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Advances in Oral Health: Prevention, Diagnostics, Treatment
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Advances in Oral Health: Prevention, Diagnostics, Treatment

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 18224

Special Issue Editors

Dr. Aleksandra Agnieszka Jaroń

E-Mail Website
Guest Editor
Department of Oral Surgery, Pomeranian Medical University, 70-111 Szczecin, Poland
Interests: oral surgery; oral radiology; head and neck cancer; impacted teeth; implantology; 3D printing
Prof. Dr. Grzegorz Trybek

E-Mail Website
Guest Editor
Head of Department of Oral Surgery, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
Interests: oral surgery, oral radiology, head and neck cancer, impacted teeth, implantology, 3D printing

Special Issue Information

Dear Colleagues,

I would like to invite you to contribute to the Special Issue "Advances in oral health: prevention, diagnostics, treatment" in the International Journal of Environmental Research and Public Health MDPI.

Oral health is a very important issue. According to the WHO, oral diseases affect nearly 3.5 billion people.

Oral diseases are a significant health burden worldwide, affecting people of all ages, causing pain, discomfort, and even death.

Oral diseases are largely preventable, and the continuous development of diagnostic techniques, such as radiological diagnostics and three-dimensional imaging, are now helpful in making treatment decisions. Moreover, they allow us to take preventive measures to avoid certain diseases or complications of treatment.

Oral diseases are caused by many modifiable risk factors, including, but not limited to, smoking, alcohol consumption, and poor hygiene, as well as non-modifiable factors, such as genetics.

This Special Issue aims to present issues related to oral health, with particular emphasis on the impact of developments in this field on methods of diagnosis, treatment, and, especially, prevention.

We invite papers: original articles, review articles, and case reports that present issues related to oral health, allowing a better understanding of the pathology, etiology, diagnosis, prevention, and treatment of oral diseases.

Dr. Aleksandra Agnieszka Jaroń
Prof. Dr. Grzegorz Trybek
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Oral surgery
  • Oral radiology
  • Head and neck cancer
  • Impacted teeth
  • Implantology
  • Oral health
  • Oral diseases
  • 3D printing, Maxillofacial surgery

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (6 papers)

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Research

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11 pages, 1346 KiB  
Article
The Effect of Calcium Hydroxide, Triple Antibiotic Paste and Chlorhexidine on Pain in Teeth with Symptomatic Apical Periodontitis: A Randomised Controlled Trial
by Asma Munir Khan, Irfana Khursheed Ahmed Gangoo, Naila Amir Ali, Mansoor Khan, Muhammad Qasim Javed, Mustafa Hussein AlAttas, Ayman M. Abulhamael, Hammam Ahmed Bahammam, Loai Alsofi and Rayan Suliman Al Yahya
Int. J. Environ. Res. Public Health 2023, 20(4), 3091; https://doi.org/10.3390/ijerph20043091 - 10 Feb 2023
Cited by 5 | Viewed by 4198
Abstract
Background: One of the main reasons for post endodontic pain is the polymicrobial intracanal flora that may survive the initial disinfection. A single antimicrobial agent might not provide adequate disinfection, and an antimicrobial combination such as triple antibiotic paste was tested to achieve [...] Read more.
Background: One of the main reasons for post endodontic pain is the polymicrobial intracanal flora that may survive the initial disinfection. A single antimicrobial agent might not provide adequate disinfection, and an antimicrobial combination such as triple antibiotic paste was tested to achieve this goal. Aim: The study aimed to assess the efficacy of three intra-canal medicaments on post root canal preparation pain. Materials and Methods: Eighty patients with single-rooted necrotic teeth and symptomatic apical periodontitis were randomly assigned to four treatment groups (n = 20). Their preoperative pain was recorded on Wong-Baker’s FACES pain rating scale. After chemo-mechanical canal preparation, intracanal medications were applied to the groups (Group 1 (20% calcium hydroxide), Group 2 (2% chlorhexidine), Group 3 (tri-antibiotic paste), Group 4 (no medication (Control group)). Patients were instructed to record pain on the Wong-Baker FACES pain rating scale at 4, 48, 72 and 96 hrs, postoperatively. Pain scores were analyzed using a one-way ANOVA test and Tukey’s post hoc test and, if significant, Dunn’s test was used for pair-wise comparisons. The significance level was set at a p-value ≤ 0.05. Results: Tukey’s post hoc test revealed significantly lower pain scores in Group 3 compared with other groups at all follow up intervals. Dunnett’s test showed significantly lower pain in Group 3 compared with the Control group at 48, 72 and 96 hrs, postoperatively. Conclusions: Triple-antibiotic paste showed effective pain control as an intracanal medication on necrotic teeth with symptomatic apical periodontitis. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)
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11 pages, 1101 KiB  
Article
Root Canal Configuration and Its Relationship with Endodontic Technical Errors and Periapical Status in Premolar Teeth of a Saudi Sub-Population: A Cross-Sectional Observational CBCT Study
by Rayan Suliman Al Yahya, Mustafa Hussein Al Attas, Muhammad Qasim Javed, Kiran Imtiaz Khan, Sundus Atique, Ayman M. Abulhamael and Hammam Ahmed Bahammam
Int. J. Environ. Res. Public Health 2023, 20(2), 1142; https://doi.org/10.3390/ijerph20021142 - 9 Jan 2023
Cited by 12 | Viewed by 2426
Abstract
Endodontic technical errors are the foremost cause of treatment failure. A thorough understanding of root canal configuration (RCC) is essential to prevent these iatrogenic errors. This study used CBCT images to determine the association between root canal configuration, endodontic technical errors, and periapical [...] Read more.
Endodontic technical errors are the foremost cause of treatment failure. A thorough understanding of root canal configuration (RCC) is essential to prevent these iatrogenic errors. This study used CBCT images to determine the association between root canal configuration, endodontic technical errors, and periapical status. CBCT images of 101 patients, including total of 212 obturated premolars (256 canals) were assessed. RCCs were classified according to the Vertucci system. The presence of endodontic errors and periapical lesions associated with each RCC was noted. Presence or absence of coronal restoration and its association with periapical radiolucency was recorded. The most frequent RCC was Type I (199 cases; 77.73%), followed by Type II (26 cases; 10.15%), Type IV (22 cases; 8.59%), Type V (4 cases; 1.56%), Type III (4 cases; 1.56%), and Type VI (1 case; 0.39%). Under-filling and non-homogeneous filling were the most common technical errors. Prevalence of periapical radiolucency was 81% in the presence of technical errors. The absence of coronal restoration caused apical lesions in 93% of cases. The frequency of endodontic technical errors increased as the root canal configurations became more complex. Periapical lesions occurred more often in teeth with endodontic errors and/or absent coronal restoration. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)
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13 pages, 1653 KiB  
Article
Patient-Reported Quality of Life versus Physical Examination in Treating Temporomandibular Disorders with Intra-Articular Platelet-Rich Plasma Injections: An Open-Label Clinical Trial
by Maciej Sikora, Marcin Sielski, Maciej Chęciński, Kamila Chęcińska, Barbara Czerwińska-Niezabitowska and Dariusz Chlubek
Int. J. Environ. Res. Public Health 2022, 19(20), 13299; https://doi.org/10.3390/ijerph192013299 - 15 Oct 2022
Cited by 5 | Viewed by 1595
Abstract
Temporomandibular disorders, often manifested by articular pain, limitation of the mouth opening range, and unpleasant acoustic symptoms originating from inside the joint, have been associated with reduced quality of life. These symptoms, among others, can be treated with intra-articular injections of various substances, [...] Read more.
Temporomandibular disorders, often manifested by articular pain, limitation of the mouth opening range, and unpleasant acoustic symptoms originating from inside the joint, have been associated with reduced quality of life. These symptoms, among others, can be treated with intra-articular injections of various substances, including repeated platelet-rich plasma (PRP) administration. The reported study was designed as an uncontrolled open-label clinical trial of consecutive cases. The participants completed a Fonseca questionnaire and evaluated acoustic symptoms, and spontaneous and provoked pain on VAS, and were subjected to a physical examination before, during, and after PRP therapy. The total Fonseca questionnaire results were statistically significantly (p < 0.05) correlated with 340 out of 348 (98%) other variables. The fully subjective assessment of the presence and intensity of acoustic symptoms coming from the temporomandibular joints was correlated with the physical examination results (0.45–0.63) and the maximum mouth opening with the maximum pain-free mouth opening (0.73–0.87). There were no correlations observed between the patient’s and the physician’s assessment of mandibular mobility. The Fonseca questionnaire seems to cover the entire spectrum of temporomandibular disorders, making it a balanced tool for assessing the quality of life in TMDs. However, it is worth considering extending the standard 3-point response scale to an 11-point one. The patient is somewhat able to perform a self-diagnosis with regard to the acoustic symptoms, but it is not possible for them to determine without measurement whether the range of mandibular mobility is appropriate.. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)
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14 pages, 368 KiB  
Article
Evaluation of Common Factors of Periodontitis and Cardiovascular Disease in Patients with the Acute Coronary Syndrome
by Elżbieta Dembowska, Aleksandra Jaroń, Ewa Gabrysz-Trybek, Joanna Bladowska and Grzegorz Trybek
Int. J. Environ. Res. Public Health 2022, 19(13), 8139; https://doi.org/10.3390/ijerph19138139 - 2 Jul 2022
Cited by 8 | Viewed by 1890
Abstract
Periodontitis is a multifactorial disease causing inflammatory destruction of supporting structures of the dentition and eventually leading to its loss. This study was designed to evaluate common risk factors for periodontitis and acute coronary syndrome in the study population and demonstrate the systemic [...] Read more.
Periodontitis is a multifactorial disease causing inflammatory destruction of supporting structures of the dentition and eventually leading to its loss. This study was designed to evaluate common risk factors for periodontitis and acute coronary syndrome in the study population and demonstrate the systemic impact of periodontitis on the occurrence of acute coronary syndrome. A total of 160 patients (35 female and 125 male) were enrolled in the study. Considering the age range, the largest group of patients (118 patients) was between 55 and 65 years, which accounted for 73.8% of the total study population. There were 35 patients (21.9%) in the age group of 45 to 54 years, while the youngest age group of 35 to 44 years had as many as seven patients. Medical history and physical examination, including periodontal status, were performed. API, PD, CAL, and CPITN were evaluated. Common risk factors for periodontitis and acute coronary syndrome were assessed. The study assessed risk factors such as hypertension, diabetes, dyslipidemia, general health, smoking, height, weight, and hip circumference. In light of the above-described etiopathogenesis of atherosclerotic disease and its association with periodontal disease, it is important to emphasize preventing and treating periodontitis, especially in patients in the so-called high-risk group for cardiovascular disease. Dentists’ introduction of an appropriate prophylactic and therapeutic plan may constitute both primary and secondary prevention of cardiovascular diseases. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)

Review

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17 pages, 1234 KiB  
Review
A Scoping Review of the Use of Pioglitazone in the Treatment of Temporo-Mandibular Joint Arthritis
by Natalia Turosz, Kamila Chęcińska, Maciej Chęciński, Monika Kamińska, Zuzanna Nowak, Maciej Sikora and Dariusz Chlubek
Int. J. Environ. Res. Public Health 2022, 19(24), 16518; https://doi.org/10.3390/ijerph192416518 - 9 Dec 2022
Cited by 4 | Viewed by 1761
Abstract
Thiazolidinediones (TZDs) are a group of diabetes medications currently being investigated for anti-arthritis effectiveness, one of which is pioglitazone. The purpose of this scoping review is to evaluate the potential use of pioglitazone in the treatment of temporomandibular joint (TMJ) arthritis. The criteria [...] Read more.
Thiazolidinediones (TZDs) are a group of diabetes medications currently being investigated for anti-arthritis effectiveness, one of which is pioglitazone. The purpose of this scoping review is to evaluate the potential use of pioglitazone in the treatment of temporomandibular joint (TMJ) arthritis. The criteria of eligibility were studies with the diagnosis of arthritis and pioglitazone treatment with a change in any inflammation index as an outcome. Of the 1169 records initially identified following the selection process, two animal studies and four clinical studies were included in the review. Improvements from the baseline were observed in each treatment group for each inflammation indicator. The results of the animal studies on the temporomandibular joints and on patients with rheumatoid and psoriatic arthritis indicate that the drug in question may have potential to treat arthritis, including within the temporomandibular joint. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)
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Other

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15 pages, 13580 KiB  
Case Report
Impacted Canine Management Using Aligners Supported by Orthodontic Temporary Anchorage Devices
by Mario Greco and Monika Machoy
Int. J. Environ. Res. Public Health 2023, 20(1), 131; https://doi.org/10.3390/ijerph20010131 - 22 Dec 2022
Cited by 6 | Viewed by 5360
Abstract
Introduction: Temporary anchorage devices (TADs) represent an essential instrument under difficult anchorage conditions, especially when the procedure is approached with an aligner technique. The objective of this paper is to describe a possible sequence of orthodontic treatment of impacted canines with aligners supported [...] Read more.
Introduction: Temporary anchorage devices (TADs) represent an essential instrument under difficult anchorage conditions, especially when the procedure is approached with an aligner technique. The objective of this paper is to describe a possible sequence of orthodontic treatment of impacted canines with aligners supported by orthodontic mini-screws. Materials and Methods: The resolution of impacted canines requires a specific clinical sequence constituted by different steps: the space creation, the surgical exposure, and the orthodontic traction (on the horizontal, vertical, and buccal direction). Following this sequence, two different clinical scenarios can be identified following the space available and the initial malocclusion. The first scenario is constituted by recreating the space for the impacted canine along with the correction of the malocclusion by means of an aligner system and then approaching the de-impaction with TADs. The second clinical scenario is related to the canine-first approach, an immediate de-impaction stage based solely on the use of TADs and sectional wires, and then a finishing phase with aligners. Results: Both approaches to the treatment of impacted canines can be considered reliable, but of course selecting one or the other depends on the space available in the upper arch and on the initial malocclusion. Conclusions: The use of aligners in the treatment of impacted canines in combination with TADs and sectional wires represents a viable alternative option to the conventional systems for canine disinclusion. When the treatment is managed with the presented approaches, no further cooperation with the patient is required in order to support the forced eruption, and an ideal biomechanical approach can be easily applied with one or two mini-screws. Full article
(This article belongs to the Special Issue Advances in Oral Health: Prevention, Diagnostics, Treatment)
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