1
|
Žmavc JB, Verdenik M, Skomina Z, Ihan Hren N. Tooth Loss and Systemic Diseases in the Slovenian Elderly Population: A Cross-Sectional Study of the Associaton Between Oral and Systemic Health. Zdr Varst 2024; 63:142-151. [PMID: 38881635 PMCID: PMC11178030 DOI: 10.2478/sjph-2024-0019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 05/21/2024] [Indexed: 06/18/2024] Open
Abstract
Introduction This study aimed to assess the prevalence of edentulism and tooth loss in the Slovenian elderly population, along with the associated risk factors, and investigate the association between systemic and oral health. Methods The study included 445 individuals aged 65 or older (average age: 79.7±8.9 years). Data on preserved teeth, dental history, chronic diseases, and medications were collected through clinical examinations. Height and weight were recorded in order to calculate body mass index (BMI), and the education level was also collected. Chronic systemic diseases and medications were categorized. Statistical analysis was conducted using linear regression and nonparametric tests. Results Participants had an average of 4.7±7.7 teeth, with no significant gender differences. Higher age (β=-0.185, p<0.001) and lower education level (p<0.001) were associated with fewer teeth, while higher BMI showed no correlation (β=-0.085, p=0.325). Diabetes mellitus (p=0.031), cardiovascular diseases (p=0.025), and thyroid diseases (p=0.043) were inversely related to retained teeth. This inverse relationship also applied to individuals who recovered from malignancies, not including head and neck malignancies (p=0.019). No significant relationship was found between osteoporosis and the number of teeth (p=0.573). Notably, antidiabetic drug use was inversely related to the number of teeth (p=0.004), while analgesics showed a positive relationship (p=0.022). Conclusions This study highlights the association between specific sociodemographic factors, chronic diseases, and retained teeth among elderly individuals in Slovenia. High edentulism rates among the elderly emphasize the need for enhanced preventive measures and risk factor management, particularly for high-risk groups like the elderly.
Collapse
Affiliation(s)
- Jurij Bojan Žmavc
- University of Ljubljana, Medical Faculty, Department of Maxillofacial and Oral Surgery, Vrazov trg 2, 1000 Ljubljana, Slovenia
| | - Miha Verdenik
- University of Ljubljana, Medical Faculty, Department of Maxillofacial and Oral Surgery, Vrazov trg 2, 1000 Ljubljana, Slovenia
- University Medical Centre Ljubljana, Clinical Department of Maxillofacial and Oral Surgery, Zaloška cesta 2, 1000 Ljubljana
| | - Zala Skomina
- University of Ljubljana, Medical Faculty, Department of Maxillofacial and Oral Surgery, Vrazov trg 2, 1000 Ljubljana, Slovenia
| | - Nataša Ihan Hren
- University of Ljubljana, Medical Faculty, Department of Maxillofacial and Oral Surgery, Vrazov trg 2, 1000 Ljubljana, Slovenia
- University Medical Centre Ljubljana, Clinical Department of Maxillofacial and Oral Surgery, Zaloška cesta 2, 1000 Ljubljana
| |
Collapse
|
2
|
Chladek G, Adeeb S, Pakieła W, Coto NP. Effect of Different Surface Treatments as Methods of Improving the Mechanical Properties after Repairs of PMMA for Dentures. MATERIALS (BASEL, SWITZERLAND) 2024; 17:3254. [PMID: 38998337 PMCID: PMC11242954 DOI: 10.3390/ma17133254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2024] [Revised: 06/26/2024] [Accepted: 06/27/2024] [Indexed: 07/14/2024]
Abstract
Denture fractures are a common problem in dental practice, and their repair is considered a first option to restore their functional properties. However, the inter-material resistance may become compromised. Typically, the bond between these materials weakens. Therefore, various surface treatment methods may be considered to enhance their mechanical properties. Poly(methyl methacrylate) (PMMA) heat-polymerized resin (HPR) was used as the repaired material, cold-polymerized material (CPR) for the repairs, and different variants of alumina abrasive blasting (AB), methyl methacrylate (M), ethyl acetate (EA), methylene chloride (CH), and isopropyl alcohol (IA) treatments were applied. Finally, combined surface treatments were chosen and analyzed. Surface morphologies after treatments were observed by scanning electron microscopy and the flexural, shear, and impact strengths were tested. AB and chemical treatment with CH, M, and EA was used to improve all mechanical properties, and further improvement of the properties could be achieved by combining both types of treatments. Varied changes in surface morphologies were observed. Treatment with IA yielded less favorable results due to the low impact strength. The best results were achieved for the combination of AB and CH, but during the application of CH it was necessary to strictly control the exposure time.
Collapse
Affiliation(s)
- Grzegorz Chladek
- Materials Research Laboratory, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland
| | - Sandra Adeeb
- Adeeb Clinic, 73/1 Legionów Polskich Str., 41-300 Dąbrowa Górnicza, Poland
| | - Wojciech Pakieła
- Department of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland
| | - Neide Pena Coto
- Division of Maxillofacial Prosthesis/Sports Dentistry, University of Sao Paulo, Av. Prof. Lineu Prestes 2227, São Paulo 05508-900, Brazil
| |
Collapse
|
3
|
Singh A, Purohit BM, Purohit A. Risk factors and associated pathway for rural and urban unmet dental prosthetic needs among older adults in Central India. SPECIAL CARE IN DENTISTRY 2024; 44:1182-1190. [PMID: 38302807 DOI: 10.1111/scd.12967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 01/18/2024] [Accepted: 01/20/2024] [Indexed: 02/03/2024]
Abstract
AIM This study was undertaken to evaluate the risk factors and associated pathways for unmet dental prosthetic needs among older adult population in Central India. METHODS A total of 11,145 randomly selected older adults participated in the study; 4613 from urban region and 6532 form rural region. Oral examinations were conducted at individual households for recording dental caries, periodontal disease, prosthetic status and needs. Structural Equation Modelling (SEM) was used to examine relationship between a set of exogenous variables and unmet dental prosthetic needs with variables that remained significant in the adjusted multilevel logistic model. Path coefficients were calculated for all variables with 95% confidence interval. Goodness of fit of the model was assessed by several indices. RESULTS A total of 8433 (75.7%) participants had never visited a dentist and 9139 (82%) had unmet dental prosthetic needs. Dental caries was observed among 3207 (69.5%) and 4644 (71.1%) study participants from urban and rural regions respectively (p < .05). Low utilization of dental services was associated with high dental prosthetic needs in upper arch and lower arch (PC = -0.05, 0.001) and DMFT was associated with lower utilization of dental services (PC = -0.09, 0.001). DMFT was also associated with age, annual income, level of education, paternal education, type of family, tobacco consumption and CPI score in the hypothesized model. The fit indices used indicated that the model was adequate. CONCLUSIONS Dental prosthetic needs in the proposed pathway model was associated with low utilization of dental services, dental caries, periodontal disease and other socio-demographic factors.
Collapse
Affiliation(s)
- Abhinav Singh
- Department of Dentistry, Nodal Officer, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences, Bhopal, India
| | - Bharathi M Purohit
- Division of Public Health Dentistry, Centre for Dental Education and Research, WHO Collaborating Centre for Oral Health Promotion, All India Institute of Medical Sciences (AIIMS), New Delhi, India
| | - Abhishek Purohit
- Department of Dentistry, Regional Training Centre for Oral Health Promotion, All India Institute of Medical Sciences, Bhopal, India
| |
Collapse
|
4
|
Chladek G, Nowak M, Pakieła W, Barszczewska-Rybarek I, Żmudzki J, Mertas A. The Effect of Exposure to Candida Albicans Suspension on the Properties of Silicone Dental Soft Lining Material. MATERIALS (BASEL, SWITZERLAND) 2024; 17:723. [PMID: 38591629 PMCID: PMC10856526 DOI: 10.3390/ma17030723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Revised: 01/19/2024] [Accepted: 01/31/2024] [Indexed: 04/10/2024]
Abstract
While functioning in the oral cavity, denture soft linings (SL) are exposed to contact with the microbiota. Dentures can offer perfect conditions for the multiplication of pathogenic yeast-like fungi, resulting in rapid colonisation of the surface of the materials used. In vitro experiments have also shown that yeast may penetrate SL. This may lead to changes in their initially beneficial functional properties. The aim of this work was to investigate the effect of three months of exposure to a Candida albicans suspension on the mechanical properties of SL material and its bond strength to the denture base polymer, and to additionally verify previous reports of penetration using a different methodology. Specimens of the SL material used were incubated for 30, 60 and 90 days in a suspension of Candida albicans strain (ATCC 10231). Their shore A hardness, tensile strength, and bond strength to acrylic resin were tested. The colonization of the surface and penetration on fractured specimens were analysed with scanning electron and inverted fluorescence microscopes. Exposure to yeast did not affect the mechanical properties. The surfaces of the samples were colonised, especially in crystallized structures of the medium; however, the penetration of hyphae and blastospores into the material was not observed.
Collapse
Affiliation(s)
- Grzegorz Chladek
- Materials Research Laboratory, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland
| | - Michał Nowak
- Nova Clinic, 22 Jankego Str., 40-612 Katowice, Poland;
| | - Wojciech Pakieła
- Department of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland; (W.P.); (J.Ż.)
| | - Izabela Barszczewska-Rybarek
- Department of Physical Chemistry and Technology of Polymers, Faculty of Chemistry, Silesian University of Technology, Strzody 9 Str., 44-100 Gliwice, Poland;
| | - Jarosław Żmudzki
- Department of Engineering Materials and Biomaterials, Faculty of Mechanical Engineering, Silesian University of Technology, 18a Konarskiego Str., 41-100 Gliwice, Poland; (W.P.); (J.Ż.)
| | - Anna Mertas
- Department of Microbiology and Immunology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, 19 Jordana Str., 41-808 Zabrze, Poland;
| |
Collapse
|
5
|
Duan S, Wu X, Shi J, Li W, Dong Q, Xin SX. Study of the radiofrequency-induced heating inside the human head with dental implants at 7 T. Bioelectromagnetics 2024; 45:82-93. [PMID: 37860924 DOI: 10.1002/bem.22490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 08/28/2023] [Accepted: 10/09/2023] [Indexed: 10/21/2023]
Abstract
Conductive dental implants are commonly used in restorative therapy to replace missing teeth in patients. Ensuring the radiofrequency (RF) safety of these patients is crucial when performing 7 T magnetic resonance scans of their heads. This study aimed to investigate RF-induced heating inside the human head with dental implants at 7 T. Dental implants and their attachments were fabricated and integrated into an anatomical head model, creating different measurement configurations (MCs). Numerical simulations were conducted using a 7 T transmit coil loaded with the anatomical head model, both with and without dental implants. The maximum temperatures inside the head for various MCs were computed using the maximum permissible input powers (MPIPs) obtained without dental implants and compared with published limits. Additionally, the MPIPs with dental implants were calculated for scenarios where the temperature limits were exceeded. The maximum temperatures observed inside the head ranged from 38.4°C to 39.6°C. The MPIPs in the presence of dental implants were 81.9%-97.3% of the MPIPs in the absence of dental implants for scenarios that exceeded the regulatory limit. RF-induced heating effect of the dental implants was not significant. The safe scanning condition in terms of RF exposure was achievable for patients with dental implants. For patients with conductive dental implants of unknown configuration, it is recommended to reduce the input power by 18.1% of MPIP without dental implants to ensure RF safety.
Collapse
Affiliation(s)
- Song Duan
- Department of Radiation Oncology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China
| | - Xiuxiu Wu
- Department of Radiation Oncology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China
| | - Juntian Shi
- Department of Radiation Oncology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China
| | - Wenhui Li
- Department of Dentistry, Air Force Hospital of Southern Theater Command of PLA, Guangzhou, Guangdong, China
| | - Qingshan Dong
- Department of Stomatology, General Hospital of Central Theater Command of PLA, WuHan, China
| | - Sherman Xuegang Xin
- Biophysics and Medical Imaging Lab, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China
| |
Collapse
|
6
|
Ye X, Hu M. Allostatic load and oral health later in life among middle-aged and older adults: An analysis of population-based panel data in China. J Oral Rehabil 2024; 51:313-320. [PMID: 37654157 DOI: 10.1111/joor.13586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 04/06/2023] [Accepted: 08/18/2023] [Indexed: 09/02/2023]
Abstract
BACKGROUND Oral health is a major global public health problem, but its risk factors have not been fully identified. The limited evidence suggests that AL may affect oral health conditions, but most of these studies focus only on middle-aged western populations. OBJECTIVES To examine whether allostatic load is associated with oral health conditions later in life among middle-aged and older adults in China and there there is a correlation in both middle-aged and older people. MATERIALS AND METHODS Data were collected from the China Health and Retirement Longitudinal Study 2011-2018 (N = 10 890) and were analysed using logistic regressions for the overall sample and subsamples by age. RESULTS Results showed that higher inflammation load significantly increased the odds of edentulism (OR = 1.358, 95% CI = 1.020-1.809, p < .05). Higher metabolic load significantly increased the odds of denture use (OR = 1.375, 95% CI = 1.154-1.640, p < 0.001) and difficulty in chewing solid foods (OR = 1.100, 95% CI = 1.035-1.169, p < .01). These associations were manifested in older adults over 60 years of age, while in the middle-aged subsample, the associations were not significant. CONCLUSION The findings suggested that higher allostatic load was associated with poorer oral health conditions later in life. It is critical to lower allostatic load and improve oral health conditions, especially for older adults over 60 years of age. Prospective studies and intervention trials help to better understand whether allostatic load is causally linked to oral health.
Collapse
Affiliation(s)
- Xin Ye
- Institute for Global Public Policy, Fudan University, Shanghai, China
- LSE-Fudan Research Centre for Global Public Policy, Fudan University, Shanghai, China
| | - Mingzheng Hu
- School of Public Health, Peking University, Beijing, China
- China Center for Health Development Studies, Peking University, Beijing, China
| |
Collapse
|
7
|
Oladayo AM, Miyuraj Harishchandra HW, Zeng E, Caplan DJ, Butali A, Marchini L. Using machine learning algorithms to investigate factors associated with complete edentulism among older adults in the United States. SPECIAL CARE IN DENTISTRY 2024; 44:148-156. [PMID: 36749021 DOI: 10.1111/scd.12832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 01/10/2023] [Accepted: 01/19/2023] [Indexed: 02/08/2023]
Abstract
AIMS Edentulism is an incapacitating condition, and its prevalence is unequal among different population groups in the United States (US) despite its declining prevalence. This study aimed to investigate the current prevalence, apply Machine Learning (ML) Algorithms to investigate factors associated with complete tooth loss among older US adults, and compare the performance of the models. METHODS The cross-sectional 2020 Behavioral Risk Factor Surveillance System (BRFSS) data was used to evaluate the prevalence and factors associated with edentulism. ML models were developed to identify factors associated with edentulism utilizing seven ML algorithms. The performance of these models was compared using the area under the receiver operating characteristic curve (AUC). RESULTS An overall prevalence of 11.9% was reported. The AdaBoost algorithm (AUC = 84.9%) showed the best performance. Analysis showed that the last dental visit, educational attainment, smoking, difficulty walking, and general health status were among the top factors associated with complete edentulism. CONCLUSION Findings from our study support the declining prevalence of complete edentulism in older adults in the US and show that it is possible to develop a high-performing ML model to investigate the most important factors associated with edentulism using nationally representative data.
Collapse
Affiliation(s)
- Abimbola M Oladayo
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | | | - Erliang Zeng
- Division of Biostatistics and Computational Biology, The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | - Daniel J Caplan
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | - Azeez Butali
- Department of Oral Pathology, Radiology, and Medicine and Iowa Institute for Oral Health, The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| | - Leonardo Marchini
- Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry, Iowa City, Iowa, USA
| |
Collapse
|
8
|
Weijdijk LPM, Van der Weijden GA, Slot DE. DMF scores in patients with diabetes mellitus: A systematic review and meta-analysis of observational studies. J Dent 2023; 136:104628. [PMID: 37490966 DOI: 10.1016/j.jdent.2023.104628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/10/2023] [Accepted: 07/19/2023] [Indexed: 07/27/2023] Open
Abstract
OBJECTIVE The aim of this systematic review(SR) is to comprehensively and critically summarise and synthesise the available scientific evidence from observational studies that use the decayed-missed-filled(DMF) index to determine caries experiences among adult patients with diabetes mellitus (DM) as compared to individuals without DM(non-DM). DATA Indices that present examinations of decayed-filled-surfaces(DFS), decayed-missed-filled-surfaces(DMFS), and decayed-missed-filled-teeth(DMFT) established from observational studies were considered. SOURCES MEDLINE-PubMed and Cochrane Central databases were searched through 1 February 2023 to identify studies that evaluate DMF indices for adult patients with DM compared to non-DM. The reference lists of the selected studies were reviewed to identify additional potentially relevant studies. STUDY SELECTION All studies were independently screened by two reviewers. Included papers were critically appraised using pre-designed forms, and the risk of bias was assessed. Data as means and standard deviations were extracted. A descriptive data presentation was used for all studies. If quantitative methods were feasible, then a meta-analysis was performed. It was decided 'a priori' to perform a sub-analysis on type of DM(I or II). The quality of the studies was assessed. RESULTS Initially 932 studies were found, and screening resulted in 13 eligible observational studies. The total number of subjects included in this SR is 21,220. A descriptive analysis of the comparisons demonstrated that eight studies provided data and demonstrated higher DFS (1/2), DMFS (2/3) and DMFT (5/8). This was confirmed by the meta-analysis difference of means(DiffM), which was 3.01([95%CI:1.47,4.54],p=0.0001) for DMFT and 10.30([95% CI:8.50,12.11],p<0.00001) for DMFS. Subgroup analysis showed that this difference is irrespective to the type of DM(DiffM=3.09;[95%CI:2.09,4.09],p<0.00001). CONCLUSION There is moderate certainty for a higher DMF index score in DM patients as compared to those without DM disease. CLINICAL SIGNIFICANCE This SR indicates a higher DMF index in DM patients. Oral disease prevention should be the focus of the dental care practitioner in this patient category.
Collapse
Affiliation(s)
- L P M Weijdijk
- Department of Periodontology Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands(1); Department of Oral and Maxillofacial Surgery, Amsterdam UMC and Academic Centre for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan 30041081 LA Amsterdam, The Netherlands(1)
| | - G A Van der Weijden
- Department of Periodontology Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands(1)
| | - D E Slot
- Department of Periodontology Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, the Netherlands(1).
| |
Collapse
|
9
|
Zhang X, Dai S, Jiang X, Huang W, Zhou Q, Wang S. The pathways from disadvantaged socioeconomic status in childhood to edentulism in mid-to-late adulthood over the life-course. Int J Equity Health 2023; 22:150. [PMID: 37553562 PMCID: PMC10408210 DOI: 10.1186/s12939-023-01865-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 03/04/2022] [Indexed: 08/10/2023] Open
Abstract
BACKGROUND This study aimed to examine the direct and indirect pathways from childhood socioeconomic status (SES) to the prevalence of edentulism in mid-to-late age Chinese individuals using structural equation modeling (SEM). METHODS This study analyzed data from 17,032 mid- to-late age Chinese individuals in the 2014 and 2015 China Health and Retirement Longitudinal Study (CHARLS). Childhood SES was determined based on the parents' education and occupation, financial situation of the family, primary residence, food availability, and medical convenience. Adulthood SES was established according to educational achievements of the individuals. Edentulism is defined as the loss of all natural teeth. SEM was used to examine the statistical significance of the association between childhood SES and edentulism, mediated by childhood health, adulthood SES, and adult health. RESULTS Childhood SES had significant indirect (β = -0.026, p < 0.01), and total (β = -0.040, p < 0.01) effects on edentulism. It was determined that 65% of the total effect of childhood SES on edentulism was indirect, and mainly mediated by adult SES. Also, the goodness-of-fit indices of the best-fitting model were acceptable. CONCLUSION This study revealed that childhood health, adult health and adult SES are mediators that explain the relationship between childhood SES and edentulism. The global attention to alleviate the inequality in edentulism should focus on exploring recommendations and intervention strategies from childhood to adulthood, by considering adult SES, childhood and adult health.
Collapse
Affiliation(s)
- Xiaoning Zhang
- School of Nursing, Hangzhou Normal University, Hangzhou, 311121, China.
- Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, Hangzhou, China.
| | - Shuping Dai
- School of Marxism, Handong Women's University, Jinan, China
| | - Xue Jiang
- School of Stomatology, Xuzhou Medical University, Xuzhou, 221004, China
| | - Wenhao Huang
- School of Management, Xuzhou Medical University, 209 Tongshan Road, Xuzhou, 221004, China
| | - Qiong Zhou
- Department of Nursing, Jiangsu Lianyungang College of Traditional Chinese Medicine, Lianyungang, 222007, China
| | - Sheng Wang
- School of Nursing, Hangzhou Normal University, Hangzhou, 311121, China.
| |
Collapse
|
10
|
Zara S, Fioravanti G, Ciuffreda A, Annicchiarico C, Quaresima R, Mastrangelo F. Evaluation of Human Gingival Fibroblasts (HGFs) Behavior on Innovative Laser Colored Titanium Surfaces. MATERIALS (BASEL, SWITZERLAND) 2023; 16:4530. [PMID: 37444844 DOI: 10.3390/ma16134530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 06/16/2023] [Accepted: 06/18/2023] [Indexed: 07/15/2023]
Abstract
The use of ytterbium laser to obtain colored titanium surfaces is a suitable strategy to improve the aesthetic soft tissue results and reduce implant failures in oral rehabilitation. To investigate the relationship between novel laser-colored surfaces and peri-implant soft tissues, Human Gingival Fibroblasts (HGFs) were cultured onto 12 colored titanium grade 1 light fuchsia, dark fuchsia, light gold, and dark gold disks and their viability (MTT Assay), cytotoxicity (lactate dehydrogenase release), and collagen I secretion were compared to the machined surface used as control. Optical and electronic microscopies showed a HGF growth directly correlated to the roughness and wettability of the colored surfaces. A higher viability percentage on dark fuchsia (125%) light gold (122%), and dark gold (119%) samples with respect to the machined surface (100%) was recorded. All specimens showed a statistically significant reduction of LDH release compared to the machined surface. Additionally, a higher collagen type I secretion, responsible for an improved adhesion process, in light fuchsia (3.95 μg/mL) and dark gold (3.61 μg/mL) compared to the machined surface (3.59 μg) was recorded. The in vitro results confirmed the innovative physical titanium improvements due to laser treatment and represent interesting perspectives of innovation in order to ameliorate aesthetic dental implant performance and to obtain more predictable osteo and perio-osteointegration long term implant prognosis.
Collapse
Affiliation(s)
- Susi Zara
- Department of Pharmacy, University G. D'Annunzio of Chieti-Pescara, 66100 Chieti, Italy
| | - Giulia Fioravanti
- Department of Physical and Chemical Sciences, University of L'Aquila, 67100 L'Aquila, Italy
| | - Angelo Ciuffreda
- Clinical and Experimental Medicine Department, University of Foggia, 71122 Foggia, Italy
| | | | - Raimondo Quaresima
- Department of Civil, Construction-Architectural and Environmental Engineering, University of L'Aquila, 67100 L'Aquila, Italy
| | - Filiberto Mastrangelo
- Clinical and Experimental Medicine Department, University of Foggia, 71122 Foggia, Italy
| |
Collapse
|
11
|
Park HA, Shin SH, Ryu JI. Edentulous disparities among geriatric population according to the sexual difference in South Korea: a nationwide population-based study. Sci Rep 2023; 13:7854. [PMID: 37188776 DOI: 10.1038/s41598-023-35029-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2022] [Accepted: 05/11/2023] [Indexed: 05/17/2023] Open
Abstract
The proportion aged 60 years or older in the world's population is expected to double by 2050. In general, they have many complex diseases and poor oral health status. Oral health is one of the important health indicators of elderly people and it is affected by diverse factors, such as socioeconomic status. In this study, sexual difference was considered as an associated factor that is closely related to edentulism. The sexual difference might be more influential within the geriatric population because of lower economic and educational backgrounds at this stage. Edentulism was significantly higher among elderly females than males when combined with the education level. The lower the level of education, the higher the prevalence of edentulism as much as 24 ~ 28 times, especially in females (P = 0.002). These findings suggest a more complex relationship between oral health, socioeconomic status, and sexual difference.
Collapse
Affiliation(s)
- Hyang-Ah Park
- Department of Preventive and Social Dentistry, Graduate School, Kyung Hee University, Seoul, 02447, Korea
| | - Soon-Hee Shin
- Department of Preventive and Social Dentistry, Graduate School, Kyung Hee University, Seoul, 02447, Korea
| | - Jae-In Ryu
- Department of Preventive and Social Dentistry, College of Dentistry, Kyung Hee University, Seoul, 02447, Korea.
| |
Collapse
|
12
|
Nazar G, Díaz-Toro F, Roa P, Petermann-Rocha F, Troncoso-Pantoja C, Leiva-Ordóñez AM, Cigarroa I, Celis-Morales C. [Association between oral health and cognitive decline in older Chileans]. GACETA SANITARIA 2023; 37:102303. [PMID: 37156068 DOI: 10.1016/j.gaceta.2023.102303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/29/2022] [Accepted: 02/20/2023] [Indexed: 05/10/2023]
Abstract
OBJECTIVE To identify the association between oral health and suspected cognitive impairment in older adults in Chile. METHOD Cross-sectional study including 1826 people ≥60 years who participated in the National Health Survey of Chile, 2016-2017. Oral health was evaluated by the number of teeth, presence of caries, use of dental prostheses, self-reported oral health, and pain and/or discomfort in the oral cavity. Cognitive impairment was assessed using the Mini-Mental State Examination (MMSE). The association was evaluated by logistic and linear regression, adjusted for sociodemographic and lifestyle variables. RESULTS Compared with people without suspicion of cognitive impairment, people with suspected impairment had five fewer teeth (13.4 vs. 8.5 teeth), a much higher difference in women than in men, and a higher frequency of oral pain. Edentulism and fewer teeth were associated with a higher likelihood of suspected cognitive impairment, associations that were not maintained in adjusted models. Oral pain was associated with a higher likelihood of suspected impairment even in the most adjusted model (odds ratio: 1.99; 95% confidence interval [95%CI]: 1.09-3.63). In linear models, an increase of 2% (95%CI: 0.01-0.05) in the MMSE score was observed for each additional tooth. CONCLUSIONS Poor oral health, particularly tooth loss and the presence of pain, was associated with cognitive impairment in older adults in Chile.
Collapse
Affiliation(s)
- Gabriela Nazar
- Departamento de Psicología, Facultad de Ciencias Sociales y Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Felipe Díaz-Toro
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA; Facultad de Enfermería, Escuela de Enfermería, Universidad Andrés Bello, Santiago, Chile.
| | - Pablo Roa
- Departamento de Fonoaudiología, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile; Doctorado Salud Mental, Departamento de Psiquiatría, Universidad de Concepción, Concepción, Chile
| | - Fanny Petermann-Rocha
- Centro de Investigación Biomédica, Facultad de Medicina, Universidad Diego Portales, Santiago, Chile
| | - Claudia Troncoso-Pantoja
- Centro de Investigación en Educación y Desarrollo (CIEDE-UCSC), Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Ana María Leiva-Ordóñez
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Los Ángeles, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, United Kingdom; Laboratorio de Rendimiento Humano, Grupo de Estudio en Educación, Actividad Física y Salud (GEEAFyS), Universidad Católica del Maule, Talca, Chile
| |
Collapse
|
13
|
Alhazmi STF, Abdurahiman VT. Managing class III jaw relations. Clin Case Rep 2023; 11:e07335. [PMID: 37192851 PMCID: PMC10182011 DOI: 10.1002/ccr3.7335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 04/21/2023] [Accepted: 04/24/2023] [Indexed: 05/18/2023] Open
Abstract
Key Clinical Message The article describes the treatment of a patient with a class III ridge relation who required a complete denture. An artificial dentition cross-arch configuration was used to treat the patient. The dentist should relate the biomechanical component to the anatomy. Abstract Complete edentulism is not uncommon in day-to-day prosthodontic clinical practice. Retention and stability are critical factors in successfully treating a complete denture patient. A practitioner must always plan the treatment depending on various situations encountered in the patient's mouth. Maxillomandibular relation, which involves deviation from everyday situations, occurs with considerable frequency and is often quite challenging to the dentist in offering a suitable treatment. The importance of teeth arrangement and a stable occlusion in maintaining the stability of a denture is well-documented. This Article highlights a case with a class III jaw relation situation, which was managed successfully by a cross-arch arrangement of artificial teeth. A follow-up, along with an indication, is represented.
Collapse
|
14
|
Gogula SR, Manivasakan S, Livingstone D, Madaan J. Sargassum polycystum and Turbinaria conoides Seaweed-based Novel Denture Cleanser: An In Vitro Study. J Contemp Dent Pract 2023; 24:261-267. [PMID: 37469266 DOI: 10.5005/jp-journals-10024-3498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
AIM The study ventures into evaluating the antifungal and antibacterial efficacy of commercially available denture cleanser with Sargassum polycystum, Turbinaria conoides seaweeds, and the combination of seaweeds. MATERIALS AND METHODS Poly(methyl methacrylate) disks measuring 10 × 2 mm were fabricated. The samples are divided into four groups of 21 samples each. The denture base was coated with Candida albicans and Streptococcus mutans individually. Group I was treated with Fittydent, group II (S. polycystum and T. conoides seaweeds combination), group III (S. polycystum), and group IV (T. conoides). The colony-formation units present on the surface of the denture were evaluated before and after treatment with different denture cleansers using the serial dilution method. Statistical analysis was done using descriptive statistics, analysis of variance, and post hoc Bonferroni analysis. RESULTS At 10-5 dilution, T. conoides (group IV) was statistically significant in reducing both C. albicans and S. mutans. At 10-10 dilution, T. conoides (group IV) and S. polycystum and T. conoides combination (group II) had high antibacterial efficacy and were statistically significant. Fittydent (group I) had higher antifungal efficacy and was statistically significant in comparison to S. polycystum (group III) alone. At 10-10 dilution, the T. conoides (group IV), S. polycystum, and T. conoides combination (group II) showed no evidence of a significant difference in comparison to Fittydent (group I). Fittydent had higher antibacterial efficacy and was statistically significant in comparison to S. polycystum (group III) alone. CONCLUSION Sargassum polycystum and T. conoides combination and T. conoides were found to have higher antibacterial efficacy in comparison to commercially available denture cleanser and also were found to have equal antifungal efficacy in comparison to commercially available denture cleanser.
Collapse
Affiliation(s)
- Sree Roopa Gogula
- Department of Prosthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India
| | - Shivasakthy Manivasakan
- Department of Prosthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India, Phone: +91 9940724320, e-mail:
| | - David Livingstone
- Department of Prosthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India
| | - Jahnavi Madaan
- Department of Prosthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Puducherry, India
| |
Collapse
|
15
|
Evaluation of red-complex bacteria loads in complete denture patients: a pilot study. BDJ Open 2023; 9:7. [PMID: 36801907 PMCID: PMC9938684 DOI: 10.1038/s41405-023-00133-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 01/28/2023] [Accepted: 02/06/2023] [Indexed: 02/20/2023] Open
Abstract
OBJECTIVE This pilot study aimed to evaluate red-complex bacteria (RCB) loads in edentulous patients, before and after dentures' insertion. MATERIALS AND METHODS Thirty patients were included in the study. Deoxyribonucleic acid (DNA) isolated from bacterial samples were obtained from the dorsum of the tongue before and 3 months after complete dentures (CDs) insertion in order to identify the presence of RCB (Tannerella forsythia, Porphyromonas gingivalis, and Treponema denticola) and quantify their loads, using real-time polymerase chain reaction (RT-PCR). Bacterial loads were represented as "Lg (genome equivalents/sample)" and the data classified according to the "ParodontoScreen" test. RESULTS Significant changes in bacterial loads were observed before and 3 months after the CDs insertion for: P. gingivalis (0.40 ± 0.90 vs 1.29 ± 1.64, p = 0.0007), T. forsythia (0.36 ±0.94 vs 0.87 ± 1.45, p = 0.005), and T. denticola (0.11 ± 0.41 vs 0.33 ± 0.75, p = 0.03). Before the CDs insertion, all patients had a normal bacterial prevalence range (100%) for all analyzed bacteria. Three months after the insertion, 2 (6.7%) of them had a moderate bacterial prevalence range for P. gingivalis, while 28 (93.3%) had a normal bacterial prevalence range. CONCLUSION The use of CDs has a significant impact on increasing RCB loads in edentulous patients.
Collapse
|
16
|
Muacevic A, Adler JR, Aqlan M, Alahmadi L, Tallah Habib H, Nawawi E, Mona R, Sindi R. Prevalence of Total Edentulism and Panoramic Radiographic Findings of Totally Edentulous Patients in a Dental School in Jeddah, Saudi Arabia. Cureus 2022; 14:e32334. [PMID: 36628022 PMCID: PMC9825734 DOI: 10.7759/cureus.32334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2022] [Indexed: 12/13/2022] Open
Abstract
Background The prevalence of total edentulism differs significantly between countries and between cities/regions within the same country. It can be affected by various factors, such as age, sex, and socioeconomic factors along with lifestyle and health behavior. Positive findings on panoramic radiographs are frequently observed in totally edentulous patients (TEP) during routine screening. Objectives This study aimed to retrospectively determine the prevalence of total edentulism and to evaluate the distribution and location of positive findings on panoramic radiographs of TEP at a dental school in Jeddah, Saudi Arabia. Methods A total of 12,428 digital panoramic radiographs of patients aged ≥35 years seeking treatment at a dental school from January 2018 to December 2021 were evaluated to determine the prevalence of total edentulism. Retained root stumps, impacted teeth, radiolucent, and radiopaque lesions were detected on the panoramic radiographs of the TEP. Data were analyzed using descriptive statistics. Results Among the 12,428 patients, 521 (4.2%) showed total edentulism on their panoramic radiographs. The prevalence of edentulism was the highest among patients aged >65 years (n=305, 4.5%), men (n=246, 4.2%), and non-Saudi citizens (n=300, 4.4%). A total of 198 radiographic findings were identified in 150 patients. The frequency rates of retained root stumps and impacted teeth were 19.2% (n=100) and 4.6% (n=24), respectively. Radiolucent and radiopaque lesions each accounted for 2.5% (n=13) of the lesions. Conclusions The prevalence of edentulism was higher in patients aged >65 years, male patients, and non-Saudi citizens. Retained root stumps were most often encountered among the four positive findings on panoramic radiographs. Considering the high frequency of positive radiographic findings in TEP, panoramic radiographs must be routinely obtained for TEP, but caution must be exercised to reduce the effects of radiation.
Collapse
|
17
|
Islas-Zarazúa R, Mora-Acosta M, Navarrete-Hernández JDJ, Reynoso-Vázquez J, Villalobos-Rodelo JJ, Rojas-Ortega L, Sosa-Velazco TA, Márquez-Corona MDL, Medina-Solís CE, Maupomé G. Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes. Healthcare (Basel) 2022; 10:2378. [PMID: 36553901 PMCID: PMC9777753 DOI: 10.3390/healthcare10122378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/22/2022] [Accepted: 11/23/2022] [Indexed: 11/29/2022] Open
Abstract
The objective of the present study was to compare the prevalence of edentulism in Mexican adults with and without a diagnosis of type 2 diabetes mellitus (T2DM) when they are seeking dental care. A cross-sectional study was conducted on 1921 medical records of Mexican adults 40 years of age and older who sought dental care at clinics of a public university in Mexico. The dependent variable was edentulism, clinically determined through an oral examination. The main independent variable was the self-report of previous T2DM diagnosis made by a physician. Sociodemographic, socioeconomic and behavioral covariates were included in a multivariate binary logistic regression model. Overall edentulism prevalence was 8.4% (95% CI = 7.1-9.6). The prevalence of T2DM was 14.3% (n = 274). The prevalence of edentulism among individuals with T2DM was 13.1%, but only 7.6% among individuals without T2DM. In the multivariate binary logistic regression model, a previous T2DM diagnosis increased the probability of being edentulous 1.61 times (95% CI = 1.03-2.50). For each year a person's age increased, the likelihood of being edentulous increased by 12% (95% CI = 10-14%). In summary, a higher prevalence of edentulism was present in Mexican adults with T2DM and in those of older age. This information may be used by dental care providers and health policymakers to improve approaches to preventive care, as well as to characterize and anticipate care needs more accurately for the adult and older adult populations.
Collapse
Affiliation(s)
- Rosalina Islas-Zarazúa
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Mariana Mora-Acosta
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | | | - Josefina Reynoso-Vázquez
- Pharmacy Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Juan José Villalobos-Rodelo
- School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico
- Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan 80000, Mexico
| | - Laura Rojas-Ortega
- Universidad Contemporánea de las Américas, Ciudad de Mexico 04890, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
| |
Collapse
|
18
|
Kapadia A, Wankhade S, Khalikar A, Deogade S, Mukhopadhyay P, Dutta V, Doibale P. Comparing the functional efficiency of tooth-supported overdentures and implant-supported overdentures in patients requiring oral rehabilitation: A systematic review. Dent Res J (Isfahan) 2022; 19:94. [PMID: 36605147 PMCID: PMC9808009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 07/04/2022] [Accepted: 07/12/2022] [Indexed: 01/07/2023] Open
Abstract
The aim of this article is to compare the functional efficiency of tooth-supported overdentures and implant-supported overdentures in patients requiring oral rehabilitation. The comparative quantification of the improvement in functional efficiency is very difficult to assess because of the variations in the study designs like the age of the population studied, the male-to-female ratio, the outcome measures used, the clinical setting in which the implant therapy was provided, oral status of the subjects included and the type of implant therapy provided. In this systematic review, the articles included compared the functional efficiency by assessing the bite force, chewing efficiency, electromyographic (EMG) changes measured by EMG analysis, and patient satisfaction for subjects who have been rehabilitated with either a tooth-supported overdenture or an implant-supported overdenture. This will help the clinicians to better plan the treatment, keeping in mind the long-term prognosis for that particular patient.
Collapse
Affiliation(s)
- Archit Kapadia
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Sattyam Wankhade
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Arun Khalikar
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Suryakant Deogade
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Pronoy Mukhopadhyay
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Vinay Dutta
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Pradyumna Doibale
- Department of Prosthodontics, Crown and Bridge, Government Dental College and Hospital, Nagpur, Maharashtra, India
| |
Collapse
|
19
|
PARAKH MK, D KP, DEMERİE F. Oral Health Related Quality of Life in first-time denture wearers Using Balanced, Monoplane and Group function Occlusion. CUMHURIYET DENTAL JOURNAL 2022. [DOI: 10.7126/cumudj.1106604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Background: Oral Health Impact profile is one of the most common methods to assess the Oral Health Related Quality of Life (OHRQoL) of the patients.
Methods: In this study, a total of 66 edentulous participants were included and divided into 3 groups of 22 each using simple random sampling. OHIP-14 scores were assessed before complete denture treatment and at 6 months follow-up.
Results: When comparison of mean OHIP – 14 among the study population across gender before and after denture insertion was done the results were statistically significant. (P-value- 0.001) The difference between the follow-up scores and the scores before a denture when subjected to statistical analysis was significant for all three groups. When one-way ANOVA was done between the groups the data was statistically significant. (P-value
Collapse
Affiliation(s)
- Mayank Kumar PARAKH
- A B Shetty Memorial Institute of Dental Sciences (Nitte Deemed to be University)
| | | | | |
Collapse
|
20
|
Effects of Changes in Smoking Behavior of Older Adults’ Oral Health. Healthcare (Basel) 2022; 10:healthcare10112127. [DOI: 10.3390/healthcare10112127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 10/19/2022] [Accepted: 10/19/2022] [Indexed: 11/17/2022] Open
Abstract
While smoking is a crucial health risk, it adversely affects oral health, particularly becoming riskier for older adults who have smoked for a long time. This study identifies the patterns of smoking behavior changes in older adults aged 65 years and older and examines how the smoking behavior changes affect their oral health. Longitudinal data were derived from Korean Longitudinal Study of Aging (KLoSA) between 2006 and 2018, targeting the older adults 65 years and older in South Korea. The independent variable was the amount of smoking, and the dependent variable was oral health. For data analysis, SPSS 25.0 and M-plus 8.0 programs were utilized. As a result, the patterns of changes in smoking behavior of the older adults finally derived were ‘non-smoking,’ ‘decreasing,’ ‘high-level maintenance,’ and ‘decreasing after increasing.’ Furthermore, the relationship between the smoking behavior change pattern of the older adults and oral health was revealed. Specifically, as for the smoking behavior change pattern of the older adults, it was confirmed that the oral health was better in the ‘non-smoking’ pattern compared to the ‘high-level maintenance’ pattern. On the other hand, it was confirmed that the ‘decreasing’ pattern and the ‘decreasing after rising’ pattern did not significantly affect oral health. The findings imply that even if older adults smoked a lot in the past, if they quit smoking at some point, it can positively affect their oral health. Furthermore, it is suggested to allow public officials, medical professionals, and welfare experts to actively intervene for older adults to stop smoking for their oral health.
Collapse
|
21
|
Mann RS, Ruse ND. Fracture toughness of conventional, milled and 3D printed denture bases. Dent Mater 2022; 38:1443-1451. [PMID: 35840356 DOI: 10.1016/j.dental.2022.06.029] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 06/07/2022] [Accepted: 06/22/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The aim of this study was to determine and compare fracture toughness (KIC) and work of fracture (WOF) of a conventional (C) denture base, using the notchless triangular prism (NTP) specimen KIC test, with CAD/CAM (milled, M) and 3D-printed (P) materials at 7 d and 90 d. METHODS Lucitone 199 (C), Lucitone 199 CAD (M) and Lucitone Digital Print (P) (Dentsply, USA) were used to fabricate NTP specimens. Samples were stored in 37 °C water for 7 d (20/group) and 90 d (20/group) and conditioned in 23 °C water for 1 h prior to testing. For testing, samples were secured in custom-made jigs and loaded in tension until crack arrest/failure. The maximum-recorded load was used to calculate KIC. The results were analyzed by two-way ANOVA, Scheffé multiple mean comparisons (α = 0.05), independent t-tests and Weibull. WOF (in KJ/m2) was calculated by dividing the area under the load-displacement graphs by twice the corresponding crack-arrested cross sectional area of the fractured surfaces. RESULTS The results have shown that: 1) the tested materials had significantly different KIC (P > C > M; p < 0.005) and WOF at both 7d and 90d; 2) ageing in 37 ºC water for 90 d resulted in a significant decrease of KIC in the C and M groups (p < 0.001) and of WOF in all groups. SIGNIFICANCE The tested P denture base exhibited significantly higher KIC and WOF, suggesting that it could be more resistant to crack propagation than the C and M materials tested. Water storage for 90 d significantly decreased KIC of C and M materials and WOF of all.
Collapse
Affiliation(s)
- Ravdeep S Mann
- Biomaterials, Faculty of Dentistry, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada
| | - N Dorin Ruse
- Biomaterials, Faculty of Dentistry, The University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada.
| |
Collapse
|
22
|
Fang X, Mi C, Wang Y, Sun Y, Nie J, Tang H, Liu Y, Li Y, Wang J, Ma Z, Han Y. Comparison of biological and mechanical properties of different paranasal sinus mucosa in goat. BMC Oral Health 2022; 22:203. [PMID: 35614431 PMCID: PMC9131649 DOI: 10.1186/s12903-022-02233-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 05/12/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE The present study was designed to explore endurable pressure intensity of different paranasal sinus mucosa in goats. METHOD Mucosa commonly involved in maxillary sinus augmentation, including mucosa from maxillary sinus crest, maxillary sinus floor, and frontal sinus, were harvested in a computed tomography-guided manner. The obtained mucosa was then sectioned into square and irregular ones for maximum endurable pressure intensity determination and morphological observation, respectively. RESULTS Thickness of paranasal sinus mucosa, as determined under morphological staining by an optical microscope with a graduated eyepiece, were calculated. And the results showed that the average thickness of maxillary sinus crest mucosa, floor mucosa, and frontal sinus mucosa in goats were 410.03 ± 65.97 μm, 461.33 ± 91.37 μm and 216.90 ± 46.47 μm, respectively. Significant differences between maxillary sinus crest and frontal sinus, maxillary sinus floor, and frontal sinus were observed (P < 0.05). Maximum endurable pressure intensity was determined by utilizing a self-made clamp device and the results revealed maximum endurable pressure intensity of maxillary sinus crest mucosa, floor mucosa and frontal sinus mucosa in goats were 260.08 ± 80.12Kpa, 306.90 ± 94.37Kpa and 121.72 ± 31.72Kpa, respectively. Also, a statistically significant difference was observed when comparing the endurable pressure intensity between maxillary sinus crest and frontal sinus, maxillary sinus floor, and frontal sinus (P < 0.05). Further correlation analysis also revealed a positive correlation between the thickness of mucosa of the maxillary sinus and frontal sinus and maximum endurable pressure intensity (P < 0.05). CONCLUSION Mucosal thickness and maximum endurable pressure intensity of maxillary sinus crest and floor were larger than that of frontal sinus mucosa and a positive correlation between the thickness of mucosa and endurable pressure intensity was observed. Our results thus might provide an experimental basis and guidance for mucosa-related problems involved maxillary sinus augmentation.
Collapse
Affiliation(s)
- Xinyu Fang
- Postgraduate Training Base, Jinzhou Medical University and The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Cai Mi
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Yingdi Wang
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Yidan Sun
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
- Department of Stomatology, AMHT Group Aerospace 731 Hospital, Beijing, China
| | - Jia Nie
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Haoning Tang
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China.
| | - Yajing Liu
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China.
| | - Yanfeng Li
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China.
| | - Jing Wang
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Zheng Ma
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| | - Yishi Han
- Department of Stomatology, the Fourth Medical Center, Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, 100048, China
| |
Collapse
|
23
|
Guiding the formulation of soft cereal foods for the elderly population through food oral processing: Challenges and opportunities. ADVANCES IN FOOD AND NUTRITION RESEARCH 2022; 99:137-188. [PMID: 35595393 DOI: 10.1016/bs.afnr.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
As the elderly population is growing steadily, more age-friendly food products that allow them to cover their nutritional needs and are enjoyable need to be designed. Since their oral physiology is considerably altered, the study of Food Oral Processing has become an essential discipline in food development, as it takes into consideration the complex interactions between food structure, oral processing, physiology and perception. Cereals are staple foods in many countries, and their consumption as bakery products is popular among the elderly population. In addition, when fortified with pulse proteins, they can help meet the protein needs of seniors and help fight against sarcopenia. For these reasons, this chapter presents an overview of the various aspects involved in the oral processing and formulation of soft cereal foods, translating them into challenges and opportunities that are of relevance to the design of realistic soft cereal foods targeted for the elderly that are nutritious and sensory appealing. This review focuses on the healthy elderly population and does not intend to cover the needs of the dependent elderly suffering from chronical diseases.
Collapse
|
24
|
Ceena DE, Navya K, Nayak SU, Shenoy R, Binnal A, Bastian TS. Oral health status among the geriatric population - A cross sectional study. JOURNAL OF GERONTOLOGY AND GERIATRICS 2022. [DOI: 10.36150/2499-6564-n477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
25
|
Comparative cost analysis of different prosthetic rehabilitations for the edentulous maxilla: early results from a randomized clinical pilot study. BDJ Open 2022; 8:8. [PMID: 35318307 PMCID: PMC8940901 DOI: 10.1038/s41405-022-00100-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 02/19/2022] [Accepted: 02/21/2022] [Indexed: 11/17/2022] Open
Abstract
Objectives/aim To analyze and compare costs of different prosthetic rehabilitations for the edentulous maxilla. Materials and methods Patients with edentulous maxillae were rehabilitated with either of three implant-supported prosthetic protocols; removable overdenture supported by 2 implants (ISOD 2), fixed dental prostheses supported by 4 (ISFAFDP 4) or 6 (ISFAFDP 6) implants. Cost of treatment and costs during follow-up were registered and compared. Results Twenty-four patients were included: six patients received ISOD 2 treatment, eight patients received ISFADP 4 treatment and ten patients received ISFADP 6 treatment. Initial costs for ISFAFDP 6 were higher than costs for ISFAFDP 4 and ISOD 2, but there were no differences in cost for maintenance i.e., the ISOD treatment remained the least costly treatment alternative after 1-year follow-up. Discussion The lack of difference in cost for maintenance and repair over the first year suggests that implant-supported overdentures will remain the least costly treatment option for the edentulous maxilla, at least in a short-term perspective. Conclusions Removable maxillary overdentures supported by 2 implants may be a valid low cost treatment option.
Collapse
|
26
|
Janto M, Iurcov R, Daina CM, Neculoiu DC, Venter AC, Badau D, Cotovanu A, Negrau M, Suteu CL, Sabau M, Daina LG. Oral Health among Elderly, Impact on Life Quality, Access of Elderly Patients to Oral Health Services and Methods to Improve Oral Health: A Narrative Review. J Pers Med 2022; 12:372. [PMID: 35330372 PMCID: PMC8950250 DOI: 10.3390/jpm12030372] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/15/2022] [Accepted: 02/23/2022] [Indexed: 12/24/2022] Open
Abstract
Dental health is often neglected among the elderly because of the numerous comorbidities in this population, such as cardiovascular diseases. However, dental health influences general health and quality of life by impacting both the general health and the psychological state of the individual. The present review highlights the main dental comorbidities in the elderly population, their impact on the quality of life, the barriers towards access to dental care in the elderly and methods to improve their dental health. Information related to dental care and its importance must be provided both to older individuals and their caregivers in order to detect dental pathology and treat it adequately. Ensuring dental health involves the whole society of elders, caregivers, dental care providers, the public sector, health policymakers, and the private sector.
Collapse
Affiliation(s)
- Michael Janto
- Faculty of Medicine and Pharmacy, Doctoral School, University of Oradea, 1 December Sq., 410081 Oradea, Romania;
| | - Raluca Iurcov
- Dentistry Department, Faculty of Medicine, University of Oradea, 410073 Oradea, Romania;
| | - Cristian Marius Daina
- Psycho-Neurosciences and Recovery Department, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania; (C.M.D.); (C.L.S.); (M.S.); (L.G.D.)
| | | | - Alina Cristiana Venter
- Department of Morphologycal Sciences, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania
| | - Dana Badau
- Faculty of Sciences and Letters, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, Romania;
- Interdisciplinary Doctoral School, Transilvania University, 500068 Brasov, Romania
| | - Adrian Cotovanu
- Faculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology, 540142 Targu Mures, Romania;
| | - Marcel Negrau
- Department of Surgical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania;
| | - Corina Lacramioara Suteu
- Psycho-Neurosciences and Recovery Department, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania; (C.M.D.); (C.L.S.); (M.S.); (L.G.D.)
| | - Monica Sabau
- Psycho-Neurosciences and Recovery Department, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania; (C.M.D.); (C.L.S.); (M.S.); (L.G.D.)
| | - Lucia Georgeta Daina
- Psycho-Neurosciences and Recovery Department, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania; (C.M.D.); (C.L.S.); (M.S.); (L.G.D.)
| |
Collapse
|
27
|
Rustom R, AlThumairy SA, Alhujhuj RR, Alshaiban SG, Alghamdi NS, Al-Ibrahim RM, Mezeid M. Prevalence of Partial Edentulism and Complete Edentulism Among Adults Residing in Riyadh, Saudi Arabia; A Cross-Sectional Study. ANNALS OF DENTAL SPECIALTY 2022. [DOI: 10.51847/uhzyp6w1lr] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|
28
|
Bousiou A, Konstantopoulou K, Polychronopoulou A, Halazonetis DJ, Schimmel M, Kossioni AE. Sociomedical and oral factors affecting masticatory performance in an older population. Clin Oral Investig 2021; 26:3477-3486. [PMID: 34850264 DOI: 10.1007/s00784-021-04316-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Accepted: 11/22/2021] [Indexed: 12/26/2022]
Abstract
OBJECTIVES To assess the sociomedical and oral factors affecting masticatory performance in a community-dwelling older population. MATERIALS AND METHODS Community-dwelling persons over 60 years were investigated using medical and dental oral interviews, oral and denture examination (natural teeth, tooth mobility, number of occluding tooth pairs, and removable dentures' prevalence and quality), and evaluation of masticatory performance using a mixing ability test. RESULTS A total of 130 participants with a mean age of 73.9±8.5 years were recorded. Fifty-eight (44.6%) used various types of removable prostheses. Twenty were edentulous and used a pair of complete dentures. Univariate analyses revealed statistically significant associations (p≤0.05) between masticatory performance and aging, marital status, subjective chewing ability, use of removable dentures, use of various combinations of complete dentures, pain caused by maxillary denture, number of teeth, tooth mobility, posterior chewing pairs, all chewing contacts natural or prosthetic, retention of mandibular partial dentures, and dentures' occlusion. The multivariable quantile regression analysis revealed that fewer natural teeth (95% CI: -0.02-0.01, p<0.001), being edentulous and using a pair of complete dentures (95% CI: 0.09-0.35, p=0.001), and larger percentage of severely mobile teeth (95% CI: 0.07-0.82, p=0.020) were associated with lower masticatory performance. CONCLUSIONS Poor masticatory performance in older adults was associated with fewer teeth, being edentulous and using a pair of complete dentures, and increased prevalence of severe tooth mobility. CLINICAL RELEVANCE Retaining the natural dentition and preventing and treating periodontal disease are important measures to maintain masticatory performance in older adults.
Collapse
Affiliation(s)
- Andrianna Bousiou
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2, 11527, Athens, Greece
| | - Kalliopi Konstantopoulou
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2, 11527, Athens, Greece
| | - Argy Polychronopoulou
- Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Demetrios J Halazonetis
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Martin Schimmel
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.,Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
| | - Anastassia E Kossioni
- Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Thivon 2, 11527, Athens, Greece.
| |
Collapse
|
29
|
Jacob L, Shin JI, Oh H, López-Sánchez GF, Smith L, Haro JM, Koyanagi A. Association between diabetes and edentulism and their joint effects on health status in 40 low and middle-income countries. BMJ Open Diabetes Res Care 2021; 9:9/1/e002514. [PMID: 34620622 PMCID: PMC8499266 DOI: 10.1136/bmjdrc-2021-002514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 09/26/2021] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Previous studies on the diabetes-edentulism relationship have yielded conflicting results. Therefore, the goal of this study was to investigate the association between diabetes and edentulism, and their joint effects on health status in adults from 40 low and middle-income countries (LMICs). RESEARCH DESIGN AND METHODS Data from the World Health Survey were used for this cross-sectional study (2002-2004). Forty countries (18 low-income and 22 middle-income countries) were included. Edentulism and diabetes were assessed using yes-no questions based on self-report. Health status was assessed in seven different domains (self-care, pain/discomfort, cognition, interpersonal activities, sleep/energy, affect, and perceived stress). The association between diabetes (exposure) and edentulism (outcome) was analyzed using multivariable logistic regression models, while their joint effects on health status were assessed using multivariable linear regression models. RESULTS There were 175 814 adults aged ≥18 years included in this study (mean (SD) age 38.4 (16.0) years; 49.3% men). Overall, the prevalence of edentulism was 6.0% and diabetes was 2.9%. There was a positive and significant association between diabetes and edentulism in the overall sample (OR=1.40, 95% CI 1.18 to 1.66), in low-income countries (OR=1.78, 95% CI 1.21 to 2.62) and in middle-income countries (OR=1.24, 95% CI 1.04 to 1.47). In addition, people with comorbid diabetes and edentulism had worse health status in the domains of cognition, sleep/energy, and perceived stress, compared with those with diabetes only. CONCLUSIONS Diabetes was positively associated with edentulism in this sample of more than 175 000 individuals living in LMICs. Providing oral care to individuals with diabetes may potentially lead to a reduction in their risk of edentulism.
Collapse
Affiliation(s)
- Louis Jacob
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France
| | - Jae Il Shin
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea
| | - Hans Oh
- Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Guillermo F López-Sánchez
- Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Lee Smith
- The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Josep Maria Haro
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Ai Koyanagi
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- ICREA, Pg. Lluis Companys 23, Barcelona, Spain
| |
Collapse
|
30
|
Venkat M, Janakiram C, Ramanarayanan V. Prevalence of Tooth Mortality among Adults in India: A Systematic Review and Meta-Analysis. Contemp Clin Dent 2021; 12:339-345. [PMID: 35068831 PMCID: PMC8740801 DOI: 10.4103/ccd.ccd_787_20] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Revised: 09/26/2020] [Accepted: 02/25/2021] [Indexed: 11/26/2022] Open
Abstract
Tooth loss remains a significant deterrent to oral health and adversely affects the dietary intake and nutritional status of individuals compromising their general health. It is a debilitating and irreversible condition and is considered as the “final marker of disease burden for oral health.” The prevalence of tooth mortality and its causes has been studied for many years through point prevalence studies; however, there is a need to generate a national representative data. This study aimed to systematically review the available literature measuring the prevalence of tooth mortality in India. We searched the following databases for studies that had assessed the prevalence of tooth mortality in India: PubMed/Medline, PubMed Central, and Scopus. This yielded 36 studies, of which 16 eligible cross-sectional studies assessing the prevalence among those 18 years and above were included. Meta-analyses using the random-effects model were conducted for tooth mortality outcomes which stratified for different covariates such as age groups, gender, geographic region, population group, type of index, and reason for loss using MetaXL Version 5.3 Software, Netherlands developed by Dr Jan J Barendregt. Pooled prevalence was used to estimate the overall effect, with 95% confidence intervals (CI). A total of 13,662 adults participated in the 16 studies. We found that the overall prevalence of complete tooth mortality (loss of 32 teeth) was 10.7% (95% CI: 10.2%–11.2%, 16 studies, n = 2249) and partial tooth mortality (having one or more teeth) was 58.8% (95% CI: 57.9%–59.6%, 16 studies, n = 7526). Rural area adults showed twice 61% (60.5%, 95% CI: 58.9–62.1, 7 studies) than urban adults. Females had higher partial tooth mortality (48.2%%), whereas males higher complete tooth mortality (20.2%). There was higher methodological heterogeneity of included studies. Nearly 35% of adults have complete or partial tooth mortality. Greater tooth mortality indicates the burden of the prosthetic needs.
Collapse
Affiliation(s)
- Malliga Venkat
- Department of Public Health Dentistry, Amrita School of Dentistry, AIMS, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India
| | - Chandrashekar Janakiram
- Department of Public Health Dentistry, Amrita School of Dentistry, AIMS, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India
| | - Venkitachalam Ramanarayanan
- Department of Public Health Dentistry, Amrita School of Dentistry, AIMS, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India
| |
Collapse
|
31
|
"If I have teeth, I can smile." Experiences with tooth loss and the use of a removable dental prosthesis among people who are partially and completely edentulous in Karnataka, India. BDJ Open 2021; 7:34. [PMID: 34518522 PMCID: PMC8438032 DOI: 10.1038/s41405-021-00088-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 08/11/2021] [Accepted: 08/12/2021] [Indexed: 11/21/2022] Open
Abstract
Objectives Tooth loss is a phenomenon associated with structural and functional changes, with a negative influence on the oral and general health of an individual. Removable dental prosthesis is commonly fabricated as treatment for tooth loss. However, the perceptions and experiences of individuals during the transition from a dentate to a partially or completely edentulous state and their acceptance of the denture are largely ignored. The objective of this study was to explore the perceptions and experiences during the transition from a dentate state to being partially or completely edentulous in the Indian population. Methods Fifteen individuals wearing partial or complete denture prosthesis were interviewed in depth using open-ended questions. These interviews were recorded using a voice-recording device. They were then transcribed, and a coding process was applied using the thematic framework approach to qualitative analysis. Findings Five themes emerged, namely: (i) Transition from dentulous to partially or completely edentulous state; (ii) Varying experiences with the use of dentures; (iii) Convenience and duration of wearing dentures; (iv) Attitude of dentists towards patients’ complaints; (v) Knowledge and preference of available treatment modalities. Conclusions The loss of natural teeth seemed to affect the psychological, functional, and social well-being of participants. Tooth loss was believed to be a natural aging process. Costs of treatment deterred the uptake of fixed denture treatment options. However, some participants preferred removable dentures to fixed prosthesis.
Collapse
|
32
|
Awuviry-Newton K, Tavener M, Wales K, Byles J. Interpretative Phenomenological Analysis of the Lived Experiences of Older Adults Regarding Their Functional Activities in Ghana. J Prim Care Community Health 2021; 11:2150132720931110. [PMID: 32584195 PMCID: PMC7318820 DOI: 10.1177/2150132720931110] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Introduction: Research on disability largely draws on epidemiological data, often conducted in more developed countries. To date, there is little research related to older adults in Ghana, Africa. The purpose of this study was to strengthen understanding of how older adults in Ghana perform functional activities, referenced against the World Health Organization’s International Classification of Functioning, Disability and Health (WHO-ICF) framework. Methods: Interpretative phenomenological analysis (IPA) of semistructured interview data was employed as the methodological approach. Using purposive criterion sampling, 8 older adults admitted to Komfo Anokye Teaching Hospital in Ghana, presenting with any identified health condition and/or frailty were recruited. Results: Analysis of interview data identified 5 interrelated themes: (1) feeling anxious, (2) feeling restricted, (3) understanding and admitting difficulty, (4) striving to be healthy and being productive, and (5) managing functional difficulty. These concerns were classified and related to the WHO-ICF, particularly the contextual factors. Discussion: This study examined in detail experiences of older adults performing functional activities. Our study highlights the relevance of the WHO-ICF framework for understanding the health needs of older adults, emphasizing the functional, social, and environmental factors influencing the functional status of older adults. The findings offer unique insight into the health needs of older adults, drawing attention to the implications for policy and care.
Collapse
Affiliation(s)
- Kofi Awuviry-Newton
- The Priority Research Centre for Generational Health and Ageing, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Meredith Tavener
- The Priority Research Centre for Generational Health and Ageing, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Kylie Wales
- The Priority Research Centre for Generational Health and Ageing, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Julie Byles
- The Priority Research Centre for Generational Health and Ageing, The University of Newcastle, Callaghan, New South Wales, Australia
| |
Collapse
|
33
|
Calzada MT, Posada-López A, Gutiérrez-Quiceno B, Botero JE. Association Between Tobacco Smoking, Dental Status and Self-perceived Oral Health in Elderly Adults in Colombia. J Cross Cult Gerontol 2021; 36:187-200. [PMID: 33990901 DOI: 10.1007/s10823-021-09426-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2021] [Indexed: 10/21/2022]
Abstract
Tobacco smoking is responsible for several health problems, including mouth diseases. The aim of the present study was to establish the association between smoking and dental status and self-perceived oral health in a large group of elderly Colombian adults. Analysis of 18,937 survey records of participants aged ≥ 60 years old was conducted. Information regarding age, sex, skin color, socioeconomic level, education, marital status, denture use, partial tooth loss or edentulism, Geriatric Oral Health Assessment Index (GOHAI) and tobacco smoking was retrieved from the database. A descriptive analysis and multivariate logistic regression analysis were performed. Half of the participants were edentulous in the maxilla while mandibular teeth were more frequently retained in more than 60% of the participants. After adjusting for sex and age, smoking consistently increased the odds of partial or complete edentulism in the maxilla (OR 1.05; 95% CI 1.02-1.09) and mandible (OR 1.04; 95% CI 1.00-1.08). Nonetheless, the increase in the odds in the mandible was not statistically significant. The habit of smoking was associated with increased tooth loss that in the long-term may result in poor oral health affecting the quality of life of elderly people.
Collapse
Affiliation(s)
- María Teresa Calzada
- Escuela de Odontología, Universidad del Valle, Calle 4B # 36-00 Campus San Fernando, Cali, Colombia
| | - Adriana Posada-López
- Facultad de Odontología, Universidad de Antioquia, Calle 70 # 52-21, Medellín, Colombia
| | - Bruno Gutiérrez-Quiceno
- Escuela de Odontología, Universidad del Valle, Calle 4B # 36-00 Campus San Fernando, Cali, Colombia
| | - Javier Enrique Botero
- Facultad de Odontología, Universidad de Antioquia, Calle 70 # 52-21, Medellín, Colombia.
| |
Collapse
|
34
|
Yu NH, Shin AR, Ahn SV, Song KB, Choi YH. Estimation and change of edentulism among the Korean population: Korea National Health and Nutrition Examination Survey 2007-2018. Epidemiol Health 2021; 43:e2021020. [PMID: 33831295 PMCID: PMC8189846 DOI: 10.4178/epih.e2021020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Accepted: 03/31/2021] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVES To estimate the prevalence of edentulism according to the socio-demographic variables of Korean adults between 2007 and 2018 and to analyze the trends. METHODS This study was conducted using raw data from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2007 to 2018. Edentulism was defined as the absence of upper and lower teeth or the retained root of the missing teeth. To obtain the prevalence of edentulism, complex sample frequency analysis and regression analysis were performed according to the socio-demographic variables to represent the national population. The Korean population structure in 2005 was exploited as a standard population to calculate age-standardized edentulism. RESULTS The prevalence of edentulism in 2016-2018 was 9.7% in the Korean elderly, and the change of age-standardized edentulism steadily declined over time from 2007, 12.8%. In particular, it decreased by approximately 20% in the period between 2016 and 2018 compared to that in 2007 for those in their 80s. The trend of the prevalence according to gender decreased significantly in women. According to the level of education, the greatest decrease was seen in the group with the lowest education, although the prevalence itself was higher than that seen in those who were more educated. CONCLUSIONS The prevalence of edentulism among the older Korean population has decreased over time. However, the concern is on those with lower education and men as these groups are still at higher risk for edentulism.
Collapse
Affiliation(s)
- Na-Hyeon Yu
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Ah Ra Shin
- Department of Dental Hygiene, Gumi University, Gumi, Korea
| | - Song Vogue Ahn
- Department of Health Convergence, Ewha Womans University, Seoul, Korea
| | - Keun-Bae Song
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea
| | - Youn-Hee Choi
- Department of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea
| |
Collapse
|
35
|
Adam RZ, Khan SB. Antimicrobial efficacy of silver nanoparticles against Candida albicans: A systematic review protocol. PLoS One 2021; 16:e0245811. [PMID: 33493167 PMCID: PMC7833133 DOI: 10.1371/journal.pone.0245811] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 01/08/2021] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION Denture-induced stomatitis is one form of candidiasis. It is characterised as inflammation and erythema of the oral mucosa underneath the denture-bearing areas and clinically classified into three types according to severity. Denture hygiene, appropriate mouth rinses and the use of antifungal therapy are commonly used to treat the condition, but new technologies are emerging that may assist in its treatment. AIM The aim of this systematic review is to determine if silver nanoparticles inhibit the growth of Candida Albicans when included in acrylic dentures and in different denture liners. METHODOLOGY A protocol was developed and published on PROSPERO (Registration No: CRD42019145542) and with the institutional ethics committee (Registration No: BM20/4/1). The protocol includes all aspects of a systematic review namely: selection criteria, search strategy, selection methods using predetermined eligibility criteria, data collection, data extraction, critical appraisal of included studies, and the intended statistical analyses such as calculating risk ratios (RR) for dichotomous outcomes and presented at 95% confidence intervals, a meta-analysis, if possible or a narrative report as needed. EXPECTED RESULTS With rigorous inclusion criteria set and databases identified for searching, appropriate clinical and laboratory studies may be obtained but the results and its interpretation and translation into clinical practice may be a challenge as these depend on the quality of the research.
Collapse
Affiliation(s)
- Razia Z. Adam
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| | - Saadika B. Khan
- Department of Restorative Dentistry, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa
| |
Collapse
|
36
|
Do Morphological Changes in the Anterior Mandibular Region Interfere with Standard Implant Placement? A Cone Beam Computed Tomographic Cross-Sectional Study. ScientificWorldJournal 2021; 2020:8861301. [PMID: 33414691 PMCID: PMC7769664 DOI: 10.1155/2020/8861301] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 12/06/2020] [Accepted: 12/10/2020] [Indexed: 11/18/2022] Open
Abstract
Objective To determine the morphological features in the anterior mandibular region, the presence of lingual foramen and canal dimensions in Saudi subjects that would interfere with standard implant placement. Methods CBCT scans of patients seeking implant treatment were examined. Based on the dentition status, patients were categorized into edentulous (group I) and dentulous (group I). On the panoramic view, the distance between the two mental foramina was divided into vertical segments of 10 mm width. In each segment, vertical bone height and buccolingual thickness at three levels (alveolar crest, 5 mm, and 10 mm apical to the crest) were assessed. The lingual foramen prevalence and canal features were assessed as well. Comparisons between the two groups regarding the assessed parameters were performed using the t-test. The percentage of edentulous mandibles with thickness <6 mm corresponding to the standard implant diameter was also calculated. Results Following the inclusion and exclusion criteria, group I consisted of 45 subjects and group II comprised 26 subjects. Bone height and thickness at the crestal level were significantly less in edentulous (I) than dentate mandibles (II) (P < 0.0001). The lingual foramen was detected in 90% of patients. In both groups, males had significantly greater mandibular height than females (P=0.02 and 0.005). At the crestal level, the thickness was <6 mm in 50% of the anterior mandibular segments. Conclusion Half of the edentulous patients may receive normal size implants in the anterior interforaminal segments, while the other half will be limited to narrow implants (3.5 mm and less). The lingual foramen location, canal size, and position may represent another limitation for implant placement in that segment.
Collapse
|
37
|
Alfarsi MA, Shaik S. Four narrow dental implants and conventionally cast bar-supported removable hybrid acrylic complete denture as a therapeutic modality for terminal dentition. Clin Case Rep 2021; 9:326-336. [PMID: 33489180 PMCID: PMC7813059 DOI: 10.1002/ccr3.3525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 10/09/2020] [Accepted: 10/19/2020] [Indexed: 12/03/2022] Open
Abstract
The report portrays four narrow implants and cast bar-supported removable hybrid acrylic complete dentures and other terminal dentition treatment options in the maxilla. The therapeutic module could be efficient and satisfactory to patients.
Collapse
Affiliation(s)
- Mohammed A. Alfarsi
- Deptartment of Prosthetic DentistryCollege of DentistryKing Khalid UniversityAbhaSaudi Arabia
| | - Sharaz Shaik
- Deptartment of Prosthetic DentistryCollege of DentistryKing Khalid UniversityAbhaSaudi Arabia
| |
Collapse
|
38
|
Shah PD, Badner VM. Association between asthma and severe tooth loss in the adult population of the United States. J Asthma 2020; 59:462-468. [PMID: 33356681 DOI: 10.1080/02770903.2020.1856868] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE This study aimed to investigate the association between asthma and severe tooth loss in the U.S. (United States) adult population. METHODS Data were analyzed from the national health and nutritional examination survey (NHANES), 2009-2014. Study-participants were classified into current, former, and never asthmatics based on their asthma status. Former-asthmatics were excluded. The case definition of severe tooth loss (outcome variable) was having 9 or fewer remaining permanent teeth. Characteristics of our study-sample were identified based on the descriptive statistical analyses. Logistic regression analyses were performed to examine the association between asthma and severe tooth. Multivariable models were constructed to control for the known common clinical, demographic, and lifestyle factors. Each analysis accounted for the examination sample weights and the complex clustered design of the continuous NHANES. RESULTS Total study-participants were 14,184 representing ≈185.77 million U.S. adults. Prevalence of asthma was 8.99% in our study-sample, and 8.78% had severe tooth loss. Current-asthmatic adults had 34% higher odds of severe tooth loss as compared to their reference group of never-asthmatics adults in the U.S. after controlling for age, race or ethnicity, gender, diabetes, smoking, body mass index, education, and family income-to-poverty ratio. CONCLUSION In the United States, as compared to never-asthmatic adults, current-asthmatic adults were more likely to have severe tooth-loss. Oral health promotion is therefore recommended through medical-dental integration to ensure overall health for asthmatic adults.
Collapse
Affiliation(s)
- Parth D Shah
- Division of Population Health and Community Dentistry, Department of Dentistry and Oral & Maxillofacial Surgery, Jacobi Medical Center in affiliation with the Albert Einstein College of Medicine, Bronx, NY, USA
| | - Victor M Badner
- Department of Dentistry and Oral & Maxillofacial Surgery, Jacobi Medical Center in affiliation with the Albert Einstein College of Medicine, Bronx, NY, USA
| |
Collapse
|
39
|
Prakash P, Singh K, Bahri R, Bhandari SK. Utility versus futility of facebow in the fabrication of complete dentures: A systematic review. J Indian Prosthodont Soc 2020; 20:237-243. [PMID: 33223693 PMCID: PMC7654196 DOI: 10.4103/jips.jips_402_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 02/08/2020] [Accepted: 04/01/2020] [Indexed: 11/09/2022] Open
Abstract
Aim: The aim of this review was to investigate utility or futility of facebow for fabrication of complete denture prosthesis to maximise clinical efficiency and acceptability of complete dentures. Settings and Design: Systematic review following PRISMA guidelines. Materials and Methods: A study question was designed based on PICOT model which was used to evaluate whether facebow transfer is required or not for fabrication of complete denture prosthesis. An extensive search was carried out manually and using electronic databases such as PubMed-Medline, Cochrane, Google Scholar, and Clinicaltrials.gov. Parameters under review included patient satisfaction, masticatory efficiency, occlusal adjustments, clinician time, stability and retention. Boolean operators, MeSH terms and limiters were applied to develop the search and reach to conclusive studies pertaining to study design. Literature dated between 1950 and 2019 were selected. The data extraction and assessment of the studies was done by two independent investigators. Statistical Analysis Used: No meta-analysis was conducted due to heterogeneity of data obtained. Results: 13690 studies were shortlisted, 13672 were excluded based on title and abstract. By the end of search phase, 07 RCTs were considered relevant. 04 studies concluded comparable/ no differences in outcome with and without use of facebow for fabrication of complete denture prostheses, whereas 03 studies concluded better results without the use of facebow. Conclusion: The use of facebow results in fabrication of complete denture prostheses with similar results in terms of clinical efficiency and patient acceptability as compared to simplified techniques using anatomical landmarks. Variations in assessment criteria, non uniform distribution of sample size amongst different clinical trials and subjective questionnaire based criteria are the weaker links in the review. Extensive research and long term standardised studies with objective criteria for assessment are required for comprehensive and conclusive results to establish the need for change in clinical practice.
Collapse
Affiliation(s)
- Poonam Prakash
- Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra, India
| | - Kirandeep Singh
- Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra, India
| | - Rahul Bahri
- Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra, India
| | - S K Bhandari
- Department of Dental Surgery and Oral Health Sciences, Armed Forces Medical College, Pune, Maharashtra, India
| |
Collapse
|
40
|
Selvamani Y, Singh P. Association between Underweight and Edentulism among Older (50+) Men and Women in India. AGEING INTERNATIONAL 2020. [DOI: 10.1007/s12126-020-09367-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
|
41
|
Johansson AK, Omar R, Unell L, Sannevik J, Mastrovito B, Carlsson GE, Johansson A. Changes in conditions related to reported oral and general health over a ten-year period as reflected in two cohorts of 75-year-old subjects examined in 2007 and 2017. J Oral Rehabil 2020; 47:1382-1393. [PMID: 32772403 DOI: 10.1111/joor.13073] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 06/08/2020] [Accepted: 08/03/2020] [Indexed: 01/11/2023]
Abstract
BACKGROUND The rapidly ageing and increasingly dentate population puts great demands on society regarding the provision of adequate medical and dental care facilities. OBJECTIVES To present changes in reported demographic, general and oral health factors in two cohorts of 75 year olds in 2007 and 2017, and to analyse factors associated with self-reported number of remaining teeth and chewing efficiency. MATERIAL AND METHODS All 75-year-old people living in two Swedish counties received a questionnaire in 2007 and in 2017. The response rates in 2007 and in 2017 were 71.9% (n = 3735) and 70.7% (n = 5091), respectively. Reported number of teeth was clinically validated in a selected subgroup. RESULTS The 2017 cohort reported significantly better general health and dental state. Edentulousness was 7.8% in 2007 and 2.3% in 2017, while 'very good' chewing efficiency was 55.2% and 60.5%, respectively. Born outside Sweden, single living, not feeling healthy and smoking predicted reduced number of teeth in both cohorts. Impaired chewing efficiency in both cohorts was predicted by being born outside Sweden, lower education, not feeling healthy, reduced number of teeth and denture wearing. CONCLUSIONS Seventy-five-year-old people in Sweden reported much better oral and general health in 2017 compared to 2007. In 2017, 75% had practically all natural teeth present and only 2% were edentulous. This development of an increasingly dentate and partially dentate ageing population will put high demands on the oral healthcare system and will need adapting undergraduate/postgraduate education and management strategies to meet the requirements of the elderly.
Collapse
Affiliation(s)
- Ann-Katrin Johansson
- Department of Clinical Dentistry - Cariology, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Ridwaan Omar
- Faculty of Dentistry, Kuwait University, Safat, Kuwait
| | - Lennart Unell
- Department of Dentistry, Örebro County Council, Örebro, Sweden
| | | | - Berit Mastrovito
- Dental Commissioning Unit, Östergötland County Council, Linköping, Sweden
| | - Gunnar E Carlsson
- Department of Prosthetic Dentistry, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden
| | - Anders Johansson
- Department of Clinical Dentistry - Prosthodontics, Faculty of Medicine, University of Bergen, Bergen, Norway
| |
Collapse
|
42
|
Singh A, Purohit BM, Taneja S. Loneliness and disability as predictors of oral diseases among 2 groups of older adults in central India. J Am Dent Assoc 2020; 151:427-437. [PMID: 32450981 DOI: 10.1016/j.adaj.2020.02.017] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 02/12/2020] [Accepted: 02/13/2020] [Indexed: 11/15/2022]
Abstract
BACKGROUND In this study, the authors aimed to assess the association of loneliness and disability with oral health in 2 groups older adults (≥ 60 years) in central India. METHODS A total of 421 older adults participated in the study; 316 (75.1%) attended outpatient services at the Department of Dentistry, All India Institute of Medical Sciences, Bhopal, India, and 105 (24.9%) were from old age homes. The authors used the Patients Reported Outcomes Measurement Information System's social isolation 8a short form to assess loneliness. Disability was assessed using the 12-item version of the self-administered World Health Organization Disability Assessment Scale. The authors conducted regression analyses to establish the association of loneliness and disability with the decayed, missing, and filled tooth index; periodontal disease; and edentulousness. RESULTS Poor oral health findings were noted in both groups. Eighty-eight (20.9%) participants had never visited a dentist, and 201 (88.5%) had unmet dental prosthetic needs. Loneliness and disability were associated with decayed, missing, and filled tooth index scores; periodontal disease; and edentulousness, with odds ratios of 1.86, 1.29, 2.37 and 4.63, 3.85, 3.63 respectively (P < .001). Age, sex, socioeconomic status, type of residence, tobacco use, and use of oral health care were also independent variables associated with oral health (P < .001). CONCLUSIONS Loneliness and disability were found to be significantly associated with oral health. The study results found poor oral health, low use of oral health care, and high unmet need for dental prosthetics in the 2 groups of older adults. PRACTICAL IMPLICATIONS Practicing dentists need to understand the significance of loneliness and social isolation on oral health. Interventions to reduce isolation and disability can be beneficial in improving the oral health of older adults.
Collapse
|
43
|
Tang J, Wang Y, Wang Z, Guo Y, Wang C. Facial aesthetic evaluation of rehabilitation effects in edentulous patients with varying degrees of residual ridge resorption by 3D stereophotogrammetry. J Oral Rehabil 2020; 47:1095-1102. [PMID: 32535931 DOI: 10.1111/joor.13035] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 05/11/2020] [Accepted: 05/30/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Residual ridge resorption impairs patients' satisfaction with complete denture (CD) treatment, but influence of bone resorption on the aesthetic rehabilitation of edentulous patients still remains unclear due to insufficient quantitative investigations. OBJECTIVES To quantitatively evaluate the effects of residual ridge resorption on facial aesthetic reconstruction in elderly edentulous patients. METHODS According to radiological examination, a total of 19 edentulous subjects were categorised into two groups, atrophic patients (APs) and non-atrophic patients (NAPs). Before CD treatment and 3 months after treatment, patients were asked to complete the Orofacial Esthetic Scale (OES). The changes in facial appearance were measured by 3D stereophotogrammetry, and the facial parameters of two groups were compared. RESULTS The patient's subjective satisfaction of oro-facial aesthetics and 3D objective assessment of facial appearance improved after CD treatment. Subnasale-gnathion (Sn-Gn) significantly increased from 60.13 ± 3.91 mm to 62.27 ± 3.82 mm. After rehabilitation, glabella-subnasale (G-Sn)/Sn-Gn, nasolabial (Cm-Sn-Ls) and mentolabial (Li-Sm-Pg) significantly decreased and were closer to normal values. Moreover, the subtraction value between G-Sn/Sn-Gn and normal value before treatment of APs and NAPs was 14.47 ± 8.04% and 6.94 ± 3.69%, respectively (P = .026), while after treatment, the values decreased to 10.61 ± 6.33% and 3.86 ± 2.31% (P = .013), respectively. CONCLUSION The increased volume of lips and cheeks played an important role in the facial aesthetic reconstruction of edentulous patients. NAPs tended to have more attractive faces after CD treatment, as their facial profile parameters (G-Sn/Sn-Gn and Cm-Sn-Ls) were closer to normal Chinese with well-balanced faces.
Collapse
Affiliation(s)
- Jinxin Tang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Yu Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Zhongyi Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Yanyang Guo
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Chen Wang
- Jiangsu Key Laboratory of Oral Diseases, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China.,Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| |
Collapse
|
44
|
Abbasi MRA, Vinnakota DN, Sankar V, Kamatham R. Comparison of stress induced in mandible around an implant-supported overdenture with locator attachment and telescopic crowns - a finite element analysis. Med Pharm Rep 2020; 93:181-189. [PMID: 32478325 PMCID: PMC7243882 DOI: 10.15386/mpr-1312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 09/16/2019] [Accepted: 10/02/2019] [Indexed: 11/29/2022] Open
Abstract
Introduction One of the principle factors for the success of implant supported/retained overdentures (IOs) is the manner in which the stresses are transferred to the surrounding bone. Hence, the aim of the present study is to compare the stress induced in the mandible around IOs, using two different attachment systems, locator and telescopic. Methods 3D finite element models were prepared using Pro/ENGINEER or PTC Creo to simulate 4 clinical situations: IOs using two different attachment systems, locator and telescopic, with and without splinting. A vertical compressive load of 35N was directed toward the central fossa in the molar region of each overdenture. Non-linear static contact analysis was carried out to determine the stress distribution in various components of IOs. Then, the models were analyzed by a finite element program ABAQUS, and displayed using Von Mises stress patterns. Results The contact stress values developed on the implant and attachment components were lower with locator attachment, in both splinted and non-splinted models. On the other hand, the stress distribution to the cortical bone was more with non-splinted/splinted locator attachments (3.73/4.12 Mega Pascals) when compared to the non-splinted/splinted telescopic attachments (2.66/3.7 Mega Pascals). The stresses in all the components of overdenture were greater with the splinted model compared to non-splinted, in both the attachment systems. Conclusion The locator attachment might demonstrate superior clinical performance, as the stresses on implant and attachment components were less compared to telescopic. Non-splinted model showed better results in both the attachment types.
Collapse
Affiliation(s)
- Meer Rownaq Ali Abbasi
- Department of Prosthodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Dileep Nag Vinnakota
- Department of Prosthodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - Vijaya Sankar
- Department of Prosthodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | | |
Collapse
|
45
|
Al-Rafee MA. The epidemiology of edentulism and the associated factors: A literature Review. J Family Med Prim Care 2020; 9:1841-1843. [PMID: 32670928 PMCID: PMC7346915 DOI: 10.4103/jfmpc.jfmpc_1181_19] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 12/25/2019] [Accepted: 02/20/2020] [Indexed: 11/04/2022] Open
Abstract
Considering the advancement of curative and preventive dentistry, edentulism is still a challenging problem for healthcare providers all over the world. Dental caries and periodontal diseases are the main causative factors to teeth loss and eventually, if untreated, lead to edentulism. The socioeconomical factors also contribute to the edentulism as it has an association with education and income status. This literature review will put some highlights in the epidemiology and etiology of edentulism, its prevalence, and the association with the social-economical factors.
Collapse
Affiliation(s)
- Mohammed A Al-Rafee
- Prosthodontist, Prosthodontic Department, Dean, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
| |
Collapse
|
46
|
Yuan JQ, Lv YB, Kraus VB, Gao X, Yin ZX, Chen HS, Luo JS, Zeng Y, Mao C, Shi XM. Number of natural teeth, denture use and mortality in Chinese elderly: a population-based prospective cohort study. BMC Oral Health 2020; 20:100. [PMID: 32276615 PMCID: PMC7147045 DOI: 10.1186/s12903-020-01084-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Accepted: 03/25/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND The associations between the number of natural teeth/denture use and all-cause mortality remain unclear due to lake of investigation for the potential interaction between tooth loss and denture use and for the potential changes in these exposures over time in older adults. We undertake this study to evaluate the associations of the number of natural teeth and/or denture use with mortality in Chinese elderly. METHODS This is a prospective cohort study of 36,283 older adults (median age: 90). The number of natural teeth and denture use were collected with structured questionnaire. We evaluated hazard ratios (HRs) and confidence intervals (CIs) using a Cox proportional hazards model adjusting for demographic factors, education, income, lifestyle factors, and comorbidities. RESULTS We documented 25,857 deaths during 145,947 person-years of observation. Compared to those with 20+ teeth, tooth loss was associated with a gradual increase in mortality, with an adjusted HR of 1.14 (95% CI, 1.06 to 1.23) for those with 10-19 teeth, 1.23 (95% CI, 1.15 to 1.31) for those with 1-9 teeth, and 1.35 (95% CI, 1.26 to 1.44) for those without natural teeth. Denture use was associated with lower risk of mortality (adjusted HR 0.81; 95% CI, 0.77 to 0.84). Subgroup analyses indicated that the benefit of denture use was greater in men than in women (P = 0.02) and tended to decrease with age (P < 0.001). The effects of denture use did not differ among various degrees of tooth loss (P = 0.17). CONCLUSIONS Tooth loss was associated with an increased risk of mortality in older adults. Denture use provided a protective effect against death for all degrees of tooth loss however, this effect appeared to be modified by sex and age.
Collapse
Affiliation(s)
- Jin-Qiu Yuan
- Clinical Research Center, The Seventh Affiliated Hospital; Scientific Research Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, 518107 Guangdong China
| | - Yue-Bin Lv
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, #7 Panjiayuan Nanli, Chaoyang, Beijing, 100021 China
| | - Virginia Byers Kraus
- Duke Molecular Physiology Institute and Division of Rheumatology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina USA
| | - Xiang Gao
- Nutritional Epidemiology Lab, Pennsylvania State University, Philadelphia, PA USA
| | - Zhao-Xue Yin
- Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Hua-Shuai Chen
- Center for the Study of Aging and Human Development and the Geriatric Division of School of Medicine, Duke University, Durham, North Carolina USA
| | - Jie-Si Luo
- Division of Non-Communicable Disease Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yi Zeng
- Center for the Study of Aging and Human Development and the Geriatric Division of School of Medicine, Duke University, Durham, North Carolina USA
- Center for Study of Healthy Aging and Development Studies, Peking University, Beijing, China
| | - Chen Mao
- Division of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, 510515 Guangdong China
| | - Xiao-Ming Shi
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, #7 Panjiayuan Nanli, Chaoyang, Beijing, 100021 China
| |
Collapse
|
47
|
Almusallam SM, AlRafee MA. The prevalence of partial edentulism and complete edentulism among adults and above population of Riyadh city in Saudi Arabia. J Family Med Prim Care 2020; 9:1868-1872. [PMID: 32670932 PMCID: PMC7346903 DOI: 10.4103/jfmpc.jfmpc_1209_19] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Revised: 12/28/2019] [Accepted: 02/12/2020] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES The present study was conducted to investigate the prevalence of complete edentulism and partial edentulism among adults and above population in Riyadh city, in relation to gender, age, and education level. Baseline information related to edentulism will help us take action to promote oral health. METHODS A cross-sectional stratified cluster study was carried out in 2018-2019 in several dental care centers across Riyadh city. A total of 618 subjects aged 35-74 years were selected through convenient sampling and information related to edentulism was gathered followed by clinical examination. RESULTS Of the total sample, 349 (56.5%) were males and 261 (43.5%) were females. In the overall assessment of edentulism, it was found that the majority of the subjects 426 (69%) had one or more teeth missing. Among these subjects, there was (2.6%) who were completely edentulous, which represented (1.8%) of the total sample. CONCLUSION A high percentage of adult patients have missing teeth and complete edentulism was found mostly in elderly people. Frequenting a dental center had an inverse relation with edentulism.
Collapse
Affiliation(s)
- Saleh M. Almusallam
- Prosthodontist, Ministry of Health, Riyadh Elm University, Riyadh, Saudi Arabia
| | | |
Collapse
|
48
|
Association of childhood socioeconomic status with edentulism among Chinese in mid-late adulthood. BMC Oral Health 2019; 19:292. [PMID: 31884947 PMCID: PMC6935473 DOI: 10.1186/s12903-019-0968-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 11/22/2019] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The aim of this study was to examine the association between childhood socioeconomic status (SES) and edentulism. METHODS The edentulous status of Chinese in mid-late adulthood was determined using self-reported lost all of teeth from the Health and Retirement Longitudinal Study (CHARLS). Childhood SES was determined based on the following parameters: the education, occupation and working status of the parents; financial situation of the family; relationship with the parents; care, love and affection from the mother; quarrels and fights between parents; primary residence; neighbors' willingness to help and with close-knit relationships. Adulthood SES was assessed by educational achievements. This study used principal component analysis (PCA) to select variables and binary logistic regression models to determine the association between childhood SES and edentulism. RESULTS Data were available from a total of 17,713 respondents, 984 of whom were edentulous (2.9%). The prevalence of edentulism in mid- to late-age Chinese individuals was higher in those with poor childhood SES. In final regression model, edentulism was significantly associated with willingness of neighbors to help with close-knit relationships (OR = 0.89, 95% CI = 0.79-0.99), parents with high school education or above (OR = 1.18, 95% CI = 1.01-1.39) and drinking and smoking habits of the father (OR = 1.10, 95% CI = 0.97-1.24). CONCLUSION Childhood SES was significantly associated with the prevalence of edentulism in mid- to late-age Chinese individuals. In particular, parents with high school education or above, unwillingness of neighbor to help with close-knit relationships, drinking and smoking habits of the father independent of adulthood SES were significantly associated with edentulism. Accordingly, the development of optimal recommendations and more effective intervention strategies requires considering the experiences in early life associated with poor SES contributes to poor oral health.
Collapse
|
49
|
Chladek G, Pakieła K, Pakieła W, Żmudzki J, Adamiak M, Krawczyk C. Effect of Antibacterial Silver-Releasing Filler on the Physicochemical Properties of Poly(Methyl Methacrylate) Denture Base Material. MATERIALS (BASEL, SWITZERLAND) 2019; 12:E4146. [PMID: 31835665 PMCID: PMC6947518 DOI: 10.3390/ma12244146] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 12/02/2019] [Accepted: 12/09/2019] [Indexed: 12/24/2022]
Abstract
Colonization of polymeric dental prosthetic materials by yeast-like fungi and the association of these microorganisms with complications occurring during prosthetic treatment are important clinical problems. In previously presented research, submicron inorganic particles of silver sodium hydrogen zirconium phosphate (S-P) were introduced into poly(methyl methacrylate) (PMMA) denture base material which allowed for obtaining the antimicrobial effect during a 90 day experiment. The aim of the present study was to investigate the flexural strength, impact strength, hardness, wear resistance, sorption, and solubility during three months of storage in distilled water. With increasing S-P concentration after 2 days of conditioning in distilled water, reduced values of flexural strength (107-72 MPa), impact strength (18.4-5.5 MPa) as well as enhanced solubility (0.95-1.49 µg/mm3) were registered, but they were at acceptable levels, and the sorption was stable. Favorable changes included increased hardness (198-238 MPa), flexural modulus (2.9-3.3 GPa), and decreased volume loss during wear test (2.9-0.2 mm3). The percentage changes of the analyzed properties during the 90 days of storage in distilled water were similar for all materials.
Collapse
Affiliation(s)
- Grzegorz Chladek
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Katarzyna Pakieła
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Wojciech Pakieła
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Jarosław Żmudzki
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Marcin Adamiak
- Faculty of Mechanical Engineering, Silesian University of Technology, ul. Konarskiego 18a, 44-100 Gliwice, Poland; (K.P.); (W.P.); (J.Ż.); (M.A.)
| | - Cezary Krawczyk
- Department of Dental Technology, Medical College, ul. 3 Maja 63, 41-800 Zabrze, Poland;
| |
Collapse
|
50
|
Sabir S, Regragui A, Merzouk N. Maintaining occlusal stability by selecting the most appropriate occlusal scheme in complete removable prosthesis. JAPANESE DENTAL SCIENCE REVIEW 2019; 55:145-150. [PMID: 31879530 PMCID: PMC6920189 DOI: 10.1016/j.jdsr.2019.09.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 07/08/2019] [Accepted: 09/19/2019] [Indexed: 11/29/2022] Open
Abstract
The search of an adequate occlusal scheme that maximizes dentures' stability and patients' satisfaction is an ultimate objective in every complete prosthodontic treatment. Many studies compared occlusal schemes in terms of retention, comfort and masticatory performance. The purpose of this article is to review literature about different occlusal schemes related to complete dentures' stability and edentulous patients' satisfaction, in order to select the most appropriate occlusal scheme. Thus, an electronic search was performed from PubMed (MEDLINE), Scopus, Cochrane, Google Scholar and Sciencedirect databases. 65 articles were identified of which 56 were selected to compose the present article. Within the limitations of this review, it has been concluded that edentulous patients prefer anatomic occlusal schemes to non-anatomic teeth. Furthermore, canine guidance seems to be efficace in terms of chewing comfort and dentures' retention, as well as lingualized occlusion. However, bilateral balanced occlusion does not confer a long-term masticatory performance and satisfaction to edentulous patients.
Collapse
Affiliation(s)
- Sara Sabir
- Department of Removable Prosthodontics, Mohammed V University, Faculty of Dentistry, Rabat, Morocco
| | | | | |
Collapse
|