Oral Conditions and Dental Behavior in Patients with Systemic Diseases—Part II

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (25 August 2023) | Viewed by 5691

Special Issue Editors


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Guest Editor
Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany
Interests: oral health medicine; dental healthcare research; special care dentistry; interdisciplinary collaboration; oral and systemic disease interaction; oral health-related quality of life
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Cariology, Endodontology and Periodontology, University of Leipzig, Liebigstraße 12, 04103 Leipzig, Germany
Interests: oral health medicine; dental healthcare research; special care dentistry; interdisciplinary collaboration; oral and systemic disease interaction; oral health-related quality of life
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to introduce the forthcoming Special Issue of JCM, entitled “Oral conditions and dental behavior in patients with systemic diseases”.

Due to their enormous prevalence worldwide, diseases of the oral cavity and respective tissues represent a major global health issue. Besides the oral health-related consequences of common oral diseases, such as tooth loss, chewing deficiencies and impaired quality of life, oral and systemic disease interactions are apparent. Different systemic diseases and conditions have the potential to increase an individual’s risk of developing oral diseases, especially periodontitis; on the other hand, oral inflammation can have an effect on general health. Moreover, several general diseases are known to increase the risk of complications resulting from dental therapy.

Against this background, clinical studies on oral conditions, such as caries, periodontitis, or oral mucous diseases, alongside the dental and oral hygiene behavior of patients with systemic diseases, are of increasing relevance. This Special Issue addresses this research field and encourages innovative approaches to dental care in this patient group in particular.

Dr. Dirk Ziebolz
Dr. Gerhard Schmalz
Guest Editors

Manuscript Submission Information

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Keywords

  • oral health medicine
  • periodontal medicine
  • oral and systemic disease interactions
  • oral health-related quality of life
  • dental behavior
  • special care dentistry
  • oral diseases
  • interdisciplinary collaboration

Published Papers (5 papers)

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Research

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8 pages, 263 KiB  
Article
Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients
by Karel Kuik, Misha L. Tan, Jean-Pierre T. F. Ho, Jerôme A. H. Lindeboom and Jan de Lange
J. Clin. Med. 2023, 12(12), 4023; https://doi.org/10.3390/jcm12124023 - 13 Jun 2023
Cited by 2 | Viewed by 916
Abstract
Purpose: To investigate subjective efficiency outcomes after maxillomandibular advancement (MMA) surgery in obstructive sleep apnea (OSA) patients. Material and Methods: A prospective cohort study was carried out between December 2016 and May 2021, including 30 severe or treatment-refractory OSA patients treated by MMA [...] Read more.
Purpose: To investigate subjective efficiency outcomes after maxillomandibular advancement (MMA) surgery in obstructive sleep apnea (OSA) patients. Material and Methods: A prospective cohort study was carried out between December 2016 and May 2021, including 30 severe or treatment-refractory OSA patients treated by MMA surgery. All patients answered four validated questionnaires: the Epworth Sleepiness Scale (ESS), Functional Outcomes of Sleep Questionnaire (FOSQ), Mandibular Function Impairment Questionnaire (MFIQ), and EQ-5D-3L (i.e., EQ-5D and EQ-VAS). They also answered one custom-made questionnaire (AMCSQ). Questionnaires were requested to be filled out 1 week before surgery and at least 6 months after surgery. Results: The total preoperative and postoperative scores on the questionnaires were compared. The mean total ESS (p < 0.01), FOSQ (p < 0.01), EQ-5D (p < 0.05), and EQ-VAS (p < 0.01) scores showed significant improvement, which was in accordance with an improvement in the mean postoperative apnea/hypopnea index score (p < 0.01). In contrast, the mean total MFIQ score (p < 0.01) indicated a decline in mandibular function. Conclusion: This study confirms the hypothesis that MMA surgery in OSA patients improves outcomes, both objectively and subjectively, with the exception of postoperative mandibular function. Full article
11 pages, 850 KiB  
Article
General Factors and Dental-Related Risk Factors for Postoperative Pneumonia or Infectious Complications: A Retrospective Study
by Emiko Tanaka Isomura, Yukari Fujimoto, Makoto Matsukawa, Yusuke Yokota, Ryuta Urakawa and Susumu Tanaka
J. Clin. Med. 2023, 12(10), 3529; https://doi.org/10.3390/jcm12103529 - 17 May 2023
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Abstract
Numerous studies report that perioperative oral care decreases the frequency of postoperative pneumonia or infection. However, no studies have analyzed the specific impact of oral infection sources on the postoperative course, and the criteria for preoperative dental care differ among institutions. This study [...] Read more.
Numerous studies report that perioperative oral care decreases the frequency of postoperative pneumonia or infection. However, no studies have analyzed the specific impact of oral infection sources on the postoperative course, and the criteria for preoperative dental care differ among institutions. This study aimed to analyze the factors and dental conditions present in patients with postoperative pneumonia and infection. Our results suggest that general factors related to postoperative pneumonia, including thoracic surgery, sex (male > female), the presence or absence of perioperative oral management, smoking history, and operation time, were identified, but there were no dental-related risk factors associated with it. However, the only general factor related to postoperative infectious complications was operation time, and the only dental-related risk factor was periodontal pocket (4 mm or higher). These results suggest that oral management immediately before surgery is sufficient to prevent postoperative pneumonia, but that moderate periodontal disease must be eliminated to prevent postoperative infectious complication, which requires periodontal treatment not only immediately before surgery, but also on a daily basis. Full article
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12 pages, 285 KiB  
Article
CBCT Assessment of Gubernacular Canals on Permanent Tooth Eruption in Down’s Syndrome
by Carlos Eduardo Vieira da Silva Gomes, Athus Michel Flexa Conceição, Sérgio de Melo Alves Júnior, Ricardo Roberto de Souza Fonseca, Rogério Valois Laurentino and Luiz Fernando Almeida Machado
J. Clin. Med. 2023, 12(10), 3420; https://doi.org/10.3390/jcm12103420 - 12 May 2023
Cited by 2 | Viewed by 1142
Abstract
Background: The gubernacular canal (GC) is an important dental structure that enables the alveolar bone ridge cohesion of permanent teeth, although GC absence may indicate a dental eruption that might be associated with certain syndromes such as Down’s syndrome. This study aims to [...] Read more.
Background: The gubernacular canal (GC) is an important dental structure that enables the alveolar bone ridge cohesion of permanent teeth, although GC absence may indicate a dental eruption that might be associated with certain syndromes such as Down’s syndrome. This study aims to correlate the eruptive delay of permanent teeth in individuals with Down’s syndrome (Ds) and the gubernacular canal (GC) through cone-beam computed tomography (CBCT). Methods and Results: This cross-sectional study was conducted between January and July 2022 with a total of 31 individuals (G1 = 16 nonsyndromic and G2 = 15 Down’s syndrome) who went through imaging evaluation using CBCT with the following acquisition parameters: tube voltage of 95 kVp, tube current of 7 mA, exposure time of 5.9 s and voxel sizes and field of view 0.15 mm and 0.30 mm, respectively. The imaging evaluation was to assess whether all teeth analyzed had the presence of GC and/or teeth eruption disturbance, with a descriptive statistical analysis of relative frequencies and quantitative variables as well as the p-value (p < 0.005) by G Test. Results: A total of 618 teeth among 31 individuals were analyzed, 475 (76.8%) GC were detected by CBCT in 23/31 patients and of these, 6 belonged to G2. G2 had a decreased GC detection rate (n = 180–37.9%) and the most common tooth with GC detected was the mandibular 1st molar (21 GC/25 teeth—84%) and the absence of GC was most frequently observed in impacted and delayed/unerupted teeth of Ds individuals. Conclusion: We concluded that GC absence was higher among Ds individuals, explaining the increased rates of unerupted or impacted teeth in Ds individuals. Full article

Review

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22 pages, 1038 KiB  
Review
Prevalence of Dental Caries in Patients on Renal Replacement Therapy—A Systematic Review
by Deborah Kreher, Bero Luke Vincent Ernst, Dirk Ziebolz, Rainer Haak, Jonathan de Fallois, Thomas Ebert and Gerhard Schmalz
J. Clin. Med. 2023, 12(4), 1507; https://doi.org/10.3390/jcm12041507 - 14 Feb 2023
Cited by 1 | Viewed by 1696
Abstract
Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science [...] Read more.
Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science and Scopus was performed by two independent individuals in August 2022. Search terms were: “caries” AND “dialysis”, “caries” AND “renal replacement therapy”, “caries” AND “kidney”. The systematic process was complemented by manual search. Studies on adult patients (age ≥ 18 years), treated by any form of RRT and explicitly reporting caries prevalence or incidence were checked for their eligibility and subsequently analyzed qualitatively. For all included studies, a quality appraisal was applied. From the systematic search, 653 studies were identified, of which 33 clinical investigations were included in the qualitative analysis. The majority (31 studies) of all included patients underwent hemodialysis (HD), with a sample size between 28 and 512 participants. Eleven studies investigated a healthy control group. Oral examinations were heterogeneous across studies; the caries burden was primarily assessed by decayed-(D-T), missing- and filled-teeth index (DMF-T). The number of decayed teeth ranged between 0.7 and 3.87 across studies. Only six out of these 11 studies found significant differences in caries prevalence/incidence between RRT and controls, whereby only four studies confirmed worse caries burden in RRT individuals. No information was provided on caries stadium (initial caries, advanced caries, invasive treatment need), caries activity or location (e.g., root caries) across studies. Most of the included studies were assessed to be of moderate quality. In conclusion, patients on RRT suffer from a high prevalence of dental caries. Alongside a need for further research in the field, improved, multidisciplinary, patient-centered dental care concepts are required to support dental and overall oral health in individuals on RRT. Full article
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Other

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2 pages, 188 KiB  
Comment
The Importance of Subjectivity in Assessing the Efficiency of Surgery for Obstructive Sleep Apnea. Comment on Kuik et al. Subjective Efficiency Evaluation after Maxillomandibular Advancement Surgery in Obstructive Sleep Apnea Patients. J. Clin. Med. 2023, 12, 4023
by Antonino Maniaci, Salvatore Cocuzza, Giovanni Cammaroto, Claudio Vicini and Luigi La Via
J. Clin. Med. 2023, 12(21), 6761; https://doi.org/10.3390/jcm12216761 - 26 Oct 2023
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Abstract
We recently read with interest the study by Kuik et al. [...] Full article
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