Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review

Pecci‐Lloret, Miguel R.; Pecci-Lloret, María Pilar; Rodríguez‐Lozano, Francisco Javier

doi:10.3390/ijerph192215194

Cited by 8 publications

(4 citation statements)

References 42 publications

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“…Considering the predominance of elective cariesrelated AIH in the SUS, it is known that a significant number of IDP are performed on patients with special needs that require general anesthesia (which is often offered in public health services). 38 However, there is no information about the clinical features of SUS users, limiting the understanding of this outcome, although the high prevalence of DC in patients with special needs is a reality, 39 which would justify the high number of elective in-hospital care observed in the SUS over the last 15 years. Furthermore, the COVID-19 pandemic onset was an immediate challenge to oral health services around the world, including within the SUS.…”

Section: Discussionmentioning

confidence: 99%

Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

LIMA,

VILELA,

NELSON-FILHO

et al. 2023

Braz. oral res.

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Dental caries is an important Public Health issue. However, the treatment of this disease in tertiary dental care requires further investigation. Therefore, the objective of this study was to evaluate caries-related hospital morbidity in the Brazilian Unified Health System (SUS) from 2008 to 2022. An ecological study was conducted with secondary data on caries-related Hospital Admission Authorizations (AIH) and in-hospital dental procedures (IDP). Data were collected nationwide and statistical analysis was performed with a significance level (p) of 5%. In the last 15 years, 3,474 caries-related AIH and 63,657 IDP were approved within SUS. There was a significant upward trend in the number of caries-related AIH (p = 0.018) and a stationary trend in the number of caries-related IDP (p = 0.841). Moreover, from 2008 to 2022, R$ 1,160,843.09 was allocated for caries-related AIH. Hospital mortality was 0.29% (10 deaths), and 75.1% were elective inpatient admissions. Among SUS users, adults constituted the majority (49%), with a higher frequency of males (59.8%) and whites (46.2%). The most frequent type of caries-related IDP was restoration of permanent teeth (55.3%). Nonetheless, during the COVID-19 pandemic years, significant reductions in caries-related AIH and IDP within the SUS were observed (all p <0.05). Thus, within the SUS, caries-related tertiary dental care has shown a specific pattern over the last 15 years, including an increase in hospitalizations and a high number of in-hospital dental procedures, especially before the COVID-19 pandemic onset.

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Section: Discussionmentioning

confidence: 99%

Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

LIMA,

VILELA,

NELSON-FILHO

et al. 2023

Braz. oral res.

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“…Deficient oral homecare and limited access to dental care have been identified as causes for a backlog in oral health in persons with disabilities [ 1 , 2 ]. Biological conditions, as well as organizational requirements, demand efforts of both caregivers and dental professionals [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Evaluation of 20 Years of Outpatient Dental Services to Adults with Disabilities at the Dental Hospitals of the Medical University of Innsbruck, Austria

Schnabl,

Strohm,

Schummer

et al. 2024

Healthcare

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Disabled persons’ chairside dentistry is challenging. We aimed for a retrospective breakdown of dental services delivered to disabled patients by dental students and to discuss feasibility of a chairside approach. Consecutive patients, who received scheduled dental treatment by dental students from 2002 to 2021, were included. Demographic data, medical diagnoses, number of treatment sessions, performed treatments, and treatment break-offs were collected and analyzed with descriptive statistics. In total, 224 individuals with various disabilities (mean age 36.4 ± 14.6 years) received dental services in 2282 sessions altogether (10.3 ± 11. sessions per patient). Professional tooth cleaning was the most frequently provided treatment (55.8% of sessions). A total of 654 teeth were restored with fillings, 97 teeth were extracted, 56 teeth had endodontic treatment, and 25 removable dentures were fitted. Treatment break-off due to incompliance and referral to dental general anesthesia occurred in 74 patients (33%). Chairside treatment of disabled persons by dental students is feasible in many cases. Our study may serve as an incentive for clinicians/researchers to report on treatment modalities and outcomes of chairside dentistry in patients with special oral health care needs, preferably by the use of prospective study designs, to contribute data and strategies in the fight for control of oral health inadequacies.

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“…[1,2] The monitoring of dental tissue condition is required in trauma, after transplantation, and during therapeutic procedures. [3,4] It is especially important for children with metabolic diseases, genetic abnormalities, and children with special needs [5][6][7]. The use of innovative diagnostic methods provides dentists with new opportunities to assess dental health, especially in the early stages of pathological changes.…”

mentioning

confidence: 99%

Analysis of Dental Tissues Density in Healthy Children Based on Radiological Data

Aleksei,

Natalia,

Margarita

et al. 2024

Preprint

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Introduction: The information about the Hounsfield range values for healthy tooth tissues could become an additional tool in assessing dental health and could be used, among other data, for subsequent machine learning. Aim: The aim of our study was to determine dental tissues density values in Hounsfield units. Materials and Methods: The total selection included 36 healthy children (21 girls and 15 boys) with an age range of 10 to 11 years at the time of the study. The analysis of 320 teeth's tissue density was carried out. The data were expressed as a mean and standard deviation. The significance was determined using the Student's t-test. P-values less than 0.05 were considered significant. Results: Analysis of the data showed that the tissues of healthy teeth in children have different density ranges. Enamel: 2954.51 HU - 2071.00 HU; dentin: 1899.23 HU - 1323.10 HU; pulp: 420.29 HU -183.63 HU. No gender differences concerning the density of dental tissues were reliably identified. Conclusion: The evaluation of Hounsfield values for dental tissues can be used as an objective method for assessing their density. If the determined density values of the enamel, dentin, and pulp of the tooth do not correspond to the range of values for healthy tooth tissues, it may indicate a pathology.

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Special Care Patients and Caries Prevalence in Permanent Dentition: A Systematic Review

Cited by 8 publications

References 42 publications

Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

Caries-related hospital morbidity in the Brazilian Unified Health System from 2008 to 2022

Retrospective Evaluation of 20 Years of Outpatient Dental Services to Adults with Disabilities at the Dental Hospitals of the Medical University of Innsbruck, Austria

Analysis of Dental Tissues Density in Healthy Children Based on Radiological Data

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