فهرست مطالب
Journal of Oral Health and Oral Epidemiology
Volume:4 Issue: 1, Winter-Spring 2015
- تاریخ انتشار: 1394/02/08
- تعداد عناوین: 8
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Pages 1-9BackgroundANDAimWe sought to carry out a systematic review and meta-analysis of the diagnostic value of epicutaneous patch testing in patients with oral lichenoid lesions (OLLs).MethodsBibliographic searches were conducted in electronic databases such as PubMed, the Cochrane library, EBSCO, Scopus, Web of knowledge and Google scholar from January 1990 to December 2011. Search terms related to some or all of the population, intervention, comparison and outcome components (PICO components) were entered into literature databases. Studies were reviewed with respect to inclusion criteria, and data of patient with oral lichenoid reactions, who underwent patch tests, the results of the tests and the healing processes after replacement therapy were reviewed. Data were analyzed by calculating odds ratios (OR) and confidence intervals (CIs) using Stata software program.Results24 studies compared the diagnostic value of patch testing in patients with OLL; 9 studies were included in the meta-analysis. A total of 806 men and women with an age range of 23-84 were evaluated. 16 to 68% of patients had positive patch test results. A total of 443 patients had their restorations replaced, and complete healing ranged from 20 to 93% use expanded form of OLLs at the first time. OR index was 7.8 and 95% CI (3.39-18.38) showed that the chance of recovery of lichenoid lesions in positive patch test patients was 3.4-18.4 times greater than negative patch test patients.ConclusionPatch test has good diagnostic value in replacing restorative dental materials in patients with OLLs.Keywords: Amalgam Filling, Lichenoid Lesions, Oral, Meta, Analysis, Patch Test, Systematic Review
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Pages 10-16Background And AimConsanguineous marriage is one of the causes of congenital deformities and genetic diseases. The aim of this study was to evaluate the role of consanguineous marriage in dentoalveolar deformities in 16-18 years old adolescents with parental consanguineous marriages in Kerman, Iran.MethodsA total of 388 female and male adolescents participated in this study. The subjects were divided into two groups of case and control (with consanguineous marriages and non-consanguineous Marriages respectively) and examined carefully and a special questionnaire was completed for each group, then data were analyzed by SPSS using multiple logistic regression analysis.ResultsShowed that Class III malocclusion in girls and boys was significantly more prevalent in consanguineous marriages (P < 0.001), and the prevalence of Class I malocclusion was significantly higher in non-consanguineous marriages (P = 0.001). The prevalence rates of other dentoalveolar deformities were not significantly different between the two consanguineous and non-consanguineous marriage groups (P > 0.050).ConclusionWhen parents have Class III malocclusion, consanguineous marriage can play a major role as a predisposing factor for Class III malocclusion in their children.Keywords: Consanguineous Marriage, Malocclusion, Deformity, Dentoalveolar
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Pages 17-23Background And AimThe primary providers of health services are general dental practitioners (GDPs), who must routinely do the diagnosis and treatment planning except in complicated cases. The present study evaluation of a referral system to endodontists among a group of GDPs in Iran.MethodsThis descriptive study was performed on 620 Iranian general dentists. A questionnaire with an accepted validity and reliability was chosen. A self-administrated questionnaire including demographic characteristics, general and the special question was distributed among GDPs participating in the 52th International Congress of Dentistry in Iran by a senior undergraduate student. Data was analyzed with a chi-squared test using SPSS.ResultsFemale dental practitioners were more likely to refer the patients to the Endodontists than males (96.3 vs. 94.3% - P = 0.040). Canal obstruction was considered the most frequently factor (35.0% important and 60.0% very important) in making a decision to refer the case, followed by the presence of a perforation (40.0% important and 30.0% very important), complicated trauma (45.0% important and 35.0% very important), need for retreatment (40.0% important and 30.0% very important and the presence of a post-and-core in combination with a crown or bridge(30.0% important and 35.0% very important).ConclusionThis survey showed that many Iranian dentists had a positive attitude toward referral system, although in some circumstances. This system is not well-managed, and the dentists prefer to perform the specialty procedures by themselves. Therefore, it is recommended that the case selection and treatment planning as much as to be taught to the dentists for the prevention of the issues in complicated cases.Keywords: Endodontics, Dentists, Root Canal Therapy
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Pages 24-29Background And AimIran is located on the thalassemia belt and has the highest prevalence rate of patients compared to the general population in the world. This investigation was performed to determine the prevalence of gingivitis and periodontitis in thalassemia patients in comparison to healthy people and evaluate the relationship between periodontal disease and age, gender, splenectomy and dosage of desferal.METHODS AND MATERIALS: In this cross-sectional study, 133 thalassemia patients and 133 healthy people were examined. Clinical examination was performed by periodontal probe and age, gender, desferal dosage, smoking, occlusion, dental alignment were recorded. The results were analyzed using ANOVA, Chi-square, and t-test.ResultsPrevalence of gingivitis and periodontitis in thalassemia patients was significantly higher than the control group (P = 0.049). However, no difference was observed in the severity of periodontitis. Results showed that age, xerostomia and splenectomy are associated with periodontitis, and dental alignment was correlated with gingivitis. Calculus index (CI) was reported to be more in thalassemia patients, but results showed no significant difference in debris index (DI) however DI was significantly higher in anterior maxillary sextant.ConclusionDue to the higher prevalence of gingivitis and periodontitis in patients with thalassemia and susceptibility to infection, preventive and therapeutic treatment is essential in these patients.Keywords: Major Thalassemia, Gingivitis, Periodontitis, Splenectomy, Desferal
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Pages 30-37Background And AimSelf-perceived oral health is a simple, non-invasive, and inexpensive method of data collection, which considers the psychosocial aspects of oral health and is related to the likelihood of seeking oral health care. Our study aimed to assess the association between self-perceived and clinically determined findings of oral health in a context of socio-economic status (SES) and perceived general health among adult dental patients in a university dental clinic.MethodsThrough a cross-sectional study, we collected the data from 499, 20-50 years olds attending dental clinic of Tehran University of Medical Sciences, Iran, using valid questionnaire-led interviews about patients’ demographic characteristics; their perceived general health, and oral health. In addition, clinical oral examination was performed to assess decayed missing filled teeth (DMFT) index and prosthesis status of the participants. Spearman correlation, ANOVA and a linear regression model served for statistical analysis.ResultsThe mean age of the participants was 34.8 years [SD (Standard deviation) = 9.91] and more than half of them were women (51.9%). While as high as 73.0% of the patients perceived their general health as excellent or good, only 31.0% reported the same with their oral health. Self-perceived oral health was positively associated with self-perceived general health. The younger participants, patients with a higher number of missing and decayed teeth, and those participants wearing more complicated prosthesis in the upper jaw reported worse oral health status (P < 0.050).ConclusionOral conditions have significant effects on function and well-being. The present association between clinically determined and self-perceived oral health admitted that it might be beneficial to monitor oral health using such inexpensive and non-invasive method.Keywords: Self, Perceived, Oral Health, Adults
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Pages 38-45Background And AimEpidemiological studies have established a wide variation in the prevalence of oral lesions in different population. Officially oral mucosa diseases can occur in 25-50% of cases, depending on the population to which the survey was conducted. We examined the relationship between oral mucosal lesions, tongue pH level, gingivitis, oral hygiene, and oral health behaviors in student’s population.MethodsThe study was conducted among 100 dental and medical final year students with age ranges of 23-26 years at the University of Novi Sad, School of Medicine. Information about the habits and the presence of the oral mucosa lesions (OML) were collected by interview and clinical examination. Tongue pH level, gingival and approximal plaque-space index (API) was measured. Association between variables was tested with univariate and multivariate analysis.ResultsLesions of the oral mucosa were found in 61% of the students. Analysis showed relationship between oral hygiene accessories and tongue lesions (P < 0.010), male students who do not consume alcohol or tea and gingivitis (P < 0.050). It was determined that coffee consumption has a significant effect on tongue pH level (P < 0.050) and prevalence of melanin pigmentation (P < 0.010). Students who consume tea showed significantly more often appearance of fissured tongue (P < 0.050) and leukoedema of buccal mucosa (P < 0.050). Significant association regarding gender was found in prevalence of tongue impressions (P < 0.050), paleness of the oral mucosa (P < 0.010) and recurrent aphthous ulcers (P < 0.050), along with acid tongue pH and oral hygiene level.ConclusionAccording to the results, there is a high prevalence of oral mucosal lesions, as well as the existence of the association between some oral mucosal lesions, gender, harmful habits and oral hygiene accessories.Keywords: Oral Mucosa Lesions, Tongue Diseases, Gingivitis, Oral Hygiene, Students Population, Oral ýHealth Behavior
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Pages 46-50Background And AimSupernumerary tooth (ST) is considered as a developmental tooth abnormality in number that most often occurs in the anterior region of the maxilla. They may erupt or remain impacted in the alveolar bone. The impacted teeth can cause eruptional disturbances for the adjacent developing teeth.CASE REPORT: A case of bilateral supplemental maxillary lateral incisors in a nonsyndromic 9-year-old boy, with no adverse effect on the adjacent teeth, is reported. Patient’s medical history was non-contributory. Family history was negative for any dental abnormality.ConclusionRadiographic assessment of both dental arches can discover any potential problem likely to develop during the course of the child’s growth. Early diagnosis is important in order to minimize the risk of complications. Formation of supplemental lateral incisors occurs less frequently, and bilateral cases are rarely found.Keywords: Lateral Incisors, Tooth, Supernumerary, Tooth Abnormalities, Maxilla
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Pages 51-56IntroductionThe calcifying epithelial odontogenic tumor (CEOT) is a rare entity described by Pindborg and represents < 1% of all odontogenic tumors. Nearly 200 cases of this neoplasm have been reported to date. It mostly occurs in the posterior mandible associated with an impacted tooth, most often a mandibular molar. Patients are usually between 30 and 50 years of age, with no sex predilection.Case report: Presented here is a case of an intraosseous CEOT, which occurred in a 16-year-old female in the body of the mandible extending from tooth nos. 32 to 47 with no specific clinical manifestations.DiscussionCEOT accounts for < 1% of all odontogenic tumors. Approximately 200 cases have been reported today. This case report describes the clinical, radiographic and microscopic features of a large CEOT in a 16-year-old girl, which although was big in size, had no specific clinical manifestations. The patient reported a relatively rapid evolution of the tumor in the mandibular region, which is a unique manifestation.Keywords: Calcifying Epithelial Odontogenic Tumor, Intraosseous, Odontogenic Tumors