Dentistry Review最新文献

{"title":"Technology, Graduate Dental Education, and Military Readiness","authors":"Ben Ottoson","doi":"10.1016/j.dentre.2024.100131","DOIUrl":"10.1016/j.dentre.2024.100131","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The purpose of this report is to demonstrate use of technology to minimize treatment time, maximize the dental readiness of military units, and potentially prevent dental emergencies among deployed military personnel.</p></div><div><h3>METHODS</h3><p>Two cases are presented. The first case demonstrates placement of two immediate implants with immediate delivery of definitive implant-supported crowns. The second case demonstrates delivery of a milled crown at the time of crown lengthening surgery.</p></div><div><h3>RESULTS</h3><p>In both cases, the patients tolerated the procedures well. Use of technology shortened treatment time and hastened return to health (no treatment needs). Favorable clinical results were achieved.</p></div><div><h3>CONCLUSIONS</h3><p>Educators in military Graduate Dental Education programs are uniquely positioned to critically evaluate, selectively implement, and distribute new technologies while producing tech-literate clinicians capable of leveraging technology toward military advantage.</p></div><div><h3>IMPLICATIONS</h3><p>Emerging and maturing technologies involving artificial intelligence, cloud-based information sharing, optical scanning, and computer-aided design/computer-aided manufacturing offer promising applications in military healthcare. Rationally selecting the “right” technologies in a measured and coordinated fashion will optimize use of modernization resources. Incremental advances that support readiness, wellness, and patient safety now will position military dentistry to meet the projected challenges in the future operating environment.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000543/pdfft?md5=0c3f198bb9b8dac82b1990d02cb29370&pid=1-s2.0-S2772559624000543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral TMJ Ankylosis in a 24-year-old Male with Epilepsy","authors":"Elizabeth Floodeen DDS,&nbsp;Marshall Newman DMD","doi":"10.1016/j.dentre.2024.100135","DOIUrl":"10.1016/j.dentre.2024.100135","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The purpose of this case report is to outline a unique case of a 24-year-old male with difficult to control seizures and bilateral temporomandibular joint (TMJ) ankylosis including pre-operative workup, the perioperative medical and surgical management, and post-operative course.</p></div><div><h3>METHODS</h3><p>This patient has been followed by the Department of Oral and Maxillofacial Surgery for eight years and eventually developed bilateral TMJ ankylosis, for which bilateral custom joint replacement was recommended. Patient optimization for surgery required a multi-disciplinary approach in conjunction with neurology, anesthesiology, and the ICU/critical care teams.</p></div><div><h3>RESULTS</h3><p>This patient was able to successfully undergo surgery, consisting of bilateral custom TMJ replacement. This case offered a challenge in both peri-operative anti-epileptic management for seizure control as well as airway management with the use of an awake nasal fiberoptic intubation then converted to a tracheostomy.</p></div><div><h3>CONCLUSIONS</h3><p>Bilateral TMJ ankylosis is a rare and often difficult to manage condition. This report provides a unique case of a patient with difficult-to-control seizures and bilateral TMJ ankylosis as well as a discussion of management strategies and recommendations.</p></div><div><h3>IMPLICATIONS</h3><p>There is currently very literature in the OMS field of management recommendations for bilateral TMJ ankylosis and none in patients with a history of epilepsy or seizures. This report will offer the management strategies of these authors.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000580/pdfft?md5=b8c551a07b6467dea721cebe80e66a06&pid=1-s2.0-S2772559624000580-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preference Between The ProSomnus IA And TAP 3 In Bruxers.","authors":"Andrew S. Ryser DDS","doi":"10.1016/j.dentre.2024.100132","DOIUrl":"10.1016/j.dentre.2024.100132","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The purpose of this study is to evaluate the preference of MAD appliances for patients diagnosed with OSA and bruxism using TAP 3 and modified ProSomnus IA oral appliances.</p></div><div><h3>METHODS</h3><p>Twelve patients diagnosed with OSA were referred for fabrication of a mandibular advancement device (MAD). At the initial appointment each patient was evaluated for signs and symptoms of bruxism. If bruxism was diagnosed the patient was informed of and given the choice to enroll in the research project. Once enrolled and informed consent obtained, digital scans of the patient were acquired using the Primescan (Dentsply Sirona) while in 50-60% of maximum protrusion. The ProSomnus IA was modified to have wings extended 2mm laterally to give similar range of lateral movement as the TAP 3. Patients were randomly chosen for which MAD would be delivered first. One MAD was delivered and used for one month. After one month the patient returned to the clinic and received the alternative MAD. At the final appointment, the patient was asked which device was preferred for long-term treatment.</p></div><div><h3>RESULTS</h3><p>8 patients enrolled in this study preferred the ProSomnus IA for treatment of OSA over the TAP 3 MAD. One patient was not able to tolerate either device and one dropped out of the study. The two patients who preferred the TAP 3 also used a CPAP simultaneously.</p></div><div><h3>CONCLUSIONS</h3><p>The modified ProSomnus IA was the preferred device for patients with OSA and bruxism. Patients who used the CPAP and MAD preferred the TAP 3. Patients selected the ProSomnus IA for the following reasons: the ability to open mouth with the IA, increased comfort, and ease of use. The IA was not chosen when the patient also used a CPAP due to discomfort from the wings of the IA on the buccal mucosa when used with a CPAP mask.</p></div><div><h3>IMPLICATIONS</h3><p>This project compared the preference between the Prosomnus IA and TAP3 appliance in patients that are diagnosed with obstructive sleep apnea and bruxism, potentially improving the decision making for clinicians when treating a patient with OSA and bruxism. Choosing the preferred device first will allow the patient to potentially receive successful treatment for OSA and bruxism in a more timely manner, increasing compliance, saving valuable clinic time, and preventing costly remakes.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000555/pdfft?md5=a967f060462b537a1e9cc46f07be5f63&pid=1-s2.0-S2772559624000555-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing intraoperative and postoperative complication occurrence","authors":"Gary Blyleven","doi":"10.1016/j.dentre.2024.100125","DOIUrl":"10.1016/j.dentre.2024.100125","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>In periodontology, it is widely recognized that evidence characterizing the incidence and effect of treatment complications is lacking. The objective of this study was to assess the influence of operator-, procedure-, patient-, and site-associated factors on intraoperative and postoperative complication occurrence.</p></div><div><h3>METHODS</h3><p>A single investigator reviewed records of patients treated by eight periodontics residents from July 2018 through June 2022. For each procedure, the investigator recorded and graded each intraoperative and postoperative complication or indicated that no complication had occurred. These outcomes were analyzed against a panel of explanatory covariates.</p></div><div><h3>RESULTS</h3><p>A total of 1135 procedures were included in the analysis. Intraoperative and postoperative complications were identified in 2.8% and 15.2% of procedures, respectively. The most common intraoperative complications were Schneiderian membrane perforation (1.3%) and gingival flap perforation/tear (1%), and the most common postoperative complications were dentin hypersensitivity (2.6%), excessive pain (2.5%), and infection (2.2%). Subepithelial connective tissue graft (OR: 3.2, 95% CI: 1.6, 6.1; p&lt;.001), guided bone regeneration (OR: 3.0, 95% CI: 1.4, 6.5; p=.004), and guided bone regeneration with implant placement (OR: 3.1, 95% CI: 1.3, 7.6; p=.011) were associated with higher odds of postoperative complication, whereas lateral sinus elevation (OR: 102.5, 95% CI: 12.3, 852.9; p&lt;.001), transalveolar sinus elevation (OR: 22.4, 95% CI: 2.2, 224.5; p=.008), open flap debridement (OR: 36.4, 95% CI: 3.0, 440.7; p=.005), and surgically facilitated orthodontic therapy (OR: 20.5, 95% CI: 1.2, 358.4; p=.039) were associated with higher odds of intraoperative complication occurrence.</p></div><div><h3>CONCLUSIONS</h3><p>Consistent with previous reports, procedure type appears to be the predominant factor driving complication occurrence. As analyses of treatment complications increase, individualized risk-benefit assessments will become progressively meaningful for patients.</p></div><div><h3>IMPLICATIONS</h3><p>An accurate appraisal of the risks associated with a procedure are necessary for patient consent concerning care. As we accumulate more information on complications, individualized risk-benefit assessments will become progressively meaningful for patients.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100125"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000488/pdfft?md5=662bed9f741ffc4f93ec2d2a2f24038f&pid=1-s2.0-S2772559624000488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Intra-oral Photography in Dental Patients’ Acceptance of Treatment Plans","authors":"Gabriela Olvera,&nbsp;Kyleigh Garrett,&nbsp;Kandyce A'see RDH MS","doi":"10.1016/j.dentre.2024.100103","DOIUrl":"10.1016/j.dentre.2024.100103","url":null,"abstract":"<div><h3>Objectives</h3><p>Discuss how dental photography, also known as intra-oral photography, can affect patient acceptance of treatment plans.</p></div><div><h3>Methods</h3><p>A specific collection of available selection of literature was used to produce a reliable literature review. The articles selected were selected at most five years old. This review included a peer review to produce original research on the role of intra-oral photography in the treatment plan's acceptance. Many articles were not included due to being older than five years, literature reviews, or meta-analyses. The research concluded using concepts, keywords, and mesh terms.</p></div><div><h3>Results</h3><p>Some studies concluded that intra-oral photography can be effective in dental treatment, OHI, communication with the patient, exams, post-operative, and future restorative work. Research showed that intra-oral photography can increase patient care by increasing flossing and toothbrushing habits as well as correspond with decreased probing depths and bleeding on probing. Overall, research suggests that intra-oral photography can be beneficial when it comes to patient acceptance of treatment.</p></div><div><h3>Conclusion</h3><p>Even though dental photography is not implemented enough, the studies concluded that it could be effective in dental treatment, OHI, communication with the patient, exams, post-operative, and future restorative work. The review of the literature indicated that intra-oral photography could increase at home patient care by increasing flossing and toothbrushing habits and can correspond with decreased probing depths and bleeding on probing.3 Overall, the research suggests that intra-oral photography can be beneficial when it comes to patient acceptance of treatment plans. This research can be broadened by implementing intraoral photography in more clinics, providing more evidence on how it can improve a patient's oral health.</p></div><div><h3>Implications</h3><p>Intra-oral photos allow patients to visualize their oral conditions and smile with the same perception as the dentist or clinician.5 The research suggests that intra-oral photography can be beneficial when it comes to patient acceptance of treatment plans.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000269/pdfft?md5=11f8e9063c971d809fd95df2347b35b5&pid=1-s2.0-S2772559624000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Augusta's Contribution to the Mental Health of DCG","authors":"Isabella Sonia Batallas","doi":"10.1016/j.dentre.2024.100097","DOIUrl":"10.1016/j.dentre.2024.100097","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>This presentation will provide various sources of extracurricular activities in Augusta to the Dental College of Georgia's (DCG) students and staff. With providing outlets to relieve stress, the students and staff can hopefully boost their mental health and decrease chances of suicide.</p></div><div><h3>METHODS</h3><p>An electronic survey was sent to the students and staff of the Dental College asking various questions on how their time was spent prior to here, how it has been spent here, and activities they wish they knew were provided in Augusta. In addition, a few questions were asked to assess their mental health and their encounters of mental health prior and during their time at DCG.</p></div><div><h3>RESULTS</h3><p>The survey results used demonstrated what activities people liked to be a part of prior to their time at dental school as well as how that decreased at the school in part to not knowing alternatives provided in Augusta. Using these results, various extracurricular activities in Augusta were established and shown with photos to bring awareness, engagement and boost mental health.</p></div><div><h3>CONCLUSIONS</h3><p>Death by suicide occurs every 11 minutes and therefore, is the 10^th leading cause of death. Between ages 15 to 24 years old, it is the 2^nd leading cause of death. The average student at the Dental College of Georgia is about 24 years old. Transitioning from home to a new place like Augusta can be one of many reasons that someone's mental health declines. Augusta has many sources of extracurricular activities that can be used to better students and staff of DCG's mental health and therefore, prevent suicide.</p></div><div><h3>IMPLICATIONS</h3><p>With bringing awareness to Augusta's extracurricular activities, staff and students can engage, boost their mental health, and prevent death by suicide, while also excelling in their studies and care to patients.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000208/pdfft?md5=8fae0f80cc040c5293da13055eb1d2e6&pid=1-s2.0-S2772559624000208-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the Outcome of Platelet-Rich Fibrin Therapy Compared to Connective Tissue Grafting When Treating Gingival Recession?","authors":"Kelsea Collins,&nbsp;Quatesha Smith,&nbsp;Ashley Christman RDH, BS","doi":"10.1016/j.dentre.2024.100117","DOIUrl":"10.1016/j.dentre.2024.100117","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>To educate and inform patients about Research on PRF therapy and Connective Tissue Grafting, gingival recession treatment, and Platelet-Rich Fibrin therapy so they can make informed decisions about their needed gingival procedures.</p></div><div><h3>METHODS</h3><p>For this literature review, the question was formulated to uncover new or less-known data regarding the restoration of gingival recession. Specifically, the question focused on comparing the outcomes of plateletrich fibrin (PRF) therapy to connective tissue grafting in the treatment of gingival recession. To locate relevant articles, the following MeSH terms were used: “gingiva, gingiva rejuvenation, gum graft, connective tissue graft, and PRF gingiva.” To ensure the specifics of the search, meta-analyses, literature reviews, systematic reviews, and articles published before 2018 were excluded.</p></div><div><h3>RESULTS</h3><p>Using PRF therapy is appealing because it comes from the patient's own body and might cause fewer problems. The studies reviewed demonstrate a spectrum of outcomes, with some suggesting equivalence between PRF and connective tissue grafting, while others emphasize that connective tissue grafting is still a very effective option. One is not simply seen as better than the other, but a preference for the patients.</p></div><div><h3>CONCLUSIONS</h3><p>Gingival recession management is a complex issue, with both connective tissue grafting and platelet-rich fibrin (PRF) therapy being treatment options. PRF therapy, which uses growth factors, is effective but depends on gingiva receding, patient-specific factors, and treatment methods.</p></div><div><h3>IMPLICATIONS</h3><p>Informing patients about platelet- rich fibrin therapy in comparison to connective gingival tissue grafting gives the patient the ability to decide what they believe is best of care.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000403/pdfft?md5=3bb141833c513528d90a9a7670fb47f4&pid=1-s2.0-S2772559624000403-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Audiovisual Distraction as a Behavior Management Technique","authors":"Kaitlin Gotschalk DMD,&nbsp;Michael Milano DMD","doi":"10.1016/j.dentre.2024.100137","DOIUrl":"10.1016/j.dentre.2024.100137","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The aim of this survey study was to investigate and describe the use and effects of audiovisual distraction as a behavior management technique by pediatric dentists.</p></div><div><h3>METHODS</h3><p>An electronic survey was sent to the American Academy of Pediatric Dentistry (AAPD) member list via email inquiring about their use of televisions, iPads, and virtual reality playing audiovisuals as a behavior management technique during treatment. The survey queried providers about parent acceptance, patient individualization, clinical procedures and other behavior management techniques in which audiovisuals were used in conjunction, and the observed effects on patient behavior and quality of dentistry delivered.</p></div><div><h3>RESULTS</h3><p>Of the 326 respondents, 80% utilize TVs/iPads while only 4.4% utilize virtual reality in clinical practice. The greatest effect was observed in the patient age range of 6 to 8 years old. Observed effects included improved compliance, reduction in anxiety, decreased restlessness, and decreased attention to provider. Parents strongly accept the use of audiovisual distraction to complete treatment.</p></div><div><h3>CONCLUSIONS</h3><p>Audiovisual distraction is an effective behavior management technique employed widely by pediatric dentists in conjunction with other behavior management techniques for a variety of clinical procedures. Practitioners with less years of clinical experience are more likely to employ the use of audiovisual distraction in clinical practice.</p></div><div><h3>IMPLICATIONS</h3><p>Further use of audiovisual distraction could include potential improvements in the overall patient experience through reduction in anxiety during dental procedures and improved cooperation for pediatric patients.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100137"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000609/pdfft?md5=f89b4805441b31895064e53d2afaef31&pid=1-s2.0-S2772559624000609-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Microbial complexity at peri-implantitis versus periodontitis sites","authors":"William Bane DMD","doi":"10.1016/j.dentre.2024.100124","DOIUrl":"10.1016/j.dentre.2024.100124","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The purpose of this investigation was to compare the diversity of microbial communities at peri-implantitisversus stage III/IV periodontitis-affected sites using next-generation sequencing.</p></div><div><h3>METHODS</h3><p>Seven subgingival plaque specimens from each group of human donors diagnosed with peri-implantitis, stage III/IV periodontitis, or clinical gingival health (control group) were collected. Bacterial DNA was extracted, and the V4 region of the 16s rRNA gene was amplified. PCR-generated amplicons were sequenced, and operational taxonomic units (OTUs) were classified using the Silva database. Shannon Diversity Indices (SDIs) were estimated, and alpha diversity differences were tested using ANOVA. Bray-Curtis indices were computed to estimate beta diversity across groups, and Principal Coordinate Analysis (PCoA) ordination was completed. Significant variations in microbiome structure across groups was assessed using PERMANOVA. Genera that were differentially abundant across groups (absolute log2 fold change &gt; 2) were identified.</p></div><div><h3>RESULTS</h3><p>OTUs clustered into three distinct groups based on sample source. PCoA results demonstrated statistically significant differences between clinical health and peri-implantitis (P-adjusted &lt; 0.05), between clinical health and periodontitis (P-adjusted &lt; 0.05), and between peri-implantitis and periodontitis (P-adjusted &lt; 0.05). Biofilms derived from cases of clinical health exhibited a mean SDI of 2.46. By comparison, mean SDIs in the peri-implantitis and periodontitis groups amounted to 3.023 (Padjusted &lt; 0.05) and 3.061 (P-adjusted &lt; 0.05), respectively. Between the peri-implantitis and periodontitis groups, 8 OTUs exhibited statistically significant differential abundance. The genera Streptobacillus and Psychrobacter were dominant in the peri-implantitis group.</p></div><div><h3>CONCLUSIONS</h3><p>Microbial differences between the diseased environments could not be attributed to the unequivocal presence or absence of specific bacteria. Nonetheless, statistically significant differences in biofilm composition and complexity could be identified between peri-implantitis and stage III/IV periodontitis specimens.</p></div><div><h3>IMPLICATIONS</h3><p>An emerging hypothesis in periodontology and dental implantology posits that inflammatory destruction of tissue results not from the presence of one or a few key bacterial species. Rather, disease results from true polymicrobial activity characterized by accumulation of specific genes, and thus functions, within the biofilm. Moreover, the pathogenesis of peri-implantitis is known to involve the presence of titanium particles that influence the inflammatory response. The observed differences in biofilm diversity and composition in this investigation may reflect complex interactions involving titanium particles, host immune cells, and the biofilm at peri-implantitis sites.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100124"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000476/pdfft?md5=01fa77227f7a615bc2d01ae7467167c6&pid=1-s2.0-S2772559624000476-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness Of Non-Pharmacological Treatments In Decreasing Tourette Syndrome Symptoms","authors":"Margareth Rivas,&nbsp;Danila Dokuchayev,&nbsp;Ashely Christman RDH, BS","doi":"10.1016/j.dentre.2024.100121","DOIUrl":"10.1016/j.dentre.2024.100121","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>To determine the effectiveness of non-pharmacological treatments in suppressing Tourette's Syndrome symptoms.</p></div><div><h3>METHODS</h3><p>The PubMed database was accessed through Augusta University Greenblatt Library. The database was used to search for articles about how occlusal splints suppress Tourette's symptoms. Articles filters included random control trials, peer-reviewed, and clinical trials, that were published within the last five years. Key terms that were utilized were \"Tourette's Syndrome/Therapy,\" \"Occlusal Splint,\" \"Deep Brain Stimulation,\" \"Transcranial Magnetic Stimulation,” and \"Tics\". Articles excluded were meta-analyses, systematic reviews, and literature reviews.</p></div><div><h3>RESULTS</h3><p>Participants receiving the proper individualized therapeutic height for their occlusal splint demonstrated a consistent decrease in their Tourette symptoms based on the mean clinical global impressionsimprovement scale (CGI-S) rating when compared to participants not receiving a proper individualized therapeutic height for their occlusal splint. An occlusal splint is viable in providing immediate tic symptom improvement. The use of an occlusal splint is effective, non-invasive, tolerable, and grants minimal risk when compared to deep brain stimulation and transcranial magnetic stimulation.</p></div><div><h3>CONCLUSIONS</h3><p>Compared to other non-pharmacological options such as deep brain stimulation or transcranial magnetic stimulation, the occlusal splint is a nonsurgical procedure that not only requires less time to be completed but offers fewer adverse effects for the patient, with promising results.</p></div><div><h3>IMPLICATIONS</h3><p>Pharmacological treatment is known as the “Golden Standard” of care when treating Tourette syndrome symptoms. Understanding how nonpharmacological treatments may affect those with Tourette syndrome, offers additional treatment options. The usage of non-pharmacological treatments such as an occlusal splint has the potential to benefit individuals with Tourette syndrome, further advancing the oral-systemic health connection.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100121"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000440/pdfft?md5=9e93b0d5f15ac8d7622bc790b164c3c3&pid=1-s2.0-S2772559624000440-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}