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Mar 2023 DOI 10.14302/issn.2576-9383.jhhr-22-4178
Abdulwahab Al-Shamahy HassanCorresponding author
The study aimed to assess the oral health condition and its impact on the quality of life (QoL) among a sample of Yemeni population. The study including 256 individuals who responded to the Oral Health Impacts Profile (OHIP) through completing a face-to-face survey of the OHIP-14 Arabic version. The data were collected by one dentist trained in the terms of oral health-related quality of life (OHRQoL). The study revealed that the impact of OHRQoL among the study sample was found with a weighted OHIP-14 score of 1.1 (±0.9). Physical pain (3.7±2.3), followed by physical disability (2.4±2.2), and psychological disability (2.1±2.3) were the highest scoring. A significantly higher effect (p < 0.05) was found for the adults (18-44 years old) compared to those elderly individuals (> 64 years). The OHRQoL was better in male than in female and in employees than in both pensioners and un-employees. Females had a significantly higher effect when compared to males in the OHRQoL (p < 0.05). The unemployed subjects were significantly higher than those pensioners and employees in the OHRQoL (p < 0.05). The OHRQoL was also better in subjects with higher income and education than those participants with low. However, there were no significant differences for OHRQoL with respect to the educational level and monthly income of participants (p > 0.05). Conclusion, the quality of life is greatly affected by the oral health conditions of the elderly. This impact of oral health on quality of life has an association with individual and contextual variables.
Sep 2020 DOI 10.14302/issn.2641-4538.jphi-20-3541
R. Duffin StevenCorresponding author
Shoreview Dental, LLC
Untreated dental caries in children is one of the most common diseases and largest public health problems in the world. A novel caries management program, using 50% silver nitrate, 38% silver diamine fluoride, and 5% sodium fluoride varnish, was developed at Shoreview Dental, LLC, a private dental practice in Oregon USA, and then introduced into schools in Ecuador, Ghana, and Bolivia. Cavitated carious lesions were treated with 50% silver nitrate, followed by covering with 5% sodium fluoride varnish, three times over two weeks for 165 children in Ecuador at initial assessment, 3 months, and 6 months. This protocol was repeated for 271 children in Ghana at initial assessment and 12 months. In Bolivia, 130 children were treated with 38% silver diamine fluoride, followed by covering with 5% sodium fluoride varnish, once per visit at initial assessment, 6, 12, 18, 24, 30, and 36 months. The percentage of children with active cavitated carious lesions at initial evaluation was 92.7% (Ecuador), 55.4% (Ghana), and 92.3% (Bolivia). The final arrest rate of treated surfaces was 98.8% (Ecuador), 67.6% (Ghana), and 90.2% (Bolivia). Effectiveness of cavitated caries lesion arrest is increased when it is thoroughly cleaned and dried before the treatment protocol. Further optimization is obtained when this protocol is repeated multiple times.
Nov 2021 DOI 10.14302/issn.2473-1005.jdoi-21-3988
Muhamad Abu-HusseinCorresponding author
Practice limited to Children's Dentistry, Aesthetics Dental Clinic, Athens, Greece
Edentulism is considered a poor health outcome and may compromise quality of life. Implant-supported overdentures provide a good opportunity for dentists to improve the quality of life and oral health. Atrophic mandible poses a significant challenge to successful oral rehabilitation with dental implants. The aim of this case report is to demonstrate the concept of immediate functional loading in the mandible using unsplinted implants to support a locator attachment supported overdenture.
Sep 2017
Chen JihuaCorresponding author
The goal of dental restoration is to restore and reconstruct the function, integrity, and morphology of missing tooth structures. At present, dental crowns are usually fabricated by referencing the homonym and adjacent teeth to design the morphology of the restoration, followed by empirical modifications on the restoration morphology. The original morphology of an intact natural tooth, if available, would allow for a balance of the horizontal and vertical forces generated by the surrounding tissues. Otherwise, it is hard for a restoration to reproduce the original tooth morphology. Discrepancies between original tooth morphology and restorations, such as axial over-contour or inappropriate occlusion, may break physiologically established balance, causing patient discomfort or even malocclusion and occlusal diseases. Therefore, to design and fabricate dental restorations with the original tooth morphology could be of great value to oral health. Literature indicates that physiological changes in tooth morphology slowly progress throughout one’s life. We present a hypothetical biomorphic dental restoration design that records the intact tooth morphology of a patient before lesions occur to allow for future design and fabricate of dental restorations. Using a copy of the pre-existing tooth abutment for restoration could result in none or fewer adjustments needed for restoration, and harmony with the surrounding tissues.