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Introduction:
There is an absence of professional consensus regarding when a tooth should be retained with root canal treatment and when to extract and replace it with an implant. Considering that patients often seek health-related information on the Internet, completeness and accuracy of online content are highly desirable. Websites should also f...
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A multitude of clinical trials have tested therapeutic approaches to treat peri-implantitis but there is still no consensus on what treatment modality leads to the most favorable clinical improvement and reduced implant loss. Therefore, the present systematic review reported on the long-term clinical and radiological outcomes after treatment of per...
Citations
... Within the context of preventive and restorative dentistry, multiple studies focused on patient-centered, web-based health information. Each study assessed information on specific oral conditions and treatment procedures, including endodontics [6][7][8][9][10][11], dental caries [12][13][14][15][16][17], pit and fissure sealant application [18], restoration repair [19], and periodontitis [20][21][22][23][24]. ...
... Previous studies concerning the quality of web-based health information within the context of preventive and restorative dentistry either assessed websites [6,12,13,17,[19][20][21][22][23][24] or YouTube videos [7][8][9][10][11][14][15][16]18] only. This study evaluated both formats of web-based health information on the same topic (ie, erosive tooth wear) and included a higher number of websites than the majority of the previously performed studies [6,12,13,17,19,20,[22][23][24]. ...
... Previous studies concerning the quality of web-based health information within the context of preventive and restorative dentistry either assessed websites [6,12,13,17,[19][20][21][22][23][24] or YouTube videos [7][8][9][10][11][14][15][16]18] only. This study evaluated both formats of web-based health information on the same topic (ie, erosive tooth wear) and included a higher number of websites than the majority of the previously performed studies [6,12,13,17,19,20,[22][23][24]. Furthermore, eligible sources were extended beyond websites published by dental offices. ...
Background: Due to the declining prevalence of dental caries, noncarious tooth defects such as erosive tooth wear have gained increased attention over the past decades. While patients more frequently search the internet for health-related information, the quality of patient-centered, web-based health information on erosive tooth wear is currently unknown.
Objective: This study aimed to assess the quality of patient-centered, web-based health information (websites and YouTube videos) on erosive tooth wear.
Methods: German-language websites were systematically identified through 3 electronic search engines (google.de, bing.de or yahoo.de, and duckduckgo.com) in September 2021. Eligible websites were independently assessed for (1) technical and functional aspects via the LIDA instrument, (2) readability via the Flesch reading-ease score, (3) comprehensiveness of information via a structured checklist, and (4) generic quality and risk of bias via the DISCERN instrument by 2 different reviewers. An overall quality score (ie, higher scores being favored) generated from all 4 domains was used as the primary outcome. Quality scores from each domain were separately analyzed as secondary outcomes and compared by the Friedman test. The effect of practice-specific variables on quality scores of websites from private dental offices was assessed using generalized linear modeling. Eligible YouTube videos were judged based on (1) the comprehensiveness of information, (2) viewers’ interaction, and (3) viewing rate. The comprehensiveness of information was compared between websites and YouTube videos using the Wilcoxon rank-sum test.
Results: Overall, 231 eligible websites and 7 YouTube videos were identified and assessed. The median overall quality of the websites was 33.6% (IQR 29.8%-39.2%). Secondary outcome scores amounted to 64.3% (IQR 59.8%-69.0%) for technical and functional aspects, 40.0% (IQR 34.0%-49.0%) for readability, 11.5% (IQR 3.9%-26.9%) for comprehensiveness of information, and 16.7% (IQR 8.3%-23.3%) for generic quality. While the comprehensiveness of information and generic quality received low scores, technical and functional aspects as well as readability resulted in higher scores (both Padjusted<.001). Regarding practice-specific variables, websites from private dental offices outside Germany (P=.04; B=–6.64, 95% CI –12.85 to –0.42) or from dentists who are a dental society member (P=.049; B=–3.55, 95% CI –7.09 to –0.01) resulted in lower readability scores (ie, were more difficult to read), while a shorter time since dentists’ examination resulted in higher readability scores (P=.01; B=0.24 per year, 95% CI 0.05-0.43). The comprehensiveness of information from YouTube videos was 34.6% (IQR 13.5%-38.5%). However, the comprehensiveness of information did not vary between websites and YouTube videos (P=.09). Additionally, viewers’ interaction (1.7%, IQR 0.7%-3.4%) and viewing rates (101%, IQR 54.6%-112.6%) were low.
Conclusions: The quality of German-language, patient-centered, web-based information on erosive tooth wear was limited. Especially, the comprehensiveness and trustworthiness of the available information were insufficient. Web-based information on erosive tooth wear requires improvement to inform patients comprehensively and reliably.
... Within the context of preventive and restorative dentistry, multiple studies focused on online patientcentered health information. Each study assessed information on specific oral conditions and treatment procedures, including endodontics [6][7][8][9][10][11], dental caries [12][13][14][15][16][17], pit and fissure sealant application [18], restoration repair [19], and periodontitis [20][21][22][23][24]. ...
... Previous studies concerning the quality of online health information within the context of preventive and restorative dentistry either assessed websites [6,12,13,17,[19][20][21][22][23][24] or YouTube videos [7][8][9][10][11][14][15][16]18] only. This study evaluated both formats of online health information on the same topic (ie, erosive tooth wear), and includes a higher number of websites than the majority of the previously performed studies [6,12,13,17,19,20,[22][23][24]. ...
... Previous studies concerning the quality of online health information within the context of preventive and restorative dentistry either assessed websites [6,12,13,17,[19][20][21][22][23][24] or YouTube videos [7][8][9][10][11][14][15][16]18] only. This study evaluated both formats of online health information on the same topic (ie, erosive tooth wear), and includes a higher number of websites than the majority of the previously performed studies [6,12,13,17,19,20,[22][23][24]. Furthermore, eligible sources were extended beyond websites published by dental offices. ...
Background: Due to declining prevalence of dental caries, non-carious tooth defects such as erosive tooth wear gained increased attention over the past decades. While patients more frequently search the internet for health-related information, quality of patient-centered online health information on erosive tooth wear is currently unknown.
Objective: This study aimed to assess the quality of patient-centered online health information (websites and YouTube videos) on erosive tooth wear.
Methods: German-speaking websites were systematically identified through 3 electronic search engines (google.de, bing.de/yahoo.de, duckduckgo.com) in September 2021. Eligible websites were independently assessed for (1) technically and functional aspects via LIDA instrument, (2) readability via Flesch reading-ease score test, (3) comprehensiveness of information via a structured checklist, and (4) generic quality and risk of bias via DISCERN instrument by 2 reviewers. An overall quality score generated from all 4 domains was used as primary outcome. Quality scores from each domain were separately analyzed as secondary outcomes and compared by Friedman test followed by Dunn-Bonferroni post-hoc tests. The effect of practice-specific variables on quality scores of websites from private dental offices was assessed using generalized linear modelling (GLM). Eligible YouTube videos were judged based on (1) comprehensiveness of information, (2) viewers’ interaction, and (3) viewing rate. Comprehensiveness of information was compared between websites and YouTube videos using Wilcoxon rank-sum test.
Results: A total of 231 eligible websites and 7 YouTube videos was identified and assessed. The median overall quality of the websites was 33.6% (IQR 29.8%-39.2%). Secondary outcome scores amounted to 64.3% (IQR 59.8%-69.0%) for technical and functional aspects, 40.0% (IQR 34.0%-49.0%) for readability, 11.5% (IQR 3.9%-26.9%) for comprehensiveness of information, and 16.7% (IQR 8.3%-23.3%) for generic quality and risk of bias. While comprehensiveness of information and generic quality and risk of bias were low, technical and functional aspects as well as readability resulted in higher scores (both Padjusted<.001/Friedman test). Regarding readability, websites from foreign private dental offices (P=.04/GLM, B=–6.64, 95% CI –12.85 to –0.42) or from dentists being a dental society member (P=.049/GLM, B=–3.55, 95% CI –7.09 to –0.01) resulted in lower scores (ie, were more difficult to read), while a shorter time since dentists’ examination resulted in higher scores (P=.01/GLM, B=0.24 per year, 95% CI 0.05 to 0.43). The comprehensiveness of information of YouTube videos was 34.6% (IQR 13.5%-38.5%). However, comprehensiveness of information did not vary between websites and YouTube videos (P=.09/Wilcoxon rank-sum test). Also, viewers’ interaction (1.7%, IQR 0.7%-3.4%) and viewing rates (101.0%, IQR 54.6%-112.6%) were low.
Conclusions: The quality of German-speaking patient-centered online information on erosive tooth wear was found to be limited. Especially, comprehensiveness and trustworthiness of the available information was insufficient. Online information on erosive tooth wear requires improvement to inform patients comprehensively and reliably.
... Along still being 'free' for eligible serving personnel, there is also likely to be a desire to maintain a functional dentition into older age, perhaps influenced by population trends and cosmetic awareness in the popular media. [2][3][4][5][6] Tooth loss can result from multiple reasons that include: trauma, periodontal disease, caries, extensive tooth surface loss, cracks/fractures, associated pathosis affecting the crown/root or as a component of multi-disciplinary treatment planning. [7,8] Tooth loss can affect a patients function and quality of life. ...
Introduction:
Root canal treatment (RCT) plays an important role in preserving the dentition by deferring other invasive treatments. Data on tooth survival and predictive factors for tooth loss after RCT in the military cohort are lacking. This investigation aimed to determine the proportion of teeth surviving in an 8-year period after RCT and identify potential predictive factors for tooth loss in a UK military cohort.
Methodology:
A retrospective review of an integrated electronic health record for military patients who had received RCT was performed in a random sample of 205 patients (n=219 root-filled teeth) who had received RCT between 1 January 2011 and 1 January 2012. Tooth survival was defined as tooth presence, regardless of signs or symptoms, and measured from the point of root filling until either the end of the designated study period or time of extraction. Survival was evaluated using Kaplan-Meier estimates and association with tooth loss using the χ2 test. Potentially significant predictive factors were investigated using univariate Cox regression.
Results:
Tooth survival following RCT was 98% after 24 months; 88% after 48 months; 83% after 72 months; and 78% after 96 months. Four predictive factors were found to affect tooth loss as follows: preoperative pain (HR=3.2; p<0.001), teeth with less than two proximal contacts (HR=3.0; p=0.01), teeth with cores involving more than two surfaces (HR=2.0; p=0.03) and postoperative unscheduled dental attendances (UDA) (HR=2.7; p=0.01).
Conclusions:
Within the limitations of this study, the presence of preoperative pain; teeth with less than two proximal contacts or with cores involving more than two tooth surfaces; and occurrence of postoperative UDA were found to significantly increase the hazard of tooth loss.
... The transformation of academic publication from print to electronic format in the 1990s helped increase the speed of publication and broaden knowledge dissemination and access beyond academia (Haustein, 2016;Schauder, 1994). This has enabled multiple stakeholders, including the public, easier access to research-based health knowledge (Doğramacı & Rossi-Fedele, 2016a;Kim et al., 2020;Rossi-Fedele et al., 2016). Increasingly, research is referred to on websites of private individuals, commercial organisations, news organisations, public and private institutions, professional societies, organisations and associations, and medical/dental practices (Doğramacı & Rossi-Fedele, 2016a;Kim et al., 2020). ...
The aim of this study was to identify the factors that predict societal and professional impact of orthodontic research and determine the orthodontic research articles that achieved the greatest societal impact. Medline was used to identify all orthodontic research articles published in 2019 in orthodontic or non-orthodontic journals. Author affiliations, journal, article type and grant-funding were collected from Medline. Journal impact factors (IF) were obtained from Incites Journal Citation Reports, article-level metrics including Altmetric Attention Score (AAS) were sourced using Altmetric Explorer, citation counts were retrieved from Scopus, news mentions were searched using ProQuest. Data analysis comprised descriptive statistics, frequency distributions, cross-tabulations and un/adjusted negative binomial regression models (P < 0.05). 825 articles were identified for inclusion: 741 were primary research, 354 originated from Asia, 669 were published in orthodontic journals, 606 in an IF journal, 303 were available as open access, 168 were grant funded, 73 had a news mention and 148 had an AAS—the highest being 63. Adjusted models showed significant associations between origin of research, article type, grant-funding and open access with societal impact whereas publication in an IF journal, article type, grant-funding and AAS were strongly associated with professional impact. Altmetric-tracked news and Twitter mentions were common amongst the articles with greatest societal impact. Grant-funding and article type were common predictors of both societal and professional impact of orthodontic research, however, the predictive value of these factors is limited to a short-timeframe and may not necessarily influence longer-term outcomes.
... However, severe resorption, defined as greater than 4mm or a third of the original root length, 5,6,7 can jeopardise the outcome of orthodontic treatment, 7 with one of the possible outcomes being increased tooth mobility, on account of the reduction in intra-alveolar root length changing the crown:root ratio, leading to possible tooth loss. 8 Restorative replacement with either removable or fixed prosthodontics, or a single tooth implant, present significant difficulties and limitations, 9,10 which would be marked in the case of a mandibular incisor. ...
Maxillary and mandibular incisors have increased risk for severe orthodontically induced inflammatory root resorption. A patient-related risk factor is aberrant root morphology. This study aimed to assess the frequency of detection of different root morphologies in anterior teeth using dental panoramic tomography (DPT) and long cone periapical radiographs (LCPAs). A retrospective cross-sectional design was used to assess a sample of 50 consecutive pre-treatment radiographic records of patients from a specialist orthodontic practice in Adelaide, Australia. A reference guide was developed that included three previously unreported morphologies: pipette and bent, bent and pointed, bent and blunt. Two trained and calibrated assessors examined each record against the inclusion criteria, then independently assessed each anterior tooth from DPTs and LCPAs to detect the type of root morphology present. Data were analysed using the chi-square statistical test. Radiographic records for 48 patients (48 DPTs and 161 LCPAs) were eligible, with 355 and 426 teeth on DPTs and LCPAs, respectively, included for assessment. Normal root morphology (119 teeth) was commonly observed in DPTs, while bent (154 teeth) was frequently observed using LCPAs. Mandibular incisors often had normal morphology in DPTs but bent in LCPAs. Bent was the most common morphology in maxillary lateral incisors using DPT and LCPAs, although maxillary centrals were mostly normal in DPTs but pointed in LCPAs. Differences using the two image acquisition methods were highly significant (p < 0.01). Aberrant root morphologies are more easily detected in anterior teeth using LCPAs compared to DPTs.
... However, severe resorption, defined as greater than 4mm or a third of the original root length, 5,6,7 can jeopardise the outcome of orthodontic treatment, 7 with one of the possible outcomes being increased tooth mobility, on account of the reduction in intra-alveolar root length changing the crown:root ratio, leading to possible tooth loss. 8 Restorative replacement with either removable or fixed prosthodontics, or a single tooth implant, present significant difficulties and limitations, 9,10 which would be marked in the case of a mandibular incisor. ...
... D ental implants are used commonly for the rehabilitation of edentulous areas as an alternative to fixed and removable prosthodontics. 1,2 Frequently reported reasons for tooth extraction include caries with its sequelae, including apical periodontitis and periodontal disease. [3][4][5] Granulatory tissues in chronic infection of endodontic or periodontal origin contain a relatively high proportion of epithelial tissue, 6 which can proliferate in the presence of inflammation, with subsequent formation of cysts. ...
Background and Overview
The authors describe 3 cases of retrograde peri-implantitis associated with residual cysts and their successful surgical and regenerative management. Implants were originally placed with both immediate and delayed protocols.
Case Description
Three patients sought treatment at the authors’ specialist private practices with the chief symptoms of pain and swelling in association with implant-retained restorations. Clinical, radiographic, and histopathologic findings supported the diagnoses of infected residual cysts. The lesions were enucleated in toto, the implant surfaces were decontaminated, and bone regeneration procedures were carried out. Long-term recall visits, ranging from 3 through 10 years, confirmed successful retention of all implants treated accordingly.
Conclusions and Practical Implications
The authors describe an unusual clinical manifestation and emphasize the role of local procedures during implant placement in areas compromised with infection, cysts, or both and the importance of long-term recall visits.
... In line with these studies, the DISCERN toolkit can be used to judge the quality of health information by analyzing reliable published material, and the LIDA instrument allows design evaluation and analysis of accessible health information contents. 51,52 The understanding of health information requires a high school education. It should be mentioned that the more reliable web sites do not appear on the top list sites mentioned by the three search engines such as Google, Bing, and Yahoo. ...
Background: Internet represents a relevant source of information, but reliability of data that can be obtained by the web is still an unsolved issue. Non-reliable online information may have a relevance, especially in taking decisions related to health problems. Uncertainties on the quality of online health data may have a negative impact on health-related choices of citizens.
Objective: This work consisted in a cross-sectional literature review of published papers on online health information. The two main research objectives consisted in the analysis of trends in the use of health web sites and in the quality assessment and reliability levels of web medical sites.
Methods: Literature research was made using four digital reference databases, namely PubMed, British Medical Journal, Biomed, and CINAHL. Entries used were “trustworthy of medical information online,” “survey to evaluate medical information online,” “medical information online,” and “habits of web-based health information users”. Analysis included only papers published in English. The Newcastle Ottawa Scale was used to conduct quality checks of selected works.
Results: Literature analysis using the above entries resulted in 212 studies. Twenty-four articles in line with study objectives, and user characteristics were selected. People more prone to use the internet for obtaining health information were females, younger people, scholars, and employees. Reliability of different online health sites is an issue taken into account by the majority of people using the internet for obtaining health information and physician assistance could help people to surf more safe health web sites.
Conclusions: Limited health information and/or web literacy can cause misunderstandings in evaluating medical data found
in the web. An appropriate education plan and evaluation tools could enhance user skills and bring to a more cautious analysis of health information found in the web.
... This preserves the remaining dentin structure, which may decrease susceptibility to root fracture. [23][24][25][26] No technique for removing obturation material ensures its complete removal from the dentinal root surface, 27 and different protocols for obturation removal will result in different amounts of remaining material. 28 In the present study, the removal technique used was based on the heated condenser technique, which may have resulted in larger amounts of remaining material, affecting the obtained results. ...
Statement of problem
An intraradicular retainer formed by multiple independent glass fiber filaments was developed aiming to allow better adaptation in flattened root canals; however, the performance of the new posts is unclear.
Purpose
The purpose of this in vitro study was to compare the bond strength (BS) and adhesive interface quality achieved in flattened root canals restored with conventional glass fiber posts (CFPs) and multifilament glass fiber posts (MFPs).
Material and methods
The distal roots of mandibular molars with long oval root canals were endodontically treated, and the obturation material was removed and assigned to 2 groups (n=11) according to the type of retainer used: CFP (WhitePostDC#0.5; FGM) or MFP (CometTail#4; Synca). The posts were cemented with self-adhesive resin cement. The specimens were sectioned (2 slices per third). The most cervical slice in each third was used to evaluate the BS, while the adhesive interface in the apical slices was analyzed by scanning electron microscopy. BS data were analyzed by using a multilevel generalized linear model, and adhesive interface SEM data were analyzed by using a multilevel ordinal logistic regression model (α=.05).
Results
Multilevel regression showed a statistically significant difference for the “type of retainer” factor (P=.001; CFP 2.61 ±1.30>MFP 1.59 ±1.54). No statistically significant differences were found for the “root thirds” factor (P=.346) or for the interaction of both factors (P=.114). The failure pattern was predominantly mixed or adhesive for CFP and adhesive to dentin for MFP. A better adaptation of the restorative material was observed in the cervical third for CFP and in the apical third for MFP (P<.001).
Conclusions
MFP resulted in lower BS values than CFP, with a higher prevalence of adhesive failures to dentin and better adaptation of the adhesive interface in the apical third.
... This cross-sectional study based its methodology on previously published studies investigating the availability and quality of patient education information. 14,15,16 Identification of professional organisations/specialist dental societies and obtaining post-operative instructions ...
... To facilitate data presentation, all summed DISCERN scores were converted into percentage scores and graded as high (>90%), moderate (50-90%) and low (<50%). 14,15 Prior to assessment of all sets of instructions, a sample of 10% of the identified content, selected randomly using a number generator ...
Aims To assess the quality of information targeting lay people regarding post-operative instructions after minor oral surgery (MOS), and to determine the level of evidence of any scientific articles cited in the instructions.
Design and setting A dynamic Internet-based cross-sectional study.
Materials and methods An Internet search for professional organisations/specialist dental societies in ten English-speaking countries with a search of their websites was conducted to locate post-operative instructions. Where not readily available, these were requested from each respective organisation/society. Reliability and quality of the instructions were assessed using the DISCERN instrument. Evidence level of cited articles was analysed using the Joanna Briggs Institute Levels of Evidence.
Results Of the 59 identified organisations/societies, 26 sets of instructions were assessed. Overall quality of information was low, represented by median scores of 45%, 42.9% and 42.7% for reliability, quality of information and total DISCERN score, respectively. Only two instructions cited articles to support their content; these were of moderate-low level evidence.
Conclusion Post-operative instructions following MOS that target the lay public have low quality and cite articles of moderate-low level evidence to support their content. Peak organisations should ensure such content is easily locatable, of high quality and is supported by high-level evidence.
