BMC Oral Health最新文献

{"title":"Oral health literacy from a person-centered focus in the United States: a narrative review.","authors":"Kelly L Schroeder, Caroline McLeod, Stephanie Clester, Hanna J Cheung, Lisa J Heaton, Eric P Tranby","doi":"10.1186/s12903-025-06472-7","DOIUrl":"10.1186/s12903-025-06472-7","url":null,"abstract":"<p><strong>Background: </strong>The concept of oral health literacy (OHL) is well recognized in the literature as a contributing factor to poor oral and systemic health outcomes. Oral health literacy is a combination of knowledge and skills acquired over time through oral health experiences. An OHL framework helps identify barriers related to OHL such as individual demographics, environmental factors, and access to oral health information. This framework will be used to examine who in the literature is being measured for OHL, explore the various interventions for improved OHL, and investigate who should be held responsible for improving OHL.</p><p><strong>Methods: </strong>Evidence-based, peer reviewed, manuscripts were examined to determine who is being measured for OHL and who is responsible for improving OHL and oral health outcomes. Electronic databases, PubMed, Google Scholar, ProQuest Health and Medicine, and EBSCO Complete were searched for literature published on OHL from 2018-2024. Four reviewers screened manuscripts for inclusion/exclusion criteria and categorized manuscripts according to OHL subject, OHL interventions, and OHL provider.</p><p><strong>Results: </strong>Out of 12,961 manuscripts, 58 met inclusion criteria and were reviewed and categorized according to the OHL population focus, OHL intervention or measure type, and who was recommended to provide future OHL skills. From these main categories, parents and caregivers were most often measured for OHL with an OHL survey instrument. When interventions were applied, they generally consisted of oral health education and behavioral modification. The responsibility for improved OHL was most often placed on medical and dental providers.</p><p><strong>Conclusions: </strong>OHL is a highly researched topic in the literature. However, OHL is often focused on one social identity, such as being a caregiver or a particular race/ethnicity. Power dynamics between patients and providers, and within communities and health care systems can further perpetuate challenges with improving OHL and positive oral health experiences. Using an OHL framework, which includes identifying multiple social identities and recognizing environmental barriers, can help identify individuals who would benefit from assistance in improving their OHL.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1151"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Apoptotic extracellular vesicles derived from human dental pulp stem cells facilitate periodontal tissue regeneration.","authors":"Junyi Xia, Zeyu Zhang, Jinlong Weng, Guanxiong Zhu, Zidan Xu, Liting Zeng, Janak Lal Pathak, Lina Yu","doi":"10.1186/s12903-025-06531-z","DOIUrl":"10.1186/s12903-025-06531-z","url":null,"abstract":"<p><strong>Objective: </strong>Apoptotic extracellular vesicles (ApoEVs) derived from human dental pulp stem cells (hDPSCs) are subcellular structures released during programmed cell death. These vesicles carry rich biological information and regulatory potential, and have demonstrated significance in regulating cell behavior and tissue repair. Human periodontal ligament stem cells (hPDLSCs) are key to regenerating periodontal tissue, and their osteogenic differentiation ability directly influences the repair and reconstruction of periodontal bone tissue. However, the potential of ApoEVs derived from human dental pulp stem cells (hDPSCs-ApoEVs) to regulate the osteogenic differentiation of hPDLSCs remains unexplored. This study aims to investigate the effects of hDPSCs-ApoEVs on the osteogenic differentiation of hPDLSCs, offering new insights and methods for treating periodontal bone tissue injuries, with important scientific and clinical implications.</p><p><strong>Methods: </strong>hDPSCs-ApoEVs were isolated via ultracentrifugation and characterized by transmission electron microscopy (TEM), dynamic light scattering (DLS), and Western blot. In vitro, hPDLSCs were treated with hDPSCs-ApoEVs to determine whether the vesicles could enter hPDLSCs and to assess the proliferation, migration, and osteogenic potential of hPDLSCs. In vivo, a rat periodontal bone defect model was established, with local injections of hDPSCs-ApoEVs or PBS administered every other day. After 6 weeks, the maxillae were collected and analyzed using micro-CT and histological staining.</p><p><strong>Results: </strong>In vitro, hDPSCs-ApoEVs promoted the migration and osteogenic differentiation of hPDLSCs. In vivo, treatment with hDPSCs-ApoEVs can enhance the recovery of periodontal bone defects in rats.</p><p><strong>Conclusion: </strong>hDPSCs-ApoEVs play a significant role in promoting bone regeneration, suggesting their potential as a promising cell-free therapeutic strategy for periodontal bone tissue regeneration.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1150"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biogenic amorphous calcium phosphate: a sustainable alternative for dentin remineralization.","authors":"M Madhana Madhubala, G S Nayantara, R Jayasree, Janis Locs, Sekar Mahalaxmi","doi":"10.1186/s12903-025-06524-y","DOIUrl":"10.1186/s12903-025-06524-y","url":null,"abstract":"","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1149"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12255129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of media use on oral health, parafunctional habits, and nutritional status in preschoolers: a cross-sectional study.","authors":"Abrar Alanzi, Wasmiya AlHayyan, Narjes Hashem","doi":"10.1186/s12903-025-06536-8","DOIUrl":"10.1186/s12903-025-06536-8","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the potential correlation between problematic media use (PMU) and poor oral health, increased parafunctional habits, and poor nutritional status in preschool children.</p><p><strong>Methods: </strong>Participants were healthy preschool children aged 3 to 5 who presented to a pediatric dentistry clinic. Clinical examinations were performed to evaluate children's caries experience and oral hygiene. The weight and height of each child were recorded. Structured questionnaires were administered to obtain children's demographic information, oral hygiene practices, dietary habits, oral parafunctional habits, and their daily use of screen-based media devices. Problematic media use was assessed using the Arabic version of the Problematic Media Use Measure-Short Form (PMUM-SF).</p><p><strong>Results: </strong>A total of 388 children completed the study. The majority (69%) were categorized as underweight, with a mean body mass index of 13.3. Children with moderate to high PMU exhibited significantly more bruxism and nail biting than those with low PMU (p < 0.05). The prevalence of dental caries was extremely high (99.2%), with no significant difference across PMU groups. Poor oral hygiene was more evident in children with high PMU (38.3%, p < 0.05).</p><p><strong>Conclusions: </strong>Problematic media use (PMU) in preschool children was associated with some parafunctional oral habits and a trend toward poorer oral hygiene. No significant impact of PMU on children's nutritional status was determined.</p><p><strong>Clinical trial number: </strong>No applicable.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1143"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144616173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dental caries prevalence, preventive behaviour and related factors among adolescents in Nigeria: a 10-year systematic review and meta-analysis.","authors":"Adebukunola O Afolabi, Adebola O Ehizele, Ukachi Chiwendu Nnawuihe, Francisca O Nwaokorie, Ucheoma Nwaozuru, Foluso Owotade, Joanne Lusher, George Uchenna Eleje, Omolola T Alade, Folahanmi T Akinsolu, Oliver C Ezechi, Moréniké Oluwátóyìn Foláyan","doi":"10.1186/s12903-025-06504-2","DOIUrl":"10.1186/s12903-025-06504-2","url":null,"abstract":"<p><strong>Background: </strong>The paucity of actionable data on the epidemiological profile of dental caries among adolescents in Nigeria poses significant challenges to policy formulation and implementation. This study aimed to estimate the prevalence of dental caries among adolescents in Nigeria and identify dental caries preventive behaviours associated with dental caries experience among adolescents in Nigeria over 10 years.</p><p><strong>Methods: </strong>A systematic review and meta-analysis of studies on dental caries among adolescents was undertaken in September 2023. Literature searches were conducted across Academic Info, Cochrane Library, Refseek, and PubMed databases and Google Scholar, to identify studies on dental caries prevalence and dental caries preventive behaviour among adolescents in Nigeria that were published between January 2013 and December 2022. Eligible studies included cross-sectional, cohort, and case-control studies. Studies were also included if they presented data for at least one of the primary outcomes. Excluded were studies without information on the sample size, those with incomplete or overlapping samples, case reports, case series, editorials, or reviews without primary data. Heterogeneity was assessed using I² percentages, and a funnel plot evaluated publication bias. A random effects model was used to determine the prevalence of dental caries with subgroup analysis by sex. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Joanna Briggs Institute (JBI) Critical Appraisal Checklist to assess the quality and integrity of the included studies. The systematic review was registered on PROSPERO (CRD42024458849).</p><p><strong>Results: </strong>Sixteen studies met the eligibility criteria. The pooled prevalence of dental caries among adolescents in Nigeria was 23.0% (95% CI: 16-30). The pooled prevalence for males was 16.0% (95% CI: 9-23) and that for females was 22.0% (95% CI: 11-32). The commonest dental caries preventive practices reported were daily tooth brushing, use of fluoride-containing toothpastes, and dental service utilization. Factors associated with dental caries included a history of dental service utilization, poor oral hygiene practices, and consumption of refined carbohydrates in-between-meals.</p><p><strong>Conclusion: </strong>The high prevalence of dental caries among adolescents in Nigeria warrants programmatic attention with an emphasis on improving oral hygiene practices and controlling the consumption of refined carbohydrates in-between-meals. Dental service utilization for dental caries preventive needs to be encouraged.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1138"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Periodontitis, risk factors, and their impact on oral health-related quality of life (OHRQOL) among Egyptian Geriatric patients: a multi-center cross-sectional study.","authors":"Suzan Seif Allah Ibrahim, Mohammed Al-Bahrawy, Aya Hosny Taha Zahran","doi":"10.1186/s12903-025-06376-6","DOIUrl":"10.1186/s12903-025-06376-6","url":null,"abstract":"<p><strong>Aim: </strong>This study investigated the prevalence, risk indicators, and impact of periodontitis on oral health-related quality of life (OHRQOL) among Egyptian geriatric patients. This study aims to provide insights into the broader implications of this disease for quality of life by assessing functional, psychological, and social domains.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 400 Egyptian participants aged 60 years and older recruited from Ain Shams University's outpatient clinics and the Ministry of Health dental research centers. Sociodemographic and behavioral data were collected via structured questionnaires, whereas OHRQOL was evaluated using the OHIP-14 tool. Clinical periodontal assessments adhered to the 2017 World Workshop classification. Logistic regression was applied to identify associations between periodontitis severity, risk indicators, and OHRQOL impacts.</p><p><strong>Results: </strong>Among the participants, 66.5% (N = 266) reported a negative impact on OHRQOL, predominantly due to psychological discomfort, physical pain, and disability. Stages II (40%) and III (36.2%) periodontitis were the most prevalent, with PPD Mean ± SD 4.95 ± 1.38, CAL Mean ± SD 4.21 ± 1.38. The key risk factors for severe periodontitis included being male, being older, being less educated, being a smoker, and having diabetes. The study also revealed that irregular tooth brushing, residence in specific urban locations, and advanced periodontitis stages were significantly associated with poorer OHRQOL.</p><p><strong>Conclusions: </strong>Periodontitis adversely affects OHRQOL among Egyptian elderly individuals, with the psychological and physical domains being the most affected. These findings underscore the need for targeted public health strategies and personalized interventions to mitigate the burden of periodontal disease in this population.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1140"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The potential of serum and salivary interleukin-1β and matrix metalloproteinase-8 as determinants of periodontitis grading.","authors":"Erensu Uzar, Nilgun Gurbuz, Zeynep Akpınar, Malik Ergin, Özgür Koşkan, Zuhal Yetkin Ay","doi":"10.1186/s12903-025-06529-7","DOIUrl":"10.1186/s12903-025-06529-7","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to test the hypothesis that salivary and serum interleukin (IL)-1β and matrixmetalloproteinase (MMP)-8 levels, whole blood parameters, and anthropometric measurements, when used alongside the clinical and radiographic parameters used in the current classification, can successfully classify periodontal health status, and grade in periodontitis patients.</p><p><strong>Methods: </strong>Two-hundred and forty voluntary individuals were included. Eight groups were constituted: clinical gingival health and gingivitis (on intact and reduced periodontium) and periodontitis (stages I-IV, sub grouped according to grades). Clinical, socio-demographic and anthropometric parameters were recorded. Complete blood and lipid profile analysis were made in serum. Salivary and serum IL-1β and MMP-8 levels of 160 individuals were analyzed with Enzyme Linked Immunosorbent Assay (ELISA). Statistical analyses include Multivariate Analysis of Variance (MANOVA), discriminant analysis, factor analysis and canonical correlation analysis using SPSS v.23^® (p < 0.05).</p><p><strong>Results: </strong>Seven variables among which serum MMP-8 were found to discriminate the periodontal status with the overall success rate 86.9%. Maximum probing depth and salivary IL-1β have discriminated the grade for periodontitis patients 75%. The factor loading greater than 0.5 included eight variables among which serum IL-1β and serum MMP-8. The clinical and biochemical variables set explain each other 37.82% and 14.38%, reciprocally.</p><p><strong>Conclusions: </strong>The results of our study suggest that salivary and serum levels of IL-1β and MMP-8 may serve as potential biomarkers for distinguishing between different grades of periodontitis. Further research is warranted to confirm their diagnostic value and explore their role in periodontal disease progression.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1139"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of adverse childhood experiences with dental fear, and the mediating role of dental fear on caries experience: the Young-HUNT4 Survey.","authors":"Lena Myran, Yi-Qian Sun, Göran Dahllöf, Tiril Willumsen, Anne Rønneberg, Audun Havnen, Therese Kvist, Abhijit Sen, Hedda Høvik","doi":"10.1186/s12903-025-06486-1","DOIUrl":"10.1186/s12903-025-06486-1","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACEs) may contribute to dental fear, which can negatively affect long-term oral health. We aimed to examine associations between specific and cumulative ACEs and dental fear in adolescents, investigate possible sex differences, and explore the potential mediating role of dental fear in the relationship between ACEs and caries experience.</p><p><strong>Methods: </strong>This cross-sectional study included 5882 Norwegian adolescents aged 13-17 years from the Young-HUNT4 Survey in Norway. Self-reported ACEs (i.e., physical and sexual abuse, witnessing violence, parental divorce, parental alcohol problems, and bully victimisation) and dental fear were combined with clinical measures of caries experience. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between ACEs and dental fear. Effect modification by sex was assessed using the likelihood ratio test. A counterfactual-based mediation analysis was conducted to estimate a potential mediating effect of dental fear on the relationship between ACEs and caries experience, with results presented as ratios of means (RMs) with bias-corrected 95% CIs.</p><p><strong>Results: </strong>All specific ACEs were associated with higher odds of reporting dental fear, compared to those not reporting the given ACE. Adolescents reporting any ACE had a 74% higher likelihood of reporting dental fear compared to those without ACEs (OR 1.74, 95% CI 1.29-2.33). A dose-response relationship was observed, with a one-unit increase in ACE exposure associated with higher odds of reporting dental fear (OR 1.25, 95% CI 1.15-1.36). There was evidence of effect modification by sex, with the associations between any ACE and dental fear being more pronounced in females. Further, dental fear accounted for 5.9% of the total effect in the association between any ACE and caries experience.</p><p><strong>Conclusions: </strong>Specific and cumulative ACEs were associated with dental fear among adolescents, with a stronger association in females. Our findings indicate a partial mediating role of dental fear in the association between ACEs and caries experience. This study highlights the value of incorporating ACEs and dental fear into patient assessment.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1141"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical effects of digitally constructed titanium, modified polyetheretherketone, and polyetherketoneketone subperiosteal implants on atrophied maxilla: a finite element analysis.","authors":"Mohammed A El-Sawy, Basin El-Khatib, Hesham S Borg, Mohamed T Khater","doi":"10.1186/s12903-025-06426-z","DOIUrl":"10.1186/s12903-025-06426-z","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate how different combinations of subperiosteal and superstructure framework materials-titanium, modified PEEK, and PEKK-affect stress distribution on bone in atrophic maxillae, using finite element analysis (FEA).</p><p><strong>Methods: </strong>A three-dimensional finite element model of an atrophic maxilla was created from CT data and processed through CAD and ANSYS software. Nine combinations of framework materials were tested under three loading protocols (vertical, oblique, and incisor-directed forces). The subperiosteal framework was fixed in place by 12 mini-screw with different lengths, that the 3 materials were assigned to frameworks in 9 different combinations for the lowest stresses on bone. Three different loading protocols were applied to the prosthetic structure with each of frameworks materials combination.</p><p><strong>Results: </strong>Titanium subperiosteal frameworks transferred the least stress to underlying bone and fixation screws, while modified PEEK and PEKK showed higher stress values, particularly under incisor loading. Titanium superstructures exhibited higher internal stresses due to rigidity but protected supporting structures more effectively. Cases under vertical incisors forces showed very high stress levels on cement layer and subperiosteal frame due to bending, and high stresses on mini-screws and bone. These levels were critical for cement layer, modified PEEK, and PEKK framework materials, bone, except, mini screws, that stresses level were in the safe region.</p><p><strong>Conclusion: </strong>Within the limitations of this FEA analysis, Titanium is the optimal material for subperiosteal frameworks in atrophic maxillae due to its superior stress distribution. PEKK and modified PEEK may be viable alternatives in patients with reduced functional loading.</p><p><strong>Clinical significance: </strong>Titanium subperiosteal framework should be considered the optimum material for subperiosteal implants. Modified PEEK and PEKK material can be considered as alternative material to titanium subperiosteal framework for patients with lower masticatory forces (complete denture on the opposite arch or on the anterior segment).</p><p><strong>Clinical trial registry number: </strong>Registered at www.</p><p><strong>Clinicaltrials: </strong>gov (NCT06362057) (2024-04-8).</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1142"},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 oral health-related quality of life among a convenience sample of individuals receiving inpatient psychiatric care: a retrospective cross-sectional study.","authors":"Keeley Flavin, Danna R Paulson, Mercedes VanDeWiele, Michael Evans, Cyndee Stull","doi":"10.1186/s12903-025-06499-w","DOIUrl":"10.1186/s12903-025-06499-w","url":null,"abstract":"<p><strong>Background: </strong>Those living with mental illnesses have an increased risk of poor oral health exacerbated by lack of motivation for self-care and reduced help-seeking behaviors. Poor oral health status may lead to reduced oral health-related quality of life (OHRQoL) among this population, including the dimensions of Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. Despite this, oral health is often neglected in the management of mental illnesses, particularly in inpatient treatment facilities. The purpose of this research is to investigate the relationship between the oral health status and OHRQoL in adults receiving inpatient psychiatric care.</p><p><strong>Methods: </strong>This retrospective, cross-sectional study examined data from medical records of adults between the ages of 18 and 80 receiving inpatient psychiatric care, who had not opted out of research, were English-speaking, and were seen by a hospital dental hygienist between August 1st, 2024 and January 31st, 2025 in response to a consultation request by hospital staff. Oral health status was measured using the Oral Health Assessment Tool (OHAT), and the four dimensions of OHRQoL was measured using the 5-item Oral Health Impact Profile (OHIP-5). Summary scores were analyzed using means and standard deviations. OHAT and OHIP-5 item analysis was completed using frequencies and percentages. Relationships between outcomes were examined using Pearson correlations, with p < 0.05 considered statistically significant.</p><p><strong>Results: </strong>Twenty-four patient records met inclusion criteria for analysis. The average time from patient admittance to dental hygiene consult was 17 days, with dental pain being the most common reason for consultation (n = 16). Frequency and percentages showed dental pain, natural teeth, and gums and tissues were most frequently scored as unhealthy on the OHAT assessment. Analysis of OHIP-5 summary scores indicated a mean of (M = 11.17, SD = 6.55), suggesting a moderate average impact on OHRQoL within the sample. Further analysis would be required to determine statistically significant differences or associations. Dental pain was positively correlated with all four dimensions of OHRQoL. No other oral condition was associated with summary or individual items of OHIP-5.</p><p><strong>Conclusions: </strong>Results showed generally poor oral health among individuals hospitalized for psychiatric care. OHIP-5 summary scores showed oral health problems were associated with moderate impairment of OHRQoL. Findings emphasize the need for interprofessional preventative care and support oral health integration in psychiatric settings. Future research should incorporate baseline and follow-up oral health assessments to evaluate the impact of targeted oral health interventions on oral health status and OHRQoL.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"1135"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}