BDJ Open最新文献

Introduction: Aims This research aims to evaluate the effectiveness and efficiency of the PrepCheck digital system as an additional feedback tool in enhancing undergraduate dental students' tooth preparation skills and its potential to enhance students' learning experience.

Material and methods: A total of 55 BDS3 students attending the "Crowns Course" and divided into three groups participated in the study. One group (n = 24) was randomly selected as the case group and received feedback using the digital tooth preparation analysis system, PrepCheck, alongside standard visual assessment. The other two groups (n = 31) served as controls and only received standard visual feedback. All students' tooth preparations for the final test were digitally assessed using PrepCheck against a faculty-approved master preparation. The tooth preparation quality was compared between the case and control groups, employing two distinct grading methods. Additionally, a questionnaire was provided to students who used the digital system to gather their feedback.

Results: The findings revealed a positive trend in performance among the case group when using the PrepCheck system. However, the analysis showed no statistically significant differences between the groups in both the tutor assessment only and tutor assessment in addition to using the PrepCheck report. Despite the absence of statistically significant differences, qualitative feedback from participants indicated a favourable reception of the digital system.

Conclusions: While the PrepCheck digital system displayed potential in complementing traditional teaching methods and enhancing the learning experience, its integration posed challenges, particularly concerning time constraints. Further research is recommended to investigate further the potential longer-term effects and potential useful applications for integrating digital systems like PrepCheck into dental education.

Objective: Large Language Models (LLMs) have revolutionized healthcare, yet their integration in dentistry remains underexplored. Therefore, this scoping review aims to systematically evaluate current literature on LLMs in dentistry.

Data sources: The search covered PubMed, Scopus, IEEE Xplore, and Google Scholar, with studies selected based on predefined criteria. Data were extracted to identify applications, evaluation metrics, prompting strategies, and deployment levels of LLMs in dental practice.

Results: From 4079 records, 17 studies met the inclusion criteria. ChatGPT was the predominant model, mainly used for post-operative patient queries. Likert scale was the most reported evaluation metric, and only two studies employed advanced prompting strategies. Most studies were at level 3 of deployment, indicating practical application but requiring refinement.

Conclusion: LLMs showed extensive applicability in dental specialties; however, reliance on ChatGPT necessitates diversified assessments across multiple LLMs. Standardizing reporting practices and employing advanced prompting techniques are crucial for transparency and reproducibility, necessitating continuous efforts to optimize LLM utility and address existing challenges.

Aim: The aim of this study was to study the effect of Molar Incisor Hypomineralisation (MIH) on Oral Health-Related Quality of Life (OHRQoL) in children at the mixed dentition stage and correlate it with their caries experience.

Subjects and methods: One hundred two children aged from 8 to 10 years were recruited, 51 with MIH and 51 as control. Caries experience was recorded using DMFT/deft and ICDAS II. MIH-TNI index was used for classifying MIH severity. CPQ_8-10 with its Arabic version was used to evaluate OHRQoL. Mann-Whitney U test and Kruskal-Wallis test were used for comparisons (p ≤ 0.05).

Results: The mean value for CPQ_8-10 in MIH group was 24.67 (±11.84; median 23; range 6-55) in comparison to 21.04 (±12.3; median 18; range 2-54) for the control group, with no significant difference between groups (p = 0.109). A significantly higher value (p = 0.011) was recorded in patients with MIH-TNI 4 mean 32.16 (±13.9; median 35; range from 7 to 55) in comparison to other categories of MIH.

Conclusion: Children with and without MIH, with similar caries experience showed no difference in OHRQoL. However, the presence of the severe form of MIH including hypersensitivity and enamel disintegration negatively impacted those children's OHRQoL.

Objectives: This study aimed to evaluate the efficacy of 5% EMLA cream and 8% lidocaine gel in reducing pain during inferior alveolar nerve block (IANB) compared with 20% Benzocaine in children aged 6-10 years.

Materials and methods: This was a triple-blinded, randomized, parallel-group, active-controlled trial with three arms. 45 children were randomly assigned into 3 groups. Group 1: control group, 20% benzocaine gel (n = 15). Group 2: 8% lidocaine gel (n = 15). Group 3: 5% EMLA cream (n = 15). Each topical anesthetic was applied in an amount of 0.3 mL using a cotton swab for 2 min, followed by IANB administration. The following primary outcome measures were considered: pulse rate, the face, legs, activity, cry, consolability (FLACC) behavioral pain assessment scale, and the Wong-Baker FACES pain rating scale.

Results: The mean score of the FLACC behavioral pain assessment scale in group 2 (2.20 ± 1.86) was slightly higher, but this result was not statistically significant p = (0.806). Regarding the Wong-Baker FACES pain rating scale scores, no statistically significant difference was noted between the study groups p = (0.593). After IANB administration, the mean pulse rate was higher in group 3 (102.40 ± 14.28). However, this difference was not statistically significant p = (0.351). In addition, the mean change of the pulse rate from the baseline to this time point was not statistically significant p = (0.638), indicating a smaller physiologic response to the painful stimulus.

Conclusion: 8% lidocaine gel was not superior to 20% benzocaine nor 5% EMLA in reducing pain during IANB administration.

Objectives: Endotracheal tube intubation by laryngoscope during general anesthesia is a safe procedure with a few complications. However, it may cause some damage to the oral cavity structures, which leads to postoperative pain and discomfort. Traumatic dental injuries associated with endotracheal tube intubation are one of the most common complications. The study aimed to determine the incidence of traumatic dental injuries during oral-endotracheal tube intubation in general anesthesia among children receiving surgery at the Children's Hospital in Damascus City during 2022-2023.

Methods: It was a prospective longitudinal study which investigated the incidence of traumatic dental injuries during oral-endotracheal tube intubation under general anesthesia in 110 children aged 6-12 years old at the University Children's Hospital in Damascus City in 2022. After ensuring that the child met inclusion criteria and obtained written consent. Each child was examined before, during, and after 12-24 h of entering the operation room. Personal information (gender - age), information related to anesthesia procedures, and some oral cavity characters were collected.

Results: The incidence of traumatic dental injuries during general anesthesia was 9.1%. Most of them intra-oral soft tissue injuries. The concussion is the most common injury related to teeth damage. In addition, the tongue was the most common-place. There is a correlation between the incidence of traumatic dental injuries and the difficulty of intubation, the number of intubation attempts, Mallampati score (p < 0.05).

Conclusion: The anesthesiologist should evaluate the condition of each patient carefully. Document every detail in their record and inform the patient of the possibility of dental damage during the procedures especially in the case that has difficulty intubation.

Context: Mineral Trioxide Aggregate (MTA) is a calcium silicate-based cement that potentially exhibits improved washout resistance when carboxymethyl chitosan or gelatin is incorporated. Gel-form MTA is a novel mineral trioxide aggregate formulated using construction industry-based technology. The present study was conducted to comparatively evaluate the sealing ability and adaptation to dentinal walls of gel-form MTA.

Materials and methods: This in-vitro study consisted of two groups: gel-form MTA and the conventional powder-liquid MTA. 10 samples per group were used for each of the tested parameters. Adaptation of the MTA to the dentinal walls was tested under the light microscope and measured using Image J software. Sealing ability was evaluated using a single aerobic bacterial leakage model. Appropriate statistical analysis was done for the obtained data. Adaptation of the MTA was analyzed using independent t-test and Friedman test, whereas the bacterial leakage was analyzed using chi-square test.

Results: On comparison of the adaptation property at coronal and apical thirds, there was no statistically significant difference between the groups (p = 0.071 and p = 0.638, respectively). However, while comparing the same in the middle one-third of the root, lesser gaps were identified in the gel-form MTA group (p = 0.013). One sample belonging to the conventional powder-liquid MTA group showed significant turbidity during bacteria leakage evaluation (p = 0.001) with the presence of E. faecalis in the count of 10³ colony forming units/milliliter.

Conclusion: The gel-form MTA shows a better adaptation to the dentinal walls at the middle third of the root and exhibits better sealing ability against bacterial leakage when tested for E. faecalis. The adaptation of gel-form MTA at coronal and apical third of the root was comparable to the conventional powder-liquid MTA.

Background: Majority of patients with Dento-Facial Traumatic Injuries (DFTI) seek initial care at an Emergency Department (ED). The timely management of DFTI is of utmost importance in determining long-term prognosis of the tooth and the patient's overall quality of life. Thus, knowledge and awareness of ED residents & physicians regarding the management of DFTI is crucial for better patient outcomes. Numerous studies have investigated the knowledge of ED specialists regarding initial management of dental trauma, however, scientific evidence in this domain is scarce in our region.

Objective: The aim of this study was to evaluate the knowledge and awareness of ED residents and physicians regarding diagnosis and management of DFTI using a web-based survey on REDCap.

Methods: An observational cross-sectional study was conducted among the ED residents and physicians of private and public hospitals in Karachi, Pakistan. Data was collected through a web-based questionnaire, sent via email to the participants. The survey comprised of questions assessing their knowledge regarding the diagnosis and management of various dental and maxillofacial injuries. Responses from the participants were graded as low, moderate or high knowledge levels according to a pre-determined criteria. Pearson's chi-square test was applied to determine the association between knowledge scores.

Results: The total response rate was 47.6%. Out of 116 participants, 49 (42%) responses were received from physicians and 67 (58%) from residents. The overall knowledge level of participants was low (46.6%) and there was no significant difference in the knowledge level between residents and physicians (p = 0.157). Participants who had received formal training in dental trauma (p = 0.038) and those with more years of clinical experience (p = 0.004) had higher knowledge scores, that were statistically significant.

Conclusions: The knowledge and awareness of ED residents and physicians in dental trauma management was generally low. Specialized training courses are required to provide timely and adequate management of traumatic dental injuries in order to improve patient-related outcomes.

Objective: This study was conducted to evaluate the antimicrobial efficacy and mechanical properties of two experimental self-disinfecting alginate preparations utilising two different antimicrobial agents; povidone-iodine and silver nanoparticles.

Methods: Alginate moulds were assigned into three groups. Additives-free control group, povidone-iodine-containing group, and silver nanoparticle-containing group. Discs from each group were obtained and assessed for their antimicrobial activities by the disc diffusion method against Staphylococcus aureus, Escherichia coli, and Candida albicans. For the elastic recovery analysis, each group was divided into 6 samples. Each sample was mixed according to its group specification and subjected to surface detail reproduction and elastic recovery according to ISO 1563:1990 specifications. All data were expressed as mean ± standard deviation for each group at the significance level of P < 0.05.

Results: Results revealed that the experimental self-disinfection alginate possessed broad-spectrum antimicrobial activities against the tested microorganisms, compared to the control group. No statistically significant differences in elastic recovery values between all tested groups (P < 0.05) were observed. For surface detail reproduction, all samples reproduced the 50 μm line.

Conclusion: Povidone-iodine as well as silver nanoparticles could be used efficiently for the sanitization of alginate moulds without adverse effects on detail accuracy or elastic recovery of the impression material.

Background: Broad challenges regarding the dental management of people with severe obesity experienced by general dentists have been minimally explored. The perspectives of the dental team regarding these multifaceted issues are currently unknown and they potentially impede the delivery of optimal dental care to this population and contribute to poor oral and general health.

Aims: Our qualitative study aimed to identify and explore barriers and enablers in the dental management of adults with severe obesity among dental professionals and support staff in Australia.

Methods: Focus groups and semi-structured interviews (n = 34 participants) were conducted with dental professionals (n = 23) and support staff (n = 11). Recordings were transcribed verbatim and synthesised using thematic, inductive analysis.

Results: Multiple barriers to adequate provision of dental care for people living with severe obesity in both general and specialist dental settings were identified. Key themes emerged related to the clinical challenges reported by participants in providing dental management for people living with severe obesity, appropriateness of existing bariatric dental service provision and safety of care. Enablers to access were identified, including increased availability of bariatric dental chairs, environmental modifications, education of both patients and the entire dental team and for guideline development.

Conclusion: The current study explored multiple barriers to optimal dental management of people living with severe obesity in both general and specialist dental settings. Enablers should be used to inform future practice. The optimisation of existing bariatric dental service provision requires urgent review with solutions guided by systemic change. Study findings suggest a review of current health systems, economics, access barriers, policies and procedures and education and training beyond the individual level are needed. Future directions to improve the dental management of people living with severe obesity are proposed.

Introduction: Oral submucosal fibrosis is a potentially life-threatening oral disease that significantly impacts physiological functions such as speech and swallowing while also diminishing the quality of life for patients. Currently, the mainstream treatment for oral submucosal fibrosis in clinical practice involves invasive glucocorticoid drugs such as injection therapy. However, this method often leads to intraoperative pain, anxiety, fear, and poor medical experience due to associated side effects.

Methods: There is an urgent need to actively explore new drugs and relatively noninvasive approaches for the treatment of oral submucosal fibrosis in order to enhance patients' medical experience and compliance. This has become a focal point of attention in clinical research. After conducting an extensive literature search, it was discovered that curcumin, a natural polyphenolic compound, exhibits potent anti-tumor, anti-inflammatory, antioxidant, anti-metastatic and anti-angiogenic properties. Moreover, curcumin holds significant clinical potential in the prevention and treatment of various diseases such as oral submucosal fibrosis.

Conclusion: This review presents a comprehensive elaboration encompassing the action mechanisms, biological activity, potential applications, and clinical characteristics of curcumin in the management of oral submucosal fibrosis, aiming to provide diagnostic insights and novel therapeutic perspectives for its prevention and treatment.