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Taqi D, Nematollahi S, Lemin S, Rauch F, Hamdy R, Dahan-Oliel N. Arthrogryposis multiplex congenita: dental and maxillofacial phenotype - A scoping review. Bone 2024; 179:116955. [PMID: 37951521 DOI: 10.1016/j.bone.2023.116955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 10/22/2023] [Accepted: 11/04/2023] [Indexed: 11/14/2023]
Abstract
INTRODUCTION Arthrogryposis multiplex congenita (AMC) is a heterogeneous group of disorders associated with decreased fetal movement, with a prevalence between 1/3000 and 1/5200 live births. Typical features of AMC include multiple joint contractures present at birth, and can affect all joints of the body, from the jaw, and involving the upper limbs, lower limbs and spine. The jaws may be affected in 25 % of individuals with AMC, with limited jaw movement and mouth opening. Other oral and maxillofacial deformities may be present in AMC, including cleft palate, micrognathia, periodontitis and delayed teething. To our knowledge, oral and maxillofacial abnormalities have not been systematically assessed in individuals with AMC. Therefore, this scoping review was conducted to identify, collect, and describe a comprehensive map of the existing knowledge on dental and maxillofacial involvement in individuals with AMC. METHODOLOGY A scoping review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. The PRISMA guidelines for scoping reviews were followed and databases were searched for empirical articles in English and French published until October 2022. We searched MEDLINE, Embase, Web of Science and ERIC databases. Two authors independently reviewed the articles and extracted the data. RESULTS Of a total of 997 studies that were identified, 96 met the inclusion criteria and were subsequently included in this scoping review. These 96 studies collectively provided insights into 167 patients who exhibited some form of oral and/or maxillofacial involvement. Notably, 25 % of these patients were within the age range of 0-6 months. It is worth highlighting that only 22 out of the 96 studies (22.9 %), had the primary objective of evaluating dental and/or maxillofacial deformities. Among the patients studied, a prevalent pattern emerged, revealing that severe anomalies such as micrognathia (56 %), high-arched palate (29 %), cleft palate (40 %), limited mouth opening (31 %), and dental anomalies (28 %) were frequently observed. Importantly, many of these patients were found to have more than one of these anomalies. Even though these maxillofacial impairments are known to be associated with dental problems (e.g., cleft palate is associated with oligodontia, hypodontia, and malocclusion), their secondary effects on the dental phenotype were not reported in the studies. CONCLUSION Our findings have uncovered a notable deficiency in existing literature concerning dental and maxillofacial manifestations in AMC. This underscores the need for interdisciplinary collaboration and the undertaking of extensive prospective cohort studies focused on AMC. These studies should assess the oral and maxillofacial abnormalities that can impact daily functioning and overall quality of life.
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Affiliation(s)
- Doaa Taqi
- Faculty of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, Canada.
| | - Shahrzad Nematollahi
- Faculty of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, Canada
| | - Sarah Lemin
- Northeastern Ohio Medical University, Canada
| | - Frank Rauch
- Shriners Hospital for Children-Canada, Montreal, QC, Canada; Department of Human Genetics, McGill University, Canada
| | - Reggie Hamdy
- Shriners Hospital for Children-Canada, Montreal, QC, Canada; Department of Human Genetics, McGill University, Canada
| | - Noemi Dahan-Oliel
- Faculty of Medicine and Health Sciences, School of Physical and Occupational Therapy, McGill University, Canada; Shriners Hospital for Children-Canada, Montreal, QC, Canada
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Gao Q, Henley A, Noël G, Der Khatchadourian Z, Taqi D, Abusamak M, He Z, Grœn S, Taher R, Menassa K, Velly A, Emami E, Mongeau L, Tamimi F. Needle-free Mental Incisive Nerve Block:In vitro, Cadaveric, and Pilot Clinical Studies. Int J Pharm 2021; 609:121197. [PMID: 34666143 DOI: 10.1016/j.ijpharm.2021.121197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/29/2021] [Accepted: 10/10/2021] [Indexed: 12/14/2022]
Abstract
The present study aimed to optimize Needle-Free Liquid Jet Injection (NFLJI) for Mental Incisive Nerve Blocks (MINB) and evaluate its clinical safety and feasibility. A MINB protocol was developed and optimized by series of NFLJI experiments in soft tissue phantoms and cadavers, then validated in two pilot Randomized Controlled Trials (RCT). The NFLJI penetration depth was found to be directly proportional to the supply pressure and volume. High-pressure NFLJIs (620 kPa or above) created maximum force and total work significantly greater than needle injections. Low-pressure NFLJIs (413 kPa), however, produced results similar to those of needle injections. Additionally, high-pressure NFLJIs created jet impingement pressure and maximum jet penetration pressure higher than low-pressure NFLJIs. Pilot RCTs revealed that high-pressure NFLJI caused a high risk of discomfort (60%) and paresthesia (20%); meanwhile, low-pressure NFLJI was less likely to cause complications (0%). The preliminary success rates of MINB from cadavers using NFLJIs and needles were 83.3% and 87.5%. In comparison, those from RCTs are 60% and 70%, respectively. To conclude, NFLJI supply pressure can be adjusted to achieve effective MINB with minimal complications. Furthermore, the cadaver study and pilot RCTs confirmed the feasibility for further non-inferiority RCT.
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Affiliation(s)
- Qiman Gao
- Faculty of Dentistry, McGill University, Montreal, Canada; Department of Mechanical Engineering, McGill University, Montreal, Canada
| | - Anna Henley
- Department of Mechanical Engineering, McGill University, Montreal, Canada
| | - Geoffroy Noël
- Faculty of Dentistry, McGill University, Montreal, Canada; Department of Anatomy and Cell Biology, McGill University, Montreal, Canada
| | | | - Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, Canada
| | | | - Zixin He
- Department of Mechanical Engineering, McGill University, Montreal, Canada
| | - Swen Grœn
- Department of Mechanical Engineering, McGill University, Montreal, Canada
| | - Rani Taher
- College of Engineering and Technology, American University of the Middle East, Kuwait
| | - Karim Menassa
- Medical International Technology Canada Inc, Montreal, Canada
| | - Ana Velly
- Faculty of Dentistry, McGill University, Montreal, Canada; Lady Davis Institute, Department of Dentistry, SMBD, Jewish General Hospital, Montreal, Canada
| | - Elham Emami
- Faculty of Dentistry, McGill University, Montreal, Canada
| | - Luc Mongeau
- Department of Mechanical Engineering, McGill University, Montreal, Canada.
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
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Taqi D, Moussa H, Schwinghamer T, Vieira AR, Dagdeviren D, Retrouvey JM, Rauch F, Tamimi F. Missing and unerupted teeth in osteogenesis imperfecta. Bone 2021; 150:116011. [PMID: 34020077 DOI: 10.1016/j.bone.2021.116011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 05/02/2021] [Accepted: 05/14/2021] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Osteogenesis imperfecta (OI) is a genetic disorder characterized by bone fragility and craniofacial and dental abnormalities such as congenitally missing teeth and teeth that failed to erupt which are believed to be doubled in OI patients than normal populations and were associated with low oral health quality of life. However, the etiology of these abnormalities remains unclear. To understand the factors influencing missing and unerupted teeth, we investigated their prevalence in a cohort of OI patients as a function of the clinical phenotype (OI type), the genetic variant type, the tooth type and the onset of bisphosphonate treatment. METHOD A total of 144 OI patients were recruited from The Shriners Hospital, Montreal, Canada, between 2016 and 2017. Patients were evaluated using intraoral photographs and panoramic radiographs. Missing teeth were evaluated in all patients, and unerupted teeth were assessed only in patients ≥15 years old (n = 82). RESULTS On average, each OI patient had 2.4 missing teeth and 0.8 unerupted teeth, and the most common missing and unerupted teeth were the premolars and the upper second molars, respectively. These phenomena were more prominent in OI type III and IV than in OI type I, and were not sex or age-related. Missing teeth were significantly more common in patients with C-propeptide variants than all other variants (p-value <0.05). Unerupted teeth were significantly more common in patients with α1 and α2 glycine variants or substitutions than in those with haploinsufficiency variants. Early-onset of bisphosphonate treatment would significantly increase the risk of unerupted teeth in patients with OI types III and IV (OR = 1.68, 95% CI (1.15-1.53)). CONCLUSION The prevalence of missing and unerupted teeth at the tooth type level in OI patients varies according to the nature of the collagen variants and the OI type. These findings highlight the role of collagen in tooth development and eruption.
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Affiliation(s)
- Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
| | - Hanan Moussa
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; Faculty of Dentistry, Benghazi university, Libya.
| | | | | | - Didem Dagdeviren
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
| | - Jean-Marc Retrouvey
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; School of Dentistry, University of Missouri, Kansas City, USA.
| | - Frank Rauch
- Shriners Hospital for Children, Montreal, Quebec, Canada.
| | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
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Taqi D, Moussa H, Schwinghamer T, Ducret M, Dagdeviren D, Retrouvey JM, Rauch F, Tamimi F. Osteogenesis imperfecta tooth level phenotype analysis: Cross-sectional study. Bone 2021; 147:115917. [PMID: 33741542 PMCID: PMC8278321 DOI: 10.1016/j.bone.2021.115917] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 02/16/2021] [Accepted: 03/11/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Dental anomalies in Osteogenesis imperfecta (OI), such as tooth discoloration, pulp obliteration (calcified dental pulp space), and taurodontism (enlarged dental pulp space) vary between and within patients. To better understand the associations and variations in these anomalies, a cross-sectional study was designed to analyze the dental phenotype in OI patients at the individual tooth type. METHOD A cohort of 171 individuals with OI type I, III and IV, aged 3-55 years, were recruited and evaluated for tooth discoloration, pulp obliteration, and taurodontism at the individual tooth level, using intraoral photographs and panoramic radiographs. RESULTS Genetic variants were identified in 154 of the participants. Patients with Helical α1 and α2 glycine substitutions presented the highest prevalence of tooth discoloration, while those with α1 Haploinsufficiency had the lowest (<10%). C-propeptide variants did not cause discoloration but resulted in the highest pulp obliteration prevalence (~%20). The prevalence of tooth discoloration and pulp obliteration was higher in OI types III and IV and increased with age. Tooth discoloration was mainly observed in teeth known to have thinner enamel (i.e. lower anterior), while pulp obliteration was most prevalent in the first molars. A significant association was observed between pulp obliteration and tooth discoloration, and both were associated with a lack of occlusal contact. Taurodontism was only found in permanent teeth and affected mostly first molars, and its prevalence decreased with age. CONCLUSION The dental phenotype evaluation at the tooth level revealed that different genetic variants and associated clinical phenotypes affect each tooth type differently, and genetic variants are better predictors of the dental phenotype than the type of OI. Our results also suggest that tooth discoloration is most likely an optical phenomenon inversely proportional to enamel thickness, and highly associated with pulp obliteration. In turn, pulp obliteration is proportional to patient age, it is associated with malocclusion and likely related to immature progressive dentin deposition. Taurodontism is an isolated phenomenon that is probably associated with delayed pulpal maturation.
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Affiliation(s)
- Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
| | - Hanan Moussa
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; Faculty of Dentistry, Benghazi University, Libya.
| | | | - Maxime Ducret
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; Faculty of Dentistry, Lyon University, Lyon, France.
| | - Didem Dagdeviren
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada.
| | - Jean-Marc Retrouvey
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; School of Dentistry, University of Missouri, Kansas City, USA.
| | - Frank Rauch
- Shriners Hospital for Children, Montreal, Quebec, Canada.
| | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada; College of Dental Medicine, QU Health, Qatar University, Doha, Qatar.
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Moussa H, El Hadad A, Sarrigiannidis S, Saad A, Wang M, Taqi D, Al-Hamed FS, Salmerón-Sánchez M, Cerruti M, Tamimi F. High toughness resorbable brushite-gypsum fiber-reinforced cements. Mater Sci Eng C Mater Biol Appl 2021; 127:112205. [PMID: 34225857 DOI: 10.1016/j.msec.2021.112205] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2021] [Revised: 04/18/2021] [Accepted: 05/19/2021] [Indexed: 12/27/2022]
Abstract
The ideal bone substitute material should be mechanically strong, biocompatible with a resorption rate matching the rate of new bone formation. Brushite (dicalcium phosphate dihydrate) cement is a promising bone substitute material but with limited resorbability and mechanical properties. To improve the resorbability and mechanical performance of brushite cements, we incorporated gypsum (calcium sulfate dihydrate) and diazonium-treated polyglactin fibers which are well-known for their biocompatibility and bioresorbability. Here we show that by combining brushite and gypsum, we were able to fabricate biocompatible composite cements with high fracture toughness (0.47 MPa·m1/2) and a resorption rate that matched the rate of new bone formation. Adding functionalized polyglactin fibers to this composite cement further improved the fracture toughness up to 1.00 MPa·m1/2. XPS and SEM revealed that the improvement in fracture toughness is due to the strong interfacial bonding between the functionalized fibers and the cement matrix. This study shows that adding gypsum and functionalized polyglactin fibers to brushite cements results in composite biomaterials that combine high fracture toughness, resorbability, and biocompatibility, and have great potential for bone regeneration.
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Affiliation(s)
- Hanan Moussa
- Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada; Faculty of Dentistry, Benghazi University, Benghazi 9504, Libya
| | - Amir El Hadad
- Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada; Physics Department, Faculty of Science, Al-Azhar University, Nasr City, Cairo 11884, Egypt
| | | | - Ahmed Saad
- Department of Mining and Materials Engineering, McGill University, Montreal, QC H3A 0C5, Canada
| | - Min Wang
- Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada; Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada
| | | | | | - Marta Cerruti
- Department of Mining and Materials Engineering, McGill University, Montreal, QC H3A 0C5, Canada
| | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, QC H3A 0C7, Canada; College of Dental Medicine, Qatar University, Doha 2713, Qatar.
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Mahri M, Shen N, Berrizbeitia F, Rodan R, Daer A, Faigan M, Taqi D, Wu KY, Ahmadi M, Ducret M, Emami E, Tamimi F. Osseointegration Pharmacology: A Systematic Mapping Using Artificial Intelligence. Acta Biomater 2021; 119:284-302. [PMID: 33181361 DOI: 10.1016/j.actbio.2020.11.011] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 11/04/2020] [Accepted: 11/05/2020] [Indexed: 12/25/2022]
Abstract
Clinical performance of osseointegrated implants could be compromised by the medications taken by patients. The effect of a specific medication on osseointegration can be easily investigated using traditional systematic reviews. However, assessment of all known medications requires the use of evidence mapping methods. These methods allow assessment of complex questions, but they are very resource intensive when done manually. The objective of this study was to develop a machine learning algorithm to automatically map the literature assessing the effect of medications on osseointegration. Datasets of articles classified manually were used to train a machine-learning algorithm based on Support Vector Machines. The algorithm was then validated and used to screen 599,604 articles identified with an extremely sensitive search strategy. The algorithm included 281 relevant articles that described the effect of 31 different drugs on osseointegration. This approach achieved an accuracy of 95%, and compared to manual screening, it reduced the workload by 93%. The systematic mapping revealed that the treatment outcomes of osseointegrated medical devices could be influenced by drugs affecting homeostasis, inflammation, cell proliferation and bone remodeling. The effect of all known medications on the performance of osseointegrated medical devices can be assessed using evidence mappings executed with highly accurate machine learning algorithms.
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Moussa H, Jiang W, El Hadad A, Alsheghri AA, Basiri T, Taqi D, Song J, Tamimi F. Selective Crystal Growth Regulation by Chiral α-Hydroxycarboxylic Acids Improves the Strength and Toughness of Calcium Sulfate Cements. ACS Appl Bio Mater 2020; 3:8559-8566. [DOI: 10.1021/acsabm.0c00918] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Hanan Moussa
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
- Faculty of Dentistry, Benghazi University, Benghazi 9504, Libya
| | - Wenge Jiang
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
- Department of Chemistry, Tianjin Key Laboratory of Molecular Optoelectronic Sciences, and Tianjin Collaborative Innovation Center of Chemical Science & Engineering, Tianjin University, Tianjin 300072, P. R. China
| | - Amir El Hadad
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
- Physics Department, Faculty of Science, Al-Azhar University, Nasr City, Cairo 11884, Egypt
| | - Ammar A. Alsheghri
- Department of Mining and Materials Engineering, McGill University, Montreal, Quebec H3A 0C5, Canada
| | - Tayebeh Basiri
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
| | - Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
| | - Jun Song
- Department of Mining and Materials Engineering, McGill University, Montreal, Quebec H3A 0C5, Canada
| | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 0C7, Canada
- College of Dental Medicine, Qatar University, Doha, Qatar
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Mansour A, Abu-Nada L, Al-Waeli H, Mezour MA, Abdallah MN, Kinsella JM, Kort-Mascort J, Henderson JE, Ramirez-Garcialuna JL, Tran SD, Elkashty OA, Mousa A, El-Hadad AA, Taqi D, Al-Hamad F, Alageel O, Kaartinen MT, Tamimi F. Bone extracts immunomodulate and enhance the regenerative performance of dicalcium phosphates bioceramics. Acta Biomater 2019; 89:343-358. [PMID: 30853609 DOI: 10.1016/j.actbio.2019.03.012] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 02/28/2019] [Accepted: 03/06/2019] [Indexed: 12/27/2022]
Abstract
Immunomodulation strategies are believed to improve the integration and clinical performance of synthetic bone substitutes. One potential approach is the modification of biomaterial surface chemistry to mimic bone extracellular matrix (ECM). In this sense, we hypothesized that coating synthetic dicalcium phosphate (DCP) bioceramics with bone ECM proteins would modulate the host immune reactions and improve their regenerative performance. To test this, we evaluated the in vitro proteomic surface interactions and the in vivo performance of ECM-coated bioceramic scaffolds. Our results demonstrated that coating DCP scaffolds with bone extracts, specifically those containing calcium-binding proteins, dramatically modulated their interaction with plasma proteins in vitro, especially those relating to the innate immune response. In vivo, we observed an attenuated inflammatory response against the bioceramic scaffolds and enhanced peri-scaffold new bone formation supported by the increased osteoblastogenesis and reduced osteoclastogenesis. Furthermore, the bone extract rich in calcium-binding proteins can be 3D-printed to produce customized hydrogels with improved regeneration capabilities. In summary, bone extracts containing calcium-binding proteins can enhance the integration of synthetic biomaterials and improve their ability to regenerate bone probably by modulating the host immune reaction. This finding helps understand how bone allografts regenerate bone and opens the door for new advances in tissue engineering and bone regeneration. STATEMENT OF SIGNIFICANCE: Foreign-body reaction is an important determinant of in vivo biomaterial integration, as an undesired host immune response can compromise the performance of an implanted biomaterial. For this reason, applying immunomodulation strategies to enhance biomaterial engraftment is of great interest in the field of regenerative medicine. In this article, we illustrated that coating dicalcium phosphate bioceramic scaffolds with bone-ECM extracts, especially those rich in calcium-binding proteins, is a promising approach to improve their surface proteomic interactions and modulate the immune responses towards such biomaterials in a way that improves their bone regeneration performance. Collectively, the results of this study may provide a conceivable explanation for the mechanisms involved in presenting the excellent regenerative efficacy of natural bone grafts.
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Affiliation(s)
- Alaa Mansour
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Lina Abu-Nada
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Haider Al-Waeli
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | | | | | - Joseph M Kinsella
- Department of Bioengineering, Faculty of Engineering, McGill University, Montreal, QC, Canada.
| | - Jacqueline Kort-Mascort
- Department of Bioengineering, Faculty of Engineering, McGill University, Montreal, QC, Canada.
| | - Janet E Henderson
- Faculty of Medicine, McGill University, Montreal, QC, Canada; The Bone Engineering Labs, Research Institute McGill University Health Center, Montreal, QC, Canada.
| | - Jose Luis Ramirez-Garcialuna
- Faculty of Medicine, McGill University, Montreal, QC, Canada; The Bone Engineering Labs, Research Institute McGill University Health Center, Montreal, QC, Canada.
| | - Simon D Tran
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Osama A Elkashty
- Faculty of Medicine, McGill University, Montreal, QC, Canada; Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
| | - Aisha Mousa
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Amir A El-Hadad
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Faez Al-Hamad
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
| | - Omar Alageel
- Faculty of Dentistry, McGill University, Montreal, QC, Canada; College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
| | | | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, QC, Canada.
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Ma MS, Najirad M, Taqi D, Retrouvey JM, Tamimi F, Dagdeviren D, Glorieux FH, Lee B, Sutton VR, Rauch F, Esfandiari S. Caries prevalence and experience in individuals with osteogenesis imperfecta: A cross-sectional multicenter study. Spec Care Dentist 2019; 39:214-219. [PMID: 30758072 DOI: 10.1111/scd.12368] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Revised: 01/16/2019] [Accepted: 01/30/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Dentinogenesis Imperfecta (DI) forms a group of dental abnormalities frequently found associated with Osteogenesis Imperfecta (OI), a hereditary disease characterized by bone fragility. The objectives of this study were to quantify the dental caries prevalence and experience among different OI-types in the sample population and quantify how much these values change for the subset with DI. METHODS To determine which clinical characteristics were associated with increased Caries Prevalence and Experience (CPE) in patients with OI, the adjusted DFT scores were used to account for frequent hypodontia, impacted teeth and retained teeth in OI population. For each variable measured, frequency distributions, means, proportions and standard deviations were generated. Groups means were analyzed by the unpaired t-test or ANOVA as appropriate. For multivariate analysis, subjects with caries experience of zero were compared with those with caries experience greater than zero using logistic regression. RESULTS The stepwise regression analysis while controlling for all other variables demonstrated the presence of DI (OR 2.43; CI 1.37-4.32; P = 0.002) as the significant independent predictor of CPE in the final model. CONCLUSION This study found no evidence that CPE of OI subjects differs between the types of OI. The presence of DI when controlled for other factors was found to be the significant predictor of CPE.
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Affiliation(s)
- Mang Shin Ma
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | | | - Doaa Taqi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | | | - Faleh Tamimi
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Didem Dagdeviren
- Faculty of Dentistry, McGill University, Montreal, Quebec, Canada
| | - Francis H Glorieux
- Shriners Hospital for Children and McGill University, Montreal, Quebec, Canada
| | | | | | - Frank Rauch
- Shriners Hospital for Children and McGill University, Montreal, Quebec, Canada
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