-
Stomatologija 2018The aim of this article is to review the main treatment options for odontogenic sinusitis that are used today. (Review)
Review
OBJECTIVE
The aim of this article is to review the main treatment options for odontogenic sinusitis that are used today.
MATERIAL AND METHODS
Search on PubMed, Cochrane Library, PMC, Science Direct data bases. For a literature review search keywords were used: odontogenic sinusitis, odontogenic maxillary sinusitis treatment OR diagnosis, maxillary sinusitis of dental source OR dental origin OR etiology.
RESULTS
2886 articles were found in the databases using keywords. After duplicate citations screened, inclusion/exclusion criteria applied, excluded articles after titles, summaries and full-text reading 25 articles were included in the literature review.
CONCLUSION
Although clinical symptomatology is not conspicuous among other types of sinusitis, the odontogenic maxillary sinusitis treatment regimen is different. It consists of eliminating dental infection and management of sinusitis. The usage of Caldwell-Luc approach is limited these days and recommended only when a better access to sinus is needed, for example, removing large foreign bodies. Endoscopic sinus surgery is widely used these days to remove the inflamed sinus mucosa, foreign bodies, displaced teeth, while preserving physiological function of the sinus. Sometimes dental infection removal alone is sufficient to resolve the odontogenic maxillary sinusitis, but sometimes concomitant endoscopic sinus surgery or Caldwell-Luc approach is necessary for full resolution.
Topics: Endoscopy; Focal Infection, Dental; Humans; Maxillary Sinus; Maxillary Sinusitis; Tooth Diseases
PubMed: 29806655
DOI: No ID Found -
Journal of Periodontology Mar 2009Implant-supported restorations have become the most popular therapeutic option for professionals and patients for the treatment of total and partial edentulism. When... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Implant-supported restorations have become the most popular therapeutic option for professionals and patients for the treatment of total and partial edentulism. When implants are placed in an ideal position, with adequate prosthetic loading and proper maintenance, they can have success rates >90% over 15 years of function. Implants may be considered a better therapeutic alternative than performing more extensive conservative procedures in an attempt to save or maintain a compromised tooth. Inadequate indication for tooth extraction has resulted in the sacrifice of many sound savable teeth. This article presents a chart that can assist clinicians in making the right decision when they are deciding which route to take.
METHODS
Articles published in peer-reviewed English journals were selected using several scientific databases and subsequently reviewed. Book sources were also searched. Individual tooth- and patient-related features were thoroughly analyzed, particularly when determining if a tooth should be indicated for extraction.
RESULTS
A color-based decision-making chart with six different levels, including several factors, was developed based upon available scientific literature. The rationale for including these factors is provided, and its interpretation is justified with literature support.
CONCLUSION
The decision-making chart provided may serve as a reference guide for dentists when making the decision to save or extract a compromised tooth.
Topics: Alveolar Bone Loss; Attitude to Health; Bone Density Conservation Agents; Databases as Topic; Decision Making; Decision Support Techniques; Decision Trees; Dental Calculus; Dental Caries; Dental Restoration, Permanent; Esthetics, Dental; Furcation Defects; Health Status; Humans; Oral Surgical Procedures; Patient Compliance; Periodontal Abscess; Periodontal Diseases; Periodontal Pocket; Post and Core Technique; Retreatment; Review Literature as Topic; Root Canal Therapy; Smoking; Tooth Diseases; Tooth Extraction; Tooth Mobility; Tooth Root; Treatment Outcome
PubMed: 19254132
DOI: 10.1902/jop.2009.080454 -
Clinical Interventions in Aging 2015Data on the oral health of the elderly depict a worrying situation, with an elevated prevalence of caries and moderate periodontal disease, frequent edentulism, and... (Review)
Review
Data on the oral health of the elderly depict a worrying situation, with an elevated prevalence of caries and moderate periodontal disease, frequent edentulism, and numerous cases of dry mouth and oral cancer. There is wide evidence that periodontitis is a risk factor for certain systemic diseases, and impaired oral health has been associated with mastication and nutritional problems, especially among the elderly, with highly negative effects on their quality of life. In this nonsystematic review, the authors discuss the importance of evaluating the oral health of the geriatric population in a comprehensive manner, beyond simple clinical assessments.
Topics: Aged; Health Status; Humans; Mastication; Mouth Diseases; Mouth Neoplasms; Nutritional Status; Oral Health; Quality of Life; Tooth Diseases
PubMed: 25709420
DOI: 10.2147/CIA.S54630 -
Einstein (Sao Paulo, Brazil) 2016To identify the prevalence of the main oral problems present in special needs children and to relate the underlying conditions with the clinical and demographic...
OBJECTIVE
To identify the prevalence of the main oral problems present in special needs children and to relate the underlying conditions with the clinical and demographic variables.
METHODS
The study was based on the physical examination of 47 students from the Associação de Pais e Amigos dos Excepcionais diagnosed as Down syndrome, cerebral palsy and intellectual deficit. For data collection, we used a self-administered questionnaire that included indices of dental caries and oral hygiene, Angle classification, malposition of dental groups and oral hygiene habits.
RESULTS
The predominant age group was 12-25 years (46.8%) and most patients were male (55.3%). Regarding daily brushing, 63.8% reported brushing their teeth three times a day, and 85.1% did it by themselves. A total of 48.9% were rated as Angle class I, and 25.5% had no type of malocclusion. A high dental carries index (decayed, missing, filled >10) was observed in 44.7%, and 53.2% had inadequate oral hygiene (zero to 1.16). There was a statistically significant difference between cerebral palsy and the act of the participants brushing their teeth by themselves.
CONCLUSION
There was a high decayed-missing-filled teeth index and malocclusion class I, as well as inadequate oral hygiene. The type of underlying condition of the participants influenced the act of brushing teeth by themselves.
OBJETIVO
Conhecer a prevalência dos principais problemas bucais em crianças com necessidades especiais, e relacionar as doenças de base com variáveis clínicas e demográficas.
MÉTODOS
O estudo foi realizado a partir de exame clínico em 47 alunos da Associação de Pais e Amigos dos Excepcionais com diagnóstico médico de síndrome de Down, paralisia cerebral e deficit intelectual. Para a coleta de dados, foi utilizado um questionário autoaplicativo com índices de cárie dentária e higiene oral, classificação de Angle, malposição de grupos dentários e hábitos de higiene oral.
RESULTADOS
A faixa etária predominante foi de 12 a 25 anos (46,8%) e a maioria era do sexo masculino (55,3%). Em relação à escovação dentária, 63,8% relataram escovar os dentes três vezes ao dia, sendo que 85,1% realizavam-na sozinhos. Constatou-se que 48,9% dos examinados apresentavam uma classificação de Angle tipo I e 25,5% não apresentavam qualquer tipo de maloclusão. Os avaliados (44,7%) apresentaram alto índice de cárie dentária (cariados, perdidos e obturados >10) e 53,2% apresentaram higiene oral inadequada (zero a 1,16). Houve diferença estatisticamente significativa entre a paralisia cerebral e o ato de escovar os dentes sozinho.
CONCLUSÃO
Constataram-se altos índices de cárie e de maloclusão classe I, além de inadequada higiene oral. Houve influência do tipo de patologia de base na realização do ato de escovar os dentes sozinhos.
Topics: Adolescent; Adult; Cerebral Palsy; Child; Cross-Sectional Studies; DMF Index; Dental Care for Disabled; Down Syndrome; Female; Health Promotion; Humans; Intellectual Disability; Male; Middle Aged; Oral Health; Oral Hygiene; Preventive Health Services; Tooth Diseases; Young Adult
PubMed: 28076597
DOI: 10.1590/S1679-45082016AO3712 -
Australian Dental Journal Mar 2007Many different classification systems have been advocated for pulp diseases. However, most of them are based on histopathological findings rather than clinical findings...
Many different classification systems have been advocated for pulp diseases. However, most of them are based on histopathological findings rather than clinical findings which leads to confusion since there is little correlation between them. Most classifications mix clinical and histological terms resulting in misleading terminology and diagnoses. This in turn leads to further confusion and uncertainty in clinical practice when a rational treatment plan needs to be established in order to manage a specific pathological entity. A simple, yet practical classification of pulp diseases which uses terminology related to clinical findings is proposed. This classification will help clinicians understand the progressive nature of the pulp disease processes and direct them to the most appropriate and conservative treatment strategy for each condition. With a comprehensive knowledge of the pathophysiology of pain and inflammation in the pulp tissues, clinicians may accomplish this task with confidence.
Topics: Dental Pulp; Dental Pulp Calcification; Dental Pulp Cavity; Dental Pulp Diseases; Dental Pulp Necrosis; Humans; Periapical Diseases; Pulpitis; Radiography; Tooth, Nonvital; Toothache
PubMed: 17546859
DOI: 10.1111/j.1834-7819.2007.tb00522.x -
Medicina Oral, Patologia Oral Y Cirugia... Nov 2013This article reviews the present literature on the issues encountered while coping with children with autistic spectrum disorder from the dental perspective. The... (Review)
Review
OBJECTIVES
This article reviews the present literature on the issues encountered while coping with children with autistic spectrum disorder from the dental perspective. The autistic patient profile and external factors affecting the oral health status of this patient population are discussed upon the existing body of evidence.
MATERIAL AND METHODS
The MEDLINE database was searched using the terms 'Autistic Disorder', 'Behaviour Control/methods', 'Child', 'Dental care for disabled', 'Education', 'Oral Health', and 'Pediatric Dentistry' to locate related articles published up to January 2013.
RESULTS
Most of the relevant studies indicate poor oral hygiene whereas they are inconclusive regarding the caries incidence in autistic individuals. Undergraduate dental education appears to determine the competence of dental professionals to treat developmentally disabled children and account partly for compromised access to dental care. Dental management of an autistic child requires in-depth understanding of the background of the autism and available behavioural guidance theories. The dental professional should be flexible to modify the treatment approach according to the individual patient needs.
Topics: Child; Child Behavior; Child Development Disorders, Pervasive; Dental Care for Children; Dental Care for Disabled; Humans; Oral Health; Practice Guidelines as Topic; Tooth Diseases
PubMed: 23986012
DOI: 10.4317/medoral.19084 -
International Dental Journal Aug 2022The oral cavity functions in eating, speaking, socializing, and serving as a natural barrier to external pathogens. In the prevention of oral function decline in older... (Review)
Review
OBJECTIVES
The oral cavity functions in eating, speaking, socializing, and serving as a natural barrier to external pathogens. In the prevention of oral function decline in older people, oral health conditions should be maintained through public health actions.
METHODS
This article discusses public health actions to prevent oral functional decline through addressing three major issues among older people: tooth loss, hyposalivation, and oral cancer. Negative impacts of tooth loss, hyposalivation, and oral cancer will be described, followed by describing public health approaches to prevent these problems RESULTS: Tooth loss, commonly caused by dental caries and periodontal diseases, affects one's ability to eat, speak, and socialize freely. Prevention of tooth loss can be done in clinical settings, community settings, and through national policies. Saliva plays an important role in eating, swallowing, and protecting oral mucosa from pathogens. The major causes of dry mouth are polypharmacy and the use of anticholinergic medications among older people. Public health actions to promote collaboration between dentists and doctors in the adjustment of drug prescriptions are warranted. Oral cancer can affect oral function largely both from the disease itself and from cancer treatments due to the destruction of oral structures and salivary gland function. Tobacco use and alcohol consumption are major risk factors for oral cancer; they also contribute to various systemic diseases and cancers of other organs.
CONCLUSIONS
Public health policies and interventions using the common risk factor approaches to tackle tobacco and alcohol consumption should be encouraged. Rather than focusing on older people, the prevention of oral function decline should be planned through a life-course perspective.
Topics: Aged; Dental Caries; Humans; Mouth Neoplasms; Oral Health; Periodontal Diseases; Tooth Loss; Xerostomia
PubMed: 36031322
DOI: 10.1016/j.identj.2022.05.008 -
International Journal of Molecular... May 2021Oral health is an integral part of the general health and well-being of individuals. The presence of oral disease is potentially indicative of a number of systemic... (Review)
Review
Oral health is an integral part of the general health and well-being of individuals. The presence of oral disease is potentially indicative of a number of systemic diseases and may contribute to their early diagnosis and treatment. The ubiquitin (Ub) system has been shown to play a role in cellular immune response, cellular development, and programmed cell death. Ubiquitination is a post-translational modification that occurs in eukaryotes. Its mechanism involves a number of factors, including Ub-activating enzymes, Ub-conjugating enzymes, and Ub protein ligases. Deubiquitinating enzymes, which are proteases that reversely modify proteins by removing Ub or Ub-like molecules or remodeling Ub chains on target proteins, have recently been regarded as crucial regulators of ubiquitination-mediated degradation and are known to significantly affect cellular pathways, a number of biological processes, DNA damage response, and DNA repair pathways. Research has increasingly shown evidence of the relationship between ubiquitination, deubiquitination, and oral disease. This review investigates recent progress in discoveries in diseased oral sites and discusses the roles of ubiquitination and deubiquitination in oral disease.
Topics: Cracked Tooth Syndrome; Dental Caries; Dentin Sensitivity; Deubiquitinating Enzymes; Forecasting; Gingivitis; Humans; Mouth Diseases; Mouth Neoplasms; Neoplasm Proteins; Periodontal Diseases; Proteasome Endopeptidase Complex; Protein Processing, Post-Translational; Tooth Diseases; Ubiquitin-Activating Enzymes; Ubiquitinated Proteins; Ubiquitination
PubMed: 34070986
DOI: 10.3390/ijms22115488 -
Medical Principles and Practice :... 2014The aim of this review was to describe the background and evolution of primary oral health care (POHC), including the development of an oral health policy, by... (Review)
Review
The aim of this review was to describe the background and evolution of primary oral health care (POHC), including the development of an oral health policy, by identifying the resources necessary for oral health services, reviewing the evidence of the effectiveness of oral health promotion and education, providing essential oral health care, and establishing evidence of the benefits of regular dental visits for effective POHC. At present, evidence for the effectiveness of oral health education and regular dental visits is very weak. Nevertheless, POHC needs to be developed as an integral part of primary health care (PHC). Therefore, a need exists to increase financial investment, resources and workforce in PHC to lower the prevalence of dental caries and periodontal disease in the Middle-East using the POHC approach.
Topics: Dental Health Services; Health Education, Dental; Health Promotion; Humans; Middle East; Mouth Diseases; Needs Assessment; Oral Health; Policy; Preventive Dentistry; Primary Health Care; Risk Factors; Tooth Diseases
PubMed: 24503932
DOI: 10.1159/000357916 -
Journal of Dental Research Aug 2019Understanding the "code of life" and mapping the human genome have been monumental and era-defining scientific landmarks-analogous to setting foot on the moon. The last... (Review)
Review
Understanding the "code of life" and mapping the human genome have been monumental and era-defining scientific landmarks-analogous to setting foot on the moon. The last century has been characterized by exponential advances in our understanding of the biological and specifically molecular basis of health and disease. The early part of the 20th century was marked by fundamental theoretical and scientific advances in understanding heredity, the identification of the DNA molecule and genes, and the elucidation of the central dogma of biology. The second half was characterized by experimental and increasingly molecular investigations, including clinical and population applications. The completion of the Human Genome Project in 2003 and the continuous technological advances have democratized access to this information and the ability to generate health and disease association data; however, the realization of genomic and precision medicine, to practically improve people's health, has lagged. The oral health domain has made great strides and substantially benefited from the last century of advances in genetics and genomics. Observations regarding a hereditary component of dental caries were reported as early as the 1920s. Subsequent breakthroughs were made in the discovery of genetic causes of rare diseases, such as ectodermal dysplasias, orofacial clefts, and other craniofacial and dental anomalies. More recently, genome-wide investigations have been conducted and reported for several diseases and traits, including periodontal disease, dental caries, tooth agenesis, cancers of the head and neck, orofacial pain, temporomandibular disorders, and craniofacial morphometrics. Gene therapies and gene editing with CRISPR/Cas represent the latest frontier surpassed in the era of genomic medicine. Amid rapid genomics progress, several challenges and opportunities lie ahead. Importantly, systematic efforts supported by implementation science are needed to realize the full potential of genomics, including the improvement of public and practitioner genomics literacy, the promotion of individual and population oral health, and the reduction of disparities.
Topics: Craniofacial Abnormalities; Genome, Human; Humans; Oral Health; Periodontal Diseases; Tooth Diseases
PubMed: 31329043
DOI: 10.1177/0022034519845674