Special Issue "Oral Health: The First Step to Well-Being"

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: 30 April 2022.

Special Issue Editors

Prof. Dr. Yolanda Martinez Beneyto
E-Mail Website
Guest Editor
Department of Preventive and Community Dentistry, University of Murcia, Clínica Odontológica Universitaria, Hospital Morales Meseguer, 30008 Murcia, Spain
Interests: oral health; dental materials; oral epidemiology; minimally invasive dentistry
Prof. Dr. Antonio J. Ortiz Ruiz
E-Mail Website
Guest Editor
Department of Integrated Pediatric Dentistry; University of Murcia, Clínica Odontológica Universitaria, Hospital Morales Meseguer, 30008 Murcia, Spain
Interests: pediatric dentistry; dental materials; minimally invasive dentistry
Prof. Dr. Ascensión Vicente Hernandez
E-Mail Website
Guest Editor
Department of Orthodontics, Faculty of Medicine, University of Murcia, Clínica Odontológica Universitaria, Hospital Morales Meseguer, 30008 Murcia, Spain
Interests: orthodontics and dental materials

Special Issue Information

Dear Colleagues,

An estimated 90% of the world’s population suffer from oral diseases during their life. Oral diseases are recognized as a major global health burden, having huge impacts on people’s daily lives and economic development.

Dental caries, periodontal disease, edentulism, oral cancer, and cleft lip and palate are the most prevalent dental pathologies, and the overall global burden of this diseases has been increasing throughout the years, in parallel with major non communicable diseases (NCDs), such as diabetes mellitus, neoplasms and cardiovascular diseases. Many of these NCDs share risk factors with oral diseases such as sugar excess, alcohol excess and tobacco.

The prevalence of untreated caries (10th most common disease), severe periodontitis (6th) and severe tooth loss (36th) affects 3.9 billion people in the world. Dental caries and periodontitis are the main causes of tooth loss. The consequences of these common oral diseases are the alterations of mastication and nutritional intake, speech, self-esteem, quality of life and social interactions. In this sense, the elderly would require more oral care and preventive programs. 

Oral diseases represent one of the most common public health issues, and it should be compulsory to incorporate oral health into a general health agenda for optimal health and general well-being. The long-term sustainable strategy for global oral health must focus on health promotion and disease prevention, through controlling the modifiable common risk factors.

This Special Issue seeks research papers on various aspects of epidemiology, oral public health, oral health policies, prevention strategies, dental materials, techniques and treatments related to oral diseases in children, adults and the elderly.

We welcome original research papers using different study designs, as well as systematic reviews and meta-analysis.

Prof. Dr. Yolanda Martinez Beneyto
Dr. Antonio J. Ortiz Ruiz
Prof. Dr. Ascensión Vicente Hernandez
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 papers will be 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. International Journal of Environmental Research and Public Health 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 2500 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

  • epidemiology
  • oral diseases burden
  • dental public health
  • oral prevention
  • quality of life
  • caries
  • oral cancer
  • periodontal diseases
  • malocclusions
  • dental traumatology
  • dental materials
  • oral radiology
  • dental rehabilitation

Published Papers (7 papers)

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Research

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Article
Need for Orthodontic Treatment in Pupils Aged between 12 and 15 in the Valencian Region (Spain)
Int. J. Environ. Res. Public Health 2021, 18(19), 10162; https://doi.org/10.3390/ijerph181910162 - 27 Sep 2021
Viewed by 459
Abstract
The World Health Organization recommends carrying out periodic epidemiological studies in order to provide a basis for the evaluation of the state of health of the population at any given time; in doing so, action strategies can be established for the treatment of [...] Read more.
The World Health Organization recommends carrying out periodic epidemiological studies in order to provide a basis for the evaluation of the state of health of the population at any given time; in doing so, action strategies can be established for the treatment of different pathologies. The objective of this study is to evaluate the need for orthodontic treatment in adolescents at school aged between 12 and 15 in the Spanish autonomous region known as Comunidad Valenciana (hereafter: Valencian Region). A cross-sectional study was carried out on a sample of 539 12-year-old schoolchildren and 460 15-year-olds, respectively, selected by cluster sampling and representative of the school-aged population of the Valencian Region, using the IOTN-DHC, IOTN-AC, and DAI indices. The need for specific orthodontic treatment according to the IOTN-DHC was 12.6% at 12 years and 7% at 15. For the IOTN-AC and DAI indices, the treatment needs were 4.3% and 0.9% at 12 years and 30.1% and 20.9% at the age of 15. These results were similar to those obtained in the previous study carried out on the same target population. There was no significant association between the need for treatment and gender or social class. We conclude that the need for orthodontic treatment presents values similar to those obtained in 2010. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Article
Effects of Fluoride and Calcium Phosphate-Based Varnishes in Children at High Risk of Tooth Decay: A Randomized Clinical Trial
Int. J. Environ. Res. Public Health 2021, 18(19), 10049; https://doi.org/10.3390/ijerph181910049 - 24 Sep 2021
Viewed by 626
Abstract
Background: The aim of this study was to investigate the effect of the application of two varnishes—MI Varnish (5% sodium fluoride with CPP-ACP) and Clinpro White Varnish (5% sodium fluoride with fTCP)—applied every three months in children with high caries risk for 12 [...] Read more.
Background: The aim of this study was to investigate the effect of the application of two varnishes—MI Varnish (5% sodium fluoride with CPP-ACP) and Clinpro White Varnish (5% sodium fluoride with fTCP)—applied every three months in children with high caries risk for 12 months on plaque indexes, salivary pH, salivary lactic acid and chemical elements concentrations. Methods: We included 58 children aged 4–12 years, assigned to control (placebo), Clinpro and MI groups. Baseline and three-month saliva samples were taken. We assessed changes in pH, lactic acid concentrations and chemical elements in saliva. Results: At 12 months, all groups showed a nonsignificant increase in pH levels and a reduction in lactic acid, which was greatest in the placebo group. There was a significant reduction in 24Mg (p = <0.001), 31P (p = 0.033) and 66Zn (p = 0.005) levels in the placebo group (p ≤ 0.05), but not in the other elements studied: 23Na, 27Al, 39K, 44Ca, 52Cr, 55Mn, 57Fe, 59Co, 63Cu, 75As, 111Cd, 137Ba, 208Pb and 19F. Conclusions: Neither pH, lactic acid concentrations or most salivary chemical elements were useful in defining patients at high risk of caries or in monitoring the effect of MI Varnish and Clinpro White Varnish after three-month application for 12 months. However, the appearance of new cavities was stopped, and the hygiene index improved, probably due to hygienic and dietary measures and the use of fluoridated toothpaste. Trial registration: ISRCTN registry, ISRCTN13681286. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Article
Evaluation of Clinical, Biochemical and Microbiological Markers Related to Dental Caries
Int. J. Environ. Res. Public Health 2021, 18(11), 6049; https://doi.org/10.3390/ijerph18116049 - 04 Jun 2021
Viewed by 1228
Abstract
Our aim was to evaluate clinical, biochemical and microbiological markers related to dental caries in adults. A sample that consisted of 75 volunteers was utilized. The presence of caries and the presence of plaque and gingival indices were determined. Unstimulated salivary flow, pH, [...] Read more.
Our aim was to evaluate clinical, biochemical and microbiological markers related to dental caries in adults. A sample that consisted of 75 volunteers was utilized. The presence of caries and the presence of plaque and gingival indices were determined. Unstimulated salivary flow, pH, lactate, Streptococcus mutans and Streptococcus dentisani were measured in the participants’ plaque and saliva samples before and after rinsing with a sugar solution. Lactate in plaque was found to be significantly related to age, gender, tooth-brushing frequency, the presence of cavitated caries lesions and plaque and gingival indices (p < 0.05). The levels of S. dentisani in plaque increased significantly with tooth-brushing frequency (p = 0.03). Normalized plaque S. dentisani values and the percentage of S. dentisani were slightly higher in patients with basal lactic acid levels ≤ 50 mg/L. After rinsing with a sugary solution, the percentage of S. mutans levels in plaque were higher in patients with lactic acid levels > 350 mg/L (p = 0.03). Tooth-brushing frequency was the factor which was most associated with oral health. Women reflected better clinical and biochemical parameters than men. Low pH and high lactic acid levels tended to be associated with high caries rates. No association was found between bacteria levels and caries indices. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Article
First Data in the Process of Validating a Tool to Evaluate Knowledge, Attitude, and Practice of Healthcare Providers in Oral Care of Institutionalized Elderly Residents: Content Validity, Reliability and Pilot Study
Int. J. Environ. Res. Public Health 2021, 18(8), 4145; https://doi.org/10.3390/ijerph18084145 - 14 Apr 2021
Cited by 3 | Viewed by 889
Abstract
Background: Oral health of elderly people is a global concern. Poor oral health in institutionalized elderly people has been attributed to poor knowledge, attitude, and practice (KAP) of healthcare providers. However, no validated KAP tool is available yet. Objective: To develop and validate [...] Read more.
Background: Oral health of elderly people is a global concern. Poor oral health in institutionalized elderly people has been attributed to poor knowledge, attitude, and practice (KAP) of healthcare providers. However, no validated KAP tool is available yet. Objective: To develop and validate a tool to measure knowledge, attitude, and practice of healthcare providers in oral care of institutionalized elderly people. Methods: The development and validation of the tool was based on literature reviews, comments from professional experts, and statistical analytic methods. Content validity in the instrument psychometric property and its relevance with reliability are essential. Content validity ratio and content validity index were performed. Then, a pilot study was conducted in 20 institutionalized healthcare providers for testing applicability, feasibility, and reliability. Results: A total of 43 items were developed in three domains, knowledge (19 items), attitude (13 items), and practice (11 items). Content validity analysis revealed the KAP tool with high values of the I-CVI (score 1.00) and S-CVI (S-CVI/UA result 1.00). The test-retest reliability with Cronbach’s alphas of knowledge, attitude, practice, and overall KAP were 0.67, 0.93, 0.92, and 0.94, respectively. Conclusions: The developed and validated tool is appropriate to measure KAP of healthcare providers in oral care of institutionalized elderly people. It can be used to measure KAP of institutionalized healthcare providers in order to develop appropriate strategies to improve KAP of healthcare providers. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Article
Evaluation of Quality of Life and Satisfaction in Patients with Fixed Prostheses on Zygomatic Implants Compared with the All-on-Four Concept: A Prospective Randomized Clinical Study
Int. J. Environ. Res. Public Health 2021, 18(7), 3426; https://doi.org/10.3390/ijerph18073426 - 25 Mar 2021
Cited by 1 | Viewed by 949
Abstract
Purpose: No published research has compared patients’ quality of life and satisfaction with fixed prostheses supported by zygomatic implants with those supported by all-on-four prostheses. The aim of this study was to evaluate patients’ quality of life and satisfaction with fixed prostheses [...] Read more.
Purpose: No published research has compared patients’ quality of life and satisfaction with fixed prostheses supported by zygomatic implants with those supported by all-on-four prostheses. The aim of this study was to evaluate patients’ quality of life and satisfaction with fixed prostheses on zygomatic implants compared with the all-on-four concept. Materials and Methods: A total of 80 patients with atrophic edentulous maxillae were randomized into two groups: Group 1 (rehabilitated with fixed prostheses supported by 2–4 zygomatic and 2–4 conventional implants in the anterior region) and Group 2 (fixed prostheses on four implants in the anterior region following an all-on-four concept). One year after placement of the definitive prostheses, patients completed OHIP-14 and satisfaction questionnaires. Results: In all seven domains of the OHIP-14 and in the overall scores, a worse quality of life was found in Group 2 patients, with statistically significant differences between the two groups (p ≤ 0.05). Patients with zygomatic implants were more satisfied with their prostheses, with a statistically significant difference (p < 0.001). Conclusions: According to the results of this study, rehabilitation of patients with edentulous atrophic maxillae with prostheses supported by zygomatic implants combined with anterior implants provided better patient quality of life and satisfaction than prostheses supported by four implants. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Systematic Review
Developmental Dental Defects in Permanent Teeth Resulting from Trauma in Primary Dentition: A Systematic Review
Int. J. Environ. Res. Public Health 2022, 19(2), 754; https://doi.org/10.3390/ijerph19020754 - 10 Jan 2022
Viewed by 102
Abstract
The objective was to determine whether trauma in primary dentition causes alterations in the development of permanent dentition. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year [...] Read more.
The objective was to determine whether trauma in primary dentition causes alterations in the development of permanent dentition. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year of publication, were included. The quality of the studies was analyzed using the NOS Scale. The search retrieved 537 references, and seven studies were included for a qualitative analysis. The results showed that trauma to a deciduous tooth can damage the bud of the permanent tooth. Enamel discoloration and/or hypoplasia were the most common sequelae in the permanent teeth after trauma to the primary predecessor. The type and severity of sequelae in the permanent tooth are associated with the development phase of the bud. Children with trauma of their primary teeth should receive checkups until the eruption of the permanent teeth for the early diagnosis and treatment of possible sequelae. Intrusion of the primary tooth was the trauma that caused the most damage and enamel alterations the most frequent sequelae. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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Systematic Review
A Systematic Literature Review of Quality Management Initiatives in Dental Clinics
Int. J. Environ. Res. Public Health 2021, 18(21), 11084; https://doi.org/10.3390/ijerph182111084 - 21 Oct 2021
Viewed by 725
Abstract
By considering the recently proposed definitions and metrics, oral healthcare quality management (OHQM) emerges as a distinct field in the wider healthcare area. The goal of this paper is to systematically review quality management initiatives (QMIs) implementation by dental clinics. The research methodology [...] Read more.
By considering the recently proposed definitions and metrics, oral healthcare quality management (OHQM) emerges as a distinct field in the wider healthcare area. The goal of this paper is to systematically review quality management initiatives (QMIs) implementation by dental clinics. The research methodology approach is a review of 72 sources that have been analyzed using the Context–Intervention–Mechanism–Outcome Framework (CIMO). The analysis identifies five mechanisms that explain how quality management initiatives are implemented by dental clinics. The simplest QMIs implementations are related to (1) overall quality. The next ones, in terms of complexity, are related to (2) patient satisfaction, (3) service quality, (4) internal processes improvement, and (5) business outcomes. This paper is the first attempt to provide a critical review of this topic and represents an important advancement by providing a theoretical framework that explains how quality management is implemented by practitioners in this field. The results can be used by scholars for advancing their studies related to this emerging research area and by healthcare managers in order to better implement their quality management initiatives. Full article
(This article belongs to the Special Issue Oral Health: The First Step to Well-Being)
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