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Chronic kidney disease (CKD) in children presents multifaceted challenges, impacting various aspects of health, including oral health. This narrative review provides a comprehensive synthesis of literature focusing on the oral health status of pediatric CKD patients, encompassing oral manifestations, dental considerations, and management challenges associated with hemodialysis and kidney transplantation. A comprehensive search strategy was employed, utilizing databases such as PubMed, Scopus, Web of Science, and Google Scholar, to identify relevant literature on oral manifestations in children with CKD, including those undergoing hemodialysis or renal transplantation. Search terms were carefully selected to capture studies examining enamel hypoplasia, dental caries, delayed tooth eruption, gingival diseases, periodontal diseases, radiographic alterations, craniofacial development, dry mouth, and changes in the oral mucosa. Our narrative review meticulously selected articles through a systematic process. Ultimately, 12 studies meeting the inclusion criteria were included in the review. Relevant data from each included study were independently extracted and synthesized, focusing on oral manifestations and their implications in pediatric CKD patients. The synthesized findings were organized and presented in a structured manner within the review article, considering their clinical implications and informing recommendations for dental management of children with CKD. This article highlights the importance of a coordinated effort between nephrologists, dentists, and other healthcare professionals in providing holistic care for pediatric CKD patients. A comprehensive understanding of the oral health status of these children, along with proactive dental management strategies, contributes to improved overall health outcomes and a better quality of life. This review aims to serve as a valuable resource for the oral healthcare providers involved in the care of pediatric CKD patients. [ABSTRACT FROM AUTHOR]

Objective: This systematic review evaluates the efficacy of buccal pad fat (BPF) as an autologous graft in the treatment of gingival recession (GR). Thus, the research question explores if the BPF can serve as a viable alternative to the gold standard connective tissue graft. Materials and methods: Only seven studies met the inclusion criteria were critically appraised including the randomized controlled clinical trials, and case series. The inclusion criteria were systemically healthy individuals in the age range (18–65 years old) with Miller's classification of GR either class I, II, III, or IV while exclusion criteria were patients with poor oral hygiene, pregnant and lactating patients, teeth with caries, any prior surgery in the relevant regions, and use of medications. Results: The review included 117 patients with 136 GR defects. The age of participants ranges from 20 to 65 years old with the higher percentage of root coverage (%RC) at 6 months in the pedicled BPF group which was 89.30%while the lowest (%RC) at 6 months in the same group was 46.78%. The BPF group's width of keratinized gingiva (WKG) values indicate a notable improvement, suggesting a positive impact on WKG compared to the control group. Conclusions: BPF can be considered as a promising graft to augment gingival tissues at different sites in the oral cavity with different Miller's classes of GR providing a new era in GR treatment. [ABSTRACT FROM AUTHOR]

Objective: This study aims to determine the prevalence and risk factors associated with lymphoma in primary Sjögren's syndrome (pSS). Methods: We conducted a cross‐sectional study on pSS patients who were registered into the Integrated Data Repository (IDR) at the University of Florida (UF) Health Shands Hospital. The parameters, such as age, sex, race, and smoking status, were included. Lymphoma types in pSS were categorized. The clinical and laboratory features were compared between pSS patients with and those without lymphoma by utilizing the items in the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI). Results: Among 1,211,343 patients, we found 6799 patients (0.56%) with lymphomas and 2562 patients (0.21%) with pSS. Out of the 2562 pSS patients, 67 patients (2.6%) were diagnosed with lymphoma. The difference in the clinical and laboratory features listed under the ESSDAI domains between pSS patients with lymphomas and pSS without it was significant (p < 0.05 or 0.01): fever, weight loss, lymphadenopathy, splenomegaly, lacrimal gland diseases, cough, shortness of breath, hematuria, cerebrovascular accident diseases, peripheral nerve involvement due to vasculitis, neutropenia, and thrombocytopenia. Conclusion: We report 2.6% of lymphoma prevalence in pSS, lower than previously reported in the literature. [ABSTRACT FROM AUTHOR]

Car ownership and use in the Kingdom of Saudi Arabia (KSA) are very high due to the high income, the low fuel prices and the near absence of public transportation in the Kingdom. Currently, the Kingdom is going through a massive transformation and entering a new era of national reforms. One of the main aims of the national reforms is to reduce car dependency and enhance more sustainable options of travel such as public transportation in the KSA. In order to achieve such an aim, there are two hurdles: Firstly, there must be a provision of decent public transportation options, and secondly, there is a need to influence travel behaviour and encourage the shift from private cars to public transportation. For example, in Riyadh city, an impressive metro system is being constructed and will start operation in 2023. To influence travel behaviour, travel demand management measures (TDM), in particular pricing measures, can be adopted and implemented, in order to help and support achieving the target. The main aim of this paper, therefore, is to assess the attitudes of Saudi nationals towards—and willingness to accept—pricing measures and their possible impacts on their travel behaviour in the city of Riyadh. The methodology includes collecting data using an online survey on travel behaviour and attitudes in Riyadh and calibrating multinomial logit modal choice models. The participants in the survey were asked to report their support of the pricing measures for the objective of reducing congestion in the city, improving road safety or reducing travel time. The results show the highest support towards pricing measures for improving road safety, reducing travel times and, lastly, reducing congestion in the city. [ABSTRACT FROM AUTHOR]