Kerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Journal Index84871ENIndexJournalJournal Article20171230Please Click to download the index of this issue.https://johoe.kmu.ac.ir/article_84871_8ae1c6f6dbebf24118cb6316c39fd872.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Assessing the questionnaires on perceived oral healthcare need: A systematic review17318684872ENZahraYaghoubiPhD Student, Social Determinants on Oral Health Research Center AND Department of Dental Public Health, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranTayebehMalek-MohammadiAssociate Professor, Social Determinants of Health Research Center, Institute for Futures Studies in Health AND Department of Dental Public Health, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranMohammadKhajedalueeProfessor, Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranMaryamSalehiAssociate Professor, Research Center for Patient Safety AND Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, IranJournal Article20170104BACKGROUND AND AIM: Perception of the need for oral healthcare plays a key role in creating motivation and demand for utilization of oral healthcare services. Furthermore, while the lack of resources, people with perceived needs to oral healthcare, due to the higher profit potential of services, will be on higher priority for services. The aim of this study was to undertake a systematic review of the existing literature about questionnaires used for assessing the perceived oral healthcare needs.METHODS: The search was conducted in PubMed, ISI and Scopus databases in March 2016. Questionnaire-based and the papers which aimed to determine the perceived need for any type of oral healthcare and dental treatment were included to this study. After determining the appropriate papers, related data were extracted and reviewed.RESULTS: Out of 7069 records found, 190 questionnaire-based papers were included in the review. Ninety-four papers were related to the overall evaluation of oral healthcare need, which did not ask the need for types of oral healthcare service. Sixty-six papers studied the need for a specified dental service, and thirty papers recorded the types of oral healthcare service via asking the open or multiple choices questions. There were not comprehensive and standard questionnaires covering all the common types of oral healthcare services.CONCLUSION: Despite the importance of considering the perception of needs for oral healthcare, there is a lack of the comprehensive and standard questionnaires. Studies aimed to assess perceived oral healthcare needs should use questionnaires which include appropriate items on common types of oral healthcare services based on the characteristics of the target group. Concordance with perceived and normative need is an issue that should be addressed in future researches.https://johoe.kmu.ac.ir/article_84872_b5905dbd82cfe3cc6c725196d98aece5.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Clinical decision support system, a potential solution for diagnostic accuracy improvement in oral squamous cell carcinoma: A systematic review18719584873ENHamidehEhteshamPhD Candidate, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, IranRezaSafdariProfessor, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, IranArashMansourianAssociate Professor, Department of Oral Medicine AND Dental Research Center, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran0000-0003-1618-1558ShahramTahmasebianAssistant Professor, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, IranNiloofarMohammadzadehAssistant Professor, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, IranMarjanGhazisaeediAssistant Professor, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, IranAzadehBashiriPhD Candidate, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, IranJournal Article20170213BACKGROUND AND AIM: Oral squamous cell carcinoma (OSCC) is a rapidly progressive disease and despite the progress in the treatment of cancer, remains a life-threatening illness with a poor prognosis. Diagnostic techniques of the oral cavity are not painful, non-invasive, simple and inexpensive methods. Clinical decision support systems (CDSSs) are the most important diagnostic technologies used to help health professionals to analyze patients’ data and make decisions. This paper, by studying CDSS applications in the process of providing care for the cancer patients, has looked into the CDSS potentials in OSCC diagnosis.METHODS: We retrieved relevant articles indexed in MEDLINE/PubMed database using high-quality keywords. First the title and then the abstract of the related articles were reviewed in the step of screening. Only research articles which had designed clinical decision support system in different stages of providing care for the cancer patient were retained in this study according to the input criteria.RESULTS: Various studies have been conducted about the important roles of CDSS in health processes related to different types of cancer. According to the aim of studies, we categorized them into several groups including treatment, diagnosis, risk assessment, screening, and survival estimation.CONCLUSION: Successful experiences in the field of CDSS applications in different types of cancer have indicated that machine learning methods have a high potential to manage the data and diagnostic improvement in OSCC intelligently and accurately.https://johoe.kmu.ac.ir/article_84873_bf264549d1b2f4d140cb5e27c92fd17b.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201The association between growth factors and blood factors with early childhood caries19620284874ENHodaShamsaddinAssistant Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Pediatric Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranFatemehJahanimoghadamAssociate Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0003-0990-5386HamidrezaPoureslamiProfessor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0003-2626-8630Ali AkbarHaghdoostProfessor, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranJournal Article20171102BACKGROUND AND AIM: Early childhood caries (ECC) is a specific form of rampant dental caries affecting infants and young children. ECC is still a problem that threatens the health of the community and its management is important. It is believed that the majorities of children with ECC also suffer from malnutrition, anemia, low weight and altered physical growth patterns. This study was undertaken to compare blood indices [mean corpuscular volume (MCV), hemoglobin and serum ferritin] in a population of children in Kerman, Iran, and the association between growth factors, blood parameters, and ECC.METHODS: In this cross-sectional study, 240 children were selected from Afzalipour Hospital of Kerman. The subjects consisted of 2 to 6-year children, who needed blood sampling for different diagnostic reasons. Data were collected through clinical oral examinations, anthropometric measures, blood indices measurement (MCV, hemoglobin and serum ferritin) and structured questionnaire in order to assess demographic characteristics, nutritional habits and the presence or absence of systemic conditions. Data were analyzed using SPSS software.RESULTS: The mean age of subjects was 50.79 months. Of 240 children included in this study, 124 (52.1%) were girls and the rest (47.9%) were boys. Statistical test revealed that there were statically significant differences in weight as well as the height of children in experimental and control groups (P < 0.050). No significant differences were detected in the frequencies of low hematocrit levels between the groups with and without dental caries (P > 0.050).CONCLUSION: No significant association was observed between ECC and blood indices (MCV, hemoglobin and serum ferritin), but the mean height and weight in the caries-free group were significantly higher.https://johoe.kmu.ac.ir/article_84874_65021e15c67f1c3a8782649e1a4df548.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201A retrospective study of children and adolescents oral and maxillofacial lesions over a 20-year period in Kerman, Iran20321084875ENMolookTorabi-PariziAssociate Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Pathology, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranHamidrezaPoureslamiProfessor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Pediatrics, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0003-2626-8630SoodabehTorabi-PariziDentist, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranMahsaKalantariAssistant Professor, Oral and Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research Center AND Department of Pathology, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranJournal Article20170813BACKGROUND AND AIM: Oral and maxillofacial lesions vary in different geographic regions based on their clinical features. Until now, few investigations have studied these lesions in children and adolescents in Iran. The aim of this research was to study the clinicopathological manifestations of biopsied oral and maxillofacial lesions among children and adolescents in the south of Iran.METHODS: In this retrospective cross-sectional study, all the cases referred to the Department of Pathology, Kerman faculty of Dentistry, and two treatment centers of Kerman University of Medical Sciences, Kerman, Iran during 1996-2015 were included. All demographic information including age, gender, anatomic location and histopathologic diagnosis of the oral and maxillofacial biopsies in patients under 18 years was extracted from patients’ chart fields. SPSS was used for the data analysis.RESULTS: Of 3196 oral and maxillofacial lesions, 326 cases (10.2%) occurred in the age group under 18 years. The most common group was inflammatory/reactive lesions (36.8%). The most common lesions were pyogenic granuloma (9.20%), peripheral giant cell granuloma (8.89%), and dentigerous cyst (8.28%). Gingiva was the main involved area and the female to male ratio was 1.1 to 1.CONCLUSION: Our study revealed that almost 10.2% of oral and maxillofacial lesions occurred in children and adolescents. The majority of lesions were benign, and malignant lesions were rarely observed in the sample. The most prevalent biopsied lesions were inflammatory/reactive lesions. Unlike other studies, lower rates of mucocele were observed in this study. These findings can improve patient’s management among dentists and surgeons.https://johoe.kmu.ac.ir/article_84875_5159a14f242a902861b14eee4d0e3a6c.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Human gingival fibroblasts culture in an autologous scaffold and assessing its effect on augmentation of attached gingiva in a pilot clinical trial21121784876ENMoienAramoonPrivate Practice, Kerman, IranSaeedRajabalianLecturer, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, IranMohammadMohammadiAssistant 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, IranNedaKhodarahmiPrivate Practice, Mashhad, IranMaryamFarzadmoghadamPhD Student, Department of Oral Health and Community Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranJournal Article20171128BACKGROUND AND AIM: An important goal of periodontal plastic surgery is the creation of attached gingiva around the teeth. In this study, the aims were to culture gingival fibroblasts in a biodegradable scaffold and measure the width of attached gingiva after the clinical procedure.METHODS: This study was carried out on 4 patients (8 sites), with inadequate attached gingiva next to at least two teeth in contralateral quadrants of the same jaw. A biopsy of attached gingiva (epithelial + connective tissue) was taken using a surgical blade. Following culture of gingival fibroblasts, 250 × 103 cells in 250 µl nutritional medium were mixed with platelet-rich in growth factor (PRGF). Periosteal fenestration technique was done on one side (control) and tissue-engineered mucosal graft (test) was carried out on the contralateral side in each patient. The width of keratinized tissue, probing depth (PD) and width of attached gingiva were recorded at baseline and 3 months after the operation.RESULTS: An increased width of keratinized and attached tissue on all operated sites after 3 months was observed. These results showed the increased mean of the width of keratinized and attached gingiva to be 4.17 mm and 4.14 mm in test and 1.10 mm and 1.10 mm in control sites, respectively. The difference of keratinized and attached gingiva width between test and control sites was significant (P = 0.030, and P = 0.010 respectively).CONCLUSION: According to the results of this study, PRGF can be used as a scaffold to transfer gingival fibroblasts to recipient sites with significant clinical results.https://johoe.kmu.ac.ir/article_84876_120584672e2d561dfa0badaea6b4268f.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Dental care satisfaction among adult population in Isfahan, Iran and its influencing factors21822584877ENFaezehEslamipourAssociate Professor, Dental Research Center AND Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran0000000172800646BaharehTahaniAssistant Professor, Dental Research Center AND Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranKamalHeydariAssociate Professor, Dental Research Center AND Department of Oral Public Health, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranHodaSalehiDentist, Dental Students Research Center, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, IranJournal Article20170813BACKGROUND AND AIM: The aim of this study was to assess the level of dental care satisfaction among Iranian adult population and to identify socio-demographic factors and factors related to dental service that affect satisfaction.METHODS: A self-administrated valid and reliable 21-item questionnaire was designed and distributed among 1360 adult population living in Isfahan, Iran, using multi-stage proportional cluster sampling. It consisted of 5 main sections including demographic questions, perceived oral health status, oral health behaviors, barriers in receiving the demanded care and some 5-point Likert scale questions to assess the satisfaction level. Chi-square and analysis of variance were used to compare variables. People were classified as satisfied/dissatisfied based on their total score with score of 26 as the cut-off point. A logistic regression model was used to identify the factors affecting the level of satisfaction and to estimate their effect size.RESULTS: The mean age of participants was 31.2 ± 11.3 and they mostly reported to have dental visits during the last year. The mean satisfaction score was 3.34 out of 5 (53% were satisfied) and the least and the most satisfaction was in regard to waiting time and the convenience to access, respectively. Logistic regression showed that participants in lower age group [odds ratio (OR) = 0.7], those who reported their oral health status as poor (OR = 0.8) and those who had to spend more time to reach dental care setting (OR = 0.6) and those who had to wait more (OR = 0.5) were less satisfied.CONCLUSION: About 53% of participants were satisfied which was much lower than percentage of satisfied people in developed countries and the level of satisfaction was associated with socio-demographic, behavioral and also dental service.https://johoe.kmu.ac.ir/article_84877_ad30379fa14f3bbbcafc95ed6e681724.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Sesame extraction gel as an agent for prevention of dental caries: An in-vitro study22623084878ENMohammad BagherRezvaniAssistant Professor, Department of Operative, School of Dentistry, Shahed University, Tehran IranMohammadKamali-NejadDepartment of Pharmaceutics, School of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, IranMehrdadKarimiAssistant Professor, Department of Iranian Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran0000-0002-8906-3766HosseinRaadGeneral Dentist, School of Dentistry, Shahed University, Tehran, IranFaezehHamzeAssistant Professor, Department of Operative, School of Dentistry, Kerman University of Medical Sciences, Kerman, IranJournal Article20161202BACKGROUND AND AIM: Sesame has a high content of calcium. Regarding to the lack of adequate data about its remineralizing potential, we conducted this study to evaluate the surface hardness of enamel exposed to sesame extraction gel in comparison to artificial saliva and fluoride.METHODS: After mounting and polishing twenty-four caries-free human premolars, the baseline microhardness was recorded. Subsequently, decalcification was accomplished by immersing into cola, after which the surface hardness was recorded again. Ultimately, the samples were divided into three groups, which were treated by either the sesame gel (SG), artificial saliva (AS) or the fluoride gel (FG). The final microhardness was assessed again. The repeated measure analysis of variance (ANOVA) was employed for comparison of baseline (B), decalcified (R) and remineralized (R) hardness while the one-way ANOVA followed by least significant difference test was used for comparison of different remineralizing agents.RESULTS: There was significant difference among the teeth at baseline, after decalcification and after treatment by experimental solutions (P < 0.001 and P = 0.002 for pair wise comparison of B/D and D/R, respectively). Moreover, after remineralizing treatment, there was no significance difference between the solutions (P = 0.350, P = 0.150 and P = 0.610 for pair-wise comparisons of SG-FG, SG-AS, FG-AS, respectively). However, the mean microhardness value was increasing in that order.CONCLUSION: Although treating the decalcified enamel by sesame extraction enhanced its microhardness, there was no significant difference between sesame, fluoride and artificial saliva when they were applied for just 15 min.https://johoe.kmu.ac.ir/article_84878_515951024c6966830dd00bc7144a626c.pdfKerman University of Medical SciencesJournal of Oral Health and Oral Epidemiology2322-13726420171201Association between clinical and cone-beam computed tomography findings in patients with temporomandibular disorders23123884879ENMahrokhImanimoghaddamProfessor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, IranAzam SadatMadaniProfessor, Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, IranAliBagherpourAssociate Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, IranSamanehGharekhaniAssociate Professor, Department of Pediatrics, School of Dentistry, Babol University of Medical Sciences, Babol, IranHamedEbrahimnejadAssistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran0000-0003-0487-6520MonaAlimohammadiAssistant Professor, Department of Oral and Maxillofacial Radiology, School of Dentistry, Mazandaran University of Medical Sciences, Sari, IranJournal Article20170113BACKGROUND AND AIM: The aim of this study was to assess the association between the clinical and cone-beam computed tomography (CBCT) findings in relation to bony changes in patients with temporomandibular disorders (TMD).METHODS: According to the research diagnostic criteria for temporomandibular disorder (RDC/TMD), forty-one patients with type II TMD (42 TM joints) and type III TMD (40 TM joints) were recruited for this study. Condylar position and bony changes including flattening, sclerosis, osteophytes, resorption, and erosion of joint were evaluated by CBCT and compared with clinical findings. Data were analyzed by SPSS software.RESULTS: Condylar flattening, sclerosis, resorption, and erosion were not significantly associated with joint/masticatory muscles pain or crepitus sound. The vertical or horizontal position of the condyle showed no significant relationship with the clinical findings. Condylar osteophyte was significantly associated with pain in masticatory muscles and crepitus (P = 0.030 and P = 0.010, respectively). There was no association between the condylar range of motion and pain in joint or masticatory muscles.CONCLUSION: Condylar osteophyte was significantly associated with both masticatory muscles pain and crepitus sound. No significant relationship was found between the other temporomandibular joint (TMJ) radiographic and clinical findings in patients with TMD.https://johoe.kmu.ac.ir/article_84879_45a5656959561552c49fb76a1fea1531.pdf