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  1. Article ; Online: Oral manifestations of long COVID and the views of healthcare professionals.

    Patel, Dhruvi / Louca, Chris / Machuca Vargas, Carolina

    British dental journal

    2024  Volume 236, Issue 2, Page(s) 111–116

    Abstract: Introduction Oral manifestations have been observed with this condition; however, little is known about their impact on the healthcare professionals routinely managing these patients.Aims To investigate the prevalence of the oral manifestations of long ... ...

    Abstract Introduction Oral manifestations have been observed with this condition; however, little is known about their impact on the healthcare professionals routinely managing these patients.Aims To investigate the prevalence of the oral manifestations of long COVID and the healthcare professionals' views, experiences and practices for managing these conditions.Materials and methods A cross-sectional mixed-methods study, including a self-reported online questionnaire (n = 104) and healthcare professionals' (n = 7) semi-structured interviews, was conducted. Descriptive statistics and reflexive thematic analysis were used to analyse the data.Results In total, 78% of respondents reported one or more oral conditions associated with COVID-19. Changes in the sense of taste and/or smell (58%), dry mouth (48.1%) and mouth sores (45.7%) were frequently reported. Themes identified from healthcare professionals' interviews were areas for research, management and interdisciplinary collaboration.Discussion Allied healthcare professionals may assist dental professionals with managing oral manifestations of long COVID. Inadequate access to NHS dentistry is deterring patients worried about their oral symptoms and the limited oral knowledge of healthcare professionals affects their ability to manage patients.Conclusion Healthcare professionals have observed oral manifestations in individuals diagnosed with long COVID; however, further information and training on this topic would assist them with managing patients and increasing awareness among clinicians.
    MeSH term(s) Humans ; Post-Acute COVID-19 Syndrome ; Cross-Sectional Studies ; COVID-19/epidemiology ; Qualitative Research ; Health Personnel ; Attitude of Health Personnel
    Language English
    Publishing date 2024-01-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 218090-x
    ISSN 1476-5373 ; 0007-0610
    ISSN (online) 1476-5373
    ISSN 0007-0610
    DOI 10.1038/s41415-023-6715-7
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  2. Article ; Online: Socioenvironmental sugar promotion and geographical inequalities in dental health of 5-year-old children in England.

    Ganbavale, Suruchi G / Louca, Chris / Twigg, Liz / Wanyonyi, Kristina

    Community dentistry and oral epidemiology

    2024  

    Abstract: Objectives: To investigate the relationship between socioenvironmental sugar promotion and geographical inequalities in the prevalence of dental caries amongst 5-year-olds living across small areas within England.: Methods: Ecological data from the ... ...

    Abstract Objectives: To investigate the relationship between socioenvironmental sugar promotion and geographical inequalities in the prevalence of dental caries amongst 5-year-olds living across small areas within England.
    Methods: Ecological data from the National Dental Epidemiology Programme (NDEP) 2018-2019, comprising information on the percentage of 5-year-olds with tooth decay (≥1 teeth that are decayed into dentine, missing due to decay, or filled), and untreated tooth decay (≥1 decayed but untreated teeth), in lower-tier local authorities (LAs) of England. These were analysed for association with a newly developed Index of Sugar-Promoting Environments Affecting Child Dental Health (ISPE-ACDH). The index quantifies sugar-promoting determinants within a child's environment and provides standardized scores for the index, and its component domains that is, neighbourhood-, school- and family-environment, with the highest scores representing the highest levels of sugar promotion in lower-tier LAs (N = 317) of England. Linear regressions, including unadjusted models separately using index and each domain, and models adjusted for domains were built for each dental outcome.
    Results: Participants lived across 272 of 317 lower-tier LAs measured within the index. The average percentage of children with tooth decay and untreated tooth decay was 22.5 (SD: 8.5) and 19.6 (SD: 8.3), respectively. The mean index score was (0.1 [SD: 1.01]). Mean domain scores were: neighbourhood (0.02 [SD: 1.03]), school (0.1 [SD: 1.0]), and family (0.1 [SD: 0.9]). Unadjusted linear regressions indicated that the LA-level percentage of children with tooth decay increased by 5.04, 3.71, 4.78 and 5.24 with increased scores of the index, and neighbourhood, school and family domains, respectively. An additional model, adjusted for domains, showed that this increased percentage predicted by neighbourhood domain attenuated to 1.37, and by family domain it increased to 6.33. Furthermore, unadjusted models indicated that the LA-level percentage of children with untreated tooth decay increased by 4.72, 3.42, 4.45 and 4.97 with increased scores of the index, and neighbourhood, school, and family domains, respectively. The model, adjusted for domains, showed that this increased percentage predicted by neighbourhood domain attenuated to 1.24 and by family domain rose to 6.47. School-domain was not significantly associated with either outcome in adjusted models.
    Conclusions: This study reveals that socioenvironmental sugar promotion, particularly within neighbourhood- and family-environments, may contribute to geographical inequalities in dental caries in children. Further research involving data on individual-level dental outcomes and confounders is required.
    Language English
    Publishing date 2024-03-20
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 189172-8
    ISSN 1600-0528 ; 0301-5661
    ISSN (online) 1600-0528
    ISSN 0301-5661
    DOI 10.1111/cdoe.12957
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  3. Article ; Online: Dental Teacher Feedback and Student Learning: A Qualitative Study.

    Fine, Peter / Leung, Albert / Tonni, Ingrid / Louca, Chris

    Dentistry journal

    2023  Volume 11, Issue 7

    Abstract: Introduction: Feedback is essential to improve student learning and motivation and to encourage curriculum development by teachers. This study looked at feedback to and from dental students from a qualitative perspective.: Methods: Dental teachers ... ...

    Abstract Introduction: Feedback is essential to improve student learning and motivation and to encourage curriculum development by teachers. This study looked at feedback to and from dental students from a qualitative perspective.
    Methods: Dental teachers were recruited exclusively to this study from the membership of the Association for Dental Education in Europe (ADEE). Delegates from each of the four annual ADEE conferences were invited to attend focus groups to discuss aspects of feedback. Focus groups established an individual theme for the respective conferences: (i) the role of the teacher in delivering feedback; (ii) feedback from the students' perspective; (iii) changes to feedback due to the COVID-19 pandemic; and (iv) integrating feedback with assessments.
    Results: Qualitative data collected from the conference delegates were diverse and thought provoking. Delegates reported different styles of feedback varying from individual, personal feedback to no feedback at all. An enforced and mostly positive adaptation to online delivery during the COVID-19 pandemic was reported. A partial return to pre-pandemic practices was described.
    Conclusions: Feedback is well recognized by students and teachers as contributing to learning. A universal approach to delivering feedback as part of the student learning process can be challenging due to a multitude of variables. Many aspects of changes in dental education, teaching, and feedback practices adopted as a result of the COVID-19 pandemic have been retained post-pandemic, thereby accelerating the anticipated progression to online teaching.
    Language English
    Publishing date 2023-06-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2681351-8
    ISSN 2304-6767 ; 2304-6767
    ISSN (online) 2304-6767
    ISSN 2304-6767
    DOI 10.3390/dj11070164
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Translucency of Lithium-Based Silicate Glass-Ceramics Blocks for CAD/CAM Procedures: A Narrative Review.

    Vichi, Alessandro / Zhao, Zejiao / Mutahar, Mahdi / Paolone, Gaetano / Louca, Chris

    Materials (Basel, Switzerland)

    2023  Volume 16, Issue 19

    Abstract: Amid chairside CAD/CAM materials, the use of lithium-based silicate glass-ceramics (LSGC) has been steadily increasing. This review aims to report on the translucency of these materials and the variables used to measure it. An electronic search was ... ...

    Abstract Amid chairside CAD/CAM materials, the use of lithium-based silicate glass-ceramics (LSGC) has been steadily increasing. This review aims to report on the translucency of these materials and the variables used to measure it. An electronic search was performed within the PubMed database within the period between 2 June 2011 and 11 September 2022. English-language papers investigating the translucency of IPS e.max CAD, Celtra Duo, Suprinity PC, Initial LiSi Block, Amber Mill, N!ce, and CEREC Tessera LSGC CAD/blocks were included in the search strategy. After an initial retrieval of 160 papers, the application of exclusion criteria, and the screening of abstracts and then of full texts, 33 papers were included in the study. The retrieved materials, with different degrees of translucency (LT, HT), were IPS e.max CAD (n = 33), Suprinity PC (n = 8), and Celtra Duo (n = 1). Concerning the examined colors, the most used was A2 (n = 20), followed by A1 (n = 8) and A3 (n = 2). The translucency parameter (TP) was the most used method (n = 30) with respect to the contrast ratio (CR) (n = 11) to assess translucency. Five papers measured both. Several specimens' thicknesses (0.5-4 mm) were investigated, with 1 mm (n = 23) being the most frequently analyzed. While a general tendency could be identified, conflicting results among different papers were reported.
    Language English
    Publishing date 2023-09-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2487261-1
    ISSN 1996-1944
    ISSN 1996-1944
    DOI 10.3390/ma16196441
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  5. Article ; Online: Translucency of CAD/CAM and 3D Printable Composite Materials for Permanent Dental Restorations.

    Vichi, Alessandro / Balestra, Dario / Scotti, Nicola / Louca, Chris / Paolone, Gaetano

    Polymers

    2023  Volume 15, Issue 6

    Abstract: The aim of the study was to compare the translucency of CAD/CAM and printable composite materials for fixed dental prostheses (FDP). Eight A3 composite materials (7 CAD/CAM and 1 printable) for FPD were used to prepare a total of 150 specimens. CAD/CAM ... ...

    Abstract The aim of the study was to compare the translucency of CAD/CAM and printable composite materials for fixed dental prostheses (FDP). Eight A3 composite materials (7 CAD/CAM and 1 printable) for FPD were used to prepare a total of 150 specimens. CAD/CAM materials, all characterized by two different opacity levels, were: Tetric CAD (TEC) HT/MT; Shofu Block HC (SB) HT/LT; Cerasmart (CS) HT/LT; Brilliant Crios (BC) HT/LT; Grandio Bloc (GB) HT/LT; Lava Ultimate (LU) HT/LT, Katana Avencia (KAT) LT/OP. The printable system was Permanent Crown Resin. 1.0 mm-thick specimens were cut from commercial CAD/CAM blocks using a water-cooled diamond saw, or 3D printed. Measurements were performed using a benchtop spectrophotometer with an integrating sphere. Contrast Ratio (CR), Translucency Parameter (TP), and Translucency Parameter 00 (TP
    Language English
    Publishing date 2023-03-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527146-5
    ISSN 2073-4360 ; 2073-4360
    ISSN (online) 2073-4360
    ISSN 2073-4360
    DOI 10.3390/polym15061443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Flexural Strength of CAD/CAM Lithium-Based Silicate Glass-Ceramics: A Narrative Review.

    Munoz, Alvaro / Zhao, Zejiao / Paolone, Gaetano / Louca, Chris / Vichi, Alessandro

    Materials (Basel, Switzerland)

    2023  Volume 16, Issue 12

    Abstract: Amongst chairside CAD/CAM materials, the use of lithium-based silicate glass-ceramics (LSGC) for indirect restorations has recently been increasing. Flexural strength is one of the most important parameters to consider in the clinical selection of ... ...

    Abstract Amongst chairside CAD/CAM materials, the use of lithium-based silicate glass-ceramics (LSGC) for indirect restorations has recently been increasing. Flexural strength is one of the most important parameters to consider in the clinical selection of materials. The aim of this paper is to review the flexural strength of LSGC and the methods used to measure it.
    Methods: The electronic search was completed within PubMed database from 2 June 2011 to 2 June 2022. English-language papers investigating the flexural strength of IPS e.max CAD, Celtra Duo, Suprinity PC, and n!ce CAD/CAM blocks were included in the search strategy.
    Results: From 211 potential articles, a total of 26 were identified for a comprehensive analysis. Categorization per material was carried out as follows: IPS e.max CAD (n = 27), Suprinity PC (n = 8), Celtra Duo (n = 6), and n!ce (n = 1). The three-point bending test (3-PBT) was used in 18 articles, followed by biaxial flexural test (BFT) in 10 articles, with one of these using the four-point bending test (4-PBT) as well. The most common specimen dimension was 14 × 4 × 1.2 mm (plates) for the 3-PBT and 12 × 1.2 mm (discs) for BFT. The flexural strength values for LSGC materials varied widely between the studies.
    Significance: As new LSGC materials are launched on the market, clinicians need to be aware of their flexural strength differences, which could influence the clinical performance of restorations.
    Language English
    Publishing date 2023-06-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2487261-1
    ISSN 1996-1944
    ISSN 1996-1944
    DOI 10.3390/ma16124398
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  7. Article: Influence of Thickness of Opaque Porcelain and Alloy Color on the Final Color of Porcelain-Fused-to-Metal Restorations.

    Vichi, Alessandro / Corciolani, Gabriele / Carrabba, Michele / Munoz, Alvaro / Louca, Chris

    Materials (Basel, Switzerland)

    2023  Volume 16, Issue 1

    Abstract: Despite the advent of metal-free solutions, porcelain-fused-to-metal restorations (PFM) are still widely used. Particularly for the latest ceramic systems, scarce information is present in the scientific literature about the ideal opaque layer thickness ... ...

    Abstract Despite the advent of metal-free solutions, porcelain-fused-to-metal restorations (PFM) are still widely used. Particularly for the latest ceramic systems, scarce information is present in the scientific literature about the ideal opaque layer thickness and the alloy color impact to achieve the desired final color of PFM restorations. This study aimed to evaluate the influence of opaque thickness variation layered on different metal alloys on the final color of PFM restorations. Opaque porcelain of one metal−ceramic system (VITA VM13) was layered in four different thicknesses (0.10 mm, 0.15 mm, 0.20 mm, and 0.25 mm) on three differently colored dental alloys: a gold−platinum alloy (yellowish), a gold−palladium alloy (light grayish), and a nickel−chromium alloy (dark grayish). The veneering porcelain layered over the opaque was kept constant (Base Dentine 0.45 mm, Transpa Dentine 0.50 mm, and Enamel 0.20 mm). Sixty specimens were fabricated, five samples for each combination of alloy/opaque thickness. The color difference (ΔE) between specimen and reference was measured using a clinical spectrophotometer. The two-way ANOVA revealed that the thickness of both the opaque (p < 0.001) and the metal alloy (p < 0.001) significantly influenced the ΔE values. Gray-colored alloys covered by a 0.10 mm thick opaque layer enabled the closest color match, whereas this occurred for yellow-color alloys covered by a 0.15 mm thick opaque layer. In contrast, the samples covered by a 0.25 mm thick opaque layer obtained the worst ΔE.
    Language English
    Publishing date 2023-01-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2487261-1
    ISSN 1996-1944
    ISSN 1996-1944
    DOI 10.3390/ma16010457
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  8. Article ; Online: Teaching of gerodontology to dental and dental hygiene therapy students in the UK.

    Prosser, Georgina M / Radford, David R / Louca, Chris

    British dental journal

    2022  Volume 232, Issue 11, Page(s) 813–818

    Abstract: Introduction The demographic shift in the age profile of the UK is now well established. Older people have more complex requirements to maintain their oral health and appropriate training is required to provide good-quality oral and dental care. This ... ...

    Abstract Introduction The demographic shift in the age profile of the UK is now well established. Older people have more complex requirements to maintain their oral health and appropriate training is required to provide good-quality oral and dental care. This research aimed to review the training in gerodontology currently being provided to undergraduate dental and dental hygiene therapy (DHT) students in the UK.Methods Quantitative data were generated through completion of an online questionnaire, emailed to the directors of dental education in each of the UK dental (n = 16) and DHT schools (n = 21). Data were analysed using IBM SPSS Statistics V26.Results There was a response rate of 37.5% from dental schools and 61.9% from DHT schools. Although gerodontology was being taught in every school that responded, it was only a standalone course in 16.7% of dental schools and 7.7% of DHT schools that responded. While all respondents reported a theoretical component, only 50% of dental schools and 53.8% of DHT schools reported providing clinical experience. Moreover, 33.3% of dental schools and 15.4% of DHT schools reported closely following the European curriculum guidelines in gerodontology.Conclusions The current training in gerodontology is not standardised across either dental or DHT schools in the UK and there seems to be a lack of awareness of the recommended European guidelines. The findings from this research demonstrate that future improvements in gerodontology training are still required for this to be achieved.
    MeSH term(s) Aged ; Curriculum ; Education, Dental ; Humans ; Oral Hygiene ; Students ; Surveys and Questionnaires ; Teaching ; United Kingdom
    Language English
    Publishing date 2022-06-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 218090-x
    ISSN 1476-5373 ; 0007-0610
    ISSN (online) 1476-5373
    ISSN 0007-0610
    DOI 10.1038/s41415-022-4301-z
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  9. Article ; Online: Potential educational and workforce strategies to meet the oral health challenges of an increasingly older population: a qualitative study.

    Prosser, Georgina M / Louca, Chris / Radford, David R

    BDJ open

    2022  Volume 8, Issue 1, Page(s) 6

    Abstract: Introduction: The demographic shift in the age profile of the UK is well established. Older people have more complex requirements to maintain their oral health.: Objectives: This research explored Gerodontology with influential and recognised UK ... ...

    Abstract Introduction: The demographic shift in the age profile of the UK is well established. Older people have more complex requirements to maintain their oral health.
    Objectives: This research explored Gerodontology with influential and recognised UK experts in Dental Public Health, Dental Education and Gerodontology. Three main topics were explored: the dental challenges associated with the ageing population, the role of dental care professionals (DCPs) and the training of undergraduate dental professionals.
    Methods: Quantitative data from the literature were used to develop a topic guide for semi-structured interviews with a purposeful sample of nine participants. Initial analysis of the qualitative data was undertaken using NVivo V12 software and themes were identified. Final themes and subthemes were confirmed after a series of remote round table discussions.
    Results: Four themes and 14 subthemes were identified. These included disagreements and agreements, the challenges of providing dental care to the older adult population, and the delivery of dental care by the dental team and finally education. All participants had significant concerns about the oral and dental challenges of the older population.
    Conclusions: The themes that emerged were complex and overlapping. Better utilisation of all members of the dental workforce was reported to be an essential approach, as was reorientation of existing care models with a focus on prevention. Regarding undergraduate education, the consensus was that the training was not adequate for both current and future needs.
    Language English
    Publishing date 2022-03-10
    Publishing country England
    Document type Journal Article
    ISSN 2056-807X
    ISSN (online) 2056-807X
    DOI 10.1038/s41405-022-00098-5
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  10. Article ; Online: Detection of dental fomites using topical fluorescein.

    Newsom, Richard / Pattison, Chris / Amara, Adam / Louca, Chris

    British dental journal

    2022  

    Abstract: Background Thorough disinfection of dental facilities is of paramount importance during the COVID-19 pandemic. Patients, clinicians, students and nurses can all be infected by aerosols and dental droplets bearing COVID-19. However, droplets are ... ...

    Abstract Background Thorough disinfection of dental facilities is of paramount importance during the COVID-19 pandemic. Patients, clinicians, students and nurses can all be infected by aerosols and dental droplets bearing COVID-19. However, droplets are transparent and often microscopic, so are difficult to detect in clinical practice.Methods To better understand the spread of dental droplets, we stained the dental irrigant with fluorescein and performed a series of procedures on a dental manikin. We then viewed droplets and fomite spread around the dental chair, with and without an ultraviolet (UV) light.Results Observations without the UV light showed minimal or no fluid spread. However, using UV light, we detected fluorescein on the dentist, chairs and the handpiece, as well as splatter on the floor and on the instrument tray. This was of educational value to the staff, who were reminded how far droplets had spread.Conclusion Fluorescein facilitates the detection of droplet spread and helps clinical staff to see high-risk areas that require in-depth cleaning. As clinical grade fluorescein is cheap and widely available, this technique may be useful for dental practices to train staff in the thorough decontamination of the clinical environment.
    Language English
    Publishing date 2022-07-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 218090-x
    ISSN 1476-5373 ; 0007-0610
    ISSN (online) 1476-5373
    ISSN 0007-0610
    DOI 10.1038/s41415-022-4403-7
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