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Special Issue "Vulnerability in Dentistry: Prevention and Treatment"

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A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (30 August 2023) | Viewed by 2512

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Special Issue Editors

Dr. Denise Corridore

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Guest Editor

Oral and Maxillo-facial Sciences Department, Sapienza University of Rome, 00185 Rome, Italy
Interests: prevention dentistry; minimal intervention dentistry; dental care; vulnerability in dentistry; management in dentistry; early diagnosis

Dr. Gianni Di Giorgio

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Guest Editor

Department of Oral and Maxillo-facial Sciences, Sapienza Università di Roma, Rome, Italy
Interests: oral health; oral pathology; root fractures; primary and permanent dentine

Prof. Dr. Iole Vozza

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Guest Editor

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Interests: pediatric dentistry; orthodontics; oral pathology; dental hygiene; dental materials
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Answers to the questions around the interception and treatment of dental problems in vulnerable patients are increasingly becoming a necessity. From pediatric to adult age, oral health management of special-needs patient must make use of dedicated medical staff and new methods for early diagnosis and treatment of affected hard and soft tissues and facilitate access. The interventions and actions taken against this population are connoted as “positive discrimination” or as actions that intend to limit the discrimination of care and combat situations of social and health vulnerability.

In addition, the pandemic has highlighted even more situations of social hardship with the aggravation of social and health precarious codes.

This Special Issue is aimed at applied research on the management of vulnerable patients both in terms of application of new therapies and materials and in the adaptation of techniques already consolidated but which enable or facilitate access to dental care and treatment itself.

Research articles, review articles, as well as short communications are invited.

Dr. Denise Corridore
Dr. Gianni Di Giorgio
Prof. Dr. Iole Vozza
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Applied Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2300 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

special needs
prevention dentistry
minimal intervention dentistry
dental care
vulnerability in dentistry
management in dentistry
early diagnosis
new technology in dentistry
telemedicine
atraumatic dentistry

Published Papers (3 papers)

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Research

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Open AccessArticle

Orthodontic Treatment in Pediatric Patients with Autism Spectrum Disorder: Compliance and Satisfaction: Pilot Study

and

Appl. Sci. 2023, 13(16), 9189; https://doi.org/10.3390/app13169189 - 12 Aug 2023

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Abstract

Background: Most children with ASD require orthodontic treatment to correct a malocclusion, to restore masticatory function, and for cosmetic reasons. The use of orthodontic devices, however, could lead to a distortion of the child’s routine, causing mood alterations, on the one hand, and a worsening of their oral hygiene status, on the other. The aim of this study is to evaluate the impact of orthodontic therapy on the daily management and level of collaboration of children with ASD determined using the Frankl scale. Materials and methods: An anonymous questionnaire was administered to 20 pairs of parents of children in which they were asked to evaluate any behavioral changes and/or difficulties encountered at the beginning of orthodontic treatment as well as their degree of satisfaction with the level of information received from medical personnel. Results: In about half of the sample, there were behavioral changes and difficulties in managing the treatment. Most of the responses received indicated parental satisfaction both with regard to the emotional impact on the children with respect to the introduction of the treatment and with regard to the attention received from the medical staff. Furthermore, there was a statistically significant increase (p = 0.001) in the Frankl scale score after treatment. Conclusions: Home management, which has always been the most difficult obstacle to overcome, with the support of a competent team can not only improve the quality of life of patients affected by ASD but also improve their collaboration and state of oral health without altering their emotionality. Full article

(This article belongs to the Special Issue Vulnerability in Dentistry: Prevention and Treatment)

Open AccessArticle

Is It Safe to Use Vasoconstrictors in Association Treated with Amitriptyline or Can It Potentiate Cardiovascular Effects? In Vivo Animal Study

Gabriela Moraes Oliveira

Thiago José Dionísio

Camila Assis Fleury

Adriana Maria Calvo

Carlos Ferreira Santos

and

Flavio Augusto Cardoso Faria

Appl. Sci. 2022, 12(23), 11998; https://doi.org/10.3390/app122311998 - 24 Nov 2022

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Abstract

This study aimed to evaluate changes in blood pressure of rats treated or not with amitriptyline after infiltration in the buccal sulcus and intravenous injection of epinephrine, felypressin and phenylephrine in equivalent doses (ED) to the amounts present in 2, 8 and 32 local anesthetic tubes. 42 male Wistar rats, with 45-day-old, treated for seven days with amitriptyline hydrochloride (0.3 mg/kg). On the eighth day, the animal was submitted to general anesthesia and surgery for direct blood pressure rate. The significance level was 5%. The treatment with amitriptyline caused a significant decrease in blood pressure of the treated group compared to the control group (101.80 ± 2.52 and 110.12 ± 2.91 mmHg, respectively, * p < 0.05), and slightly potentiates the hypertensive response after infiltration of epinephrine (4.11 ± 0.54; 7.15 ± 0.55; 9.03 ± 0.87 mmHg, respectively, 2, 8 and 32 tubes, p > 0.05). Felypressin promotes lower blood pressure changes and phenylephrine proved to be the most potent vasoconstrictor of the three studied, producing important changes in blood pressure and, even though infiltration, in doses greater than 8 tubes (15.43 ± 1.15; 70.62 ± 3.70 mmHg, respectively, 8 and 32 tubes, * p < 0.05). The infiltration of the three vasoconstrictors in doses equal to or less than 8 tubes does not cause significant changes in blood pressure, both in the control and amitriptyline treated groups. Full article

(This article belongs to the Special Issue Vulnerability in Dentistry: Prevention and Treatment)

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Open AccessSystematic Review

Optimizing Adhesive Bonding to Caries Affected Dentin: A Comprehensive Systematic Review and Meta-Analysis of Dental Adhesive Strategies following Chemo-Mechanical Caries Removal

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Appl. Sci. 2023, 13(12), 7295; https://doi.org/10.3390/app13127295 - 19 Jun 2023

Cited by 1 | Viewed by 687

Abstract

Although there are several studies that have evaluated the bond strength of various adhesives to healthy dentin and caries-affected dentin after traditional caries removal, the objective of this systematic review aimed to assess the bond strength of various adhesives to caries-affected dentin (CAD) after chemo-mechanical caries removal (CMCR) treatment. The review adhered to PROSPERO protocol registration and followed PRISMA guidelines. The research question focused on the bonding effectiveness of dental adhesives to CAD after employing the chemo-mechanical caries removal method. PubMed, the TRIP database, and Scopus were searched, with the last search conducted in February 2023. Two reviewers independently screened and evaluated articles, resulting in 30 articles for full-text analysis out of 434 retrieved from databases. Twelve eligible studies were included in the review. The bond strength of etch-and-rinse (ER) and self-etch (SE) adhesive systems was assessed following CMCR treatment on CAD. SE adhesive systems exhibited higher bond strength to CAD compared to ER adhesive systems. Meta-analysis indicated that the bond strength achieved with self-etching adhesive systems remained consistent, regardless of the CMCR agent (Carisolv or Papacarie) used on dentin. The findings of this systematic review suggest that self-etch adhesive systems show favorable bond strength to caries-affected dentin following chemo-mechanical caries removal, regardless of the specific CMCR agent used. These results support the use of minimally invasive dentistry techniques aimed at preserving healthy tooth structure, dentin in particular. Full article

(This article belongs to the Special Issue Vulnerability in Dentistry: Prevention and Treatment)

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