Pub Date : 2024-06-12DOI: 10.24018/ejdent.2024.5.3.334
Lana Hodali, Nabil Massad
Atraumatic Restorative Treatment (ART) has emerged as an essential strategy in dentistry, particularly in regions with limited resources and for patient populations facing barriers to conventional treatments. This minimally invasive approach involves gently removing caries using hand instruments and restoring cavities with materials like high-viscosity glass ionomer cement (HVGIC). This article provides a comprehensive overview of the ART technique, covering its historical development, indications, contraindications, and clinical efficacy. It highlights its versatility and potential to improve access to quality dental care worldwide.
创伤性修复治疗（ART）已成为牙科领域的一项基本策略，尤其是在资源有限的地区和面临传统治疗障碍的患者群体中。这种微创方法是用手工器械轻轻去除龋齿，然后用高粘度玻璃离子粘固剂（HVGIC）等材料修复龋洞。本文全面介绍了 ART 技术，包括其历史发展、适应症、禁忌症和临床疗效。文章强调了 ART 技术的多功能性以及在改善全球优质牙科医疗服务方面的潜力。
{"title":"Atraumatic Restorative Treatment: An Overview and Update","authors":"Lana Hodali, Nabil Massad","doi":"10.24018/ejdent.2024.5.3.334","DOIUrl":"https://doi.org/10.24018/ejdent.2024.5.3.334","url":null,"abstract":"Atraumatic Restorative Treatment (ART) has emerged as an essential strategy in dentistry, particularly in regions with limited resources and for patient populations facing barriers to conventional treatments. This minimally invasive approach involves gently removing caries using hand instruments and restoring cavities with materials like high-viscosity glass ionomer cement (HVGIC). This article provides a comprehensive overview of the ART technique, covering its historical development, indications, contraindications, and clinical efficacy. It highlights its versatility and potential to improve access to quality dental care worldwide.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"108 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141352163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-15DOI: 10.24018/ejdent.2024.5.2.323
Ana Natália Oliveira, R. A. Caldas, R. Consani
Objectives: The aim of this in vitro study was to evaluate the marginal microleakage in interfaces formed by bovine dentin and adhesive cements applied with different bonding techniques. Materials and Methods: Thirty bovine teeth dentin blocks measuring 5 mm x 5 mm x 1 mm were made with one side completely in dentin substract (20 mm2). The dentin blocks were randomly divided into three groups according to the cementation technique used: CTS+RX (conventional 3-step adhesive + dual-activation resin cement), SBS+RX (single-bottle self-etching adhesive + dual-activation resin cement), and SAC (self-adhesive cement). A photopolymerizable composite resin block with the same dimensions was fixed on the dentin block according to the instructions for each adhesive technique. The dentin-composite resin blocks made with each adhesive technique were separated into subgroups (n = 5) for 7 days (control) and for 6 months of water storage. After each period, the blocks were individually immersed in test tubes containing neutral methylene blue dye for 2 hours. The samples were washed, dried, and evaluated with a stereoscopic magnifying glass, and the amount of infiltrated pigment was analyzed using spectrophotometry (Beckman DU 65). The data were submitted to two-way ANOVA and Tukey’s test (5%). Results: Microleakage level for the conventional 3-step or self-etching technique remained similar for 7 days (18 ± 25 and 43 ± 45 μm, respectively) or 6 months (42 ± 55 and 52 ± 87 μm, respectively). The self-adhesive technique showed higher microleakage levels for 7-day (263 ± 98 μm) and 6-month periods (441 ± 226 μm) compared to other adhesive techniques. There was a statistically significant difference between evaluation times only for the self-adhesive technique. Conclusions: Higher microleakage levels by storage in water occurred with the self-adhesive technique in both evaluation periods. Clinical Relevance: The different microleakage levels promoted at the dentin-composite resin interface should be considered in adhesive clinical procedures in relation to long-term use.
{"title":"Marginal Leakage in Interfaces Formed by Bovine Dentin and Adhesive Cements Applied with Different Bonding Techniques","authors":"Ana Natália Oliveira, R. A. Caldas, R. Consani","doi":"10.24018/ejdent.2024.5.2.323","DOIUrl":"https://doi.org/10.24018/ejdent.2024.5.2.323","url":null,"abstract":"Objectives: The aim of this in vitro study was to evaluate the marginal microleakage in interfaces formed by bovine dentin and adhesive cements applied with different bonding techniques.\u0000Materials and Methods: Thirty bovine teeth dentin blocks measuring 5 mm x 5 mm x 1 mm were made with one side completely in dentin substract (20 mm2). The dentin blocks were randomly divided into three groups according to the cementation technique used: CTS+RX (conventional 3-step adhesive + dual-activation resin cement), SBS+RX (single-bottle self-etching adhesive + dual-activation resin cement), and SAC (self-adhesive cement). A photopolymerizable composite resin block with the same dimensions was fixed on the dentin block according to the instructions for each adhesive technique. The dentin-composite resin blocks made with each adhesive technique were separated into subgroups (n = 5) for 7 days (control) and for 6 months of water storage. After each period, the blocks were individually immersed in test tubes containing neutral methylene blue dye for 2 hours. The samples were washed, dried, and evaluated with a stereoscopic magnifying glass, and the amount of infiltrated pigment was analyzed using spectrophotometry (Beckman DU 65). The data were submitted to two-way ANOVA and Tukey’s test (5%).\u0000Results: Microleakage level for the conventional 3-step or self-etching technique remained similar for 7 days (18 ± 25 and 43 ± 45 μm, respectively) or 6 months (42 ± 55 and 52 ± 87 μm, respectively). The self-adhesive technique showed higher microleakage levels for 7-day (263 ± 98 μm) and 6-month periods (441 ± 226 μm) compared to other adhesive techniques. There was a statistically significant difference between evaluation times only for the self-adhesive technique.\u0000Conclusions: Higher microleakage levels by storage in water occurred with the self-adhesive technique in both evaluation periods.\u0000Clinical Relevance: The different microleakage levels promoted at the dentin-composite resin interface should be considered in adhesive clinical procedures in relation to long-term use.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"2 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140702588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-12DOI: 10.24018/ejdent.2024.5.2.212
Parul Sharma, S. Bawa, Pankaj Chauhan, D. Malhotra
To achieve primary implant stability and enhance bone-to-implant contact, implant dentistry has seen significant advancements. The emphasis is now on developing an aesthetic restoration that blends in with natural teeth and is long-lasting. Patients now have higher expectations for improved aesthetics due to dental treatment advancements in implant and perioplastic surgery. Planning the best course of action for periodontal and implant therapy involves considering how predictable post-operative outcomes will be. Therefore, a thorough comprehension and examination of the surrounding tissues is required. The long-term success of aesthetic restorations is influenced by a number of variables, including gingival phenotype, gingival tissue architecture, and anterior tooth shape. Therefore, determining the gingival tissue biotype accurately is crucial to developing a suitable treatment strategy and obtaining a predictable aesthetic result. As a result, this study demonstrates how important gingival biotype is to the success of implants.
{"title":"Gingival Biotype: A Key to Successful Aesthetics–Its Role and Functions–Observation-Based Research","authors":"Parul Sharma, S. Bawa, Pankaj Chauhan, D. Malhotra","doi":"10.24018/ejdent.2024.5.2.212","DOIUrl":"https://doi.org/10.24018/ejdent.2024.5.2.212","url":null,"abstract":"To achieve primary implant stability and enhance bone-to-implant contact, implant dentistry has seen significant advancements. The emphasis is now on developing an aesthetic restoration that blends in with natural teeth and is long-lasting. Patients now have higher expectations for improved aesthetics due to dental treatment advancements in implant and perioplastic surgery. Planning the best course of action for periodontal and implant therapy involves considering how predictable post-operative outcomes will be. Therefore, a thorough comprehension and examination of the surrounding tissues is required. The long-term success of aesthetic restorations is influenced by a number of variables, including gingival phenotype, gingival tissue architecture, and anterior tooth shape. Therefore, determining the gingival tissue biotype accurately is crucial to developing a suitable treatment strategy and obtaining a predictable aesthetic result. As a result, this study demonstrates how important gingival biotype is to the success of implants.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"13 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-14DOI: 10.24018/ejdent.2024.5.2.287
Meenakshi Lall
We have an increasing older population with a reduced number of edentulism. This has led to an increased number of patients with complex restorations. Any failing restoration will require assessment and management, whilst considering their health conditions. The minimal intervention dentistry and operative procedures will help a general dental practitioner to provide ethical and least-invasive dentistry to the older population. It helps to avoid unnecessary tooth destruction and damage to dentine–pulp complex. It prevents iatrogenic damage to adjacent teeth and soft tissues. Minimal intervention dentistry reduces costs for the older population. Clinical Relevance: The growing older population along with the rising restorative challenges of heavily restored dentition, occlusion, salivary dysfunction, disruptive behaviours, poor dexterity, poor compliance, high plaque levels, and financial constraints, if inevitable the operative procedure needs to be minimal to preserve tooth structure.
{"title":"Assessment and Management of Existing Direct Restorations with a Minimal Invasive Approach in Older Population","authors":"Meenakshi Lall","doi":"10.24018/ejdent.2024.5.2.287","DOIUrl":"https://doi.org/10.24018/ejdent.2024.5.2.287","url":null,"abstract":"We have an increasing older population with a reduced number of edentulism. This has led to an increased number of patients with complex restorations. Any failing restoration will require assessment and management, whilst considering their health conditions. The minimal intervention dentistry and operative procedures will help a general dental practitioner to provide ethical and least-invasive dentistry to the older population. It helps to avoid unnecessary tooth destruction and damage to dentine–pulp complex. It prevents iatrogenic damage to adjacent teeth and soft tissues. Minimal intervention dentistry reduces costs for the older population.\u0000Clinical Relevance: The growing older population along with the rising restorative challenges of heavily restored dentition, occlusion, salivary dysfunction, disruptive behaviours, poor dexterity, poor compliance, high plaque levels, and financial constraints, if inevitable the operative procedure needs to be minimal to preserve tooth structure.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140242402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-11DOI: 10.24018/ejdent.2024.5.2.321
Dalal Maalem, F. Benkarroum, Hind Ramdi
Dental reinclusion, also referred to as ankylosis, retention, or infra occlusion, is a clinical condition in which a fully erupted tooth gradually moves away from the occlusal plane. The prevalence of primary molar reinclusion ranges from 1.3% to 38.5% in the population, with an unclear etiology. Reinclusion can lead to various complications, including delayed exfoliation of the primary tooth, disruption of occlusion, and improper eruption of the succeeding permanent tooth. Early diagnosis and intervention are essential to prevent these complications. In this report, we present an unusual case of severe infraocclusion of the primary maxillary right first molar in a 10-year-old child.
{"title":"Reinclusion of the Primary Molar: Case Report","authors":"Dalal Maalem, F. Benkarroum, Hind Ramdi","doi":"10.24018/ejdent.2024.5.2.321","DOIUrl":"https://doi.org/10.24018/ejdent.2024.5.2.321","url":null,"abstract":"Dental reinclusion, also referred to as ankylosis, retention, or infra occlusion, is a clinical condition in which a fully erupted tooth gradually moves away from the occlusal plane. The prevalence of primary molar reinclusion ranges from 1.3% to 38.5% in the population, with an unclear etiology. Reinclusion can lead to various complications, including delayed exfoliation of the primary tooth, disruption of occlusion, and improper eruption of the succeeding permanent tooth. Early diagnosis and intervention are essential to prevent these complications. In this report, we present an unusual case of severe infraocclusion of the primary maxillary right first molar in a 10-year-old child.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"125 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140251532","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}
Guided bone regeneration (ROG) is the process of reconstructing bone defects. The size of the alveolar ridge can be affected by loss of alveolar bone due to trauma or periodontal disease. In this case report, horizontal ridge augmentation with a xenograft and resorbable collagen membrane was used to restore anterior bone loss in a 69-year-old patient with stage IV generalized periodontitis, stage B periodontitis and stage III alveolar defects according to Elian and Tarnow. Treatment consisted of the extraction of the affected teeth. The results obtained over six months showed an increase in the horizontal ridge of 4.8 mm, demonstrating the efficacy of ROG in alveolar defects. Finally, the results of this case highlight the potential of ROG for horizontal flanges.
引导骨再生（ROG）是重建骨缺损的过程。由于外伤或牙周病导致的牙槽骨缺失会影响牙槽嵴的大小。在本病例报告中，我们使用异种移植和可吸收胶原膜进行水平牙脊增量术，以修复一名患有全身牙周炎 IV 期、牙周炎 B 期和牙槽骨缺损 III 期（根据 Elian 和 Tarnow 标准）的 69 岁患者的前牙骨缺损。治疗包括拔除患牙。6 个月后的结果显示，水平嵴增加了 4.8 毫米，证明了 ROG 对牙槽骨缺损的疗效。最后，本病例的结果凸显了 ROG 治疗水平嵴的潜力。
{"title":"Horizontal Ridge Augmentation in Class III Alveolus Defect According to the Elian and Tarnow Classification","authors":"Pablo Andrés Espinoza Rodríguez, Beatriz Raquel Yáñez-Ocampo, César Esquivel-Chirino, Daniela Carmona-RuÍz","doi":"10.24018/ejdent.2023.4.6.309","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.6.309","url":null,"abstract":"Guided bone regeneration (ROG) is the process of reconstructing bone defects. The size of the alveolar ridge can be affected by loss of alveolar bone due to trauma or periodontal disease. In this case report, horizontal ridge augmentation with a xenograft and resorbable collagen membrane was used to restore anterior bone loss in a 69-year-old patient with stage IV generalized periodontitis, stage B periodontitis and stage III alveolar defects according to Elian and Tarnow. Treatment consisted of the extraction of the affected teeth. The results obtained over six months showed an increase in the horizontal ridge of 4.8 mm, demonstrating the efficacy of ROG in alveolar defects. Finally, the results of this case highlight the potential of ROG for horizontal flanges.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"559 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139160692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.24018/ejdent.2023.4.6.305
Sasan Esmaeili, Sara Esmaeili, A. Zabeti
Human oral microbiota refers to the significant number of microorganisms that exist in the human mouth. It is one of the most intricate microbial populations in the human body. Recent studies have suggested the role of the oral microbiome in diverse nervous system diseases. Consequently, investigating the impact of the oral microbiome in patients with Multiple Sclerosis (MS) could reveal potential associations with the disease. In this review, the role of oral microbiota in MS patients has been addressed. The findings of this study hold promise for future approaches to oral and dental health in patients with Multiple Sclerosis. Also, In the future, oral microbiota may become a new target for uncovering novel approaches to prevent and/or treat MS.
{"title":"Oral Microbiome and Multiple Sclerosis? A Novel Concept!","authors":"Sasan Esmaeili, Sara Esmaeili, A. Zabeti","doi":"10.24018/ejdent.2023.4.6.305","DOIUrl":"https://doi.org/10.24018/ejdent.2023.4.6.305","url":null,"abstract":"Human oral microbiota refers to the significant number of microorganisms that exist in the human mouth. It is one of the most intricate microbial populations in the human body. Recent studies have suggested the role of the oral microbiome in diverse nervous system diseases. Consequently, investigating the impact of the oral microbiome in patients with Multiple Sclerosis (MS) could reveal potential associations with the disease. In this review, the role of oral microbiota in MS patients has been addressed. The findings of this study hold promise for future approaches to oral and dental health in patients with Multiple Sclerosis. Also, In the future, oral microbiota may become a new target for uncovering novel approaches to prevent and/or treat MS.","PeriodicalId":502291,"journal":{"name":"European Journal of Dental and Oral Health","volume":"57 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139273728","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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