Indian Journal of Dental Research最新文献

Aims: This study aimed to investigate the rate and quality of maturation of the mineral component of impacted teeth 38 and 48 and a fragment of the human lower jaw with connective tissue dysplasia (CTD) in different periods of postnatal ontogenesis.

Methods and material: The study involved 102 males (76 with CTD and 26 without CTD), divided into age groups: 31-40, 41-50 and 51-60 years. For medical reasons, teeth 38 and 48 were removed from each patient, as well as a fragment of the alveolar part of the lower jaw in the projection of teeth 38 and 48 measuring 0.5 × 0.5 cm. The odontological parameters, the mineral density of the enamel and the lower jaw, the length and width of the enamel prisms, the spatial organisation of collagen fibrils and the dimensions of the bone plates of the lower jaw were determined.

Results: A decrease in optical density was observed at the age of 41-50 and 51-60 years with dysplasia, which indicated a decrease in mineral density and the presence of total areas of hypomineralisation relative to the age of 31-40 years. In the age groups of 41-50 and 51-60 years, pronounced sclerosis and deformation of the delimiting elements were observed at the border of the connective tissue structures and the periosteum. At the age of 31-40 years, the level of stratification of the bone plates was local; after 40 years, it was generalised.

Conclusions: Progressive osteoporosis of the lower jaw and incomplete amelogenesis are obstacles to the correct and harmonious eruption of the lower 'wisdom' teeth after 30 years.

Background: Premature degradation is the problem of maxillofacial silicones, significantly affected by ultraviolet exposure, contributing to silicones photodegradation. Degradation necessitates frequent replacement of prostheses that increase the total cost of rehabilitation.

Aims: This study evaluated the effect of bisoctrizole on the ultraviolet absorption properties of silicone material and the stability of this absorption over time. Also, the bisoctrizole effect on the surface roughness of silicone was evaluated.

Methods: There were 60 prepared specimens of room temperature-vulcanising maxillofacial silicone equally divided into two groups according to the conducted tests: ultraviolet absorption test and the surface roughness test. Each group was further subdivided into groups of 10 specimens based on the weight concentration of the ultraviolet (UV) absorber added: 0%, 1% and 2%. The UV absorbance of coloured specimens was measured before and after artificial weathering for 100 and 200 hours. Repeated-measures analysis of variance (ANOVA) was applied for UV absorption results, and one-way ANOVA was applied for the roughness test results to test the changing significances.

Result: Bisoctrizole incorporation led to a highly significant improvement in ultraviolet absorption in all groups, maintaining a high level even after subjecting the specimens to artificial weathering. Furthermore, the addition resulted in a significant increase in surface roughness as the concentration of bisoctrizole increased.

Conclusion: Despite the surface roughness changes, bisoctrizole demonstrated efficacy as a UV absorber for maxillofacial silicone, making it valuable for applications such as maxillofacial prosthetics that require UV protection.

Background: The evaluation of genetic markers in the gingival crevicular fluid (GCF) and their connection to tooth movement can be helpful.

Aim: The objective of this research is to assess the relationship involving leptin levels and orthodontic tooth movement (OTM).

Study setting and design: Thirty individuals reporting to the Department of Orthodontics participated in an observational prospective study.

Material and method: Thirty orthodontic patients (15 male and 15 female) were included in the current study. The association of leptin concentration (GCF) was measured before and after orthodontic force was applied to move the mesially impacted canine distally (tooth movement distance on dental cast).

Statistical analysis: With the help of SPSS software version 21, the data were statistically examined using the "t" test, one-way ANOVA, and Bonferroni correction in Chicago. The average degree of tooth movement was calculated using Pearson's correlation coefficient, and it was connected to the average leptin levels.

Results: Average leptin levels in GCF elevated from baseline (T0, 285.315 picograms/micro litre) to 1 h after force application (T1, 384.683 pg/μL), then raised to a maximum at after 24 h (T2, 927.64 pg/μL), and decreased to the least amount after 15 days (T3, 29.26 pg/μL) and another time increase after two months (242.31 pg/μL). The degree of OTM was significantly correlated with the levels of leptin.

Conclusion: While OTM was occurring, a biphasic fluctuation in the leptin level was noted. The amount of tooth movement was significantly correlated with the GCF leptin level.

Background: The combination of the coronally positioned flap with connective tissue grafting in treating gingival recession defects has been shown to demonstrate the highest success rate.

Aim: The aim of the present study was to compare and evaluate the efficiency between autologous fibrin glue (AFG) and conventional absorbable sutures in the treatment of marginal tissue recessions using connective tissue grafts (CTGs) and the coronally advanced flap (CAF) technique.

Methods: Twenty Miller's class I and II recession sites in maxillary or mandibular areas in chronic periodontitis patients were treated as group I (test): CTG + CAF + AFG; and group II (control): CTG + CAF with conventional absorbable sutures. Clinical parameters in both groups were recorded at baseline (t0) and six months (t1) postoperatively in terms of gingival recession height (RH), root coverage esthetic score (RCES), visual analogue scale (VAS), and healing index (HI).

Results: The RH, RCES, VAS, and HI were significantly reduced at the end of six months compared to baseline (P < 0.005) in both groups; however, there was no statistical difference between the groups, indicating the equivalent efficacy of AFG and conventional sutures in healing.

Conclusion: All the treated sites were found to have appreciable root coverage with satisfactory post-operative healing. Hence, it may be suggested that both AFG and absorbable sutures are equally efficient in post-surgical soft tissue healing.

Introduction: Dental implants are used in dentistry to replace teeth, restore function and improve the quality of life for patients. Osseointegration is critical for the success of dental implants. Implant surface modification can enhance osseointegration. Gold nanoparticles have emerged as a promising coating material for dental implants owing to their unique physicochemical properties. We aimed to review published literature to assess the effect of gold nanoparticle coating in increasing osseointegration of dental implants.

Data collection: A database search yielded a total of 14 articles between January 2011 till December 2021, of which nine articles were excluded and five studies met the inclusion criteria. All studies reported improved osseointegration outcomes with gold nanoparticle coating compared to uncoated controls.

Results: The most reported osseointegration outcomes were bone-implant contact, removal torque (RTQ) and histological analysis of bone formation around the implant. Mean RTQ values for coated implants ranged from 6.7 to 52.8 Ncm, compared to 3.7-40.8 Ncm for uncoated controls. The histological analysis showed greater bone formation and density around the coated implants compared to uncoated implants. Gold nanoparticle coating appears to have a positive effect on osseointegration. The results of included studies suggest that gold nanoparticle-coated implants promote greater bone-implant contact (BIC), RTQ and bone formation around the coated implant than the uncoated implant.

Conclusion: With increasing usage of dental implants, the most prevailing concern among clinicians remains to be peri-implantitis. Peri-implantitis is observed despite the biocompatibility and osseointegration properties of titanium. Surface coatings with antimicrobial effectiveness can help in preventing the onset of peri-implantitis and bone loss, while increasing BIC.

Context: Long-term color stability of composite resins is one of the most important factors influencing the clinical longevity of aesthetic restorations.

Aims: This study evaluated the effect of novel reduced steps and gold standard multiple steps polishing systems of two composite resins; a nano-filled (Filtek Z350XT) versus a supra-nanofill (Palfique LX5) on their color stability after submitting to thermocycling with common beverages.

Materials and methods: Sixty disc-shaped specimens were fabricated from both composite resins (n = 30). From each material, ten specimens acted as the control group (Mylar strip), ten specimens were polished with Sof-Lex Diamond spirals, and ten were polished with Super-Snap X-Treme discs. All the specimens were thermocycled with staining solutions. Color was measured by a spectrophotometer before and after thermocycling and color difference (ΔE*) was calculated.

Statistical analysis used: One-way analysis of variance followed by Tukey's post-hoc test and independent t-test (α = 0.05) were used.

Results: A significantly highest color change was recorded for both control subgroups (P < 0.05), and the Sof-Lex Diamond spiral showed significantly the lowest color change (P < 0.05). Both the control and Sof-Lex Diamond spiral subgroups of Palfique LX5 produced significantly lower color change compared with subgroups of Filtek Z350 (P < 0.05).

Conclusions: Sof-Lex Diamond spiral polishing system provided the least color difference for both composites, while there was no significant difference between the materials when the Super-Snap X-Treme polishing system was used.

Aims: This study aimed to assess the effect of G-CEM, a fluoride-releasing cement, on the development of white spot lesions (WSLs) and their severity around orthodontic brackets.

Methods and materials: This case-control study was conducted by reviewing 140 dental records of fixed orthodontic patients presenting to an orthodontic clinic. The patients were assigned to two groups (n = 70). In group 1, Transbond XT resin cement, and in group 2, G-CEM had been used for bracket bonding. The frequency and severity of WSLs in each group were evaluated by assessing the available post-treatment photographs of patients and notes left by their orthodontist in their records in this regard. The number of teeth with WSLs in each patient was recorded, and the severity of lesions was categorised by Gorelick's analysis.

Statistical analysis: Comparisons were made using independent t-test, Wilcoxon test and Mann-Whitney test (alpha = 0.05).

Results: In both the maxilla and mandible, the prevalence of WSLs was significantly higher in the Transbond XT group than in the G-CEM group (P = 0.01). The difference in frequency of WSLs between the maxilla and mandible was not significant within each group (P > 0.05). Tooth #22 had the highest frequency of WSLs (11.4%) in the Transbond XT group, while teeth #12 and #36 had the highest frequency of WSLs (2.9%) in the G-CEM group. The difference in frequency of WSLs was not significant between males and females (P > 0.05).

Conclusion: Bracket bonding with G-CEM fluoride-releasing cement significantly reduced the development of WSLs around orthodontic brackets.

Background: Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterised by the loss of intellectual functions. The disorder is usually seen after the age of 60 years, and these elderly patients tend to experience a progressive decline in their cognitive and behavioural abilities.

Aim: The present study was carried out to assess the oral health-related quality of life (OHRQoL) in elderly patients suffering from AD as compared to subjects without the disease.

Materials and method: One hundred elderly subjects with AD and 150 subjects without AD were included in the study. The subjective assessment of OHRQoL was done using the General Oral Health Assessment Index (GOHAI). Demographic and oral characteristics were assessed for dentition status with the Decayed, Missing and Filled Teeth (DMFT) index, Oral Hygiene Index (OHI), prosthesis use, xerostomia and presence of oral pathologies.

Results: GOHAI values were found to be statistically higher (P = 0.0003) in the subjects with AD. The subjects with AD were found to have a higher DMFT (mean difference = 4.11), Oral Hygiene Index (OHI) scores (mean difference = 1.54), xerostomia (P = 0.0128) and number of oral pathologies. However, the educational level (P = 0.2603) and number of natural teeth (P = 0.0006) were found to be lower in the group with AD.

Conclusion: The present study reported that the elderly subjects suffering from AD had poorer OHRQoL than those without the disease. There is a need to comprehensively evaluate the oral health conditions of elderly patients with AD and actively provide management to improve their OHRQoL.

Introduction: Osseodensification (OD) compaction increases primary stability by leaving the residual bone particles in the osteotomy site, which in turn act as an autograft.[1] Condensing the bone trabeculae through OD has demonstrated to have a potentiating influence on secondary stability.[2].

Materials and methods: A split-mouth study was conducted in 40 patients to determine the effect of OD on implant success rate in terms of primary and secondary stability in situations including immediate loading of implants placed in low-density bone, which was tested using resonance frequency analysis (RFA) at the interval of 0, 6th month. In order to assess the implant success rate, gingival probing depth and crestal bone loss (CBL) around the implant were also assessed at baseline and 6 months.

Results: With respect to primary stability, at baseline, the mean RFA of Densah burs is 71.6 ± 9.5 and of conventional drills is 67.6 ± 10.4. The mean stability of Densah burs is significantly higher than conventional drills, both at baseline and after 6 months as well. CBL, at baseline, the mean CBL of Densah burs is 0.58 ± 0.11 and of conventional drills is 0.64 ± 0.12. The mean CBL of Densah burs is significantly lower than that of conventional drills for both.

Conclusion: The implant stability values found in the present study were remarkable when compared between OD and conventional osteotomy techniques. Decreased loss of bone at the crest probing depth also aided in the increased success rate.

Aim: This study aims to compare the effect of liner on microleakage in Class II restorations at the occlusal and gingival levels when restored with a nanocomposite.

Methodology: A total of 60 mandibular molars were selected and divided into three groups. Cavities in Group A were restored with posterior nanocomposite without liner, samples of Group B were restored with posterior nanocomposite with flowable composite liner and in Group C samples were restored with posterior nanocomposite with resin-modified glass ionomer cement (RMGIC) liner. Samples were stored at 37°C in 100% humidity for 14 days. Samples were subsequently immersed in 0.5% methylene blue dye and then placed under water for 15 mins. Teeth were sectioned mesiodistally with a diamond disc and examined under a stereomicroscope.

Results: All the cavities exhibited dye penetration along the occlusal and gingival margins of the restored cavities. Group A showed maximum leakage compared to Groups B and C, which was statistically significant (P = 0.001 and P < 0.0001). No significant difference in microleakage was observed between Groups B and C. Microleakage was more in gingival margins as compared to occlusal margins in all the groups.

Conclusion: Based on the results of the present study, it may be concluded that the placement of liner beneath nanocomposite restoration results in a significant reduction in microleakage.