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Second Edition of Innovative Solutions for Oral Healthcare

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A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: closed (31 May 2023) | Viewed by 13103

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Dr. Saturnino Marco Lupi

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Department of Clinico-Surgical, Diagnostic and Pediatric Sciences, Dental Clinic, University of Pavia, P.le Golgi 2, 27100 Pavia, Italy
Interests: dentistry; oral surgery; maxillofacial surgery; tissue regeneration; bone regeneration; dental implants; implant surface treatments; dental radiology; oral pathology; tooth anatomy; community dentistry; caries prevention; oral cancer; dental prosthesis; gnathology; dental material; laser
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Special Issue Information

Dear Colleagues,

Our commitment to oral healthcare can include numerous topics. Innovative tests and analyses can facilitate early and more accurate diagnoses. Dental care can have both positive and negative short- and long-term effects which impact oral health, quality of life, and the costs of future care. The expected benefits and satisfaction of clinical requests should guide the choice of materials and therapeutic strategies. The health and well-being of the population are influenced by the prevention and treatment of oral diseases and their relapse. Therapeutic choices are influenced by the costs and effectiveness of therapies, the professional skills of the caregiver, the increasingly complex patient profile due to the presence of numerous comorbidities, and the difficulty of the individual case. Dental materials must be carefully validated in terms of safety, biocompatibility, and biological effects. Finally, the spread of infectious diseases such as COVID-19 imposes changes in therapeutic choices and the clinical management of dental patients.

We will feature original research studies, reviews, short reports, case reports, and opinion pieces from researchers on these topics.

Dr. Saturnino Marco Lupi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

diagnosis
treatment decision
decision-making
risk/benefit
cost-effectiveness
dose–response relationship
risk factors
wound healing
complications
working hours
quality of life
oral health behavior
oral health education
continuing education
motivation
comprehensive oral healthcare
dental esthetics
minimally invasive dentistry
tooth loss
oral disease
bone loss
dental implant
osseointegration
root canal treatment
emergency
dental trauma
interdisciplinary treatment
digital dentistry
oral rehabilitation
infectious disease
orthodontics
restorative dentistry
pediatric dentistry
prosthodontics
special care dentistry
dentists
periodontics
endodontists
paramedic
dental students
survey
epidemiology
randomized clinical trial
review
children
older adults

Published Papers (10 papers)

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Editorial

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2 pages, 178 KiB

Open AccessEditorial

A Retrospect of the Special Issue “Second Edition of Innovative Solutions for Oral Healthcare”

by Saturnino Marco Lupi

Healthcare 2023, 11(13), 1952; https://doi.org/10.3390/healthcare11131952 - 06 Jul 2023

Viewed by 515

Abstract

Medicine and oral health are constantly progressing through a series of small advancements that, together, lead to significant discoveries and breakthroughs [...] Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

Research

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24 pages, 8925 KiB

Open AccessArticle

Orthodontic Internal Resorption Assessment in Periodontal Breakdown—A Finite Elements Analysis (Part II)

by Radu Andrei Moga, Ada Gabriela Delean, Stefan Marius Buru, Mircea Daniel Botez and Cristian Doru Olteanu

Healthcare 2023, 11(19), 2622; https://doi.org/10.3390/healthcare11192622 - 25 Sep 2023

Viewed by 664

Abstract

This finite elements analysis (FEA) assessed the accuracy of maximum shear stress criteria (Tresca) in the study of orthodontic internal surface resorption and the absorption–dissipation ability of dental tissues. The present study was conducted over eighty-one models totaling 324 simulations with various bone loss levels (0–8 mm), where 0.6 N and 1.2 N were applied in the intrusion, extrusion, rotation, tipping, and translation movements. Tresca criteria displayed localized high-stress areas prone to resorption for all situations, better visible in the dentine component. The internal resorptive risks are less than external ones, seeming to increase with the progression of the periodontal breakdown, especially after 4 mm. The internal and external surface high-stress areas are strictly correlated. The qualitative stress display for both forces was almost similar. The rotation and tipping displayed the highest resorptive risks for the pulp chamber, decreasing with bone loss. The resorptive risks seem to increase along with the progression of periodontal breakdown if the same applied force is kept. The dentine resemblance to ductile based on its high absorption–dissipation ability seems correct. Tresca seems to supply a better predictability of the prone-to-resorption areas than the other failure criteria. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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22 pages, 17437 KiB

Open AccessArticle

Assessment of the Orthodontic External Resorption in Periodontal Breakdown—A Finite Elements Analysis (Part I)

by Radu Andrei Moga, Cristian Doru Olteanu, Mircea Daniel Botez and Stefan Marius Buru

Healthcare 2023, 11(10), 1447; https://doi.org/10.3390/healthcare11101447 - 16 May 2023

Cited by 6 | Viewed by 1033

Abstract

This Finite Elements Analysis (FEA) assessed the accuracy of Tresca failure criteria (maximum shear stress) for the study of external root resorption. Additionally, the tooth absorption–dissipation ability was assessed. Overall, 81 models of the second mandibular premolar, out of a total of 324 simulations, were involved. Five orthodontic movements (intrusion, extrusion, rotation, translation, and tipping) were simulated under 0.6 N and 1.2 N in a horizontal progressive periodontal breakdown simulation of 0–8 mm. In all simulations, Tresca criteria accurately displayed the localized areas of maximum stress prone to external resorption risks, seeming to be adequate for the study of the resorptive process. The localized areas were better displayed in the radicular dentine–cementum component than in the entire tooth structure. The rotation and translation seem prone to a higher risk of external root resorption after 4 mm of loss. The resorptive risks seem to increase along with the progression of periodontal breakdown if the same amount of applied force is guarded. The localized resorption-prone areas follow the progression of bone loss. The two light forces displayed similar extensions of maximum stress areas. The stress displayed in the coronal dentine decreases along with the progression of bone loss. The absorption–dissipation ability of the tooth is about 87.99–97.99% of the stress. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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13 pages, 5932 KiB

Open AccessArticle

Intraindividual Left–Right Side Differences of Sagittal Condylar Inclination (SCI) in Different Skeletal Classes

by Andi Ciprian Dragus, Augustin Mihai, Gabriela Tanase, Mihai Burlibasa and Corina Marilena Cristache

Healthcare 2023, 11(9), 1341; https://doi.org/10.3390/healthcare11091341 - 07 May 2023

Cited by 4 | Viewed by 1228

Abstract

(1) Background: The temporomandibular joint (TMJ) is the most complex and one of the most important joints in the human body due to its essential roles in mastication, swallowing, breathing and speech. Several instruments have been used to track mandibular movements and register the characteristic parameters of the TMJ, among which condylography instruments are validated for the accurate clinical registration of the condylar path. Sagittal condylar inclination (SCI) is one of the most important parameters, together with the Bennett angle and the immediate side shift, used for articular settings in the process of oral rehabilitation. The aim of the present study was to evaluate the differences between the left and right SCI and to assess whether the differences were statistically significant for skeletal class, age, gender, dentate status, TMJ pathology or parafunctional habits. (2) Methods: One hundred and forty consecutive patients, fully dentate or partially edentulous, and with angle class I, II and II, were recruited. Their left and right SCIs were determined with an ultrasonic jaw tracking device. Each subject had to make three protrusive movements and three right and left laterotrusive movements. The software calculated the SCI from the mean of the protrusive movements. (3) Results: The mean values obtained for the right and left SCI were 34.68° (±12.44°) and 34.94° (±13.23°), respectively, with no statistically significant differences between the left and right values for gender, dentate status, TMJ disorders or parafunctional habits. Skeletal class III subjects registered lower SCI means, which were statistically significant for the left SCI. (4) Conclusions: For an optimal functionalization of prosthetic restorations and for an ideal treatment plan, the registration of both the left and right paths of the condyles and the articular disc should be taken into consideration. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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8 pages, 255 KiB

Open AccessArticle

Sleep-Disordered Breathing among Saudi Primary School Children: Incidence and Risk Factors

by Saleh H. Alwadei, Suliman Alsaeed, Ahmed Ibrahim Masoud, Farhan Alwadei, Khalid Gufran and Abdurahman Alwadei

Healthcare 2023, 11(5), 747; https://doi.org/10.3390/healthcare11050747 - 03 Mar 2023

Cited by 3 | Viewed by 1137

Abstract

This study aimed to identify the incidence and risk factors of sleep-disordered breathing (SDB) using an Arabic version of the pediatric sleep questionnaire (PSQ). A total of 2000 PSQs were circulated to children aged 6–12 years who were randomly selected from 20 schools in Al-Kharj city, Saudi Arabia. The questionnaires were filled out by the parents of participating children. The participants were further divided into two groups (younger group: 6–9 years and older group: 10–12 years). Out of 2000 questionnaires, 1866 were completed and analyzed (93.3% response rate), of which 44.2% were from the younger group and 55.8% were from the older group. Among all the participants, a total of 1027 participants were female (55%) and 839 were male (45%) with a mean age of 9.67 ± 1.78 years. It showed that 13% of children were suffering from a high risk of SDB. Chi-square test and logistic regression analyses within this study cohort showed a significant association between SDB symptoms (habitual snoring; witnessed apnea; mouth breathing; being overweight; and bedwetting) and risk of developing SDB. In conclusion: habitual snoring; witnessed apnea; mouth breathing; being overweight; and bedwetting strongly contribute the to development of SDB. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

10 pages, 541 KiB

Open AccessArticle

Detecting Vertical Root Fractures Using Modified Methylene Blue Dye: A Preliminary In Vitro Study

by Hadi Mohammed Alamri, Abdullah Altamimi, Mubashir Baig Mirza, Mazen A. Aldosimani, Hani Ghabbani and Fahd Aljarbou

Healthcare 2023, 11(4), 504; https://doi.org/10.3390/healthcare11040504 - 09 Feb 2023

Cited by 1 | Viewed by 1402

Abstract

Diagnostically, vertical root fractures (VRFs) can be a frustrating experience for the dentist. Misdiagnosis could result in significant time and effort losses involved in erroneously intervening endodontically and/or periodontally. Certainly, diagnosing VRFs is often very difficult, and diagnoses based on speculations have led to the extraction of many salvageable teeth. This study was conducted in the radiology unit of College of Dentistry, Prince Sattam bin Abdulaziz University, between December 2021 and June 2022 to evaluate the ability to detect VRFs following the use of a novel radio-opaque dye using periapical radiographs (PARs) and cone-beam computed tomography (CBCT). After carefully inducing VRFs on extracted, single-rooted, virgin premolars (n = 26), they were assigned to control (n = 2) and experimental groups (n = 24). The fracture site of the tooth in the control group received methylene blue dye, whereas the experimental group received a novel dye. Two differently angled PARs were obtained for all the teeth, followed by a CBCT image. Three blinded investigators participated in scoring a Likert scale form with a set of questions. Inter-/intra-examiner reliability showed excellent consistency using Cronbach’s alpha test. The Z-test revealed CBCT and PAR to be equally adept at detecting VRFs, with the mean values showing no statistically significant differences. The extent of the VRFs and dye penetration were significantly better when angled radiographs and axial view CBCT were evaluated. Within the limitations of this study, the dye tested showed promising initial results as an aid in radiographically detecting VRFs. The use of such minimally invasive methods is critically needed for diagnosing and managing VRFs. However, further testing should be performed prior to its clinical use. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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Review

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12 pages, 480 KiB

Open AccessReview

The Effectiveness of the Association of Chlorhexidine with Mechanical Treatment of Peri-Implant Mucositis

by Anca Silvia Dumitriu, Stana Păunică, Ximena Anca Nicolae, Dana Cristina Bodnar, Ștefan Dimitrie Albu, Ioana Suciu, Dragoș Nicolae Ciongaru and Marina Cristina Giurgiu

Healthcare 2023, 11(13), 1918; https://doi.org/10.3390/healthcare11131918 - 03 Jul 2023

Cited by 2 | Viewed by 1061

Abstract

(1) Background: The aim of the study was to evaluate the benefit of combining chlorhexidine with the mechanical treatment of peri-implant mucositis. (2) Methods: Articles from 2016 to 2021 included in the PubMed and Scopus databases were analyzed, following the PICOS criteria and the randomized controlled study model that used chlorhexidine in various forms in the treatment of peri-mucositis. According to the established criteria, a limited number of studies were selected. These studies had as their criteria of evaluation for the effectiveness of chlorhexidine, plaque indices, bleeding indices and depth probing indices. Chlorhexidine has been used after mechanical debridement as a solution, with different concentrations of 0.06%/0.12%/0.2% alone or in a concentration of 0.03%, in combination with 0.05% cetylpyridinium chloride, as well as in the form of a gel with a concentration of 0.2%. (3) Results: The results were assessed to a placebo or other substances, and showed a significant reduction in the indices with a follow-up period ranging from 3 months to 1 year. (4) Conclusions: The association of chlorhexidine with the mechanical treatment of peri-implant mucositis has a role in reducing inflammation, although a complete remission was not obtained in all cases, and the results were not statistically significantly different from the use of other antiseptics. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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16 pages, 2038 KiB

Open AccessReview

MIH and Dental Caries in Children: A Systematic Review and Meta-Analysis

by Marta Mazur, Denise Corridore, Artnora Ndokaj, Roman Ardan, Iole Vozza, Sylvie Babajko and Katia Jedeon

Healthcare 2023, 11(12), 1795; https://doi.org/10.3390/healthcare11121795 - 18 Jun 2023

Cited by 7 | Viewed by 1624

Abstract

(1) Background: Molar-incisor hypomineralization (MIH) is a clinical condition affecting permanent teeth in children, with a documented rising trend in the last two decades. The aim of the present study was to analyze and synthesize the available evidence on caries experience (dmft/DMFT) and MIH in children. (2) Methods: A systematic review and meta-analysis were conducted according to the PRISMA statement. (3) Results: 59 papers published between 2007 and 2022 were included in the qualitative synthesis and 18 in the meta-analysis. The total sample of subjects was 17,717 (mean: 896), of which 2378 (13.4%) had MIH (mean: 119), with a girl/boy ratio of 1:1. The mean age of the enrolled participants was 8.6 (age range 7–10 years). Meta-analysis showed that MIH has a positive correlation with both dmft (effect size of 0.67, 95% CI [0.15, 1.19]) and DMFT (effect size of 0.56, 95% CI [0.41, 0.72]); (4) Conclusions: Children with MIH should be diagnosed correctly and on time. Treatment and management options for moderate and severe forms of MIH should consider prognosis based on known risk factors, and secondary and tertiary prevention policies should also consider the multifactorial nature of caries etiology. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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Other

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22 pages, 21504 KiB

Open AccessCase Report

Full-Arch Guided Restoration and Bone Regeneration: A Complete Digital Workflow Case Report

by Claudia Todaro, Michael Cerri, Ruggero Rodriguez y Baena and Saturnino Marco Lupi

Healthcare 2023, 11(9), 1301; https://doi.org/10.3390/healthcare11091301 - 02 May 2023

Cited by 5 | Viewed by 1902

Abstract

Objective: complex rehabilitations present multiple difficulties, regarding both the planification of the surgery and the design of the prothesis. A digital approach can support the workflow, as well as the degree of intraoperative precision, and improve the long-term prognosis. Methods: A surgical guide was designed for implant placement. An extensive regeneration of the upper jaw was performed with contextual implant insertion, and a delayed load rehabilitation was chosen. After four months, a second surgery and a simultaneous soft tissue augmentation was performed, and a 3D-printed temporary restoration was placed. After another two months, new dental and facial scans, smile design, and facial bite registrations were obtained. Upper and lower dentures were built using an exclusively digital workflow. Both metal substructures were passivated and cemented in one session; in the following appointment, the aesthetic and occlusal checks were carried out. During the third visit, both prostheses were delivered. Results: Careful case planning and the surgical guide made it possible to achieve primary stability and acceptable emergence profiles in an extremely reabsorbed upper jaw. Leukocyte-Platelet Rich Fibrin (L-PRF) made the extensive bone regeneration more approachable and lowered the post-operative pain and swelling, while speeding up the soft tissue healing process. During the re-entry surgery, the volumes of soft tissues were increased to improve aesthetics, and the amount of keratinized gingiva around the six implants was also increased. Smile design and facial scans have provided the means to create acceptable aesthetics and function in a few sessions with minimal patient discomfort. Conclusions: Computer-assisted implantology is a safe and precise method of performing dental implant surgery. Preliminary studies have a high degree of accuracy, but further studies are needed to arrive at a fully digital clinical protocol at all stages. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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13 pages, 19968 KiB

Open AccessCase Report

3D-Printed Overlay Template for Diagnosis and Planning Complete Arch Implant Prostheses

by Francisco X. Azpiazu-Flores, Damian J. Lee, Carlos A. Jurado and Hamid Nurrohman

Healthcare 2023, 11(8), 1062; https://doi.org/10.3390/healthcare11081062 - 07 Apr 2023

Cited by 4 | Viewed by 1380

Abstract

Dental implants are a reliable alternative to treating edentulism. In clinical situations where the dentition has been severely affected by partial edentulism, advanced wear, or periodontal disease, establishing important occlusal elements such as the occlusal plane, incisal guidance, and esthetics can be hard to visualize at the diagnostic stage. Contemporary data-acquisition technologies such as 3D scanners and CAD/CAM systems permit the precise manufacture of highly complex devices applicable to any stage of restorative treatment. The present clinical report presents an alternative technique for evaluating the projected artificial tooth relationships, vertical dimension, and occlusal plane in patients with severely weakened dentition by using a 3D-printed overlay template. Full article

(This article belongs to the Special Issue Second Edition of Innovative Solutions for Oral Healthcare)

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