Journal of oral science最新文献

The oral cavity is the starting point and an integral part of the respiratory system. Oral bacteria are deeply involved in the onset and aggravation of lower respiratory tract diseases, including aspiration pneumonia, influenza, and chronic obstructive pulmonary disease. Oral health conditions, such as periodontal disease, influence the severity of coronavirus disease 2019 (COVID-19). Oral bacteria can be detected in the respiratory organs of patients with COVID-19, and the composition of oral bacterial flora may be altered. Aspiration pneumonia is common among patients with COVID-19 who are advanced in age or have underlying diseases due to poor oral hygiene management, fever, and other issues. While findings from further studies are awaited, maintaining a healthy oral cavity can prevent COVID-19 onset and aggravation. In addition to routine management of oral microflora at home and maintenance of periodontal health in dentistry, medical-dental collaboration is crucial for a prompt response to future pandemics, as humans have just experienced in COVID-19.

Purpose: To evaluate the influence of the polymerization distance of monowave and polywave light curing units (LCUs) on the measured irradiance relative to the value reported by the manufacturer in relation to the physical properties of resin-based composites (RBCs).

Methods: Four LCUs were used: one monowave and three polywave. The irradiance was measured with a digital radiometer. Depth of cure (DC) and flexural strength (FS) tests were performed according to ISO 4049:2019 at polymerization distances of 0 mm and 5 mm.

Results: The irradiance of all LCUs was higher than that reported by the manufacturer (>25-64%). The irradiance of the four LCUs was reduced when polymerization was performed at between 0 to 5 mm (paired t-test, P < 0.001). The DC at 0 mm was similar in all groups but was significantly decreased at 5 mm distance (ANOVA P < 0.001). FS showed differences among the LCUs at 0 mm (ANOVA P < 0.001) and was affected by the polymerization distance. The elastic modulus was unaffected by the LCU used or the distance (ANOVA P > 0.001).

Conclusions: The LCU must be positioned as near as possible to RBCs during the polymerization process, as increased distance negatively affects the depth of cure and flexural strength.

Purpose: To investigate the influence of various nickel-titanium (Ni-Ti) files on debris extrusion during the retreatment of teeth with simulated lateral root perforation, focusing on root resorption.

Methods: Sixty human mandibular premolar teeth were divided into groups with and without perforation and further subdivided based on the retreatment technique. Lateral root perforations were created in one group (Group 1), while the other group had no perforations (Group 2). Two retreatment techniques were compared: Remover (RE)+One RECI (OR) and ProTaper Universal Retreatment (PTUR)+WaveOne Gold (WOG). The weight of the extruded debris was determined. The time of both retreatment procedures was measured. Statistical analyses were performed using a two-way analysis of variance (ANOVA) test (P < 0.05).

Results: Teeth with simulated lateral root perforation exhibited higher extrusion of debris during retreatment. In both groups, RE+OR files led to more extruded debris than PTUR+WOG files. However, this difference was statistically significant in Group 2 (P < 0.001). Compared to PTUR+WOG files, RE+OR files showed a statistically significant longer time to remove obturation material (P < 0.001).

Conclusion: Perforated teeth exhibited significantly higher debris extrusion. While both file systems demonstrated similar debris extrusion in perforated teeth, the RE+OR files significantly increased debris extrusion in non-perforated teeth compared to the PTUR+WOG files.

Characterization of materials used in dental restorations and fixed prostheses is useful for personal identification. This study investigated the dental treatment trends and use of metal materials among non-Japanese Asian temporary residents and Japanese individuals aged from 20 to 40 years living in a city in Japan. Analysis of 38 participants from different Asian countries showed prominent use of resin fillings, with metal element analysis revealing nickel-chromium (Ni-Cr) or cobalt-chromium (Co-Cr) alloys. Among five Japanese participants of the same age with dental metal treatment scars, resin fillings and silver-palladium-copper-gold (Ag-Pd-Cu-Au) or silver-indium (Ag-In) alloys were observed. This study suggested some regional differences in dental material choices in Asia.

Purpose: The present study aims to investigate the prevalence and severity of taste impairment among post-coronavirus disease 2019 (COVID-19) hemodialysis patients in a sample of the Egyptian population.

Methods: This study was conducted on 272 post-COVID-19 subjects, of whom 136 were hemodialysis patients and 136 were healthy controls. History taking, clinical examination, and assessment of altered taste score, tongue coating index, salivary flow rate, and salivary pH were performed.

Results: The present study revealed a high prevalence of impaired taste function in post-COVID-19 hemodialysis patients with 72.06% affected in varying degrees; mild (25%), moderate (3.68%), severe (30.15%), and overwhelming taste impairment (13.24%). However, only 12.5% of the control group reported just a mild degree of taste impairment.

Conclusion: The current study has shown the high prevalence and severity of taste impairment in post-COVID-19 end-stage renal disease (ESRD) patients on hemodialysis (72.06%), which indicates the combined deteriorating effect of both COVID-19 and renal failure on taste function emphasizing the importance of prompt identification and management of COVID-19 associated taste impairment to improve the quality of life in hemodialysis patients.

Purpose: This study was designed to investigate the distribution of the main occluding area in adolescents. Furthermore, the importance of the main occluding area was clarified by examining its interrelationship with oral function and craniofacial morphology.

Methods: A total of 102 patients were included in this study. The main occluding area was identified using a previously described method. Maximum occlusal force, occlusal contact area, lip-closing force, tongue pressure, and masticatory efficiency were measured to evaluate oral function. Craniofacial morphology was assessed using lateral cephalography.

Results: In terms of the degree of consistency of the main occluding area, the proportion of cases in which two matches were obtained among three trials was the highest. The most common main occluding area was the first molar. Regarding the anteroposterior position of the hyoid bone, the anteroposterior distance between the hyoid bone and the menton (Me-H) was significantly shorter in the group where the first molar was used for occlusion, relative to the group in which second premolar was used.

Conclusion: The main occluding area in adolescents was less stable than that in adults and older adults; however, first molars accounted for most of the main occlusion areas, suggesting that the position of the hyoid bone might play a role in establishing their location.

Purpose: Using X-ray micro-computed tomography (micro-CT), the aim of this study was to measure the porosity of two tricalcium silicate sealers (EndoSequence BC and NeoSealer Flo) applied using three obturation techniques (single-cone, warm-vertical, and cold-lateral) to six single-rooted human teeth.

Methods: Six extracted, single-rooted human teeth were shaped with ProTaper Next rotary files and obturated with EndoSequence BC or NeoSealer Flo sealers and gutta-percha (GP) using one of the three techniques above. Micro-CT was used to map the full length of the canals. Deep learning cross-sectional segmentation was used to analyze image slices of the apical (0-2 mm) and coronal (14-16 mm from the apex) regions (n = 230-261 per tooth) for the areas of GP and sealer, as well as porosity. Median (%) with interquartile range of porosity were calculated , and the results were statistically analyzed with the Kruskal-Wallis test.

Results: In the apical region, EndoSequence BC had significantly fewer pores than NeoSealer Flo with the single-cone obturation (% median-interquartile range, IQR: 0.00-1.62) and warm-vertical condensation (5.57-10.32) techniques, whereas in the coronal region, NeoSealer Flo had significantly fewer pores than EndoSequence BC with these two techniques (0.39-5.02) and (0.10-0.19), respectively. There was no significant difference in porosity between the two sealers for the cold-lateral condensation technique in both the apical and coronal regions.

Conclusion: For optimal obturation, the choice of technique and sealer is critical.

Purpose: To assess the reasons behind the failure of temporary anchorage devices (TADs) installed in the buccal alveolar zone between the maxillary second premolars and the first molars.

Methods: Sixty patients (11 male, 49 female, mean age 21 years) were included. Logistic regression analysis was performed to determine the influence of the following factors on the presence or absence of TAD failure: sex, age, sagittal and vertical skeletal patterns, root contact, bone density, bone contact length, and presence of maxillary sinus perforation. Fisher's exact test was performed to evaluate differences in failure rate between tooth types for teeth in contact with TADs (second premolar or first molar). Measurements were obtained using lateral cephalograms at the initial visit and data obtained by cone-beam computed tomography (CBCT) before and after TAD implantation.

Results: Logistic regression analysis showed that only root contact was associated with TAD failure; there was no association between the type of tooth in contact with the TAD and failure.

Conclusion: Root contact with a TAD significantly influenced TAD failure. Therefore, preliminary examination using three-dimensional (3D) evaluation with CBCT is essential to ensure that the TAD is not placed near the root of the tooth.

The present work reports a case of a female patient complaining of itching and painful lesions affecting the oral mucosa for 7 months. Buccal and lip mucosa showed swelling and erythema, with serpiginous tracks. The patient was diagnosed with oral larva migrans, and the lesions resolved after ivermectin administration. At 18-month follow-up, no sign of recurrence was observed. Larva migrans can represent a pitfall in oral diagnosis and a stressful condition for the patient. Oral health care providers should be aware of this and keep this disease in mind as a possible differential diagnosis in oral mucosa lesions.

Purpose: Nausea and vomiting during pregnancy (NVP) are common among pregnant women and can be severe enough to require hospitalization. However, the mechanism underlying NVP pathogenesis remains unclear. This study examined factors associated with adverse events after vaccination, including a past history of NVP.

Methods: A questionnaire-based survey was completed by non-pregnant women working at Nagasaki University Hospital who received two doses of the BNT162b2 coronavirus disease 2019 (COVID-19) vaccine. This study primarily examined the association between a past history of NVP and post-vaccination fever, as fever was determined to be the most objective and reliable indicator of the surveyed adverse events.

Results: Multivariate logistic regression analysis showed that post-vaccination fever was more strongly associated with a past history of NVP (odds ratio, 1.88; 95% confidence interval, 1.16-3.07) than either age (0.73; 0.56-0.96) or weight (0.85; 0.70-1.15), which were previously considered to be highly associated with the incidence of adverse events following COVID-19 vaccination.

Conclusion: These results suggest an involvement of a similar pathological condition in developing NVP and post-vaccination fever.