Publications by authors named "Dominique Declerck"

Article Synopsis
  • Regular dental check-ups and oral hygiene are often neglected in nursing homes, leading to poor oral health among residents; the OHS-interRAI was developed to improve the assessment of residents' oral health needs.
  • A study compared the effectiveness of the traditional interRAI section to the OHS-interRAI in identifying oral health issues in over 12,000 nursing home residents, finding that the OHS-interRAI detected more oral health problems.
  • While the OHS-interRAI showed higher detection rates for issues like chewing function and dry mouth, it also had more missing data, potentially due to regulatory constraints in its implementation.
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Article Synopsis
  • Older adults in nursing homes often have poor oral health, which can impact their overall well-being, but maintaining good oral hygiene and regular dental check-ups can prevent many issues.
  • This study utilized the optimized Oral Health Section of the interRAI to assess the oral health of residents in Flemish and Dutch nursing homes, highlighting the need for caregivers to assist with oral hygiene.
  • Results showed notable differences in oral health between Flemish and Dutch residents, with Flemish residents experiencing more issues like chewing difficulties and a greater need for dental referrals and hygiene assistance.
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Background & Aims: Malnutrition often remains undetected in older persons, leading to increased health problems and comorbidity, prolonged hospital stays and readmissions. In 2020, data from the interRAI Home Care (interRAI HC) instrument was used to determine malnutrition status according to some of the criteria of the Global Leadership Initiative on Malnutrition (GLIM). The interRAI HC instrument showed to be effective as a screening tool for the risk of malnutrition.

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Background: Oral health is associated with general health and care dependency, but is often neglected in nursing homes. Integration of oral care into general care is necessary, but is hampered by multiple barriers at different levels. This study is part of research into the implementation of the new Oral Health Section for use within the interRAI Long-Term Care Facilities instrument, which is used to assess care needs of nursing home residents.

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Introduction: In a growing child, preservation of traumatized immature permanent upper incisors is challenging. This study aimed to evaluate the long-term outcome of endodontically treated traumatized immature upper incisors and associated variables.

Methods: A total of 183 traumatized immature upper incisors treated with pulpotomy, apexification, or regenerative endodontic procedure (REP), with follow-up between 4 and 15 years, were assessed for presence of pulpal responses or periodontal/bone responses using standardized clinical and radiologic criteria.

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Background: The oral health of care-dependent older people living in residential care facilities is generally suboptimal. To facilitate adequate daily oral care and timely referral to a dental professional, studies emphasise the need for sustainable, structured oral healthcare policies in aged care organisations. The effect of such interventions is often limited or uncertain owing to a lack of understanding of how effective the integration and implementation of the policy has been within the facilities.

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Background: Proper skills in radiographic diagnosis are essential for optimal management of dental trauma.

Aim: To assess diagnostic accuracy obtained by paediatric dentists using Cone Beam Computed Tomography (CBCT) without specific training and to compare this with their performance using intraoral radiographs.

Methods: Intraoral and CBCT images of 89 teeth, spread over twenty dental trauma cases were presented in random order to nine paediatric dentists.

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Objective: Epidermolysis bullosa (EB) is a rare genetic mucocutaneous disorder characterized by epithelial fragility leading to blister formation on skin and mucous membranes with even minor mechanical trauma. Most EB oral health publications give fragmented information, focusing on only one oral health aspect or one EB type. The aim of this study was to expand the knowledge of the overall oral health status of individuals with dystrophic, junctional, and simplex EB.

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Background And Objectives: This study aimed to explore oral health perception and oral care needs, barriers, and current practices as perceived by managers and staff in long-term care organizations for older people in Flanders.

Research Design And Methods: This is a cross-sectional study where 2 questionnaires were developed, one for managers and one for caregivers, and were validated in Flemish long-term care organizations. Descriptive analyses and multivariable generalized linear models evaluated the main outcomes and their associations with determinants such as the size of the organization, the presence of an oral health policy, collaboration with a dentist, among others.

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Background/aims: Being able to correctly interpret radiographs after a traumatic dental injury is an essential skill for providing appropriate and timely treatment. The aim of this study was to assess the impact of case complexity on paediatric dentists' performance when radiographically diagnosing traumatic dental injuries (TDI) and to investigate a possible added value of cone-beam computed tomography (CBCT) when compared with digital intra-oral radiography (2D vs 3D).

Materials And Methods: A test panel of paediatric dentists was instructed to detect, identify and interpret radiographic findings using either 2D or 3D images.

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Objectives: To compare changes in root length of maxillary incisors with and without dental trauma throughout orthodontic treatment.

Materials And Method: Patients younger than 18 years, with trauma on at least one maxillary incisor, undergoing orthodontic treatment between 2017 and 2021 were included, using the contralateral side as control without trauma when available. Periapical radiographs were taken pre-treatment and at 6 months intervals, and root/crown ratio was calculated.

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Unlabelled: The purpose of this study was to systematically review the literature regarding the prevalence of malocclusion and different orthodontic features in children and adolescents.

Methods: The digital databases PubMed, Cochrane, Embase, Open Grey, and Web of Science were searched from inception to November 2021. Epidemiological studies, randomized controlled trials, clinical trials, and comparative studies involving subjects ≤ 18 years old and focusing on the prevalence of malocclusion and different orthodontic features were selected.

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Background: The aim of this study is to evaluate the impact of experience with traumatic dental injuries (TDI) on paediatric dentists' performance and self-assessed confidence when radiodiagnosing traumatic dental injuries (TDI) and to explore whether this is influenced by the imaging technique used (2D versus 3D).

Materials And Methods: Both 2D and 3D radiological images of young anterior permanent teeth having experienced dental trauma were assessed randomly by a panel of paediatric dentists using structured scoring sheets. The impact of level of experience with dental traumatology on radiological detection, identification and interpretation of lesions and on observer's self-assessed confidence was evaluated.

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Objectives: At present there is no clear consensus whether systemic antibiotics should be administered at replantation of an avulsed permanent tooth. This systematic review and meta-analysis assessed the evidence on effectiveness and harms of the administration of systemic antibiotics at replantation of avulsed permanent teeth.

Methods: In August 2020 a systematic literature search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, for systematic reviews, randomized controlled trials (RCT) and observational controlled studies in MEDLINE, PreMedline, Embase, and the Cochrane databases.

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Background: Williams-Beuren syndrome (WBS) is caused by a microdeletion on chromosome 7q11-23 and clusters a variety of systemic affectations.

Aim: To investigate whether 3D facial scans can detect WBS by objectively addressing their craniofacial, skeletal and dental characteristics, compared with those of a non-affected control group.

Materials And Methods: 3D facial surface scans of 17 WBS individuals and 33 normal developing patients were analysed.

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Little is known about the extent to which dentists have implemented COVID-19 infection control guidelines and the factors influencing this process in daily practice. This national online survey assessed the implementation of enhanced infection control guidelines in daily practice, and explored dentist related factors influencing their application, more specifically dentist infection status and their perceived risk of cross-infection in the dental setting. The survey was validated, pretested and carried out in 2020.

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Objectives: This systematic review aimed to assess (1) whether systemic antibiotics are beneficial or harmful in healthy children who present with an odontogenic abscess in the primary dentition with or without systemic involvement and (2) if antibiotics are beneficial, which type, dosage and duration are the most effective.

Materials And Methods: Electronic databases (Medline, Embase, and the Cochrane Library) were screened from 1948 up to August 2020. No filters with respect to study design were applied.

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Objectives: An optimized oral health-related section and a video training were developed and validated for the interRAI suite of instruments. The latter is completed by professional non-dental caregivers and used in more than 40 countries to assess care needs of older adults.

Methods: The optimized oral health-related section (ohr-interRAI) consists of nine items and a video training that were developed in consecutive phases.

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Aim: To develop practice guidelines for nursing assistants who provide daily oral care to older adults.

Background: The interRAI suite of instruments is internationally used in professional health care to assess the needs of care-dependent older persons. An optimised oral health section was developed recently to identify care clients with poor oral health and hygiene.

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Background: Photographs can help non-dental professional caregivers to identify problems when inspecting the mouth of care-dependent older individuals. This study evaluated whether the assessment of oral health-related conditions presented in photographs differed between dentists and non-dental professional caregivers.

Materials And Methods: One-hundred-and-seventy-nine photographs were taken from long-term care facility residents and from patients at the Department of Dentistry of a University Hospital.

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Background: Trauma-induced adverse reactions may trigger complications when moving teeth orthodontically.

Aim: The purpose of this study was to evaluate the knowledge of dental practitioners about this topic.

Design: A questionnaire survey was organized among general dentists, paediatric dentists, and orthodontists in Flanders (Belgium).

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Objectives: To assess the perception of oral health and oral care needs, barriers and current practices as perceived by managers and caregivers in organizations for people with disabilities in Flanders.

Materials And Methods: Two questionnaires were developed, one for managers and one for caregivers. The questionnaires were distributed in all 570 organizations for people with disabilities in Flanders.

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Objectives: In 2012-2014, the Belgian National Oral Health Data Registration and Evaluation Survey, integrated in the Health Interview Survey (HIS), was carried out. The present study investigated, in a sample of 1340 dentate adults (≥25 years), the association between oral healthcare utilization, oral health status and sociodemographic status.

Methods: A multistage, stratified cluster sampling procedure was used.

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