Novel Therapeutic and Diagnostic Strategies for Oral Diseases

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: 15 April 2027 | Viewed by 4603

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Guest Editor
Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via Luigi de Crecchio, 6, 80138 Naples, Italy
Interests: oral medicine; photodynamic therapy; oral pathology; OSCC
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Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Via Luigi de Crecchio, 6, 80138 Naples, Italy
Interests: oral medicine; oral diagnosis; oral pathology; oral radiology; oral surgery;OSCC

Special Issue Information

Dear Colleagues,

In the realm of oral health, innovative approaches to diagnosis and treatment are continually emerging, reshaping the landscape of dental care. This Special Issue serves as a comprehensive exploration into the latest advancements, strategies, and technologies revolutionizing this field. Oral disorders encompass a wide range of conditions, ranging from common dental caries to more complex diseases like periodontitis and oral cancers. Recognizing the importance of early detection and effective intervention, this Special Issue delves into cutting-edge diagnostic tools and methodologies, offering insights into improved accuracy, efficiency, and patient outcomes.

This Special Issue aims to investigate all the new frontiers of the diagnosis and therapy of oral disorders, ranging from tooth decay through oral potentially malignant disease (OPMD) to oral squamous cell carcinoma (OSCC).

This Special Issue aims to:

  • Early diagnosis of OSCC.
  • Early diagnosis of OPMD.
  • Early diagnosis of tooth decay.
  • Novel therapeutic strategies for tooth decay.
  • Novel therapeutic strategies for periodontitis.
  • Future perspectives on the oral disorder diagnostic pathway.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following: photodynamic therapy; oral imaging; intraoral ultrasound; fractal analysis; liquid biopsy; the oral microbiome; DIAGNOdent; autofluorescence; optical coherence tomography; and reflectance confocal microscopy.

We look forward to receiving your contributions.

Dr. Fausto Fiori
Dr. Antonio Romano
Guest Editors

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Keywords

  • photodynamic therapy
  • intraoral ultrasound
  • fractal analysis
  • liquid biopsy
  • the oral microbiome
  • optical coherence tomography
  • reflectance confocal microscopy

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Published Papers (4 papers)

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Research

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12 pages, 663 KB  
Article
The Effect of Chronic Graft-Versus-Host Disease and Its Therapy on Salivary Caries Risk Factors—An Exploratory Cross-Sectional Pilot Study
by Nina Vovk, Manca Urek, Ksenija Cankar and Lidija Nemeth
Healthcare 2025, 13(24), 3265; https://doi.org/10.3390/healthcare13243265 - 12 Dec 2025
Viewed by 411
Abstract
Background: The aim of this study was to investigate the effects of chronic graft-versus-host disease (cGVHD) and its treatment with cyclosporine and extracorporeal photopheresis (ECP) on salivary caries risk factors. Methods: In this exploratory single-centre cross-sectional pilot study, saliva samples from [...] Read more.
Background: The aim of this study was to investigate the effects of chronic graft-versus-host disease (cGVHD) and its treatment with cyclosporine and extracorporeal photopheresis (ECP) on salivary caries risk factors. Methods: In this exploratory single-centre cross-sectional pilot study, saliva samples from 22 cGVHD patients were analysed for flow rate, pH, buffering capacity, and counts of Streptococcus mutans and Lactobacillus. A detailed dental examination assessed plaque, carious lesions, and their progression. Caries risk was determined based on general health and diet questionnaires and clinical findings. Results: Patients receiving a combination of cyclosporine and ECP had significantly fewer carious teeth, affected tooth surfaces, and non-cavitated carious lesions compared with those treated with ECP alone (Bonferroni test, p = 0.004, p = 0.002, and p < 0.001, respectively). Patients treated with ECP had more carious teeth and affected surfaces than those who did not receive either ECP or cyclosporine (p = 0.008 and p = 0.002), whereas patients treated with cyclosporine only had more non-cavitated lesions than those receiving both cyclosporine and ECP (p < 0.001). A negative correlation was observed between cyclosporine dose and stimulated salivary flow (R = −0.672, p = 0.0486), and a positive correlation between cyclosporine dose and caries risk (R = 0.640, p = 0.0461). Conclusions: The disease and its treatment were associated with reduced salivary flow and increased caries risk. Patients’ oral health should be monitored regularly and managed with care to prevent further deterioration. Full article
(This article belongs to the Special Issue Novel Therapeutic and Diagnostic Strategies for Oral Diseases)
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18 pages, 5347 KB  
Article
An Image Analysis for the Development of a Skin Change-Based AI Screening Model as an Alternative to the Bite Pressure Test
by Yoshihiro Takeda, Kanetaka Yamaguchi, Naoto Takahashi, Yasuhiro Nakanishi and Morio Ochi
Healthcare 2025, 13(8), 936; https://doi.org/10.3390/healthcare13080936 - 18 Apr 2025
Viewed by 1268
Abstract
Background/Objectives: Oral function assessments in hospitals and nursing facilities are mainly performed by nurses and caregivers but are sometimes not properly assessed. As a result, elderly people are not provided with meals appropriate for their masticatory function, increasing the risk of aspiration and [...] Read more.
Background/Objectives: Oral function assessments in hospitals and nursing facilities are mainly performed by nurses and caregivers but are sometimes not properly assessed. As a result, elderly people are not provided with meals appropriate for their masticatory function, increasing the risk of aspiration and other complications. In the present study, we aimed to examine image analysis conditions in order to create an AI model that can easily and objectively screen masticatory function based on occlusal pressure. Methods: Sampling was conducted at the Hokkaido University of Health Sciences (Hokkaido, Japan) and the university’s affiliated dental clinic in Hokkaido. Results: We collected 241 waveform images of changes in skin shape during chewing over a 20 s test period from 110 participants. Our study used two approaches for image analysis: convolutional neural networks (CNNs) and transfer learning. In the transfer learning analysis, MobileNetV2 and Xception achieved the highest classification accuracy (validation accuracy: 0.673). Conclusions: Therefore, it was determined that analyses of waveform images of changes in skin shape may contribute to the development of a skin change-based screening model as an alternative to the bite pressure test. Full article
(This article belongs to the Special Issue Novel Therapeutic and Diagnostic Strategies for Oral Diseases)
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Other

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11 pages, 1797 KB  
Case Report
Correlation of Eye Diseases with Odontogenic Foci of Infection: A Case Report Using Infrared Thermography as a Diagnostic Adjunct
by Daria Wziątek-Kuczmik, Aleksandra Mrowiec, Anna Lorenc, Maciej Kamiński, Iwona Niedzielska, Ewa Mrukwa-Kominek and Armand Cholewka
Healthcare 2025, 13(24), 3283; https://doi.org/10.3390/healthcare13243283 - 15 Dec 2025
Cited by 1 | Viewed by 656
Abstract
Introduction: Odontogenic infections may influence distant structures, including the eye. Their extension into the paranasal sinuses and orbital region can contribute to inflammatory and glaucomatous conditions. Case Report: A 46-year-old man was examined for a possible odontogenic source of chronic eye [...] Read more.
Introduction: Odontogenic infections may influence distant structures, including the eye. Their extension into the paranasal sinuses and orbital region can contribute to inflammatory and glaucomatous conditions. Case Report: A 46-year-old man was examined for a possible odontogenic source of chronic eye disease. The patient had an 18-year history of progressive vision loss in his left eye associated with Posner–Schlossmann syndrome, chronic uveitis, and episodic elevation of intraocular pressure (IOP). Imaging studies revealed the presence of a foreign body in the alveolar recess of the left maxillary sinus, as detected on panoramic radiography, cone-beam computed tomography (CBCT), and infrared thermography (IRT). Preliminary IRT examination showed marked thermal asymmetry (ΔT = 1.1 °C) between the left and right sides of the maxilla. Worsening of ocular symptoms and increased IOP despite steroid treatment prompted surgical treatment. The foreign body, identified as a root canal filling, was removed, and the chronically inflamed sinus mucosa was excised. During a follow-up visit two weeks later, the IRT examination showed a reduction in temperature difference (ΔT = 0.2 °C) and routine postoperative healing. After two months, no thermal asymmetry was found (ΔT = 0 °C), and an ophthalmological examination showed no active inflammation. Six months after the procedure, the patient remained asymptomatic, and the IRT examination revealed only minimal residual variability within the measurement tolerance (ΔT = 0.1 °C), consistent with the resolution of the sinus inflammation. Conclusions: This case highlights the value of interdisciplinary diagnostics in identifying odontogenic contributors to chronic ocular disease. Infrared thermography proved to be a helpful non-invasive adjunct for detecting and monitoring subclinical maxillary sinus inflammation. Full article
(This article belongs to the Special Issue Novel Therapeutic and Diagnostic Strategies for Oral Diseases)
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17 pages, 607 KB  
Systematic Review
The Effectiveness of Using Autologous Fat in Temporomandibular Joint Ankylosis Treatment with Interposition Arthroplasty Method: A Systematic Literature Review
by Gerda Kilinskaite, Nida Kilinskaite and Marijus Leketas
Healthcare 2025, 13(17), 2241; https://doi.org/10.3390/healthcare13172241 - 8 Sep 2025
Cited by 1 | Viewed by 1175
Abstract
Relevance of the problem and aim of the work: Ankylosis of the temporomandibular joint (TMJ) affects physical, psychological, and social well-being and quality of life. One of the most frequently used surgical interventions for the treatment of temporomandibular joint ankylosis is interpositional [...] Read more.
Relevance of the problem and aim of the work: Ankylosis of the temporomandibular joint (TMJ) affects physical, psychological, and social well-being and quality of life. One of the most frequently used surgical interventions for the treatment of temporomandibular joint ankylosis is interpositional arthroplasty, particularly in cases where joint preservation is feasible, with different autologous fats: dermis fat, buccal fat pad, and full thickness skin-subcutaneous fat. The aim of the work was to evaluate the efficiency of using different autologous fats in temporomandibular joint ankylosis treatment with interposition arthroplasty method. Materials and Methods: This systematic literature review was conducted according to PRISMA guidelines and registered in the PROSPERO database (CRD420251038325). A comprehensive search was performed in PubMed, the Cochrane Library, and ScienceDirect databases using combinations of keywords: (temporomandibular joint disorders OR temporomandibular joint) AND (adipose tissue or autologous) AND (ankylosis OR arthroplasty). Inclusion criteria were clinical studies conducted on human subjects, written in English, that evaluated the use of autologous fat in interpositional arthroplasty for TMJ ankylosis. The main outcome measures included postoperative maximum mouth opening (MMO), pain intensity, and relative fat volume contraction. Risk of bias was assessed using the Cochrane RoB 2 tool for randomized controlled trials and the Newcastle–Ottawa Scale for cohort studies. Most included studies were of moderate to high quality. Results: A total of 20 publications were selected, including a total of 369 patients. In a qualitative analysis, the best results for maximal opening of mouth (MOM) at 3, 6, 12, and more than 12 months were obtained with dermal fat. After 3 months, the MOM was 40.0 ± 2.7 mm, after 6 months—40.80 ± 4.26 mm, after 12 months—41.9 ± 4.0 mm, after more than 12 months—43.5 mm. The lowest pain intensity was observed using dermal fat taken from the iliac crest region. The rate of volumetric fat shrinkage was greater using buccal fat pad than dermis fat. Conclusions: The most commonly used types of autologous fat in interposition arthroplasty in ankylosis are the following: dermal fat from the abdominal region (iliac crest, subumbilical area, groin), buccal fat pad and full-thickness subcutaneous fat. The best results after the surgical treatment of TMJ ankylosis with interposition arthroplasty are obtained using dermis fat. Full article
(This article belongs to the Special Issue Novel Therapeutic and Diagnostic Strategies for Oral Diseases)
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