calf muscle circumference. The effect of time points on the measured variables was evaluated with Friedman's test. Trends in nutritional status were evaluated with linear regression analysis.Results: The results of the analysis showed significant main effects of time points on the JLFS (p < .001) and OHIP scores (p = .005). However, there was no effect of time points on the body weight (p = .917) and calf muscle circumference (p = .424), but a significant effect on arm circumference (p = .038). Further, there was a decreasing trend for body weight (64.3%), arm (71.4%), and calf circumference (64.3%) in the majority of the patients.Conclusion: The results of the preliminary study suggest that people undergoing extensive oral rehabilitation procedures show improvement in jaw function and an increase in OHRQoL after the rehabilitation procedure. Despite no major changes in the nutritional indicators, most patients showed a negative trend in their body weight, arm circumference, and calf circumference, suggesting that they may be susceptible to nutritional changes.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10058591","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}

引用次数: 0

Effectiveness of oral motor appliances on oral motor function and speech in children: a systematic review. 口腔运动器械对儿童口腔运动功能和言语的影响：系统性综述。

IF 2 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-01-01 Epub Date: 2023-08-24 DOI: 10.1080/00016357.2023.2249547

Anna-Maria Pelkonen, Linnea Närhi, Sanna Häkli, Anna-Maria Raatikainen, Pertti Pirttiniemi, Anna-Sofia Silvola

{"title":"Effectiveness of oral motor appliances on oral motor function and speech in children: a systematic review.","authors":"Anna-Maria Pelkonen, Linnea Närhi, Sanna Häkli, Anna-Maria Raatikainen, Pertti Pirttiniemi, Anna-Sofia Silvola","doi":"10.1080/00016357.2023.2249547","DOIUrl":"10.1080/00016357.2023.2249547","url":null,"abstract":"Background: Different oral motor appliances have been used in connection with speech therapy to improve oral motor function and speech development, but no consensus has been reached on the effectiveness of the appliances. The objective was to systematically review the effectiveness of oral motor appliances on oral motor function and speech in children with speech sound disorders (SSDs) or oral motor dysfunctions.Methods: A systematic search was conducted up to February 2023 in the PubMed, Scopus, and Cochrane databases. Inclusion criteria were prospective randomized or case-control clinical trials investigating the effect of intraoral appliances on orofacial function and/or speech. The risk of bias was evaluated by the Cochrane Collaboration's Robins-I tool.Results: Nine publications of three individual studies met the inclusion and search criteria. Six of the publications were conducted in children with Down Syndrome (DS) and three publications were conducted in children with Cerebral Palsy (CP). No meta-analysis was made due to the limitations of the publications. Selected studies reported some beneficial effects of intraoral appliances on oral motor function in children with DS and CP, although the evidence is low. Due to the study design in selected studies and confounding factors, the overall risk of bias was categorized as moderate or high.Discussion: Intraoral appliances may improve oral motor function in children with DS and CP. Due to lack of studies this review limited to children with DS and CP. The initial question concerning SSDs was not answered. Well-designed RCTs with larger sample sizes are needed, especially among non-syndromic children with SSDs. The level of evidence was considered very low.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10116461","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}

引用次数: 0

Long-term follow-up of osteoradionecrosis of the mandible. 下颌骨放射性骨坏死的长期随访。

IF 2 4区医学

Acta Odontologica Scandinavica Pub Date : 2024-01-01 Epub Date: 2023-12-28 DOI: 10.1080/00016357.2023.2257316

Ghazaleh Boromand, Hedda Haugen-Cange, Martin Asparusova, Annika Ekestubbe, Goran Kjeller

{"title":"Long-term follow-up of osteoradionecrosis of the mandible.","authors":"Ghazaleh Boromand, Hedda Haugen-Cange, Martin Asparusova, Annika Ekestubbe, Goran Kjeller","doi":"10.1080/00016357.2023.2257316","DOIUrl":"10.1080/00016357.2023.2257316","url":null,"abstract":"Aim: Investigating the prevalence of mandibular ORN in a single Swedish Oncology Center.Methods: A total of 450 patients, treated with radiotherapy for squamous cell carcinoma in the oropharynx between 2004 and 2014 were included. Three different techniques of radiotherapy were studied. ORN diagnosis was set when clinical signs according to Marx were observed, or if radiological signs were staged according to Schwartz and Kagan.Results: Using the staging system, 90 patients (20%) were diagnosed with ORN. The mean age of the ORN patients was 56.6 years, the older the patient the lower the risk of developing ORN (p = .01). The risk of developing ORN for patients receiving Intensity Modulated Radiotherapy was lower compared to patients treated with the other techniques in the multivariable analysis. Brachytherapy significantly increases the risk of ORN. The risk of ORN increased by 8% each year after radiation (p = .04). The mean time to the ORN diagnosis was 3.9 years. In the multivariate analysis, the risk of ORN increased by 13% each year after radiation (p = .0013).Conclusion: The mean radiation dose was of greater importance for the risk of ORN than the maximum dose. Elderly people with oropharyngeal cancer were less prone to develop ORN.","PeriodicalId":7313,"journal":{"name":"Acta Odontologica Scandinavica","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41100483","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}

引用次数: 0