فهرست مطالب

Journal of Oral Health and Oral Epidemiology
Volume:6 Issue: 4, Autumn 2017

  • تاریخ انتشار: 1396/10/25
  • تعداد عناوین: 8
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  • Zahra Yaghoubi, Tayebeh Malek-Mohammadi, Mohammad Khajedaluee, Maryam Salehi Pages 173-186
    Background And Aim
    Perception of the need for oral healthcare plays a key role in creating motivation and demand for utilization of oral healthcare services. Furthermore, while the lack of resources, people with perceived needs to oral healthcare, due to the higher profit potential of services, will be on higher priority for services. The aim of this study was to undertake a systematic review of the existing literature about questionnaires used for assessing the perceived oral healthcare needs.
    Methods
    The search was conducted in PubMed, ISI and Scopus databases in March 2016. Questionnaire-based and the papers which aimed to determine the perceived need for any type of oral healthcare and dental treatment were included to this study. After determining the appropriate papers, related data were extracted and reviewed.
    Results
    Out of 7069 records found, 190 questionnaire-based papers were included in the review. Ninety-four papers were related to the overall evaluation of oral healthcare need, which did not ask the need for types of oral healthcare service. Sixty-six papers studied the need for a specified dental service, and thirty papers recorded the types of oral healthcare service via asking the open or multiple choices questions. There were not comprehensive and standard questionnaires covering all the common types of oral healthcare services.
    Conclusion
    Despite the importance of considering the perception of needs for oral healthcare, there is a lack of the comprehensive and standard questionnaires. Studies aimed to assess perceived oral healthcare needs should use questionnaires which include appropriate items on common types of oral healthcare services based on the characteristics of the target group. Concordance with perceived and normative need is an issue that should be addressed in future researches.
    Keywords: Oral Health, Surveys, Questionnaires, Review, Needs
  • Hamideh Ehtesham, Reza Safdari, Arash Mansourian, Shahram Tahmasebian, Niloofar Mohammadzadeh, Marjan Ghazisaeedi, Azadeh Bashiri Pages 187-195
    Background And Aim
    Oral squamous cell carcinoma (OSCC) is a rapidly progressive disease and despite the progress in the treatment of cancer, remains a life-threatening illness with a poor prognosis. Diagnostic techniques of the oral cavity are not painful, non-invasive, simple and inexpensive methods. Clinical decision support systems (CDSSs) are the most important diagnostic technologies used to help health professionals to analyze patients’ data and make decisions. This paper, by studying CDSS applications in the process of providing care for the cancer patients, has looked into the CDSS potentials in OSCC diagnosis.
    Methods
    We retrieved relevant articles indexed in MEDLINE/PubMed database using high-quality keywords. First the title and then the abstract of the related articles were reviewed in the step of screening. Only research articles which had designed clinical decision support system in different stages of providing care for the cancer patient were retained in this study according to the input criteria.
    Results
    Various studies have been conducted about the important roles of CDSS in health processes related to different types of cancer. According to the aim of studies, we categorized them into several groups including treatment, diagnosis, risk assessment, screening, and survival estimation.
    Conclusion
    Successful experiences in the field of CDSS applications in different types of cancer have indicated that machine learning methods have a high potential to manage the data and diagnostic improvement in OSCC intelligently and accurately.
    Keywords: Squamous Cell Carcinoma, Clinical Decision Support System, Neoplasms, Dental Informatics
  • Hoda Shamsaddin, Fatemeh Jahanimoghadam, Hamidreza Poureslami, Ali Akbar Haghdoost Pages 196-202
    Background And Aim
    Early childhood caries (ECC) is a specific form of rampant dental caries affecting infants and young children. ECC is still a problem that threatens the health of the community and its management is important. It is believed that the majorities of children with ECC also suffer from malnutrition, anemia, low weight and altered physical growth patterns. This study was undertaken to compare blood indices [mean corpuscular volume (MCV), hemoglobin and serum ferritin] in a population of children in Kerman, Iran, and the association between growth factors, blood parameters, and ECC.
    Methods
    In this cross-sectional study, 240 children were selected from Afzalipour Hospital of Kerman. The subjects consisted of 2 to 6-year children, who needed blood sampling for different diagnostic reasons. Data were collected through clinical oral examinations, anthropometric measures, blood indices measurement (MCV, hemoglobin and serum ferritin) and structured questionnaire in order to assess demographic characteristics, nutritional habits and the presence or absence of systemic conditions. Data were analyzed using SPSS software.
    Results
    The mean age of subjects was 50.79 months. Of 240 children included in this study, 124 (52.1%) were girls and the rest (47.9%) were boys. Statistical test revealed that there were statically significant differences in weight as well as the height of children in experimental and control groups (P 0.050).
    Conclusion
    No significant association was observed between ECC and blood indices (MCV, hemoglobin and serum ferritin), but the mean height and weight in the caries-free group were significantly higher.
    Keywords: Dental Caries, Iron Deficiency, Anemia, Preschool Child, Growth Factors, Blood Factors, Early Childhood Caries
  • Molook Torabi-Parizi, Hamidreza Poureslami, Soodabeh Torabi-Parizi, Mahsa Kalantari Pages 203-210
    Background And Aim
    Oral and maxillofacial lesions vary in different geographic regions based on their clinical features. Until now, few investigations have studied these lesions in children and adolescents in Iran. The aim of this research was to study the clinicopathological manifestations of biopsied oral and maxillofacial lesions among children and adolescents in the south of Iran.
    Methods
    In this retrospective cross-sectional study, all the cases referred to the Department of Pathology, Kerman faculty of Dentistry, and two treatment centers of Kerman University of Medical Sciences, Kerman, Iran during 1996-2015 were included. All demographic information including age, gender, anatomic location and histopathologic diagnosis of the oral and maxillofacial biopsies in patients under 18 years was extracted from patients’ chart fields. SPSS was used for the data analysis.
    Results
    Of 3196 oral and maxillofacial lesions, 326 cases (10.2%) occurred in the age group under 18 years. The most common group was inflammatory/reactive lesions (36.8%). The most common lesions were pyogenic granuloma (9.20%), peripheral giant cell granuloma (8.89%), and dentigerous cyst (8.28%). Gingiva was the main involved area and the female to male ratio was 1.1 to 1.
    Conclusion
    Our study revealed that almost 10.2% of oral and maxillofacial lesions occurred in children and adolescents. The majority of lesions were benign, and malignant lesions were rarely observed in the sample. The most prevalent biopsied lesions were inflammatory/reactive lesions. Unlike other studies, lower rates of mucocele were observed in this study. These findings can improve patient’s management among dentists and surgeons.
    Keywords: Adolescent, Child, Oral Pathology, Biopsy, Prevalence
  • Moien Aramoon, Saeed Rajabalian, Mohammad Mohammadi, Neda Khodarahmi, Maryam Farzadmoghadam Pages 211-217
    Background And Aim
    An important goal of periodontal plastic surgery is the creation of attached gingiva around the teeth. In this study, the aims were to culture gingival fibroblasts in a biodegradable scaffold and measure the width of attached gingiva after the clinical procedure.
    Methods
    This study was carried out on 4 patients (8 sites), with inadequate attached gingiva next to at least two teeth in contralateral quadrants of the same jaw. A biopsy of attached gingiva (epithelial connective tissue) was taken using a surgical blade. Following culture of gingival fibroblasts, 250 × 103 cells in 250 µl nutritional medium were mixed with platelet-rich in growth factor (PRGF). Periosteal fenestration technique was done on one side (control) and tissue-engineered mucosal graft (test) was carried out on the contralateral side in each patient. The width of keratinized tissue, probing depth (PD) and width of attached gingiva were recorded at baseline and 3 months after the operation.
    Results
    An increased width of keratinized and attached tissue on all operated sites after 3 months was observed. These results showed the increased mean of the width of keratinized and attached gingiva to be 4.17 mm and 4.14 mm in test and 1.10 mm and 1.10 mm in control sites, respectively. The difference of keratinized and attached gingiva width between test and control sites was significant (P = 0.030, and P = 0.010 respectively).
    Conclusion
    According to the results of this study, PRGF can be used as a scaffold to transfer gingival fibroblasts to recipient sites with significant clinical results.
    Keywords: Tissue Engineering, Gingiva, Blood Platelet, Scaffold
  • Faezeh Eslamipour, Bahareh Tahani, Kamal Heydari, Hoda Salehi Pages 218-225
    Background And Aim
    The aim of this study was to assess the level of dental care satisfaction among Iranian adult population and to identify socio-demographic factors and factors related to dental service that affect satisfaction.
    Methods
    A self-administrated valid and reliable 21-item questionnaire was designed and distributed among 1360 adult population living in Isfahan, Iran, using multi-stage proportional cluster sampling. It consisted of 5 main sections including demographic questions, perceived oral health status, oral health behaviors, barriers in receiving the demanded care and some 5-point Likert scale questions to assess the satisfaction level. Chi-square and analysis of variance were used to compare variables. People were classified as satisfied/dissatisfied based on their total score with score of 26 as the cut-off point. A logistic regression model was used to identify the factors affecting the level of satisfaction and to estimate their effect size.
    Results
    The mean age of participants was 31.2 ± 11.3 and they mostly reported to have dental visits during the last year. The mean satisfaction score was 3.34 out of 5 (53% were satisfied) and the least and the most satisfaction was in regard to waiting time and the convenience to access, respectively. Logistic regression showed that participants in lower age group [odds ratio (OR) = 0.7], those who reported their oral health status as poor (OR = 0.8) and those who had to spend more time to reach dental care setting (OR = 0.6) and those who had to wait more (OR = 0.5) were less satisfied.
    Conclusion
    About 53% of participants were satisfied which was much lower than percentage of satisfied people in developed countries and the level of satisfaction was associated with socio-demographic, behavioral and also dental service.
    Keywords: Patient Satisfaction, Dental Care, Adult, Iran
  • Mohammad Bagher Rezvani, Mohammad Kamali-Nejad, Mehrdad Karimi, Hossein Raad, Faezeh Hamze Pages 226-230
    Background And Aim
    Sesame has a high content of calcium. Regarding to the lack of adequate data about its remineralizing potential, we conducted this study to evaluate the surface hardness of enamel exposed to sesame extraction gel in comparison to artificial saliva and fluoride.
    Methods
    After mounting and polishing twenty-four caries-free human premolars, the baseline microhardness was recorded. Subsequently, decalcification was accomplished by immersing into cola, after which the surface hardness was recorded again. Ultimately, the samples were divided into three groups, which were treated by either the sesame gel (SG), artificial saliva (AS) or the fluoride gel (FG). The final microhardness was assessed again. The repeated measure analysis of variance (ANOVA) was employed for comparison of baseline (B), decalcified (R) and remineralized (R) hardness while the one-way ANOVA followed by least significant difference test was used for comparison of different remineralizing agents.
    Results
    There was significant difference among the teeth at baseline, after decalcification and after treatment by experimental solutions (P
    Conclusion
    Although treating the decalcified enamel by sesame extraction enhanced its microhardness, there was no significant difference between sesame, fluoride and artificial saliva when they were applied for just 15 min.
    Keywords: Sesame, Dental Enamel, Hardness
  • Mahrokh Imanimoghaddam, Azam Sadat Madani, Ali Bagherpour, Samaneh Gharekhani, Hamed Ebrahimnejad, Mona Alimohammadi Pages 231-238
    Background And Aim
    The aim of this study was to assess the association between the clinical and cone-beam computed tomography (CBCT) findings in relation to bony changes in patients with temporomandibular disorders (TMD).
    Methods
    According to the research diagnostic criteria for temporomandibular disorder (RDC/TMD), forty-one patients with type II TMD (42 TM joints) and type III TMD (40 TM joints) were recruited for this study. Condylar position and bony changes including flattening, sclerosis, osteophytes, resorption, and erosion of joint were evaluated by CBCT and compared with clinical findings. Data were analyzed by SPSS software.
    Results
    Condylar flattening, sclerosis, resorption, and erosion were not significantly associated with joint/masticatory muscles pain or crepitus sound. The vertical or horizontal position of the condyle showed no significant relationship with the clinical findings. Condylar osteophyte was significantly associated with pain in masticatory muscles and crepitus (P = 0.030 and P = 0.010, respectively). There was no association between the condylar range of motion and pain in joint or masticatory muscles.
    Conclusion
    Condylar osteophyte was significantly associated with both masticatory muscles pain and crepitus sound. No significant relationship was found between the other temporomandibular joint (TMJ) radiographic and clinical findings in patients with TMD.
    Keywords: Cone-Beam Computed Tomography, Mandibular Condyle, Temporomandibular Joint Disorders