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Al-Maweri SA, Alhajj MN, Anweigi L, Ashraf S, Halboub E, Salleh NM, Alanazi RH, Nassani MZ, Noushad M, Al Khabuli JO, Shamala A. Efficacy of photodynamic therapy on candida colonization and clinical symptoms in denture stomatitis: a systematic review and meta-analysis. BMC Oral Health 2024; 24:84. [PMID: 38229054 PMCID: PMC10790471 DOI: 10.1186/s12903-023-03789-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 12/15/2023] [Indexed: 01/18/2024] Open
Abstract
BACKGROUND Photodynamic therapy (PDT) has been recently proposed as a promising alternative therapy for Denture Stomatitis (DS). The present systematic review and meta-analysis investigated the current available evidence regarding the efficacy of PDT in the management of DS. MATERIALS AND METHODS PubMed, Scopus, Web of Science, Google Scholar, and ProQuest were searched up to June 7, 2023. All relevant clinical trials were included. RevMan software was used for the statistical analyses. RESULTS Elven randomized clinical trials (460 DS patients) were included. Eight studies assessed the efficacy of PDT vs. topical antifungal therapy, while three studies assessed the adjunctive use of PDT (PDT + antifungal therapy) vs. topical antifungal therapy alone. The results revealed comparable efficacy of PDT and conventional antifungal therapy on candida colonization at 15 days (MD: 0.95, 95% CI: -0.28, 2.19, p = 0.13) and at the end of follow-up (MD: -0.17, 95% CI: -1.33, 0.98, p = 0.77). The pooled two studies revealed relatively better efficacy of adjunctive use of PDT with antifungal therapy on candida colonization compared to antifungal therapy alone at 15 days (MD: -6.67, 95% CI: -15.15, 1.82, p = 0.12), and at the end of follow-up (MD: -7.14, 95% CI: -19.78, 5.50, p = 0.27). Additionally, the results revealed comparable efficacy of PDT and topical antifungal therapy on the clinical outcomes. CONCLUSIONS PDT might be considered a viable option for DS either as an adjunct or as an alternative to the topical antifungal medications. Further studies with adequate sample sizes and standardized PDT parameters are warranted.
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Affiliation(s)
- Sadeq A Al-Maweri
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Mohammed Nasser Alhajj
- Department of Restorative Dentistry, Faculty of Dentistry, Federal Territory of Kuala Lumpur, Universiti Malaya, Kuala Lumpur, Malaysia
- Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen
| | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Sajna Ashraf
- Department of Oral Medicine and Diagnostic Sciences, Vision Colleges, Riyadh, Kingdom of Saudi Arabia
| | - Esam Halboub
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Nosizana Mohd Salleh
- Department of Restorative Dentistry, Faculty of Dentistry, Federal Territory of Kuala Lumpur, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Rawan H Alanazi
- Department of Department of Oral and Maxillofacial Surgery, Vision College of Dentistry and Nursing, Riyadh, Saudi Arabia
| | - Mohammad Zakaria Nassani
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Mohammed Noushad
- Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | | | - Anas Shamala
- Department of Preventive and Biomedical Science, College of Dentistry, University of Science & Technology, Sanaa, Yemen.
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Alkhtib AO, Ali K, Sajnani AK, Anweigi L. Barriers and enablers for oral health promotion programs amongst primary healthcare stakeholders in Qatar - a qualitative investigation. BMC Oral Health 2023; 23:924. [PMID: 38007460 PMCID: PMC10676573 DOI: 10.1186/s12903-023-03633-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 11/07/2023] [Indexed: 11/27/2023] Open
Abstract
BACKGROUND Oral health of preschool children remains a concern globally. Primary healthcare providers are in a vital position to support preventive oral care programmes. This study explored current practices, perception and barriers of primary health care professionals towards oral health promotion program of children in Qatar. METHODS The qualitative research used focus group discussions and interviewed a total of 108 participants that were audio recorded and transcribed verbatim. Four major themes emerged and were analysed to explore contextual patterns within the data. RESULTS Participants acknowledged the high prevalence of caries in children and identified the causes in the local context which included parental practices, poor dietary habits, impact of culture lack of oral health knowledge, limitations in the healthcare system, and negative role of the media. However, complex barriers were exposed, including lack of time and ownership, system coordination between organizations, and lack of policy. CONCLUSION Health professionals and bureaucrats involved in decision-making held a positive attitude towards oral health prevention programs and were enthusiastic to initiate and support these programs.
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Affiliation(s)
- Asmaa Othman Alkhtib
- College of Dental Medicine, QU Health, Qatar University, Doha, 2713, Qatar
- Primary Health Care Corporation, Doha, Qatar
| | - Kamran Ali
- College of Dental Medicine, QU Health, Qatar University, Doha, 2713, Qatar
| | - Anand K Sajnani
- Faculty of Medicine, Caucasus International University, Tbilisi, Georgia
| | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, 2713, Qatar.
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Al-Maweri SA, Alhajj MN, Halboub E, Tamimi F, Salleh NM, Al-Ak'hali MS, Kassim S, Abdulrab S, Anweigi L, Mohammed MMA. The impact of periodontal disease on the clinical outcomes of COVID-19: A systematic review and meta-analysis. BMC Oral Health 2023; 23:658. [PMID: 37689665 PMCID: PMC10493030 DOI: 10.1186/s12903-023-03378-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 08/31/2023] [Indexed: 09/11/2023] Open
Abstract
BACKGROUND A possible relationship between periodontitis (PD) and COVID-19 and its adverse outcomes has been suggested. Hence, the present systematic review and meta-analysis aimed to investigate the available evidence regarding the potential association between periodontitis (PD) and COVID-19 and its adverse outcomes. MATERIALS AND METHODS PubMed, Scopus, Web of Science, and Google Scholar were searched for relevant studies published up to April 15th, 2023. Studies that evaluated the association between PD and COVID-19 were included. Risk of bias was evaluated by two reviewers, and meta-analyses were performed using RevMan 5.3 software. RESULTS A total of 22 studies involving 92,535 patients from USA, Europe, Asia, the Middle East and South America were included; of these, 12 were pooled into the meta-analysis. Most of the studies (19 studies) reported a significant association between PD and COVID-19. The pooled data found a significant association between PD and COVID-19 outcomes: more severe symptoms (OR = 6.95, P = 0.0008), ICU admissions (OR = 3.15, P = 0.0001), and mortality (OR = 1.92, P = 0.21). Additionally, compared to mild PD, severe PD was significantly associated with higher risks of severe COVID-19 outcomes: severe symptoms (P = 0.02); ICU admission (P = 0.0001); and higher mortality rates (P = 0.0001). The results also revealed 58% higher risk for COVID-19 infection in patients with PD (P = 0.00001). CONCLUSIONS The present findings suggest a possible association between poor periodontal health and the risk of poor COVID-19 outcomes. However, owing to the observed methodological heterogeneity across the included studies, further prospective cohort studies with standardized methodologies are warranted to further unravel the potential association between periodontal disease and COVID-19 and its adverse outcomes.
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Affiliation(s)
| | - Mohammed Nasser Alhajj
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Federal Territory of Kuala Lumpur, Kuala Lumpur, Malaysia
- Department of Prosthodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen
| | - Esam Halboub
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Nosizana Mohd Salleh
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Federal Territory of Kuala Lumpur, Kuala Lumpur, Malaysia
| | | | - Saba Kassim
- Department of Preventive Dental Sciences, College of Dentistry, Taibah University, Al-Madinah Al-Munawwarah, Saudi Arabia
| | - Saleem Abdulrab
- Al Khor Health Center, Primary Health Care Corporation, Doha, Qatar
| | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Marwan Mansoor Ali Mohammed
- Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
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ALHarthi SS, BinShabaib MS, Alwahibi A, Gamal S, Elashiry E, Almershed SE, Alkhamis HA, Anweigi L. Periodontal and peri-implant status and whole salivary interleukin 1-beta levels among individuals using selective serotonin reuptake inhibitors: an observational study. BMC Oral Health 2023; 23:310. [PMID: 37217913 DOI: 10.1186/s12903-023-02908-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Accepted: 03/24/2023] [Indexed: 05/24/2023] Open
Abstract
OBJECTIVE Selective serotonin reuptake inhibitors (SSRI) are commonly used for managing psychological diseases such as depression. These disorders are also directly associated with periodontal and peri-implant diseases, namely periodontitis and peri-implantitis, respectively. It is hypothesized that there is no difference in periodontal and peri-implant clinicoradiographic status and unstimulated whole salivary interleukin (IL)-1β levels in participants using selective serotonin reuptake inhibitors (SSRI) and controls (individuals not using SSRI). The aim of the present observational case-control study was to compare periodontal and peri-implant clinicoradiographic statuses and whole salivary IL-1β in participants using SSRI and controls. METHODS Users of SSRI and controls were included. In all participants, periodontal (plaque index [PI], gingival index [GI], probing depth [PD], clinical attachment loss [AL] and marginal bone loss [MBL]) and peri-implant (modified PI [mPI], modified GI [mGI], PD and crestal bone loss [CBL]) were assessed. Unstimulated whole saliva was collected and IL-1β levels were determined. Information related to duration of implants in function, duration of depressive symptoms and treatment of depression was retrieved from healthcare records. Sample-size was estimated using 5% error and group comparisons were performed. P < 0.05 was considered statistically significant. RESULTS Thirty-seven SSRI users and 35 controls were assessed. Individuals using SSRI had a history of depression of 4.2 ± 2.5 years. The mean age of SSRI-users and controls were 48.7 ± 5.7 and 45.3 ± 5.1 years, respectively. Tooth brushing twice daily was reported by 75.7% and 62.9% SSRI-users and controls, respectively. There was no statistically significant difference in PI, mPI, GI, mGI, PD, clinical AL, numbers of MT and mesial and distal MBL and CBL among individuals using SSRI compared with controls (Tables 3 and 4). The unstimulated whole salivary flow rate in individuals using SSRI and controls was 0.11 ± 0.003 and 0.12 ± 0.001 ml/min, respectively. Whole salivary IL-1β levels in individuals using SSRI and controls were 57.6 ± 11.6 pg/ml and 34.6 ± 5.2 pg/ml, respectively. CONCLUSION Users of SSRI and controls demonstrate healthy periodontal and peri-implant tissue statuses with no marked differences in whole salivary IL-1β levels provided oral hygiene is stringently maintained.
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Affiliation(s)
- Shatha Subhi ALHarthi
- Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Munerah S BinShabaib
- Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
| | - Abdulrahman Alwahibi
- Department of Psychiatry, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia
| | - Shahinaz Gamal
- Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Eldin Elashiry
- Department of Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt
| | - Sarah E Almershed
- Specialist in Periodontics, Ministry of Health, Kuwait City, Kuwait
- Lecturer and Examiner at the Kuwait Board of Advanced General Dentistry, Kuwait University, Kuwait City, Kuwait
- Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait
| | | | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
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Abuhajar E, Ali K, Zulfiqar G, Al Ansari K, Raja HZ, Bishti S, Anweigi L. Management of Chronic Atrophic Candidiasis (Denture Stomatitis)-A Narrative Review. Int J Environ Res Public Health 2023; 20:3029. [PMID: 36833718 PMCID: PMC9967389 DOI: 10.3390/ijerph20043029] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/01/2023] [Revised: 02/02/2023] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
One of the most common oral diseases affecting people wearing dentures is chronic atrophic candidiasis or denture stomatitis (DS). The aim of the paper is to provide an update on the pathogenesis, presentation, and management of DS in general dental practice settings. A comprehensive review of the literature published in the last ten years was undertaken using multiple databases, including PubMed via MEDLINE, EMBASE, and Scopus. The eligible articles were analyzed to identify evidence-based strategies for the management of DS. Despite its multifactorial nature, the leading cause of DS is the development of oral Candida albicans biofilm, which is facilitated by poor oral and denture hygiene, long-term denture wear, ill-fitting dentures, and the porosity of the acrylic resin in the dentures. DS affects between 17 and 75% of the population wearing dentures, with a slight predominance in elderly females. The mucosal denture surfaces and posterior tongue are the common sites of DS, and the affected areas exhibit erythema, the swelling of the palatal mucosa and edema. Oral and denture hygiene protocols, adjusting or re-fabricating poorly adapting dentures, smoking cessation, avoiding nocturnal denture wear, and the administration of topical or systemic antifungals are the mainstay of management. Alternate treatments such as microwave disinfection, phytomedicine, photodynamic therapy, and incorporation of antifungals and nanoparticles into denture resins are being evaluated for the treatment of DS but require further evidence before routine use in clinical practice. In summary, DS is the most common oral inflammatory lesion experienced by denture wearers. Most patients with DS can be managed in general dental practice settings. Effective management by general dental practitioners may be supported by a thorough understanding of the pathogenesis, the recognition of the clinical presentation, and an awareness of contemporary treatment strategies.
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Affiliation(s)
- Eman Abuhajar
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | - Kamran Ali
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | | | | | - Hina Zafar Raja
- CMH Lahore Medical College, Institute of Dentistry, Lahore 54810, Pakistan
| | - Shaza Bishti
- Department of Prosthodontics and Biomaterials, Aachen University Hospital, 52074 Aachen, Germany
| | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
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6
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Du X, Al Khabuli JOS, Ba Hattab RAS, Daud A, Philip NI, Anweigi L, Matoug-Elwerfelli M, Ali K. Development of professional identity among dental students - A qualitative study. J Dent Educ 2023; 87:93-100. [PMID: 36052467 DOI: 10.1002/jdd.13092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 07/11/2022] [Accepted: 08/11/2022] [Indexed: 01/11/2023]
Abstract
PURPOSE The study explored dental students' perception of their professional identity (PI) development at a newly established dental college with a problem-based learning (PBL) curriculum. METHODS Qualitative methods based on focus groups were used for data collection. The conceptual framework of the study was informed by a subject-centered sociocultural approach to PI development. Purposive sampling was used to collect data from five focus groups of undergraduate dental students to gain a deeper understanding of their PI development in a PBL environment. RESULTS Out of a total of 38 dental students in years 2 and 3, 34 students (89.47%) participated in the focus groups. A theory-driven thematic analysis was used to dissect the views and experiences of the participants to explore factors contributing to PI development in the early years of the program. At an individual level, PBL was seen to be appropriate for PI development. However, some participants placed more emphasis on practical training in operative dental skills. Relational sources especially role modeling by the PBL facilitators and faculty staff were identified as a key factor to nurture PI development. Mixed views were observed on the value of PBL to enhance team-working skills. The participants also identified challenges of PBL and provided recommendations on further improvements to enhance the learning experiences of the students. CONCLUSIONS This study provided useful insights into a PBL curriculum at a newly established dental institution. The findings underscore the value of PBL in developing PI and also highlight the challenges of implementing PBL in a socio-cultural context and pedagogical implications for further program improvement.
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Affiliation(s)
| | | | | | - Aala Daud
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Nebu I Philip
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | | | - Kamran Ali
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
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Anweigi L, Aldegheishem A, Azam A, Alromaih Y, Alkeait F, Alhaimy L, Ahmeda A, Bishti S, Tamimi F, Ba-Hattab R. Oral-Health-Related Self-Efficacy among the Elderly Population in Riyadh, Saudi Arabia. Int J Environ Res Public Health 2022; 19:15900. [PMID: 36497972 PMCID: PMC9738065 DOI: 10.3390/ijerph192315900] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/01/2022] [Accepted: 11/09/2022] [Indexed: 06/17/2023]
Abstract
Oral health self-efficacy is a fundamental determinant of behavioral changes among elderly patients. Objective: To assess the oral self-efficacy among the Saudi population aged 65 years old and above in Riyadh, Saudi Arabia. Methodology: This was a cross-sectional survey conducted on elderly individuals in Riyadh. An Arabic version of the Geriatric Self-Efficacy Scale for Oral Health (GSEOH) was administered to all participants. The dependent variables included oral function, oral hygiene habits, and dental visits. For the statistical analysis, two independent sample t-tests and a one-way ANOVA test were used. Significance was judged at a p-value less than 0.05. Results: Of 400 participants recruited, 53% were males. About 58% had retained teeth, and 72% had visited a dentist in the past 12 months. Overall, 31.6%, 34.64%, 22.65%, and 11.14% of the participants rated their oral health as good, fairly good, rather poor, and poor, respectively. Age (p < 0.001), educational level (p < 0.001), and working status (p < 0.001) were significantly associated with GSEOH scores. Other sociodemographic characteristics were not found to affect the GSEOH scores. Conclusions: The overall self-efficacy of oral health among Saudi elderly individuals is fairly good. Age, educational level, and occupational status are the main determinants of oral health self-efficacy scores.
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Affiliation(s)
- Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | - Alhanoof Aldegheishem
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | - Ambreen Azam
- Dental Materials, College of Dentistry, Margalla Institute of Health Sciences, Rawalpindi 46000, Pakistan
| | - Yara Alromaih
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | - Fatima Alkeait
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia
| | | | - Ahmad Ahmeda
- Department of Basic Medical Sciences, College of Medicine, Ajman University, Ajman P.O. Box 346, United Arab Emirates
- Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman P.O. Box 346, United Arab Emirates
| | - Shaza Bishti
- Department of Prosthodontics and Biomaterials, Aachen University Hospital, 52074 Aachen, Germany
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
| | - Raidan Ba-Hattab
- College of Dental Medicine, QU Health, Qatar University, Doha 2713, Qatar
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8
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Al-Hashedi AA, Dubreuil N, Schwinghamer T, Dorzhiyeva S, Anweigi L, Emami E, Tamimi F. Aragonite toothpaste for management of dental calculus: A double-blinded randomized controlled clinical trial. Clin Exp Dent Res 2022; 8:863-874. [PMID: 35419985 PMCID: PMC9382037 DOI: 10.1002/cre2.559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Revised: 03/01/2022] [Accepted: 03/08/2022] [Indexed: 11/15/2022] Open
Abstract
Objectives Aragonite from animal origin such as cuttlefish bone powder is an abrasive with hardness properties ideal for calculus removal. The purpose of this randomized controlled trial was to test the efficacy of a cuttlebone‐derived aragonite toothpaste in removing dental calculus. Materials and Methods Eighty‐one patients who fulfilled the inclusion criteria were blindly and randomly assigned into two study groups. The intervention treatment group (n = 40) received cuttlebone toothpaste (Dr. D‐Tart) and the control group (n = 41) received an off‐the‐shelf commercial toothpaste (Crest). Evaluations were performed before and after scaling and polishing procedures done at 3 months in order to evaluate the toothpaste's ability to remove calculus and to prevent calculus formation. Calculus, stains, plaque, and gingival indices scores, and patient satisfaction surveys were compared at baseline (first visit), 3, and 9 months, using generalized linear models and Wald's χ2 test. Results At the end of the 3‐month period, the intervention group showed a 30% reduction in total calculus compared to the baseline score (p = .0006) and 45% less total calculus compared to the control group (p = .0001). Six months after scaling, the mean calculus score for Crest users was 42% higher than that for Dr. D‐Tart users (p = .0692). There was a significant improvement in the gingival health of cuttlebone toothpaste users at the observed intervals, and both kinds of toothpaste achieved comparable results in terms of plaque and stains removal. Conclusions Aragonite toothpaste can remove calculus, prevent calculus formation, and improve gingival health. Patients are generally satisfied with the performance of the aragonite toothpaste. Clinical significance: Animal‐derived aragonite toothpaste (Dr. D‐Tart) shows promising efficacy in removing calculus, preventing calculus formation, and for the improvement of gingival health. Clinical trial ID: A08‐M35‐16B.
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Affiliation(s)
| | | | | | | | - Lamyia Anweigi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
| | - Elham Emami
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar
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9
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Anweigi L, Noah R, Alessa L, Al-Madi E, Aldegheishem A. Structural integrity of extracted teeth restored using three different post-and-core systems: An in vitro comparative study. Saudi Dent J 2021; 33:63-68. [PMID: 33551618 PMCID: PMC7848801 DOI: 10.1016/j.sdentj.2020.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 01/16/2020] [Accepted: 01/19/2020] [Indexed: 12/04/2022] Open
Abstract
Aim The objective of the study was to assess the in vitro fracture resistance of endodontically treated teeth restored using different post-and-core materials. Materials and methods Extracted human mandibular premolars (n = 36) were extracted teeth and equally distributed into four (4) treatment groups: cast metal post-and-core, milled zirconia post-and-core, pre-fabricated post with composite resin core and control group. These samples were then each subjected to the load to fracture test using a universal testing machine. Fracture resistance data were compared among groups by analysis of variance and Fisher’s exact test. Results The highest mean fracture resistance value was observed in the zirconia post-and-core treatment group (1567.26 ± 317.66 N), followed by the cast metal (1355.92 ± 621.56 N) and lastly the pre-fabricated post with composite resin core (725.67 ± 251.05 N) treatment group. Differences among groups were not statistically significantly different (P = 3.77). Conclusion Endodontically treated mandibular premolars with a zirconia post-and-core system exhibited the highest robustness against structural failure based on its mean fracture resistance value. In addition, extracted teeth restored with cast post-and-core resisted a greater stress load than those restored with fiber-reinforced posts. Zirconia showed a more favorable fracture mode than the other restorations.
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Affiliation(s)
- Lamyia Anweigi
- Department of Dental Clinical Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Rawan Noah
- Department of Dental Clinical Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Lujain Alessa
- Department of Dental Clinical Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Ebtissam Al-Madi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Alhanoof Aldegheishem
- Department of Dental Clinical Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
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10
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Aldegheishem A, Azam A, Al-Madi E, Abu-khalaf L, Bani Ali B, Anweigi L. Golden proportion evaluation in maxillary anterior teeth amongst Saudi population in Riyadh. Saudi Dent J 2019; 31:322-329. [PMID: 31337935 PMCID: PMC6626248 DOI: 10.1016/j.sdentj.2019.03.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 02/26/2019] [Accepted: 03/04/2019] [Indexed: 11/20/2022] Open
Abstract
Introduction In achieving pleasing dental aesthetics, the maxillary anterior teeth are essential. Numerous methods are used to measure their dimensions, including the golden proportion between their perceived widths and the width-to-height ratios, referred to as the golden proportion and is considered as a gold standard for esthetic evaluation. The objective of this study was to evaluate the existence of the golden proportion between the width of the maxillary anterior teeth of Saudi males and females. Methods This clinical observational study included a total of 61 participants that met the inclusion criteria having 36 females and 25 males, all Saudi nationals, presented to Princess Nourah bint Abdulrahman University (PNU), College of dentistry, clinics. Dental casts of the maxillary arches for each participant were made after taking digital impressions in addition to taking photographs. The dimensions and the perceived width of the anterior teeth viewed from the front were measured using a digital caliper. SPSS was used to analyze the data. Results There were significant differences between the subject’s width-to-height ratios and the golden proportion of 0.80 where (p-value < 0.05). Thus, indicating that no golden ratio was observed except in case of tooth number 12 in male subjects where mean value was (0.83) with a standard deviation of (0.09) and the p-value of (p = 0.144) > 0.05. Conclusions From the perceived widths of maxillary anterior teeth, the golden proportion was not found to exist. No gold standard was detected for the width-to-height proportions of maxillary incisors. Therefore, in addition to anterior teeth measurements, specific population characteristics and perception of an agreeable smile should be considered for evaluating esthetics.
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Affiliation(s)
- Alhanoof Aldegheishem
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Saudi Arabia
| | - Ambreen Azam
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Saudi Arabia
| | - Ebtissam Al-Madi
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Saudi Arabia
| | - Lujain Abu-khalaf
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Saudi Arabia
| | - Bashayer Bani Ali
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Saudi Arabia
| | - Lamyia Anweigi
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Saudi Arabia
- Corresponding author.
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da Mata C, McKenna G, Anweigi L, Hayes M, Cronin M, Woods N, O'Mahony D, Allen PF. An RCT of atraumatic restorative treatment for older adults: 5 year results. J Dent 2019; 83:95-99. [PMID: 30862556 DOI: 10.1016/j.jdent.2019.03.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2018] [Revised: 03/01/2019] [Accepted: 03/06/2019] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES to compare the survival of ART and a conventional restorative technique (CT) for restoring carious lesions in older adults after 5 years. METHODS In this parallel randomised controlled clinical trial, 219 independently-living adults were recruited from a dental hospital/community and a geriatric day hospital. Ninety-nine patients who met the inclusion criteria and presented with carious lesions were randomly allocated to receive either ART or conventional restorations (anaesthesia, rotary instruments and resin-modified glass ionomer). The status of restorations was assessed 6 months, 1, 2 and 5 years after restoration placement. Estimates of cumulative survival were calculated for each interval between assessments and a Cox Proportional Hazards (PH) model was fitted to the interval-censored survival time. RESULTS Three hundred restorations (ART n=142; CT n=158) were placed on 99 patients, 46 males and 53 females, with a mean age of 73.2, SD: 6.8 (65-90 yrs). After 5 years, ART and CT presented cumulative probability of survival of 85% and 79% (p=0.8095), respectively. CONCLUSIONS ART presents survival rates comparable to a conventional technique, when treating older adults after 5 years. The ART approach could be a useful tool to provide dental care for older adults particularly in the nonclinical setting. (Trial Registration number: ISRCTN 76299321). CLINICAL RELEVANCE This study shows that ART presents survival rates comparable to conventional techniques to treat carious lesions in older patients after 5 years. It is well accepted by this age cohort, and therefore could be an alternative to treat the elderly, especially those who are homebound or cannot attend the dentist.
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Affiliation(s)
- C da Mata
- Cork University Dental School and Hospital, University College Cork, Ireland.
| | - G McKenna
- Centre for Dentistry, Queens University Belfast, Northern Ireland, United Kingdom
| | - L Anweigi
- Princess Nourah bint Abdulrahman University, Saudi Arabia
| | - M Hayes
- Cork University Dental School and Hospital, University College Cork, Ireland
| | - M Cronin
- School of Mathematical Sciences, University College Cork, Ireland
| | - N Woods
- Centre for Policy Studies, University College Cork, Ireland
| | - D O'Mahony
- School of Medicine, University College Cork, Ireland
| | - P F Allen
- Faculty of Dentistry, National University of Singapore, Singapore
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12
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Allen PF, Anweigi L, Ziada H. A prospective study of the performance of resin bonded bridgework in patients with hypodontia. J Dent 2016; 50:69-73. [PMID: 27178339 DOI: 10.1016/j.jdent.2016.05.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 05/04/2016] [Accepted: 05/09/2016] [Indexed: 10/21/2022] Open
Abstract
UNLABELLED Congenital absence of teeth presents a number of clinical challenges in young patients, and little is known about the success rate of restorative dental treatment in these patients. The aim of this study was to conduct a prospective clinical study of the performance of resin bonded bridges in patients with hypodontia. METHODS A prospective clinical observation study was undertaken in Cork Dental School and Hospital, Ireland. Forty patients (22 males, 18 females; age range 18-21 years) with a confirmed diagnosis of hypodontia rated as mild (n=26), moderate (n=8) or severe (n=6) participated. Following completion of the orthodontic phase of care, all patients had missing teeth restored with resin bonded bridgework (RBB) using a standardised protocol (48 FF; 17CL design). Patients were followed up for 24 months, with recall visits at 6, 12 and 24 months following provision of RBBs. RESULTS 65 RBBs were provided, 49 in the maxilla and 16 in the mandible; 43 bridges replaced anterior teeth and 22 replaced posterior teeth. After 24 months, 63 bridges were still in function and deemed to satisfy the preset criteria for success and survival. Two posterior bridges had failed due to repeated debond, and this was attributed to occlusal overload. 20% of the patients demonstrated some evidence of post orthodontic relapse, but this did not require further intervention. CONCLUSION In the short to medium term, resin bonded bridgework provides a reliable and minimally invasive solution for replacing missing teeth in patients with hypodontia.
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Affiliation(s)
- Patrick Finbarr Allen
- Professor/Consultant in Oral Rehabilitation & Prosthodontics, Cork Dental School and Hospital, University College Cork, Ireland; Professor, Faculty of Dentistry, National University of Singapore, Singapore.
| | - Lamyia Anweigi
- Assistant Professor, Clinical Dental Science, Princess Nora Bint Abdul Rahman University, Riyadh, Saudi Arabia
| | - Hassan Ziada
- Associate Professor in General Dental Practice, Health Science Centre, Kuwait University, Kuwait
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Meaney S, Anweigi L, Ziada H, Allen F. Reply. Eur J Orthod 2013; 35:550. [DOI: 10.1093/ejo/cjt011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Anweigi L, Allen PF, Ziada H. The use of the Oral Health Impact Profile to measure the impact of mild, moderate and severe hypodontia on oral health-related quality of life in young adults. J Oral Rehabil 2013; 40:603-8. [PMID: 23691921 DOI: 10.1111/joor.12062] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2013] [Indexed: 11/27/2022]
Abstract
There is limited understanding of the subjective impact of congenital absence of teeth in patients with hypodontia. This study aimed to investigate the impact of mild, moderate and severe hypodontia on oral health-related quality of life (OHRQoL) and its relationship to age, gender and extent of hypodontia prior to treatment. 82 patients (43 females and 39 males, age range from 16 to 34 years) with a confirmed diagnosis of non-syndromic hypodontia were recruited for this study prior to treatment. Demographic details were recorded and a clinical examination documented the number and location of missing teeth. Participants were also asked to complete an oral health-related quality of life measure, the OHIP-49. The impact was of hypodontia was significant, with appearance concerns being the most prevalent impacts on oral health-related quality of life. Gender was a significant predictor of the overall OHIP-49 score, with females having higher level of impacts. The number and location of missing permanent teeth was not a good predictor of quality of life. However, location of missing teeth was a predictor of the psychological discomfort subscale score. There was a positive correlation between age and the functional limitation and physical disability subscale scores. This study shows that the impact of hypodontia on oral health-related quality of life is substantial.
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Affiliation(s)
- L Anweigi
- Cork Dental School and Hospital, University College Cork, Cork, Ireland
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Abstract
Congenital absence of teeth affects 2-6 per cent of the population, but its impact on quality of life (QoL) is not fully understood. The symptoms of hypodontia can vary and therefore also the treatment and management of this condition. Determining and understanding the possible impact of hypodontia on patients could inform and improve the management of such patients. A purposive sample of 10 participants aged 16-25 years (five males and five females) with mild, moderate, or severe hypodontia at various stages of treatment was recruited. The participants had previously completed a 49-item Oral Health Impact Profile (OHIP) questionnaire with summary scores ranging from 24 to 143. All subjects participated in semi-structured interviews, and these were transcribed and analysed using NVivo software. The results show that the role of hypodontia patients in the treatment decision-making process changes significantly as they move from childhood to adulthood. Participants indicated dissatisfaction with the lack of communication with dental services throughout early adolescence as they became more cognizant of their condition which in turn led to concerns with regard to appearance which impacted on their psychosocial well-being. Hypodontia patients expect improved communication with dental practitioners and services as they become more cognizant of their condition and wish to become more actively involved in the decision-making process regarding their current and future treatment.
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Affiliation(s)
- S Meaney
- Department of Restorative Dentistry, University College Cork, Ireland
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