Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia最新文献

This in vitro study investigated the erosion-inhibiting properties of dental rinses during erosion in the presence of the salivary pellicle. The erosion inhibition by a Sn/F containing dental rinse (800 ppm Sn2+, 500 ppm F –, pH = 4.5) was compared with a fluoridated solution (500 ppm F –, pH = 4.5) and water(control). Calcium release and enamel softening were significantly reduced among enamel samples exposed to the Sn/F rinse (group SF)compared to those treated with the fluoride solution (group F) and the control (p 0.05). SEM showed slightly etched enamel interfaces in group SF, whereas the erosion was more pronounced in group F and even more severe in the control group. In conclusion, the Sn/F combination provided the best inhibition of erosion among tested solutions. This study demonstrates the application of different analytical tools for comparative erosion quantification.A strong correlation (r2 ≥ 0.783) was shown between calcium release and enamel softening during demineralization.

Halitosis is a widely spread condition. There are numerous causes. The aim of this study was to investigate the influence of fixed orthodontic appliances on the occurrence of halitosis. 55 patients in an orthodontic practice were monitored at three points in time after application of orthodontic appliance (T1: immediately after application, T2: 4 weeks after application, T3: 3 months after application). Monitoring included patient self-evaluation, plaque index, tongue coating index and organoleptic measurement. The subjective parameters taste, dry mouth and breath odor did not show statistical differences. However, with the presence of fixed orthodontic appliances, confidence when performing dental hygiene decreased statistically significantly (p = 0.003). Additionally, the tongue coating index showed a statistically significant difference between T1 and T2 (p = 0.012) as well as T1 and T3 (p ⟩ 0.001). Analogous results were found for organoleptic measurement (T1 and T2 [p = 0.002]; T1 and T3 [p ⟨ 0.001]) and plaque index (T1 and T2/ T3 [p ⟨ 0.001]). Fixed orthodontic appliances lead to a statistically significant increase of the plaque and tongue coating indices. A statistically significant increase was also observed with organoleptic measurement scores. The suspected positive correlation between halitosis and fixed orthodontic appliances was confirmed. Halitosis can be an important indicator of oral health during orthodontic treatment and can serve as a motivating factor for adequate patient oral health care maintenance.

Background: Keratocystic odontogenic tumours (KCOT) are benign neoplasia of dentogenic origin and have a high relapse rate. Various invasive treatment methods (decompression, marsupialisation, enucleation, enucleation with adjunctive therapy such as scraping out of the bone cavity, Carnoy's solution or cryotherapy, mandibular resection) have been described for the treatment of KCOT. There is no common opinion on the best kind of treatment. Most of the articles in the literature report on a follow-up period of 5-7 years, but relapses have been described even after longer periods of time. This article presents 3 cases with late relapses that were treated at the University of Zurich, Center of Dental Medicine, Clinic of Cranio-Maxillofacial Surgery and Clinic for Oral Surgery. At the time of the initial diagnosis, the patients were 19, 24.5 and 36 years old. In all 3 patients the KCOT was localized in the angulus/ramus mandibula and an impacted wisdom tooth was present in the affected area. Case no. 1 was treated solely by marsupialisation of the KCOT. In cases no. 2 and 3, the cystic lesion was first marsupialised and later treated by enucleation and application of Carnoy's solution. In case no. 1, a relapse developed 13.5 years after the first operation. In case no. 2, relapses occurred 9, 28 and 31 years after the first operation. In case no. 3, a first relapse appeared 9 years and a second one 18 years after the first operation.

Conclusion: Patients with a KCOT require lifelong aftercare because relapses of KCOTs can arise even after 10 or more years. The aftercare concept at the University of Zurich, Center of Dental Medicine, Clinic of Cranio-Maxillofacial Surgery and Clinic for Oral Surgery therefore consists of a clinical and x-ray (orthopantomogram) follow-up examination every year for the first 10 years and every two years thereafter.

The dentist enjoys a high degree of professional independence. He is seen as reliable and productive at work while carrying a big responsibility. His foremost social responsibility is to treat patients suffering from toothache and to promote oral health prevention for all people, regardless of their social status. At the same time, the dentist is prestigious, respected and honest. Comparable to other professions, however, dentistry is under public pressure. Media often associate the dental profession with negative properties such as sadism, immorality, or madness. Does the image of the dental profession suffer in this context? Our first article discusses the environmental factors which are identifiable to influence both each dentist and ultimately the whole image of dentistry.

Since the first survey in 1992/93, the Swiss Health Survey (SHS) has been repeated every 5 years (1997, 2002 and 2007). In the present study, dental visits (dental care utilisation within the last 12 months), oral hygiene measures and the frequency of orthodontic treatments in the Swiss population in 2002 were examined and dental visits were compared with the years 1992/93, 1997 and 2007. Weighted data were analysed regarding different sociodemographic factors. From 1992 to 2002, dental visits among the 15-74-year-old declined continuously (1992/93: 70%, 1997: 66%, 2002: 63%), whereas in 2007 a slight increase (66%) was documented. In the survey from 2002, a large proportion (74%) of the population stated to clean their teeth or prostheses several times a day, predominantly with a manual toothbrush, whereas 28% applied an electric toothbrush and almost half of the respondents also used dental floss or toothpicks. Fewer visits and less intensive oral hygiene measures were observed among the elderly, men, weak social strata, smokers, persons with more than 8 missing teeth and in the group with removable dentures. Almost a quarter of the population had orthodontic treatment with the highest proportion among the 15-24-year-old (56%).

Panoramic radiographs are made routinely in dentistry and are regarded as a standard component of an initial dental examination. Often, these radiographs show opacities in the carotid artery territory (CAT), which frequently arise as a result of calcification in the internal (ICA) or external carotid artery (ECA). This study details the examination of patients with suspected calcifications in the carotid artery (CA), using a sonographic examination based on the panoramic radio graphs to confirm or rule out a possible stenosis in the cervical bloodvessels. Thirty-three patients were examined sonographically. Based on the ultrasound investigation in 4 patients, hemodynamic stenoses were detected. Eighteen patients had an atheroma in the ICA, but no hemodynamic stenosis, and 5 patients showed no sign of calcification. Three patients were not examined sonographically at the University Hospital in Basel and were therefore excluded from the evaluation. Three patients did not attend the sonographic examination. The diagnosis of panoramic radiographs should not be restricted to teeth and jaws; especially in patients over 50 years old and in those with health risk factors, greater attention should be paid to the lateral areas. Using the radiographs they already have, dentists can also contribute.