Journal of Evidence-Based Dental Practice最新文献

EFFECTIVENESS OF ASSISTED TOOTHBRUSHING ON PRESCHOOLERS’ ORAL HYGIENE: A CAREGIVER-INTERVENTION APPROACH

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-17 DOI: 10.1016/j.jebdp.2025.102138

Luis Limo , Ronald Espíritu Ayala-Mendívil , Juliana Gabrielle Martins

Objective

To assess the effectiveness of an intervention on caregivers' assisted toothbrushing techniques and oral health maintenance for preschool-aged children, and to determine whether these effects differ by age.

Methods

A single group pre/post intervention study was conducted among children aged 3-5 years and their caregivers in Callao, Peru. Eligible caregivers were trained on assisted toothbrushing using large and real-scale typodonts, along with practical demonstrations by a dentist. Additionally, they were instructed on healthy practices and oral health in children. Children's oral hygiene status (OHS) was assessed using the Simplified Oral Hygiene Index (OHI-S) at baseline and three months postintervention. To assess the effectiveness and quantify the magnitude of the difference between the OHI-S before and after the intervention, we used Wilcoxon signed-rank test and the Cliff's Delta test, respectively. Results were stratified by age group to examine potential differences.

Results

The sample (n = 210) predominantly comprised 3-year-old Peruvian females, primarily cared for by their mothers, who identified as single mothers who had not previously received instruction in oral hygiene practices. We found improvement in children's OHI-S in most age groups. Specifically, among 3-year-olds, the OHI-S score improved significantly from 'fair' (m = 2.6, ± 0.2, range 2.4-2.8) to 'good' (m = 1.1, ± 0.2, range 0.9-1.3). The intervention showed a moderate effect size (δ = −0.15, 95% CI −0.18, −0.10) in the 3-year-olds and a moderate effect size (δ = −0.05, 95% CI −0.08, −0.01) in the 4-year-olds. No significant improvements were observed in the 5-year-old group.

Conclusion

A caregiver-focused intervention significantly improved OHS among preschool-aged children, particularly in younger age groups. Substantial improvements in OHI-S scores were noted for 3- and 4-year-olds, while age-specific factors may have limited efficacy in the 5-year-old group. These findings highlight the importance of early, targeted oral health education for caregivers.

方法在秘鲁卡亚俄对 3-5 岁儿童及其看护者进行了单组干预前后研究。符合条件的看护人接受了使用大型真实牙托辅助刷牙的培训，并由牙医进行了实际演示。此外，他们还接受了有关儿童健康做法和口腔健康的指导。在基线和干预后三个月，使用简化口腔卫生指数（OHI-S）对儿童的口腔卫生状况（OHS）进行评估。为了评估干预前后OHI-S的有效性和量化差异的大小，我们分别使用了Wilcoxon符号秩检验和Cliff's Delta检验。结果样本（n = 210）主要由 3 岁的秘鲁女性组成，主要由母亲照顾，她们都是单身母亲，以前没有接受过口腔卫生指导。我们发现，在大多数年龄组中，儿童的口腔卫生知识水平都有所提高。特别是在 3 岁儿童中，OHI-S 分数从 "一般"（m = 2.6，± 0.2，范围 2.4-2.8）显著提高到 "良好"（m = 1.1，± 0.2，范围 0.9-1.3）。干预对 3 岁儿童的影响程度为中等（δ = -0.15，95% CI -0.18，-0.10），对 4 岁儿童的影响程度为中等（δ = -0.05，95% CI -0.08，-0.01）。结论以照顾者为中心的干预能明显改善学龄前儿童的户外活动能力，尤其是在较小的年龄组。3岁和4岁儿童的OHI-S得分有了大幅提高，而5岁儿童的年龄特异性因素可能限制了干预的效果。这些研究结果突显了对照顾者进行早期、有针对性的口腔健康教育的重要性。

{"title":"EFFECTIVENESS OF ASSISTED TOOTHBRUSHING ON PRESCHOOLERS’ ORAL HYGIENE: A CAREGIVER-INTERVENTION APPROACH","authors":"Luis Limo , Ronald Espíritu Ayala-Mendívil , Juliana Gabrielle Martins","doi":"10.1016/j.jebdp.2025.102138","DOIUrl":"10.1016/j.jebdp.2025.102138","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the effectiveness of an intervention on caregivers' assisted toothbrushing techniques and oral health maintenance for preschool-aged children, and to determine whether these effects differ by age.</div></div><div><h3>Methods</h3><div>A single group pre/post intervention study was conducted among children aged 3-5 years and their caregivers in Callao, Peru. Eligible caregivers were trained on assisted toothbrushing using large and real-scale typodonts, along with practical demonstrations by a dentist. Additionally, they were instructed on healthy practices and oral health in children. Children's oral hygiene status (OHS) was assessed using the Simplified Oral Hygiene Index (OHI-S) at baseline and three months postintervention. To assess the effectiveness and quantify the magnitude of the difference between the OHI-S before and after the intervention, we used Wilcoxon signed-rank test and the Cliff's Delta test, respectively. Results were stratified by age group to examine potential differences.</div></div><div><h3>Results</h3><div>The sample (<em>n</em> = 210) predominantly comprised 3-year-old Peruvian females, primarily cared for by their mothers, who identified as single mothers who had not previously received instruction in oral hygiene practices. We found improvement in children's OHI-S in most age groups. Specifically, among 3-year-olds, the OHI-S score improved significantly from 'fair' (m = 2.6, ± 0.2, range 2.4-2.8) to 'good' (m = 1.1, ± 0.2, range 0.9-1.3). The intervention showed a moderate effect size (δ = −0.15, 95% CI −0.18, −0.10) in the 3-year-olds and a moderate effect size (δ = −0.05, 95% CI −0.08, −0.01) in the 4-year-olds. No significant improvements were observed in the 5-year-old group.</div></div><div><h3>Conclusion</h3><div>A caregiver-focused intervention significantly improved OHS among preschool-aged children, particularly in younger age groups. Substantial improvements in OHI-S scores were noted for 3- and 4-year-olds, while age-specific factors may have limited efficacy in the 5-year-old group. These findings highlight the importance of early, targeted oral health education for caregivers.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102138"},"PeriodicalIF":4.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Desensitizing Effect of Nanosilver Fluoride Compared to Photobiomodulation Therapy in Molar-Incisor Hypomineralization: A Randomized Clinical Trial

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-14 DOI: 10.1016/j.jebdp.2025.102139

Nouran Nabil , Aly A. Sharaf , Marwa M. Essawy , Reham S. Soliman

Objectives

Molar-incisor hypomineralization (MIH) can cause hypersensitivity. This study compared nanosilver fluoride (NSF) and photobiomodulation therapy (PBMT) regarding desensitization in MIH-affected first permanent molars (FPMs) and plaque reduction.

Methods

Children aged 7-10 years, with 120 hypersensitive MIH-affected FPMs, were randomly assigned to receive NSF or PBMT. Hypersensitivity was assessed using the Schiff Cold Air Sensitivity Scale (SCASS) at baseline, after 15 minutes and 1 month. Plaque accumulation was assessed using the modified plaque index (PlI) of Silness and Löe at baseline and after 1 month. T-test and Mann–Whitney U test were used to compare groups. Intragroup comparisons were done using paired t-test and Friedman test. Multilevel ordinal logistic regression analysis was used to assess the effect of treatment on the outcomes, controlling for confounders.

Results

The study included 40 children, mean ± SD age = 8.03 ± 1.13 years. There was significantly less sensitivity and greater plaque reduction in the NSF than the PBMT group after 1 month (P < .05). NSF and PBMT significantly reduced sensitivity over time (P < .001), with the lowest scores after 1 month. In multilevel regression, NSF was associated with significantly less sensitivity than PBMT after 1 month (AOR = 0.18, 95% CI: 0.07, 0.51, P = .001). While both groups had reduced plaque accumulation, the decrease was significant only in the NSF group (P < .001).

Conclusion

NSF and PBMT reduced sensitivity associated with MIH and provided immediate pain relief. However, NSF was superior due to its longer-lasting effects on sensitivity and additional benefit in plaque reduction.

Clinical significance

NSF offers a promising alternative to PBMT in desensitizing MIH-related hypersensitivity, particularly for patients with limited access to laser therapy.

Trial registration

The trial was registered in the clinicaltrials.gov registry (# NCT06348849).

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引用次数: 0

ANALGESIC EFFECTS OF PREEMPTIVE CELECOXIB OR TRAMADOL/ACETAMINOPHEN ADDED TO STANDARD POSTOPERATIVE PAIN MANAGEMENT IN IMPACTED MANDIBULAR THIRD MOLAR EXTRACTION: A MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-11 DOI: 10.1016/j.jebdp.2025.102135

SOO-HO KIM , SOMI KIM , YOON-SEON KIM , MI-KYOUNG SONG , JI-YEON KANG

Objectives

This study aimed to assess the efficacy and safety of adding single-dose preemptive celecoxib 200 mg (Cc) or tramadol 37.5 mg/acetaminophen 325.0 mg (T/A) to standard postoperative analgesia after impacted mandibular third molar extraction, a design not previously explored.

Methods

In this multicenter, prospective, randomized, double-blind, placebo-controlled, crossover within-subject study, participants were randomly assigned to 2 groups (Cc or placebo for group A; T/A or placebo for group B) and underwent impacted mandibular third molar extraction on both sides at 1-month intervals. Along with baseline characteristics, pain intensity in Visual Analogue Scale (VAS), first perceived pain occurrence, rescue medication use, and adverse events were evaluated.

Results

A total of 33 participants per group completed the trial. Cc reduced pain at 3 (−0.91 ± 2.17; P = .011) and 6 hours (−0.85 ± 2.24; P = .018), while T/A reduced pain at 1 (−1.40 ± 2.37; P < .001), 2 (−0.79 ± 2.32; P = .030), and 6 hours (−0.91 ± 1.94; P = .006) postextraction, with some insignificant reductions at other times. Both Cc and T/A were effective in reducing the first perceived pain. Notably, Cc significantly decreased pain intensity, T/A significantly delayed the pain perception. Both drugs had no significant effect on the need for rescue medication or adverse event rates.

Conclusions

Based on these results, both Cc and T/A appears to aid in reducing postoperative pain following impacted mandibular third molar extraction without significant adverse effects.

{"title":"ANALGESIC EFFECTS OF PREEMPTIVE CELECOXIB OR TRAMADOL/ACETAMINOPHEN ADDED TO STANDARD POSTOPERATIVE PAIN MANAGEMENT IN IMPACTED MANDIBULAR THIRD MOLAR EXTRACTION: A MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED TRIAL","authors":"SOO-HO KIM , SOMI KIM , YOON-SEON KIM , MI-KYOUNG SONG , JI-YEON KANG","doi":"10.1016/j.jebdp.2025.102135","DOIUrl":"10.1016/j.jebdp.2025.102135","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the efficacy and safety of adding single-dose preemptive celecoxib 200 mg (<em>Cc</em>) or tramadol 37.5 mg/acetaminophen 325.0 mg (<em>T/A</em>) to standard postoperative analgesia after impacted mandibular third molar extraction, a design not previously explored.</div></div><div><h3>Methods</h3><div>In this multicenter, prospective, randomized, double-blind, placebo-controlled, crossover within-subject study, participants were randomly assigned to 2 groups (<em>Cc</em> or placebo for group A; <em>T/A</em> or placebo for group B) and underwent impacted mandibular third molar extraction on both sides at 1-month intervals. Along with baseline characteristics, pain intensity in Visual Analogue Scale (VAS), first perceived pain occurrence, rescue medication use, and adverse events were evaluated.</div></div><div><h3>Results</h3><div>A total of 33 participants per group completed the trial. <em>Cc</em> reduced pain at 3 (−0.91 ± 2.17; <em>P</em> = .011) and 6 hours (−0.85 ± 2.24; <em>P</em> = .018), while <em>T/A</em> reduced pain at 1 (−1.40 ± 2.37; <em>P</em> < .001), 2 (−0.79 ± 2.32; <em>P</em> = .030), and 6 hours (−0.91 ± 1.94; <em>P</em> = .006) postextraction, with some insignificant reductions at other times. Both <em>Cc</em> and <em>T/A</em> were effective in reducing the first perceived pain. Notably, <em>Cc</em> significantly decreased pain intensity, <em>T/A</em> significantly delayed the pain perception. Both drugs had no significant effect on the need for rescue medication or adverse event rates.</div></div><div><h3>Conclusions</h3><div>Based on these results, both <em>Cc</em> and <em>T/A</em> appears to aid in reducing postoperative pain following impacted mandibular third molar extraction without significant adverse effects.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102135"},"PeriodicalIF":4.1,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of myofunctional therapy for obstructive sleep apnea: A systematic review and network meta-analysis

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-09 DOI: 10.1016/j.jebdp.2025.102137

Ying Xu Ph.D , Ruicong Yang MSc , Min Yu M.D. , Xuemei Gao M.D., Ph.D.

Objectives

Myofunctional therapy (MT) has emerged as an adjunct treatment for obstructive sleep apnea (OSA). This systematic review and network meta-analysis of randomized controlled trials (RCTs) aims to evaluate the efficacy of MT in treating adult and pediatric OSA.

Methods

Four electronic databases were searched until April 30, 2024. Meta-analysis, subgroup, and network meta-analysis using multivariate random effects were performed to estimate pooled differences, focusing on objective and subjective indicators.

Results

A total of 15 RCTs involving 473 adults and 139 children were eligible, with 10 adult studies (n = 380) included in the network meta-analysis. Compared to the controls, MT yielded an improved decrease in Epworth sleepiness scale (ESS) of −3.54 (95%CI −5.96 to −1.13, P = .004) and Pittsburgh sleep quality index (PSQI) of −2.24 (95%CI −3.46 to −1.01, P = .0003), though no statistically significant change in apnea-hypopnea index (AHI) (−8.73/h, 95%CI −21.19 to 3.74/h, P = 0.17). Improvements in arousal index and snoring intensity were also noted in adults. Combining MT with continuous positive airway pressure (CPAP) could lead to a pronounced reduction in AHI but did not significantly increase CPAP efficacy. Limited evidence suggests MT may benefit AHI and average SpO2 in pediatric OSA, with high compliance being essential.

Conclusions

The network meta-analysis supports MT as a promising adjunct for improving subjective indicators in adults and suggests that when daily training exceeds 30 minutes, MT can significantly improve AHI. Additionally, MTSP and MT combined with myofascial release may offer further benefits in subjective outcomes.

{"title":"Efficacy of myofunctional therapy for obstructive sleep apnea: A systematic review and network meta-analysis","authors":"Ying Xu Ph.D , Ruicong Yang MSc , Min Yu M.D. , Xuemei Gao M.D., Ph.D.","doi":"10.1016/j.jebdp.2025.102137","DOIUrl":"10.1016/j.jebdp.2025.102137","url":null,"abstract":"<div><h3>Objectives</h3><div>Myofunctional therapy (MT) has emerged as an adjunct treatment for obstructive sleep apnea (OSA). This systematic review and network meta-analysis of randomized controlled trials (RCTs) aims to evaluate the efficacy of MT in treating adult and pediatric OSA.</div></div><div><h3>Methods</h3><div>Four electronic databases were searched until April 30, 2024. Meta-analysis, subgroup, and network meta-analysis using multivariate random effects were performed to estimate pooled differences, focusing on objective and subjective indicators.</div></div><div><h3>Results</h3><div>A total of 15 RCTs involving 473 adults and 139 children were eligible, with 10 adult studies (<em>n</em> = 380) included in the network meta-analysis. Compared to the controls, MT yielded an improved decrease in Epworth sleepiness scale (ESS) of −3.54 (95%CI −5.96 to −1.13, <em>P</em> = .004) and Pittsburgh sleep quality index (PSQI) of −2.24 (95%CI −3.46 to −1.01, <em>P</em> = .0003), though no statistically significant change in apnea-hypopnea index (AHI) (−8.73/h, 95%CI −21.19 to 3.74/h, <em>P</em> = 0.17). Improvements in arousal index and snoring intensity were also noted in adults. Combining MT with continuous positive airway pressure (CPAP) could lead to a pronounced reduction in AHI but did not significantly increase CPAP efficacy. Limited evidence suggests MT may benefit AHI and average SpO2 in pediatric OSA, with high compliance being essential.</div></div><div><h3>Conclusions</h3><div>The network meta-analysis supports MT as a promising adjunct for improving subjective indicators in adults and suggests that when daily training exceeds 30 minutes, MT can significantly improve AHI. Additionally, MTSP and MT combined with myofascial release may offer further benefits in subjective outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 3","pages":"Article 102137"},"PeriodicalIF":4.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LONG-TERM ORAL APPLIANCE THERAPY FOR OBSTRUCTIVE SLEEP APNEA MAY LEAD TO MORE CONSISTENT DENTOALVEOLAR THAN SKELETAL CHANGES

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-05 DOI: 10.1016/j.jebdp.2025.102130

JARED LAYTON (Reviewers), KYLE HASTINGS, THIKRIAT AL-JEWAIR

Article Title and Bibliographic Information

Chen Y, Alhozgi AI, Almeida FR. Dentoskeletal changes of long-term oral appliance treatment in patients with obstructive sleep apnea: A systematic review and meta-analysis. J Prosthodont 2024 (In eng). DOI: 10.1111/jopr.13946.

Source of Funding

No financial support was obtained for this study.

Type of Study/Design

Systematic review and Meta-Analysis

引用次数: 0

AI-DRIVEN NASOALVEOLAR MOLDING DESIGN FOR CLEFT PATIENTS MAY BE A PROMISING BUT EVOLVING APPROACH

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-04 DOI: 10.1016/j.jebdp.2025.102131

AHMAD AL-KANDARI (Reviewers), PEDRO ANDRADE, THIKRIAT AL-JEWAIR

Article Title and Bibliographic Information

Artificial intelligence-driven automation of nasoalveolar molding device planning: A systematic review. Alqutaibi AY, Hamadallah HH, Alassaf MS, Othman AA, Qazali AA, Alghauli MA. J Prosthet Dent. 2024 Oct 4:S0022-3913(24)00637-1. doi: 10.1016/j.prosdent.2024.09.011. Epub ahead of print. PMID: 39368883.

Source of Funding

This research did not receive any grant from any funding agency in the public, commercial, or not-for- profit sectors. The authors declared that they had no financial interests or personal relationships that could influence the work reported in the study.

Type of Study/Design

Systematic Review.

引用次数: 0

COMPARING THE EFFICACY OF OSSEODENSIFICATION OVER CONVENTIONAL DRILLING TECHNIQUE ON IMPLANT STABILITY AND BONE DENSITY IN LOW BONE DENSITY SITES: A SYSTEMATIC REVIEW AND META-ANALYSIS

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-04 DOI: 10.1016/j.jebdp.2025.102132

SHRADDHA SHILPI , MONIKA BANSAL , MAHESH KHAIRNAR , GOKILA VANI SU , ZAINAB AKRAM , RASHIKA M , SAKSHI AGARWAL

Purpose of the research

To assess the efficacy of osseodensification (OD) over conventional drilling technique (CD) on implant stability and bone density in low bone density sites.

Materials and methods

An electronic and manual search were conducted to analyze the effect of OD over CD technique on implant stability and bone density in human-based randomized controlled trials (RCTs) and nonrandomized controlled trials (NRCTs). The risk of bias was assessed using (RoB 2.0) and (ROBINS-I) tools for RCTs and NRCTs respectively. The meta-analysis was applied with RevMan 5.4, using the random-fixed effects model. Heterogeneity was assessed by a Q test and quantified with I² statistics.

Results

Our literature search identified 1454 publications, of which only 6 met all the inclusion criteria. The meta-analysis of the included studies showed that the implant stability quotient (ISQ) was greater in OD than in the CD group without being statistically significant both immediately and at the follow-up period after implant placement, with a standardized mean difference of 2.13 [95%CI = −0.08, 4.35] with P = .06 and 1.81 [95%CI = −0.41, 4.03] with P = .11 respectively. The difference in bone density in the OD compared to the CD group was statistically significant, immediately after implant placement with a standardized mean difference of 2.14 [95%CI = 0.68, 3.59] with P = .004 and nonsignificant at 3 to 7 months with a standardized mean difference of 1.54 [95%CI = −0.34, 3.43] with P = .11.

Conclusion

The findings of the present review and meta-analysis show that dental implants placed using the OD technique reveal greater implant stability and improved bone density in areas with low bone density compared to the CD technique. However, more clinical studies are needed to validate the findings.

{"title":"COMPARING THE EFFICACY OF OSSEODENSIFICATION OVER CONVENTIONAL DRILLING TECHNIQUE ON IMPLANT STABILITY AND BONE DENSITY IN LOW BONE DENSITY SITES: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"SHRADDHA SHILPI , MONIKA BANSAL , MAHESH KHAIRNAR , GOKILA VANI SU , ZAINAB AKRAM , RASHIKA M , SAKSHI AGARWAL","doi":"10.1016/j.jebdp.2025.102132","DOIUrl":"10.1016/j.jebdp.2025.102132","url":null,"abstract":"<div><h3>Purpose of the research</h3><div>To assess the efficacy of osseodensification (OD) over conventional drilling technique (CD) on implant stability and bone density in low bone density sites.</div></div><div><h3>Materials and methods</h3><div>An electronic and manual search were conducted to analyze the effect of OD over CD technique on implant stability and bone density in human-based randomized controlled trials (RCTs) and nonrandomized controlled trials (NRCTs). The risk of bias was assessed using (RoB 2.0) and (ROBINS-I) tools for RCTs and NRCTs respectively. The meta-analysis was applied with RevMan 5.4, using the random-fixed effects model. Heterogeneity was assessed by a Q test and quantified with I<sup>2</sup> statistics.</div></div><div><h3>Results</h3><div>Our literature search identified 1454 publications, of which only 6 met all the inclusion criteria. The meta-analysis of the included studies showed that the implant stability quotient (ISQ) was greater in OD than in the CD group without being statistically significant both immediately and at the follow-up period after implant placement, with a standardized mean difference of 2.13 [95%CI = −0.08, 4.35] with <em>P</em> = .06 and 1.81 [95%CI = −0.41, 4.03] with <em>P</em> = .11 respectively. The difference in bone density in the OD compared to the CD group was statistically significant, immediately after implant placement with a standardized mean difference of 2.14 [95%CI = 0.68, 3.59] with <em>P</em> = .004 and nonsignificant at 3 to 7 months with a standardized mean difference of 1.54 [95%CI = −0.34, 3.43] with <em>P</em> = .11.</div></div><div><h3>Conclusion</h3><div>The findings of the present review and meta-analysis show that dental implants placed using the OD technique reveal greater implant stability and improved bone density in areas with low bone density compared to the CD technique. However, more clinical studies are needed to validate the findings.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 2","pages":"Article 102132"},"PeriodicalIF":4.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102078

DANNA R. PAULSON , APARNA INGLESHWAR , NICOLE THEIS-MAHON , LIFENG LIN , MIKE T. JOHN

Objective

The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.

Methods

A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.

Results

From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I²=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.

Conclusions

The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.

{"title":"THE CORRELATION BETWEEN ORAL AND GENERAL HEALTH-RELATED QUALITY OF LIFE IN ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"DANNA R. PAULSON , APARNA INGLESHWAR , NICOLE THEIS-MAHON , LIFENG LIN , MIKE T. JOHN","doi":"10.1016/j.jebdp.2024.102078","DOIUrl":"10.1016/j.jebdp.2024.102078","url":null,"abstract":"<div><h3>Objective</h3><div>The relationship between general health and oral health is critical for understanding the broader implications of oral health on overall well-being and vice versa. The impact of oral and general health on individuals can be comprehensively captured by the concepts oral and general health-related quality of life (OHRQoL and HRQoL), respectively. This systematic review and meta-analysis aimed to synthesize existing evidence on the correlation between OHRQoL and HRQoL across different adult populations.</div></div><div><h3>Methods</h3><div>A comprehensive search strategy was executed across 6 databases (Ovid MEDLINE(R), Embase, CINAHL, APA PsycINFO, Web of Science Core Collection, and Scopus). The search included studies measuring OHRQoL with the Oral Health Impact Profile (OHIP) and HRQoL with a variety of generic patient-reported outcome measures (PROMs). Studies were included if they reported correlations between OHRQoL and HRQoL summary scores in adult populations across dental, medical, or nonpatient settings. If a study examined more than one population, each correlation was included for independent analysis. Data extraction and quality assessment were conducted by independent reviewers, with disagreements resolved by a third reviewer. Random effects meta-analysis was used to summarize the OHRQoL-HRQoL correlations.</div></div><div><h3>Results</h3><div>From 10 studies, 13 populations (N=6,053 participants) were included in the analysis. The correlation between general health and oral health-related quality of life was of medium size (r=0.41, 95% CI: 0.32–0.50) with high heterogeneity across populations (I<sup>2</sup>=95%). Results were not unduly influenced by individual populations, study quality, or publication bias.</div></div><div><h3>Conclusions</h3><div>The correlation between oral health and general health is of medium size, highlighting the potential for medical-dental integration to enhance patient and community health outcomes.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102078"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERSONALIZED PROFILES OF ORAL HEALTH AND DISEASE: USING HIGH-DIMENSIONAL VECTOR MODELS FOR GUIDING PRECISION DENTAL CARE

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102048

CASEY D. WRIGHT , MARCUS G. WILD , REBECCA CUTLER , KIMON DIVARIS

Operationalizing the oral health experience is an ongoing effort with various clinical and patient-reported outcomes contributing to such conceptualizations. Computational technology has afforded advances in the ability to model complex interactions between various phenomena and provides an opportunity to reconsider the way oral health is conceptualized. High-dimensional vector space modeling is introduced and discussed as a theoretical way to incorporate all relative features associated with understanding oral health, including clinical, patient-reported, and demographic information. Specifically, a novel application of high-dimensional vector space models is proposed as a vehicle to operationalize the 3P model of oral health. Additionally, this paper outlines how this approach can 1) create more precise, person-level characterizations of oral health; 2) track oral health over time, offering greater opportunities for behavioral interventions to prevent, mitigate, or treat the negative impacts of dental, oral, and craniofacial diseases; and 3) offer comparisons to dynamically tuned comparison vectors which can define “good” oral health and quantify disparities and features on which to intervene to mitigate them.

{"title":"PERSONALIZED PROFILES OF ORAL HEALTH AND DISEASE: USING HIGH-DIMENSIONAL VECTOR MODELS FOR GUIDING PRECISION DENTAL CARE","authors":"CASEY D. WRIGHT , MARCUS G. WILD , REBECCA CUTLER , KIMON DIVARIS","doi":"10.1016/j.jebdp.2024.102048","DOIUrl":"10.1016/j.jebdp.2024.102048","url":null,"abstract":"<div><div>Operationalizing the oral health experience is an ongoing effort with various clinical and patient-reported outcomes contributing to such conceptualizations. Computational technology has afforded advances in the ability to model complex interactions between various phenomena and provides an opportunity to reconsider the way oral health is conceptualized. High-dimensional vector space modeling is introduced and discussed as a theoretical way to incorporate all relative features associated with understanding oral health, including clinical, patient-reported, and demographic information. Specifically, a novel application of high-dimensional vector space models is proposed as a vehicle to operationalize the 3P model of oral health. Additionally, this paper outlines how this approach can 1) create more precise, person-level characterizations of oral health; 2) track oral health over time, offering greater opportunities for behavioral interventions to prevent, mitigate, or treat the negative impacts of dental, oral, and craniofacial diseases; and 3) offer comparisons to dynamically tuned comparison vectors which can define “good” oral health and quantify disparities and features on which to intervene to mitigate them.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102048"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ORAL HEALTH IMPACT OF DENTAL HYGIENE AND DENTAL THERAPY PATIENT POPULATIONS—AN EVIDENCE UPDATE IN 2024

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice

Pub Date : 2025-03-01 DOI: 10.1016/j.jebdp.2024.102083

APARNA INGLESHWAR , MIKE T. JOHN , PHONSUDA CHANTHAVISOUK , NICOLE THEIS-MAHON , DANNA R. PAULSON

Objectives

Dental patient-reported outcomes, especially the Oral Health-Related Quality of Life (OHRQoL) construct, are vital for evidence-based dentistry. This construct includes four dimensions (4D): Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. This study updates previous work characterizing 4D OHRQoL impairment among patients in dental hygiene (DH) and dental therapy (DT) settings.

Methods

An expert panel revised previously determined DH and DT patient population groups to align them with current scopes of practice. An updated systematic review was then conducted to incorporate recent studies using the Oral Health Impact Profile (OHIP) to assess 4D OHRQoL in these populations. The search spanned 6 databases from January 1, 2023, to April 16, 2024.

Results

The panel identified 20 patient populations, representing the scope of DH and DT practice. The systematic review contained 19 studies (17 from the previous review and 2 new ones). Studies’ OHRQoL data covered only 30 % of dental hygiene and dental therapy patient populations identified by the panel. The most frequently studied group was “therapeutic periodontal treatment–patients with periodontitis” (n = 17, 89 %), followed by “oral hygiene instructions–all patients” (n = 13, 68 %). Only four studies provided 4D OHRQoL data, showing the greatest impacts in Orofacial Pain (baseline OHIP: 3.10-4.20; follow-up: 1.52-3.60) and Orofacial Appearance (baseline OHIP: 0.44-2.50; follow-up: 0.91-2.25). Among studies reporting summary OHIP scores only (n = 15), overall OHRQoL impairment ranged from 1.40 to 42.35 at baseline and 1.50-40.56 at follow-up. All studies demonstrated a general trend of reduced OHRQoL impairment over time with treatment. Risk of bias was low, with no evidence of publication bias.

Conclusion

Current evidence on OHRQoL impairment in DH and DT patient populations is limited, covering only a third of those treated by dental hygienists and therapists. Especially, scarce 4D OHRQoL data prompts the need for more research in this format. Despite these limitations, the findings show promising trends of reduced OHRQoL impairment over time for DH and DT patient populations.

{"title":"ORAL HEALTH IMPACT OF DENTAL HYGIENE AND DENTAL THERAPY PATIENT POPULATIONS—AN EVIDENCE UPDATE IN 2024","authors":"APARNA INGLESHWAR , MIKE T. JOHN , PHONSUDA CHANTHAVISOUK , NICOLE THEIS-MAHON , DANNA R. PAULSON","doi":"10.1016/j.jebdp.2024.102083","DOIUrl":"10.1016/j.jebdp.2024.102083","url":null,"abstract":"<div><h3>Objectives</h3><div>Dental patient-reported outcomes, especially the Oral Health-Related Quality of Life (OHRQoL) construct, are vital for evidence-based dentistry. This construct includes four dimensions (4D): Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. This study updates previous work characterizing 4D OHRQoL impairment among patients in dental hygiene (DH) and dental therapy (DT) settings.</div></div><div><h3>Methods</h3><div>An expert panel revised previously determined DH and DT patient population groups to align them with current scopes of practice. An updated systematic review was then conducted to incorporate recent studies using the Oral Health Impact Profile (OHIP) to assess 4D OHRQoL in these populations. The search spanned 6 databases from January 1, 2023, to April 16, 2024.</div></div><div><h3>Results</h3><div>The panel identified 20 patient populations, representing the scope of DH and DT practice. The systematic review contained 19 studies (17 from the previous review and 2 new ones). Studies’ OHRQoL data covered only 30 % of dental hygiene and dental therapy patient populations identified by the panel. The most frequently studied group was “therapeutic periodontal treatment–patients with periodontitis” (<em>n</em> = 17, 89 %), followed by “oral hygiene instructions–all patients” (<em>n</em> = 13, 68 %). Only four studies provided 4D OHRQoL data, showing the greatest impacts in Orofacial Pain (baseline OHIP: 3.10-4.20; follow-up: 1.52-3.60) and Orofacial Appearance (baseline OHIP: 0.44-2.50; follow-up: 0.91-2.25). Among studies reporting summary OHIP scores only (<em>n</em> = 15), overall OHRQoL impairment ranged from 1.40 to 42.35 at baseline and 1.50-40.56 at follow-up. All studies demonstrated a general trend of reduced OHRQoL impairment over time with treatment. Risk of bias was low, with no evidence of publication bias.</div></div><div><h3>Conclusion</h3><div>Current evidence on OHRQoL impairment in DH and DT patient populations is limited, covering only a third of those treated by dental hygienists and therapists. Especially, scarce 4D OHRQoL data prompts the need for more research in this format. Despite these limitations, the findings show promising trends of reduced OHRQoL impairment over time for DH and DT patient populations.</div></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"25 1","pages":"Article 102083"},"PeriodicalIF":4.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0