Donika Ilijazi Shahiqi, J. Kelmendi, Sandra Anic-Milosevic
Objective Modern orthodontics is shifting from being doctor centric to patient centric, and understanding the impact of malocclusion from patient's perspective is very important. To accomplish this, questionnaires that assess the psychosocial effects of malocclusion must be validated in the original language of the respondents. The purpose of this study is translation, validation, and cross-cultural adaptation of the psychosocial impact of dental aesthetics questionnaire (PIDAQ) into the Albanian language. Materials and Methods The PIDAQ questionnaire was translated into Albanian, back translated, pretested, cross-culturally adapted, and finally delivered to 130 subjects (38% males) aged between 18 and 30 years (mean age 24.3 ± 3.7). A dentist, previously calibrated, evaluated the orthodontic treatment needs of each subject by using the dental health and aesthetics component of the Orthodontic Treatment Need Index (IOTN). In this study, the internal consistency, test–retest reliability, discriminant validity, and responsiveness were assessed. Results Albanian version of PIDAQ shows satisfactory internal consistency (α ranging from 0.90 to 0.96) with high test–retest reliability (r > 0.98). The discriminant validity revealed that subjects with minor and severe malocclusion according to IOTN categorization had different PIDAQ scores (p < 0.001). Among the domains of PIDAQ, the subscale of dental self-confidence detected differences in psychosocial impact related to orthodontic treatment during the testing of responsiveness (p < 0.001). Conclusion The PIDAQ in Albania showed strong psychometric characteristics. It is suitable for use in the Albanian cultural context.
{"title":"Translation and Validation of the Albanian Version of the Psychosocial Impact of Dental Aesthetics Questionnaire in Kosovo","authors":"Donika Ilijazi Shahiqi, J. Kelmendi, Sandra Anic-Milosevic","doi":"10.1055/s-0043-1777842","DOIUrl":"https://doi.org/10.1055/s-0043-1777842","url":null,"abstract":"\u0000 Objective Modern orthodontics is shifting from being doctor centric to patient centric, and understanding the impact of malocclusion from patient's perspective is very important. To accomplish this, questionnaires that assess the psychosocial effects of malocclusion must be validated in the original language of the respondents. The purpose of this study is translation, validation, and cross-cultural adaptation of the psychosocial impact of dental aesthetics questionnaire (PIDAQ) into the Albanian language.\u0000 Materials and Methods The PIDAQ questionnaire was translated into Albanian, back translated, pretested, cross-culturally adapted, and finally delivered to 130 subjects (38% males) aged between 18 and 30 years (mean age 24.3 ± 3.7). A dentist, previously calibrated, evaluated the orthodontic treatment needs of each subject by using the dental health and aesthetics component of the Orthodontic Treatment Need Index (IOTN). In this study, the internal consistency, test–retest reliability, discriminant validity, and responsiveness were assessed.\u0000 Results Albanian version of PIDAQ shows satisfactory internal consistency (α ranging from 0.90 to 0.96) with high test–retest reliability (r > 0.98). The discriminant validity revealed that subjects with minor and severe malocclusion according to IOTN categorization had different PIDAQ scores (p < 0.001). Among the domains of PIDAQ, the subscale of dental self-confidence detected differences in psychosocial impact related to orthodontic treatment during the testing of responsiveness (p < 0.001).\u0000 Conclusion The PIDAQ in Albania showed strong psychometric characteristics. It is suitable for use in the Albanian cultural context.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"29 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140525829","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}
Aries Chandra Trilaksana, Wahyuni S. Dwiandhany, Fuista Rica Nagaret
Objectives The aim of this study was to evaluate the dynamics of fibronectin levels in teeth treated with pulp capping using calcium hydroxide (Ca(OH)2) and mineral trioxide aggregate (MTA). Materials and Methods Test mice were divided into two treatment groups for pulp capping, with group 1 receiving Ca(OH)2 and group 2 receiving MTA. The maxillary first molars of each group's six rats were pulp capped. After pulp capping, blood samples were collected at 1 hour, 24 hours, and 48 hours. A subsequent analysis of the ELISA—enzyme-linked immunosorbent assay—data was performed on additional samples. Hasanuddin University's Faculty of Medicine's Research Ethics Committee allowed the use of experimental animals. Statistical analysis The data normality test uses the Kolmogorov-Smirnov test (sample > 50) or the Shapiro-Wilk test (sample 50) to identify the analytical application of the distribution of the standard data. Wilk test outcomes had a value of p > 0.05; for both the fibronectin and Shapiro leptin levels, the data are considered to be normally distributed. Results Following the application of Ca(OH)2 and MTA to the treated tooth pulp capping, changes in the levels of leptin and fibronectin were observed after 1 hour, 24 hours, and 48 hours. These changes generally tended to decrease leptin levels and increase fibronectin levels. Conclusion As a pulp-capping material, the results showed that MTA materials have higher levels of dynamics of fibronectin than Ca(OH)2. This indicates MTA is a better material for pulp-capping treatment.
目的 本研究旨在评估使用氢氧化钙（Ca(OH)2）和三氧化物矿物质骨料（MTA）进行牙髓封闭治疗的牙齿中纤维连接蛋白水平的动态变化。材料和方法 试验小鼠分为两组进行牙髓覆盖治疗，第一组接受氢氧化钙（Ca（OH）2），第二组接受 MTA。每组六只大鼠的上颌第一臼齿都进行了牙髓封闭。盖髓后，分别在 1 小时、24 小时和 48 小时采集血液样本。随后对其他样本进行酶联免疫吸附试验（ELISA）数据分析。哈桑努丁大学医学院研究伦理委员会允许使用实验动物。统计分析 数据正态性检验使用 Kolmogorov-Smirnov 检验（样本 > 50）或 Shapiro-Wilk 检验（样本 50）来确定标准数据分布的分析应用。Wilk 检验结果的值为 p > 0.05；对于纤连蛋白和夏皮罗瘦素水平，数据被认为是正态分布的。结果 将 Ca(OH)2 和 MTA 应用于处理过的牙髓覆盖层后，1 小时、24 小时和 48 小时后观察到瘦素和纤连蛋白水平的变化。这些变化总体上倾向于降低瘦素水平，提高纤连蛋白水平。结论 作为牙髓覆盖材料，结果显示 MTA 材料的纤维粘连蛋白动态水平高于 Ca（OH）2。这表明 MTA 是一种更好的牙髓覆盖治疗材料。
{"title":"Dynamic Level of Fibronectin in Calcium Hydroxide and Mineral Trioxide Aggregate Used as Pulp-Capping Materials","authors":"Aries Chandra Trilaksana, Wahyuni S. Dwiandhany, Fuista Rica Nagaret","doi":"10.1055/s-0043-1775986","DOIUrl":"https://doi.org/10.1055/s-0043-1775986","url":null,"abstract":"\u0000 Objectives The aim of this study was to evaluate the dynamics of fibronectin levels in teeth treated with pulp capping using calcium hydroxide (Ca(OH)2) and mineral trioxide aggregate (MTA).\u0000 Materials and Methods Test mice were divided into two treatment groups for pulp capping, with group 1 receiving Ca(OH)2 and group 2 receiving MTA. The maxillary first molars of each group's six rats were pulp capped. After pulp capping, blood samples were collected at 1 hour, 24 hours, and 48 hours. A subsequent analysis of the ELISA—enzyme-linked immunosorbent assay—data was performed on additional samples. Hasanuddin University's Faculty of Medicine's Research Ethics Committee allowed the use of experimental animals.\u0000 Statistical analysis The data normality test uses the Kolmogorov-Smirnov test (sample > 50) or the Shapiro-Wilk test (sample 50) to identify the analytical application of the distribution of the standard data. Wilk test outcomes had a value of p > 0.05; for both the fibronectin and Shapiro leptin levels, the data are considered to be normally distributed.\u0000 Results Following the application of Ca(OH)2 and MTA to the treated tooth pulp capping, changes in the levels of leptin and fibronectin were observed after 1 hour, 24 hours, and 48 hours. These changes generally tended to decrease leptin levels and increase fibronectin levels.\u0000 Conclusion As a pulp-capping material, the results showed that MTA materials have higher levels of dynamics of fibronectin than Ca(OH)2. This indicates MTA is a better material for pulp-capping treatment.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"33 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140526164","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}
Khalifah A. Alhaila, M. F. Badawi, Mohamed G Elbeltagy, A. Badr
Objective In light of the potential drawbacks associated with certain intracanal medicaments, such as triple antibiotic paste (TAP) and calcium hydroxide (Ca(OH2)), the introduction of herbal agents has ushered in a new era in the field of dentistry. Consequently, this study aimed to explore the impact of oleanolic acid (OA) on the viability and proliferation of dental pulp stem cells (DPSCs), comparing its effects to those of conventional intracanal medicaments, TAP and Ca(OH2). Materials and Methods DPSCs were derived from the third molars of an adult donor. Flow cytometry was utilized to do a phenotypic study on DPSCs. The methyl-thiazol tetrazolium (MTT) test was used to evaluate cellular viability. The cells were subjected to various concentrations of TAP and Ca(OH)2 (5, 2.5, 1, 0.5, and 0.25 mg/mL), in addition to OA (40, 20, 10, 5, and 2.5 µM). A cell proliferation experiment assessed the cell growth precisely at 3, 5, and 7 days. Results DPSCs were characterized by flow cytometry. The mesenchymal markers (CD73, CD90, and CD105) had a positive expression. However, the hematological markers (CD14, CD34, and CD45) showed negligible expression. A notable reduction in cellular viability was seen in cells subjected to concentrations exceeding 0.5 mg/mL of TAP and Ca(OH)2 compared to the cells that were not treated (p < 0.05). The cells treated with different concentrations of OA 2.5, 5, 10, and 20 µM did not exhibit any significant variance in cell viability compared to untreated cells (p > 0.05). Moreover, the concentrations of OA (20, 10, and 5 µM) showed high proliferation level compared to TAP and Ca(OH2) especially 5µM of OA after 7 days (p < 0.05). Conclusion Our results revealed that OA exerted significant effect on the viability and proliferation of DPSCs compared to TAP and Ca(OH2).
{"title":"In Vitro Evaluation of the Effect of Oleanolic Acid as a Potential Root Canal Medicament on Viability and Proliferation of Dental Pulp Stem Cells","authors":"Khalifah A. Alhaila, M. F. Badawi, Mohamed G Elbeltagy, A. Badr","doi":"10.1055/s-0043-1778674","DOIUrl":"https://doi.org/10.1055/s-0043-1778674","url":null,"abstract":"\u0000 Objective In light of the potential drawbacks associated with certain intracanal medicaments, such as triple antibiotic paste (TAP) and calcium hydroxide (Ca(OH2)), the introduction of herbal agents has ushered in a new era in the field of dentistry. Consequently, this study aimed to explore the impact of oleanolic acid (OA) on the viability and proliferation of dental pulp stem cells (DPSCs), comparing its effects to those of conventional intracanal medicaments, TAP and Ca(OH2).\u0000 Materials and Methods DPSCs were derived from the third molars of an adult donor. Flow cytometry was utilized to do a phenotypic study on DPSCs. The methyl-thiazol tetrazolium (MTT) test was used to evaluate cellular viability. The cells were subjected to various concentrations of TAP and Ca(OH)2 (5, 2.5, 1, 0.5, and 0.25 mg/mL), in addition to OA (40, 20, 10, 5, and 2.5 µM). A cell proliferation experiment assessed the cell growth precisely at 3, 5, and 7 days.\u0000 Results DPSCs were characterized by flow cytometry. The mesenchymal markers (CD73, CD90, and CD105) had a positive expression. However, the hematological markers (CD14, CD34, and CD45) showed negligible expression. A notable reduction in cellular viability was seen in cells subjected to concentrations exceeding 0.5 mg/mL of TAP and Ca(OH)2 compared to the cells that were not treated (p < 0.05). The cells treated with different concentrations of OA 2.5, 5, 10, and 20 µM did not exhibit any significant variance in cell viability compared to untreated cells (p > 0.05). Moreover, the concentrations of OA (20, 10, and 5 µM) showed high proliferation level compared to TAP and Ca(OH2) especially 5µM of OA after 7 days (p < 0.05).\u0000 Conclusion Our results revealed that OA exerted significant effect on the viability and proliferation of DPSCs compared to TAP and Ca(OH2).","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"65 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520086","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}
Abstract Objective The aim of this study was to study the clinical characteristics and patient satisfaction of the porcelain veneer aesthetic restoration at the Central Odonto-Stomatology Hospital, Vietnam. Materials and Methods This is a cross-sectional descriptive study of 94 teeth in 12 patients with indications for glass-ceramic restorations at the Department of Prosthodontics at the Central Odonto-Stomatology Hospital during the period from July 2021 to December 2022. Porcelain veneer aesthetic restorations in patients were evaluated using FDI World Dental Federation clinical criteria for the evaluation of veneer restorations for the esthetic parameters, functional parameters, biological parameters, and reliability. The evaluation was done immediately after installation and after 3 months. Evaluation of aesthetics, function, biology, and satisfaction was done using a scale (Scale 1–5). Data were analyzed using SPSS 18 software and descriptive statistics were calculated. Results It showed that the achieved results were good in terms of good to very good shape (100%) and good to very good color (98.8%). Three months after installation, the veneer restorations were stable in shape and color. The restorations were aesthetically and functionally satisfactory with no signs of broken or detachment. Conclusion Porcelain veneer restorations helped to improve the tooth shape and color. The patients were satisfied with the veneer restorations.
{"title":"Patient Satisfaction of Porcelain Veneer at the Odonto-Stomatology Hospital, Vietnam","authors":"Chu Thi Quynh Huong, T. D. Hai","doi":"10.1055/s-0043-1776739","DOIUrl":"https://doi.org/10.1055/s-0043-1776739","url":null,"abstract":"Abstract Objective The aim of this study was to study the clinical characteristics and patient satisfaction of the porcelain veneer aesthetic restoration at the Central Odonto-Stomatology Hospital, Vietnam. Materials and Methods This is a cross-sectional descriptive study of 94 teeth in 12 patients with indications for glass-ceramic restorations at the Department of Prosthodontics at the Central Odonto-Stomatology Hospital during the period from July 2021 to December 2022. Porcelain veneer aesthetic restorations in patients were evaluated using FDI World Dental Federation clinical criteria for the evaluation of veneer restorations for the esthetic parameters, functional parameters, biological parameters, and reliability. The evaluation was done immediately after installation and after 3 months. Evaluation of aesthetics, function, biology, and satisfaction was done using a scale (Scale 1–5). Data were analyzed using SPSS 18 software and descriptive statistics were calculated. Results It showed that the achieved results were good in terms of good to very good shape (100%) and good to very good color (98.8%). Three months after installation, the veneer restorations were stable in shape and color. The restorations were aesthetically and functionally satisfactory with no signs of broken or detachment. Conclusion Porcelain veneer restorations helped to improve the tooth shape and color. The patients were satisfied with the veneer restorations.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"133 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004287","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}
Abstract Objective This article evaluates the salivary trefoil factor levels using enzyme-linked immunosorbent assay and clinical parameters in stage I to II periodontitis subjects. Materials and Method A total of 44 subjects with periodontitis and healthy periodontium were enrolled for the study as per the inclusion criteria. The subjects were selected and categorized as group A (control group) and group B (test group). Scaling was performed on healthy subjects at baseline and 1 month if necessary and scaling and root planing was performed for periodontitis subjects. Trefoil factor 3 (TFF3) levels was analyzed at first and post-nonsurgical periodontal therapy followed by clinical parameters, respectively. Statistical Analysis Inferential statistics were performed using independent t-test and repeated measures of analysis of variance (ANOVA) test. Independent t-test was used for the intergroup comparison of all the variables. Repeated measures of ANOVA test along with post hoc Bonferroni test was used for the intragroup comparison and the level of statistical significance was set at 0.001. Results Difference in TFF3 levels and clinical parameters was seen between groups A and B, which was statistically significant. Conclusion Within the constraints of the study, it can be stated that TFF3 is a relevant biomarker to determine the activity and association of periodontal and systemic diseases, gastrointestinal disorders, and inflammatory bowel diseases.
{"title":"Salivary Trefoil Factor (TFF3) in Stage I–II Periodontitis: A Prospective Clinical Study","authors":"Pooja Palwankar, Ritika Verma, Ruchi Pandey, Anjana Goyal","doi":"10.1055/s-0043-1775825","DOIUrl":"https://doi.org/10.1055/s-0043-1775825","url":null,"abstract":"Abstract Objective This article evaluates the salivary trefoil factor levels using enzyme-linked immunosorbent assay and clinical parameters in stage I to II periodontitis subjects. Materials and Method A total of 44 subjects with periodontitis and healthy periodontium were enrolled for the study as per the inclusion criteria. The subjects were selected and categorized as group A (control group) and group B (test group). Scaling was performed on healthy subjects at baseline and 1 month if necessary and scaling and root planing was performed for periodontitis subjects. Trefoil factor 3 (TFF3) levels was analyzed at first and post-nonsurgical periodontal therapy followed by clinical parameters, respectively. Statistical Analysis Inferential statistics were performed using independent t-test and repeated measures of analysis of variance (ANOVA) test. Independent t-test was used for the intergroup comparison of all the variables. Repeated measures of ANOVA test along with post hoc Bonferroni test was used for the intragroup comparison and the level of statistical significance was set at 0.001. Results Difference in TFF3 levels and clinical parameters was seen between groups A and B, which was statistically significant. Conclusion Within the constraints of the study, it can be stated that TFF3 is a relevant biomarker to determine the activity and association of periodontal and systemic diseases, gastrointestinal disorders, and inflammatory bowel diseases.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"11 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135679010","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}
Artificial intelligence (AI), among other areas, has already had a substantial impact on the healthcare industry. AI has the potential to fundamentally alter how dentists diagnose and treat patients, and dentistry is no exception.[1] There is growing concern that several medical specialists, including several dentistry disciplines including oral radiology, oral pathology, and orthodontics, may become extinct as AI technology advances.[2] In this post, we will look at how AI is changing dentistry and how that can affect these subspecialties.
{"title":"Role of Artificial Intelligence in Oral Diagnosis and Dental Treatment","authors":"Mahmood Dashti, Shohreh Ghasemi, Zohaib Khurshid","doi":"10.1055/s-0043-1772565","DOIUrl":"https://doi.org/10.1055/s-0043-1772565","url":null,"abstract":"Artificial intelligence (AI), among other areas, has already had a substantial impact on the healthcare industry. AI has the potential to fundamentally alter how dentists diagnose and treat patients, and dentistry is no exception.[1] There is growing concern that several medical specialists, including several dentistry disciplines including oral radiology, oral pathology, and orthodontics, may become extinct as AI technology advances.[2] In this post, we will look at how AI is changing dentistry and how that can affect these subspecialties.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136143087","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}
Reham Mohamad Attia, Eman Mohamed Sobhai, Mona El Said Abd El Hameed Essa
Abstract Objectives The aim of this study was to assess the impact of applying a surface sealant and two bleaching regimens, on the micro-hardness, and surface roughness of bulk-fill composite resin Materials and Methods One-hundred twenty specimens were prepared with a diameter of 5 mm and thickness of 4 mm using bulk-fill composite. Specimens were subdivided into group 1: (n= 60), in which Fortify surface sealant was used, and group 2 (control): (n= 60), in which specimens were only finished and polished. After applying in-office and at-home bleaching, micro-hardness and surface roughness were measured before and after bleaching. Statistical analysis was performed using Student's t-test and paired test. Results Hardness values of group 1 were lower than values of group 2 before and after bleaching, with different bleaching procedures. Applying surface sealant and different bleaching regimens led to a significant difference of surface roughness (p < 0.001). Conclusion Applying surface sealant decreases both micro-hardness and surface roughness. The bleaching procedures significantly affect the surface roughness, but not the micro-hardness. Clinical Significance Surface sealant can enhance the surface roughness of bulk-fill composite in nonstress bearing area as it reduces the surface micro-hardness.
{"title":"Micro-Hardness and Surface Roughness of Bulk-Fill Composite Resin: Effect of Surface Sealant Application and Two Bleaching Regimens","authors":"Reham Mohamad Attia, Eman Mohamed Sobhai, Mona El Said Abd El Hameed Essa","doi":"10.1055/s-0043-1773803","DOIUrl":"https://doi.org/10.1055/s-0043-1773803","url":null,"abstract":"Abstract Objectives The aim of this study was to assess the impact of applying a surface sealant and two bleaching regimens, on the micro-hardness, and surface roughness of bulk-fill composite resin Materials and Methods One-hundred twenty specimens were prepared with a diameter of 5 mm and thickness of 4 mm using bulk-fill composite. Specimens were subdivided into group 1: (n= 60), in which Fortify surface sealant was used, and group 2 (control): (n= 60), in which specimens were only finished and polished. After applying in-office and at-home bleaching, micro-hardness and surface roughness were measured before and after bleaching. Statistical analysis was performed using Student's t-test and paired test. Results Hardness values of group 1 were lower than values of group 2 before and after bleaching, with different bleaching procedures. Applying surface sealant and different bleaching regimens led to a significant difference of surface roughness (p < 0.001). Conclusion Applying surface sealant decreases both micro-hardness and surface roughness. The bleaching procedures significantly affect the surface roughness, but not the micro-hardness. Clinical Significance Surface sealant can enhance the surface roughness of bulk-fill composite in nonstress bearing area as it reduces the surface micro-hardness.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136143085","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}
Abstract Objective Periodontal microsurgery is descendant of conventional periodontal surgery to reduce surgical trauma, improve wound healing, and enhance patient compliance. This study compared the efficacy of conventional and microsurgical access flap in the management of horizontal bony defects in chronic periodontitis patients. Materials and Methods Eight pairs of contralateral horizontal bone defects in chronic periodontitis patients were randomly allocated to control group and test group. Microsurgical access flap was carried out in test group under magnification, while control group received conventional access flap. Plaque index (PI), gingival index (GI), probing pocket depth (PPD), relative attachment level (RAL), and relative gingival marginal level (RGML) were recorded at baseline, 3 months, and 6 months. Wound healing index (WHI) was evaluated after 1 week, 2 weeks, and 4 weeks. Pain perception was evaluated using visual analog scale (VAS) post-surgery and after 24 hours. Radiographic defect depth was measured at baseline and after 6 months. Statistical Analysis The statistical analysis was done by SPSS statistical software. The intragroup comparison was done by repeated measures analysis of variance. The intergroup difference between both groups was done by Student's t-test. The descriptive statistics for VAS and WHI was done by Wilcoxon signed rank test. The mean difference between clinical parameters from baseline to follow-up intervals was calculated by post-hoc least significance difference analysis. Results There was significant reduction in PI, GI, PPD, and RAL within both the groups (p < 0.05). There was increase in RGML within both the groups from baseline to 6 months (p < 0.05). In the intergroup comparison, test group showed better WHI and better pain perception (VAS) compared to control group (p < 0.05). No difference was found between both the groups in terms of radiographic defect depth (p > 0.5). Conclusion Both the procedures were effective in improving the clinical parameters but the microsurgical group showed better results in terms of wound healing and less postoperative pain. Both procedures showed no significant effect on radiographic defect depth.
{"title":"Comparing the Effectiveness of Conventional and Microsurgical Access Flap Techniques in Managing Horizontal Bony Defects in Chronic Periodontitis Patients: A Clinical and Radiographic Study","authors":"Shambhavi Thakur, Santosh Martande, Kumar Ankit, D Gopalakrishnan, Anita Kulloli, Sharath Shetty, Vini Mehta, Krishna Suryawanshi","doi":"10.1055/s-0043-1773798","DOIUrl":"https://doi.org/10.1055/s-0043-1773798","url":null,"abstract":"Abstract Objective Periodontal microsurgery is descendant of conventional periodontal surgery to reduce surgical trauma, improve wound healing, and enhance patient compliance. This study compared the efficacy of conventional and microsurgical access flap in the management of horizontal bony defects in chronic periodontitis patients. Materials and Methods Eight pairs of contralateral horizontal bone defects in chronic periodontitis patients were randomly allocated to control group and test group. Microsurgical access flap was carried out in test group under magnification, while control group received conventional access flap. Plaque index (PI), gingival index (GI), probing pocket depth (PPD), relative attachment level (RAL), and relative gingival marginal level (RGML) were recorded at baseline, 3 months, and 6 months. Wound healing index (WHI) was evaluated after 1 week, 2 weeks, and 4 weeks. Pain perception was evaluated using visual analog scale (VAS) post-surgery and after 24 hours. Radiographic defect depth was measured at baseline and after 6 months. Statistical Analysis The statistical analysis was done by SPSS statistical software. The intragroup comparison was done by repeated measures analysis of variance. The intergroup difference between both groups was done by Student's t-test. The descriptive statistics for VAS and WHI was done by Wilcoxon signed rank test. The mean difference between clinical parameters from baseline to follow-up intervals was calculated by post-hoc least significance difference analysis. Results There was significant reduction in PI, GI, PPD, and RAL within both the groups (p < 0.05). There was increase in RGML within both the groups from baseline to 6 months (p < 0.05). In the intergroup comparison, test group showed better WHI and better pain perception (VAS) compared to control group (p < 0.05). No difference was found between both the groups in terms of radiographic defect depth (p > 0.5). Conclusion Both the procedures were effective in improving the clinical parameters but the microsurgical group showed better results in terms of wound healing and less postoperative pain. Both procedures showed no significant effect on radiographic defect depth.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136143086","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}
Abstract The procedure for regenerating interdental papilla is complex and technique-sensitive. However, the patient demand to reduce black triangle has dramatically increased in recent years. This article aimed to review the most recent surgical techniques on interdental papilla regeneration by reporting studies published from 2016 to 2021. A literature search was performed in electronic databases, including PubMed, Medline, and Web of Science using the following keywords: “interdental papilla regeneration,” “papillary reconstruction,” “surgical papillary regeneration,” and “hyaluronic acid injection.” Studies that have involved surgical techniques for interdental papilla regeneration as well as less invasive surgical procedure such as hyaluronic acid injections are comprehensively reviewed in this article. Techniques such as tunnelling and coronally advanced flap appear to have better success rate compared to other techniques. In view of graft, connective tissue graft resulted in successful interdental papilla regeneration with papillary fill maintained over long-term compared to concentrated growth factors. A less invasive option would be hyaluronic acid injection, but with less success rate compared to surgical procedures. However, the results were limited by the lack of standardised method to measure successful interdental papilla regeneration. This article comprehensively reviews the updates on interdental papilla regeneration techniques.
牙间乳头的再生过程复杂，技术敏感。然而，近年来患者对减少黑三角的需求急剧增加。本文旨在通过报道2016年至2021年发表的研究，回顾牙间乳头再生的最新外科技术。在PubMed、Medline和Web of Science等电子数据库中进行文献检索，使用以下关键词:“牙间乳头再生”、“乳头重建”、“手术乳头再生”和“透明质酸注射”。本文全面回顾了涉及牙间乳头再生的外科技术以及透明质酸注射等微创外科手术的研究。与其他技术相比，隧道和冠状推进皮瓣等技术似乎具有更好的成功率。从移植物的角度来看，结缔组织移植物可使牙间乳头再生成功，与浓缩生长因子相比，乳头填充物可长期维持。一种侵入性较小的选择是注射透明质酸，但与外科手术相比成功率较低。然而，由于缺乏衡量牙间乳头再生成功的标准化方法，结果受到限制。本文综述了牙间乳头再生技术的最新进展。
{"title":"Interdental Papilla Regeneration: The Updates on Several Techniques","authors":"Nur Ayman Abdul Hayei, Hazira M. Yusof","doi":"10.1055/s-0043-1773799","DOIUrl":"https://doi.org/10.1055/s-0043-1773799","url":null,"abstract":"Abstract The procedure for regenerating interdental papilla is complex and technique-sensitive. However, the patient demand to reduce black triangle has dramatically increased in recent years. This article aimed to review the most recent surgical techniques on interdental papilla regeneration by reporting studies published from 2016 to 2021. A literature search was performed in electronic databases, including PubMed, Medline, and Web of Science using the following keywords: “interdental papilla regeneration,” “papillary reconstruction,” “surgical papillary regeneration,” and “hyaluronic acid injection.” Studies that have involved surgical techniques for interdental papilla regeneration as well as less invasive surgical procedure such as hyaluronic acid injections are comprehensively reviewed in this article. Techniques such as tunnelling and coronally advanced flap appear to have better success rate compared to other techniques. In view of graft, connective tissue graft resulted in successful interdental papilla regeneration with papillary fill maintained over long-term compared to concentrated growth factors. A less invasive option would be hyaluronic acid injection, but with less success rate compared to surgical procedures. However, the results were limited by the lack of standardised method to measure successful interdental papilla regeneration. This article comprehensively reviews the updates on interdental papilla regeneration techniques.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135141394","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}
Abstract Traumatic dental injuries are more commonly seen in children and it often results in a complicated crown fracture. This case is unique as foreign objects in the form of hand-sewing needles were accidentally lodged bilaterally in both maxillary central incisors. A 13-year-old patient was referred to the Dental Clinics at the College of Dentistry, Jazan University with a complaint of broken needles in her front teeth and a history of trauma 3 years ago. Although the patient had the habit of using a hand-sewing needle to remove the lodged food particles from the open pulp chamber, she was not able to recollect the incidence of needle separations. Radiographic examination revealed radiopaque objects in the middle third of the right maxillary central incisor (#11) and in the apical third of the left maxillary central incisor (#21). Tooth #11 was clinically diagnosed as pulp necrosis with chronic apical abscess and tooth #21 as pulp necrosis with asymptomatic apical periodontitis. The micro tweezer from the broken instrument removal kit (Zumax Medical Co.,Ltd., Jiangsu, China) was used to retrieve the separated needle pieces under the operating microscope. The open apices were managed by the formation of mineral trioxide aggregate apical plug, and the procedure of root reinforcement was achieved by bonded resin cement and fiber resin posts. Finally, teeth were restored with dual cure core build-up composite material and direct composite veneers. Recommendations are made to treat complicated crown fractures, especially in children on priority to minimize the risk of foreign object impaction.
{"title":"Management of Bilateral Foreign Objects in Immature Permanent Maxillary Central Incisors: A Case Report","authors":"Hemant Ramesh Chourasia","doi":"10.1055/s-0043-1772562","DOIUrl":"https://doi.org/10.1055/s-0043-1772562","url":null,"abstract":"Abstract Traumatic dental injuries are more commonly seen in children and it often results in a complicated crown fracture. This case is unique as foreign objects in the form of hand-sewing needles were accidentally lodged bilaterally in both maxillary central incisors. A 13-year-old patient was referred to the Dental Clinics at the College of Dentistry, Jazan University with a complaint of broken needles in her front teeth and a history of trauma 3 years ago. Although the patient had the habit of using a hand-sewing needle to remove the lodged food particles from the open pulp chamber, she was not able to recollect the incidence of needle separations. Radiographic examination revealed radiopaque objects in the middle third of the right maxillary central incisor (#11) and in the apical third of the left maxillary central incisor (#21). Tooth #11 was clinically diagnosed as pulp necrosis with chronic apical abscess and tooth #21 as pulp necrosis with asymptomatic apical periodontitis. The micro tweezer from the broken instrument removal kit (Zumax Medical Co.,Ltd., Jiangsu, China) was used to retrieve the separated needle pieces under the operating microscope. The open apices were managed by the formation of mineral trioxide aggregate apical plug, and the procedure of root reinforcement was achieved by bonded resin cement and fiber resin posts. Finally, teeth were restored with dual cure core build-up composite material and direct composite veneers. Recommendations are made to treat complicated crown fractures, especially in children on priority to minimize the risk of foreign object impaction.","PeriodicalId":37771,"journal":{"name":"European Journal of General Dentistry","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135739149","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}
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