Advantages and disadvantages of cantilever bridges

Utilizing cantilever bridges to perform fixed partial prostheses has been reported in the literature based on the increasing demands in this field to improve the outcomes and relieve extensive therapeutic approaches associated with complete oral rehabilitation. The current evidence indicates that cantilever bridges can effectively replace missing teeth with more favorable outcomes than removable partial dentures. However, evidence also shows that decreasing the number and size of cantilevered pontics and increasing abutment teeth are necessary to enhance the outcomes. Furthermore, if the occlusion is harmonious and stable, it has been demonstrated that cantilever bridges can be applied with the minimal periodontal ligament, which adds to its favorable outcomes. However, it should be noted that cantilever bridges are not applicable for all patients as it needs proper oral health status to be installed. Besides, it might also be associated with complications that may lead to failure. Therefore, further studies are still needed.

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Status kesehatan mulut dan asupan makan sebagai faktor risiko underweight pada lansia

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.18367 ◽

2013 ◽

Vol 9 (4) ◽

pp. 188

Author(s):

Dian Isti Angraini ◽

Al Supartinah ◽

Deddy Nur Wachid

Keyword(s):

Risk Factors ◽

Health Status ◽

Oral Health ◽

Nutritional Status ◽

Significant Risk ◽

The Elderly ◽

Oral Health Status ◽

Gingival Index ◽

Missing Teeth ◽

Periodontal Index

Background: Oral health status and dietary intake contribute to nutritional status in elderly. Missing teeth cause chewing disorder that reduces quality and quantity of food intake, which finally makes the elderly have underweight nutritional status.Objective: To determine the risk factors for underweight in the elderly at Yogyakarta Municipality.Method: The study was observational with case control design on elderly at Yogyakarta Municipality. Subjects consisted of 210 elderly matched in age and gender. Sampling was done by multistage random sampling. Oral health status was assessed through dental health status (index of missing teeth) and periodontal status (gingival index, periodontal index and oral hygiene index), dietary intake was collected by using semi quantitative food frequency questionnaire (SQ-FFQ) and underweight nutritional status was based on body mass armspan (BMA). Data were analyzed by using tests of X2 Mc.Nemar, X2 Stuart Maxwell, and conditional logistic regression.Results: Bivariate analysis showed the number of missing teeth ≥ 21 (OR=3.67, p<0.05) and 16-20 (OR=3.53, p<0.05) as risk factors of underweight, whereas the gingival index, periodontal index and oral hygiene index were not. Less intake of energy (OR=6.3), protein (OR=7.83), fat (OR=5.67) and carbohydrates (OR=7.5) were risk factors of underweight (p<0.01). Income less than Rp 808.000,00 was also risk factor for underweight (OR=4.5; p<0.01). Multivariate analysis showed the significant risk factors for underweight were the missing teeth ≥ 21 (OR=8.76) and 16-20 (OR=6.04) which increased by income less than Rp 808.000,00 (OR=5.94), less fat intake (OR=4.88), and less carbohydrate intake (OR=5.48). Income was confounding factor in the risk of missing teeth and protein intake for becoming underweight.Conclusion: Significant risk factors of underweight in elderly were missing teeth ≥ 16, less intake of fat and carbohydrate, and income less than Rp 808.000,00.

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The Association Between Masticat The Association Between Masticatory Performance, Or formance, Oral Health al Health Status, and Dental Prostheses in Adults at a Dental Hospital in Jakarta

Journal of Dentistry Indonesia ◽

10.14693/jdi.v28i1.1237 ◽

2021 ◽

Vol 28 (1) ◽

Author(s):

Fakhrana Ariani Ayub ◽

◽

Farisza Gita ◽

Nina Ariani ◽

◽

...

Keyword(s):

Health Status ◽

Oral Health ◽

Adult Population ◽

Salivary Flow ◽

Oral Health Status ◽

Masticatory Performance ◽

Missing Teeth ◽

Occlusal Contact ◽

T Score ◽

Dental Prostheses

Masticatory performance has been studied extensively in the past few decades. Age, gender, the number of teeth in occlusion, occlusal contact area, salivary flow, and neurophysiological deficits influence the masticatory process. The replacement of missing teeth with dental prostheses, whether fixed or removable, is often used to achieve an acceptable level of masticatory performance. Objective: The present study aimed to analyze the association between masticatory performance and age, gender, and oral health status based on the decayed, missing, and filled teeth (DMF-T) score, denture use, and denture condition in an adult population. Methods: This study included a total of 152 individuals (60 males and 92 females) aged 17 years or older (mean ± standard deviation: 33.4 ± 13.1 years). Masticatory performance was evaluated using color-changeable chewing gum. The chi-squared test was used to assess the association between masticatory performance and age, gender, DMF-T score, dental prosthesis use, and prosthesis condition. Results: Age (p=0.001), missing teeth (p=0.001), and prosthesis use (p=0.011) had significant relationships with masticatory performance. However, the correlations between masticatory performance and gender, tooth decay, fillings, and prosthesis condition were not statistically significant (p> 0.05). Conclusion: Age, missing teeth, and prostheses are strongly associated with masticatory performance.

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Oral Health among Adult Residents in Vilnius, Lithuania

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph19010582 ◽

2022 ◽

Vol 19 (1) ◽

pp. 582

Author(s):

Milda Vitosyte ◽

Alina Puriene ◽

Indre Stankeviciene ◽

Arunas Rimkevicius ◽

Rita Trumpaite-Vanagiene ◽

...

Keyword(s):

Health Status ◽

Oral Health ◽

Oral Health Status ◽

Health Conditions ◽

Caries Experience ◽

Missing Teeth ◽

Periodontal Status ◽

Behavioral Determinants ◽

The Mean ◽

Oral Conditions

According to the World Health Organization (WHO) oral conditions may be determined by social, biological, behavioral, and psychosocial factors. The study assessed oral health status and its determinants associated with oral health conditions among adult residents in Vilnius, Lithuania. A total of 453 of 35–74-year-olds participated (response rate 63%). A self-reported questionnaire was administered. Dental caries experience (D3MFS score), periodontal probing depth (PPD), andnumber of missing teeth were assessed clinically. Data were analyzed using χ2 test, independent samples t-test, and multivariable linear regression. The mean (sd) of D3MFS scores was 67.3 (33.5), the mean (sd) number of teeth with PPD 4+ mm was 5.9 (5.3), prevalence of periodontitis was 33%, the mean (sd) number of missing teeth was 6.9 (6.8), and prevalence of total edentulism was 3.8%. Medication use was associated with all oral health conditions, while age was associated with caries experience, and missing teeth. Sugar-containing diet was associated with caries experience, and missing teeth, and smoking with caries experience and periodontal status. Systemic diseases were associated with periodontal status, while behavioral determinants, last dental visit, and use of fluoridated toothpaste were associated with missing teeth. Oral health status among adult Vilnius residents was poor. Oral conditions were associated with both biological and behavioral determinants. Oral health promotion should focus on modifying behavioral determinants.

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Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis

Autism ◽

10.1177/1362361319877337 ◽

2020 ◽

Vol 24 (5) ◽

pp. 1047-1066 ◽

Cited By ~ 5

Author(s):

Phoebe PY Lam ◽

Rennan Du ◽

Simin Peng ◽

Colman PJ McGrath ◽

Cynthia KY Yiu

Keyword(s):

Autism Spectrum Disorder ◽

Health Status ◽

Oral Health ◽

Children And Adolescents ◽

Oral Health Status ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Current Evidence ◽

Tooth Decay ◽

Oral Diseases

Children and adolescents with autism spectrum disorder are thought to be more vulnerable to oral diseases than typically developing individuals due to cariogenic dietary habits, self-injurious behaviors, and increased barriers to dental care services. This review aimed to summarize current evidence comparing the oral health status of people diagnosed with and without autism spectrum disorder. Study selection and screening, data extraction, risk of bias assessment, and quality-of-evidence evaluation was conducted using the Grading of Recommendations Assessment Development and Evaluation approach and performed independently by two reviewers. A total of 16 studies were found eligible for qualitative synthesis and 15 were included in quantitative analysis. When comparing children and adolescents diagnosed with and without autism spectrum disorder, significantly higher prevalence of bruxism was identified. Individuals diagnosed with autism spectrum disorder were also found to have significantly lower salivary pH. However, no statistically significant differences in terms of caries prevalence and severity, oral hygiene and periodontal status, prevalence of malocclusion, dental traumatic injuries, as well as salivary flow rate and buffering capacity were found. The quality of evidence of each outcome was graded as very low mainly due to the overall high risk of bias, considerable heterogeneity, and imprecision. Lay Abstract Children and adolescents diagnosed with Autism Spectrum Disorder (ASD) are thought to be more vulnerable to oral diseases than typically-developing individuals. This is due to their increased barriers to dental care services, self-harm behaviors and dietary habits that may favor tooth decay. In this review, we summarized the current evidence comparing the oral health status of children and adolescents diagnosed with and without ASD. After a systematic search in the literature, we found that the salivary pH of individuals diagnosed with ASD was significantly lower, but the results were not clinically significant that can increase their risks to tooth decay. We also found weak evidence suggesting a higher percentage of children and adolescents diagnosed with ASD having the habit of tooth grinding compared with their neurotypical counterparts. When comparing salivary flow rate, tooth decay, gum diseases, tooth malalignment and tooth trauma; no significant differences were found between the two groups. The findings did not suggest ASD as a predisposing factor to oral diseases: other factors including sugary diet and inadequate oral hygiene may play a more important role. We also call for further research to establish more concrete association between ASD and oral diseases.

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Oral Impacts on Daily Performance in Turkish Adults Attending a Dental School

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1494 ◽

2014 ◽

Vol 15 (1) ◽

pp. 92-98 ◽

Cited By ~ 4

Author(s):

Ilkay Peker ◽

Meryem Toraman Alkurt

Keyword(s):

Health Status ◽

Oral Health ◽

Sociodemographic Factors ◽

Oral Health Status ◽

Self Report ◽

Dental School ◽

Missing Teeth ◽

Dental Patients ◽

Significant Difference ◽

Oral Impacts

ABSTRACT Aim The purpose of this study was to evaluate oral health related quality of life (OHRQOL) in Turkish adults attending a dental school by using Oral Impacts on Daily Performance (OIDP) inventory. Materials and methods This study included 1324 patients. A modified questionnaire including sociodemographic information, questions about OHRQOL and OIDP inventory was prepared. The questions consisted of reasons and frequency for dental attendance, self-reported oral health status of the participants and number of natural teeth was recorded. Results The rates of participants experienced at least one OIDP impact was 65.2% and eating was the most affected item (41.6%). There was statistically significant difference between number of missing teeth-self reported oral health status, number of missing teeth-sociodemographic factors for the participants who reported at least one OIDP impact. Conclusion This study showed that OHRQOL of Turkish adults attending a dental school is affected several factors including sociodemographic factors, regular dental visit and number of missing teeth similarly other societies. Clinical significance OIDP inventory assesses impacts of oral health conditions that affect daily activities of an individual and is commonly used as OHRQOL indicator. Also, it is important self-report information of patients about changing their oral conditions and affecting daily life for the clinicians. There is insufficient data for OIDP inventory of Turkish dental patients. OHRQOL of Turkish adults was evaluated by using OIDP inventory in this study. The scale was found as a valid and reliable instrument for Turkish dental patients and was determined the relationships between this scale and several parameters. How to cite this article Peker I, Alkurt MT. Oral Impacts on Daily Performance in Turkish Adults Attending a Dental School. J Contemp Dent Pract 2014;15(1):92-98.

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The oral health status of patients with peripheral vascular disorders: A systematic review

Vascular ◽

10.1177/1708538120963914 ◽

2020 ◽

pp. 170853812096391

Author(s):

Sayed Abdulmotaleb Almoosawy ◽

Mhairi McGowan ◽

Karolin Hijazi ◽

Rona Patey ◽

Paul Bachoo ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Oral Health ◽

Oral Hygiene ◽

Oral Pathology ◽

Oral Health Status ◽

Current Evidence ◽

Peripheral Vascular ◽

Vascular Disorders ◽

Newcastle Ottawa Scale

Objectives Periodontal disease and tooth loss were found to be associated with several peripheral vascular disorders. Nonetheless, an evaluation of the literature on the broader domains of oral health in individuals with peripheral vascular disorders is lacking. This systematic review aims to collate the current evidence on the oral health status of individuals with peripheral vascular disorders. Methods Five electronic databases were searched for studies assessing oral health parameters in individuals with peripheral vascular disorders. Outcome measures considered were periodontal health, dentition status, caries indices, oral prostheses, oral pathologies and oral hygiene behaviours. The Newcastle-Ottawa scale was used to appraise the quality of the studies. Results From 3025 records identified, 24 studies involving 1232 participants with peripheral vascular disorders were included in this review. In nine studies, periodontitis was significantly more prevalent in peripheral vascular disorders compared to non-peripheral vascular disorders participants. A further six studies reported individuals with peripheral vascular disorders also had significantly fewer teeth and increased rates of edentulism. Only one study reported a higher incidence of dental caries in peripheral vascular disorders participants. Other aspects of oral health such as oral prosthesis, oral pathology and oral hygiene behaviours were seldom assessed. Conclusions The scarcity of studies reporting on broader domains limited our ability to arrive at a conclusion regarding the oral health status of individuals with peripheral vascular disorders. Future studies ought to assess these domains in individuals with peripheral vascular disorders and controls to gain a more complete understanding of oral health and its potential association with peripheral vascular disorders.

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