Orofacial Findings and Dental Management of a Child with Williams Syndrome

Pereira, Luciana; Soares, Daniela Novaes; Pedro, Rafael de Lima; Fidalgo, Tatiana Kelly da Silva; Costa, Marcelo C.; Castro, Glória Fernanda Barbosa de Araújo

doi:10.15448/http://dx.doi.org/10.15448/1980-6523.2016.1.17770

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Possible reasons suggest a chemical-thermal degradation of nitric oxide [ 106 ], an autoregulator of salivary secretion, and a reduction of salivary secretion due to nicotine-mediated vasoconstriction [ 107 , 108 ]. Inadequate oral hygiene [ 109 ], which manifests itself in shorter brushing times [ 110 – 112 ], is another aspect that should also be considered for increased plaque formation. Motivation and oral hygiene among e-cigarette users [ 20 ] and non-smokers [ 106 , 113 , 114 ] are mostly higher than in smokers.…”

Section: Discussionmentioning

confidence: 99%

The impact of electronic and conventional cigarettes on periodontal health—a systematic review and meta-analysis

Thiem,

Donkiewicz,

Rejaey

et al. 2023

Clin Oral Invest

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Objectives This systematic review and meta-analysis examined the effects of electronic cigarettes on periodontal health compared to conventional cigarette smoke and a non-smoking population. Materials and methods MEDLINE, Embase, Web of Science, CENTRAL, and ClinicalTrials.gov were screened for literature. Eligibility criteria included clinical studies published between 2006 and 2022 that compare e-cigarettes and conventional cigarettes on periodontal health (bleeding on probing (BoP), plaque index (PI), probing depth (PD), attachment loss (AL), marginal bone loss (MBL), tooth loss, molecular inflammation markers, salivary flow rate). Meta-regression analysis was used to examine the influence of moderator variables. Results Sixteen studies were found to be eligible for qualitative synthesis. Individual analyses showed that cigarette smokers had significantly higher PI, PD, AL, and MBL and increased concentrations of proinflammatory mediators than e-cigarette users and non-smokers. Meta-analysis revealed a 0.33-fold lower chance for BoP in e-cigarette users compared to smokers (p = 0.03), whereby meta-regression failed to detect any effects regarding the age of users and frequency of smoking. A 0.01-fold decreased chance for positive BoP in e-cigarette users compared with non-smokers was seen (p < 0.01). Conclusions The current findings suggest that that e-cigarette use might be considered a healthier alternative to cigarette smoking concerning periodontal health. Even so, harmful effects of electronic nicotine delivery system (ENDS) usage on periodontal health were seen as well. However, a definitive decision on this research question remains elusive due to the absence of randomized controlled trials. Clinical relevance Electronic cigarettes, marketed as a safer alternative to traditional cigarettes, are becoming increasingly popular. Evidence on the use of electronic cigarettes as a cessation aid and its beneficial impact compared to cigarette smoke remains inconclusive, so the analysis conducted in this review addresses a recent question of high clinical relevance.

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Section: Discussionmentioning

confidence: 99%

The impact of electronic and conventional cigarettes on periodontal health—a systematic review and meta-analysis

Thiem,

Donkiewicz,

Rejaey

et al. 2023

Clin Oral Invest

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“…The orofacial features characteristic of WBS are listed in (Tab. II) [5,6,[10][11][12][13] and illustrated in (Fig. 1).…”

Section: Clinical Featuresmentioning

confidence: 99%

Williams–Beuren syndrome: a complete guide for oral healthcare

Patil

Patil²

2021

J Oral Med Oral Surg

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Introduction: Williams–Beuren syndrome is a rare, congenital, multisystem disorder, resulting from genetic alterations on chromosome 7q11.23. Characteristic features of WBS are the developmental, physical and mental abnormalities associated with it. Typical facial features and a spectrum of tooth disorders are associated with this condition. Cardiac and renal involvement may be so severe that sudden death during oral healthcare procedures is a possibility. Photophobia and hyperacusis further make dental treatment a challenge in these patients. Corpus: Routine dental treatment in the dental office pose a significant risk, depending upon the mental and physical compromise of the patient, thereby making hospital admission a safer approach. A multispeciality approach is necessary to provide effective and safe oral healthcare to such patients. This article provides undergraduates, residents, general dental practitioners, and specialists involved in oral healthcare with a comprehensive overview of the condition with emphasis on its genetic basis, pathology, clinical features, diagnosis, and management of general and oral health. Conclusion: Adequate knowledge regarding the various aspects of Williams–Beuren syndrome allows the oral health care student or specialist to plan and manage oral procedures safely and effectively. Specialist referral and multidisciplinary care may be considered when appropriate.

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Orofacial Findings and Dental Management of a Child with Williams Syndrome

Cited by 2 publications

References 10 publications

The impact of electronic and conventional cigarettes on periodontal health—a systematic review and meta-analysis

The impact of electronic and conventional cigarettes on periodontal health—a systematic review and meta-analysis

Williams–Beuren syndrome: a complete guide for oral healthcare

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