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Oral Health and Clinical Dentistry: Advances and Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (30 December 2024) | Viewed by 1404

Special Issue Editor


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Guest Editor
Dental School, Vita-Salute San Raffaele University, I.R.C.C.S San Raffaele Hospital, Via Olgettina 58, 20132 Milan, Italy
Interests: oral health; periodontal disease; clinical dentistry; oral disease
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Special Issue Information

Dear Colleagues,

The dental care field has changed radically in recent years, as has the rest of the healthcare world. Therefore, safety measures and technology were implemented in a short time and with great effort to provide more protection for the operator and the patient, with inevitable changes such as digitization or the introduction of new materials that were accelerated by the pandemic. All procedures must be effective and safe, especially for patients who are considered phenotypically and/or genetically "fragile".

Frailty, which is a geriatric syndrome that affects 5% to 17% of older adults, is a state of increased vulnerability across multiple health domains that leads to adverse health outcomes. Frail older adults are at an increased risk of falls, disability, hospitalizations and death. Frailty may initially be overlooked or incorrectly identified as part of the normal aging process because of the variable nature of its presentation and diagnosis. The symptoms include generalized weakness, exhaustion, slow gait, poor balance, decreased physical activity, cognitive impairment and weight loss. There is no current recommendation for routine screening. A comprehensive geriatric assessment can identify the risk factors and symptoms that suggest frailty. Several validated frailty assessment tools can evaluate a patient for frailty. Patients are diagnosed as not-frail, prefrail or frail. Patients with a larger number of frail attributes are at higher risk of poor outcomes. The management of frail patients must be individualized and tailored to each patient's goals of care and life expectancy. Physical activity and balance exercises may be suitable for patients who are less frail. Palliative care and symptom control may be appropriate for those who are more frail.

Oral health has assumed key importance in relation to public health and correlations with systemic diseases.

All of this has been accompanied by significant technological developments that have allowed for shorter timelines, reduced discomfort and improved quality of care, including minimally invasive care reserved for patients.

Therefore, this Special Issue aims to gather news regarding dental techniques (in all areas), the care of systemic patients, and the importance of prevention and oral hygiene to ensure quality and outcome, whereby the outcome is understood as success in the dental treatments performed, which, especially in prosthetic rehabilitations, is ensured by periodic checkups and oral hygiene maintenance sessions.

We look forward to receiving your submissions to this Special Issue.

Dr. Elisabetta Maria Polizzi
Guest Editor

Manuscript Submission Information

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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. Journal of Clinical Medicine 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 2600 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

  • oral health
  • prevention
  • oral hygiene
  • minimally invasive dental care
  • parodontal disease
  • systemic patients
  • oral disease

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Published Papers (1 paper)

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18 pages, 2061 KiB  
Systematic Review
The Comparison Between the Different Types of Storage Mediums on the Viability of Periodontal Cells Prior to the Replantation of Avulsed Teeth: A Systematic Review & Meta-Analysis
by Charlotte Anne Blackledge, Marcela Ferrer Molina, Tawfiq Hijazi Alsadi and Susana Muwaquet Rodriguez
J. Clin. Med. 2025, 14(6), 1986; https://doi.org/10.3390/jcm14061986 - 14 Mar 2025
Viewed by 964
Abstract
Background/Objectives: Dental avulsion involves the complete displacement of the tooth from its socket and falls into the most severe categories of the various types of traumatic dental injuries. Successful replantation of the tooth depends on various factors such as the time between [...] Read more.
Background/Objectives: Dental avulsion involves the complete displacement of the tooth from its socket and falls into the most severe categories of the various types of traumatic dental injuries. Successful replantation of the tooth depends on various factors such as the time between the event and replantation, as well as the extra-alveolar storage medium and duration. The adoption of the correct handling measures and use of an appropriate storage medium are key factors that affect the long-term prognosis of the avulsed tooth following replantation. This systematic review and meta-analysis aim to determine if Hank’s Balanced Salt Solution (HBSS) is the most effective storage medium to preserve periodontal (PDL) cell viability following avulsion. Methods: A comprehensive review of the literature available was conducted on the 18 November 2024 across three databases, namely EBSCO (including PubMed-Medline), Scopus, and Web of Science. The review was written according to and following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement created in 2009 and updated in 2020. The following PICO question was constructed for the systematic review: “In patients with avulsed permanent teeth, is Hank’s balanced salt solution more effective in preserving periodontal cell viability to increase the likelihood of a more successful replantation than any other storage media technique available?” A meta-analysis was also conducted with the selected studies, and the software used for this was R 4.3.1 (R Core Team (2018)). Results: A total number of 443 articles were found in the initial search. Of these 443, 9 articles were included in the final systematic review and meta-analysis. 6 out of the 9 articles conclude HBSS to be the most superior storage medium for the preservation of the PDL cells, whilst the other three concluded PDL cell preservation was higher in Morinda citrifolia juice, propolis, and coconut water, suggesting a suitable alternative to HBSS. Nonetheless, the meta-analysis indicated that PDL cell viability was significantly higher using HBSS compared to all other storage media. Conclusions: The systematic review and meta-analysis have provided adequate data in favor of the alternative hypothesis, indicating that Hank’s balanced salt solution is the most effective storage medium in the preservation of periodontal cell viability following the avulsion of permanent teeth. Full article
(This article belongs to the Special Issue Oral Health and Clinical Dentistry: Advances and Challenges)
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