Dental Health Research Articles

A standard set of outcome measures for the comprehensive assessment of oral health and occlusion in individuals with osteogenesis imperfecta

BackgroundOsteogenesis imperfecta (OI) is a group of inherited connective tissue disorders of varying severity characterized by bone fragility. The primary objective of this international multidisciplinary collaboration initiative was to reach a consensus for a standardized set of clinician and patient-reported outcome measures, as well as associated measuring instruments for dental care of individuals with OI, based on the aspects considered important by both experts and patients. This project is a subsequent to the Key4OI project initiated by the Care4BrittleBones foundation which aims to develop a standard set of outcome measures covering a large domain of factors affecting quality of life for people with OI. An international team of experts comprising orthodontists, pediatric dentists, oral and maxillofacial surgeons, and prosthetic dentists used a modified Delphi consensus process to select clinician-reported outcome measures (CROMs) and patient-reported outcome measures (PROMs) to evaluate oral health in individuals with OI. Important domains were identified through a literature review and by professional expertise (both CROMs and PROMs). In three focus groups of individuals with OI, important and relevant issues regarding dental health were identified. The input from the focus groups was used as the basis for the final set of outcome measures: the selected issues were attributed to relevant CROMs and, when appropriate, matched with validated questionnaires to establish the final PROMs which represented best the specific oral health-related concerns of individuals with OI.ResultsConsensus was reached on selected CROMs and PROMs for a standard set of outcome measures and measuring instruments of oral health in individuals with OI.ConclusionsOur project resulted in consensus statements for standardization oral health PROMs and CROMs in individuals with OI. This outcome set can improve the standard of care by incorporating recommendations of professionals involved in dental care of individuals with OI. Further, it can facilitate research and international research co-operation. In addition, the significant contribution of the focus groups highlights the relevance of dental and oral health-related problems of individuals with OI.

Pengaruh Penyuluhan Cara Menyikat Gigi dengan Metode Ceramah dan Simulasi Terhadap Peningkatan Pengetahuan dan Keterampilan Siswa SD Negeri 4 Babahan Tahun 2024

Dental and Oral Health is a condition where the oral cavity including the teeth and also the supporting tissue structure is free from disease and can function optimally. Efforts to increase knowledge can be through health counseling. Counseling with various targets that are more focused on vulnerable groups of school children. The aim of this research is to to find out the effect of counseling on how to brush teeth using lecture and simulation methods on increasing the knowledge and skills of students at SD Negeri 4 Bahanan in 2024. This type of research is Quasi-experimental with a pre and postest control group design. The data used in this study were primary and secondary data using questionnaires and observation checklists. The results of the study obtained an average level of knowledge before being given counseling of 71.89 with sufficient criteria and increased after being given counseling to 90.56 with good criteria. Tooth brushing skills obtained an average before being given counseling of 67.22 with sufficient criteria and increased after being given counseling of 96 with very good criteria and the results of the influence test show that the sig value (2-tailed) = 0.00 is smaller than 0.05, then Ho is accepted. The conclusion of this research that, there is an influence of counseling on how to brush your teeth using lecture and simulation methods on increasing knowledge and skills on how to brush your teeth in class IV and V students at SD Negeri 4 Babahan in 2024 before and after being given the counseling.

Pertanggungjawaban Pidana Terhadap Terapis Gigi dan Mulut Atas Dugaan Malpraktik Medik di Praktik Mandiri

Dental and oral health service can be provided by Dental Therapists who have practice license in independent practice. The professional attitude of dental and oral therapists is applied to avoid medical malpractice which is an action or practice that is wrong or deviates from the correct provision or procedures. The formulation of the problem in this research is what criminal liability is for dental and oral therapists who commit medical malpractice in independent practice. The aim of this research is to determine criminal liability is for Dental Therapists who commit medical malpractice in independent practice. The research method used is problem approach used is the applicable law approach and the conceptual approach. The result of the research found that in carrying out independent practice, Dental Therapists found of violation of obligation which lead to criminal act, so Dental Therapists must be held criminal responsible and criminal sanctions are regulated in article 359 and 360 of the Criminal Code explains that the dental and oral therapist made a mistake (negligence) causing patients to be seriously injured or die, is threatened with a maximum prison sentence of five years or a maximum prison sentence of one year. The criminal liability of dental and oral therapists for violating obligations or committing negligence in independent practice must of course be proven in accordance with criminal law theory.The conclusion of this research, that in conduting personal practice, Dental Therapists must meet the applicable requirements, and if there ia a violation that causes harm to the patients, they must be held and face criminal sanctions.

Utilization of Dental Care and Oral Health Outcomes in the United States: Results from the National Health and Nutrition Examination Survey (2017-2020).

This analysis aims to evaluate the association between the time since and reason for a patient's last dental appointment across clinical oral health outcomes. We used data from the 2017-2020 National Health and Nutrition Examination Survey (NHANES), a cross-sectional, nationally-representative survey of noninstitutionalized US adults. The predictors were the time since and the reason for the last dental appointment (routine vs. urgent). We examined the presence and number of missing teeth and teeth with untreated coronal and root caries. Multivariable regression models with interaction were used to assess the association between the time since the last dental appointment and clinical oral health outcomes among routine and urgent users separately. Two-thirds of the US population had a dental appointment within a year, while nearly 44 million individuals did not visit a dentist for the last three years. The odds of having teeth with untreated coronal or root caries increased with the length of time since the last appointment, and urgent users had worse dental outcomes compared to routine users. Compared to those who had a dental appointment within a year, individuals who had their last dental appointment more than 3 years ago had 2.94 times the average number of teeth with untreated caries among routine users (95%CI=2.39, 3.62) and 1.60 times the average among urgent users (95%CI=1.05, 2.43). Recent, routine dental appointments are associated with improved oral health outcomes. The outcomes reiterate how social determinants of health impact access to oral health care and oral health outcomes.

Importance of Human Breast Milk in the Early Colonization of Streptococcus mutans.

Background and objectives: The development of the oral microbiome begins in the prenatal stage. Breast milk contains antimicrobial proteins, microorganisms, metabolites, enzymes, and immunoglobulins, among others; therefore, differences have been noted in the type of microorganisms that colonize the oral cavity of children who are breastfed compared to those who are formula-fed. Our objective was to establish the relationship between breastfeeding, formula feeding, or mixed feeding (breastfeeding and formula) with the presence of S. mutans in a population of children under 6 months of age. Materials and Methods: The patients were recruited from the Child Care Center of Ciudad Juárez, Chihuahua, and from the pediatric dentistry postgraduate clinics of the Autonomous University of Ciudad Juárez; children exclusively fed maternally, with formula, and/or mixed were included. Those who had been fed within the previous hour were excluded. The sample was taken with a smear of the jugal groove using a sterile micro-brush. For the identification of Streptococcus mutans, a culture of Mitis Salivarius Agar (Millipore) was used. Results: 53.3% corresponded to females and 46.7% to males, 36.7% corresponded to maternal feeding, 23.3% corresponded to formula feeding, and 40% corresponded to mixed feeding. In 90% of the infants, the parents indicated that they did not perform oral hygiene. The CFU count showed that infants who were exclusively breastfed had an average of 9 × 10 CF/mL, formula-fed infants had an average of 78 × 10 CFU/mL, and those who had mixed feeding 21 × 10 CFU/mL. Conclusions: According to the results obtained, it was possible to corroborate that exclusive breastfeeding limits the colonization of Streptococcus mutans compared to those infants who receive formula or mixed feeding; these results could have a clinical impact on the dental health of infants by having a lower presence of one of the main etiological factors involved in dental caries and the type of microbiome established in the oral cavity.

Assessment of the quality of guidelines on oral health care during pregnancy: a systematic review.

Importance of oral health during pregnancy has been well reported. To prevent the occurrence of oral diseases and maintenance of oral health, a number of guidelines have been developed by different organizations. However, despite numerous efforts in development of these guidelines, a critical evaluation of the quality of guidelines has not been carried out. Thus, we aimed to perform a systematic review to assess the quality of guidelines on oral health care during pregnancy. PubMed, Embase, Scopus and Cochrane Databases were electronically searched in March 2024. We included guidelines that were carried out within last 10 years and focused on oral health during pregnancy were included in this review. Guidelines focused for both oral health professionals and non-oral health professionals were included in this review. The assessment of the guidelines in this review was carried out using the AGREE II instrument. The four appraisers who carried out the assessment comprised of a gynecologists, a dental practioners, a public health expert and a dental public health professional. The instrument comprises of 23 key items within six domains and two additional global rating items. We included eight guidelines in this review. The AGREE II showed two domains with mean score of more than 70% scores across the guidelines. A comparative evaluation of all the guidelines revealed consistently higher scores in scope and purpose (81.71 + 6.3) and clarity of presentation (71.61 + 11.7). Lowest mean scores were reported for editorial independence (47.87 + 7.21) followed by rigour of development (56.19 + 16.97), applicability (57.50 + 13.7) and stakeholder involvement domain (63.17 + 14.31). Although many guidelines have demonstrated adherence to systematic methodologies, there still exists a scope of improvement in domains such as editorial independence, rigour of development, applicability and stakeholder involvement. Addressing these shortcomings is essential for promoting evidence-based oral health care practices and improving maternal and neonatal health outcomes.

The Effect of WhatsApp Videos on Pregnant Women's Knowledge About Dental Clinic Visits at Bangkalan, Madura

In everyday life, it is very important to maintain health, one of which is regarding dental and oral health. The problem in this research is the influence of Whatsapp videos on pregnant women's knowledge about visits to the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The aim of the research was to determine the effect of Whatsapp videos on pregnant women's knowledge about visiting the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The research method is this research approach is a Quantitative approach, the research method used is the Quasi Experimental method with a Pretest-Posttest Control Group Design research design, the research population is pregnant women in the working area of ​​the Kwanyar Health Center, Bangkalan Regency, Madura. The sample was taken in the form of accidental sampling, namely pregnant women who visited the Kwanyar Health Center Dental Clinic, totaling 30 respondents within a period of one week. Data collection uses a questionnaire via Google Forms. Meanwhile, the data analysis technique is in the form of the Wilcoxon Statistical Test. Research results based on the Wilcoxon Statistical Test showed a ρ value (0.01) < 0.05, it can be concluded that there is an influence of the use of WhatsApp videos on pregnant women's knowledge about visits to the Dental Clinic at the Kwanyar Health Center, Bangkalan Regency, Madura.

The Relationship between Dental and Oral Health Maintenance in Elders with the Occurance of Periodontitis (Case Study at the Posyandu Lansia RW 07 Gunung Anyar Tambak Village, Surabaya

Periodontitis is one of the most common periodontal diseases with an incidence of approximately 10% of adults worldwide. Periodontitis can lead to tooth loss, which has negative impact on chewing function, aesthetics and can affect the quality of life of the sufferer. High percentage of elderly with periodontitis in Posyandu Lansia RW 07 Gunung Anyar Tambak Village, Surabaya. The aim of the research was to determine the relationship between oral health maintenance of the elderly and the incidence of periodontitis in the Posyandu Lansia RW 07 Gunung Anyar Tambak Village, Surabaya. The type of research conducted was analytical research with a cross sectional method, with a sample of 35 elderly people at the RW 07 Posyandu Lansia, Gunung Anyar Tambak Village, Surabaya. The data collection instrument used is a questionnaire used to measure oral health maintenance and an examination sheet to identify periodontitis. The data analysis techniques using Spearman's rho. Conclusion : The average maintenance of oral health of the elderly in answering the research questionnaire was categorized as sufficient at 70.8%. Elderly people who experience periodontitis are 65.72%. There is a strong relationship between oral health maintenance and periodontitis.

IRON DEFICIENCY ANEMIA AS A RISK FACTOR FOR DENTAL PULP DISEASES: AN INTEGRATIVE REVIEW

Iron deficiency anemia is characterized by reduced blood capacity to transport oxygen due to insufficient iron, an essential component of hemoglobin. This condition can have various implications for oral health, including dental pulp health. The human body must balance physiological, nutritional, and environmental factors to maintain optimal functioning. Iron salts react with gingival crevicular fluid and subgingival bacterial metabolites, staining teeth. Iron supplements typically have a highly acidic pH compromising dental enamel microhardness and increasing the risk of cavities. However, the severity of the damage varies depending on supplement acidity, frequency, duration, and method of administration. This article aims to conduct a comprehensive literature search to investigate the association between iron deficiency anemia and oral health issues with pulp pathology aspects as the focus of the study. To sustain an integrative literature review, articles published in English from the databases PubMed, Wiley Library, Science Direct and Scholar Google were examined. Iron deficiency anemia is a contributing factor to the higher incidence of post-endodontic pain. Some studies indicate other results suggesting that iron has a cariostatic effect on dental decay.

Comparison of the Effectiveness of Chewing Pineapple and Jicama on Reducing Debris Index in Sidoarjo: A Quasi-Experimental Study

ABSTRACT School-age children aged between 6-12 years are one of the groups most vulnerable to experiencing dental and oral health problems. In school-age children, consuming sticky foods tends to stick to their teeth and can cause dental problems. Debris is food waste that contains bacteria. Different from plaque and white material, debris is easier to clean. Chewing fibrous foods is a natural way to control plaque or debris. Fibrous and watery foods such as pineapple and jicama fruit can clean the surface of the teeth by chewing them. because these fruits have the ability to clean teeth which have self-cleaning capabilities. Research Objective: This study aims to determine the difference in the effectiveness of chewing pineapple and jicama fruit on reducing the debris index in class V students at SDN Pagerwojo Sidoarjo. Method: The type of research carried out was Quasi Experimental with a pretest and posttest design. The subjects of this research consisted of 86 class V students at SDN Pagerwojo. The data collection method uses a debris index inspection sheet by making direct observations of respondents. The data analysis technique used is the Shapiro-Wilk test if the data is normally distributed, if the data is not normally distributed using the Wilcoxson test. Results: The results of the research that has been carried out can be concluded that there is a difference in the effectiveness of chewing pineapple and jicama fruit in reducing index debris, that chewing jicama fruit is more effective in reducing index debris than chewing pineapple fruit.

The Effectiveness of TURBODENT Educational Media in Improving Toothbrushing Skills in 5-6-Year-Old Children at Raden Paku Kindergarten, Surabaya

Toothbrushing skills in preschool children are crucial for dental health. However, children often struggle to apply the correct techniques. A preliminary study conducted on 5-6-year-old children at Raden Paku Kindergarten in Surabaya revealed that most of them had inadequate skills in performing toothbrushing movements. Educational media serve as an effective tool for conveying messages to enhance toothbrushing skills. Efforts to improve these skills can be implemented using the TURBODENT (Try Using Box Dental) media. This study aims to evaluate the effectiveness of the Try Using Box Dental media on the toothbrushing skills of 5-6-year-old children at Raden Paku Kindergarten in Surabaya. This research employs a quasi-experimental method with a pretest-posttest control group design. The study sample consists of 40 children aged 5-6 years, divided into two groups: the intervention group and the control group. Data collection instruments include an observation checklist for toothbrushing skills. Data analysis techniques involve the Wilcoxon test and the Mann-Whitney test. Results: the Wilcoxon test for the intervention group shows a p-value of 0.000, while the control group has a p-value of 1.000. The Mann-Whitney test results in a p-value of 0.000 or < 0.05. The study concludes that the Try Using Box Dental media is effective in enhancing the toothbrushing skills of 5-6-year-old children at Raden Paku Kindergarten in Surabaya.

Relationship Between Diet and Dental Health In School Going Children of Mixed Dentition Period

Relationship Between Diet and Dental Health In School Going Children of Mixed Dentition Period

Development of Information System for the Needs of Service Tools and Materials (SIMAYA) in Improving the Quality of Dental and Oral Health Services

Development of Information System for the Needs of Service Tools and Materials (SIMAYA) in Improving the Quality of Dental and Oral Health Services

Autism Severity, Adverse Childhood Experiences, and Oral Health: A Comparative Study of Adolescents in the United States.

Dental health significantly influences overall child physical well-being, academic success, and psychosocial development. This paper explores the intersection of a range of Autism Spectrum Disorder (ASD) functionality, multiple types of Adverse Childhood Experiences (ACEs), and dental health in adolescents. The purpose is to investigate the independent and interactive effects of ASD severity and ACEs on dental outcomes. Data from the 2018 and 2019 National Surveys of Children's Health were analyzed, focusing on 28,263 adolescents (ages 11-17). Logistic regressions assessed associations between ASD severity (mild, moderate, severe), cumulative number of ACEs, and dental outcomes (teeth condition, cavities or bleeding gums, check-ups, cleanings). Covariates included demographic and socioeconomic factors. Controlling for covariates, severe autism independently increased the odds of poor teeth (odds ratio = 6.17), cavities or bleeding gums (OR = 3.76), no previous year check-up(OR = 2.94), and no previous year cleaning (OR = 4.20). Higher ACE scores also independently increased the odds of all dental outcomes. Interactions revealed a cumulative effect of multiple ACEs on poor dental outcomes only for adolescents with severe levels of autism. This study illuminates the heightened vulnerability of adolescents with severe autism and a history of ACEs, emphasizing the need for targeted interventions. Multidisciplinary strategies integrating dental care and mental health support within tailored interventions are crucial for improving dental health and access for older youth with low functioning autism. While these findings provide valuable insights, the cross-sectional design and reliance on parental reports necessitate cautious interpretation.

Dental Aesthetics and Self-Esteem of Patients Seeking Orthodontic Treatment.

(1) Objective: This study aimed to investigate how patients' perceptions of their dental aesthetics and their sense of self-esteem are related. (2) Methods: This cross-sectional survey recruited 141 new patients seeking orthodontic treatment. Patients completed a self-administered questionnaire consisting of three parts: the Malaysian Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Rosenberg Self-esteem Scale (RSES-M), and Aesthetics Component of the Index of Orthodontics Treatment Need (IOTN-AC). Clinical assessment comprised the Dental Health Component of the Index of Orthodontics Treatment Need (IOTN-DHC). Multiple linear regression was performed, with self-esteem as the dependent variable, while the independent variables comprised the domains of PIDAQ; IOTN-AC; IOTN-DHC; and patients' demographics, such as age, gender, and their level of education. (3) Results: The response rate was 96.5% (n = 136 respondents). The multiple linear regression found that, when the other predictors in the model are held constant, Social Impact, Aesthetic Concern, and Dental Self-Confidence are the factors that significantly contributed to explaining the variation in self-esteem, accounting for, 3.9%, 2.3%, and 2.0%, respectively. The entire model explained 23% of the variation in self-esteem. (4) Conclusions: Domains of the psychosocial impact of dental aesthetics act as predictors of self-esteem in orthodontic treatment-seeking patients.

Overview of the Mother's Level of Knowledge About Dental and Oral Health In Toddlers at Paud Al Barokah

Dental and oral health is a key indicator of overall health, well-being and quality of life. Knowledge of children's dental health is a must for a mother for the development of children. The purpose of this study is to provide an overview of mothers' level of knowledge about dental and oral health. This study is a type of quantitative research with a cross-sectional research design. The sample in the study was 30 people with a total sampling technique. Data collection uses a questionnaire on the level of maternal knowledge; data analysis uses frequency distribution. The study's results showed that the characteristics of age were mostly in the early adult category of 70.0%, non-working work as much as 73.4%, high school education level as much as 50.0%, and most mothers have a high level of knowledge as much as 73.0%. Good knowledge will encourage mothers to always improve their children's dental and oral health. This research can be used as information to maintain dental and oral health.

Examination of the Knowledge Levels of Family Medicine Residents in Turkey about Oral and Dental Health.

To measure the general oral and dental health knowledge level of family medicine residents who are receiving full-time specialty training in Turkey. Primary care physicians can contribute to improving the oral and dental health of patients during general health services. The fundamentals of oral and dental health that the family medicine physicians should know about were determined, and questionnaire items on these fundamentals were prepared. The sample size was calculated as 296 individuals. The survey was conducted online. The collected data were analysed employing the following tests: chi-squared, Fisher, Kolmogorov-Smirnov, Spearman, ANOVA, Mann-Whitney U, Kruskal-Wallis, and Bonferroni. 302 family medicine residents in various clinics in Turkey participated in the study. The mean age of the participants was 29.6 ± 5.1. The mean knowledge scores of the resident physicians were calculated as 65.2 ± 10.9 (lowest: 27; highest: 92). The majority of resident physicians stated that they did not receive training on oral and dental health during their residency training, and that they agreed with the idea of integrating it into the residency training curriculum. The general knowledge level of family medicine residents in Turkey about oral and dental health was found to be moderate.

3D Unity Labyrinth Game Model Based on Android as an Educational Media in Improving Knowledge and Teeth Brushing Skills in Deaf Children

Deaf children tend to have a higher frequency of caries than non-deaf children. Deaf children have limitations in their sense of hearing when capturing information. Dental health education in a promotional way is one strategy that can be used to provide behavior change for deaf children. Promotives using visual methods are very suitable because they have high visual capture power. One of the visual methods is endgame. The technique used is Research and Development with a quick experiment Pretest-Posttest group design research design. The subjects in this research were deaf students at SLBN Gorontalo City. Intervention: 10 people were given the Android-based 3D Unity Labyrinth Game, and control of 10 people was given conventional methods. Data collection techniques include: questionnaires and observation of tooth brushing and DI examination. Data was tested using the Paired Sample T Test and Independent Sample T Test. The results obtained are that the Android-based 3D Unity Labyrinth Game Model can increase knowledge of brushing teeth and brushing skills in deaf children and reduce the debris index in deaf children. The Android-based Unity 3D Labyrinth Game Model is effective as a learning medium for improving knowledge of brushing teeth and brushing skills in deaf children.

Five years in the community dental service: clinicians' perspectives.

Introduction Community dentists in England treat patients classed as vulnerable. The services in which they operate have faced challenges, with these known to have affected clinicians. It is important to monitor and understand the workforce and the effect the healthcare landscape, and its changes, has on them and the service they provide.Aims To explore and describe the evolution of working conditions of community dental service (CDS) dentists in England.Materials and methods Data for a cohort of dentists working in the CDS in England between 2017 and 2022, collected via questionnaire, were statistically and thematically analysed and data compared.Results Motivation in clinicians working in the service has significantly fallen since 2017 and concerns were held over the service meeting patient need. CDS dentists have become increasingly satisfied with the care they provide, though workload and job stress increased. Satisfaction with job terms and conditions increased significantly, though job satisfaction, with high and low morale, decreased over the period of interest. Working conditions and motivation were described as deteriorating, alongside increasing satisfaction with job terms and conditions, and fewer dentists reporting low morale. Factors cited as contributing to lower job satisfaction and morale were staffing, workload and working conditions.Conclusions We suggest that despite the increased pressures on the CDS, little improvement has been made to working conditions. The working environment continues to erode for CDS dentists in England and patient service is being negatively affected. While dentists appear to have adapted to these conditions, it is imperative that attention is paid both to CDS dentists and the service and improvements made.

Oral health among New Mexican decedents aged 35-44 using NMDID postmortem CT scans

Factors that contribute to general health disparities also contribute to dental health disparities. Using postmortem CT scans from the New Mexico Decedent Image Database, we investigated dental health among recently (2010-2017) deceased New Mexicans. We predicted that race/ethnicity, substance use, and rural living are associated with poorer dental health. The sample (n = 305) represents 32 of the 33 counties in the state, with equal representation of sex and race/ethnicity (European American [EA], Hispanic/Latinx [HL], and Native American [NA]). Data included presence/absence for missing teeth, restorations, abscesses, and decayed teeth. Analyses incorporated logistic regression, odds ratios, and probability plots. Missing teeth correlated with sex and race/ethnicity (HL and NA, compared to EA). Females were 3.8 times more likely and NA decedents were 4.4 times more likely to have missing teeth. High drinking decedents were 1.6 times more likely, and females were 1.7 times more likely to have restorations. Severely decayed teeth and abscesses correlated with race/ethnicity (HL and NA). Our study revealed that high drinking status, sex (female), and being NA or HL negatively affect dental health among New Mexicans. These same factors relate to health disparities in general and indicate long standing issues with health equity in New Mexico.