Frontiers in oral health最新文献

Background: Social media (SoMe) is increasingly used in dentistry for patient education, professional networking, and career development, yet formal curricula on its use and digital literacy remain limited in dental specialty programs.

Aim: This scoping review the existing literature on SoMe use in dentistry and identify gaps in curricular implementation and policy development for curricular integration in dental specialty training.

Methods: Following PRISMA- ScR guidelines, a systematic literature search of PubMed and Scopus for studies published between 2009 and 2024 were searched. Two reviewers identified 2,952 articles, of which 531 met inclusion criteria. Data were extracted and analyzed to identify publication trends, thematic areas, and key findings related to SoMe in dentistry.

Results: Research output grew substantially (412%) between 2015 and 2024. YouTube was the most studied platform (41%), followed by X/Twitter (27%), Instagram (19%), and Facebook (13%). Research involving dental professionals (54%) emphasized continuing education and networking, while patient-focused studies (43%) addressed oral health promotion, misinformation, and treatment decision-making. Only 7% evaluated formal SoMe curricula. Reported challenges, privacy breaches (38%), unprofessional conduct (32%), and misinformation (29%), highlights the need for structured educational content during dental specialty training.

Conclusion: SoMe changed the dynamics of clinical dental practice; however, concerns persist regarding digital literacy and professionalism. Evidence on the structured integration of SoMe into dental specialty curricula remains limited, highlighting the need for educational initiatives to promote ethical digital engagement and oral health communication.

Introduction: Older homebound patients frequently present with dysphagia and heart failure, two interrelated geriatric syndromes that create a negative cycle resulting in aspiration pneumonia, malnutrition, hospital readmissions, poor prognosis, and diminished quality of life (QOL). In this review, we highlight the importance of integrated care and propose practical approaches to managing these conditions in home care settings.

Methods: We conducted a narrative review of the literature addressing the association between dysphagia and heart failure in older adults, with a focus on studies and guidelines relevant to home care. Key themes regarding pathophysiology, clinical challenges, and multidisciplinary strategies for comprehensive management were identified.

Results: Heart failure can impair swallowing function through circulatory insufficiency, sarcopenia, and overall frailty. Conversely, dysphagia can worsen heart failure through repeated aspiration events and poor nutritional intake. Compared with hospital environments, home care is resource-limited, leading to delays in assessment and intervention. Evidence suggests that integrating dysphagia management into heart failure care, even in such settings, may help mitigate the negative cycle. Involving multidisciplinary teams-including physicians, nurses, dentists, dietitians, and speech-language-hearing therapists-can optimize circulatory dynamics, nutritional status, oral function, and safe oral intake based on individual risk assessment.

Discussion: Integrated and multidisciplinary care is essential for managing older homebound patients with comorbid heart failure and dysphagia. Tailored approaches that consider disease stage and patient and caregiver preferences can enhance safety, reduce readmissions, and maintain dignity and QOL. This review underscores the urgent need for comprehensive care models addressing both conditions simultaneously in resource-limited home care environments.

Background: Oral health behaviors play an essential role in maintaining oral health and preventing oral diseases, which are often neglected in older adults. This study aimed to investigate the prevalence of oral health behaviors and their associated factors in older adults.

Methods: This cross-sectional study included participants aged 65 years or older who attended a university dental hospital in Portugal. Data were collected through a questionnaire on oral health behaviors, socioeconomic data, general health characteristics, self-perceived oral health and oral health-related quality of life. The oral clinical assessment included the Oral Hygiene Index-Simplified (OHI-S), the Decayed, Missing and Filled Teeth Index (DMFT), the Modified Community Periodontal Index, the presence of oral mucosal lesions, prosthetic presence, and prosthetic and treatment needs. Statistical analysis included descriptive and inferential methodologies. The association between potential risk indicators and oral health behaviors was assessed and modelled using logistic regression analysis.

Results: A sample of 302 older adults participated in this study, and 56.0% were female. The mean age was 73.5 years (±5.8). Regarding oral health behaviors, 21.9% brushed less than twice a day, 52.1% did not use interdental devices and 49.3% last visited a dentist for treatment. Risk indicators for less frequent brushing were being male [OR = 3.00, 95% CI (1.65-5.47)], having a perceived prosthetic need [OR = 3.46, 95% CI (1.72-6.95)] and increased values of DMFT [OR = 1.15, 95% CI (1.08-1.22)]. Risk indicators for not using interdental devices were increased values of OHI-S [OR = 2.41, 95% CI (1.71-3.40)], being male [OR = 2.31, 95% CI (1.38-3.89)] and the presence of chronic diseases [OR = 1.87, 95% CI (1.03-3.39)]. Risk indicators for treatment being the reason for the last dental appointment were prosthetic presence [OR = 3.23, 95% CI (1.79-5.82)] and increased values of DMFT [OR = 1.06, 95% CI (1.01-1.11)].

Conclusion: Assessment of oral health behaviors and associated factors should be considered to guide future public health strategies to improve compliance with oral health care among older adults and to prevent oral diseases.

Excellent bioactivity and biocompatibility make bioceramics a popular choice in dentistry, especially in endodontics. The most commonly utilised bioceramic in endodontics is mineral trioxide aggregate (MTA). Several emerging bioceramics showed promise for endodontic treatment. This study discusses bioceramics and their use in endodontic treatments like as root-end filling, root canal therapy, vital pulp therapy, apexification/regenerative endodontic treatment, perforation repair, and root defect repair. The applicable research from 1990 to 2023 was screened using keywords in PubMed and Web of Science. According to current research, MTA in the management of endodontic disease is well supported. New bioceramics including Biodentine, EndoSequence, and calcium-enriched mixes have demonstrated encouraging clinical results, but additional controlled trials must be conducted to establish their use in endodontics. To address endodontic problems, bioceramics must be improved for their biologic activity, including antibacterial activity, mechanical qualities, and reduced setting time and solubility. The purpose of this review is to provide an overview of the state of bioceramic technology and to investigate potential avenues for further investigation to improve its regenerative and therapeutic potential in endodontics. Research Question: What developments and potential uses can enhance the endodontic bioceramic-based therapies' regeneration results?

Introduction: Maximum mouth opening (MMO) is an essential clinical measurement for evaluating mandibular function and temporomandibular joint mobility. Establishing normative values across populations is crucial for the accurate diagnosis of trismus and for guiding oral and maxillofacial interventions. This study aimed to determine the mean MMO among Saudi adults and to examine its association with sociodemographic and anthropometric variables.

Methods: A cross-sectional study was conducted among 400 adults in Qassim, Saudi Arabia. MMO was measured using a digital caliper with triplicate readings averaged for analysis. Sociodemographic and anthropometric data were recorded. Group differences in MMO were assessed using one-way analysis of variance (ANOVA), followed by Tukey post hoc testing for variables with statistically significant ANOVA results, in addition to Monte Carlo-adjusted chi-square tests for categorical comparisons. A multivariable linear regression model was performed to identify independent predictors of MMO.

Results: The mean of MMO was 45.7 ± 6.9 mm (median: 46.3 mm; range: 28.0-66.3 mm). ANOVA showed significant differences in MMO by gender (p < 0.0001) and height (p < 0.0001), with males and taller individuals exhibiting greater mouth opening. No significant differences were found across age, weight, or BMI categories. In the multivariable regression model, height remained the only significant independent predictor of MMO (β = 0.154, p = 0.008), while gender showed a non-significant trend. Age and weight were not associated with MMO.

Discussion: In this adult Saudi population, MMO was primarily influenced by height, with males showing larger values. Age, weight, and BMI were not significant predictors. These findings support using sex and stature-adjusted reference values to improve trismus diagnosis and clinical decision-making. Further research incorporating craniofacial measures is recommended to refine normative standards.

Background: Maintaining optimal dental health during childhood is foundational for quality of life and prevention of common oral diseases, notably dental caries and periodontal conditions. Optimal pediatric oral health is essential for lifelong wellbeing, yet oral diseases remain prevalent among children globally.

Objective: This study evaluates oral health awareness and hygiene practices among children in three major cities of Pakistan, aiming to highlight knowledge gaps and behavioral patterns.

Method: A cross-sectional survey was conducted among 200 children aged 6-15 years from Karachi, Lahore, and Rawalpindi using a structured, pre-validated questionnaire. Consent was obtained from guardians, and children were assisted in the local language. Data were analyzed using SPSS (version 27).

Results: Most participants were aware that brushing prevents dental problems and that excessive sugar consumption is harmful. While 61% believed twice-daily brushing was ideal, only 52% practiced it. Dental visits were primarily problem-driven; only 10.5% visited biannually. Non-recommended habits, such as nail biting, were common. Oral health information predominantly came from parents rather than schools.

Conclusion: Despite adequate awareness, gaps exist between knowledge and practice in pediatric oral hygiene. School-based programs, improved parental education, and regular preventive dental visits are crucial to reduce oral disease burden in Pakistani children.