Kerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120180131Journal Index84808ENIndexJournalJournal Article20150507Please Click to download the index of this issue.Kerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150217Systematic review and meta-analysis of diagnostic value of epicutaneous patch testing in patients with oral lichenoid lesions1984809ENZahraAtaeiAssociate Professor, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranNaderNavabiAssistant Professor, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0001-6321-0089HedayatMohammadiAssistant Professor, Department of Oral Medicine, School of Dentistry, Kurdestan University of Medical Sciences, Sannandaj, IranRahaHabib-AgahiPhD Student, Oral and Dental Diseases Research Center AND Department of Dental Materials, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranJournal Article20150217BACKGROUND AND AIM: We sought to carry out a systematic review and meta-analysis of the diagnostic value of epicutaneous patch testing in patients with oral lichenoid lesions (OLLs). METHODS: Bibliographic searches were conducted in electronic databases such as PubMed, the Cochrane library, EBSCO, Scopus, Web of knowledge and Google scholar from January 1990 to December 2011. Search terms related to some or all of the population, intervention, comparison and outcome components (PICO components) were entered into literature databases. Studies were reviewed with respect to inclusion criteria, and data of patient with oral lichenoid reactions, who underwent patch tests, the results of the tests and the healing processes after replacement therapy were reviewed. Data were analyzed by calculating odds ratios (OR) and confidence intervals (CIs) using Stata software program. RESULTS: 24 studies compared the diagnostic value of patch testing in patients with OLL; 9 studies were included in the meta-analysis. A total of 806 men and women with an age range of 23-84 were evaluated. 16 to 68% of patients had positive patch test results. A total of 443 patients had their restorations replaced, and complete healing ranged from 20 to 93% use expanded form of OLLs at the first time. OR index was 7.8 and 95% CI (3.39-18.38) showed that the chance of recovery of lichenoid lesions in positive patch test patients was 3.4-18.4 times greater than negative patch test patients. CONCLUSION: Patch test has good diagnostic value in replacing restorative dental materials in patients with OLLs.https://johoe.kmu.ac.ir/article_84809_2971365c3e7d0ae07ade0d5f59e584a5.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150223Comparison of the frequency of dentoalveolar deformities in consanguineous marriages and non-consanguineous marriages in Kerman, Iran101684810ENJavadFaryabiAssociate Professor, Kerman Oral and Dental Disease Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Oral and Maxillofacial Surgery, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0001-7580-0211RaziehHoseinifarAssistant Professor, Department of Restorative Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0001-6472-7100Journal Article20150223BACKGROUND AND AIM: Consanguineous marriage is one of the causes of congenital deformities and genetic diseases. The aim of this study was to evaluate the role of consanguineous marriage in dentoalveolar deformities in 16-18 years old adolescents with parental consanguineous marriages in Kerman, Iran. METHODS: A total of 388 female and male adolescents participated in this study. The subjects were divided into two groups of case and control (with consanguineous marriages and non-consanguineous Marriages respectively) and examined carefully and a special questionnaire was completed for each group, then data were analyzed by SPSS using multiple logistic regression analysis. RESULTS: Showed that Class III malocclusion in girls and boys was significantly more prevalent in consanguineous marriages (P < 0.001), and the prevalence of Class I malocclusion was significantly higher in non-consanguineous marriages (P = 0.001). The prevalence rates of other dentoalveolar deformities were not significantly different between the two consanguineous and non-consanguineous marriage groups (P > 0.050). CONCLUSION: When parents have Class III malocclusion, consanguineous marriage can play a major role as a predisposing factor for Class III malocclusion in their children.https://johoe.kmu.ac.ir/article_84810_177d1f5772a3aaa69e313582d20f0960.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150223Evaluation of referral system to endodontists among a group of general dental practitioners172384811ENZahraTavakolinejadResident, Kerman Social Determinants on Oral Health Research Center AND Department of Orthodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranMaryam AlsadatHashemipourAssociate Professor, Kerman Social Determinants on Oral Health Research Center AND Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranArashShahravanAssociate Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Endodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0001-5344-536XAzinMirzadehDentist, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, IranMoghdehMansoriMSc Student, Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranSaied AmirhosseinGandjalikhan-NassabStudent of Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, IranJournal Article20150223BACKGROUND AND AIM: The primary providers of health services are general dental practitioners (GDPs), who must routinely do the diagnosis and treatment planning except in complicated cases. The present study evaluation of a referral system to endodontists among a group of GDPs in Iran. METHODS: This descriptive study was performed on 620 Iranian general dentists. A questionnaire with an accepted validity and reliability was chosen. A self-administrated questionnaire including demographic characteristics, general and the special question was distributed among GDPs participating in the 52th International Congress of Dentistry in Iran by a senior undergraduate student. Data was analyzed with a chi-squared test using SPSS. RESULTS: Female dental practitioners were more likely to refer the patients to the Endodontists than males (96.3 vs. 94.3% - P = 0.040). Canal obstruction was considered the most frequently factor (35.0% important and 60.0% very important) in making a decision to refer the case, followed by the presence of a perforation (40.0% important and 30.0% very important), complicated trauma (45.0% important and 35.0% very important), need for retreatment (40.0% important and 30.0% very important and the presence of a post-and-core in combination with a crown or bridge(30.0% important and 35.0% very important). CONCLUSION: This survey showed that many Iranian dentists had a positive attitude toward referral system, although in some circumstances. This system is not well-managed, and the dentists prefer to perform the specialty procedures by themselves. Therefore, it is recommended that the case selection and treatment planning as much as to be taught to the dentists for the prevention of the issues in complicated cases.https://johoe.kmu.ac.ir/article_84811_a130db58763776382ffac55516ca9c17.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150112Different type of periodontitis and gingivitis in patients with major thalassemia comparing to healthy people242984812ENMohadesehArabsolgharAssistant Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Periodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranMohamadMohammadiAssistant Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Periodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranAmirKahehResident, Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranAnahitaNorouzifardResident, Department of Periodontics, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranSadeghAhmadzadehDentist, Private Practice, Kerman, IranJournal Article20150112BACKGROUND AND AIM: Iran is located on the thalassemia belt and has the highest prevalence rate of patients compared to the general population in the world. This investigation was performed to determine the prevalence of gingivitis and periodontitis in thalassemia patients in comparison to healthy people and evaluate the relationship between periodontal disease and age, gender, splenectomy and dosage of desferal. METHODS: In this cross-sectional study, 133 thalassemia patients and 133 healthy people were examined. Clinical examination was performed by periodontal probe and age, gender, desferal dosage, smoking, occlusion, dental alignment were recorded. The results were analyzed using ANOVA, Chi-square, and t-test. RESULTS: Prevalence of gingivitis and periodontitis in thalassemia patients was significantly higher than the control group (P = 0.049). However, no difference was observed in the severity of periodontitis. Results showed that age, xerostomia and splenectomy are associated with periodontitis, and dental alignment was correlated with gingivitis. Calculus index (CI) was reported to be more in thalassemia patients, but results showed no significant difference in debris index (DI) however DI was significantly higher in anterior maxillary sextant. CONCLUSION: Due to the higher prevalence of gingivitis and periodontitis in patients with thalassemia and susceptibility to infection, preventive and therapeutic treatment is essential in these patients.https://johoe.kmu.ac.ir/article_84812_e0c6a6a94c2d3050c36492de8d005fae.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150120Self-perceived oral health and its determinants among adult dental patients in a University Dental Clinic in Tehran, Iran303784813ENSimin Z.MohebbiAssociate Professor, Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranSedighehSheikhzadehPostgraduate Student, Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, IranNargesEzzati-GiviPostgraduate Student, Department of Periodontics, School of Dentistry, Ahvaz Jondishapur University of Medical Sciences, Tehran, IranHajarShekarchizadehAssistant Professor, Department of Community Oral Health, School of Dentistry, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran0000-0003-0991-7125Journal Article20150120BACKGROUND AND AIM: Self-perceived oral health is a simple, non-invasive, and inexpensive method of data collection, which considers the psychosocial aspects of oral health and is related to the likelihood of seeking oral health care. Our study aimed to assess the association between self-perceived and clinically determined findings of oral health in a context of socio-economic status (SES) and perceived general health among adult dental patients in a university dental clinic. METHODS: Through a cross-sectional study, we collected the data from 499, 20-50 years olds attending dental clinic of Tehran University of Medical Sciences, Iran, using valid questionnaire-led interviews about patients’ demographic characteristics; their perceived general health, and oral health. In addition, clinical oral examination was performed to assess decayed missing filled teeth (DMFT) index and prosthesis status of the participants. Spearman correlation, ANOVA and a linear regression model served for statistical analysis. RESULTS: The mean age of the participants was 34.8 years [SD (Standard deviation) = 9.91] and more than half of them were women (51.9%). While as high as 73.0% of the patients perceived their general health as excellent or good, only 31.0% reported the same with their oral health. Self-perceived oral health was positively associated with self-perceived general health. The younger participants, patients with a higher number of missing and decayed teeth, and those participants wearing more complicated prosthesis in the upper jaw reported worse oral health status (P < 0.050). CONCLUSION: Oral conditions have significant effects on function and well-being. The present association between clinically determined and self-perceived oral health admitted that it might be beneficial to monitor oral health using such inexpensive and non-invasive method.https://johoe.kmu.ac.ir/article_84813_8b2c3debce1dca33a71b24cc484b43f8.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150310Oral mucosa lesions and risk habits: A cross-sectional study in North Serbia student population384584814ENMilosCankovicAssistant Professor, Department of Oral Medicine, School of Medicine, University of Novi Sad, Novi Sad, SerbiaMarijaBokor-BraticProfessor, Department of Oral Medicine, School of Medicine, University of Novi Sad, Novi Sad, SerbiaTijanaTovilovicPhD Student, Department of Oral Medicine, School of Medicine, University of Novi Sad, Novi Sad, SerbiaJelenaVuleticPhD Student, Department of Oral Medicine, Dental Clinic, School of Medicine, University of Novi Sad, Novi Sad, SerbiaJournal Article20150310BACKGROUND AND AIM: Epidemiological studies have established a wide variation in the prevalence of oral lesions in different population. Officially oral mucosa diseases can occur in 25-50% of cases, depending on the population to which the survey was conducted. We examined the relationship between oral mucosal lesions, tongue pH level, gingivitis, oral hygiene, and oral health behaviors in student’s population. METHODS: The study was conducted among 100 dental and medical final year students with age ranges of 23-26 years at the University of Novi Sad, School of Medicine. Information about the habits and the presence of the oral mucosa lesions (OML) were collected by interview and clinical examination. Tongue pH level, gingival and approximal plaque-space index (API) was measured. Association between variables was tested with univariate and multivariate analysis. RESULTS: Lesions of the oral mucosa were found in 61% of the students. Analysis showed relationship between oral hygiene accessories and tongue lesions (P < 0.010), male students who do not consume alcohol or tea and gingivitis (P < 0.050). It was determined that coffee consumption has a significant effect on tongue pH level (P < 0.050) and prevalence of melanin pigmentation (P < 0.010). Students who consume tea showed significantly more often appearance of fissured tongue (P < 0.050) and leukoedema of buccal mucosa (P < 0.050). Significant association regarding gender was found in prevalence of tongue impressions (P < 0.050), paleness of the oral mucosa (P < 0.010) and recurrent aphthous ulcers (P < 0.050), along with acid tongue pH and oral hygiene level. CONCLUSION: According to the results, there is a high prevalence of oral mucosal lesions, as well as the existence of the association between some oral mucosal lesions, gender, harmful habits and oral hygiene accessories.https://johoe.kmu.ac.ir/article_84814_19c68ba7d9dca8e8cd1246969dcbb7e1.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150223Bilateral supernumerary maxillary lateral incisors: A rare case report465084815ENSomayehHekmatfarAssistant Professor, Department of Pediatric Dentistry, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, IranSamanehBadakhshAssistant Professor, Department of Pediatric Dentistry, School of Dentistry, Zanjan University of Medical Sciences, Zanajan, IranKarimJafariAssistant Professor, Department of Prosthodontics, School of Dentistry, Ardabil University of Medical Sciences, Ardabil, IranJournal Article20150223BACKGROUND AND AIM: Supernumerary tooth (ST) is considered as a developmental tooth abnormality in number that most often occurs in the anterior region of the maxilla. They may erupt or remain impacted in the alveolar bone. The impacted teeth can cause eruptional disturbances for the adjacent developing teeth. CASE REPORT: A case of bilateral supplemental maxillary lateral incisors in a nonsyndromic 9-year-old boy, with no adverse effect on the adjacent teeth, is reported. Patient’s medical history was non-contributory. Family history was negative for any dental abnormality. CONCLUSION: Radiographic assessment of both dental arches can discover any potential problem likely to develop during the course of the child’s growth. Early diagnosis is important in order to minimize the risk of complications. Formation of supplemental lateral incisors occurs less frequently, and bilateral cases are rarely found.https://johoe.kmu.ac.ir/article_84815_d55fa1d6ae842df5921669369007735c.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13724120150421Calcifying epithelial odontogenic (Pindborg) tumor involving a 16-year-old girl with no prominent clinical manifestation: A case report515784816ENAlirezaHalaj-MofradAssistant Professor, Kerman Oral and Dental Disease Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Oral and Maxillofacial Surgery, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranMoonesRajabiAssistant Professor, Kerman Oral and Dental Disease Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Oral and Maxillofacial Pathology, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranShahriarDabiriProfessor, Department of Pathology, Afzalipour School of Medicine, Kerman University of Medical Sciences, Kerman, IranJournal Article20150421BACKGROUND AND AIM: The calcifying epithelial odontogenic tumor (CEOT) is a rare entity described by Pindborg and represents < 1% of all odontogenic tumors. Nearly 200 cases of this neoplasm have been reported to date. It mostly occurs in the posterior mandible associated with an impacted tooth, most often a mandibular molar. Patients are usually between 30 and 50 years of age, with no sex predilection. CASE REPORT: Presented here is a case of an intraosseous CEOT, which occurred in a 16-year-old female in the body of the mandible extending from tooth nos. 32 to 47 with no specific clinical manifestations. CONCLUSION: CEOT accounts for < 1% of all odontogenic tumors. Approximately 200 cases have been reported today. This case report describes the clinical, radiographic and microscopic features of a large CEOT in a 16-year-old girl, which although was big in size, had no specific clinical manifestations. The patient reported a relatively rapid evolution of the tumor in the mandibular region, which is a unique manifestation.https://johoe.kmu.ac.ir/article_84816_badbd9b561295f1f675c51597f578d21.pdf