The study was designed to find out the effect of different angulations of monolithic Zirconia custom-made abutments on fracture resistance. In this experimental type in vitro study, a total of thirty implant analogs with a diameter of 4.3 mm and a length of 11.5 mm were obtained for the maxillary central incisor. A total of thirty abutments specimens in three groups- 0-degree, 15-degree, and 25-degree, ten in each group were fabricated with monolithic zirconium by CAD/CAM system. Each abutment was subjected to load until fracture in a Universal testing machine and data was collected to a data collection sheet. One-way ANOVA was done to compare the fracture load among the three groups and pairwise comparison was done by Tukey post hoc test. The statistical significance p-value was considered as less than 0.05. The range of fracture load of 0-degree, 15-degree, and 25-degree angulated abutments were 590.55-1305.43N, 755.89-1720.55N, and 496.68-820.88N respectively. The highest fracture resistance was shown in 15-degree angulated custom-made zirconium abutments with a mean ± SD of 1223.442 ± 317.771N and the lowest fracture resistance was shown in case 25-degree with a mean ± SD deviation of 653.139 ± 102.045N. The mean ± SD of the 0-degree abutment was 948.944±245.588N. 95% Confidence interval of the mean were 773.260-1124.627N, 996.122-1450.761N, and 580.140-726.137N were assessed in cases of 0-degree, 15-degree, and 25-degree respectively. The fracture load or fracture resistance among the three groups of custom-made monolithic zirconium abutments were significantly different. 15-degree angulated abutment had higher fracture resistance properties. straight abutment had more fracture resistance properties than that of 25-degree abutments, but less than 25-degree abutments.
{"title":"Effect on the Fracture Resistance of Monolithic Zirconia Custom Abutment in Different Angulation: An In Vitro Study","authors":"Rajib Banik, Md. Mahbubur Rahman, Aeysha Siddika, Bithi Majumder, M. Abid, Mozammal Hossain","doi":"10.24018/ejdent.2023.4.3.252","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.3.252","url":null,"abstract":"\u0000The study was designed to find out the effect of different angulations of monolithic Zirconia custom-made abutments on fracture resistance. In this experimental type in vitro study, a total of thirty implant analogs with a diameter of 4.3 mm and a length of 11.5 mm were obtained for the maxillary central incisor. A total of thirty abutments specimens in three groups- 0-degree, 15-degree, and 25-degree, ten in each group were fabricated with monolithic zirconium by CAD/CAM system. Each abutment was subjected to load until fracture in a Universal testing machine and data was collected to a data collection sheet. One-way ANOVA was done to compare the fracture load among the three groups and pairwise comparison was done by Tukey post hoc test. The statistical significance p-value was considered as less than 0.05. The range of fracture load of 0-degree, 15-degree, and 25-degree angulated abutments were 590.55-1305.43N, 755.89-1720.55N, and 496.68-820.88N respectively. The highest fracture resistance was shown in 15-degree angulated custom-made zirconium abutments with a mean ± SD of 1223.442 ± 317.771N and the lowest fracture resistance was shown in case 25-degree with a mean ± SD deviation of 653.139 ± 102.045N. The mean ± SD of the 0-degree abutment was 948.944±245.588N. 95% Confidence interval of the mean were 773.260-1124.627N, 996.122-1450.761N, and 580.140-726.137N were assessed in cases of 0-degree, 15-degree, and 25-degree respectively. The fracture load or fracture resistance among the three groups of custom-made monolithic zirconium abutments were significantly different. 15-degree angulated abutment had higher fracture resistance properties. straight abutment had more fracture resistance properties than that of 25-degree abutments, but less than 25-degree abutments.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115025362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-07DOI: 10.24018/ejdent.2023.4.3.257
Gustavo Belmiro Casaburi, Marcos Henrique Ramos Da Silva, L. Correr Sobrinho, R. Consani
Objectives: The aim of this study was to evaluate the silane application with electric current as an alternative method for surface treatment of acid-sensitive ceramic. Materials and Methods: IPS E.max Press ceramic discs applied with silane, associated or not with hydrofluoric acid, electric current and storage time in water were divided in the groups (n=10) AE+CF (Acid etching + electric current free); AE+CA (Acid etching + electric current); AF+CF (Acid etching free + electric current free); AF+CA (Acid free + electric current); AE+CF +T (Acid etching + electric current free + thermal cycling); AE+CA+T (Acid etching + electric current + thermal cycling); AF+CF+T (Acid free + electric current free + thermal cycling) and AF+CA-T (Acid etching free + electric current + thermal cycling. In the conditioned groups, 10% hydrofluoric acid was applied for 20s. The silane was applied with microbrush in the AE+CF-T, AE+CA-T, AF+CF-T and AE+CA-T groups and in the other groups it was replaced by a metal tip conductor of electric current. Cylindrical silicone matrices with three holes (12 mm in diameter and 1mm thick) were placed on the ceramic. The resin cement RelyX U200 was inserted into the holes of the matrix, subjected to a static load of 250mg for 2min and photoactivated for 20s. After removing the matrix, the sample with resin cement cylinder adhered to the ceramic was stored in an oven at 37 ºC for 24h. The 24-h samples and those thermocycled with 10,000 cycles in vats with water at temperatures of 5±1 ºC and 55±1 ºC were submitted to microshear resistance test, fracture analysis, SEM analysis and contact angle. Data were submitted to one-way ANOVA and Tukey’s test (α=0.05). Results: At 24h, AE+CA showed the highest value in bond resistance and AF+CF at the lowest, both different from AE+CF while AF+CA was intermediate. After thermocycling, with higher values AE+CA+T and AE+CF-T were similar, as well as AF+CF+T and AF+CA+T with lower values. AE+CF+T and AE+CA+T differed statistically from AF+CF+T and AF+CA+T. Adhesive failure was predominant in all groups with or without thermocycling. At 24h, there was cohesive failures in mixed resin cement in the AE+CA and AF+CF. After thermocycling, there were mixed failures in the AE+CA+T and cohesive failures in resin cement for the AE+CF+T and AF+CA+T. The greater contact angle vas observed in the AE+CF. Conclusions: The association of hydrofluoric acid etching, application of silane with electric current and storage times promoted different values of bond strength, types of failures and contact angles in samples of resin cement bonded to acid-sensitive ceramics. Clinical Relevance: The application of silane with an electric current is a promising method to improve the adhesive bond between resin cement and ceramics, especially when associated with hydrofluoric acid etching.
{"title":"Electric Current as an Alternative Method for Surface Treatment of Acid-Sensitive Ceramics","authors":"Gustavo Belmiro Casaburi, Marcos Henrique Ramos Da Silva, L. Correr Sobrinho, R. Consani","doi":"10.24018/ejdent.2023.4.3.257","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.3.257","url":null,"abstract":"\u0000Objectives: The aim of this study was to evaluate the silane application with electric current as an alternative method for surface treatment of acid-sensitive ceramic.\u0000\u0000\u0000Materials and Methods: IPS E.max Press ceramic discs applied with silane, associated or not with hydrofluoric acid, electric current and storage time in water were divided in the groups (n=10) AE+CF (Acid etching + electric current free); AE+CA (Acid etching + electric current); AF+CF (Acid etching free + electric current free); AF+CA (Acid free + electric current); AE+CF +T (Acid etching + electric current free + thermal cycling); AE+CA+T (Acid etching + electric current + thermal cycling); AF+CF+T (Acid free + electric current free + thermal cycling) and AF+CA-T (Acid etching free + electric current + thermal cycling. In the conditioned groups, 10% hydrofluoric acid was applied for 20s. The silane was applied with microbrush in the AE+CF-T, AE+CA-T, AF+CF-T and AE+CA-T groups and in the other groups it was replaced by a metal tip conductor of electric current. Cylindrical silicone matrices with three holes (12 mm in diameter and 1mm thick) were placed on the ceramic. The resin cement RelyX U200 was inserted into the holes of the matrix, subjected to a static load of 250mg for 2min and photoactivated for 20s. After removing the matrix, the sample with resin cement cylinder adhered to the ceramic was stored in an oven at 37 ºC for 24h. The 24-h samples and those thermocycled with 10,000 cycles in vats with water at temperatures of 5±1 ºC and 55±1 ºC were submitted to microshear resistance test, fracture analysis, SEM analysis and contact angle. Data were submitted to one-way ANOVA and Tukey’s test (α=0.05).\u0000\u0000\u0000Results: At 24h, AE+CA showed the highest value in bond resistance and AF+CF at the lowest, both different from AE+CF while AF+CA was intermediate. After thermocycling, with higher values AE+CA+T and AE+CF-T were similar, as well as AF+CF+T and AF+CA+T with lower values. AE+CF+T and AE+CA+T differed statistically from AF+CF+T and AF+CA+T. Adhesive failure was predominant in all groups with or without thermocycling. At 24h, there was cohesive failures in mixed resin cement in the AE+CA and AF+CF. After thermocycling, there were mixed failures in the AE+CA+T and cohesive failures in resin cement for the AE+CF+T and AF+CA+T. The greater contact angle vas observed in the AE+CF.\u0000\u0000\u0000Conclusions: The association of hydrofluoric acid etching, application of silane with electric current and storage times promoted different values of bond strength, types of failures and contact angles in samples of resin cement bonded to acid-sensitive ceramics.\u0000\u0000\u0000Clinical Relevance: The application of silane with an electric current is a promising method to improve the adhesive bond between resin cement and ceramics, especially when associated with hydrofluoric acid etching.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131048319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This cross-sectional observational study aimed to evaluate the effectiveness of green tea and chlorhexidine mouthwashes in reducing post-extraction complications such as pain and bleeding. The studied sample consisted of 80 people with an average age of 43.67 (±4.78) years. Tooth extraction is shown to all participants. After the tooth extraction, the green tea group was advised to bite the pictures of the gauge into the green tea, take a bite, and rinse their mouths with green tea mouthwash the next day. Subjects with another group bite soaked in chlorhexidine saline solution after tooth extraction and chlorhexidine mouthwash. Operation time, hemostasis time, VAS pain after tooth extraction and total number of analgesics were recorded. Descriptive statistics were calculated and chi-square t-tests and independent samples were performed using SPSS 22. The results showed that there was no significant difference in age, sex, and time of surgery between the two groups. The mean VAS was significantly lower in the green tea group compared to the chlorhexidine group. In addition, the green tea group also showed a shorter time for complete hemostasis and less analgesic consumption than the chlorhexidine group. It can be concluded that green tea is significantly effective in reducing the time of complete hemostasis and pain after tooth extraction. Thus, by conducting additional studies, green tea can be found to be therapeutically useful for the treatment of post-extraction bleeding and pain.
{"title":"Evaluating the Efficacy of Green Tea and Chlorhexidine Mouthwashes in Relieving Post-extraction Complications like Pain and Hemorrhage","authors":"Wahidujjaman, Akm Habibullah, Mahmudul Hasan, Mozammal Hossain","doi":"10.24018/ejdent.2023.4.3.258","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.3.258","url":null,"abstract":"This cross-sectional observational study aimed to evaluate the effectiveness of green tea and chlorhexidine mouthwashes in reducing post-extraction complications such as pain and bleeding. The studied sample consisted of 80 people with an average age of 43.67 (±4.78) years. Tooth extraction is shown to all participants. After the tooth extraction, the green tea group was advised to bite the pictures of the gauge into the green tea, take a bite, and rinse their mouths with green tea mouthwash the next day. Subjects with another group bite soaked in chlorhexidine saline solution after tooth extraction and chlorhexidine mouthwash. Operation time, hemostasis time, VAS pain after tooth extraction and total number of analgesics were recorded. Descriptive statistics were calculated and chi-square t-tests and independent samples were performed using SPSS 22. The results showed that there was no significant difference in age, sex, and time of surgery between the two groups. The mean VAS was significantly lower in the green tea group compared to the chlorhexidine group. In addition, the green tea group also showed a shorter time for complete hemostasis and less analgesic consumption than the chlorhexidine group. It can be concluded that green tea is significantly effective in reducing the time of complete hemostasis and pain after tooth extraction. Thus, by conducting additional studies, green tea can be found to be therapeutically useful for the treatment of post-extraction bleeding and pain.","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126873437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-05DOI: 10.24018/ejdent.2023.4.3.272
Nebras Mohamad
Purpose: This study aimed to investigate the role of oral health in determining the severity of COVID-19 infection among recovered COVID-19 Syrian patients. Clinical Significance: The severity of COVID-19 infection varies among individuals, and the general health status of individuals plays a crucial role in determining the severity of symptoms. The association between oral health and COVID-19 severity has not been widely explored. Understanding the impact of oral health on COVID-19 severity can help in developing strategies to prevent severe and aggressive COVID-19 infection. Material and Methods: A cross-sectional trial based on a questionnaire survey was conducted among 319 recovered COVID-19 Syrian patients. The questionnaire was divided into two main sections: oral health evaluation and COVID-19 severity assessment. Participants were classified into three groups based on their responses for oral health and COVID-19 severity. Results: Our observations revealed a significant difference between overall health and the severity of COVID-19 infection. Participants with worse general health had higher COVID-19 severity index scores. Patients with chronic conditions also had a considerably higher prevalence of COVID-19 severity index. Furthermore, our findings suggest that individuals with poor overall health and chronic diseases exhibited the worst oral health. However, there was no relationship between oral health status and the recovery period of COVID-19 infection. The association between oral health status and COVID-19 severity index revealed a positive correlation, although it was not statistically significant. Conclusions: Our study provides evidence that the oral cavity and its components may contribute to an elevated risk of COVID-19 infection, as the association between COVID-19 severity and oral health status revealed a positive correlation, although it was not statistically significant. Further research with larger sample sizes and more reliable study designs will be required to confirm our findings. In the light of our findings, we recommend following simple oral health measures such as tooth brushing, regular dental check-ups, and periodontal screening to prevent severe and aggressive COVID-19 infection.
{"title":"The Impact of Oral Health on Severity of COVID-19 Infection: A Cross-sectional Study of Recovered Patients in Syria","authors":"Nebras Mohamad","doi":"10.24018/ejdent.2023.4.3.272","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.3.272","url":null,"abstract":"Purpose: This study aimed to investigate the role of oral health in determining the severity of COVID-19 infection among recovered COVID-19 Syrian patients. \u0000Clinical Significance: The severity of COVID-19 infection varies among individuals, and the general health status of individuals plays a crucial role in determining the severity of symptoms. The association between oral health and COVID-19 severity has not been widely explored. Understanding the impact of oral health on COVID-19 severity can help in developing strategies to prevent severe and aggressive COVID-19 infection. \u0000Material and Methods: A cross-sectional trial based on a questionnaire survey was conducted among 319 recovered COVID-19 Syrian patients. The questionnaire was divided into two main sections: oral health evaluation and COVID-19 severity assessment. Participants were classified into three groups based on their responses for oral health and COVID-19 severity. \u0000Results: Our observations revealed a significant difference between overall health and the severity of COVID-19 infection. Participants with worse general health had higher COVID-19 severity index scores. Patients with chronic conditions also had a considerably higher prevalence of COVID-19 severity index. Furthermore, our findings suggest that individuals with poor overall health and chronic diseases exhibited the worst oral health. However, there was no relationship between oral health status and the recovery period of COVID-19 infection. The association between oral health status and COVID-19 severity index revealed a positive correlation, although it was not statistically significant. \u0000Conclusions: Our study provides evidence that the oral cavity and its components may contribute to an elevated risk of COVID-19 infection, as the association between COVID-19 severity and oral health status revealed a positive correlation, although it was not statistically significant. Further research with larger sample sizes and more reliable study designs will be required to confirm our findings. In the light of our findings, we recommend following simple oral health measures such as tooth brushing, regular dental check-ups, and periodontal screening to prevent severe and aggressive COVID-19 infection.","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127478062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-28DOI: 10.24018/ejdent.2023.4.2.260
T. Becker, Ella Lalum, A. Levin, Joe Ben Itzhak, Idan Stiklaru, M. Solomonov
Dental abnormalities have been sporadically reported in patients treated as children for acute lymphoblastic leukemia (ALL) with multi-agent chemotherapy, with and without radiation. Reports included delayed dental development, microdontia, hypoplasia, agenesis, V-shaped roots, shortened roots, and cervical root resorption. These anomalies in pediatric patients require regular dental follow-up and sometimes highly complex treatment. We describe a well-documented case of a 19-year-old male who presented with such anomalies 12 years after treatment with several chemotherapy agents for ALL, and discuss the resultant disruption of normal tooth development that led to the ensuing abnormalities.
{"title":"Root Anomalies after Combined Chemotherapy Treatment for Acute Lymphoblastic Leukemia during Childhood: A Case Report","authors":"T. Becker, Ella Lalum, A. Levin, Joe Ben Itzhak, Idan Stiklaru, M. Solomonov","doi":"10.24018/ejdent.2023.4.2.260","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.260","url":null,"abstract":"\u0000 Dental abnormalities have been sporadically reported in patients treated as children for acute lymphoblastic leukemia (ALL) with multi-agent chemotherapy, with and without radiation. Reports included delayed dental development, microdontia, hypoplasia, agenesis, V-shaped roots, shortened roots, and cervical root resorption. These anomalies in pediatric patients require regular dental follow-up and sometimes highly complex treatment. We describe a well-documented case of a 19-year-old male who presented with such anomalies 12 years after treatment with several chemotherapy agents for ALL, and discuss the resultant disruption of normal tooth development that led to the ensuing abnormalities.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125777145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-28DOI: 10.24018/ejdent.2023.4.2.267
Sakshi Malhotra, S. Tewari
The aim of this review is to present controversial issue and available evidences in the literature related to the treatment of gingival recession associated with mal-aligned tooth using interdisciplinary periodontal-orthodontic approach. Gingival recession often causes dentin sensitivity, increase vulnerability to root caries and esthetic concern. Tooth mal-alignment is an important predisposing factor associated with gingival recession. In current era, people are often concerned about their esthetics and approach for root coverage. Clinicians must be aware about current evidences regarding treatment of gingival recession associated with mal-alignment.
{"title":"Controversy Related to Interdisciplinary Periodontal-Orthodontic Approach in Gingival Recession Coverage","authors":"Sakshi Malhotra, S. Tewari","doi":"10.24018/ejdent.2023.4.2.267","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.267","url":null,"abstract":"\u0000The aim of this review is to present controversial issue and available evidences in the literature related to the treatment of gingival recession associated with mal-aligned tooth using interdisciplinary periodontal-orthodontic approach. Gingival recession often causes dentin sensitivity, increase vulnerability to root caries and esthetic concern. Tooth mal-alignment is an important predisposing factor associated with gingival recession. In current era, people are often concerned about their esthetics and approach for root coverage. Clinicians must be aware about current evidences regarding treatment of gingival recession associated with mal-alignment.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129382928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-28DOI: 10.24018/ejdent.2023.4.2.268
Sakshi Malhotra, S. Tewari
Introduction: Aberrant frenal attachment and shallow vestibule in the anterior mandible facilitates plaque accumulation, inflammation, and root exposure of the mandibular central incisors, especially where the “pull syndrome” is noted. Case Report: A 22 years old systemically healthy female patient complained of slight mobility and increased spacing in relation to lower front teeth. Clinical examination revealed Cairo recession type 2 (RT2) gingival recession in relation to mandibular central incisors and hyperplastic frenum with fan shaped attachment to gingival margin of mandibular central incisors. Frenectomy was performed using conventional surgical technique. After 14 days of surgery 0.5 mm of creeping attachment as well as reduction in recession width at apical level of recession was observed in relation to mandibular central incisors. The achieved clinical results remained stable till 6 months of follow-up. Conclusion: This case report suggests that frenectomy using conventional surgical technique may yield acceptable clinical outcomes and esthetics in RT2 gingival recession.
{"title":"Creeping Attachment Observed in RT2 following Labial Frenectomy: A Case Report","authors":"Sakshi Malhotra, S. Tewari","doi":"10.24018/ejdent.2023.4.2.268","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.268","url":null,"abstract":"\u0000Introduction: Aberrant frenal attachment and shallow vestibule in the anterior mandible facilitates plaque accumulation, inflammation, and root exposure of the mandibular central incisors, especially where the “pull syndrome” is noted.\u0000\u0000\u0000Case Report: A 22 years old systemically healthy female patient complained of slight mobility and increased spacing in relation to lower front teeth. Clinical examination revealed Cairo recession type 2 (RT2) gingival recession in relation to mandibular central incisors and hyperplastic frenum with fan shaped attachment to gingival margin of mandibular central incisors. Frenectomy was performed using conventional surgical technique. After 14 days of surgery 0.5 mm of creeping attachment as well as reduction in recession width at apical level of recession was observed in relation to mandibular central incisors. The achieved clinical results remained stable till 6 months of follow-up. \u0000\u0000\u0000Conclusion: This case report suggests that frenectomy using conventional surgical technique may yield acceptable clinical outcomes and esthetics in RT2 gingival recession. \u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127654356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-28DOI: 10.24018/ejdent.2023.4.2.235
Khadija El Assraoui, Aicha Oubbaih, K. Kaoun, S. Bellemkhannate
Denture-induced hyperplasia is a reactionary lesion to ill-fittingdentures. It is mostly asymptomatic, but the patient may present pain in case of ulceration. Its etiology is multifactorial. Its main cause is chronic trauma; usually due to prosthetic instability.Its diagnosis is based on clinical examination completed by anatomopathological examination for very extensive lesions. The management of denture-induced hyperplasia depends on the clinical aspect and the size of the lesion. It is based on conditioning alone or associated with the surgical removal of the lesion.Tissue conditioning improves the quality of the prosthetic bearing surfaces and restores the physiological characteristics of the tissues. However, surgical exeresis is indicated in the case of fibrous, old hyperplasia andof an important size where tissue conditioning alone is insufficient. The patient should be informed about the importance of regular control visits to prevent the appearance of hyperplasia. This work aims to compare the management of two cases, with tissue conditioning only for the first, and the combination of the two approaches: surgical removal followed by tissue conditioning for the second.
{"title":"Management of Denture-induced Hyperplasia","authors":"Khadija El Assraoui, Aicha Oubbaih, K. Kaoun, S. Bellemkhannate","doi":"10.24018/ejdent.2023.4.2.235","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.235","url":null,"abstract":"\u0000Denture-induced hyperplasia is a reactionary lesion to ill-fittingdentures. It is mostly asymptomatic, but the patient may present pain in case of ulceration. Its etiology is multifactorial. Its main cause is chronic trauma; usually due to prosthetic instability.Its diagnosis is based on clinical examination completed by anatomopathological examination for very extensive lesions. The management of denture-induced hyperplasia depends on the clinical aspect and the size of the lesion. It is based on conditioning alone or associated with the surgical removal of the lesion.Tissue conditioning improves the quality of the prosthetic bearing surfaces and restores the physiological characteristics of the tissues. However, surgical exeresis is indicated in the case of fibrous, old hyperplasia andof an important size where tissue conditioning alone is insufficient. The patient should be informed about the importance of regular control visits to prevent the appearance of hyperplasia.\u0000\u0000\u0000This work aims to compare the management of two cases, with tissue conditioning only for the first, and the combination of the two approaches: surgical removal followed by tissue conditioning for the second.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129674983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-27DOI: 10.24018/ejdent.2023.4.2.195
A. Al-Ramzi, Karim M. Adel, Maysoun Kassem
Objectives: Injury of lingual nerve is a rare complication of general anesthesia. The causes of lingual nerve injury following general anesthesia are multifactorial; possible mechanisms may include difficult laryngoscopy, prolonged anterior mandibular displacement, improper placement of the oropharyngeal airway, macroglossia and tongue compression. Case Report: A case of atypical neuralgia of lingual nerve that was associated with orotracheal intubation for 54 years old female. Treatment: Carbamazepine was effectively aided the recovery of the injured lingual nerve. Conclusion: Lingual nerve injury following orotracheal intubation is rare but can cause irritation to patients.
{"title":"Atypical Neuralgia of Lingual Nerve after General Anesthesia: A Case Report","authors":"A. Al-Ramzi, Karim M. Adel, Maysoun Kassem","doi":"10.24018/ejdent.2023.4.2.195","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.195","url":null,"abstract":"\u0000Objectives: Injury of lingual nerve is a rare complication of general anesthesia. The causes of lingual nerve injury following general anesthesia are multifactorial; possible mechanisms may include difficult laryngoscopy, prolonged anterior mandibular displacement, improper placement of the oropharyngeal airway, macroglossia and tongue compression. \u0000\u0000\u0000Case Report: A case of atypical neuralgia of lingual nerve that was associated with orotracheal intubation for 54 years old female.\u0000\u0000\u0000Treatment: Carbamazepine was effectively aided the recovery of the injured lingual nerve. \u0000\u0000\u0000Conclusion: Lingual nerve injury following orotracheal intubation is rare but can cause irritation to patients. \u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127518061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The root cyst is a cyst of odontogenic epithelial origin and inflammatory cause. It represents one of the most frequent cyst found on the oral cavity and has greater frequency at the maxillary level. The diagnosis is usually a casual finding on a routine X-ray. They are associated to tooth with negative vitality and the size is very variable. The treatment is a combined endodontic (root canal treatment) and surgical treatment (excision of the lesion). The diagnosis of certainty is obtained by a histopathological analysis. In this clinical case, a common situation of this type of lesions is shown, although in this case the patient comes to the clinic with symptoms. The root canal treatment of the affected tooth was performed. The periapical lesion did not disappear, so cystectomy was performed. The sample was sent for histopathological analysis that confirmed the diagnosis of radicular cyst. After 6 months follow-up, a periapical x-ray revealed how the lesion was ossifying.
{"title":"Cystectomy of An Apical Root Cyst: Clinical Case and Literature Review","authors":"Diba Ghodsian Najarisis, Ricardo Bahram Taheri, Isabel Leco Berrocal, Carmen López Carriches","doi":"10.24018/ejdent.2023.4.2.251","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.2.251","url":null,"abstract":"\u0000The root cyst is a cyst of odontogenic epithelial origin and inflammatory cause. It represents one of the most frequent cyst found on the oral cavity and has greater frequency at the maxillary level. The diagnosis is usually a casual finding on a routine X-ray. They are associated to tooth with negative vitality and the size is very variable. The treatment is a combined endodontic (root canal treatment) and surgical treatment (excision of the lesion). The diagnosis of certainty is obtained by a histopathological analysis. \u0000\u0000\u0000In this clinical case, a common situation of this type of lesions is shown, although in this case the patient comes to the clinic with symptoms. The root canal treatment of the affected tooth was performed. The periapical lesion did not disappear, so cystectomy was performed. The sample was sent for histopathological analysis that confirmed the diagnosis of radicular cyst. \u0000\u0000\u0000After 6 months follow-up, a periapical x-ray revealed how the lesion was ossifying.\u0000","PeriodicalId":197045,"journal":{"name":"European Journal of Dental and Oral Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129275064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}