This study aimed to analyze the existing evidence on the association between dental diseases and stroke. Various pathogenic mechanisms, including bacteraemia and systemic inflammation, were investigated to explore their impact on stroke occurrence and severity.
Methods
A comprehensive literature search was conducted through the online databases PubMed, Google Scholar, Web of Science, and Scopus. The initial screening process resulted in a total of 138 articles being gathered. Upon subsequent refinement, 52 articles were discarded due to duplication or non-English language, leaving 86 articles for further assessment.
Results
Oral bacteria can travel to the brain’s blood vessels and cause bacteraemia, leading to local inflammation and the release of toxins. This process can result in the blockage or rupture of blood vessels, leading to stroke. Oral infections consistently trigger immune responses and systemic inflammation, with inflammation-related proteins playing a crucial role in stroke development. Notably, periodontal treatment could reduce the risk of stroke.
Conclusion
This review emphasizes the role of dental diseases in promoting stroke occurrence through various mechanisms. Dental diseases contribute to the development of stroke by facilitating bacteraemia and systemic inflammation. Furthermore, through effectively treating and preventing dental diseases, the risk of strokes can be significantly reduced.
{"title":"Association between dental diseases and stroke","authors":"Haocheng Zhang , Qian Yu , Caidi Ying , Yibo Liu , Xiaoyu Wang , Yinghan Guo , Liang Xu , Yuanjian Fang , Xiaoyue Liao , Sheng Chen","doi":"10.1016/j.sdentj.2024.09.012","DOIUrl":"10.1016/j.sdentj.2024.09.012","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to analyze the existing evidence on the association between dental diseases and stroke. Various pathogenic mechanisms, including bacteraemia and systemic inflammation, were investigated to explore their impact on stroke occurrence and severity.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted through the online databases PubMed, Google Scholar, Web of Science, and Scopus. The initial screening process resulted in a total of 138 articles being gathered. Upon subsequent refinement, 52 articles were discarded due to duplication or non-English language, leaving 86 articles for further assessment.</div></div><div><h3>Results</h3><div>Oral bacteria can travel to the brain’s blood vessels and cause bacteraemia, leading to local inflammation and the release of toxins. This process can result in the blockage or rupture of blood vessels, leading to stroke. Oral infections consistently trigger immune responses and systemic inflammation, with inflammation-related proteins playing a crucial role in stroke development. Notably, periodontal treatment could reduce the risk of stroke.</div></div><div><h3>Conclusion</h3><div>This review emphasizes the role of dental diseases in promoting stroke occurrence through various mechanisms. Dental diseases contribute to the development of stroke by facilitating bacteraemia and systemic inflammation. Furthermore, through effectively treating and preventing dental diseases, the risk of strokes can be significantly reduced.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1389-1396"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.sdentj.2024.09.009
Arwa A. Alsayed , Mariam B. Aldajani , Marwan H. Aljohani , Hamdan Alamri , Maram A. Alwadi , Bodor Z. Alshammari , Falah R. Alshammari
Aim
Evaluation of the quality of dental information produced by the ChatGPT artificial intelligence language model within the context of oral surgery, preventive dentistry, and oral cancer.
Methodology
This study adopted quantitative methods approach. The experts prepared 50 questions (including dimensions of, risk factors, preventive measures, diagnostic methods, and treatment options) that would be presented to ChatGPT, and its responses were rated for their accuracy, completeness, relevance, clarity or comprehensibility, and possible risks using a standardized rubric. To carry out the assessment of the responses by ChatGPT, a standardized scoring rubric was used. Evaluation process included feedback concerning the strengths, weaknesses, and potential areas of improvement in the responses provided by ChatGPT.
Results
While achieving the highest score for preventive dentistry at 4.3/5 and being able to communicate the complex information coherently, the tool showed lower accuracy for oral surgery and oral cancer, scoring 3.9/5 and 3.6/5, respectively, with several gaps for post-operative instructions, personalized risk assessments, and specialized diagnostic methods. Potential risks, such as a lack of individualized advice, were shown in 53% of the oral cancer and in 40% of the oral surgery. While showing promise in some domains, ChatGPT had important limitations in specialized areas that require nuanced expertise.
Conclusion
The findings point to the need for professional supervision while using AI-generated information and ongoing evaluation as capabilities evolve, for the assurance of responsible implementation in the best interest of patient care.
{"title":"Assessing the quality of AI information from ChatGPT regarding oral surgery, preventive dentistry, and oral cancer: An exploration study","authors":"Arwa A. Alsayed , Mariam B. Aldajani , Marwan H. Aljohani , Hamdan Alamri , Maram A. Alwadi , Bodor Z. Alshammari , Falah R. Alshammari","doi":"10.1016/j.sdentj.2024.09.009","DOIUrl":"10.1016/j.sdentj.2024.09.009","url":null,"abstract":"<div><h3>Aim</h3><div>Evaluation of the quality of dental information produced by the ChatGPT artificial intelligence language model within the context of oral surgery, preventive dentistry, and oral cancer.</div></div><div><h3>Methodology</h3><div>This study adopted quantitative methods approach. The experts prepared 50 questions (including dimensions of, risk factors, preventive measures, diagnostic methods, and treatment options) that would be presented to ChatGPT, and its responses were rated for their accuracy, completeness, relevance, clarity or comprehensibility, and possible risks using a standardized rubric. To carry out the assessment of the responses by ChatGPT, a standardized scoring rubric was used. Evaluation process included feedback concerning the strengths, weaknesses, and potential areas of improvement in the responses provided by ChatGPT.</div></div><div><h3>Results</h3><div>While achieving the highest score for preventive dentistry at 4.3/5 and being able to communicate the complex information coherently, the tool showed lower accuracy for oral surgery and oral cancer, scoring 3.9/5 and 3.6/5, respectively, with several gaps for post-operative instructions, personalized risk assessments, and specialized diagnostic methods. Potential risks, such as a lack of individualized advice, were shown in 53% of the oral cancer and in 40% of the oral surgery. While showing promise in some domains, ChatGPT had important limitations in specialized areas that require nuanced expertise.</div></div><div><h3>Conclusion</h3><div>The findings point to the need for professional supervision while using AI-generated information and ongoing evaluation as capabilities evolve, for the assurance of responsible implementation in the best interest of patient care.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1483-1489"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.sdentj.2024.09.013
Yasser S. Alali , Khaled M. Al Habeeb , Khaled A. Al Malhook , Sami Alshehri
Background and objectives
Idiopathic condylar resorption (ICR) can be described as a dysfunctional remodeling of the temporomandibular joint (TMJ). It is clinically characterized by morphological changes in TMJ including reduced ramus height, accelerated mandibular retrusion and reduced growth in juveniles. With a strong predilection towards females (90 %) within an age group of 10 to 40 years, diagnosis and management of ICR is a critical clinical challenge. The aim of this study is to present a comprehensive review of diagnosis and management strategies for ICR.
Materials and Methods
Literature search based on keywords relating to ICR was conducted on PubMed (Medline) database. Studies fulfilling the inclusion criteria (reports based on clinical diagnosis and management of ICR) were selected for comprehensive review.
Results
253 articles were identified through literature search. After abstract screening and full-text review, 54 studies were selected for qualitative synthesis. Diagnosis of ICR is established by combination of clinical and radiographic findings, patient history, and exclusion of all known local/systemic factors contributing to condylar resorption. Management of ICR depends on condylar activity and surgeon’s ability to preserve the articular disc and mandibular condyle, and could either be surgical or non-surgical. Surgical treatment can be either by orthognathic surgery alone or through a combination of orthognathic and TMJ surgeries.
Conclusion
Based on the present review, it may be concluded that diagnosis and management of ICR requires adequate clinical understanding of the condition. Identifying the stage of ICR is important in deciding optimum treatment plan. While early-stage ICR could be managed non-surgically by orthodontic and splint therapies, advanced stage disease require simultaneous TMJ Surgery with orthognathic correction for skeletal stability. Future research should focus on elucidating underlying mechanisms of ICR, refining diagnostic criteria, and optimizing treatment protocols to enhance patient outcomes.
{"title":"Diagnosis and management of idiopathic condylar Resorption: A review of literature","authors":"Yasser S. Alali , Khaled M. Al Habeeb , Khaled A. Al Malhook , Sami Alshehri","doi":"10.1016/j.sdentj.2024.09.013","DOIUrl":"10.1016/j.sdentj.2024.09.013","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Idiopathic condylar resorption (ICR) can be described as a dysfunctional remodeling of the temporomandibular joint (TMJ). It is clinically characterized by morphological changes in TMJ including reduced ramus height, accelerated mandibular retrusion and reduced growth in juveniles. With a strong predilection towards females (90 %) within an age group of 10 to 40 years, diagnosis and management of ICR is a critical clinical challenge. The aim of this study is to present a comprehensive review of diagnosis and management strategies for ICR.</div></div><div><h3>Materials and Methods</h3><div>Literature search based on keywords relating to ICR was conducted on PubMed (Medline) database. Studies fulfilling the inclusion criteria (reports based on clinical diagnosis and management of ICR) were selected for comprehensive review.</div></div><div><h3>Results</h3><div>253 articles were identified through literature search. After abstract screening and full-text review, 54 studies were selected for qualitative synthesis. Diagnosis of ICR is established by combination of clinical and radiographic findings, patient history, and exclusion of all known local/systemic factors contributing to condylar resorption. Management of ICR depends on condylar activity and surgeon’s ability to preserve the articular disc and mandibular condyle, and could either be surgical or non-surgical. Surgical treatment can be either by orthognathic surgery alone or through a combination of orthognathic and TMJ surgeries.</div></div><div><h3>Conclusion</h3><div>Based on the present review, it may be concluded that diagnosis and management of ICR requires adequate clinical understanding of the condition. Identifying the stage of ICR is important in deciding optimum treatment plan. While early-stage ICR could be managed non-surgically by orthodontic and splint therapies, advanced stage disease require simultaneous TMJ Surgery with orthognathic correction for skeletal stability. Future research should focus on elucidating underlying mechanisms of ICR, refining diagnostic criteria, and optimizing treatment protocols to enhance patient outcomes.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1397-1405"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This research assessed the mutagenicity and DNA damage of a novel type of nano-hydroxyapatite-silica glass ionomer cement (nano-HA-SiO2-GIC) and a conventional GIC (cGIC) using Ames and Comet assays.
Methods
Cell viability was tested on human periodontal ligament fibroblasts (HPLFs) using 3.125 mg/ml, 6.25, 12.5, 25, 50, 100 and 200 mg/ml, on both types of GICs employing MTT assay. For the Comet assay, HPLFs were treated with IC50, IC25 and IC10 of test materials and the tail moments were measured. In the Ames test, four genotypic variants of strains of Salmonella typhimurium (TA100, TA98, TA1537 and TA1535) and a strain of Escherichia coli (WP2 uvrA) were employed. The material tested was extracted using sterile distilled water (0.2 g per ml) at 37 °C for 72 h. This was considered as 100 %, which was diluted to 50, 25, 12.5 and 6.25 % utilizing sterile distilled water. These five concentrations were incubated with the bacterial strains with and without metabolic activation (S9), along with appropriate positive controls. The number of revertant colonies was used to evaluate the outcome.
Results
The highest cell viability (159.4 %) for nano-HA-SiO2-GIC was noticed at 3.125 mg/ml, while the lowest (24.26 %) was observed at 200 mg per ml. IC50, IC25 and IC10 values were 95.27, 51.4 and 20.1 mg/ml for cGIC, 106.9, 55.8 and 22.9 mg/ml for nano-HA-SiO2-GIC, respectively. The IC10 of both test materials showed no significant DNA damage compared to that of the negative control based on the Comet assay. The plate treated with nano-HA-SiO2-GIC showed less than double the average number of revertant colonies compared to that of negative control with regard to the Ames test.
Conclusions
It can be concluded that nano-HA-SiO2-GIC is non-mutagenic based on the Ames test and did not cause DNA damage at the lowest concentration of IC10 based on the Comet assay.
{"title":"Mutagenicity and DNA damage assessment of locally produced nano-hydroxyapatite-silica-glass ionomer cement on human periodontal ligament fibroblasts using Ames and Comet assays","authors":"Fayez Hussain Niazi , Norhayati Luddin , Abdurahman Niazy , Suharni Mohamad , Masitah Hayati Harun , Mohammed Noushad , Kannan Thirumulu Ponnuraj","doi":"10.1016/j.sdentj.2024.08.009","DOIUrl":"10.1016/j.sdentj.2024.08.009","url":null,"abstract":"<div><h3>Aim</h3><div>This research assessed the mutagenicity and DNA damage of a novel type of nano-hydroxyapatite-silica glass ionomer cement (nano-HA-SiO<sub>2</sub>-GIC) and a conventional GIC (cGIC) using Ames and Comet assays.</div></div><div><h3>Methods</h3><div>Cell viability was tested on human periodontal ligament fibroblasts (HPLFs) using 3.125 mg/ml, 6.25, 12.5, 25, 50, 100 and 200 mg/ml, on both types of GICs employing MTT assay. For the Comet assay, HPLFs were treated with IC<sub>50</sub>, IC<sub>25</sub> and IC<sub>10</sub> of test materials and the tail moments were measured. In the Ames test, four genotypic variants of strains of <em>Salmonella typhimurium</em> (TA100, TA98, TA1537 and TA1535) and a strain of <em>Escherichia coli</em> (WP2 uvrA) were employed. The material tested was extracted using sterile distilled water (0.2 g per ml) at 37 °C for 72 h. This was considered as 100 %, which was diluted to 50, 25, 12.5 and 6.25 % utilizing sterile distilled water. These five concentrations were incubated with the bacterial strains with and without metabolic activation (S9), along with appropriate positive controls. The number of revertant colonies was used to evaluate the outcome.</div></div><div><h3>Results</h3><div>The highest cell viability (159.4 %) for nano-HA-SiO<sub>2</sub>-GIC was noticed at 3.125 mg/ml, while the lowest (24.26 %) was observed at 200 mg per ml. IC<sub>50</sub>, IC<sub>25</sub> and IC<sub>10</sub> values were 95.27, 51.4 and 20.1 mg/ml for cGIC, 106.9, 55.8 and 22.9 mg/ml for nano-HA-SiO<sub>2</sub>-GIC, respectively. The IC<sub>10</sub> of both test materials showed no significant DNA damage compared to that of the negative control based on the Comet assay. The plate treated with nano-HA-SiO<sub>2</sub>-GIC showed less than double the average number of revertant colonies compared to that of negative control with regard to the Ames test.</div></div><div><h3>Conclusions</h3><div>It can be concluded that nano-HA-SiO<sub>2</sub>-GIC is non-mutagenic based on the Ames test and did not cause DNA damage at the lowest concentration of IC<sub>10</sub> based on the Comet assay.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1432-1437"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.sdentj.2024.09.006
Nermine Ramadan Mahmoud , Mohamed Hatem Kamal Eldin , Mai Hassan Diab , Omar Samy Mahmoud , Yasser El-Sayed Fekry
Objective
This study compares, in terms of rehabilitation and recovery, freehand implant placement using flapless or mini-flap procedures with the use of 3D implant design software and specialized surgical templates among patients who are partially or completely edentulous. A secondary aim is to propose an algorithm for predicting the accuracy of implant placement. Method.
Patients with an alveolar height of at least 7 mm and an alveolar width of at least 4 mm were randomly assigned to two groups. Group I comprised ten patients who received computer-guided dental implant placement, while Group II comprised ten patients who received manual placements. A temporary prosthodontic was immediately inserted onto the implants, which was replaced by a permanent one after 4–6 months.
Results
The study enrolled twenty patients. A blinded, independent assessor evaluated the outcome variables, which included implant failure, marginal bone loss, treatment duration, post-surgical pain and swelling, use of painkillers, surgical time, and patient satisfaction. Pain scores in Group II were significantly higher than those in Group I, but there were no other significant differences. All patients experienced pain after 2 days, but by 7 days, only two patients in Group I and four patients in Group II were still suffering, although this difference was not statistically significant. After 14 days, all patients were asymptomatic.
Conclusion
Although the freehand technique is straightforward for experienced surgeons, surgical guides enhance the accuracy of implant placement, particularly in a deficient alveolar ridge.
{"title":"Computer guided versus freehand dental implant surgery: Randomized controlled clinical trial","authors":"Nermine Ramadan Mahmoud , Mohamed Hatem Kamal Eldin , Mai Hassan Diab , Omar Samy Mahmoud , Yasser El-Sayed Fekry","doi":"10.1016/j.sdentj.2024.09.006","DOIUrl":"10.1016/j.sdentj.2024.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>This study compares, in terms of rehabilitation and recovery, freehand implant placement using flapless or mini-flap procedures with the use of 3D implant design software and specialized surgical templates among patients who are partially or completely edentulous. A secondary aim is to propose an algorithm for predicting the accuracy of implant placement. Method.</div><div>Patients with an alveolar height of at least 7 mm and an alveolar width of at least 4 mm were randomly assigned to two groups. Group I comprised ten patients who received computer-guided dental implant placement, while Group II comprised ten patients who received manual placements. A temporary prosthodontic was immediately inserted onto the implants, which was replaced by a permanent one after 4–6 months.</div></div><div><h3>Results</h3><div>The study enrolled twenty patients. A blinded, independent assessor evaluated the outcome variables, which included implant failure, marginal bone loss, treatment duration, post-surgical pain and swelling, use of painkillers, surgical time, and patient satisfaction. Pain scores in Group II were significantly higher than those in Group I, but there were no other significant differences. All patients experienced pain after 2 days, but by 7 days, only two patients in Group I and four patients in Group II were still suffering, although this difference was not statistically significant. After 14 days, all patients were asymptomatic.</div></div><div><h3>Conclusion</h3><div>Although the freehand technique is straightforward for experienced surgeons, surgical guides enhance the accuracy of implant placement, particularly in a deficient alveolar ridge.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1472-1476"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.sdentj.2024.09.008
Firas K. Alqarawi , Mohammed E. Sayed , Harisha Dewan , Fawzia Ibraheem Shaabi , Hina Naim , Manawar Ahmad , Hanan Ibrahim Hakami , Ebrahim Fihaid Alsubaiy , Areen Sultan , Saad Saleh AlResayes
Objective
This study evaluated the effects of finish-line design, tooth preparation taper or total occlusal convergence (TOC), and digital production technology on the retention of provisional crowns for molars.
Material and Methods
Different taper angles (10° TOC and 20° TOC) and finish line designs (chamfer and shoulder) were used to prepare four mandibular first molar teeth. Two subgroups of the prepared teeth received temporary crowns that were either “Computer-Aided Design” and “Computer-Aided Manufacturing (CAD/CAM) milled or 3D printed. Hence, eight test groups of temporary crowns containing 10 samples each were created. Groups 1–4 were milled, and Groups 5–8 were 3D printed specimens. A consistent procedure was used to cement 80 temporary crowns. The specimens were thermocycled for a total of 5000 heat cycles, initially at 5 °C for 30 s (dwell time) and then at 55 °C for 30 s. The pull-off force necessary to remove the temporary crowns was recorded, and the tensile strength, which served as the dependent variable, was calculated. Analysis of variance (ANOVA) was used to assess the variations in retention forces among the test groups.
Results
The mean tensile strengths at maximum load [MPa] were higher in Groups 5, 6, 7, 8 (6.6 MPa, 6.91 MPa, 7.65 MPa, and 7.45 MPa respectively) as compared to the mean tensile strengths at maximum load [MPa] in Groups 1, 2, 3, 4 (2.35 MPa, 3.52 MPa, 3.21 MPa, and 2.45 MPa respectively).
Conclusion
For extended periods, 3D-printed crowns with steeper preparation tapers (20° TOC) and shoulder finish lines exhibited enhanced retention.
{"title":"Cumulative effect of digital manufacturing techniques, preparation taper and finish line designs on the retention of aged temporary molar crowns − An in vitro study","authors":"Firas K. Alqarawi , Mohammed E. Sayed , Harisha Dewan , Fawzia Ibraheem Shaabi , Hina Naim , Manawar Ahmad , Hanan Ibrahim Hakami , Ebrahim Fihaid Alsubaiy , Areen Sultan , Saad Saleh AlResayes","doi":"10.1016/j.sdentj.2024.09.008","DOIUrl":"10.1016/j.sdentj.2024.09.008","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the effects of finish-line design, tooth preparation taper or total occlusal convergence (TOC), and digital production technology on the retention of provisional crowns for molars.</div></div><div><h3>Material and Methods</h3><div> <!-->Different taper angles (10° TOC and 20° TOC) and finish line designs (chamfer and shoulder) were used to prepare four mandibular first molar teeth. Two subgroups of the prepared teeth received temporary crowns that were either “Computer-Aided Design” and “Computer-Aided Manufacturing (CAD/CAM) milled or 3D printed. Hence, eight test groups of temporary crowns containing 10 samples each were created. Groups 1–4 were milled, and Groups 5–8 were 3D printed specimens. A consistent procedure was used to cement 80 temporary crowns. The specimens were thermocycled for a total of 5000 heat cycles, initially at 5 °C for 30 s (dwell time) and then at 55 °C for 30 s. The pull-off force necessary to remove the temporary crowns was recorded, and the tensile strength, which served as the dependent variable, was calculated. Analysis of variance (ANOVA) was used to assess the variations in retention forces among the test groups.</div></div><div><h3>Results</h3><div> <!-->The mean tensile strengths at maximum load [MPa] were higher in Groups 5, 6, 7, 8 (6.6 MPa, 6.91 MPa, 7.65 MPa, and 7.45 MPa respectively) as compared to the mean tensile strengths at maximum load [MPa] in Groups 1, 2, 3, 4 (2.35 MPa, 3.52 MPa, 3.21 MPa, and 2.45 MPa respectively).</div></div><div><h3>Conclusion</h3><div>For extended periods, 3D-printed crowns with steeper preparation tapers (20° TOC) and shoulder finish lines exhibited enhanced retention.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1477-1482"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142659006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.sdentj.2024.09.010
Martha Esperanza García-Moreno, Elias Nahum Salmerón-Valdés, Adriana Alejandra Morales-Valenzuela, Ulises Velázquez-Enríquez, Víctor Hugo Toral-Rizo, Edith Lara-Carrillo
Objective
The purpose of the study was to compare the fluoride release in two conventional glass ionomer cements (Ionobond, Ketac Molar) and two resin-modified glass ionomer cements (Vitrebond, Fuji II LC) adapted with halloysite nanotubes preloaded with sodium fluoride at different concentrations.
Methods
In total, 96 samples were prepared and distributed into four control groups and eight experimental groups (5 % and 10 %). Totals of 10 % and 5 % of the total weight of ionomer powder needed to prepare the samples were replaced with nanotubes, preloaded at 2,000 parts per million, respectively. The experimental groups were followed for 120 days at seven time intervals. All the samples were stored at 37 °C.
Results
All the experimental groups showed significant differences compared with the control groups; likewise, differences were observed between the concentrations of 5% and 10%.
Conclusion
The experimental groups (conventional and resin-modified glass ionomer cements adapted with preloaded nanotubes) released a higher and more constant amount of fluoride compared to the control groups.
{"title":"An in vitro study of fluoride-preloaded halloysite nanotubes to enhance the fluoride release in conventional and resin-modified glass ionomer cements","authors":"Martha Esperanza García-Moreno, Elias Nahum Salmerón-Valdés, Adriana Alejandra Morales-Valenzuela, Ulises Velázquez-Enríquez, Víctor Hugo Toral-Rizo, Edith Lara-Carrillo","doi":"10.1016/j.sdentj.2024.09.010","DOIUrl":"10.1016/j.sdentj.2024.09.010","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to compare the fluoride release in two conventional glass ionomer cements (Ionobond, Ketac Molar) and two resin-modified glass ionomer cements (Vitrebond, Fuji II LC) adapted with halloysite nanotubes preloaded with sodium fluoride at different concentrations.</div></div><div><h3>Methods</h3><div>In total, 96 samples were prepared and distributed into four control groups and eight experimental groups (5 % and 10 %). Totals of 10 % and 5 % of the total weight of ionomer powder needed to prepare the samples were replaced with nanotubes, preloaded at 2,000 parts per million, respectively. The experimental groups were followed for 120 days at seven time intervals. All the samples were stored at 37 °C.</div></div><div><h3>Results</h3><div>All the experimental groups showed significant differences compared with the control groups; likewise, differences were observed between the concentrations of 5% and 10%.</div></div><div><h3>Conclusion</h3><div>The experimental groups (conventional and resin-modified glass ionomer cements adapted with preloaded nanotubes) released a higher and more constant amount of fluoride compared to the control groups.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 11","pages":"Pages 1490-1494"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142658510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.sdentj.2024.07.010
Armelia Sari Widyarman , Nadeeka S. Udawatte , Idham Tegar Badruzzaman , Caesary Cloudya Panjaitan , Anie Apriani , Jeddy , Tri Erri Astoeti , Chaminda Jayampath Seneviratne
Objective
This study used high-throughput amplicon sequencing to examine the impact of long-term continuous fluoride treatment on the dental plaque microbiota of children aged 8 to 9 with mixed dentition.
Design
The study population consisted of twenty 8–9-year-old children with dental caries. Topical application of fluoride-varnish was weekly administered for one month to all subjects. Clinical indicators and anthropological data, such as the caries index (DMFT and dmft), were documented for every participant at baseline. A baseline assessment and a month after the fluoride varnish treatment were conducted for the salivary pH level and the Patient-Hygiene-Performance (PHP) index. Following application of the fluoride varnish, plaque samples were obtained both one month later and before (baseline) and were then used for 16S rRNA gene-based Next Generation Sequencing.
Results
The results showed significant differences in the community composition structure (p < 0.01). Notable caries-associated pathogens in the dental plaque microbiome were depleted whilst health associated phylum Proteobacteria was increased in the abundance following fluoride-varnish application. In children with mixed dentition, this study found that after one month of fluoride-varnish treatment, there was a significant decrease in the prevalence of the dominant pathogenic genera, Fusobacterium, Porphyromonas, Capnocytophaga, Neisseria, and Leptrotrichia, along with an increase in certain genera related to healthy oral condition, mostly from the phylum Proteobacteria, such as Areinmonas, Pseudoxanthomonas, and Luteimonas.
Conclusions
Fluoride-varnish application may shift the community level microecology from dysbiosis to eubiosis. Moreover, application of fluoride-varnish with weekly intervals for one month reduced the caries-causing bacteria while enriching the rise of unique, ubiquitous genera primarily belonging to the Proteobacteria, which may plaque a defensive role against progression of caries. Furthermore, a rising pH level towards neutrality (pH 7) indicated a healthier oral environment following the application of fluoride varnish.
{"title":"Topical fluoride varnish application shifts dysbiotic dental plaque microbiome towards eubiosis in children with dental caries","authors":"Armelia Sari Widyarman , Nadeeka S. Udawatte , Idham Tegar Badruzzaman , Caesary Cloudya Panjaitan , Anie Apriani , Jeddy , Tri Erri Astoeti , Chaminda Jayampath Seneviratne","doi":"10.1016/j.sdentj.2024.07.010","DOIUrl":"10.1016/j.sdentj.2024.07.010","url":null,"abstract":"<div><h3>Objective</h3><div>This study used high-throughput amplicon sequencing to examine the impact of long-term continuous fluoride treatment on the dental plaque microbiota of children aged 8 to 9 with mixed dentition.</div></div><div><h3>Design</h3><div>The study population consisted of twenty 8–9-year-old children with dental caries. Topical application of fluoride-varnish was weekly administered for one month to all subjects. Clinical indicators and anthropological data, such as the caries index (DMFT and dmft), were documented for every participant at baseline. A baseline assessment and a month after the fluoride varnish treatment were conducted for the salivary pH level and the Patient-Hygiene-Performance (PHP) index. Following application of the fluoride varnish, plaque samples were obtained both one month later and before (baseline) and were then used for 16S rRNA gene-based Next Generation Sequencing.</div></div><div><h3>Results</h3><div>The results showed significant differences in the community composition structure (p < 0.01). Notable caries-associated pathogens in the dental plaque microbiome were depleted whilst health associated phylum Proteobacteria was increased in the abundance following fluoride-varnish application. In children with mixed dentition, this study found that after one month of fluoride-varnish treatment, there was a significant decrease in the prevalence of the dominant pathogenic genera, <em>Fusobacterium, Porphyromonas, Capnocytophaga, Neisseria</em>, and <em>Leptrotrichia</em>, along with an increase in certain genera related to healthy oral condition, mostly from the phylum Proteobacteria, such as <em>Areinmonas</em>, <em>Pseudoxanthomonas</em>, and <em>Luteimonas</em>.</div></div><div><h3>Conclusions</h3><div>Fluoride-varnish application may shift the community level microecology from dysbiosis to eubiosis. Moreover, application of fluoride-varnish with weekly intervals for one month reduced the caries-causing bacteria while enriching the rise of unique, ubiquitous genera primarily belonging to the Proteobacteria, which may plaque a defensive role against progression of caries. Furthermore, a rising pH level towards neutrality (pH 7) indicated a healthier oral environment following the application of fluoride varnish.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1313-1320"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.sdentj.2024.08.006
Sabina Saccomanno, Cristina Valeri, Daniela Di Giandomenico, Eda Fani, Giuseppe Marzo, Vincenzo Quinzi
Introduction
Autotransplantation is a surgical technique in which a tooth is repositioned after extraction. It is commonly used for impacted canines, which affect about 2% of the population and are more prevalent in females. These canines may remain embedded due to their late eruption. Treatment options include orthodontic appliances or autotransplantation, especially when canines are positioned too high or angled more than 45 degrees from the occlusal plane.
Aim
To review the literature regarding the effects of autotransplantation on patient satisfaction, aesthetic outcomes, and the long-term stability of autotransplantation.
Materials and Methods
This Systematic Review, registered with PROSPERO (CRD4202341), followed the PICO framework. Extensive searches were conducted in the Cochrane Library, PubMed, ScienceDirect, Scopus, VHL Regional Portal, and Web of Science, covering literature up to April 1, 2023.
Results
The review analyzed 11 studies involving the autotransplantation of 395 canine teeth, including two mandibular canines. Findings indicate higher success rates in younger patients, with a higher prevalence of transplantation in females (1 6 4) than males (1 0 5). The survival rate of transplanted canines was up to 67.9 % after 21 years, with some surviving up to 27.8 years. Success factors included young age, female gender, minimal extraoral time, proper root canal treatment, and effective post-operative care. Negative factors included ankylosis, root resorption, root fractures, infections, and periodontal issues. Complications included tooth darkening and the need for crowning. Patient satisfaction was rarely reported, with only three studies mentioning it and none addressing quality-of-life directly.
Conclusion
Canine autotransplantation is viable for selected patients when other treatments are insufficient. Despite various influencing factors, consensus guidelines for procedural decisions still need to be improved, and reports on patient satisfaction and quality-of-life impacts should be more frequent.
{"title":"What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review","authors":"Sabina Saccomanno, Cristina Valeri, Daniela Di Giandomenico, Eda Fani, Giuseppe Marzo, Vincenzo Quinzi","doi":"10.1016/j.sdentj.2024.08.006","DOIUrl":"10.1016/j.sdentj.2024.08.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Autotransplantation is a surgical technique in which a tooth is repositioned after extraction. It is commonly used for impacted canines, which affect about 2% of the population and are more prevalent in females. These canines may remain embedded due to their late eruption. Treatment options include orthodontic appliances or autotransplantation, especially when canines are positioned too high or angled more than 45 degrees from the occlusal plane.</div></div><div><h3>Aim</h3><div>To review the literature regarding the effects of autotransplantation on patient satisfaction, aesthetic outcomes, and the long-term stability of autotransplantation.</div></div><div><h3>Materials and Methods</h3><div>This Systematic Review, registered with PROSPERO (CRD4202341), followed the PICO framework. Extensive searches were conducted in the Cochrane Library, PubMed, ScienceDirect, Scopus, VHL Regional Portal, and Web of Science, covering literature up to April 1, 2023.</div></div><div><h3>Results</h3><div>The review analyzed 11 studies involving the autotransplantation of 395 canine teeth, including two mandibular canines. Findings indicate higher success rates in younger patients, with a higher prevalence of transplantation in females (1<!--> <!-->6<!--> <!-->4) than males (1<!--> <!-->0<!--> <!-->5). The survival rate of transplanted canines was up to 67.9 % after 21 years, with some surviving up to 27.8 years. Success factors included young age, female gender, minimal extraoral time, proper root canal treatment, and effective post-operative care. Negative factors included ankylosis, root resorption, root fractures, infections, and periodontal issues. Complications included tooth darkening and the need for crowning. Patient satisfaction was rarely reported, with only three studies mentioning it and none addressing quality-of-life directly.</div></div><div><h3>Conclusion</h3><div>Canine autotransplantation is viable for selected patients when other treatments are insufficient. Despite various influencing factors, consensus guidelines for procedural decisions still need to be improved, and reports on patient satisfaction and quality-of-life impacts should be more frequent.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1268-1277"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1016/j.sdentj.2024.08.011
Marwa Ameen , Dunia Alhadi , Manal Almaslamani , Abdul Rahman Saleh
Background
This study aimed to evaluate the use of a single-file reciprocating system on the technical quality of root canal filling and treatment by radiographic assessment of cases treated by undergraduate dental students.
Materials and methods
This was a retrospective cross-sectional clinical study of endodontically treatments conducted by fourth-year undergraduate students during the academic year 2021–2022. Root canal preparation was performed using the WaveOne Gold system with matching single-cone gutta-percha. The collected data included sex, tooth position, number of canals, and treatment time (first or second semester). The quality of the root canal filling was assessed based on the root canal filling length, density, and taper. The presence of ledges, apical transportation, perforation, and instrument separation were recorded. Data were analyzed using SPSS version 28. Chi-square tests were used, and the statistical significance level was set at P < 0.05.
Results
A total of 601 teeth were included. The length of the root canal filling was adequate in 93.51 % of the teeth, underfilled in 2.82 %, and overfilled in 3.66 %. The density and taper were adequate in 96.5 % and 98.16 % of the teeth, respectively. There were no significant differences among the parameters of length, taper, density, or procedural errors relative to the arch type. However, there was a significant difference between the anterior and premolar teeth in terms of taper, density, and overall quality of the root canal filling. The overall quality of root canal treatment was acceptable in 527 teeth (87.68 %), with no significant difference between teeth (P = 0.256).
Conclusion
The quality of root canal treatment performed by undergraduate students using a single-file reciprocating system is good or acceptable.
{"title":"Impact of using single-file reciprocating system on the quality of root canal treatment treated by undergraduate students","authors":"Marwa Ameen , Dunia Alhadi , Manal Almaslamani , Abdul Rahman Saleh","doi":"10.1016/j.sdentj.2024.08.011","DOIUrl":"10.1016/j.sdentj.2024.08.011","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the use of a single-file reciprocating system on the technical quality of root canal filling and treatment by radiographic assessment of cases treated by undergraduate dental students.</div></div><div><h3>Materials and methods</h3><div>This was a retrospective cross-sectional clinical study of endodontically treatments conducted by fourth-year undergraduate students during the academic year 2021–2022. Root canal preparation was performed using the WaveOne Gold system with matching single-cone gutta-percha. The collected data included sex, tooth position, number of canals, and treatment time (first or second semester). The quality of the root canal filling was assessed based on the root canal filling length, density, and taper. The presence of ledges, apical transportation, perforation, and instrument separation were recorded. Data were analyzed using SPSS version 28. Chi-square tests were used, and the statistical significance level was set at P < 0.05.</div></div><div><h3>Results</h3><div>A total of 601 teeth were included. The length of the root canal filling was adequate in 93.51 % of the teeth, underfilled in 2.82 %, and overfilled in 3.66 %. The density and taper were adequate in 96.5 % and 98.16 % of the teeth, respectively. There were no significant differences among the parameters of length, taper, density, or procedural errors relative to the arch type. However, there was a significant difference between the anterior and premolar teeth in terms of taper, density, and overall quality of the root canal filling. The overall quality of root canal treatment was acceptable in 527 teeth (87.68 %), with no significant difference between teeth (P = 0.256).</div></div><div><h3>Conclusion</h3><div>The quality of root canal treatment performed by undergraduate students using a single-file reciprocating system is good or acceptable.</div></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"36 10","pages":"Pages 1369-1375"},"PeriodicalIF":1.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}