BMC Oral Health最新文献

{"title":"Final shade and whiteness: impact of various ultra-thin CAD/CAM veneers and tooth-colored resin substrates.","authors":"Yinghui Wang, Xia Wei, Linjuan Gao, Dingkun Liu, Xing Chen, Liujun Lin, Yu Pan, Hao Yu, Guang Hong, Hui Cheng","doi":"10.1186/s12903-025-05901-x","DOIUrl":"https://doi.org/10.1186/s12903-025-05901-x","url":null,"abstract":"<p><strong>Background: </strong>Achieving optimal color control in chairside CAD/CAM ultra-thin veneers, remains a significant challenge for dental clinicians and technicians. This study aims to investigate the effect of ultra-thin CAD/CAM medium translucency (MT) lithium disilicate veneers and tooth-colored resin substrates on final tooth shade and whiteness.</p><p><strong>Materials and methods: </strong>Disk-shaped ceramic veneers (IPS e.max CAD MT, Ivoclar Vivadent, Liechtenstein) with a thickness of 0.3 mm were fabricated in BL2, BL3, BL4, B1, A1, A2, and A3 shades. Additionally, 4-mm thick resin substrates (Tetric N-Ceram, Ivoclar Vivadent, Liechtenstein) were prepared in A2, A3, A3.5, and A4 shades to simulate tooth-colored substrates. Veneer-resin composites were prepared by combining veneer specimens and resin substrates. Color coordinates of tooth-colored resin substrates (R), veneer-resin composites (C) and the shade guide tabs (G) were obtained using a spectroradiometer. Color differences of ΔE_00(C-R), ΔE_00(C-G) and ΔE_00(R-G) were then calculated with the CIEDE2000 formula. The initial and final shades were considered matched when ΔE_00(R-G) or ΔE_00(C-G) was clinically acceptable or minimal. Additionally, whiteness differences (ΔWI_D) between R and C specimens were recorded. Two-way analysis of variance (ANOVA) was performed, followed by the Tukey HSD. The significance level was set at p < 0.05.</p><p><strong>Results: </strong>Both the shades of resin substrates and veneer shades had significant effects on ΔE_00(C-R) and ΔWI_D (p < 0.001), while no interaction effects were observed (p > 0.05). They increased with darker resin substrates and lighter veneers, except for no significant differences among BL4, B1, and A1 veneers. The largest color difference was observed for BL2 veneers on A4 substrates (ΔE_00(C-R) = 6.9 ± 0.3, ΔWI_D = 19.0 ± 1.5), while the smallest occurred with A3 veneers on A2 substrates (ΔE_00(C-R) = 2.4 ± 0.6, ΔWI_D = 5.6 ± 1.0). Final tooth shades were maximally transformed to lighter shades, with A2, A3, A3.5, and A4 substrates shifting to 2M1, 2L1.5, 2R2.5, and 3L1.5, respectively.</p><p><strong>Conclusions: </strong>Both resin substrates and veneer shades significantly influence final tooth shade and whiteness independently. 0.3-mm thick CAD/CAM MT lithium disilicate veneers produce substantial shade and whiteness transformations, making them effective for shade enhancement.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"504"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automatic identification of hard and soft tissue landmarks in cone-beam computed tomography via deep learning with diversity datasets: a methodological study.","authors":"Yan Jiang, Canyang Jiang, Bin Shi, You Wu, Shuli Xing, Hao Liang, Jianping Huang, Xiaohong Huang, Li Huang, Lisong Lin","doi":"10.1186/s12903-025-05831-8","DOIUrl":"https://doi.org/10.1186/s12903-025-05831-8","url":null,"abstract":"<p><strong>Background: </strong>Manual landmark detection in cone beam computed tomography (CBCT) for evaluating craniofacial structures relies on medical expertise and is time-consuming. This study aimed to apply a new deep learning method to predict and locate soft and hard tissue craniofacial landmarks on CBCT in patients with various types of malocclusion.</p><p><strong>Methods: </strong>A total of 498 CBCT images were collected. Following the calibration procedure, two experienced clinicians identified 43 landmarks in the x-, y-, and z-coordinate planes on the CBCT images using Checkpoint Software, creating the ground truth by averaging the landmark coordinates. To evaluate the accuracy of our algorithm, we determined the mean absolute error along the x-, y-, and z-axes and calculated the mean radial error (MRE) between the reference landmark and predicted landmark, as well as the successful detection rate (SDR).</p><p><strong>Results: </strong>Each landmark prediction took approximately 4.2 s on a conventional graphics processing unit. The mean absolute error across all coordinates was 0.74 mm. The overall MRE for the 43 landmarks was 1.76 ± 1.13 mm, and the SDR was 60.16%, 91.05%, and 97.58% within 2-, 3-, and 4-mm error ranges of manual marking, respectively. The average MRE of the hard tissue landmarks (32/43) was 1.73 mm, while that for soft tissue landmarks (11/43) was 1.84 mm.</p><p><strong>Conclusions: </strong>Our proposed algorithm demonstrates a clinically acceptable level of accuracy and robustness for automatic detection of CBCT soft- and hard-tissue landmarks across all types of malformations. The potential for artificial intelligence to assist in identifying three dimensional-CT landmarks in routine clinical practice and analysing large datasets for future research is promising.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"505"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subcutaneous emphysema secondary to autogenous bone grafting: a case report.","authors":"Xidan Zhang, Min Zhou, Xiting Zhu, Ziqi Qin, Huiling Ling, Zhuoli Zhu, Xueqi Gan","doi":"10.1186/s12903-025-05613-2","DOIUrl":"https://doi.org/10.1186/s12903-025-05613-2","url":null,"abstract":"<p><strong>Background: </strong>Subcutaneous emphysema, a rare complication after dental procedures, involves localized tissue swelling caused by air trapped within subcutaneous tissues. Its occurrence following autogenous bone grafting is extremely rare, with limited cases reported.</p><p><strong>Case presentation: </strong>This article describes delayed subcutaneous emphysema following autogenous bone grafting at both the donor site and the recipient site. The patient presented facial and labial swelling. Symptoms, clinical findings, and postoperative CBCT confirmed subcutaneous emphysema.</p><p><strong>Conclusions: </strong>This case report highlights the rare occurrence of subcutaneous emphysema following autogenous bone grafting, with simultaneous involvement of donor and recipient sites. It emphasizes the need for heightened clinical awareness, timely diagnosis, and appropriate preventive measures to reduce the risk of SE in bone augmentation procedures.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"506"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of salivary nitric oxide levels and anxiety in multiple sclerosis patients, with and without Xerostomia: correlation with clinical variables.","authors":"Aynaz Khabazian, Maryam Koopaie, Tanaz Khabazian, Soheila Manifar, Sajad Kolahdooz, Abbas Tafakhori","doi":"10.1186/s12903-025-05878-7","DOIUrl":"https://doi.org/10.1186/s12903-025-05878-7","url":null,"abstract":"<p><strong>Background: </strong>Xerostomia is a prevalent but often overlooked condition in multiple sclerosis (MS) patients, significantly impacting their quality of life and oral health. This cross-sectional observational study investigates the role of nitric oxide (NO) in the pathophysiology of multiple sclerosis (MS) and explores its association with xerostomia in MS patients. The primary objective was to compare salivary NO concentrations and stress levels between MS patients with and without xerostomia.</p><p><strong>Methods: </strong>MS patients diagnosed by neurologists and MRI were categorized into two groups: those with xerostomia and those without. Unstimulated whole saliva samples were collected using the spitting method, and salivary NO levels were quantified using an enzyme-linked immunosorbent assay (ELISA) kit based on the Griess reaction. Stress levels were assessed using the Beck Anxiety Inventory (BAI) questionnaire. The presence of xerostomia was evaluated through the Xerostomia Inventory (XI) and clinical examinations.</p><p><strong>Results: </strong>Salivary NO levels were significantly higher in MS patients without xerostomia (227.47 ng/mL) compared to those with xerostomia (102.37 ng/mL, p < 0.001). Stress levels were also notably higher in MS patients with xerostomia (17.23) versus those without (11.77, p = 0.03). A moderate negative correlation was observed between salivary NO levels and xerostomia (r = 0.44, p < 0.001), indicating that lower NO levels were associated with a higher likelihood of xerostomia. The correlation between stress levels and xerostomia was weaker but still significant (r = 0.28, p = 0.03). Multivariate binary logistic regression analysis identified salivary NO, stress levels, and age as significant predictors of xerostomia in MS patients. The logistic regression model achieved an 80% accuracy in predicting xerostomia based on salivary NO levels and stress.</p><p><strong>Conclusion: </strong>This study highlights a significant negative correlation between salivary NO levels and xerostomia, suggesting that decreased salivary NO concentrations are associated with an increased risk of xerostomia in MS patients. Additionally, stress levels were positively correlated with xerostomia, indicating a potential link between higher stress and the likelihood of xerostomia in MS patients.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"507"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontal status of the patients presenting with pulmonary disease in a tertiary health care facility in eastern Nepal.","authors":"Ashma Ojha, Ashish Shrestha, Tarakant Bhagat, Narendra Bhatta, Augraj Uprety, Santosh Kumari Agrawal","doi":"10.1186/s12903-025-05881-y","DOIUrl":"10.1186/s12903-025-05881-y","url":null,"abstract":"<p><strong>Background: </strong>Periodontitis and pulmonary disease both are common diseases of humans worldwide and are interconnected to each other. Pulmonary disease is one of the leading causes of morbidity and mortality globally. Poor periodontal health has been attributed to enhance multiple systemic diseases including respiratory disease. Therefore, the study was carried out to determine the periodontal status of patients presenting with pulmonary disease and also to assess the association of periodontitis with pulmonary disease along with their oral health behavior.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 103 patients (> 18 years) diagnosed primarily with pulmonary disease in pulmonology/internal medicine ward of a tertiary health care facility in eastern Nepal. A pretested structured questionnaire (WHO-2013 oral health questionnaire for adults/ Global adult tobacco survey questionnaire) was used to assess oral health behavior of participants. Plaque index, gingival index, pocket depth and attachment loss were recorded to assess periodontal condition. Chi square test, t-test and ANOVA were used based on nature of variables. The level of significance was set at p < 0.05.</p><p><strong>Results: </strong>The mean age of participants was 63.57 (± 16.42) ranging from 19 - 89 years. Male participants were higher (60.2%) compared to female (39.8%). Most of the participants were former smokers (79.6%) and former smokeless tobacco users (62.1%). Majority of the participants had fair plaque control (75.6%) and moderate form of gingivitis (92.2%). Of the total (n = 103) participants, 36.9% (n = 38) were diagnosed with COPD, 23.3% (n = 24) with pneumonia, 18.4% (n = 19) with pulmonary tuberculosis and 21.4% (n = 22) with lung malignancy. Overall, 85.5% of participants had periodontitis. More than two-thirds (73.3%) had moderate periodontitis, followed by severe periodontitis (11.1%). Out of all forms of pulmonary disease periodontitis was found to be higher in COPD group (33.8%). No association was observed between periodontitis and pulmonary disease (p = 0.05) whereas former smokers, former smokeless tobacco users and gingival index score was found to be associated (p < 0.05).</p><p><strong>Conclusion: </strong>More than two-third of the participants diagnosed primarily with pulmonary disease had periodontitis. No association was observed between periodontitis and pulmonary disease. However, gingival index score, habit of smoking and smokeless tobacco was associated with periodontitis.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"495"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Removal of calcium hydroxide from simulated internal root resorption defects: a comparative evaluation of EDDY, iVac, Pulp sucker, passive ultrasonic irigation, and conventional techniques.","authors":"Burçin Arıcan, Nihan Berkdemir, Ayşe Tuba Özalp Koca, Utku Can Kemeç, Taha Özyürek","doi":"10.1186/s12903-025-05853-2","DOIUrl":"10.1186/s12903-025-05853-2","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the effectiveness of various irrigation techniques, including iVac, passive ultrasonic irrigation (PUI), Pulp Sucker (PS), EDDY and conventional syringe irrigation (CSI), in removing calcium hydroxide (CH) from simulated internal resorption defects.</p><p><strong>Methods: </strong>Seventy maxillary central incisors with straight, single-rooted canals were selected. Root canal preparation was completed using instrumentation up to an apical size of 40/.04. Each tooth was split longitudinally along the bucco-lingual axis, and artificial internal resorption cavities were created 5 mm from the apex. These cavities were filled with CH paste, and the two halves of each root were bonded together using cyanoacrylate adhesive. The canals were then fully packed with CH. The specimens were divided into five experimental groups, each subjected to a different irrigation protocol: EDDY, PS, CSI, PUI, and iVac. Irrigation included sequential use of 2% sodium hypochlorite, 17% EDTA, and distilled water, with a total of 30 mL used over 4 min for each sample. The percentage of CH removed was assessed, and the data were analyzed statistically at a 5% significance threshold.</p><p><strong>Results: </strong>All tested techniques left CH remnants within the simulated internal resorption defects. PUI and EDDY achieved significantly greater CH removal compared to PS, CSI, and iVac (p < 0.05). However, no significant difference was found between PS and CSI (p > 0.05).</p><p><strong>Conclusion: </strong>Complete removal of CH from internal resorption cavities is challenging. However, PUI and EDDY showed superior efficacy and should be preferred over conventional syringe irrigation, iVac, and Pulp Sucker to optimize CH removal.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"502"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How short peptides interact with oral cells? A systematic review.","authors":"Giulia Tetè, Aleksandr Trofimov, Natasha Cinta Vinskid, Giuseppe Tafuri, Fabia Profili, Bruna Sinjari","doi":"10.1186/s12903-025-05856-z","DOIUrl":"10.1186/s12903-025-05856-z","url":null,"abstract":"<p><strong>Background: </strong>The study of short peptides in dentistry is a particularly promising area, due to their unique biological properties, such as antibacterial and antitumor activity, the ability to modulate immune responses, tissue regeneration processes, and their potential to stimulate stem cell differentiation. This study provides a systematic review aimed at analyzing the role of short peptides in the pathogenesis and treatment of oral diseases.</p><p><strong>Methods: </strong>A systematic search was performed according to the PRISMA statement and employed the PICO(S) approach. The search was limited to English-language articles, and in vitro study were included in the electronic search. A comprehensive search was conducted across PubMed, Embase, Web of Science and Cochrane Library databases, without timeframe limits, resulting in a total of 1085 scientific articles. After duplicate removal, 563 unique papers remained for further analysis. Following this screening process, 19 studies were identified as relevant to the topic. A final selection of 9 scientific papers was made based on their study type and the specific peptide examined. One last article was eliminated in final analysis because the laboratory methodology is now refuted by more recent scientific evidence.</p><p><strong>Results: </strong>8 in vitro studies dealing with different short peptides with different biological functions against oral cavity cells and tissues were included. 4 articles highlighted the ability of short peptides to positively influence the proliferation of cells in the oral cavity. 2 articles highlighted the antitumour activity of short peptides. 1 article highlighted the antimicrobial activity of the peptide DJK-15. The last paper showed that Pep-B has anti-inflammatory properties towards the cells of the oral cavity.</p><p><strong>Conclusions: </strong>However, the main short peptides that have been tested in vitro and that act on cells and tissues of the oral cavity are the focus of this systematic review. It can therefore be used as a basis for a possible hypothesis of new in vitro studies to compare the different molecules, for new in vivo studies and for the investigation of potential action mechanisms and applications for new drugs to combat diseases of the oral cavity.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"494"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is mandibular posterior dento-alveolar intrusion essential in treatment of skeletal open bite in adult patients? A single center randomized clinical trial.","authors":"Heba E Akl, Amr M Abouelezz, Fouad A El Sharaby, Mohamed Abd-El-Ghafour, Amr R El-Beialy","doi":"10.1186/s12903-025-05778-w","DOIUrl":"10.1186/s12903-025-05778-w","url":null,"abstract":"<p><strong>Background: </strong>Anterior open bite (AOB) malocclusion usually represents a complicated and advanced orthodontic problem. The skeletal variant of AOB used to be treated with a combined orthodontic and surgical approach, until the posterior segments' intrusion has been validated as an alternative, effective and conservative treatment modality for such cases with comparable outcomes to the surgical approach. The objective of this two-arm parallel randomized clinical trial was to compare the effects of mini-screw supported maxillary versus bi-maxillary buccal segments' intrusion on the amount of anterior open bite closure.</p><p><strong>Methods: </strong>Twenty-two adult patients aged 17-25 years, with skeletal open bite and anterior dental separation of 3-8 mm were randomized to either the comparator (Maxillary Intrusion with Consolidation of mandibular buccal segments-MIC) or intervention (Bimaxillary buccal segments' intrusion-BMI) groups. Miniscrew-assisted buccal segments' intrusion was instituted using fixed appliances on rigid stainless steel archwires (19 × 25 stainless steel) via nickel-titanium coil springs in the maxilla and memory chains in the mandible. The intrusion force was 200 g per maxillary buccal segment in both groups, and it was 150 g for each mandibular posterior segment in the BMI group. Duration of intrusion was 6 months.</p><p><strong>Results: </strong>Anterior open bite was significantly closed in both groups with means of 3.8 ± 0.84 (95% confidence interval [CI] 3.2-4.4) and 3.84 ± 1.47 mm (CI;2.8-4.9) for the MIC and BMI groups, respectively with no significant difference between them (p-value < 0.05). Maxillary posterior teeth experienced significant intrusion in both groups, with a mean of 2.89 ± 1.13 mm (CI;2.63-3.14) in the MIC group and 2.26 ± 1.62 mm (CI;1.89-2.62) in the BMI group. Statistically significant mandibular posterior teeth intrusion occurred in both groups with means of 0.86 ± 0.91 (CI;0.65-1.06) and 0.33 ± 0.84 mm (CI;0.14-0.52) in the BMI and MIC groups, respectively, with a statistically significant difference of 0.53 ± 0.14 (CI;0.25-0.8) mm. However, such difference was considered clinically insignificant.</p><p><strong>Conclusions: </strong>Anterior open bite closure could be successfully achieved with maxillary buccal segments intrusion without the need for active intrusion of the mandibular posterior segments, as long as the latter are efficiently consolidated.</p><p><strong>Trial registration: </strong>The trial was prospectively registered at clinicaltrials.gov with an identifier number of NCT04713280.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"500"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient understanding and compliance with post-operative instructions and follow-up at Yekatit 12 Hospital, Addis Ababa, Ethiopia.","authors":"Kalkidan Mesfin, Yeshewas Abaynew","doi":"10.1186/s12903-025-05859-w","DOIUrl":"10.1186/s12903-025-05859-w","url":null,"abstract":"<p><strong>Background: </strong>Patient understanding, compliance with post-operative instructions, and follow-up are useful for obtaining good patient outcomes. Lack of understanding and non-compliance are common problems that significantly impact patients' health. Understanding the level of compliance and identifying associated reasons are important for achieving successful patient outcomes.</p><p><strong>Objective: </strong>This study evaluated patient understanding and compliance with post-operative instructions and follow-up after dental procedures at Yekatit 12 Hospital in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>An institutional cross-sectional study was conducted at the dental clinic of Yekatit 12 Hospital. Study participants were selected using a systematic sampling method. Over two months, trained data collectors administered a semi-structured questionnaire to 227 consenting patients attending the dental clinic. Patient records were reviewed to retrieve important information. Data collected included patient demographics, post-operative instructions, and frequency of attendance at follow-up appointments. The data were entered into the SPSS version 26 software package. A chi-square test was used to assess the relationships between the independent and dependent variables.</p><p><strong>Results: </strong>The overall patient compliance rate with post-operative instructions was 67.9% and the follow-up appointment attendance rate was 66%. This study revealed that patients who missed follow-up appointments cited forgetfulness as their primary reason. The compliance rate with post-operative instructions varied based on the mode of instructional delivery and patient literacy level.</p><p><strong>Conclusions: </strong>This study revealed suboptimal patient compliance with post-operative instructions and follow-up appointment attendance at Yekatit 12 Hospital. The most common reasons for missing appointments included forgetfulness and economic issues. Patient education and good communication are required to improve patient compliance and follow-up. Additionally, follow-up reminder systems such as text messages should be implemented to increase patient attendance at follow-up appointments.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"499"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between predisposing, enabling and need factors and oral health care utilization among U.S. working age adults.","authors":"McKing I Amedari, Adejare Jay Atanda, Ifeoma K Amedari, Mauda Monger, Benjamin H Walker","doi":"10.1186/s12903-025-05821-w","DOIUrl":"10.1186/s12903-025-05821-w","url":null,"abstract":"<p><strong>Background: </strong>Irregular dental visits due to cost-related delays contribute to poor oral health outcomes, dental needs, and emergency service utilization across the life course. The study investigated how predisposing, enabling, and needs factors are associated with cost-related delays in oral health care and postponed dental visits.</p><p><strong>Methods: </strong>Using secondary data from the 2022 National Health Interview Survey for United States (U.S.) adults aged 18-64 years, the study conducted descriptive, bivariate, and multivariate data analyses. Separate multivariable logistic regressions were used to model cost-related delayed oral health care and postponed dental visits (no dental visit in the past 12 months) as a function of predisposing, enabling, and need factors (n = 17,513). Predictor variables included race, education, smoking status, age, gender and employment status (Predisposing factors), family income as a percentage of the Federal Poverty Level (FPL) and Health Service Deficit (HSD) variables (no health insurance, no usual medical primary care provider, > 12 months of last medical exam and delayed medical care due to cost) (Enabling factors), difficulty engaging in social activities and the presence of > 1 comorbidity (Need factors).</p><p><strong>Results: </strong>The prevalence of cost-related delayed oral health care was 20.2%, and that of postponed dental visits was 36.4%. Strong predictors for cost-related delayed oral health care emerged from predisposing factors (smoking OR = 1.47, 95% CI, 1.33, 1.62), enabling factors (no health insurance OR = 2.96, 95% CI, 2.56, 3.42), and need factors (difficulty engaging in social activity OR = 1.59, 95% CI, 1.34, 1.88) at p < 0.001. Enabling factors were the strongest predictors of postponed dental visits. The odds decreased with higher family income [> 400% FPL vs. < 100% FPL (OR, 0.50; 95% CI, 0.43, 0.58)], whereas the odds increased by 68%, 64%, 130%, and 57% for persons with no health insurance, no usual primary care provider, > 12 months of last medical exam, and delayed medical care due to cost, respectively.</p><p><strong>Conclusions: </strong>Individual factors, including smoking, lack of health insurance, and difficulty engaging in social activity, were independently associated with cost-related delayed oral health care, and the strong links between postponed dental visits and HSDs provide a clear opportunity for advocating for medical and dental integration for patient-centered care.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"501"},"PeriodicalIF":2.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143802524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}