Background: The ageing of the population and the importance of aesthetics has put pressure on the delivery of dental care. Bacterial infection in intra-oral cavities can develop into a pathogenic biofilm, which then induces inflammatory processes. One of the necessary dental treatment steps is the disinfection of the infected area, whether it is in the root canal, or in the periodontal, periapical, or peri-implant regions. The objective of this review was to assess the actual situation and trends in the treatments for three of the most important areas of dental health: peri-implantitis, periodontitis, and endodontics. Methods: Results from clinical studies, reports from dental associations, national health insurance records, and market reports were used to quantify the number of treatment needs. For peri-implantitis, the number of inserted implants and the prevalence of peri-implantitis build the basis for the computation. For periodontitis and root canal treatments (RCTs), health insurance figures, and reports on dental instrument orders are the data sources for the estimations. Results: The data show that the number of performed periodontitis and RCTs increase linearly over the year, mainly driven by demographic changes, i.e., increase in size and age of populations. The computed values show that the treatment need for peri-implantitis follows an exponential growth and may surpass that of periodontitis by 2023 in Europe and in the USA. Conclusion: Where dental implantology is growing, the rapid development of peri-implant diseases will burden the health systems. This should be addressed at different levels. At the practitioners’ level, this includes continuous training of staff and (re)investment in adequate material and infrastructures. At the governmental level, it includes policy development and reimbursement strategies as well as information dissemination in health insurance and dental associations. Last, but not least, R&D efforts in the public and private sectors should be implemented/boosted.
{"title":"Periimplantitis, periodontitis, endodontics: A dental market analysis and future trends","authors":"L. Ledernez, M. Bergmann, M. Altenburger","doi":"10.34172/johoe.2023.01","DOIUrl":"https://doi.org/10.34172/johoe.2023.01","url":null,"abstract":"Background: The ageing of the population and the importance of aesthetics has put pressure on the delivery of dental care. Bacterial infection in intra-oral cavities can develop into a pathogenic biofilm, which then induces inflammatory processes. One of the necessary dental treatment steps is the disinfection of the infected area, whether it is in the root canal, or in the periodontal, periapical, or peri-implant regions. The objective of this review was to assess the actual situation and trends in the treatments for three of the most important areas of dental health: peri-implantitis, periodontitis, and endodontics. Methods: Results from clinical studies, reports from dental associations, national health insurance records, and market reports were used to quantify the number of treatment needs. For peri-implantitis, the number of inserted implants and the prevalence of peri-implantitis build the basis for the computation. For periodontitis and root canal treatments (RCTs), health insurance figures, and reports on dental instrument orders are the data sources for the estimations. Results: The data show that the number of performed periodontitis and RCTs increase linearly over the year, mainly driven by demographic changes, i.e., increase in size and age of populations. The computed values show that the treatment need for peri-implantitis follows an exponential growth and may surpass that of periodontitis by 2023 in Europe and in the USA. Conclusion: Where dental implantology is growing, the rapid development of peri-implant diseases will burden the health systems. This should be addressed at different levels. At the practitioners’ level, this includes continuous training of staff and (re)investment in adequate material and infrastructures. At the governmental level, it includes policy development and reimbursement strategies as well as information dissemination in health insurance and dental associations. Last, but not least, R&D efforts in the public and private sectors should be implemented/boosted.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49268265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Jahanimoghadam, M. Parirokh, Reza Motaghi, N. Nakhaee, Fatemeh Shamsadini
Background: Pulp stones are calcified masses with unknown etiology in the dental pulp complicating access to the pulp and root canals during root canal therapy. Aim of this study is to determine the prevalence of pulp stones in patients referring to Kerman University School of Dentistry. Methods: This cross-sectional study was undertaken on 4413 teeth in 852 patients and 1052 bitewing and periapical radiographs. The patients were 3–60 years old and had been referred to the Kerman School of Dentistry for various reasons. Data were collected by radiographic evaluations and the use of a checklist and were then analyzed using SPSS version 19 and the chi-square test with the significance level set at 0.05. Results: The prevalence of pulp stones was estimated at 13.4% in the patients, significantly increasing with age (P=0.001). Most pulp stones were 12.2% in the maxilla and 10.4% in the mandible, indicating a significant difference between the two jaws (P=0.001). The highest prevalence of pulp stones was related to the permanent first molars. Most pulp stones were significantly higher in female subjects than in males (P=0.004), with no major difference between the left and right sides (P=0.07). No significant relationship was found between the prevalence of pulp stones with tooth restoration and dental caries (P=0.130). Conclusion: The prevalence of pulp stones increased significantly with age. In this study, the youngest participant was a 4-year-old male, and the oldest was a 60-year-old female.
背景:牙髓结石是一种病因不明的牙髓钙化肿块，在根管治疗过程中使进入牙髓和根管的通道复杂化。本研究的目的是确定在克尔曼大学牙科学院就诊的患者中牙髓结石的患病率。方法:对852例患者的4413颗牙齿进行横断面研究，并对1052张咬合和根尖周x线片进行研究。患者年龄在3-60岁之间，因各种原因被转介到Kerman牙科学院。通过x线评估和使用检查表收集数据，然后使用SPSS version 19和卡方检验进行分析，显著性水平设置为0.05。结果:牙髓结石的患病率估计为13.4%，随年龄的增长而显著增加(P=0.001)。上颌骨牙髓结石发生率为12.2%，下颌骨牙髓结石发生率为10.4%，差异有统计学意义(P=0.001)。牙髓结石发生率最高的是第一恒磨牙。多数牙髓结石女性明显高于男性(P=0.004)，左右牙髓结石无显著差异(P=0.07)。牙髓结石与龋病发生率无显著相关性(P=0.130)。结论:随着年龄的增长，牙髓结石的发病率明显增高。在这项研究中，年龄最小的参与者是一名4岁的男性，年龄最大的是一名60岁的女性。
{"title":"Prevalence of pulp stones in a selected population in South-east Iran","authors":"F. Jahanimoghadam, M. Parirokh, Reza Motaghi, N. Nakhaee, Fatemeh Shamsadini","doi":"10.34172/johoe.2023.08","DOIUrl":"https://doi.org/10.34172/johoe.2023.08","url":null,"abstract":"Background: Pulp stones are calcified masses with unknown etiology in the dental pulp complicating access to the pulp and root canals during root canal therapy. Aim of this study is to determine the prevalence of pulp stones in patients referring to Kerman University School of Dentistry. Methods: This cross-sectional study was undertaken on 4413 teeth in 852 patients and 1052 bitewing and periapical radiographs. The patients were 3–60 years old and had been referred to the Kerman School of Dentistry for various reasons. Data were collected by radiographic evaluations and the use of a checklist and were then analyzed using SPSS version 19 and the chi-square test with the significance level set at 0.05. Results: The prevalence of pulp stones was estimated at 13.4% in the patients, significantly increasing with age (P=0.001). Most pulp stones were 12.2% in the maxilla and 10.4% in the mandible, indicating a significant difference between the two jaws (P=0.001). The highest prevalence of pulp stones was related to the permanent first molars. Most pulp stones were significantly higher in female subjects than in males (P=0.004), with no major difference between the left and right sides (P=0.07). No significant relationship was found between the prevalence of pulp stones with tooth restoration and dental caries (P=0.130). Conclusion: The prevalence of pulp stones increased significantly with age. In this study, the youngest participant was a 4-year-old male, and the oldest was a 60-year-old female.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48250168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Oral health-related quality of life (OHRQoL) is the main aspect of children’s oral health. In this study, it was intended to explore OHRQoL and its pertinent factors in pre-school children. Methods: This cross-sectional study was directed on 352 mothers with children (aged 3–5 years) based on stratified random sampling in health centers in Tabriz, Iran. Data were collected using a self-report questionnaire completed by the caregiver, which includes socio-demographic data, OHRQoL (13 items), caregiver-reported children’s oral health status, and tooth brushing. The one-way ANOVA, independent samples t test, and linear regression were applied to define the predicators of OHRQoL using SPSS 16 at 95% significance level. Results: Mothers’ mean age was 31.5 (SD=4.9). It was 4.1 (SD=0.82) for children. According to the results, the majority of the mothers (88%) were homemakers and 25% had higher education. The mean (SD) of OHRQoL was 18.8 (7.9) out of 65. The items most related to OHRQoL were feeling guilty (25%), dental pain (35%), and difficulty eating (14.8%). According to the results of multiple regression, OHRQoL had significant relationship with economic status (P=0.046), caregiver-reported children’s oral health status (P=0.0001), children’s frequency of tooth-brushing (P=0.001), and their age (P=0.0001). In total, these factors described 0.22% of the variance in children’s OHRQoL. OHRQoL did not have a statistically significant relationship with mothers’ education level or children’s gender. Conclusion: According to the findings, the key predictor of OHRQoL was children’s oral health status, tooth brushing, and age. Effective educational interventions could be designed based on these predictors to improve the OHRQoL of children.
{"title":"Determinants of oral health-related quality of life and its affecting factors in preschool children: Cross-sectional study","authors":"R. Soltani, M. Barzegar, Saeideh Ghaffarifar","doi":"10.34172/johoe.2023.06","DOIUrl":"https://doi.org/10.34172/johoe.2023.06","url":null,"abstract":"Background: Oral health-related quality of life (OHRQoL) is the main aspect of children’s oral health. In this study, it was intended to explore OHRQoL and its pertinent factors in pre-school children. Methods: This cross-sectional study was directed on 352 mothers with children (aged 3–5 years) based on stratified random sampling in health centers in Tabriz, Iran. Data were collected using a self-report questionnaire completed by the caregiver, which includes socio-demographic data, OHRQoL (13 items), caregiver-reported children’s oral health status, and tooth brushing. The one-way ANOVA, independent samples t test, and linear regression were applied to define the predicators of OHRQoL using SPSS 16 at 95% significance level. Results: Mothers’ mean age was 31.5 (SD=4.9). It was 4.1 (SD=0.82) for children. According to the results, the majority of the mothers (88%) were homemakers and 25% had higher education. The mean (SD) of OHRQoL was 18.8 (7.9) out of 65. The items most related to OHRQoL were feeling guilty (25%), dental pain (35%), and difficulty eating (14.8%). According to the results of multiple regression, OHRQoL had significant relationship with economic status (P=0.046), caregiver-reported children’s oral health status (P=0.0001), children’s frequency of tooth-brushing (P=0.001), and their age (P=0.0001). In total, these factors described 0.22% of the variance in children’s OHRQoL. OHRQoL did not have a statistically significant relationship with mothers’ education level or children’s gender. Conclusion: According to the findings, the key predictor of OHRQoL was children’s oral health status, tooth brushing, and age. Effective educational interventions could be designed based on these predictors to improve the OHRQoL of children.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44907535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fereshteh Fallahi, M. Mohebian, H. Zeighami, N. Gholami, Atefeh Yousefi Jordehi
Background: Lactobacillus acidophilus is involved in plaque formation and progression of caries, and studies show that it can be transmitted through the toothbrush. Thus, decontamination the toothbrush is necessary for oral health. This study aimed to assess the efficacy of different immersion times in chlorhexidine (CHX) for reducing the L. acidophilus contamination of the toothbrush. Methods: This experimental study was conducted on 84 dental students. Primary saliva samples were obtained from the students, and the salivary count of L. acidophilus was measured. The students were assigned to four groups, and the groups were standardized in terms of primary salivary L. acidophilus count: (I) simple rinse of toothbrush with water, (II) simple rinse of toothbrush with CHX, (III) immersion of toothbrush in CHX for 10 minutes, and (IV) immersion of toothbrush in CHX for 24 hours after use. Saliva samples were collected again from the dental students after 3 weeks of practice. The mean L. acidophilus colony counts of primary and secondary saliva samples were calculated. Also, the mean L. acidophilus colony counts of toothbrushes were compared among the four groups. Data were analyzed using ANOVA and Tukey’s tests. The level of significance was set at 0.05. Results: The mean L. acidophilus colony count of toothbrushes was significantly different between the four groups (P<0.05). Groups 3 (P=0.040) and 4 (P=0.012) showed significantly lower toothbrush microbial count compared with Group 1. No significant difference was noted in the salivary colony count of the four groups after the intervention (P>0.05). Conclusion: Immersion of toothbrush in CHX for 24 hours and 10 minutes was more effective than other methods for the reduction of L. acidophilus count of the toothbrush. In order to prevent corrosion of bristles, 10 minutes of immersion is recommended.
{"title":"The efficacy of different immersion times in chlorhexidine for reducing the Lactobacillus acidophilus contamination of the toothbrush","authors":"Fereshteh Fallahi, M. Mohebian, H. Zeighami, N. Gholami, Atefeh Yousefi Jordehi","doi":"10.34172/johoe.2023.04","DOIUrl":"https://doi.org/10.34172/johoe.2023.04","url":null,"abstract":"Background: Lactobacillus acidophilus is involved in plaque formation and progression of caries, and studies show that it can be transmitted through the toothbrush. Thus, decontamination the toothbrush is necessary for oral health. This study aimed to assess the efficacy of different immersion times in chlorhexidine (CHX) for reducing the L. acidophilus contamination of the toothbrush. Methods: This experimental study was conducted on 84 dental students. Primary saliva samples were obtained from the students, and the salivary count of L. acidophilus was measured. The students were assigned to four groups, and the groups were standardized in terms of primary salivary L. acidophilus count: (I) simple rinse of toothbrush with water, (II) simple rinse of toothbrush with CHX, (III) immersion of toothbrush in CHX for 10 minutes, and (IV) immersion of toothbrush in CHX for 24 hours after use. Saliva samples were collected again from the dental students after 3 weeks of practice. The mean L. acidophilus colony counts of primary and secondary saliva samples were calculated. Also, the mean L. acidophilus colony counts of toothbrushes were compared among the four groups. Data were analyzed using ANOVA and Tukey’s tests. The level of significance was set at 0.05. Results: The mean L. acidophilus colony count of toothbrushes was significantly different between the four groups (P<0.05). Groups 3 (P=0.040) and 4 (P=0.012) showed significantly lower toothbrush microbial count compared with Group 1. No significant difference was noted in the salivary colony count of the four groups after the intervention (P>0.05). Conclusion: Immersion of toothbrush in CHX for 24 hours and 10 minutes was more effective than other methods for the reduction of L. acidophilus count of the toothbrush. In order to prevent corrosion of bristles, 10 minutes of immersion is recommended.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47376006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Nazemi Salman, Venous Baheran, SeyedeSolmaz Taheri, Parinaz Karimi Miyanji, Zeinab Mahdavi Rad
Background: Competitive swimming leads to changes in salivary immunoglobulin A (S-IgA) and cortisol levels. The intensity and duration of exercise cause changes in the immune system. S-IgA and cortisol play a key role in maintaining the body’s immunity. This study was performed to investigate the effect of swimming exercise on the immune and hormonal systems of male children with the same caries index in Zanjan, Iran. Methods: In this cross-sectional study, 86 boys 6–12 years old were selected. Based on their duration of training, the children were divided into two groups of 43: The competitive group and the non-competitive group. The group matching method in terms of dental caries, anxiety, and age was performed in the two groups. Stimulated saliva samples were collected to measure S-IgA and cortisol levels by ELISA before and after the swimming test. Independent t test, paired t test, and chi-square test were used for statistical analysis of data, with the significance level set at P<0.05. Results: The amount of S-IgA was higher in the competitive than in the non-competitive group. After swimming training, S-IgA increased in both age groups (28 children aged 6–9 and 58 aged 9–12 years old). In the 6–9 age group, the amount of cortisol in non-competitive boys increased significantly (P=0.048). In the 9–12 age group, the amount of cortisol in the competitive boys decreased. Conclusion: Based on the findings of this study it seems that swimming can increase the amount of cortisol in the 6-9 age group. However, short-term physical activity (swimming test in this study) could not make a significant difference in the immune and hormonal systems of either of the age groups. Further studies are suggested to provide information on changes in the caries index.
{"title":"Comparison of salivary immunoglobulin A and cortisol levels in competitive and non-competitive child male swimmers","authors":"B. Nazemi Salman, Venous Baheran, SeyedeSolmaz Taheri, Parinaz Karimi Miyanji, Zeinab Mahdavi Rad","doi":"10.34172/johoe.2023.02","DOIUrl":"https://doi.org/10.34172/johoe.2023.02","url":null,"abstract":"Background: Competitive swimming leads to changes in salivary immunoglobulin A (S-IgA) and cortisol levels. The intensity and duration of exercise cause changes in the immune system. S-IgA and cortisol play a key role in maintaining the body’s immunity. This study was performed to investigate the effect of swimming exercise on the immune and hormonal systems of male children with the same caries index in Zanjan, Iran. Methods: In this cross-sectional study, 86 boys 6–12 years old were selected. Based on their duration of training, the children were divided into two groups of 43: The competitive group and the non-competitive group. The group matching method in terms of dental caries, anxiety, and age was performed in the two groups. Stimulated saliva samples were collected to measure S-IgA and cortisol levels by ELISA before and after the swimming test. Independent t test, paired t test, and chi-square test were used for statistical analysis of data, with the significance level set at P<0.05. Results: The amount of S-IgA was higher in the competitive than in the non-competitive group. After swimming training, S-IgA increased in both age groups (28 children aged 6–9 and 58 aged 9–12 years old). In the 6–9 age group, the amount of cortisol in non-competitive boys increased significantly (P=0.048). In the 9–12 age group, the amount of cortisol in the competitive boys decreased. Conclusion: Based on the findings of this study it seems that swimming can increase the amount of cortisol in the 6-9 age group. However, short-term physical activity (swimming test in this study) could not make a significant difference in the immune and hormonal systems of either of the age groups. Further studies are suggested to provide information on changes in the caries index.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44888724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The majority of oral cancers, which make up 25% to 30% of all malignancies in the oral area, are lip cancers (LCs). As far as we are aware, there haven’t been any thorough epidemiologic research on LC. This study’s objective is to look at the trend of tumor prevalence across the whole lip area in Iranians between 2004 and 2016 (Tehran, Iran). Methods: This retrospective cross-sectional study, which examined tumor location, age, gender distribution, histological tumor type, metastasis, clinical diagnosis, and recurrence of the lesion, was carried out on the pathology records of patients admitted to the Department of Pathology at the Cancer Institutes of Imam Khomeini hospital and Tajrish hospital between 2004 and 2016. The data was analyzed using the chi-square test and Fisher’s exact test. Results: Out of a total of 237392 biopsy reports filed with the Department of Pathology, 512 instances (0.21%, 92% malignant, and 8% premalignant) involving 385 (75.2%) males and 127 (24.8%) females were discovered to be lip-related. A statistically significant difference between sex and the site of the lesion was found using the chi-square test (P=0.032). Lower lip and squamous cell carcinomas (SCC) were the most typical locations and types, respectively. Recurrence and metastasis were noted in 7.8% and 25.84% of cases, respectively, with males more likely than women to experience these outcomes. Moreover, there was a significant (P=0.025) correlation between gender and histological tumor type. Conclusion: The chance of developing LC was greater in men over the age of 54. The most typical location for SCC involvement is the lower lip. We discovered that women had an increased frequency of upper lip lesions. These disparities might be the result of gender-specific professional and behavioral differences. Hence, as possible contributors to the occurrence of LCs, variables including occupational and behavioral variations and public knowledge of sun exposure should be carefully evaluated.
{"title":"Epidemiological study of lip cancer between 2004 and 2016 in public hospitals of Tehran, Iran: Squamous cell carcinoma as the most common cancer","authors":"N. Shamloo, A. Ghannadan, Roohollah Safarpour","doi":"10.34172/johoe.2022.12","DOIUrl":"https://doi.org/10.34172/johoe.2022.12","url":null,"abstract":"Background: The majority of oral cancers, which make up 25% to 30% of all malignancies in the oral area, are lip cancers (LCs). As far as we are aware, there haven’t been any thorough epidemiologic research on LC. This study’s objective is to look at the trend of tumor prevalence across the whole lip area in Iranians between 2004 and 2016 (Tehran, Iran). Methods: This retrospective cross-sectional study, which examined tumor location, age, gender distribution, histological tumor type, metastasis, clinical diagnosis, and recurrence of the lesion, was carried out on the pathology records of patients admitted to the Department of Pathology at the Cancer Institutes of Imam Khomeini hospital and Tajrish hospital between 2004 and 2016. The data was analyzed using the chi-square test and Fisher’s exact test. Results: Out of a total of 237392 biopsy reports filed with the Department of Pathology, 512 instances (0.21%, 92% malignant, and 8% premalignant) involving 385 (75.2%) males and 127 (24.8%) females were discovered to be lip-related. A statistically significant difference between sex and the site of the lesion was found using the chi-square test (P=0.032). Lower lip and squamous cell carcinomas (SCC) were the most typical locations and types, respectively. Recurrence and metastasis were noted in 7.8% and 25.84% of cases, respectively, with males more likely than women to experience these outcomes. Moreover, there was a significant (P=0.025) correlation between gender and histological tumor type. Conclusion: The chance of developing LC was greater in men over the age of 54. The most typical location for SCC involvement is the lower lip. We discovered that women had an increased frequency of upper lip lesions. These disparities might be the result of gender-specific professional and behavioral differences. Hence, as possible contributors to the occurrence of LCs, variables including occupational and behavioral variations and public knowledge of sun exposure should be carefully evaluated.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43092131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The International Caries Detection and Assessment System (ICDAS) was developed to integrate several criteria systems into one standard system for caries detection and assessment. The aim of this study was to identify Turkish dental practitioners’ perceptions and experience about ICDAS II and assess how they could affect clinical decision-making. Methods: A web-based data collection form, including demographic characteristics, experience of caries detection systems, and two different clinical images with caries and treatment options, was given to Turkish dental practitioners. Data were analyzed with the chi-square test and logistic regression using SPSS 22.0 software (IBM, Chicago, IL) at a significance level of P<0.05. Results: Data collection forms were completed by 382 general dental practitioners. For the first clinical scenario 70.7% of the practitioners decided that no treatment was required. For the second clinical scenario 89.5% of the practitioners decided to perform tooth restoration. Considering the clinical scenario 2 treatment options, while practitioners working in the public hospital marked amalgam restoration at a higher rate, practitioners working in private clinics marked composite resin restoration and root canal treatment at a higher rate (P<0.05). With regard to effects on treatment choices for clinical scenarios, binary logistic regression analysis found no significant effects of gender, age, or institution (P>0.05). Conclusion: The visual caries detection system, ICDAS II, was a useful tool in standardizing caries diagnostic skills for practitioners and improving decision-making abilities on caries treatment.
{"title":"The effect of Turkish dental practitioners’ perceptions and experience of ICDAS II on caries treatment decisions","authors":"Hasibe Sevilay Bahadır, Ç. Çelik","doi":"10.34172/johoe.2022.10","DOIUrl":"https://doi.org/10.34172/johoe.2022.10","url":null,"abstract":"Background: The International Caries Detection and Assessment System (ICDAS) was developed to integrate several criteria systems into one standard system for caries detection and assessment. The aim of this study was to identify Turkish dental practitioners’ perceptions and experience about ICDAS II and assess how they could affect clinical decision-making. Methods: A web-based data collection form, including demographic characteristics, experience of caries detection systems, and two different clinical images with caries and treatment options, was given to Turkish dental practitioners. Data were analyzed with the chi-square test and logistic regression using SPSS 22.0 software (IBM, Chicago, IL) at a significance level of P<0.05. Results: Data collection forms were completed by 382 general dental practitioners. For the first clinical scenario 70.7% of the practitioners decided that no treatment was required. For the second clinical scenario 89.5% of the practitioners decided to perform tooth restoration. Considering the clinical scenario 2 treatment options, while practitioners working in the public hospital marked amalgam restoration at a higher rate, practitioners working in private clinics marked composite resin restoration and root canal treatment at a higher rate (P<0.05). With regard to effects on treatment choices for clinical scenarios, binary logistic regression analysis found no significant effects of gender, age, or institution (P>0.05). Conclusion: The visual caries detection system, ICDAS II, was a useful tool in standardizing caries diagnostic skills for practitioners and improving decision-making abilities on caries treatment.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46946764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahra Mehdipour Namdar, J. Hassanzadeh, A. Shahravan, Sahar Assar, S. Hosseini, Pardis Javadian, H. Molavi Vardanjan
Background: Oral health conditions are a group of complications that are partially associated with breast cancer (BC) treatments. However, evidence on the sociodemographic risk factors of oral health conditions among BC patients is scarce. This study aimed to investigate the relationship between the socioeconomic status (SES) and dental health in a population of Iranian female BC patients in 2020. Methods: A cross-sectional study was conducted in Kerman, Iran. Indices of decayed, extracted, and filled teeth were measured based on clinical examination by a general dentist. Data were collected through structured face-to-face interviews, review of the patients’ medical records, and clinical examination for six months. Data were analyzed by applying univariate and multivariable generalized negative binomial regression (GNBReg). Data were analyzed using the Stata. Results: Data from 1760 BC patients were collected, 1707 of whom were included in the analysis. The mean age of the participants was 46.3±9.8 years. The mean of the total decayed, missing, and filled teeth, and the number of decayed teeth (DT), missing teeth (MT), and filled teeth (FT) were 12.8±5.8, 3.5±3.1, 4.6±5.2, and 4.6±4.4 teeth, respectively. Regarding SES, the number of participants with high, high-middle, low-middle, and low SES were 421, 432, 395 and 459, respectively. According to univariate analysis, there was no significant difference between different SES in mean DMFT (decayed, missing, and filled teeth), while SES was significantly associated with DT, MT and FT among the study participants. Conclusion: Female BC patients in Iran have lower levels of dental health regardless of their SES. As those from different socioeconomic classes are seeking different and mostly inadequate or unsuitable dental healthcare services, tailored interventional programs are needed to address the dental healthcare needs of patients in each socioeconomic class.
{"title":"Socioeconomic status is associated with dental healthcare utilization among Iranian breast cancer survivors","authors":"Zahra Mehdipour Namdar, J. Hassanzadeh, A. Shahravan, Sahar Assar, S. Hosseini, Pardis Javadian, H. Molavi Vardanjan","doi":"10.34172/johoe.2022.14","DOIUrl":"https://doi.org/10.34172/johoe.2022.14","url":null,"abstract":"Background: Oral health conditions are a group of complications that are partially associated with breast cancer (BC) treatments. However, evidence on the sociodemographic risk factors of oral health conditions among BC patients is scarce. This study aimed to investigate the relationship between the socioeconomic status (SES) and dental health in a population of Iranian female BC patients in 2020. Methods: A cross-sectional study was conducted in Kerman, Iran. Indices of decayed, extracted, and filled teeth were measured based on clinical examination by a general dentist. Data were collected through structured face-to-face interviews, review of the patients’ medical records, and clinical examination for six months. Data were analyzed by applying univariate and multivariable generalized negative binomial regression (GNBReg). Data were analyzed using the Stata. Results: Data from 1760 BC patients were collected, 1707 of whom were included in the analysis. The mean age of the participants was 46.3±9.8 years. The mean of the total decayed, missing, and filled teeth, and the number of decayed teeth (DT), missing teeth (MT), and filled teeth (FT) were 12.8±5.8, 3.5±3.1, 4.6±5.2, and 4.6±4.4 teeth, respectively. Regarding SES, the number of participants with high, high-middle, low-middle, and low SES were 421, 432, 395 and 459, respectively. According to univariate analysis, there was no significant difference between different SES in mean DMFT (decayed, missing, and filled teeth), while SES was significantly associated with DT, MT and FT among the study participants. Conclusion: Female BC patients in Iran have lower levels of dental health regardless of their SES. As those from different socioeconomic classes are seeking different and mostly inadequate or unsuitable dental healthcare services, tailored interventional programs are needed to address the dental healthcare needs of patients in each socioeconomic class.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42518799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maryam Sadeghipour, M. Khoshnevisan, M. Namdari, Mahsa Malek-Mohammadi, Reza Golpayegani
Background: Special physical and mental conditions of disabled individuals are burdens to their utilization of proper oral healthcare. Their caregivers can be influential in improving their oral health status. This study sought to assess the effect of oral healthcare education on the knowledge, attitude, and practice of caregivers of physically and mentally disabled individuals. Methods: This quasi-experimental study evaluated 68 caregivers of physically and mentally disabled individuals selected from disability rehabilitation centers in Tehran by convenience sampling. A validated questionnaire was designed for data collection, including questions on demographics, knowledge, attitude, and practice of caregivers. A brochure was also designed to cover the content of the educational intervention, and the relevant topics were taught to caregivers using the face-to-face method. A pretest-posttest method was used for effectiveness assessment. All the caregivers filled out the questionnaire before and 3 months after the educational interventions. The pretest and posttest scores were compared using the Wilcoxon test and paired t test. Results: Sixty-three caregivers participated in this study, 80% of whom were women and 94% had more than one year of work experience. The results showed that the mean score of their knowledge (from 1.2±0.82 to 4.82±0.35), attitude (from 2.38±0.69 to 5.61±0.75), and practice (from 0.59±0.41 to 4.93±0.65) increased significantly after the intervention, which indicates the effectiveness of the intervention (P<0.001). Conclusion: Educational intervention can significantly enhance the knowledge, attitude, and practice of caregivers of physically and mentally disabled individuals. This can, in turn, help improve the oral health status of the disabled individuals under their care.
{"title":"The effect of oral healthcare education on caregivers of physically and mentally disabled individuals","authors":"Maryam Sadeghipour, M. Khoshnevisan, M. Namdari, Mahsa Malek-Mohammadi, Reza Golpayegani","doi":"10.34172/johoe.2022.15","DOIUrl":"https://doi.org/10.34172/johoe.2022.15","url":null,"abstract":"Background: Special physical and mental conditions of disabled individuals are burdens to their utilization of proper oral healthcare. Their caregivers can be influential in improving their oral health status. This study sought to assess the effect of oral healthcare education on the knowledge, attitude, and practice of caregivers of physically and mentally disabled individuals. Methods: This quasi-experimental study evaluated 68 caregivers of physically and mentally disabled individuals selected from disability rehabilitation centers in Tehran by convenience sampling. A validated questionnaire was designed for data collection, including questions on demographics, knowledge, attitude, and practice of caregivers. A brochure was also designed to cover the content of the educational intervention, and the relevant topics were taught to caregivers using the face-to-face method. A pretest-posttest method was used for effectiveness assessment. All the caregivers filled out the questionnaire before and 3 months after the educational interventions. The pretest and posttest scores were compared using the Wilcoxon test and paired t test. Results: Sixty-three caregivers participated in this study, 80% of whom were women and 94% had more than one year of work experience. The results showed that the mean score of their knowledge (from 1.2±0.82 to 4.82±0.35), attitude (from 2.38±0.69 to 5.61±0.75), and practice (from 0.59±0.41 to 4.93±0.65) increased significantly after the intervention, which indicates the effectiveness of the intervention (P<0.001). Conclusion: Educational intervention can significantly enhance the knowledge, attitude, and practice of caregivers of physically and mentally disabled individuals. This can, in turn, help improve the oral health status of the disabled individuals under their care.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47992725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Pakfetrat, Z. Dalirsani, M. Nematy, M. Razavi, H. Esmaily, Afrouz Pishbin, G. Noferesti, Negar Ziaee
Background: The importance of dietary pattern and vitamins in the incidence of cancers has been demonstrated in many studies. As there are cultural differences and various dietary patterns in different countries, the results of other studies are not necessarily applicable to our society. This study aimed to evaluate the role of some vitamins and dietary patterns in developing head and neck cancer. Methods: Dietary pattern and serum levels of vitamins in 39 patients with head and neck squamous cell carcinoma (HNSCC) were compared to 37 healthy individuals. A native questionnaire was used to obtain the dietary pattern. The existence of a significant relationship between serum levels of vitamins and dietary pattern with the risk of HNSCC was assessed. The independent t test, chi-square and exact Fisher’s test were employed for statistical analysis. Results: The mean serum levels of these vitamins in the case group were significantly lower as compared to the control subjects (P<0.005). Two dominant eating patterns were identified, and after adjusting for confounding factors such as age, education, physical activity, body mass index (BMI), and place of residence, it was found that people with unhealthy dietary patterns were 6.55 times more likely to develop cancer than people with a healthy diet. Conclusion: Lower serum levels of vitamins C and E are associated with an increased risk of HNSCC. Unhealthy dietary patterns also increase the risk of developing this cancer.
{"title":"Assessment of dietary pattern and serum levels of vitamins A, C, and E in patients with head and neck squamous cell carcinoma (HNSCC): A case-control study","authors":"A. Pakfetrat, Z. Dalirsani, M. Nematy, M. Razavi, H. Esmaily, Afrouz Pishbin, G. Noferesti, Negar Ziaee","doi":"10.34172/johoe.2022.16","DOIUrl":"https://doi.org/10.34172/johoe.2022.16","url":null,"abstract":"Background: The importance of dietary pattern and vitamins in the incidence of cancers has been demonstrated in many studies. As there are cultural differences and various dietary patterns in different countries, the results of other studies are not necessarily applicable to our society. This study aimed to evaluate the role of some vitamins and dietary patterns in developing head and neck cancer. Methods: Dietary pattern and serum levels of vitamins in 39 patients with head and neck squamous cell carcinoma (HNSCC) were compared to 37 healthy individuals. A native questionnaire was used to obtain the dietary pattern. The existence of a significant relationship between serum levels of vitamins and dietary pattern with the risk of HNSCC was assessed. The independent t test, chi-square and exact Fisher’s test were employed for statistical analysis. Results: The mean serum levels of these vitamins in the case group were significantly lower as compared to the control subjects (P<0.005). Two dominant eating patterns were identified, and after adjusting for confounding factors such as age, education, physical activity, body mass index (BMI), and place of residence, it was found that people with unhealthy dietary patterns were 6.55 times more likely to develop cancer than people with a healthy diet. Conclusion: Lower serum levels of vitamins C and E are associated with an increased risk of HNSCC. Unhealthy dietary patterns also increase the risk of developing this cancer.","PeriodicalId":41793,"journal":{"name":"Journal of Oral Health and Oral Epidemiology","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43569641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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