Stefan Serban

Stefan Serban
University of Glasgow | UofG

DMD MPH PhD FDS RCSEd

About

25
Publications
3,783
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206
Citations
Additional affiliations
March 2017 - present
University of Leeds
Position
  • Lecturer

Publications

Publications (25)
Conference Paper
Background Current evidence suggests that periodontitis could be a causal risk factor for rheumatoid arthritis (RA) onset and progression, and periodontal treatment may improve disease activity in patients with established RA [1, 2]. Earlier periodontal intervention in individuals at-risk of RA could provide a unique opportunity to delay progressio...
Article
Full-text available
Objectives Current evidence suggests that periodontal disease could be a causal risk factor for rheumatoid arthritis (RA) onset and progression. Earlier periodontal intervention in individuals at risk of RA could provide a unique opportunity to prevent or delay the onset of RA. This study aimed to explore the acceptability of periodontal treatment...
Article
Background/Aims Periodontitis is a chronic inflammatory disease affecting almost half of adults in the UK and is a leading cause of tooth loss. Current evidence suggests that periodontitis could be a causal risk factor for rheumatoid arthritis (RA) onset and progression, and periodontal treatment may improve disease activity in patients with establ...
Article
Full-text available
Purpose Multiple studies have reported a positive association between missing teeth and cognitive impairment. While some authors have postulated causal mechanisms, existing designs preclude assessing this. Methods We sought evidence of a causal effect of missing teeth on early-onset cognitive impairment in a natural experiment, using differential...
Article
Background: Periodontitis is independently associated with rheumatoid arthritis (RA); however, there are limited data on whether periodontal treatment improves overall RA disease activity. We conducted a pilot feasibility randomised controlled clinical trial to test whether intensive periodontal therapy reduces RA disease activity in patients with...
Article
Aims To assess the effectiveness and acceptability of smartphone customised frame technology to improve the fit of disposable filtering facepiece class 3 (FFP3) respirators for dental staff who previously failed fit testing.Method In total, 20 volunteers who previously failed FFP3 fit testing were recruited to use smartphone technology (Bellus3D Fa...
Article
Full-text available
There is increasing evidence supporting an association between periodontal disease (PD) and rheumatoid arthritis (RA), both mechanistically and clinically. Trials have shown that treating PD in people with RA may improve RA disease activity. Patients with musculoskeletal symptoms without arthritis, who test positive for cyclic-citrullinated protein...
Article
Background In 2020/21, as part of the COVID-19 pandemic response and for the first time in England, newly qualified foundation dentists (FDs) were trained to participate in flu and COVID-19 vaccination programmes to offer additional workforce capacity. The largest of these efforts was in Yorkshire and the Humber where 106 FDs were trained and ready...
Article
Full-text available
Objectives: A multicentre survey was designed to evaluate the impact of COVID-19 outbreak on dental practice worldwide, estimate the COVID-19 related symptoms/signs, work attitudes and behaviour and the routine use of protective measures and personal protective equipment (PPE). Methods: A global survey using a standardized questionnaire with res...
Article
Full-text available
[This corrects the article DOI: 10.3389/fmed.2020.606242.].
Article
Full-text available
Introduction Influenza is regarded by the World Health Organization (WHO) as a “serious global health threat” and is responsible for a significant number of deaths worldwide (1, 2). Influenza vaccines are usually delivered in primary care physician practices as well as in pharmacy settings. Dental practices are generally not seen as routine provide...
Article
The coronavirus pandemic has had significant effects on individuals, healthcare systems and governments. In the UK, whilst routine dentistry was suspended, an urgent dental care system was required to support urgent patient need. Using an adapted model of Donabedians’ framework, a critical evaluation of the services developed and implemented is pro...
Article
Multimorbidity (the coexistence of two or more chronic conditions) is common, is likely to be on the increase and has a major impact on quality of life, increased risk of mortality, and significant financial costs to the health and social care system. Multimorbidity is strongly associated with increasing age and is also directly linked to socioecon...
Presentation
Objectives: The associations between oral and systemic conditions are becoming increasingly important for clinicians, policy makers and patients. Periodontitis has been associated with several chronic inflammatory conditions including diabetes, cardiovascular disease and rheumatoid arthritis (RA). Most studies to date have focused on clinical outco...
Article
Full-text available
Objective: A qualitative exploration of the barriers and facilitators for people experiencing homelessness achieving good oral health. Participants: Adults using two homeless centres in Leeds. Methods: Focus group discussions were convened with homeless people using support services. Both an inductive and deductive approach to data analysis wa...
Article
Full-text available
INTRODUCTION: Patients with rheumatoid arthritis (RA) present a higher incidence and severity of periodontitis than the general population. Our study, Outcomes of Periodontal Treatment in Patients with Rheumatoid Arthritis (OPERA), was a randomized waiting-list controlled trial using mixed methods. Patients randomized to the intervention arm receiv...
Article
Objectives: Studies that demonstrate an association between rheumatoid arthritis (RA) and dysbiotic oral microbiomes are often confounded by the presence of extensive periodontitis in these individuals. Therefore, the present investigation sought to investigate the role of RA in modulating the periodontal microbiome by comparing periodontally heal...
Conference Paper
Objective: To assess reliability and validity of periodontal diagnosis based on routine dental radiographs in an epidemiological study of early rheumatoid arthritis (RA). Method: From a national cohort of 1316 RA patients, 756 completed a follow-up questionnaire about their RA status and oral health. Their general dental practitioners (GDP) w...

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