Australian dental journal最新文献

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-14 DOI: 10.1111/adj.13067

R Balasubramaniam

引用次数: 0

Cost-effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-14 DOI: 10.1111/adj.13066

U Tonmukayakul, S Kularatna, S Piggott, D Atkinson, D Brennan, L Jamieson, P Arrow

{"title":"Cost-effectiveness of atraumatic restorative treatment combined with the Hall Technique for managing dental caries in remote Indigenous children.","authors":"U Tonmukayakul, S Kularatna, S Piggott, D Atkinson, D Brennan, L Jamieson, P Arrow","doi":"10.1111/adj.13066","DOIUrl":"https://doi.org/10.1111/adj.13066","url":null,"abstract":"Background: Indigenous children in remote Australia face significant disparities in oral health and have limited access to dental care. This study evaluated the cost-effectiveness of Atraumatic Restorative Treatment combined with the Hall Technique (ART-HT) compared to usual care.Methods: A cost-effectiveness analysis using data from a 1-year ART-HT trial estimated dental caries status and costs from a health-provider perspective. Two scenarios were examined: (1) actual treatment costs and (2) minimum dental services. The incremental cost per decayed, missing, and filled teeth (dmft) prevented was calculated in AUD 2021 prices. A probabilistic sensitivity analysis was conducted.Results: Among 228 children (ART-HT = 122; usual care = 106), deterministic analysis showed ART-HT required additional costs of $59.54 and $72.37 for scenarios 1 and 2, with 0.90 dmft prevented. Probabilistic sensitivity analysis revealed ART-HT resulted in better oral health outcomes with a mean dmft prevented of 0.58 (95% uncertainty interval: 0.09 to1.07). The mean additional cost per dmft prevented was $118.50 and $181.84 for scenarios 1 and 2.Conclusions: ART-HT effectively managed dental caries in Indigenous children, providing better oral health outcomes compared to usual care, albeit with modest additional costs. This approach may improve access to culturally appropriate dental care in remote communities.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623264","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

Why policy relevant research still matters for community water fluoridation.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-03 DOI: 10.1111/adj.13063

T M Nguyen, C Sexton, L Do

引用次数: 0

Am I incompetent?

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-03 DOI: 10.1111/adj.13064

I Darby

引用次数: 0

OSA pathophysiology: a contemporary update.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-03-03 DOI: 10.1111/adj.13060

T M Tolbert, I Ayappa, D M Rapoport

引用次数: 0

Introduction to dental sleep medicine supplement.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-27 DOI: 10.1111/adj.13065

I Darby

引用次数: 0

Oral appliance therapy for snoring and obstructive sleep apnoea: a Practical Guide for Clinical Care.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-27 DOI: 10.1111/adj.13062

R Balasubramaniam, K McCloy, F R Almeida, P A Cistulli

引用次数: 0

Ambulatory devices to detect sleep bruxism: a narrative review.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-20 DOI: 10.1111/adj.13057

C Li, S Yap, A Loh, Y J Yap, O Kujan, R Balasubramaniam

引用次数: 0

Comparison of the effects of occlusal splint and Botox injections on the amount of mouth opening and chronic pain in individuals with temporomandibular disorders: a systematic review and meta-analysis.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-14 DOI: 10.1111/adj.13059

Ö İşisağ, H Atasoy, S Yıldız

{"title":"Comparison of the effects of occlusal splint and Botox injections on the amount of mouth opening and chronic pain in individuals with temporomandibular disorders: a systematic review and meta-analysis.","authors":"Ö İşisağ, H Atasoy, S Yıldız","doi":"10.1111/adj.13059","DOIUrl":"https://doi.org/10.1111/adj.13059","url":null,"abstract":"Objective: This systematic review and meta-analysis study was carried out to compare the effectiveness of occlusal splint (OS) and Botox (BTX) injections in temporomandibular disorders (TMDs).Material and methods: Irrespective of the starting year, studies were searched for up to 2024 using PubMed, Web of Science, Scopus databases and the Google Scholar search engine. In the study, graded chronic pain scale and maximum mouth opening amount parameters were analysed with Comprehensive Meta-Analysis programme.Results: Out of 619 studies, only six were included in the meta-analysis. The effect size was 0.293 in favour of BTX in the studies evaluating the maximum mouth-opening (MMO) range. However, the amount of MMO did not show a statistically significant difference between the OS and BTX groups (95% CI - 0.383 to 0.969, P = 0.395, z = -0.850). In the subgroup analyses carried out based on the follow-up periods, it was found that the MMO was statistically significantly higher in the BTX group at the first week and in the OS group at the third month. However, there was no significant difference observed at the first, second, sixth and twelfth month follow-ups (P > 0.05). No significant difference was found between the groups (P > 0.05) in the publications that evaluated the graded chronic pain scale (GCPS), although an effect size of 0.673 was found in favour of OS (95% CI 0.331 to 1.365, P = 0.272, z = -1.098).Conclusion: BTX injections and OS applications show significant differences in the MMO of individuals in the early period. In contrast, the MMO of individuals and the GCPS show similar findings in the sixth month and longer follow-up.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424913","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

Myofunctional therapy for obstructive sleep apnoea.

IF 1.9 4区医学

Australian dental journal Pub Date : 2025-02-10 DOI: 10.1111/adj.13058

W-Y Li, J-F Masse, F Sériès

{"title":"Myofunctional therapy for obstructive sleep apnoea.","authors":"W-Y Li, J-F Masse, F Sériès","doi":"10.1111/adj.13058","DOIUrl":"https://doi.org/10.1111/adj.13058","url":null,"abstract":"Failure of upper airway muscles to develop efficient dilating forces plays a key role in the occurrence of obstructive sleep apnoea in given patients. Thus, myofunctional therapy has been developed to improve the activity/efficacy of the upper airway (UA) dilator muscles, reduce its fatigability and improve mechanical performance. Various programmes, differing in the types of daytime exercises to be completed, as well as in their duration and intensity, have been evaluated. Meta-analysis confirmed the efficacy of myofunctional therapy, with mean apnoea hypopnoea index (AHI) scores decreasing from 28.0 ± 16.2/h to 18.6 ± 13.1/h, and lowest oxygen saturation (LSAT) values improving from 83.2% ± 6.1% to 85.1% ± 7.0%. In children, MT and nasal washing may result in little to no difference in AHI. Integrating oropharyngeal exercises with the use of a smartphone application to complete and record exercise performances represents an innovative turn in the development of ambulatory MT programmes. Since adherence to therapy is a weakness in conventional OSA strategies such as CPAP, this approach to MT is promising, as evidenced by a 90% mean adherence to it after 3 months of using a smart application. There is further need to determine the most effective combination of exercise algorithms and identify the target population most likely to benefit from MT in outpatient training programmes.","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389897","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