BMC Oral Health最新文献

{"title":"Availability and utilization of oral healthcare services at rural community health centers in South India: a mixed methods study.","authors":"Madhuri Panditi, Anusha K, Edukondal Palle, Prakash Babu Kodali","doi":"10.1186/s12903-025-06327-1","DOIUrl":"https://doi.org/10.1186/s12903-025-06327-1","url":null,"abstract":"<p><strong>Background: </strong>The National Oral Health Programme, launched by the Government of India, aims to provide comprehensive oral healthcare through public healthcare system. We conducted this study to assess availability and utilization of oral healthcare services at Community Health Centers (CHCs) in Prakasam district, Andhra Pradesh, India.</p><p><strong>Methods: </strong>Between January-June 2024, we conducted a mixed methods study comprising of facility survey of CHCs (n = 12), in-depth interview of CHC dentists (n = 12), and survey of individuals from randomly sampled households in the CHC catchment areas (n = 360). Facility survey and in-depth interviews were employed to study the availability of oral healthcare services, while household survey enabled assessment of their utilization. Survey data were analyzed employing descriptive and multivariate procedures. Qualitative interviews were analyzed using thematic analysis. We computed Adjusted odds ratios (AORs) for identifying factors associated with oral healthcare utilization.</p><p><strong>Results: </strong>All CHCs had a dentist, dental room, and dental chair, but none had dental assistants/hygienists. Services were limited to health education, scaling and root planing, and restorations. Demand deficit, health system preparedness, and operational constraints emerged as key themes. Only 13.9% sought oral healthcare from CHCs in the past year. Multiple symptoms (AOR = 3.19), awareness (AOR = 10.35), and perceived accessibility (AOR = 4.89) were significantly associated with oral healthcare utilization.</p><p><strong>Conclusions: </strong>Utilization of oral healthcare services is limited. Improving service utilization requires investment in infrastructure, human resources, and enhancing demand through education and outreach.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"977"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538415","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":"Development of a risk model for predicting cervical lymph node metastasis in major salivary gland carcinomas utilizing clinicopathological and ultrasound features.","authors":"Huan-Zhong Su, Ji-Chao Lin, Long-Cheng Hong, Yu-Hui Wu, Feng Zhang, Kun Yu, Xiao-Dong Zhang, Zuo-Bing Zhang","doi":"10.1186/s12903-025-06344-0","DOIUrl":"https://doi.org/10.1186/s12903-025-06344-0","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical lymph node (CLN) status is an important factor for the patients with major salivary gland carcinomas (MSGCs) with respect to the surgical methods, prognosis, and recurrence. Our aim is to develop a risk model that incorporates clinicopathological and ultrasound (US) features to predict the cervical lymph node metastasis (CLNM) in MSGCs.</p><p><strong>Methods: </strong>Retrospective data were gathered for 111 patients with MSGCs who underwent surgical treatment and US examinations at our institution from January 2016 to December 2022. Their clinicopathological and US data were documented and analyzed. Independent predictors predicting CLNM in MSGCs were screened through univariate and multivariate analysis. The nomogram model were built based on independent predictors using logistic regression. The evaluation of the model's performance was then conducted.</p><p><strong>Results: </strong>The clinicopathological and US factors of patient age, lesion size, US reported CLN-positive, histological type, and histological grade were identified as independent predictors for predicting CLNM in MSGCs. The nomogram model, which integrated these predictive factors, achieved an AUC of 0.923 (95% CI: 0.869 ~ 0.977), demonstrating good predictive performance and calibration. Decision curve analysis and clinical impact curve further confirmed its clinical usefulness.</p><p><strong>Conclusions: </strong>The nomogram model we developed holds the potential to predict CLNM in MSGCs preoperatively, thereby enabling the provision of more precise therapeutic strategies.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"970"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538485","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 the effects of different polishing systems on surface roughness and surface discoloration of various restorative materials.","authors":"Tuba Sarıcı, Burak Dayı","doi":"10.1186/s12903-025-06335-1","DOIUrl":"https://doi.org/10.1186/s12903-025-06335-1","url":null,"abstract":"<p><strong>Objective: </strong>This in-vitro study aimed to evaluate the effects of different polishing systems on the surface roughness and discoloration of various composite resins, and to assess the effectiveness of repolishing procedures in reducing discoloration.</p><p><strong>Materials and methods: </strong>Four different composite resins (giomer, nanohybrid, nanoceramic, microhybrid) were polished using various systems. Surface roughness was evaluated using mechanical profilometer, Atomic Force Microscopy (AFM). Surface morphology was examined by Scanning Electron Microscopy (SEM). Samples were immersed in a coffee solution for staining, followed by repolishing. Color change (ΔE) values were recorded.</p><p><strong>Results: </strong>Surface roughness and discoloration varied based on the composite type and polishing system. The smoothest surface was observed in the nanohybrid composite polished with OptiDisc (Ra: 0.59), while the roughest surface was seen in the nanoceramic composite polished with Lucida (Ra: 1.70). The highest discoloration occurred in the giomer with Enhance PoGo, while Twist Dia produced the most stain-resistant surfaces (p = 0.008). Repolishing with the OptiDisc significantly reduced discoloration, with ΔE values falling within clinically acceptable limits only in this group (p = 0.00671).</p><p><strong>Conclusions: </strong>Multi-step polishing systems, those containing aluminum oxide were more effective in achieving smoother surfaces and better color stability. Results varied according to the composite material and the polishing system used.</p><p><strong>Clinical significance: </strong>This study emphasizes that different polishing systems may lead to differences that could potentially affect the clinical performance and aesthetic longevity of composite resins.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"978"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538497","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":"Accuracy of virtual mounting at centric relation using personalized 3D-printed transfer key: a clinical in vivo study.","authors":"Nam Cong-Nhat Huynh, Nhat Dinh-Minh Nguyen, Oanh Ngoc-Hoang Nguyen, Anh Ho-Quynh Nguyen, Khoa Dang Nguyen, Hai Hoang Phan, Khanh Hung Nguyen, Jong-Eun Kim, Hung Trong Hoang","doi":"10.1186/s12903-025-06380-w","DOIUrl":"https://doi.org/10.1186/s12903-025-06380-w","url":null,"abstract":"<p><strong>Aim: </strong>Previously, we developed a 3D-printed customized transfer key for virtual mounting of the face and maxillomandibular relationship at centric occlusion. The accuracy was evaluated in vitro using a phantom head model with simulated soft tissue. In the present study, we aimed to investigate the effect of the transfer key in humans with clinical situations.</p><p><strong>Methods: </strong>In the cross-sectional study, twenty volunteers with class I Angle occlusion were clinically registered for centric relation using a personal 3D-printed transfer key. The facial and intraoral (IOS) scans were recorded and integrated to build a virtual model patient via the transfer key. Large-view CBCT images were obtained and then segmented for 3D reconstruction as a reference. The deviation between the virtual model and the reference was evaluated using 3D superimposition, with min, max, mean, and root mean square (RMS) deviations calculated. We also calculated the difference between the virtual model and the reference at the upper and lower occlusal planes.</p><p><strong>Results: </strong>Superimposition demonstrated high deviations in the total head and face areas, especially on the chin and submandible sides, with mean and RMS deviations of 0.05 and 0.88 mm for the head and 0.17 and 1.26 mm for the face only. Significant differences were found between the head and face, with high agreements in the upper and lower arches, as indicated by the mean and RMS deviations of 0.008 and 0.34 mm for the upper arches, and 0.1 and 0.61 mm for the lower arches. Upper arches were mounted accurately in all teeth, while lower arches were more rotated at the incisors. The lower arches showed a higher deviation than the upper arches, with an occlusal plane discrepancy of 0.66° for the lower and 1.6° for the upper arches, respectively.</p><p><strong>Conclusions: </strong>The dental arches achieved the highest agreement, while deviations were noted in the facial regions. The 3D-printed customized transfer key effectively enhanced the virtual class I patient's accuracy. This novel approach offers a streamlined, patient-friendly solution for digital dental workflows.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"967"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538413","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":"An epidemiological trend analysis of oral cancer in Korea from 2001 to 2021.","authors":"Hye-Sun Shin, Junho Choi, Yuyi Park, Uiseop Shin, Sangmyeong Kim, Dong-Hun Han","doi":"10.1186/s12903-025-06351-1","DOIUrl":"https://doi.org/10.1186/s12903-025-06351-1","url":null,"abstract":"<p><strong>Background: </strong>Although recent global studies have highlighted shifting patterns in oropharyngeal cancer, Korea lacks comprehensive epidemiological data on oral cancer, including detailed prevalence by anatomical subsites, age, and sex. This study aims to analyze long-term trends in oral cancer incidence and mortality in Korea, with particular attention to disease spectrum across subsites.</p><p><strong>Methods: </strong>Patient data from individuals diagnosed between 2001 and 2021 were obtained from Cancer Registration Statistics by the Ministry of Health and Welfare, while cause-of-death statistics from Statistics Korea provided information on deaths due to malignant neoplasms of the lip, oral cavity, and pharynx. Age-standardized incidence and mortality rates were calculated using the direct method, with the 2000 Korean mid-year population as the standard. Temporal trends were assessed using joinpoint regression analysis to estimate annual percentage changes (APCs) and to identify significant shifts in incidence and mortality across sex, age group, and subsites.</p><p><strong>Results: </strong>The overall trend in oral cancer incidence among males was modest (APC: 0.30), with the most notable increase observed in those aged 45 or younger (APC: 2.13). In females, oral cancer incidence showed a significant increase (APC: 2.19), with the highest rise occurring in those aged 45 or younger (APC: 3.20). Subsite-specific trends showed that in males, the greatest increases were in cancers of the tonsils (APC: 3.11), salivary glands (APC: 2.01), and tongue (APC: 1.95), whereas in females, the tongue (APC: 3.97), tonsils (APC: 3.85), and salivary glands (APC: 3.09) showed the highest increases.</p><p><strong>Conclusions: </strong>These findings demonstrate distinct epidemiological shifts in oral cancer in Korea over the past two decades, particularly by age, sex, and anatomical subsite. While incidence increased notably among younger females, mortality declined in males, suggesting improved survival outcomes. These results underscore the importance of continuous monitoring and subsite-specific prevention strategies tailored to evolving demographic and clinical patterns.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"969"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538414","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":"Color stability of clear aligners exposed to various beverages: an in vitro study.","authors":"Chanakarn Kobkiatkawin, Woraphong Panyayong, Suphachai Suphangul, Sasipa Thiradilok","doi":"10.1186/s12903-025-06343-1","DOIUrl":"https://doi.org/10.1186/s12903-025-06343-1","url":null,"abstract":"<p><strong>Background: </strong>Staining clear aligners from beverages commonly occurs and can affect a patient's self-esteem and confidence in social interactions. The aim of the present study was to evaluate the color stability of clear aligners when exposed to several types of beverages.</p><p><strong>Methods: </strong>A total of 704 (seven hundred four, 176 per brand) clear aligner samples from four brands (Beforedent^®, Käse Aligner^®, Invisalign^® and ClearCorrect^®) were immersed in three types of beverages (tea, coffee and cola) and a control solution (artificial saliva) for 6 and 12 hours. The color before immersion (T0), after 6 hours (T1) and 12 hours after immersion (T2) were measured in the CIE L*-a -b system, the color difference (ΔE*) and the National Bureau of Standard Unit (NBS) were calculated. Fourier transform infrared spectroscopy (FTIR) and 3D laser scanning microscopy were performed to identify the polymer composition and surface properties. The data were analyzed via two-way ANOVA and multiple comparisons using Bonferroni corrections, with P < 0.05 indicating statistical significance.</p><p><strong>Results: </strong>After 6 and 12 hours, Invisalign^® in coffee and tea presented significantly greater color differences than ClearCorrect^®, Beforedent^®, and Käse Aligner^® did. No significant color changes were observed in the cola or artificial saliva (control) for any of the brands. According to the FTIR analysis, Invisalign^® is made from polyurethane, ClearCorrect^® from polyester, and both Beforedent^® and Käse Aligner^® from polyethylene terephthalate. The highest degree of roughness and porosity was shown on the surface of Invisalign^®. The spectral features of samples immersed in colored beverages almost overlapped with as receive samples before immersion.</p><p><strong>Conclusions: </strong>Invisalign^® made from polyurethane resulted in the most color changes, followed by ClearCorrect^® Beforedent^® and Käse Aligner^® had the least and equivalent color changes. Coffee caused the most discoloration on clear aligners, followed by tea, cola, and artificial saliva (control). After 6 and 12 hours of immersion, all the groups presented good color stability, except for Invisalign^® immersed in coffee for 6-12 hours, and ClearCorrect^® immersed in coffee for 12 hours. The removal of clear aligner before beverage consumption is recommended.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"971"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538481","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":"Two oral verrucous carcinomas in a patient with oral graft vs. host disease- recurrent verrucous carcinoma: a case report.","authors":"Jiaqi Huang, Qiaozhi Jiang, Jiaxuan Liu, Guocheng Mei, Renchuan Tao","doi":"10.1186/s12903-025-06333-3","DOIUrl":"https://doi.org/10.1186/s12903-025-06333-3","url":null,"abstract":"<p><p>Patients who undergo allogeneic hematopoietic stem cell transplantation (allo-HSCT) frequently experience immunodeficiency, predisposing them to graft-versus-host disease (GVHD) and viral infection. The oral cavity is a common organ affected by chronic GVHD(cGVHD), which can lead to the development of secondary malignant tumors such as oral squamous cell carcinoma (OSCC). Verrucous carcinoma is a low-grade variant of SCC with specific morphologic, cytokinetic and clinical features. It is a locally aggressive tumour and does not metastasize to regional lymph nodes or to distant sites. This case report describes a patient with cGVHD following allo-HSCT who developed extensive oral verrucous carcinoma in the oral mucosa. This observation underscores the importance of regular oral examinations for transplant recipients, particularly those with cGVHD, to monitor HPV infection and the potential development of verrucous carcinoma.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"968"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538500","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":"Use of betel quid with and without tobacco and challenges to quitting among women attending a rural hospital in Sri Lanka.","authors":"B K G Thilakarathne, J J Schensul, Antea DeMarsilis","doi":"10.1186/s12903-025-06338-y","DOIUrl":"https://doi.org/10.1186/s12903-025-06338-y","url":null,"abstract":"<p><strong>Background: </strong>Betel quid chewing is engrained with culture and common practice among rural women in Sri Lanka. This paper describes the patterns of use of betel quid and challenges in quitting for women attending a rural hospital in Sri Lanka.</p><p><strong>Materials and methods: </strong>This mixed method study among women chewing betel quid, attending a rural hospital in Sri Lanka, consisted of an in-depth interviews with 11 participants followed by a survey of 30 additional participants. In-depth interviews were conducted until data saturation. Data were grouped into concepts and themes and used to illustrate the quantitative results and introduce any new ideas. The cross-sectional survey consisted of an interviewer administered questionnaire to a convenient sample on their chewing habit and using Betel Quid Dependence Scale (BQDS) to assess the dependency status of betel quid. BQDS has 16 items with a dichotomous outcome (No = 0 and Yes = 1) and the score ranges from 0 to 16. Survey data were used to calculate frequency, percentage and mean (SD) values and Fisher's exact test was used in analysing BQDS data.</p><p><strong>Results: </strong>All in the survey chewed betel quid with areca nut, but only a third added tobacco. None used other forms of smokeless tobacco. Most did not swallow the betel quid saliva but around half kept the quid for more than one hour in the mouth. The most frequent dependency characteristic using the Betel Quid Dependency Scale, was 'increasing the amount periodically'. BQDS had a mean (SD) of 7.7(5.1). Some initiated chewing during pregnancy believing it had a medicinal value. Even with the physician's advice and family support, they found it hard to quit.</p><p><strong>Conclusion: </strong>There is a need for an extensive study among women betel chewers. The interventions in quitting should be targeted at pregnancy or when they were diagnosed with a chronic medical condition, in which case encounter of the individual with the health care system is more frequent.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"966"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144538501","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":"Correction: The relationship between enamel and dentin calibrated-radiographic-density measured by cone beam computed tomography and dental caries status in young adults.","authors":"Imad Barngkgei, Yasser AlHalaby, Sara Roubah","doi":"10.1186/s12903-025-06411-6","DOIUrl":"https://doi.org/10.1186/s12903-025-06411-6","url":null,"abstract":"","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"960"},"PeriodicalIF":2.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526354","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":"Oral health care of people with Angelman syndrome in Germany - a questionnaire-based study.","authors":"Peter Schmidt, Caroline Tantzen, Oliver Fricke, Andreas Gerhard Schulte","doi":"10.1186/s12903-025-06357-9","DOIUrl":"10.1186/s12903-025-06357-9","url":null,"abstract":"","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"959"},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494550","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}