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Journal Cover Current Oral Health Reports
  [2 followers]  Follow
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Online) 2196-3002
   Published by Springer-Verlag Homepage  [2341 journals]
  • Malnutrition and Oral Disease in the Elderly––Is There Any
           Bidirectional Relationship'
    • Abstract: Purpose of Review The purpose of the review is to find recent evidence for a bidirectional relationship between oral diseases and malnutrition. Recent Findings Electronic search of MEDLINE using PubMed and a manual search of key journals for literature published in English between January 2013 and June 2016, was conducted and resulted in the selection of 25 papers. These selected studies comprised 19 observational studies, which included 17 cross-sectional and 2 longitudinal designs, and 6 interventional studies. A majority of the studies demonstrated a significant association between the following conditions in older adults: older adults with oral diseases are at risk for malnutrition and malnourished older adults are at risk for oral diseases. Treatment with dental prosthesis may have positive effects on the nutritional status of older adults. Summary The current review revealed that research findings support a potential bidirectional relationship between oral diseases and malnutrition; however, there is insufficient evidence to draw definitive conclusions. Additional high-quality studies are necessary to accumulate more evidence.
      PubDate: 2017-04-21
  • Digital Workflow in Implant Dentistry
    • Abstract: Purpose of Review Implant dentistry is going through a digital revolution. Through the development of new equipment and their corresponding workflows, the diagnosis and treatment of our patients are becoming simpler and more efficient. This review examines the workflows and techniques that apply digital technology to the pre-operative planning stages, the surgical placement, and the prosthetic phases of implant treatment. Recent Findings With the current influx of new hardware and software into the market, dental technology has the potential to infiltrate every area of clinical implant dentistry. Its use generally begins with the diagnostic scanning by means of an intra-oral scanner and cone beam computed tomography. These modalities, in conjunction with implant planning software, allow for the planning and the guided surgical execution of dental implants. Technology can further be used with the prosthetic design and manufacturing of the interim and final restorations of the implants allowing all areas of clinical diagnosis and care to have the opportunity to apply digital dentistry. These tools can allow for more predictable, profitable, and pleasant treatment for our patients. Summary As our clinical landscape changes with the influx of digital tools, the uses, workflows, and clinical protocols associated with implant dentistry can be learned and applied in our daily clinical practice allowing for the streamlining and simplification of patient care.
      PubDate: 2017-04-21
  • Restoration of the Worn Dentition: Basic Prosthodontic Principles and
           Current Rehabilitation Techniques
    • Abstract: Purpose of Review Dental wear is an existing and increasing problem. This review aims to describe the prosthodontic principles as well as the current trends in materials and techniques for the rehabilitation of patients with worn dentition. Recent Findings The current literature includes a lot of information in relation to clinical and laboratory procedures for the restoration of the worn dentition. Also, recent in vitro and in vivo studies address the clinical success, properties, and wear behavior of current materials. Summary A plethora of materials are currently used to restore dental wear including, direct/indirect composite resin, and all-ceramic restorations. Minimally invasive procedures are based on adhesive cementation of restorations, and in many situations, patients are restored with partial coverage restorations. Long-term success of the rehabilitation is dependent on careful material selection, based on current evidence, careful execution of well-established rehabilitation techniques, and a patient-based individualized maintenance program.
      PubDate: 2017-04-20
  • Epidemiological Evidences for the Association of Obesity and Metabolic
           Disorders with Oral Diseases
    • Abstract: Purpose of Review Obesity is the underlying cause of many chronic diseases and affects overall health. Obesity and obesity-related metabolic disorders, particularly, metabolic syndrome and diabetes, have been recognized to be associated with oral diseases. This review describes the recent evidence from epidemiological studies investigating the effect of obesity and metabolic disorders on oral diseases, including dental caries and periodontal disease in adults. Recent Findings Longitudinal studies indicate the direction of association that obesity and diabetes affect periodontal disease. Interpretation of causal relationships between metabolic syndrome and periodontal disease remains limited because of the small number of prospective evidence. Longitudinal studies investigating dental caries have not been performed. Summary Further exploration of the effect of metabolic syndrome on periodontal disease, and that of obesity and metabolic disorders on dental caries in longitudinal studies, is warranted.
      PubDate: 2017-04-20
  • Oral Disease and Malnutrition in the Elderly—Impact of Oral Cancer
    • Abstract: Purpose of Review The purpose of this paper is to review current evidence for a concomitant relationship between oral diseases and malnutrition in the elderly. A narrative overview of current literature was undertaken to combine the context for research with critical elaboration and commentary. Recent Findings Oral disease is one of the most common public health issues worldwide with significant socio-economic impacts, and yet it is frequently neglected in public health policy. Epidemiologic studies show that oral disease frequently causes malnutrition in the elderly. In particular, malnutrition is associated with poor quality of life and poor efficacy of oncologic therapy in oral cancer patients. Summary As oral disease remains a major public health burden worldwide, it is of great importance to integrate oral health into the nutrition agenda via the Common Risk Factor Approach. As such the long-term sustainable strategy for global oral health should focus on health promotion and malnutrition prevention in the elderly.
      PubDate: 2017-04-19
  • The Influence of Periodontal Burden on Metabolic Control of
           Diabetes—Myth or Reality'—from a Nutritional Perspective
    • Abstract: Purpose of Review The effects of periodontal treatment on the metabolic control of diabetes have been extensively studied. This report summarizes current understanding on the underlying mechanisms. Recent Findings All recent studies supporting the beneficial effects of periodontal treatment have common features: (1) clinically, periodontal disease in diabetics is relatively severe, (2) the subjects exhibit elevated hs-CRP level, which declines following periodontal treatment, and (3) the subjects generally do not exhibit morbid obesity. Nevertheless, the subjects with higher hs-CRP appear to develop more mature adipose tissues than the subjects with lower hs-CRP. Summary Inflammatory immune cells have been reported to migrate into adipose tissue, interact with adipocytes, and thereby exacerbate adipose tissue inflammation. This may be a key mechanism explaining how local periodontal inflammation influences systemic inflammation. Therefore, appropriate life style intervention is an additional requirement in addition to reducing other obvious risk factors such as smoking in the overall management of periodontal disease in subjects with diabetes.
      PubDate: 2017-04-18
  • Malnutrition and Oral Health in Children
    • Abstract: Purpose The purpose of this paper is to review the effects of malnutrition on children’s oral health. Recent Findings Malnutrition negatively affects the development of craniofacial structures and teeth. Nutrient deficiencies during amelogenesis and dentinogenesis lead to defective tooth structures, which tend to harbor cariogenic bacteria. The role of vitamin D in prevention of dental caries is inconclusive. Some researchers believe dental caries is not multifactorial nor transmissible because caries cannot develop without sugars. There is conflicting information in relation to the effects of malnutrition in tooth eruption and exfoliation, but its deleterious influence is clear in the integrity of the oral mucosa and salivary function. Summary An improper nutrition deprives the child from important nutrients for growth and development, including that of oral structures. More research is needed to elucidate the role of malnutrition in tooth development, exfoliation, and eruption.
      PubDate: 2017-04-18
  • Root Coverage Procedures for Multiple Recession Defects
    • Abstract: Purpose of Review The demand for root coverage in multiple gingival recession defects has increased in recent years. Compared to isolated recession, multiple gingival recession defects are much more challenging due to various limiting factors and require more sophisticated surgical techniques. This review aims to address recent progress in the management of multiple recession defects. Recent Findings The subepithelial connective tissue graft (SCTG) procedure, while effective, is limited due to tissue availability and patient preference to avoid a donor harvest site. Different surgical techniques and biological materials have been studied in an attempt to find ideal alternatives. Summary Based on the studies reviewed, the SCTG procedure still remains the gold standard in terms of percent root coverage. Acellular dermal matrix allograft in conjunction with different flap designs has shown comparable, satisfactory results up to 1 year postoperatively. Other materials such as porcine collagen matrix and enamel matrix derivative also show some promise. Well-designed studies with long-term outcomes are still needed.
      PubDate: 2017-04-17
  • CAD/CAM Removable Dental Prostheses: a Review of Digital Impression
           Techniques for Edentulous Arches and Advancements on Design and
           Manufacturing Systems
    • Abstract: Purpose of Review The aim of this article is to provide an overview of CAD/CAM removable dental prostheses in the treatment of completely edentulous patients. Recent Findings Computer-aided design/computer-aided manufacturing protocols continue to evolve in many areas in dentistry including removable complete dentures. Current protocols are advantageous in decreasing the number of clinical appointments needed, which may reduce the distress in elderly with limited access to care. In addition, CAD/CAM complete dentures are fabricated using standardized techniques using high-value quality controlled materials. Laboratory tabletop scanners are being used predominantly for the digitization of conventional impressions or dental casts. Further research is needed to further advance existing intra-oral scanners in digital impressioning of the completely edentulous jaws. Summary Use of digital technology in complete denture manufacturing provides prostheses with improved quality such as reduced porosity, polymerization shrinkage, and improved retention. Presence of digital depository data allows replacement dentures to be fabricated in case they are lost or damaged.
      PubDate: 2017-04-17
  • Taste Sensing Systems Influencing Metabolic Consequences
    • Abstract: Recent Findings The taste information contributes to evaluate the quality and nutritional value of food before it is ingested, and thus, is essential for maintaining nutritive homeostasis within the body. Recent studies revealed that taste sensitivity is modulated by humoral factors such as hormones. Angiotensin II is a key hormone regulating sodium and water balance. Investigations of its involvement in the taste system revealed that angiotensin II suppresses the gustatory NaCl responses (amiloride-sensitive component) and enhances sweet taste sensitivity without affecting umami, sour, and bitter responses in mice. Summary These results suggest that taste modulation by angiotensin II may play important roles in maintaining electrolyte and glucose homeostasis. Purpose of Review This review focuses on the molecular mechanisms of salty taste perception and its modulation through the angiotensin II signaling to work out novel strategies to control food intake influencing metabolic consequences.
      PubDate: 2017-04-17
  • The Impact of Oral Health on General Health: Educating Professionals and
    • Authors: Casey Hein; Ray C. Williams
      Abstract: Purpose of Review This review provides a brief summary of what science has postulated about the oral cavity and its relationship to the rest of the body. This article then looks at the emerging body of evidence for a definitive statement on the impact of oral health and disease on overall health and disease. It concludes by examining ways to educate oral healthcare providers (OHCPs) (i.e., dentists and dental hygienists) and their role in educating patients and the public about the interrelationships of oral and overall health and challenges associated with this. Recent Findings Since 1989, there have been major advances in understanding the role of periodontal infection and inflammation in contributing to the risk for systemic diseases. As the evidence emerges for an oral-systemic link, new strategies for educating dentistry, medicine, other non-dental healthcare professions, and the public about this link are also emerging. Summary Hopefully, a new awareness and understanding of the significance of oral health in sustaining general health lead to a new emphasis for prevention and treatment of periodontal disease.
      PubDate: 2017-02-20
      DOI: 10.1007/s40496-017-0124-4
  • Functional Dental Restorative Materials That Hinder Oral Biofilm
    • Authors: Hércules Bezerra Dias; Victor Trassi Fernandes da Silva Souza; Rafael Amorim Martins; Ana Carolina Bosco Mendes; Monica Irma Aparecida Valdeci de Souza; Ângela Cristina Cilense Zuanon; Alessandra Nara de Souza Rastelli
      Abstract: Purpose of Review This review highlighted the state of the art regarding functional materials that have been used to hinder oral biofilm, focused on the materials used over the last 3 years to achieve an antimicrobial effect, considering the effects of its modification on the physical properties. Recent Findings Because dental restorations have failures and the main cause was found to be the presence of secondary caries, the recent studies in this field are focused on development of functional dental materials with the ability to hinder oral biofilm. Therefore, composite resins, glass ionomer cement, and dental adhesive systems have been modified with different functional materials to obtain the antibiofilm properties. For this purpose, several antimicrobial materials have been used, such as inorganic fillers nanoparticles, bioactive glass, functional monomers, and chlorhexidine. Summary The ability of materials to hinder biofilm-dependent diseases depends on the amount of the antimicrobial materials, size, physical and chemical properties. In the last years, studies have demonstrated great results in the use of materials aiming to decrease or control oral biofilm formation; however, some authors indicate that research of bacterial effects on these materials are still needed.
      PubDate: 2017-02-13
      DOI: 10.1007/s40496-017-0119-1
  • Functional Salivary Gland Regenerative Therapy for Oral Health
    • Authors: Miho Ogawa; Takashi Tsuji
      Abstract: Salivary glands maintain oral health and homeostasis via functional interactions with many organs, including the teeth and the tongue. Dysfunction of salivary glands causes many problems, such as dental caries, bacterial infection, and swallowing dysfunction. Current regenerative therapy for salivary gland tissue repair and whole salivary gland replacement is currently a novel therapeutic concept that may result in full recovery of salivary gland function. The salivary glands arise from reciprocal epithelial and mesenchymal interactions. We developed a novel three-dimensional cell manipulation method that can reproduce organogenesis via the epithelial-mesenchymal interaction. The bioengineered salivary glands develop correct structure and successfully secrete saliva into the oral cavity via reestablishment of the afferent-efferent neural network. The bioengineered salivary glands also improve dry mouth symptoms, such as bacterial infections and swallowing dysfunction. This review summarizes recent findings and technological advances in salivary gland regenerative therapy.
      PubDate: 2017-02-08
      DOI: 10.1007/s40496-017-0123-5
  • Beyond Cell Division: the Ecological Roles of Autolysins in Oral Biofilm
    • Authors: Nyssa Cullin; Justin Merritt; Jens Kreth
      Abstract: Purpose of Review The goal of this review is to address the complicated nature of autolysins found among oral bacteria and the roles they play within the oral biofilm. The various functions of autolysins are discussed, as well as the regulation of autolysins and overall contribution to biofilms and the oral environment. Recent Findings With their many functions, bacterial autolysins can be understood as contributing to both cell physiology and population dynamics within the oral environment. Cell division, peptidoglycan turnover/remodeling, fratricide, and programmed cell death are all influenced, if not controlled, by autolysins. The release of nutrients and DNA as functional byproducts of lysins can alter the biofilm by affecting the growth and overall genetic makeup of the diverse bacteria. Summary Autolysins and their various functions contribute to biofilm formation, horizontal gene transfer, and the overall health of the oral cavity.
      PubDate: 2017-02-02
      DOI: 10.1007/s40496-017-0118-2
  • Periodontitis and Systemic Disease: Association or Causality'
    • Authors: Lewis Winning; Gerard J. Linden
      Abstract: Purpose of Review The aim was to assess recent evidence that diabetes, metabolic syndrome (MetS) and obesity impact the progression of periodontitis. Recent Findings Electronic searches using Embase, Medline, and Web of Science were carried out for epidemiological studies on humans, published between 2014 and 2016. A small number of prospective studies and systematic reviews were identified that in general provide further support for the hypothesis that diabetes, metabolic syndrome and obesity can adversely affect the periodontal condition. Summary Confounding remains the most challenging issue in the interpretation of the associations found between diabetes, MetS, obesity and periodontal disease. Recent research applying a Mendelian randomisation approach concluded that the association between obesity and periodontitis is confounded and questioned a role for obesity in causation. Further studies are warranted to assess the issue of causality.
      PubDate: 2017-01-23
      DOI: 10.1007/s40496-017-0121-7
  • Current Status of Regenerative Periodontal Treatment
    • Authors: Andreas Stavropoulos; Anton Sculean
      Abstract: Purpose of Review Periodontal regenerative therapy aims to completely restore the tooth’s supporting tissues (e.g., periodontal ligament, root cementum, alveolar bone, and gingiva) which have been lost following periodontal disease or trauma. The histologic outcomes should translate in substantial clinical improvements evidenced by probing depth reduction, gain in clinical attachment level, and bone fill. The present review provides a brief overview of the current status of periodontal regenerative therapy. Recent Findings There is plenty of evidence to support the use of guided tissue regeneration (GTR) techniques and the application of enamel matrix proteins (EMD) onto the exposed root result in true periodontal regenerative. The use of various growth factors and autologous blood concentrates for periodontal regeneration also have produced positive results, but more studies are needed. In general, both GTR and EMD, alone or in combination with bone grafts or substitutes, result in larger clinical improvements compared to conventional periodontal treatment for deep intrabony and furcation Class II defects. Important factors that negatively impact on the clinical outcomes of periodontal regeneration procedures are smoking, large number of remaining sites with bleeding on probing, bad oral hygiene, and increased tooth mobility. Conclusions The magnitude of improvement arising from periodontal regenerative techniques and procedures depends largely on operator skills, not only in terms of dexterity but also on the ability to choose the best approach regarding the surgical technique and the regenerative technology depending on patient- and site-specific criteria. The clinical improvements after regenerative treatment can be preserved on a long-term basis on the majority of treated sites, provided that patients do not smoke, keep high oral hygiene standards, and attend regularly SPT.
      PubDate: 2017-01-19
      DOI: 10.1007/s40496-017-0122-6
  • Advances and Challenges in Oral Biofilm Control
    • Authors: Beatriz Helena Dias Panariello; Cecilia Atem Gonçalves de Araújo Costa; Ana Cláudia Pavarina; Sérgio Lima Santiago; Simone Duarte
      Abstract: Purpose of Review The paper aims to critically study the literature published over the past 3 years as relevant to oral biofilm control. The emphasis of this review is the interests and importance of new findings, seeking the following answers: (i) what is the major challenge in oral biofilm control', (ii) what are the new anti-biofilm approaches', and (iii) what are the further researches' Recent Findings In addition to mechanical plaque removal and the use of chemical agents against pathogenic biofilm, there is a need for development of new anti-biofilm approaches. The majority of the new studies aiming to control oral biofilm have been performed with the characterization of the extracellular matrix components. Exopolysaccharides (EPS), proteins, lipids, nucleic acids (eDNA), lipoteichoic acids (LTA), and lipopolysaccharides have been identified in the matrices of bacterial biofilms and are considered the current targets to oral biofilm control. Summary The extracellular matrix is essential for the existence of the biofilm and by its virulence both in bacterial and fungal pathogens. The better understanding of the biomechanical properties of the EPS matrix is the main advance and is leading to new chemical and/or biological approaches to remove or disorganize cariogenic biofilms. Recently, researches are focusing on the extracellular matrix for oral biofilm control with further clinical applicability.
      PubDate: 2017-01-14
      DOI: 10.1007/s40496-017-0120-8
  • Retraction Note to: Biological Mechanisms Relating Periodontitis and
    • Authors: Hatice Hasturk; Alpdogan Kantarci
      PubDate: 2016-10-26
      DOI: 10.1007/s40496-016-0117-8
  • How Far Have We Come in the Field of Nerve Regeneration After Trigeminal
           Nerve Injury'
    • Authors: Annika Rosén; Arezo Tardast; Tie-Jun Shi
      Abstract: Patients suffering from nerve injury with sensory disturbances or orofacial pain have greatly reduced quality of life, and it is a big cost for the society. Abnormal sensations caused by trigeminal nerve injury often become chronic, severely debilitating, and extremely difficult to treat. In general, non-invasive treatment such as drug treatment has been insufficient, and there are currently few available effective treatments. Surgical interventions such as end-to-end connection or nerve grafting have disadvantages such as donor site morbidity or formation of neuroma. There is need for optimizing the technique for nerve repair, especially for the trigeminal nerve system, which has so far not yet been well explored. Recently, tissue engineering using biodegradable synthetic material and cell-based therapies represents a promising approach to nerve repair and it has been reported that mesenchymal stem cell (MSC) has an anti-inflammatory effect and seems to play an important role in nerve healing and regeneration.
      PubDate: 2016-09-13
      DOI: 10.1007/s40496-016-0115-x
  • Feasibility of Periodontal Tissue Regeneration Therapy with
           Adipose-Derived Stem Cells
    • Authors: Morikuni Tobita
      Abstract: Adipose-derived stem cells within subcutaneous adipose tissue were first reported in 2001. Since then, the number of regenerative medicine studies investigating adipose-derived stem cells (ASCs) has increased dramatically. This has included not only basic research in regenerative medicine using ASCs but also has progressed and clinical safety studies have now commenced in Japan. Translational research (including clinical research and clinical trials) using cell therapy aims to verify the possibility of achieving repair of tissue or its function and investigating the safety of these protocols. However, despite this simplicity, elucidating the mechanism of action of implanted processed cells is difficult. This indicates the necessity for the further discussion focusing on translational research for cell therapy, as well as continuing to develop novel therapeutic strategies. In this paper, we discuss the feasibility of practical application of using ASCs for periodontal tissue regeneration therapy and discuss the legal system for promoting the practical application of regenerative medicine recently enforced in Japan.
      PubDate: 2016-09-07
      DOI: 10.1007/s40496-016-0113-z
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