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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Oral Health".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 13587

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Prof. Dr. Denis Bourgeois

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Health, Systemic, Process, UR 4129 Research Unit, University of Lyon, 69008 Lyon, France
Interests: chronic diseases; periodontology; inflammation; health policy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

World Health Organization in 2002 was redirected Global Oral Health Programme to a new strategy to integrate chronic diseases prevention. Chronic diseases, since this date, which continue to increase are becoming increasingly prevalent in many high- and middle incomes countries, as well as the developing countries. This WHO new orientation has provided very useful guidance and has done much to advance the cause of oral-chronic diseases conceptual development. Indeed, this macro view of public health generated a deliberately broad call for contributions, inviting institutions and organizations from a wide range of research subfields, including micro and meso – community- oriented topics. 20 years later, knowledge has greatly evolved. So, human microbiota, chronic diseases and oral microbiota have become major players in human health research combining interdisciplinary approaches, research in health humanities, research in vivo, in vitro and in silico. This Special Issue Advances in Oral Health and Chronic Diseases proposes to provide a concrete update on the actions that affect the strength of change events in the oral - chronic disease relationship and vice versa. It is also intended to be a force for proposing directions for future research toward understanding how research events lead in multiple ways to "downstream" effects on individuals and organizations. This Special Issue is a call to argue and validate theoretical and clinical concepts to decision makers for the implementation of strategies leading to integrated or non-integrated operational actions.

Prof. Dr. Denis Bourgeois
Guest Editor

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Keywords

oral health
chronic diseases
periodontitis
inflammation
microbiota
public health

Published Papers (7 papers)

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Research

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13 pages, 740 KiB

Open AccessArticle

Factors Associated with Self-Report of Type 2 Diabetes Mellitus in Adults Seeking Dental Care in a Developing Country

by Sandra Aremy López-Gómez, Blanca Silvia González-López, Rogelio José Scougall-Vilchis, María de Lourdes Márquez-Corona, Mirna Minaya-Sánchez, José de Jesús Navarrete-Hernández, Rubén de la Rosa-Santillana, Gladys Remigia Acuña-González, América Patricia Pontigo-Loyola, Juan José Villalobos-Rodelo, Carlo Eduardo Medina-Solís and Gerardo Maupomé

Int. J. Environ. Res. Public Health 2023, 20(1), 218; https://doi.org/10.3390/ijerph20010218 - 23 Dec 2022

Viewed by 1545

Abstract

The aims of the present study were to identify the prevalence and risk indicators of type 2 diabetes mellitus (T2DM) in urban-based Mexican adults seeking care in a university-based triage/intake dental clinic, and to develop a predictive model. A cross-sectional study was conducted on 3354 medical/dental records of adults who sought care at the triage/intake dental clinics of a public university. The dependent variable was self-report of a previous diagnosis of T2DM made by a physician. Several socio-demographic and socioeconomic covariates were included, as well as others related to oral and general health. A multivariate binary logistic regression model was generated. We subsequently calculated well-known statistical measures employed to evaluate discrimination (classification) using an (adjusted) multivariate logistic regression model (goodness-of-fit test). The average age of patients was 42.5 ± 16.1 years old and the majority were female (64.1%). The prevalence of T2DM was 10.7% (95%CI = 9.7–11.8). In the final multivariate model, the variables associated (p < 0.05) with the presence of T2DM were older age (40 to 59 years old, OR = 2.00; 60 to 95 years old, OR = 2.78), having any type of health insurance (OR = 2.33), having high blood pressure (OR = 1.70), being obese (OR = 1.41), and having a functional dentition (OR = 0.68). Although the global fit of the model and the calibration tests were adequate, the sensitivity (0.0%) and positive predictive (0.0%) values were not. The specificity (100%) and negative predictive (89.3%) values, as well as the correctly classified (89.3%) value, were adequate. The area under the ROC curve, close to 0.70, was modest. In conclusion, a prevalence of T2DM of 10.7% in this sample of Mexican adults seeking dental care was similar to national figures. Clinical (blood pressure, BMI and functional dentition), demographic (age), and socioeconomic (health insurance) variables were found to be associated with T2DM. The dental setting could be appropriate for implementing preventive actions focused on identifying and helping to reduce the burden of T2DM in the population. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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9 pages, 335 KiB

Open AccessArticle

Full Arch Implant-Prosthetic Rehabilitation in Patients with Type I Diabetes Mellitus: Retrospective Clinical Study with 10 Year Follow-Up

by Bianca D’Orto, Elisabetta Polizzi, Matteo Nagni, Giulia Tetè and Paolo Capparè

Int. J. Environ. Res. Public Health 2022, 19(18), 11735; https://doi.org/10.3390/ijerph191811735 - 17 Sep 2022

Cited by 22 | Viewed by 1668

Abstract

The aim of this retrospective clinical study was to evaluate and compare implant survival, marginal bone loss, and clinical and prosthetic complications in healthy patients and patients with type I diabetes undergoing full arch implant-prosthetic rehabilitation. A total of 47 patients needing total fixed rehabilitation of one or both arches were enrolled for this study. Based on the absence of any systemic diseases (Group A) or the presence of type I diabetes (Group B), the sample was divided into two groups. According to the grade of bone atrophy in the posterior region, patients received full arch rehabilitation (of one or both jaws) with 6 axial implants or, if the residual posterior bone height was insufficient, All-on-Four rehabilitation and a total 236 dental implants were placed. Follow-up visits were performed 1 week after surgery, at 3 and 6 months and then once a year for the next 10 years. No statistically significant differences between groups were recorded about implant survival rates, marginal bone loss, or clinical and prosthetic complications. However, concerning complications, post-surgical bleeding and wound infection were recorded in Group A more than in Group B. In cases of compensated diabetes compensation, implant placement could be considered a safe procedure. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

11 pages, 1435 KiB

Open AccessArticle

Papillomavirus Infection and Prevention: How Much Does the Sicilian Population Know? An Observational Study

by Barbara Verro, Salvatore Gallina and Carmelo Saraniti

Int. J. Environ. Res. Public Health 2022, 19(17), 11032; https://doi.org/10.3390/ijerph191711032 - 03 Sep 2022

Cited by 1 | Viewed by 1144

Abstract

Human papillomavirus is a sexually transmitted virus that is responsible not only for uterine cervical cancer, but also for the oral and oropharyngeal cancers. In this latter case, the virus indiscriminately affects both sexes at any age. Vaccination plays a key role in preventing infection and its possible consequences. Therefore, this study aimed to assess the degree of awareness of papillomavirus infection and its possible prevention in the Sicilian population. A prospective observational study was carried out on the Sicilian population through a self-administered questionnaire, consisting of 10 multiple-choice questions. The survey lasted from June 2021 to December 2021. A total of 844 respondents were included: 60.90% were female and 53.55% were aged between 21 and 30 years. Most of the surveyed population knew about the virus and the existence of the vaccine, however, many of them did not know about virus’s effects on the oral and oropharyngeal sites (49.17%), or about the indication for vaccination for males (39.69%). Oral and oropharyngeal papillomavirus-related cancers are an increasingly frequent finding, especially in young adults. Therefore, it is necessary and quite mandatory to educate the population about the risks that certain voluptuous habits may cause, with the help of general practitioners, schools, social media, and social networks. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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11 pages, 806 KiB

Open AccessArticle

Risk of Peripheral Arterial Occlusive Disease with Periodontitis and Dental Scaling: A Nationwide Population-Based Cohort Study

by Ying-Ting Yeh, Yen-Shuo Tseng, Yi-Liang Wu, Shun-Fa Yang, Bo-Yuan Wang, Yu-Hsun Wang, Liang-Tsai Yeh, Ying-Tung Yeh and Chi-Ho Chan

Int. J. Environ. Res. Public Health 2022, 19(16), 10057; https://doi.org/10.3390/ijerph191610057 - 15 Aug 2022

Cited by 5 | Viewed by 1474

Abstract

Periodontitis (PD) is a common oral disease associated with various other diseases, particularly those affecting the cardiovascular system. This study explored whether peripheral artery occlusive disease (PAOD) is associated with PD and dental scaling. This study was a retrospective cohort study design from 2000 to 2018. The study population was newly diagnosed with periodontitis. The comparison group was defined as never diagnosed with periodontitis. The outcome variable was defined with the diagnosis of peripheral arterial occlusive disease (PAOD). The propensity score matching was performed by age, sex, comorbidities, and dental scaling between the two groups. Kaplan–Meier analysis was used to calculate the cumulative incidence of PAOD among the two groups. To perform the independent risk of the PAOD group, the multivariate Cox proportional hazard model was used to estimate the hazard ratios. First, 792,681 patients with PD and 458,521 patients with no history of PD were selected from Taiwan’s Longitudinal Health Insurance Database, which comprises the data of two million beneficiaries. After propensity score matching between the PD and non-PD groups for age, sex, comorbidities, and dental scaling, 357,106 patients in each group were analyzed for PAOD risk. The incidence density, relative risk, and cumulative incidence of PAOD were higher in the PD group than in the non-PD group. After adjusting for all variables, the risk of PAOD for the PD group was greater than for the non-PD group (adjusted hazard ratio = 1.03; 95% CI, 1.01–1.06). Undergoing at least one dental scaling procedure reduced the risk of PAOD. Age over 65 years was also a risk factor. In conclusion, patients with PD have an increased risk of PAOD. In addition, our results can lead to increased attention to oral hygiene, as dental scaling has a trend towards a lower risk of PAOD. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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Review

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18 pages, 1340 KiB

Open AccessReview

Chronic Kidney Disease and Periodontitis Interplay—A Narrative Review

by Sorana Florica Baciu, Anca-Ștefania Mesaroș and Ina Maria Kacso

Int. J. Environ. Res. Public Health 2023, 20(2), 1298; https://doi.org/10.3390/ijerph20021298 - 11 Jan 2023

Cited by 7 | Viewed by 2703

Abstract

Periodontitis (PO), a chronic microbially-induced inflammation of the supporting tissues of the tooth, is linked to various systemic diseases. We analyze its bidirectional relationship to chronic kidney disease (CKD), a major health-care problem with impressive excess mortality. Overwhelming associative relationship between CKD and PO are analyzed. Major pathophysiologic mechanisms that link CKD to PO are then presented: systemic inflammation, endothelial dysfunction, and imbalance of oxidative stress characteristic of CKD have a role in PO development and might influence escape mechanisms of oral microbiota. Subclinical local and systemic inflammation induced by PO might influence in turn CKD outcomes. Homeostatic changes induced by CKD such as mineral bone disorders, acidosis, uremic milieu, or poor salivary flow are also relevant for the occurrence of PO. There is insufficient evidence to recommend a standardized diagnostic and therapeutic approach regarding association of PO to CKD. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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17 pages, 1287 KiB

Open AccessReview

Clinical Effectiveness of Herbal Oral Care Products in Periodontitis Patients: A Systematic Review

by Georgios S. Chatzopoulos, Panagiotis Karakostas, Stefania Kavakloglou, Andreana Assimopoulou, Panagiotis Barmpalexis and Lazaros Tsalikis

Int. J. Environ. Res. Public Health 2022, 19(16), 10061; https://doi.org/10.3390/ijerph191610061 - 15 Aug 2022

Cited by 10 | Viewed by 2967

Abstract

Background: The use of herbal products in oral cavity has shown an increased popularity and potential benefits due to their additional anti-inflammatory and antioxidant properties as well as the lack of side effects related to their use. Objective: To assess the clinical effectiveness of herbal dental products (mouthwash, dentifrice, gel) when compared to conventional products or placebo in periodontitis patients. Material and methods: A systematic review with 22 studies was carried out using MEDLINE/Pubmed, EMBASE and Web of Science databases in addition to hand searches. Randomized and non-randomized clinical trials that evaluated the effect of any herbal dental product and compared it with conventional products or placebo in periodontitis patients and published up to March 2022, were screened. Results: Herbal products used as adjuncts to scaling and root planing (SRP) or supragingival debridement (SPD) led to superior clinical outcomes than placebo or no adjuncts (8 studies). In conjunction with SRP, these products showed comparable outcomes with chlorhexidine (6 studies) or better (4 studies). When used as adjuncts to SPD, herbal oral care products demonstrated comparable outcomes with chlorhexidine and conventional products (4 studies). Conclusions: Within the limitations of this systematic review, herbal oral care products may play a key role in the management of periodontal disease. Further well-designed studies are needed to establish their efficacy. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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Other

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11 pages, 925 KiB

Open AccessProtocol

Provision of Dental Care to Indigenous South Australians and Impacts on Improved General Health: Study Protocol

by Lisa Jamieson, Joanne Hedges, Zell Dodd, Priscilla Larkins, Cindy Zbierski, Sonia Nath, Kostas Kapellas and Xiangqun Ju

Int. J. Environ. Res. Public Health 2023, 20(4), 2955; https://doi.org/10.3390/ijerph20042955 - 08 Feb 2023

Cited by 1 | Viewed by 1416

Abstract

Background: Indigenous South Australians carry a disproportionate burden of dental diseases, with approximately 80 percent of Indigenous adults having both periodontal disease and dental caries. The chronic inflammatory nature of many dental conditions means there are widespread systemic impacts, particularly on type 2 diabetes, chronic kidney disease and cardiovascular disease. Evidence suggests there are barriers experienced by Indigenous South Australians in accessing timely and culturally safe dental care. This study aims to: (1) elicit the views of Indigenous South Australians regarding their perspectives of what comprises culturally safe dental care; (2) provide such dental care and; (3) assess any changes in both oral and general health using point-of-care testing following receipt of timely, comprehensive and culturally safe dental care. Methods/Design: This mixed-methods study will involve qualitative interviews and an intervention without randomisation. The qualitative component will comprise seeking perspectives of Indigenous South Australians regarding what culturally safe dental care means for them. For the intervention component, participants will take part in oral epidemiological examinations at baseline and 12-month follow-up (after receipt of dental care), which will include collection of saliva, plaque and calculus, as well as completion of a self-report questionnaire. The primary outcome measures—changes in type 2 diabetes (HbA1c), cardiovascular disease (CRP) and chronic kidney disease (ACR)—will be obtained by blood/urine spot from a finger prick/urine collection at baseline and 12-month follow-up via point-of-care testing. Results: Participant recruitment will commence in July 2022. The first results are expected to be submitted for publication one year after recruitment begins. Discussion: The project will have a number of important outcomes, including increased understanding of what culturally safe dental care means for Indigenous South Australians, the delivery of such care, and empirical evidence of how culturally safe dental care leads to better prognosis for chronic diseases linked with poor oral health. This will be important for health services planning, especially in the Aboriginal Community Controlled Health Organisation sector, where the management of dental diseases in a culturally safe manner for better chronic disease outcomes is currently insufficiently understood, planned and budgeted for. Full article

(This article belongs to the Special Issue Advances in Oral Health and Chronic Diseases)

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