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Journal Cover Current Oral Health Reports
  [1 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Online) 2196-3002
   Published by Springer-Verlag Homepage  [2334 journals]
  • The “New” Genetics and Its Impact on Oral Care Delivery
    • Authors: Robert J. Weyant
      Pages: 140 - 146
      Abstract: We are entering an age where health care providers, patients, and inevitably insurers will have access to unprecedented amounts of patient-level information from genetic sources that have a direct bearing on a patient’s risk, prognosis, and response to potential treatment for a number of diseases. This era of new genetics offers an implicit promise that with such detailed data will come improvements in patient outcomes. As the realization of the complexity of genomic data grows, the time at which the new genetics actually provides us with affordable and actionable information that improves patient outcomes is continually being pushed back. The degree to which clinical dental practice will be transformed by genomic science will depend ultimately on yet unanswered questions involving not just how fast these technology changes occur but also on the degree that we understand and manage associated issues, including patient ethics, dental care financing, dentist training, and effective use of the electronic health record.
      PubDate: 2016-09-01
      DOI: 10.1007/s40496-016-0090-2
      Issue No: Vol. 3, No. 3 (2016)
  • A Multi-level, Multi-Sector Oral Health Literacy Initiative to Reduce Oral
           Health Disparities and Achieve Health Equity: Early Lessons from the
           Maryland Model
    • Authors: Alice M. Horowitz; Dushanka V. Kleinman; Harry S. Goodman; John Welby
      Pages: 155 - 163
      Abstract: The state of Maryland’s oral health literacy initiative experience serves as a case study. This experience was stimulated by the tragic death of Deamonte Driver in 2007 and highlights actions taken and lessons learned. It is a story of one state’s response, one that received strong support from state congressional and state legislative leaders, senior government leadership, multiple community and professional groups, foundations, and funding agencies. It is the hope that this experience can be used to inform other states that are working to enhance oral health promotion and disease prevention strategies, or other health conditions, for vulnerable populations.
      PubDate: 2016-09-01
      DOI: 10.1007/s40496-016-0092-0
      Issue No: Vol. 3, No. 3 (2016)
  • The Role of Silane Coupling Agents and Universal Primers in Durable
           Adhesion to Dental Restorative Materials - a Review
    • Authors: Muhammad Zakir; Usman Ashraf; Tian Tian; Aifang Han; Wei Qiao; Xiaozhuang Jin; Meng Zhang; James Kit-Hon Tsoi; Jukka Pekka Matinlinna
      Abstract: One of the most important aspects in the field of dentistry is adhesion. Adhesion can be enhanced through different mechanisms, most commonly by chemical and mechanical modifications of dental material surfaces. One example of chemical adhesion utilizes primers or bonding agents containing coupling agents. Universal primers which are (mainly organophosphate-based monomers) and silane coupling agents are the most effective and most widely used for unifying dissimilar materials. Other than improving adhesion, Silanes have many other applications in dentistry. They have been found also to enhance the mechanical properties of materials either by adhesion or by becoming a constituent of dental materials itself. Universal primers, on the other hand, are utilized in bonding between different dental materials such as ceramics, metals, alloys, as well as to resin composites. Unfortunately, these primers, coupling agents, and bonding agents have, in general, poor hydrolytic stability. They are susceptible to humid oral environment, which invariably render them potentially unstable in the humid oral environment as saliva is always present. Improving their hydrolytic stability should therefore result in stronger adhesion for dental materials and dental prosthesis with a better clinical survival rate.
      PubDate: 2016-07-05
      DOI: 10.1007/s40496-016-0108-9
  • Modifiable Risk Factors for Periodontitis and Diabetes
    • Authors: Wenche S. Borgnakke
      Abstract: This review describes the evidence published from January 2013 through March 2016 for modifiable risk factors for chronic periodontitis and diabetes mellitus. Risk factors are factors that increase the chance of developing the disease. Modifiable risk factors for both these chronic, inflammation-related diseases include the following: hyperglycemia; microbial overgrowth, infection, and inflammation (virus, poor oral hygiene, gut microbiome); overweight and obesity; metabolic syndrome; hyperlipidemia; medication; unhealthy diet (added sugar; alcohol and other non-sugary carbohydrates, fat, and meat; nutrition, minerals (including zinc), and vitamins); current tobacco smoking (including environmental tobacco smoke); sedentary lifestyle; sleep disturbances; stress, depression, anxiety, poor coping skills, and allostatic load; low health literacy; and the environment and pollution.Given the similarity between the inflammatory mechanisms underlying chronic periodontitis and diabetes mellitus, one can wonder: Could these diseases both be somewhat different manifestations of inflammatory response-based overload? Could both periodontitis and diabetes even be regarded as autoimmune diseases that are manifested due to poor biologic and psychologic coping skills in response to the micro- and macro-level stressors that cause inflammation?Any successful intervention must include more measures than clinical medical/dental care can provide and hence might benefit from active participation of all parties, first and foremost the patient, in a patient-centered, interprofessional health care (not merely disease care) collaboration for the benefit of the mutual patient.But first, it is necessary to be aware of the risk factors that can be modified to pose less risk, a goal toward which this review hopefully will be helpful.
      PubDate: 2016-06-24
      DOI: 10.1007/s40496-016-0099-6
  • “Non-modifiable” Risk Factors for Periodontitis and Diabetes
    • Authors: Wenche S. Borgnakke
      Abstract: This review describes the current evidence published from January 2013 through March 2016 for “non-modifiable” risk factors for periodontitis and diabetes mellitus. Risk factors for a disease are factors that increase the chance of developing the disease, that is, new onset or incidence. Periodontitis and diabetes are both chronic, inflammation-related diseases and often occur in the same individuals, which agrees with the two diseases having largely the same risk factors and also mutually and adversely affecting each other. “Non-modifiable” risk factors for both diseases include higher age, male sex, minority race or ethnicity, low socioeconomic status, genetic predisposition (mostly for impaired immune/inflammatory responses), a history of radiation therapy, pancreatic diseases, polycystic ovary syndrome, Alzheimer’s disease and other types of dementia, and a history of cigarette smoking. Additionally, a history of poorly controlled diabetes, rheumatoid arthritis, as well as possibly osteoporosis, increases the risk for periodontitis, whereas a personal history of antibiotics use and a family history of diabetes additionally increase the risk for diabetes. Given the similarities between the risk factors, the prevention, management, and treatment aimed to ameliorate the strength of the effects of these risk factors, the risks for both periodontitis and diabetes should be attenuated simultaneously. Interventions would probably be facilitated by being conducted in a patient-centered professional collaboration among dental and medical healthcare providers caring for their mutual patient and addressing risk factors for both periodontitis and diabetes for the best possible quality of life of their mutual patient.
      PubDate: 2016-06-23
      DOI: 10.1007/s40496-016-0098-7
  • Bonding of Dental Ceramics to Titanium: Processing and Conditioning
    • Authors: Maja Antanasova; Peter Jevnikar
      Abstract: Difficulties related to titanium processing (casting) and the problematic titanium-ceramic bond have been limiting the latter’s application in prosthetic dentistry for many years. Recent advances in subtractive and additive CAD/CAM technologies have provided alternative routes for titanium processing. The effect of a processing route on titanium surface characteristics and on the strength of its bond to porcelain need to be assessed, since most paths for enhancing porcelain bonding involve preparation of the titanium surface. Several approaches to bond enhancement have been proposed, some of which are widely accepted (abrasion by airborne-particle and application of a bonding agent), while others have not resulted in a clinical breakthrough. Despite efforts to improve titanium bonding to porcelain and to develop titanium compatible, low-fusing porcelains, many in vitro studies report bond strengths to titanium that are inferior to those for base metals and noble dental alloys. Only a few clinical studies have been reported, revealing that titanium-ceramic restorations are susceptible to mechanical complications (porcelain fractures in 33 % of cases). Current knowledge on titanium-ceramic bonding is here reviewed, focusing on the recent attempts to overcome the limitations of the system and on recent advances in titanium processing. Optimization of the currently available processing and surface conditioning methods seems to be necessary. Although most of the proposed surface preparation methods (surface coating and roughening) appear to show a certain degree of porcelain bond improvement, many of them require application of additional complex procedures. Simplification and improved efficiency therefore appear to be the essentials for implementation of these methods in clinical practice.
      PubDate: 2016-06-23
      DOI: 10.1007/s40496-016-0107-x
  • Biological Mechanisms Relating Periodontitis and Diabetes
    • Authors: Hatice Hasturk; Alpdogan Kantarci
      Abstract: Diabetes mellitus is associated with a number of complications resulting from hyperglycemia. Periodontitis is among the major complications associated with diabetes and reciprocally affects the severity and control of diabetes. Increase inflammation induced by type 2 diabetes directly contributes to the increased prevalence and severity of periodontitis in these patients. Regardless of the amount of dental plaque accumulation, gingivitis is more prevalent in diabetic patients than in healthy controls suggesting an impact of diabetes on periodontal inflammatory response to the bacterial biofilm. Levels of proinflammatory cytokines in the periodontal tissue or gingival crevicular fluid are elevated in patients with poorly controlled diabetes in the absence of periodontal disease when compared to well-controlled and non-diabetic patients. This review focuses on the possible pathological mechanisms underlying the association between periodontal disease and type 2 diabetes, explores new avenues in understanding the inflammatory pathways, and discusses novel therapeutic approaches with a paradigm shift in the prevention and treatment of diabetes and periodontitis.
      PubDate: 2016-06-20
      DOI: 10.1007/s40496-016-0100-4
  • Geriatric Oral Health Care Delivery in the United States of America
    • Authors: Ahmed A. Al-Sulaiman; Judith A. Jones
      Abstract: The growing elderly population (≥65 years) imposes great challenges to oral health delivery systems. In the USA, the elderly continue to exhibit a high prevalence of chronic oral disorders. Further, poor dental access has long remained a concern and a barrier toward oral health improvement. Lack of dental insurance is a prominent contributor to the access problem. The main reason for the lack of dental insurance is the loss of employer benefits after retirement and the current transition to a national insurance program (Medicare) with insignificant dental benefits. Dental care needs to be established earlier in life through an appropriate model of care that considers the level of dependency of the elderly. The goals of dental treatment for the elderly are different from those for any other age group, and there is an increased need for the provision of dental care in regions with large elderly populations. This paper provides an overview of the challenges imposed on the health care delivery system in the USA with regard to the provision of oral health care to older adults and discusses consideration for future improvement.
      PubDate: 2016-06-18
      DOI: 10.1007/s40496-016-0093-z
  • SBIRT-Based Interventions to Improve Pediatric Oral Health Behaviors and
           Outcomes: Considerations for Future Behavioral SBIRT Interventions in
    • Authors: Josué Cuevas; Donald L. Chi
      Abstract: Dental caries is the most common chronic disease in children and is caused by poor oral health behaviors. These behaviors include high-sugar diet, inadequate exposure to topical fluorides, and irregular use of professional dental care services. A number of behavioral intervention approaches have been used to modify health behaviors. One example is based on the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model, which has been widely used to reduce substance abuse in both adults and children. SBIRT is a promising behavior change approach that could similarly be used to address problematic oral health behaviors. In this paper, we will review oral health studies that have adopted SBIRT components, assess if these interventions improved oral health behaviors and outcomes, and outline considerations for researchers interested in developing and testing future oral health-related interventions in dentistry using a SBIRT approach.
      PubDate: 2016-06-18
      DOI: 10.1007/s40496-016-0106-y
  • Clinical Perspective of Electrospun Nanofibers as a Drug Delivery Strategy
           for Regenerative Endodontics
    • Authors: Maria T. P. Albuquerque; Juliana Y. Nagata; Anibal R. Diogenes; Asma A. Azabi; Richard L. Gregory; Marco C. Bottino
      Abstract: Recent progress in endodontics, particularly encouraging regenerative outcomes achieved by evoked bleeding therapy in the treatment of necrotic immature permanent teeth, clearly suggests that establishment of a regenerative-based clinical strategy is closer than ever before. In this context, an efficient disinfection of the root canal system, mainly through the eradication of microbial biofilms, is a crucial step. Accordingly, numerous bacterial biofilm models have been used in vitro as an attempt to simulate the clinical conditions. To offer a comprehensive update on progress in the field, this review provides an overview of biofilm role in endodontic disease and in vitro biofilm models, the importance of disinfection, a brief review on antibiotic-containing polymer nanofibers and their antimicrobial properties, and future perspective of this novel intracanal drug delivery strategy in regenerative endodontics. Limitations in reproducing in vivo conditions will always exist; however, creating a laboratory-based biofilm model that very closely simulates clinical situations makes in vitro research reliable and the first step towards translation of new therapies.
      PubDate: 2016-06-17
      DOI: 10.1007/s40496-016-0103-1
  • Dental Public Health: the Future of Oral Health Care Delivery
    • Authors: Robert J. Collins
      PubDate: 2016-06-16
      DOI: 10.1007/s40496-016-0105-z
  • Ceramic-Reinforced Polymers: CAD/CAM Hybrid Restorative Materials
    • Authors: Sillas Duarte; Neimar Sartori; Jin-Ho Phark
      Abstract: Newly developed ceramic-reinforced polymers CAD/CAM restorative materials (CRP) represent a viable esthetic material for dental restorations. They can be classified into polymer-infiltrated ceramic (PIC) and resin nano-ceramic (RNC). This review article analyzes the latest scientific findings on wear, fatigue resistance, bonding mechanisms, fracture resistance, and esthetic properties. The literature shows that fatigue resistance of ceramic-reinforced polymers appears to be adequate to survive the masticatory forces. PIC and RNC CAD/CAM blocks have similar fracture toughness, but lower than that of ceramic-based CAD/CAM blocks. The roughness of polished different ceramic-reinforced polymers is comparable; however, aging increases the surface roughness significantly. Different CRPs require a dedicated surface treatment; nonetheless, PIC and RNC are able to attain high bond strengths. The esthetic properties of CRPs are clinically acceptable. Ceramic-reinforced polymers appear to be an ideal material for minimally invasive restorations.
      PubDate: 2016-06-16
      DOI: 10.1007/s40496-016-0102-2
  • A Critical Evaluation of Fatigue Studies for Restorative Materials in
    • Authors: Martin Rosentritt; Michael Behr; Verena Preis
      Abstract: Fatigue tests are state of the art in dental materials testing for estimating the lifetime performance of materials or restorations. A number of different loading situations are tested with varying parameters, which are based on statistical methods or clinical experience. Partly, inadequate information is provided for a sufficient description and evaluation of the applied methods and resulting data. Several in vitro studies with limited clinical relevance have been published. This review gives a critical overview of fatigue methods published in dental literature. A clear differentiation should be made between fatigue tests for fundamental materials research and component testing of dental restorations. For structural testing, a correlation between in vitro data and in vitro performance is required. Correlation should be based on detailed evaluation of the clinical situation.
      PubDate: 2016-06-16
      DOI: 10.1007/s40496-016-0097-8
  • Biodegradation of Resin-Dentin Bonds: a Clinical Problem'
    • Authors: Ricardo M. Carvalho; Adriana P. Manso
      Abstract: Biodegradation of the resin-dentin interfaces has been a focus of research over the last decade. Most studies show that degradation of both the collagen and the adhesive take place within short periods of time after bonding, and claim that such loss of structure at the interface opens opportunity for secondary caries initiation and progression thus leading to failure of the restoration. Open margins are further compromised by thermo-mechanical loading and enzymes produced by local bacteria. While marginal gaps appear to be unavoidable, it is remarkable that resin composite restorations can deliver successful clinical service for many years provided preventive and conservative measures to reduce the caries-risk of the patient are applied along with the restorative treatment. This review will look into the evidence from laboratory studies that investigated degradation of bonds and the consequences leading to clinical failure and balance that against the results of clinical trials that evidence the factors associated with the durability and clinical success of resin composite restorations.
      PubDate: 2016-06-15
      DOI: 10.1007/s40496-016-0104-0
  • Materials and Processes for CAD/CAM Complete Denture Fabrication
    • Authors: Nadim Z. Baba
      Abstract: Purpose of Review The motive of this article is to single out the materials and processes available for the fabrication of CAD/CAM complete dentures. Recent Findings CAD/CAM complete denture fabrication has become accessible for complete dentures with a variety of techniques available for the fabrication of the prostheses. The majority of the manufacturers use subtractive manufacturing for the fabrication of their dentures while only one manufacturer proposes an additive technique. Several digital systems are available for the fabrication of CAD/CAM dentures. Summary The integration of CAD/CAM technology into complete denture design and fabrication helps improve the quality of the dentures and simplify the laboratory work. Time-consuming laboratory procedures are reduced or eliminated allowing the dental technician to ensure reproducible, efficient, and accurate prostheses.
      PubDate: 2016-06-15
      DOI: 10.1007/s40496-016-0101-3
  • Improving the Oral Health of American Indians and Alaska Natives
    • Authors: Kathy R. Phipps
      Abstract: American Indian and Alaska Native people experience more oral disease and are more likely to have unmet oral health needs than the general US population. These disparities may be attributed to limited access to and use of the dental care delivery system plus a high prevalence of disease risk factors such as social inequities, diet and infant-feeding practices, smoking, and oral hygiene behaviors. This review provides information on the use of and effectiveness of strategies designed to increase access, prevent oral disease, and change systems. To address the oral health crisis in Indian Country, a multi-modal approach which engages the individual, family, community, tribal leadership, plus health and social service providers must be developed, implemented, and sustained. This multi-modal approach should combine primary, secondary, and tertiary prevention strategies layered with strategies to increase access and system changes to reduce the consequences of social inequities.
      PubDate: 2016-06-03
      DOI: 10.1007/s40496-016-0095-x
  • Rise of Managed Care in the USA: Lessons for Dentistry
    • Authors: Raymond A. Kuthy; Julie C. Reynolds; Susan C. McKernan; Peter C. Damiano
      Abstract: Since the 1960s, the USA has experienced rapid growth in national health care expenditures, outpacing growth in other sectors of the economy. As a result, the late 1970s experienced a rise in the use of mechanisms designed to control the cost and utilization of health care. These mechanisms have come to be known as managed care. Various models of managed care have used different approaches to contain costs and improve health care quality, including capitation payments, restricted provider networks, and, more recently, financial incentives to reduce cost and improve health outcomes. In dentistry during the past two decades, the majority of the payment system has moved from primarily fee-for-service to one model of managed care called Dental Preferred Provider Organizations (DPPOs), which now accounts for more than 80 % of the market share for commercial plans. Despite a lack of recent growth in national expenditures for dental care, dentistry will need to become increasingly involved in new types of managed care due to emphasis on reducing costs and improving health care quality in the US health care system as a whole.
      PubDate: 2016-06-02
      DOI: 10.1007/s40496-016-0089-8
  • Analysis of Oral Health Advocacy in the Peer-Reviewed Literature, 2013 to
    • Authors: Burton L. Edelstein
      Abstract: Introduction Advocacy is the act or process of supporting a cause or proposal. The recent peer-reviewed literature on advocacy for oral health and dental care is slim, disparate, and not reflective of the ever-expanding dynamism of this field. Methods Using Medline searches for journal articles in English with abstracts published between January 1, 2013 and March 15, 2016, only 33 qualifying articles were identified in 26 unique journals by authors in nine countries. Findings This paucity of articles may reflect oral health advocates’ belief that peer-reviewed journals are ineffective venues for their contributions. Given the very sizable literature on general, rather than oral, health advocacy, the paucity of oral health articles more likely reflects the lack of empirical studies analyzing oral health advocates’ experience and impact. Identified articles were assigned to one of six overlapping topical domains: (1) advocacy for governmental action, (2) training students as advocates, (3) advocacy by health professional and public health membership organizations, (4) promoting oral health for specific underserved populations, (5) advancing clinical dental practice, and (6) promoting dental research. Themes that cut across many articles are the close relationship between advocacy and policy and calls for research to substantiate a problem or proposed solution. Conclusion Overall, most articles relate directly or tangentially to addressing oral health disparities at the population level although oral health is frequently conflated with dental care, implying that resolution of disparities requires greater access to dental treatment rather than to preventative public health interventions.
      PubDate: 2016-06-02
      DOI: 10.1007/s40496-016-0094-y
  • Current Status of Adding Dental Therapists to the Oral Health Workforce in
           the United States
    • Authors: Kavita R. Mathu-Muju; Jay W. Friedman; David A. Nash
      Abstract: Dental therapists are members of the oral health care workforce in over 50 countries of the world. Until recently, they have not participated as members of the professional dental team in the USA. It was not until the publication of Oral Health in America: A Report of the Surgeon General in 2000, describing the significant problem of access to dental care, that the issue of dental therapists emerged in the USA in a significant manner. Details of the development of dental therapists in the workforce in the USA through 2011 were previously chronicled by Mathu-Muju. Since then, there has been a major increase in interest and licensing of dental therapists in a number of states. This article updates the dental therapist movement to the present time. The literature and activities of the movement will be reviewed by the categories of research, education, and legislation/practice, as well as analytical essays and commentaries.
      PubDate: 2016-06-02
      DOI: 10.1007/s40496-016-0091-1
  • Artificial Aging of Zirconium Dioxide: An Evaluation of Current Knowledge
           and Clinical Relevance
    • Authors: Mutlu Özcan; Cláudia Ângela Maziero Volpato; Márcio Celso Fredel
      Abstract: Due to its superior mechanical properties, yttrium-stabilized tetragonal zirconia polycrystal is considered as one of the most promising materials to manufacture prosthetic frameworks, monolithic crowns, and abutments for implants in dentistry. When stabilized in the tetragonal phase, the structure of zirconia can respond to external stress by increasing its toughness and resistance. Unfortunately, when subjected to a humid environment, zirconia may undergo considerable degradation characterized by increased surface roughness, grain growth, and propagation of microcracks that could be detrimental for its mechanical properties. This phenomenon, also known as low-temperature degradation (LTD), when not minimized, may represent a setback for the longevity of zirconia especially used for biomedical applications. LTD is studied in in vitro or in vivo settings employing different strategies. Present clinical studies, however, with their shortcomings, do not signify high incidence of failures of zirconia for dental applications. The LTD of zirconia is currently being criticized based on laboratory testing which may be suboptimal. This review will highlight the existing knowledge on the artificial aging methods studying LTD in zirconia and their relevance considering clinical performance of zirconia prostheses.
      PubDate: 2016-06-01
      DOI: 10.1007/s40496-016-0096-9
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