Dental Status Research Articles

Accuracy of Treatment Recommendations by Pragmatic Evidence Search and Artificial Intelligence: An Exploratory Study.

There is extensive literature emerging in the field of dentistry with the aim to optimize clinical practice. Evidence-based guidelines (EBGs) are designed to collate diagnostic criteria and clinical treatment for a range of conditions based on high-quality evidence. Recently, advancements in Artificial Intelligence (AI) have instigated further queries into its applicability and integration into dentistry. Hence, the aim of this study was to develop a model that can be used to assess the accuracy of treatment recommendations for dental conditions generated by individual clinicians and the outcomes of AI outputs. For this pilot study, a Delphi panel of six experts led by CoTreat AI provided the definition and developed evidence-based recommendations for subgingival and supragingival calculus. For the rapid review-a pragmatic approach that aims to rapidly assess the evidence base using a systematic methodology-the Ovid Medline database was searched for subgingival and supragingival calculus. Studies were selected and reported based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), and this study complied with the minimum requirements for completing a restricted systematic review. Treatment recommendations were also searched for these same conditions in ChatGPT (version 3.5 and 4) and Bard (now Gemini). Adherence to the recommendations of the standard was assessed using qualitative content analysis and agreement scores for interrater reliability. Treatment recommendations by AI programs generally aligned with the current literature, with an agreement of up to 75%, although data sources were not provided by these tools, except for Bard. The clinician's rapid review results suggested several procedures that may increase the likelihood of overtreatment, as did GPT4. In terms of overall accuracy, GPT4 outperformed all other tools, including rapid review (Cohen's kappa 0.42 vs. 0.28). In summary, this study provides preliminary observations for the suitability of different evidence-generating methods to inform clinical dental practice.

Oral Potentially Malignant Disorders and Oral Cancer in Saudi Arabia: An Epidemiological Review of the Literature.

Background: Oral potentially malignant disorders (OPMDs) are a group of chronic oral mucosal diseases associated with an increased risk of malignant transformation. Multiple studies have investigated the prevalence of these conditions in multiple regions; however, there are limited data about the prevalence of OPMDs in the Kingdom of Saudi Arabia (KSA). This paper aims to review the prevalence of OPMDs in the KSA, to ensure better understanding of the population risk and propose a more standardised approach to the diagnosis and management of this group across the KSA. In addition, this review will discuss the prevalence of oral cancer in the KSA, considering independent risk factors for oral cancer development. Methods: Electronic databases including PubMed, Medline, Medscape, ScienceDirect, StatPearls, BMC Oral Health and the Cochrane Library were searched with the keywords "Oral Potentially Malignant Disorders"; "Saudi Arabia"; and "Oral Cancer". Identified articles were reviewed independently by 2 reviewers against defined inclusion and exclusion criteria. Results: 16 studies were included in this review. The prevalence of OPMDs in KSA varies significantly depending on age, gender, social habits, background disease and dental status. Conclusions: This review highlights the need for up-to-date data on the prevalence, distribution, and characteristics of OPMDs in KSA. The diverse prevalence rates and distinct characteristics of various OPMDs emphasise the necessity for targeted preventive measures. As the data on OPMDs in KSA remains limited, future research efforts should prioritise the establishment of comprehensive epidemiological studies to inform effective public health interventions in this region.

Dental health in the adult population of Arkhangelsk: а study protocol

BACKGROUND: The Arkhangelsk region is characterized by a high prevalence and intensity of dental diseases among adults, but most of the studies were either hospital-based or used small samples with questionable representativeness.
 AIM: This article is a protocol of an original study, the purpose of which is to assess the dental status and its association with somatic health in a representative sample of the adult population of Arkhangelsk.
 MATERIAL AND METHODS: In 2022, a cross-sectional study “Prevalence of dental pathology among the population of the Arctic zone of the Russian Federation (using the example of Arkhangelsk) and associated characteristics of the microbiome of the intestine and the respiratory tract” (hereinafter referred to as the dental study) was conducted in Arkhangelsk. The dental study was a part of the study “Molecular and genetic markers of the response to coronavirus infection and changes in the human microbiota and metabolome during the COVID-19 pandemic” (hereinafter referred to as the study on the effects of COVID-19). Data collection for the study was carried out from October 3 to November 10, 2022 at the Northern State Medical University. The study involved 463 adults aged 42–76 years living in the city of Arkhangelsk, representing a random sample of the adult population who had previously taken part in the “Know Your Heart” project in 2015–2017. All participants were asked to undergo an additional dental examination. The response rate was 91.6%. The dental examination included a questionnaire, assessment of dental status as recommended by the World Health Organization (2013), assessment of oral hygiene and gum inflammation, dental aesthetic index (DAI), collection of gingival fluid, autofluorescence stomatoscopy (AFS), examination by an orthodontist with periotestometry, performing a photo protocol, conducting biometrics of plaster models. When indicated, participants were asked to undergo an in-depth diagnostic to identify orthodontic pathology, namely, teleradiography and a cone-beam computed tomography.
 EXPECTED RESULTS: The proposed study using validated instruments and a representative sample has a major strength in providing unbiased assessment of the prevalence of oral health conditions in Arkhangelsk in the studied age group. Moreover, the material collected in this study has a potential to provide a unique opportunity to assess the associations between dental health and somatic health, lifestyle, microbiota, and metabolome since the data on the abovementioned characteristics were collected during the other projects and stored in a biobank.

The Perfect Timing-Immediate versus Delayed Microvascular Reconstruction of the Mandible.

In this retrospective study, the clinical and economic implications of microvascular reconstruction of the mandible were assessed, comparing immediate versus delayed surgical approaches. Utilizing data from two German university departments for oral and maxillofacial surgery, the study included patients who underwent mandibular reconstruction following continuity resection. The data assessed included demographic information, reconstruction details, medical history, dental rehabilitation status, and flap survival rates. In total, 177 cases (131 male and 46 females; mean age: 59 years) of bony free flap reconstruction (72 immediate and 105 delayed) were included. Most patients received adjuvant treatment (81% with radiotherapy and 51% combined radiochemotherapy), primarily for tumor resection. Flap survival was not significantly influenced by the timing of reconstruction, radiotherapy status, or the mean interval (14.5 months) between resection and reconstruction. However, immediate reconstruction had consumed significantly fewer resources. The rate of implant-supported masticatory rehabilitation was only 18% overall. This study suggests that immediate jaw reconstruction is economically advantageous without impacting flap survival rates. It emphasizes patient welfare as paramount over financial aspects in clinical decisions. Furthermore, this study highlights the need for improved pathways for masticatory rehabilitation, as evidenced by only 18% of patients with implant-supported dentures, to enhance quality of life and social integration.

Bidirectional relationship between chronic obstructive pulmonary disease and oral disease

Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease that has various comorbid conditions and systemic complications. One of the complications is dental and oral disease, which can occur through systemic inflammatory mechanisms and the long-term side effects of inhaled drugs. Dental and oral diseases can also cause COPD progression, increase the risk of exacerbations, and affect the patient's quality of life. Some mechanisms that may play a role include aspiration of oral pathogens, aspiration of inflammatory proteins, and systemic inflammation. Dysbiosis of the lung microbiome can result from dental and oral conditions, increasing the risk of COPD and pulmonary infections. The association between COPD and oral disease includes the presence of systemic inflammatory conditions, the risk factor of smoking, and the indirect effects of inhaled medication use. Comprehensive management of COPD patients regarding dental and oral health is needed, which includes prevention of dental and oral disease, routine assessment of dental and oral health, provision of specific dental therapy, and personalized treatment in selecting COPD therapy.

Celiac Disease-Related Enamel Defects: A Systematic Review.

This systematic review aims to elucidate the intricate correlation between celiac disease (CD) and dental enamel defects (DED), exploring pathophysiological mechanisms, oral health implications, and a dentist's role in early diagnosis. Following PRISMA guidelines, a comprehensive search from 1 January 2013 to 1 January 2024 across PubMed, Cochrane Library, Scopus, and Web of Science identified 153 publications. After exclusions, 18 studies met the inclusion criteria for qualitative analysis. Inclusion criteria involved study types (RCTs, RCCTs, case series), human participants, English language, and full-text available. The search yielded 153 publications, with 18 studies meeting the inclusion criteria for qualitative analysis. Notable findings include a high prevalence of DED in CD patients, ranging from 50 to 94.1%. Symmetrical and chronological defects, according to Aine's classification, were predominant, and significant associations were observed between CD severity and enamel defect extent. The early recognition of oral lesions, particularly through Aine's classification, may signal potential CD even in the absence of gastrointestinal symptoms. Correlations between CD and dental health conditions like molar incisor hypomineralization (MIH) emphasize the dentist's crucial role in early diagnosis. Collaboration between dentists and gastroenterologists is essential for effective monitoring and management. This review consolidates current knowledge, laying the groundwork for future research and promoting interdisciplinary collaboration for improved CD-related oral health outcomes. Further large-scale prospective research is recommended to deepen our understanding of these issues.

The need for orthopedic dental services for the elderly population of Kazakhstan

<b>Objective</b>: To determine the orthopedic dental status of the elderly population of Kazakhstan using clinical and diagnostic determinants.<br /> <b>Methods:</b> The dental status of 708 patients from three institutions in Almaty, Kazakhstan, was recorded using WHO dental questionnaires. The patients were divided into groups according to their age and sex, and modern statistical methods were used to process the data. Through the construction of tables and graphs, calculation of relative values, and assessment of the reliability of the differences in the data, we determined if there were any differences between the groups.<br /> <b>Results: </b>The study revealed that most patients who needed orthopedic dental care were 60 years of age and older. The older the age of patients with registered diagnoses of partial and complete adentia, the greater the need for removable prosthetics. The most common type of orthopedic treatment required for these patients was removable dentures. Analysis of the quantitative relationship between the need for orthopedic dental care and patients’ gender revealed the following patterns: the critical value of Chi-square at the significance level p≤0.0001 was 23.95, the exact Fisher criterion was 0.0000 (p=0.0000), and the calculated Cramer’s V criterion and the conjugacy coefficient showed the relationship between the variables were at the levels of 0.17 and 0.18, respectively.<br /> <b>Conclusions:</b> Owing to the aging population in Kazakhstan, and indeed the world, the problem of medical adaptation and social rehabilitation of older age groups is pertinent, and our findings argue that the introduction of geriatric dental services in Kazakhstan is warranted.

Social status and oral health in early medieval Switzerland: The case of the Baar-Früebergstrasse site (Canton Zug, Switzerland)

Grave goods do not always reflect the socioeconomic status of the buried people when they were living, so the interpretation of these archeological items may be biased. This paper examines the oral pathologies of individuals (n = 36) from the early medieval cemetery at Baar-Früebergstrasse (Switzerland) and explores the relationship between these pathologies and grave status. The analysis focused on dental parameters such as tooth wear, caries, and periodontitis, among others. Only lower teeth were analyzed. While the general dental status between individuals buried in wealthy and standard graves appear to be very alike, some interesting patterns emerged. Tooth-wear values were similar among sexes and grave goods categories, suggesting a common diet. The incidence of caries was generally low in the studied individuals and grave status does not appear to have a significant influence on this. In addition, alveolar bone status showed significantly different values for the two social groups. These results suggest that no clear dietary differences can be assumed for individuals found in wealthy and standard graves at Baar, given the very similar nature of their oral conditions. However, the limited sample size of the wealthy group necessitates caution in generalizing these results. Further research with larger sample sizes can provide a more comprehensive understanding of oral health disparities associated with socioeconomic factors in the Early Middle Ages.

Legacy lessons from the COVID-19 era to improve trial participation and retention: Views from trial participants, PPIE contributors and trial staff across the NIHR portfolio.

The Covid-19 pandemic had a profound effect on the delivery of healthcare research. Covid-19 research was prioritised and many non-essential trials were paused. This study explores the engagement experiences of trial participants', PPIE contributors' and trial staff during the Covid-19 pandemic and towards recovery and restoring a diverse and balanced UK clinical trials portfolio. Interviews and focus groups were undertaken with PPIE contributors, trial participants and trial staff members from NIHR research trials across the UK (November 2020-June 2021) across portfolio specialities: Cancer, Oral and Dental Health, Musculoskeletal Disorders, Cardiovascular Disease, Neurological Disorders, Primary Care, and Conditions associated with susceptibility to Covid-19 (Diabetes, Stroke, Respiratory Disorders). Topic guides were developed for each participant group and interviews were conducted over Zoom. The transcripts were analysed using codebook thematic analysis in NVivo (V.12). 106 participants comprising, 45 PPIE contributors, 27 trial participants and 34 trial staff members were recruited. Three themes to engagement with trials during Covid-19 were developed. 1) Ensuring continued contact. Continued and tailored communication, having a trial point of contact and regular updates all enhanced trial engagement and retention. Patients' unfamiliarity with materials being sent electronically reduced engagement and trust. 2) A balanced move to remote consultations. Remote follow-up and monitoring were convenient and allowed for wider recruitment across the UK. Participants were more likely to discuss personal subjects in their own homes. Remote visits lacked a personal touch, some concerns over missed diagnoses or being unable to appreciate the situation, technical abilities or equipment failures were seen as barriers, especially for disadvantaged or older people. 3) The importance of feeling fully informed. Factors that supported attendance were knowledge about trial conduct adherence to Covid-19 regulations, social distancing, clear signage at the site and opportunities to ask questions. Barriers included not knowing what to expect and not feeling safe with rules and regulations. Our findings highlight a number of ways to future proof trial delivery against future pandemics or disruptions such as offering online options to participate in research, ensuring consistent communication between participants and the research team, making sure participants feel fully informed and the continued reassurance of safety in the clinical setting.

The Use of Eye-Tracking Technology in Dento-Maxillofacial Esthetics: A Systematic Review.

The use of eye-tracking technology in dental esthetics has gained popularity over the past decade because of its ability to assess observers' visual preferences in an objective manner. The goal of this study was to provide a comprehensive review of eye-tracking studies in dentistry, which could provide a reference for the rational and effective application of eye-tracking technology by dentists in the future. A comprehensive search of articles on eye tracking, published from January 1946 to June 2023, was conducted across several databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The major criterion for inclusion was that the study evaluated the use of eye-tracking technology in the field of dentistry. Two independent reviewers screened the eligible studies. A total of 67 articles were identified, 41 of which met our inclusion criteria. The most common application of eye tracking was the assessment of perceptions of changes in specific dental conditions among different classes of observers. Overall differences between groups (different classes of observers, different types of conditions) among different areas or regions of interest were analyzed. This systematic review demonstrated the utility of eye-tracking technology as a quantifiable objective assessment and emerging research tool for evaluating outcomes in several domains of dentistry.

Evaluating the Impact of Teledentistry on Patient Outcomes, Diagnostic Accuracy, and Satisfaction in a Prospective Observational Analysis.

Background Teledentistry, defined as the use of telecommunication technologies for dental care, has emerged as a transformative approach to oral health services. This prospective observational analysis aims to comprehensively assess the impact of teledentistry on patient outcomes and satisfaction, addressing key aspects such as diagnostic accuracy, longitudinal treatment outcomes, and economic and logistical considerations. Methods The study involved 242 participants selected from diverse dental clinics offering teledentistry services. Participants could choose between traditional in-person visits and teledentistry consultations. The teledentistry interventions included remote consultations, diagnostic evaluations, and treatment planning facilitated through virtual communication tools. Baseline assessments captured initial dental conditions, and follow-up assessments were conducted at three, six, and 12 months. Outcome measures included diagnostic accuracy, patient satisfaction, changes in dental conditions over time, and economic and logistical feedback. Results Descriptive statistics revealed baseline characteristics, with participants evenly distributed between in-person and teledentistry groups. However, the overall satisfaction with diagnoses was significantly lower in the teledentistry group as compared to the in-person group (p < 0.001). Longitudinal assessments demonstrated comparable changes in dental conditions between the two groups. Economic feedback highlighted a cost-saving advantage for teledentistry users, with 80% reporting reduced expenses. Conclusion This study highlights the transformative potential of teledentistry in expanding access to oral health services, reducing costs, and providing comparable treatment outcomes to traditional in-person care. Future efforts should focus on enhancing the teledentistry experience, addressing patient satisfaction concerns, and refining the delivery of remote dental care to maximize its benefits for both patients and healthcare systems.

РАСПРОСТРАНЕННОСТЬ КАРИЕСА ЗУБОВ И ЗАБОЛЕВАНИЙ ПАРОДОНТА У ДЕТЕЙ С НАРУШЕНИЕМ СЛУХА (ОБЗОР ЛИТЕРАТУРЫ)

Subject. Deafness, hearing loss are one of the most common sensory pathologies in children. It negatively affects the formation of personality and quality of life. Children with hearing and speech impairments require special medical supervision. It is necessary to develop programs to prevent major dental diseases for deaf children. This requires a comprehensive assessment of the dental status, taking into account age, the severity of the main pathology, and socio-psychological factors that contribute to the development of the formation characteristics of the child’s body.&#x0D; Purpose. To analyze the prevalence and intensity of dental caries and periodontal diseases in children with hearing impairment according to various literature data.&#x0D; Methodology. An analysis of publications was carried out using scientific search library databases: PubMed Central, Google, Medline, eLibrary. The selection of materials was based on using keywords. The search included full-text articles. 36 sources were analyzed.&#x0D; Results. Analysis of the prevalence of dental diseases in children with hearing impairment has not been sufficiently published in Russian-language literary sources.&#x0D; According to various literature data, there is a high prevalence of caries and periodontal diseases in children with hearing impairment. Some authors compared these indicators with a group of healthy children. Children with hearing and speech impairments have higher rates of prevalence and intensity of caries and periodontal diseases.&#x0D; Conclusions. The high prevalence of dental diseases in children with hearing impairment is an additional medical and social problem. For this category of the population, it is of great importance for the development of prevention programs.

ПРЕДОПЕРАЦИОННАЯ ДИАГНОСТИКА У ПАЦИЕНТОВ С ЗАБОЛЕВАНИЯМИ СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ ПЕРЕД ОПЕРАЦИЕЙ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ (ОБЗОР ЛИТЕРАТУРЫ)

The subject of the study. Dental implantation for patients with cardiovascular diseases is an urgent and important area, but requires special attention from doctors and patients. Cardiovascular diseases can be a risk factor for implant rejection due to the fact that they often have a direct effect on blood flow to tissues. A review of literature sources in the period from 2017 to 2023 showed that there is no common point of view in the scientific community regarding the implementation of implantation in patients with hypertension and coronary heart disease. &#x0D; Objectives. To study the specifics of preoperative diagnosis in patients with cardiovascular diseases before dental implantation surgery, reflected in the scientific literature. &#x0D; Methodology. Currently, the article analyzes sources from databases: Pub Med, Cyberleninka, eLibrary, ResearchGate, CohraneOral Health. The search for scientific literature on the problem under consideration was carried out using keywords. The key criteria for reviewing the scientific publications available in the databases were the availability of indications for dental implantation in the studied individuals.&#x0D; Results. An analysis of the scientific literature on the use of dental implantation in patients with diseases of the cardiovascular system did not reveal a single point of view. The authors agree that patients with cardiac pathology need to hold a consultation with a cardiologist, an anesthesiologist, and a surgeon before elective surgery in order to make a joint decision. At that time, there are different points of view regarding the criteria for assessing the risk and scope of preoperative diagnosis of patients with cardiovascular diseases, there is no systematization and classification of complications, as well as criteria for evaluating the complications of dental implantation surgery in cardiac patients. &#x0D; Conclusions. It seems advisable to identify criteria that determine the general condition and dental status of patients with diseases of the cardiovascular system, which will allow assessing the possibility of using dental implants for them.

Assessment of Nutritional Status and Correlation of Factors With Body Mass Index of Cancer Patients: A Cross-Sectional Study.

Decreased diet intake and malnourishment have profound implications on cancer patients' quality of life and survival. Malnutrition increases the risk of postoperative complications, increases hospital length stays, reduces patient's tolerance to radiation and chemotherapy treatment, and results in poor response to treatment. In the present study, we intended to assess the nutritional status of cancer patients and find the correlation of body mass index with anthropometric and blood parameters. The study was prospective and cross-sectional, and 104 patients with newly diagnosed solid tumors were included. Patient demographics, symptoms, and anthropometric and blood parameters were collected. The correlation was estimated with Pearson's correlation coefficient. A p-value of less than 0.05 was considered significant. The association between stages of the disease, dental status, type of diet, and BMI was p=0.701, 0.216, and 0.422, respectively, and was not statistically significant. The anthropometric parameters mid upper arm circumference (MUAC cm), mid arm circumference (MAC cm), and triceps skinfold thickness (TSF mm) correlated with body mass index (BMI kg/m2) and had statistically significant p values of 0.0001, 0.0001, and 0.033, respectively. The correlation was assessed between hemoglobin, red cell distribution width, neutrophil-to-lymphocyte ratio, and serum albumin levels with BMI, but except for albumin (p=0.05), no other blood parameter correlated. Nutritional assessment is vital in recognizing patients at risk of treatment-associated complications and poor responders to treatment. In this study, BMI correlated with anthropometric parameters MUAC, MAMC, and TSF. Baseline dietary assessments of patients will help focus on the nutritional build-up of patients before starting treatment.

A Proof of Concept: Optimized Jawbone-Reduction Model for Mandibular Fracture Surgery.

Previous research on computer-assisted jawbone reduction for mandibular fracture surgery has only focused on the relationship between fractured sections disregarding proper dental occlusion with the maxilla. To overcome malocclusion caused by overlooking dental articulation, this study aims to provide a model for jawbone reduction based on dental occlusion. After dental landmarks and fracture sectional features are extracted, the maxilla and two mandible segments are aligned first using the extracted dental landmarks. A swarm-based optimization is subsequently performed by simultaneously observing the fracture section fitting and the dental occlusion condition. The proposed method was evaluated using jawbone data of 12 subjects with simulated and real mandibular fractures. Results showed that the optimized model achieved both accurate jawbone reduction and desired dental occlusion, which may not be possible by existing methods.

Prevalence and correlation with sex, age, and dental status of bone apposition at the mandibular angle and radiographic alterations of the temporomandibular joints: a retrospective observational study in an adult Swiss population

BackgroundThe purpose of this study was to determine the prevalence of radiographic changes in the mandibular angle (bone apposition) and osseous alterations in the temporomandibular joints (TMJs) in the adult population of Switzerland. In addition, the study intended to investigate possible correlations between the two sites of contour bone changes (mandibular angle and TMJ) and to analyze various patient-related factors, including sex, age, dental status, and medical history.MethodsPanoramic radiographs of 600 patients distributed into six age groups (283 females, 317 males, aged 20 to 79 years) were included to evaluate radiographic changes. The bone in the mandibular angle region and the shape of the condylar heads were examined for contour changes (bone apposition at the jaw angles and osseous changes of the TMJs). General estimating equations, binormal tests, and chi-squared tests were used for statistical analysis.ResultsApproximately half of the mandibular angles (47.8%) showed bone apposition, mostly bilateral. TMJ alterations were less common (27%), often unilateral, with flattening being the most frequent finding. No significant correlation was found between the two sites. Bone apposition at the mandibular angle showed a significant male predominance, whereas TMJ changes did not differ by sex. Alterations in both sites increased with age, and were not related to dental status or analgesic use.ConclusionsBone apposition at the mandibular angle should be interpreted as part of the natural functional adaptation of the bone associated with aging. Assuming that parafunctional habits may influence the development and progression of alterations in the mandibular angle or TMJs, the presence of radiographic changes in these areas should prompt dental clinicians to investigate further in this direction.Trial registrationThe study was approved by the Swiss Association of Research Ethics Committees (swissethics), BASEC reference number: 2020–00963 (25.05.2020).

The relationship of one-sided chewing with status Dental and oral hygiene in the community Age 30-40 years Lingkungan Simae Baranti Sub-district, Sidrap Regency

Chewing food with one side of the mouth will cause thick and strong muscles only on that side. The facial muscles on the right and left sides will become asymmetrical. Chewing one side is one of the bad habits that can affect the hygiene status of teeth and mouth. Dental and oral hygiene can be measured by an index with good, medium, bad criteria. The measurement used is with OHI-S (oral hygiene index simplified).. This study aims to determine whether there is a one-sided chewing relationship with dental and oral hygiene status in people aged 30-40 years, Simae Environment, Baranti District, Sidrap Regency. This type of research is descriptive correlative with a cross sectional approach. Sampling was carried out using purposive sampling techniques and obtained 44 respondents. The results of the correlative descriptive test showed that there was a relationship between one-sided chewing and OHI-S status in people aged 30-40 years, Simae Environment, Baranti District, Sidrap Regency, namely chewing using one side by 72.7% of medium criteria.

Occurrence of Depression and its Association with Oral Health in Elderly People Living in Old Age Homes of Mathura.

Depression can affect oral health as a result of neglecting oral hygiene procedures which leads to an increased risk of dental caries and periodontal disease. To determine relationship between oral health and depression among elder people residing in old age homes of Mathura city. The study was conducted among 500 subjects aged ≥60 years where dental condition, number of missing teeth, removable denture wearing, teeth mobility, periodontal condition, pocket depth, loss of attachment, and depression according to the Patient Health Questionnaire-9 scale were assessed. Regression analysis showed a positive relationship of the PHQ-9 value with DMFT and MT. Among people aged 60 years and over, severity of depression increased with higher number of MT and DT.

The Role of Teleconsultations in Remote Oral Radiology Interpretation.

Teleconsultations have gained prominence as a viable method for delivering medical services remotely. In oral radiology, the ability to interpret radiographic images accurately is crucial for diagnosing and treating various dental conditions. The use of teleconsultations in this domain holds promise for extending specialized care to patients who are geographically distant from dental healthcare facilities. A total of 50 patients' oral radiographic images were collected for analysis in this study. These images were obtained from diverse geographical locations, showcasing the applicability of teleconsultations. Two groups of dental professionals, one conducting in-person evaluations and the other performing remote interpretations through teleconsultations, participated in the study. The radiographic findings were assessed for concurrence between the two groups. Statistical analysis included the calculation of P values to determine the level of agreement between the in-person and teleconsultation interpretations. The results of this study revealed a substantial level of agreement between in-person and teleconsultation interpretations of oral radiographic images. The calculated P values indicated a statistically significant concordance between the two evaluation methods (P < .05). This suggests that teleconsultations can be a reliable approach for oral radiology interpretation, offering comparable results to traditional in-person evaluations. In conclusion, teleconsultations have demonstrated their potential as an effective means of interpreting oral radiographic images remotely.

Effectiveness of Oral Health Education Interventions Using Braille on Oral Health among Visually Impaired Children: Proposal for a Systematic Review

ABSTRACT To assess how oral health education (OHE) techniques using braille affect visually impaired children’s awareness of oral health, oral hygiene status and practices, plaque, gingival health, and dental caries status. From 2010 to 2020, a thorough literature search will be conducted for studies in the English language using PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, Google Scholar, and Open Grey. Data extraction will be done after two reviewers extensively evaluate the papers for qualifying requirements. In accordance with the research designs, a quality evaluation of the chosen studies will be conducted. With the use of the program Review Manager 5.3, a meta-analysis will be completed.