Definitions used for a healthy periodontium—A systematic review

An, Li; Thomas, Renske Z.; Sluis, Luc van der; Tjakkes, Geerten-Has E; Slot, Dagmar Else

doi:10.1111/idh.12438

Cited by 10 publications

(10 citation statements)

References 78 publications

(51 reference statements)

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“…The current study focused on individuals with periodontal health, given that the main objective of dental care is to attain and maintain a healthy periodontium [ 36 ]. The definitions of periodontal disease that can be found among various clinical studies exhibit a high degree of heterogeneity [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in socioeconomic inequality of periodontal health status among Dutch adults: a repeated cross-sectional analysis over two decades

Vermaire

Chen

et al. 2021

BMC Oral Health

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Background Studies exclusively focusing on trends in socioeconomic inequality of oral health status in industrialized countries are relatively sparse. This study aimed to assess possible differences in oral hygiene and periodontal status among people of different socioeconomic status (SES) in the Netherlands over two decades. Methods A repeated cross-sectional analysis of 3083 participants aged 25–54 years was conducted on the Dutch National Oral Health Surveys of 1995, 2002, 2007, and 2013. Plaque-free was defined according to the Simplified Oral Hygiene Index (OHI-S = 0). Periodontal status was classified in two different ways, either periodontal health/disease (probing pocket depth index [PDI] = 0/ ≥ 1) or with/without deep pockets (PDI = 2). We used the regression-based absolute and relative effect index to measure the absolute and relative socioeconomic inequalities. Multivariable logistic regressions were used to explore temporal trends in oral hygiene and periodontal status by low- and high-SES groups. Results Age-standardized percentages of individuals with plaque-free increased in the whole population from 1995 to 2013 (12.7% [95% CI 10.5–14.9] to 28.1% [24.8–31.5]). Plaque-free showed significant socioeconomic differences in absolute and relative inequalities in 2007 and 2013. Between 1995 and 2013, age-standardized percentage of periodontal health increased (from 51.4% [48.1–54.7] to 60.6% [57.0–64.1]). The significant absolute inequalities for periodontal health were seen in 2002 and 2013. The relative scale presented a similar pattern. Regarding deep pockets, there was little difference in the age-standardized overall prevalence in 1995 versus 2013 (from 6.5% [4.9–8.2] to 5.4% [3.7–7.0]). The significant absolute and relative inequalities in deep pockets prevalence were found in 1995. Yet, all interaction terms between survey year and SES did not reach significance (plaque-free: P = .198; periodontal health: P = .490; deep pockets: P = .678). Conclusions Socioeconomic inequalities in oral hygiene and periodontal status were present in the Netherlands in the last two decades.

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Section: Discussionmentioning

confidence: 99%

Trends in socioeconomic inequality of periodontal health status among Dutch adults: a repeated cross-sectional analysis over two decades

Vermaire

Chen

et al. 2021

BMC Oral Health

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“…Once a new study/reference is included, its references are called snowball papers, which will undergo a new round of snowball screening. This procedure ends only when no snowball papers can be included in the last round [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

“…For every question in the checklist, except Q3 in the Checklist for Quasi-Experimental Studies, a yes answer means the question is low risk. Studies that met 80–100%/60–79%/40–59%/0–39% of the criteria were considered to have a low/moderate/substantial/high risk of bias, respectively [ 13 ]. In cases of disagreement, the decision was made by discussion among all authors.…”

Section: Methodsmentioning

confidence: 99%

Four-Dimensional Superimposition Techniques to Compose Dental Dynamic Virtual Patients: A Systematic Review

Yuan

Liu

Yang

et al. 2023

JFB

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Four-dimensional virtual patient is a simulation model integrating multiple dynamic data. This study aimed to review the techniques in virtual four-dimensional dental patients. Searches up to November 2022 were performed using the PubMed, Web of Science, and Cochrane Library databases. The studies included were based on the superimposition of two or more digital information types involving at least one dynamic technique. Methodological assessment of the risk of bias was performed according to the Joanna Briggs Institute Critical Appraisal Checklist. Methods, programs, information, registration techniques, applications, outcomes, and limitations of the virtual patients were analyzed. Twenty-seven full texts were reviewed, including 17 case reports, 10 non-randomized controlled experimental studies, 75 patients, and 3 phantoms. Few studies showed a low risk of bias. Dynamic data included real-time jaw motion, simulated jaw position, and dynamic facial information. Three to five types of information were integrated to create virtual patients based on diverse superimposition methods. Thirteen studies showed acceptable dynamic techniques/models/registration accuracy, whereas 14 studies only introduced the feasibility. The superimposition of stomatognathic data from different information collection devices is feasible for creating dynamic virtual patients. Further studies should focus on analyzing the accuracy of four-dimensional virtual patients and developing a comprehensive system.

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“…The periodontium is a complex organ made up of four mesenchymal components (gingiva, cementum, alveolar bone and the PDL), which constitute a functional unit in charge mainly of anchoring the tooth to the jawbone firmly enough to withstand the masticatory forces, and of regulating homeostasis within the oral cavity [47,48].…”

Section: Cell Therapy and The Regeneration Of Alveolar Bonementioning

confidence: 99%

Gene and Cell Therapy in Dental Tissue Regeneration

Pablo¹,

Serrano²,

García-Arranz³

et al. 2022

Human Tooth and Developmental Dental Defects - Compositional and Genetic Implications

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Advanced therapies hold substantial promise for the treatment of periodontal conditions. Gene therapy has the potential to transfer “therapeutic” genes, which express proteins such as bone morphogenetic proteins, osteoprotegerin, and tissue nonspecific alkaline phosphatase, which is deficient in patients with hypophosphatasia, a condition that affects mineralization of teeth and bone. Transferred genes may also express platelet-derived growth factor, which modulates the growth of periodontal tissue and the alveolar bone. As regards cell therapy, several clinical trials have shown that mesenchymal stem cells, when used with different kinds of scaffolds to enable the required three-dimensional environment, possess a bone regeneration potential that is particularly useful in such disorders as osteoporosis and osteonecrosis, or for regenerating alveolar bone (osseointegration) prior to placing a dental implant. However, much work is still required before these new therapies become true alternatives in routine clinical dental practice. Medical advances require investments, which are usually influenced by the priorities of both politicians and society at large. This will contribute to promoting innovation, efficient treatments, medium- and long-term savings, and a higher quality of life.

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Definitions used for a healthy periodontium—A systematic review

Cited by 10 publications

References 78 publications

Trends in socioeconomic inequality of periodontal health status among Dutch adults: a repeated cross-sectional analysis over two decades

Trends in socioeconomic inequality of periodontal health status among Dutch adults: a repeated cross-sectional analysis over two decades

Four-Dimensional Superimposition Techniques to Compose Dental Dynamic Virtual Patients: A Systematic Review

Gene and Cell Therapy in Dental Tissue Regeneration

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