The objective of this study was to investigate oral health-related quality of life (OHRQoL) in times of the COVID-19 pandemic and to examine a possible association to psychosocial factors like psychological stress and symptoms of depression and anxiety disorders. Secondary research questions were whether people changed oral hygiene regimens during the COVID-19 pandemic and to what extent dental symptoms existed and developed compared to pre-pandemic. For this cross-sectional study a survey has been conceptualized to determine OHRQoL, stress, depression and anxiety and their specific confounders in a German cohort. Validated questionnaires as OHIP-G14, PHQ-Stress and PHQ-4 have been implemented. Altogether 1178 participants completed the survey between May and August 2020. The overall OHIP-G14 sum score of 4.8 ± 7.5 indicated good OHRQoL. 21% of the participants (n = 248) reported toothache, 23% (n = 270) mucosal problems, 31% (n = 356) hypersensitivity of the teeth and 27% (n = 305) myofacial pain. The PHQ-Stress score (4.5 ± 3.5) demonstrated a mild severity of stress. Depression and anxiety level has been mild to moderate (PHQ-4 score: 2.4 ± 2.6). 38% of the participants stated subjectively greater emotional burden compared to pre-pandemic. Statistically significant differences exist for OHRQoL, stress, anxiety and depression levels between participants with greater, equal or less emotional burden compared to pre-pandemic. COVID-19 history and aggravated levels of depression, anxiety, and stress seem to associate with lower OHRQoL. Psychosocial consequences during pandemic times and their association to oral health should be further investigated.
Aim To compare the Oral Health‐Related Quality of Life (OHRQoL) of patients with mobile mandibular incisors before and after full‐mouth disinfection (FMD) with and without splinting. Material and methods Thirty‐four periodontitis patients with ≥1 mobile mandibular incisor (degree II/III) were randomly allocated to the test or control group. All patients received FMD and the test group additional splinting of teeth 33–43. OHRQoL was assessed before (BL) and 3 months after FMD (RE) using the Oral Health Impact Profile (OHIP)‐14. Data were compared within and between the groups (Wilcoxon test/Mann–Whitney U test). Results Twenty‐eight patients (13 test group/15 control group) were re‐evaluated. FMD led to a reduction of the mean probing pocket depth (PPD; in mm) (test group: BL‐PPD 3.89 ± 1.03, RE‐PPD 2.82 ± 0.53; control group: BL‐PPD 3.58 ± 0.66, RE‐PPD 2.77 ± 0.59; each p ≤ .001), the mean clinical attachment level (CAL; in mm) (test group: BL‐CAL 5.22 ± 1.38, RE‐CAL 4.79 ± 0.85; control group: BL‐CAL 4.58 ± 1.10, RE‐CAL 4.41 ± 0.96; each p ≤ .05), and the mean OHIP‐14 summary scores (test group: BL‐OHIP 21.7 ± 11.06, RE‐OHIP 9.9 ± 8.96, p = .0046; control group: BL‐OHIP 16.8 ± 8.27, RE‐OHIP 11.7 ± 8.55; p = .0217). The reduction of the OHIP‐G14 scores was considerably higher in the test group but statistically not significant (p = .080). Conclusions The results show a positive impact of non‐surgical periodontal treatment on OHRQoL and a possible tendency for further improvement by splinting mobile mandibular incisors.
The connective tissue or fascia plays key roles in maintaining bodily function and health. The fascia is made up of solid and fluid portions, which interpenetrate and interact with each other, forming a polymorphic three-dimensional network. In the vast panorama of literature there is no univocal thought on the nomenclature and terminology that best represents the concept of fascia. The Foundation of Osteopathic Research and Clinical Endorsement (FORCE) organization brings together various scientific figures in a multidisciplinary perspective. FORCE tries to find a common nomenclature that can be shared, starting from the scientific notions currently available. Knowledge of the fascial continuum should always be at the service of the clinician and never become an exclusive for the presence of copyright, or commodified for the gain of a few. FORCE is a non-profit organization serving all professionals who deal with patient health. The article reviews the concepts of fascia, including some science subjects rarely considered, to gain an understanding of the broader fascial topic, and proposing new concepts, such as the holographic fascia.
Introduction The aim was to assess the competencies of undergraduate students in their roles of dental expert, scholar, communicator, collaborator, health advocate, manager and professional. Materials and Methods For this retrospective, pseudonymised observational study (pre‐/post‐testing), students in two cohorts in their first clinical semester in operative dentistry were asked to judge their competencies (1 = very good to 6 = insufficient) with a learning objective catalogue designed at the Goethe University Frankfurt (modelled after the National Competency‐Based Learning Objective Catalogue Dentistry), at the beginning and end of their phantom course. In order to relate the students’ subjective competency judgements to objective evidence of their skills, at the end of the semester their marks from the summative Objective Structured Practical Examination (OSPE) were compared with the subjective judgement of their exam performance before the final results were known. Results The reliability of the evaluation sheet was evaluated with Cronbach's alpha 0.98. The students judged their competencies as “sufficient” (4.23 ± 0.51) at the beginning and “satisfactory” (2.82 ± 0.43) at the end. A significant improvement in competencies was observed within all roles. The students’ subjective judgement of the exam results (3.66 ± 0.62) was significantly correlated with the actual marks (3.69 ± 0.83) in the OSPE at 0.3547 (P = 0.0015). Conclusion The evaluation instrument showed excellent reliability. The students judged that their competencies significantly increased during the semester. The triangulation with the actual marks in the context of an OSPE demonstrated a significant correlation with the students’ exam judgements.
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