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Fabrication of complete dentures for an older patient with mobility impairment in three appointments: A dental technique 为一名行动不便的老年患者制作全口假牙,预约三次:牙科技术
IF 2 3区 医学 Q1 Dentistry Pub Date : 2024-02-29 DOI: 10.1111/ger.12731
Dimokritos Papalexopoulos, Panagiotis Tsirogiannis, Nikitas Sykaras

Objective

To describe the clinical procedures of complete denture set fabrication in three appointments.

Background

Simplified approaches have proven not to be inferior to conventional ones in terms of quality, patient satisfaction and masticatory ability.

Materials and Methods

The patient was a 77-year-old edentulous adult with mobility impairment seeking dental rehabilitation in a small number of appointments due to commuting difficulties.

Results

A set of complete dentures was delivered within three appointments. The second appointment was dedicated to set-up trial due to the patient's aesthetic demands.

Conclusion

Under certain circumstances and after a thorough study of each case, dental clinicians may propose the fabrication of complete dentures in a three-appointment protocol incorporating a set-up trial session.

目的描述分三次预约制作全口义齿的临床程序:背景:事实证明,简化方法在质量、患者满意度和咀嚼能力方面并不比传统方法差:患者是一名 77 岁的无牙且行动不便的成年人,由于通勤困难,希望通过少量预约进行牙科康复治疗:结果:在三次预约中完成了一套全口义齿的制作。由于患者的审美要求,第二次预约专门用于安装试验:结论:在某些情况下,经过对每个病例的深入研究,牙科临床医生可以建议在三次就诊中制作全口义齿,其中包括一次安装试用。
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引用次数: 0
Diary Dates 日记日期
IF 2 3区 医学 Q1 Dentistry Pub Date : 2024-02-13 DOI: 10.1111/ger.12743
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引用次数: 0
Prevalence of orofacial pain in individuals with mild cognitive impairment or dementia: A systematic review and meta-analysis 轻度认知障碍或痴呆症患者口面部疼痛的患病率:系统回顾与荟萃分析。
IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-21 DOI: 10.1111/ger.12740
Arthur C. Macedo, Fernando Valentim Bitencourt, André Oliveira Vilela de Faria, Isabella Harb Bizzi, Daniella de Freitas Pereira Ângelo Durço, Claudia Britto Azevedo, Martin Morris, Karen dos Santos Ferreira, Leonardo Cruz De Souza, Ana Miriam Velly

Background

This systematic review investigated the prevalence of orofacial pain in patients with mild cognitive impairment (MCI) or dementia.

Materials and methods

The search was conducted in five databases (Medline (Ovid), Embase (Ovid), CINAHL, Scopus and LILACS), in three grey literature sources and in included articles' reference lists. Three independent reviewers performed study selection, quality appraisal and data extraction. The risk of bias was assessed with the National Institutes of Health tool. Prevalence was calculated using the random-effects model. Subgroup analysis and meta-regression were used to explore the heterogeneity of results.

Results

The database and grey literature search led to 12 246 results, from which nine studies were included; a further four were selected through citation searching. The total sample comprised 6115 patients with dementia and 84 with MCI. All studies had high risk of bias. The overall estimated pooled prevalence of orofacial pain among dementia participants was 19.0% (95% CI, 11.0%-27.0%; I 2, 97.1%, P < .001). Only one study included MCI participants, among which the prevalence of orofacial pain was 20.5%. Subgroup analysis demonstrated that the different sources of diagnosis might explain the heterogeneity. A higher prevalence of orofacial pain was observed in dementia participants aged over 80 years or living in nursing homes. Meta-regression analysis showed a nonlinear relationship between age and the prevalence of orofacial pain.

Conclusions

The pooled data from the primary studies revealed that 2 out of 10 patients with dementia have orofacial pain. Further research is needed to clarify the magnitude in individuals with MCI.

背景:本系统综述调查了轻度认知障碍(MCI)或痴呆患者口面部疼痛的患病率:在五个数据库(Medline (Ovid)、Embase (Ovid)、CINAHL、Scopus 和 LILACS)、三个灰色文献来源以及纳入文章的参考文献列表中进行了检索。三位独立审稿人对研究进行了筛选、质量评估和数据提取。偏倚风险采用美国国立卫生研究院工具进行评估。采用随机效应模型计算患病率。亚组分析和元回归用于探讨结果的异质性:通过数据库和灰色文献检索获得了 12 246 项结果,其中九项研究被纳入;另外四项研究是通过引用文献检索筛选出来的。总样本包括6115名痴呆症患者和84名MCI患者。所有研究的偏倚风险都很高。据估计,痴呆症患者口面部疼痛的总患病率为 19.0% (95% CI, 11.0%-27.0%; I2 , 97.1%, P 结论:来自主要研究的汇总数据显示,每10名痴呆症患者中就有2人患有口面部疼痛。要明确 MCI 患者口面部疼痛的程度,还需要进一步的研究。
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引用次数: 0
Exploring experiences of living with removable dentures—A scoping review of qualitative literature 探索带活动假牙生活的体验--定性文献范围综述。
IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-21 DOI: 10.1111/ger.12735
T Broomhead, SR Baker, N Martin, G McKenna, B El-Dhuwaib, A Alavi, B Gibson
<div> <section> <h3> Objective</h3> <p>Examine the literature on the experiences of living with removable dentures (complete or partial) to identify any gaps and provide a map for future research.</p> </section> <section> <h3> Background</h3> <p>Increasing proportions of society are living partially dentate with some form of restoration, including removable dentures. Previous studies have reported on the location, materials and usage of these prostheses, along with effects on oral-health-related quality of life (OHRQoL). However, less is known about experiences with removable dentures from a patient-centred perspective.</p> </section> <section> <h3> Methods</h3> <p>A scoping review of the qualitative literature was undertaken using the framework of Arksey and O'Malley, updated by Levac et al. Literature searches were carried out using Medline and Web of Science. Papers were screened by title and abstract using inclusion and exclusion criteria. Remaining papers were read in full and excluded if they did not meet the required criteria. Nine papers were included in the final review.</p> </section> <section> <h3> Findings</h3> <p>Key themes from these papers were: impact of tooth loss and living without teeth, and its impacts in relation to social position, appearance, confidence and function (chewing and speaking); social norms and tooth loss, including attitudes to tooth retention and treatment costs, and changes in intergenerational norms towards dentures; expectations of treatment, including patients being more involved in decision making, viewing the denture as a “gift” and dentures helping to achieve “an ideal”; living with a removable denture (complete or partial), including patient preparedness for a denture, adaptation and impacts on activities and participation; and the dentist-patient relationship, including issues with information and communication, and differing priorities between patients and dentists.</p> </section> <section> <h3> Conclusion</h3> <p>Little qualitative research exists on experiences of living with a removable denture. Existing literature demonstrates the importance of dispersed activities in differing social, spatial and temporal contexts when wearing removable dentures. Focusing on processes of positive adaptation to dentures and OHRQoL, rather than deficits, is also required to fully understand patients' experiences. Additionally, more complex technological advances may not always be in the best interest of every patient.</p>
目标:研究有关带活动假牙(全口义齿或部分义齿)生活经历的文献,找出其中的不足之处,为今后的研究提供参考:背景:社会上越来越多的人在生活中使用某种形式的修复体(包括活动假牙)来修复部分牙齿。以前的研究已经报道了这些修复体的位置、材料和使用情况,以及对口腔健康相关生活质量(OHRQoL)的影响。然而,从以患者为中心的角度来看,人们对活动义齿的使用体验却知之甚少:采用 Arksey 和 O'Malley 的框架,并经 Levac 等人更新后,对定性文献进行了范围审查。采用纳入和排除标准对论文的标题和摘要进行筛选。对其余论文进行全文阅读,如果不符合要求,则将其排除。九篇论文被纳入最终审查:这些论文的关键主题是缺牙和无牙生活的影响,及其对社会地位、外貌、自信和功能(咀嚼和说话)的影响;社会规范和缺牙,包括对保留牙齿和治疗费用的态度,以及对假牙的代际规范的变化;对治疗的期望,包括患者更多地参与决策,将假牙视为 "礼物",以及假牙有助于实现 "理想";带着活动义齿(全口义齿或部分义齿)生活,包括患者对义齿的准备情况、适应情况以及对活动和参与的影响;以及牙医与患者的关系,包括信息和沟通问题,以及患者和牙医之间不同的优先事项。结论有关带活动义齿生活经历的定性研究很少。现有文献表明,佩戴活动义齿时,在不同的社会、空间和时间背景下分散活动非常重要。要充分了解患者的经历,还需要关注患者对义齿和 OHRQoL 的积极适应过程,而不是缺陷。此外,更复杂的技术进步并不总是符合每位患者的最佳利益。
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引用次数: 0
Clinical parameters that affect performance and patient satisfaction of root-retained overdentures: A systematic review of randomised controlled clinical trials 影响根固位覆盖义齿性能和患者满意度的临床参数:随机对照临床试验的系统回顾。
IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-01-21 DOI: 10.1111/ger.12739
Aspasia Pachiou, Panagiotis Karakostas, Panagiotis Roulias, Olga Naka

Objective

To evaluate clinical parameters that affect the performance of root-supported overdentures (ROD) and to identify the possible factors that may affect it.

Background

ROD still serve as an alternative and successful treatment plan nowadays for partially edentulous patients. Nonetheless, there is not yet conclusive evidence about their clinical evaluation.

Materials and Methods

A search strategy was developed following a PIO (Population, Intervention, Outcome) framework including an electronic search in the following databases: PubMed, Cochrane Library and Scopus. The systematic search included only randomised controlled clinical trials (RCTs), published until January 2023 in English language and was performed by two independent reviewers. Quality assessment of the included studies was conducted according to the Cochrane Risk of Bias tool.

Results

The final selection of studies included 11 RCTs. Clinically relevant variables derived from this search were: Complications, with caries being the most frequently reported, periodontal aspects and bone changes around abutment teeth. Additionally, methods and clinical suggestions for the maintenance of these restorations and patient-related outcomes were assessed. According to the risk of bias assessment, nine studies were considered of high risk, whereas only 2 of low risk. A meta-analysis was not feasible.

Conclusion

Within the limitations of this systematic review, ROD remain a viable treatment plan, offering better denture stability and bone preservation around abutment teeth and high patient satisfaction. Thorough oral hygiene and regular follow-ups are of utmost importance. Further well-designed RCTs are necessary for firmer conclusions.

目的评估影响根支覆盖义齿(ROD)性能的临床参数,并找出可能的影响因素:背景:对于部分无牙颌的患者来说,根支覆盖义齿仍是一种可供选择的成功治疗方案。背景:目前,ROD 仍是部分无牙颌患者的另一种成功的治疗方案,然而,关于其临床评估尚无确凿证据:根据 PIO(人口、干预、结果)框架制定了搜索策略,包括在以下数据库中进行电子搜索:PubMed、Cochrane 图书馆和 Scopus。系统性检索仅包括 2023 年 1 月之前用英语发表的随机对照临床试验(RCT),由两名独立评审员进行。根据科克伦偏倚风险工具对纳入的研究进行了质量评估:最终筛选出 11 项研究。此次搜索得出的临床相关变量包括并发症(龋齿是最常报道的并发症)、牙周问题和基牙周围的骨质变化。此外,还对这些修复体的维护方法和临床建议以及与患者相关的结果进行了评估。根据偏倚风险评估,9 项研究被认为具有高风险,只有 2 项研究具有低风险。荟萃分析不可行:在本系统综述的局限性范围内,ROD仍然是一种可行的治疗方案,它能提供更好的义齿稳定性和基牙周围的牙槽骨保护,患者满意度也很高。彻底的口腔卫生和定期随访至关重要。要得出更可靠的结论,还需要更多设计良好的 RCT。
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引用次数: 0
Editorial: Health services research in an ageing society 社论:老龄化社会中的医疗服务研究。
IF 2 3区 医学 Q1 Dentistry Pub Date : 2024-01-10 DOI: 10.1111/ger.12737
Barbara E. Janssens, Moira B. Smith
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引用次数: 0
Integration of a dental hygienist into the interprofessional long-term care team 将牙科保健师纳入跨专业长期护理团队。
IF 2 3区 医学 Q1 Dentistry Pub Date : 2023-12-25 DOI: 10.1111/ger.12734
Nelly Villacorta-Siegal, Karen Joseph, Sandra Gardner, Jagger Smith, Christina E. Gallucci, Rosanne Aleong, David Chvartszaid

Background

To address poor oral health of residents in long-term care homes (LTCH), this study explored the process of integrating an educational resource and a dental hygienist on the interprofessional care team.

Methods

This convergent mixed-methods study took place at a 472-bed LTCH in Toronto, Canada from February to August 2018. Nurses employed at the LTCH participated in the study. During the study period, a dental hygienist was integrated into an interprofessional LTCH team. Nurses completed an online eLearning module about using the Oral Health Assessment Tool (OHAT) when referring residents' oral health concerns to a. Pre/post knowledge quizzes, module feedback and satisfaction surveys were administered. A retrospective chart review examined OHAT use and compared nurse and dental hygienist oral health assessments. Two cycles of semi-structured interviews with five nurses explored experiences with the eLearning module, OHAT and integration of the dental hygienist into the team.

Results

Nurses scored well on the knowledge quizzes and reported comfort in using the OHAT to refer oral concerns to a dental hygienist; however, actual use was minimal. oral health issues were under-reported by nurses on the Resident Assessment Instrument–Minimum Data Set (RAI-MDS); the dental hygienist reported significantly more debris, teeth lost and carious teeth (all P < 0.0001). Qualitative analysis indicated that the nurses valued dental hygienist integration into the team. Using knowledge mobilisation practices, a new oral health referral tool was developed.

Conclusions

This study highlights the feasibility and desirability of an oral health eLearning module, practical assessment tools and participation of a dental hygienist on the LTCH interprofessional care team.

背景:为了解决长期护理院居民口腔健康不良的问题,本研究探讨了将教育资源和牙科卫生学家纳入跨专业护理团队的过程:为了解决长期护理院(LTCH)居民口腔健康不良的问题,本研究探讨了将教育资源和牙科卫生学家纳入跨专业护理团队的过程:这项融合的混合方法研究于2018年2月至8月在加拿大多伦多一家拥有472张床位的长期护理院进行。长期治疗医院的护士参与了研究。在研究期间,一名牙科保健师被纳入了 LTCH 跨专业团队。护士们完成了一个在线电子学习模块,内容是在将居民的口腔健康问题转介给牙科医生时如何使用口腔健康评估工具(OHAT)。回顾性病历审查检查了 OHAT 的使用情况,并比较了护士和牙科保健师的口腔健康评估。对五名护士进行了两轮半结构式访谈,探讨了电子学习模块、OHAT 以及将牙科保健师纳入团队的经验:结果:护士们在知识测验中得分很高,并表示能自如地使用 OHAT 将口腔问题转介给牙科保健师;然而,实际使用却很少。护士们在住院病人评估工具-最低数据集(RAI-MDS)中对口腔健康问题的报告不足;牙科保健师报告的碎屑、脱落牙齿和龋齿明显较多(均为 P 结论:这项研究强调了电子学习模块的可行性,以及将牙科保健师纳入团队的可能性:本研究强调了口腔健康电子学习模块、实用评估工具和牙科保健师参与 LTCH 跨专业护理团队的可行性和可取性。
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引用次数: 0
Authors' response to Letter to the Editor regarding ‘Access to dental services in an elder population of African descent in Brazil’ 作者对关于“巴西非洲裔老年人获得牙科服务”的致编辑信的回应。
IF 2 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2023-11-27 DOI: 10.1111/ger.12732
Adriano Referino da Silva-Sobrinho, Nathália Larissa Bezerra Lima, Letícia Francine Silva Ramos, Stefania Ferreira Jerônimo, Fábio Andrey da Costa Araújo, Pedro Henrique Sette-de-Souza
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引用次数: 0
Oral mucosa and cutaneous manifestations of psoriasis in an older patient: A case report 老年银屑病患者口腔黏膜及皮肤表现1例
IF 2 3区 医学 Q1 Dentistry Pub Date : 2023-11-16 DOI: 10.1111/ger.12694
Gunther Ricardo Bertolini, Lucas Ribeiro Teixeira, Fernando Chahud, Daniel Elias, Cacilda da Silva Souza, Alan Grupioni Lourenço, Ana Carolina Fragoso Motta
BACKGROUND Psoriasis is a common cutaneous disease; however, information about psoriasis-related oral mucosal lesions is scarce in the literature. CASE DESCRIPTION We report a case of a 73-year-old male patient with cutaneous and oral palatal alterations. An incisional biopsy of these lesions revealed psoriasis. CONCLUSION The current case highlights the importance of a systematic examination of the oral cavity in psoriasis patients for the appropriate diagnosis and management on the control of these lesions.
银屑病是一种常见的皮肤病;然而,文献中关于银屑病相关口腔黏膜病变的信息很少。病例描述我们报告一例73岁男性患者的皮肤和口腔腭改变。这些病变的切口活检显示为牛皮癣。结论本病例强调了对银屑病患者进行口腔系统检查对于正确诊断和控制这些病变的重要性。
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引用次数: 0
Diary Dates 日记的日期
IF 2 3区 医学 Q1 Dentistry Pub Date : 2023-11-16 DOI: 10.1111/ger.12644
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引用次数: 0
期刊
Gerodontology
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