BMC Oral Health最新文献

{"title":"White vs. colored coats: Which reduces dental anxiety better?","authors":"Elif Kilic, Sema Aydinoglu, Dilara Nil Gunacar","doi":"10.1186/s12903-025-05948-w","DOIUrl":"https://doi.org/10.1186/s12903-025-05948-w","url":null,"abstract":"<p><strong>Backgrounds: </strong>To evaluate the effect of colored vs. white coat wear on dental anxiety in children using psychometric, projective, and physiological methods.</p><p><strong>Methods: </strong>The participants were divided into two groups by the pediatric dentist based on the participants' coat color (white vs. colored), and procedures were performed during two separate appointments for both groups: dental examination (DE) and preventive dental treatments (PDT). The blood pressure, pulse rate, and saturation were recorded before and after each appointment. Anxiety was assessed using the Modified Child Dental Anxiety Scale Faces Version (MCDAS_f) before and after the appointments and the Child Drawing: Hospital (CD: H). Chi-Square, Mann-Whitney U test, Wilcoxon Signed-Rank test, and t-test were used for analysis. The statistical significance level was evaluated as P < 0.05.</p><p><strong>Results: </strong>Compared to the colored coat group, MCDAS_f values ​​recorded before both appointments were higher in the white coat group (P = 0.019; P = 0.034). Also, it was observed that the CD: H values of the colored coat group were significantly lower after PDT (P = 0.037). According to the coat groups, there was a significant difference between pulse rates measured before and after both appointments (P = 0.026; P = 0.017; P = 0.008; P = 0.004).</p><p><strong>Conclusions: </strong>The clinician's coat color selection impacts children's dental anxiety. The findings suggest that colored coats are more effective than white coats in relieving dental anxiety.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"661"},"PeriodicalIF":2.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953370","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":"Treatment of severe anterior open bite by using tongue crib and teeth extraction: a case report.","authors":"Jingmei Zhang, Yinuo Zhao, Dongsheng Song, Xinyu Liu, Chenmeng Lu, Jingzheng Yi, Yi Zhang, Min Hu","doi":"10.1186/s12903-025-06035-w","DOIUrl":"https://doi.org/10.1186/s12903-025-06035-w","url":null,"abstract":"<p><strong>Background: </strong>Anterior open bite is a kind of malocclusion that can affect the oral function, aesthetics and even mental health of adolescents. Breaking harmful habits plays an important role in the orthodontic treatment of patients during the growth and development period.</p><p><strong>Case presentation: </strong>This case focuses on a 13-year-old adolescent male with anterior open bite of 6 mm, Class II malocclusion, and finger sucking, tongue thrusting habits, and abnormal swallowing pattern. Based on the etiology and the patient's condition, a treatment plan involving extraction of second premolars and use of an adhesive tongue crib was implemented. After 35 months of active treatment and 12 months of retention, results showed improved occlusion, normal overbite and overjet, proper molar relationships, and enhanced facial aesthetics. The study highlights addressing etiological factors and using appropriate treatments. A modified Hawley retainer and a retainer with a welded tongue crib at night helped maintain results due to the patient's history and potential for recurrence.</p><p><strong>Conclusions: </strong>For adolescent patients with anterior open bite, clear diagnosis and elimination of causative factors are key to favorable treatment results. Combining multiple mechanisms can effectively restore and establish a good occlusal relationship. Throughout the treatment, it is also necessary to pay attention to patients' growth and development.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"657"},"PeriodicalIF":2.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975775","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":"What are the outcomes of dental implant placement in sites with oroantral communication using different treatment approaches?: a systematic review.","authors":"Lida Kheiri, Reza Amid, Mahdi Kadkhodazadeh, Aida Kheiri","doi":"10.1186/s12903-025-05958-8","DOIUrl":"https://doi.org/10.1186/s12903-025-05958-8","url":null,"abstract":"<p><strong>Background: </strong>Oroantral fistula is a pathologic condition caused by various procedures including extraction, trauma and implant insertion. To date, various techniques have been suggested for oroantral fistula management. The aim of this review was to evaluate the outcomes of oroantral communication/fistula closure techniques followed by simultaneous or delayed implant placement.</p><p><strong>Methods: </strong>Based on the search strategy, an electronic search for English-language clinical studies was performed in PubMed, Web of Science, Scopus and Google Scholar from January 2000 until December 2024. All studies with the focus on the outcomes of oroantral communication/fistula closure followed by simultaneous or delayed implant placement were included.</p><p><strong>Results: </strong>Initial research led to 56 studies. Following removal of duplicates and irrelevant studies, full texts of 20 articles studies. Finally, 15 studies were included in the review. In 3 and 11 studies, implant placement was performed simultaneously or delayed, respectively and one reported both protocols. The largest and smallest diameter of fistula were 20 mm and 4 mm, in order. Different treatment protocols including bone grafting, buccal fat pad and collagen strip technique were performed in included studies. None of the studies mentioned undesirable effects during follow-ups.</p><p><strong>Conclusion: </strong>All treatment modalities offered acceptable outcomes. However, because of heterogeneity of studies, no standard treatment protocol can yet be suggested. However, influential factors including defect characteristics, patient's medical history and sinus health, location and accessibility must be considered prior to choose the best treatment approach.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"652"},"PeriodicalIF":2.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980306","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":"Prevalence of xerostomia in patients with type 2 diabetes mellitus: a systematic review and meta-analysis.","authors":"Shuqi Huang, Xin Zeng, Sicheng Deng, Sixiu He, Fan Liu","doi":"10.1186/s12903-025-05992-6","DOIUrl":"https://doi.org/10.1186/s12903-025-05992-6","url":null,"abstract":"<p><strong>Background: </strong>Xerostomia is a common complication associated with diabetes mellitus. However, the prevalence of xerostomia in patients with type 2 diabetes mellitus (T2DM) remains unclear. Therefore, the present study aimed to synthesize results from existing research to investigate the prevalence of xerostomia in T2DM patients.</p><p><strong>Methods: </strong>A comprehensive search was conducted in November 2024 across four databases (PubMed, Scopus, Embase, and Web of Science). The search included English literature pertaining to the prevalence of xerostomia in adult patients with T2DM. Conference proceedings, reviews, and literature lacking complete data or containing other diseases affecting xerostomia prevalence were excluded. Two researchers independently assessed the quality of the included studies by using the Joanna Briggs Institute Standardized Critical Appraisal Checklist. Data analyses were performed using Stata version 18.0 software. A proportions approach was used for meta-analysis. If I² > 50%, a random-effects model was utilized; otherwise, a fixed-effects model was employed. The pooled estimates of prevalence were calculated through double arcsine transformation. Subgroup analyses were conducted based on study design, continent, evaluation tool, disease duration, and HbA1c.</p><p><strong>Results: </strong>A total of 1355 studies were identified, of which 23 studies encompassing 2486 patients with T2DM met the inclusion criteria. The majority of these studies were small-sample analytical cross-sectional studies using questions about the subjective feeling of oral dryness to assess xerostomia. Risk assessment revealed 2 studies with high risk, 5 with medium risk, and 16 with low risk. The overall prevalence of xerostomia in T2DM patients was 42.49%(95%CI = 36.14-48.46). Subgroup analyses indicated no statistically significant differences based on study design, continent, evaluation tool, disease duration, and HbA1c level.</p><p><strong>Conclusions: </strong>The lack of high-quality prevalence studies may result in inaccurate estimation of xerostomia prevalence among patients with T2DM. Future research should prioritize large-scale prevalence studies by utilizing more accurate assessment tools.</p><p><strong>Registration: </strong>PROSPERO [CRD42022315150].</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"662"},"PeriodicalIF":2.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968689","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":"Evaluation of the performance of large language models in clinical decision-making in endodontics.","authors":"Yağız Özbay, Deniz Erdoğan, Gözde Akbal Dinçer","doi":"10.1186/s12903-025-06050-x","DOIUrl":"https://doi.org/10.1186/s12903-025-06050-x","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) chatbots are excellent at generating language. The growing use of generative AI large language models (LLMs) in healthcare and dentistry, including endodontics, raises questions about their accuracy. The potential of LLMs to assist clinicians' decision-making processes in endodontics is worth evaluating. This study aims to comparatively evaluate the answers provided by Google Bard, ChatGPT-3.5, and ChatGPT-4 to clinically relevant questions from the field of Endodontics.</p><p><strong>Methods: </strong>40 open-ended questions covering different areas of endodontics were prepared and were introduced to Google Bard, ChatGPT-3.5, and ChatGPT-4. Validity of the questions was evaluated using the Lawshe Content Validity Index. Two experienced endodontists, blinded to the chatbots, evaluated the answers using a 3-point Likert scale. All responses deemed to contain factually wrong information were noted and a misinformation rate for each LLM was calculated (number of answers containing wrong information/total number of questions). The One-way analysis of variance and Post Hoc Tukey test were used to analyze the data and significance was considered to be p < 0.05.</p><p><strong>Results: </strong>ChatGPT-4 demonstrated the highest score and the lowest misinformation rate (P = 0.008) followed by ChatGPT-3.5 and Google Bard respectively. The difference between ChatGPT-4 and Google Bard was statistically significant (P = 0.004).</p><p><strong>Conclusion: </strong>ChatGPT-4 provided more accurate and informative information in endodontics. However, all LLMs produced varying levels of incomplete or incorrect answers.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"648"},"PeriodicalIF":2.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972228","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":"Evaluation of accuracy of three-dimensional printing and three-dimensional miniplates in treatment of anterior mandibular fractures: a prospective clinical study.","authors":"Mazen Tharwat Abou Elkhier, Mohamed Elsayed Saber, Ahmed Ossama Sweedan, Adham Elashwah","doi":"10.1186/s12903-025-05935-1","DOIUrl":"https://doi.org/10.1186/s12903-025-05935-1","url":null,"abstract":"<p><strong>Background: </strong>There are strong torsional forces acting on the anterior mandible fractures. Maxillofacial surgery makes extensive use of digital technology, and three-dimensional printing is now an integral element of the workflow in several areas of oral and maxillofacial surgery. Three-dimensional (3D) miniplates had been proposed by several researchers as a good option for mandibular fracture fixation. This clinical trial was conducted to evaluate the accuracy of virtual planning in anterior mandibular fixation by comparing postoperative outcomes with preoperative virtual planning and to evaluate bone healing by measuring bone density after using pre-bent 3D miniplates on a 3D model to complete a 3D workflow and to fix the mandible in 3D.</p><p><strong>Methods: </strong>15 Patients with anterior mandibular fractures were included in the study. All patients underwent computer tomography (CT) scan, and the data were imported into Mimics software. The unaffected healthy side was mirrored to the fractured side. Bone fixation three-dimensional plates were prebent and adapted on the model printed by the three-dimensional printing machine, submitted to sterilization, and were used for bone reduction and fixation. An immediate postoperative CT scan was taken to evaluate the accuracy of virtual planning and after 3 months for evaluation of bone healing.</p><p><strong>Results: </strong>Clinical observation revealed good stable occlusion, and there was no significant difference between the postoperative three-dimensional image of the mandible and the virtually reduced mandible in the preoperative plan, as there was no significant difference between the length and width between anatomical landmarks of the virtually reduced mandible and the postoperative plan (p > 0.05). The bone density measured by Hounsfield units (HU) measured on CT images after 3 months revealed good bone healing as compared to immediate postoperative values (P value < 0.05).</p><p><strong>Conclusion: </strong>Digital workflow provides an accurate method for the reduction and fixation of anterior mandibular fractures. Also, 3D miniplates provide a good option for symphyseal and parasymphyseal fractures despite their limitations, as in some cases, like comminuted fractures and fractures in and around the mental foramen.</p><p><strong>Trial registration: </strong>This clinical trial was registered at Alexandria university, on 02/11/2021 under the registration number 0308 - 10/2021. All procedures involving human participants were performed in accordance with Research Ethics Committee, Faculty of Dentistry, Alexandria University under IRB No 00010556 and IORG No 0008839. The current study was retrospectively registered at ClinicalTrials.gov with the identification number NCT06898736 on 27/3/2025. However, all study protocols were predefined, with no deviations from the original methodology.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"649"},"PeriodicalIF":2.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963780","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":"Prevalence and morphology study of distolingual root in mandibular first and second molars in Thai population: a cone-beam computed tomography analysis.","authors":"Sirintra Chungchatupornchai, Raweewan Arayasantiparb, Titalee Jirathanyanatt","doi":"10.1186/s12903-025-06018-x","DOIUrl":"https://doi.org/10.1186/s12903-025-06018-x","url":null,"abstract":"<p><strong>Background: </strong>To investigate the prevalence and morphological characteristics of distolingual roots in permanent mandibular molars among a Thai population using a cone-beam computed tomography (CBCT).</p><p><strong>Methods: </strong>This retrospective study consisted of two parts: prevalence and morphology study. A total of 5228 permanent mandibular first and second molars from 2623 Thai patients were included in the prevalence study, and CBCT images were analyzed to identify the presence of distolingual roots. Additionally, 288 teeth with distolingual roots were subjected to further analysis to assess their root morphology, canal configuration, and orifice location. Statistical analyses were performed using descriptive statistics, Pearson's chi-square test, paired t-test, and other appropriate methods.</p><p><strong>Results: </strong>The prevalence of distolingual roots in permanent mandibular molars was 9.14% among the examined teeth and 14.94% among the examined patients. The majority of distolingual roots were classified as type C according to Carlsen and Alexandersen's classification, and type III according to Song's classification. Additionally, the vast majority of teeth exhibited Vertucci type I canal configuration. Further analysis revealed that the mean interorifice distances between DB-DL, ML-DL, and MB-ML orifices were 3.01 ± 0.6 mm, 3.43 ± 0.57 mm, and 2.61 ± 0.59 mm, respectively. The angle and radius of curvature of distolingual roots in the proximal view were greater than those in the clinical view (p < 0.001).</p><p><strong>Conclusions: </strong>This study provides comprehensive insights into the prevalence and morphological characteristics of distolingual roots in permanent mandibular molars among a Thai population. These findings emphasize the importance of thorough preoperative assessment and awareness of root morphology variations to enhance the success of endodontic treatment.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"650"},"PeriodicalIF":2.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975789","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":"Mediators of the association between education and periodontitis: Mendelian randomization study.","authors":"Yuan-Yuan Chen, Lu-Lu Wang, Shu-Qi Mo, Dan-Yan Zhao, Yu-Zhu Fan, Rui-Nan Zhang, Zheng Zhu, Ling-Ling Guo, Wang-Qin Shen","doi":"10.1186/s12903-025-06006-1","DOIUrl":"https://doi.org/10.1186/s12903-025-06006-1","url":null,"abstract":"<p><strong>Aim: </strong>To estimate the causal link between the risk of chronic periodontitis and educational attainment (EA).</p><p><strong>Methods: </strong>The biggest genome-wide association studies (GWAS) were used to conduct two-sample univariable Mendelian randomization (MR) analyses to evaluate the direct and combined effects of body mass index (BMI), smoking, household income, alcohol drinking, major depression, and EA on chronic periodontitis. To determine if putative mediators are causally involved in the pathway that mediates the relationship between EA and chronic periodontitis, a two-step MR analysis is performed.</p><p><strong>Results: </strong>MR evidence suggested a causal relationship between higher educational level and lower chronic periodontitis risk (OR: 0.72; 95% confidence interval (CI), 0.63 to 0.82; P < 0.001). The proportions mediated of the total effect of genetically predicted education on chronic periodontitis were 12.9%, 30.7%, 89.9%, 9.7%, and 16.4% for BMI, smoking, household income, alcohol drinking, and major depression, respectively.</p><p><strong>Conclusion: </strong>The risk of chronic periodontitis is protected by higher EA. Obesity, smoking, income, alcohol drinking, major depression seem to be significant factors. Measures to alleviate the risk burden of chronic periodontitis caused by educational disparities may be achieved by addressing these factors.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"647"},"PeriodicalIF":2.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963098","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":"Incidence and risk factors of alveolar bone dehiscences and fenestrations after clear aligner therapy with Class II elastics: a retrospective study.","authors":"Chenxu Wang, Yang Zhao, Feng Guo, Houxuan Li, Lang Lei","doi":"10.1186/s12903-025-06023-0","DOIUrl":"https://doi.org/10.1186/s12903-025-06023-0","url":null,"abstract":"<p><strong>Background: </strong>In clear aligner therapy (CAT), Class II elastics are widely used to reinforce the anchorage during the distalization of upper molars, however, their association with alveolar bone dehiscences (ABDs) and fenestrations (ABFs) in the anterior region remains unclear. The aim of this research is to assess the incidence of ABDs/ABFs in adult patients undergoing non-extraction CAT with Class II elastics, and to explore risk factors associated with the occurrence of ABDs/ABFs.</p><p><strong>Methods: </strong>Thirty adult patients with Class II malocclusion who underwent non-extraction CAT with Class II intermaxillary elastics were enrolled in this study. Cone-beam computed tomography (CBCT) images were obtained before (T0) and immediately after (T1) CAT to assess the occurrence of ABDs/ABFs on the labial and lingual sides of anterior teeth. Chi-square tests were used to compare the incidence of ABDs/ABFs at T0 and T1, meanwhile, binary logistic regression was utilized to analyze the risk factors associated with ABDs/ABFs at T1.</p><p><strong>Results: </strong>On the labial side, the incidence of ABDs increased significantly in the mandibular central incisors (from 36.7 to 62.8%, P < 0.05), mandibular lateral incisors (from 36.7 to 70.0%, P < 0.05), mandibular canines (from 31.7 to 53.3%, P < 0.05) and maxillary canines (from 30.0 to 55.0%, P < 0.05). While on the lingual side, it increased significantly in the maxillary central incisors (from 1.7 to 23.3%, P < 0.05), lateral incisors (from 6.7 to 38.3%, P < 0.05), and canines (from 21.7 to 46.7%, P < 0.05). The incidence of ABFs only increased on the labial side of the maxillary canines and mandibular central incisors. The occurrence of maxillary ABDs was strongly associated with the crowding (OR = 1.318, P = 0.007), while the occurrence of the mandibular ABDs was significantly associated with root surface (labial vs. lingual, OR = 1.836, P = 0.008).</p><p><strong>Conclusions: </strong>The incidence of ABDs/ABFs significantly increased after non-extraction CAT with Class II elastics in adults, especially on the labial root surface of the mandibular anterior teeth. Orthodontists should be well aware of the periodontal risks of CAT with Class II elastics.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"644"},"PeriodicalIF":2.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143978888","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 the COVID-19 pandemic on the prevalence of the fractures and etiology of orofacial trauma: a systematic review and meta-analysis.","authors":"Vitória Pereira Alves, Débora Souto-Souza, Ighor Andrade Fernandes, Saulo Gabriel Moreira Falci, Glaciele Maria de Souza","doi":"10.1186/s12903-025-06009-y","DOIUrl":"https://doi.org/10.1186/s12903-025-06009-y","url":null,"abstract":"<p><strong>Background: </strong>To assess the impact of the COVID-19 pandemic on the prevalence of oral and maxillofacial fractures (OMFs) by comparing current data with pre-pandemic trends.</p><p><strong>Methods: </strong>Eligibility criteria: Observational studies comparing current data from OMFs with pre-pandemic trends were eligible for inclusion.</p><p><strong>Information sources: </strong>An electronic search was conducted in six databases up to January 15, 2024 and gray literature and reference lists. Risk of bias: The risk of bias in the included studies was assessed using the Joanna Briggs Institute's critical appraisal tool for analytical cross-sectional studies.</p><p><strong>Synthesis of results: </strong>Results were presented as both qualitative and quantitative syntheses. Prevalence and Comparative meta-analysis were performed to evaluate the location and etiology of OMFs in the pre-pandemic and pandemic periods using R version 4.4.1.</p><p><strong>Results: </strong>Included studies: Fifty-one studies with 104,960 patients and 23,514 cases of OMFs met the inclusion criteria and were included in the systematic review.</p><p><strong>Synthesis of results: </strong>Mandibular fractures showed a decrease in prevalence from 24% in the pre-pandemic period to 20% during the pandemic (OR 0.73 [0.59-0.90], I² = 62%). OMFs caused by falls and violence increased significantly, from 23% for 30% (OR 1.29 [1.06-1.57], I² = 76%) and from 22% for 31% (OR 1.43 [1.04-1.98], I² = 45%), respectively.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic has led to significant changes in the prevalence of OMFs, including an increase in cases caused by falls and interpersonal violence, as well as a decrease in mandibular fractures. The results should be interpreted with caution due to the heterogeneity and inconsistency found in the studies included in the review. The data presented here may inform public health policies and emergency response protocols for managing OMFTs in future global health crises like pandemics. TRIAL REGISTRATION: CRD42023431119.</p>","PeriodicalId":9072,"journal":{"name":"BMC Oral Health","volume":"25 1","pages":"643"},"PeriodicalIF":2.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960171","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}