Dentistry Commons^™

Stereomicroscopic Evaluation Of Dentinal Microcracks After Instrumentation Of Curved Canal With Rotary Files In Two Motions, Nupur Vasava, Shreya Modi, Chintan Joshi, Sweety Thumar, Anisha Parmar, Kruti Jadawala

Journal of Dentistry Indonesia

Objective: This study aimed to examine the effects of three distinct file systems with two motion types—rotary and reciprocation—on the development of dentinal microcracks after root canal preparation using a stereomicroscope. Methods: Sixty mandibular molars with a curvature of 30° were decoronated and divided into three groups (Vortex Blue, Mtwo, and ProTaper Next) and two subgroups (rotary and reciprocating motions). The samples were then instrumented with the files, dyed with 1% methylene blue dye, and sectioned horizontally at 3, 6, and 9 mm from the root apex. The dentinal microcracks were inspected using a stereomicroscope at 40× magnification. One-way analysis …

Evaluation Of Dentoskeletal And Pharyngeal Airway Changes After Treatment With Twin Block And Monoblock Appliance In Growing Patients, Esra Genc, Ahmet Karaman, Gülşah Püskül

Journal of Dentistry Indonesia

Objective: To compare of pharyngeal airway dimensions and dentoskeletal changes after treatment with twin block (TWB) and monoblock (MB) appliance in growing patients. Methods: The sample was comprised of a total of 72 patients at the ages of 10 to 13. The TWB group consisted of 36 patients (22 females, 14 males, mean age: 11.9±1.5) and MB group consisted of 36 patients (18 females, 18 males, mean age: 11.8±1.2). The linear and angular measurements were evaluated on lateral cephalometric radiographs at beginning (T0) and end of treatment (T1). Results: The amounts of increase in the inferior airway space, L1xNB, IMPA …

Clinical And Radiographic Features Of Nevoid Basal Cell Carcinoma Syndrome: A Case Report, G Subhas Babu, Devika S. Pillai, Shruthi Hegde, Padmaraj Hegde, Vidya Ajila

Journal of Dentistry Indonesia

Nevoid Basal Cell Carcinoma Syndrome, also called as Gorlin Gotz syndrome is an autosomal dominant disorder characterized by the presence of multiple odontogenic keratocysts (OKCs) of the jaw, basal cell carcinomas and skeletal anomalies. Presence of multiple OKCs is the first clinical manifestation in majority of the cases. Early diagnosis and treatment are of utmost importance in reducing the severity of this syndrome. We hereby report a rare case of Gorlin Goltz syndrome in a 28 years old female patient who presented with multiple cystic lesions in the jaws. Present case also highlights the clinical, radiographic and histopathologic features of …

Assessment Of The Effects Of Edentulousness On Temporomandibular Components By Using Cone Beam Computed Tomography, Büşra Arıkan, Numan Dedeoğlu, Şuayip Burak Duman

Journal of Dentistry Indonesia

Objective: The aim of this study is to evaluate the effects of edentulousness on the temporomandibular joint using cone beam computed tomography (CBCT). Methods: In this study, CBCT images were evaluated in a total of 48 patients (24 dentulous, 24 edentulous). Ninety-six temporomandibular joint CBCT images were examined. Eminence inclination, condyle head widths and joint space were measured and statistically compared between the edentulous and dentulous groups. Results: The articular eminence inclination value the mediolateral width of the condyle and the anteroposterior width of the condyle were found significantly higher in the dentulous group than in the edentulous group. …

Effect Of Preflaring On Accuracy Of Endodontic Length Determination By Four Electronic Apex Locators, Arash Izadi, Maliheh Bayandari, Ezatolah Kazeminejad

Journal of Dentistry Indonesia

Objective: Root canal anatomy significantly impacts the working length determination. This study aimed to investigate the effect of the preflaring technique on the accuracy of four electronic apex locators. Methods: Forty-five single-canal central maxillary teeth were selected. The working length was measured before and after the coronal preparation by four types of electronic apex locators in the range of ±0.5 and ±1 mm matched for the apical constriction. The actual working length was calculated under a microscope. Data were analyzed using ICC and paired t-tests in SPSS16. A p < 0.05 was considered significant. Results: The accuracies of Root ZX, DTE, Denjoy, and Coxo apex …

Comparison Of Ultrasonography And Cone Beam Computed Tomography In The Differential Diagnosis Of Periapical Lesions: A Prospective Radiopathological Study, Gozde Serindere, Ceren Aktuna Belgin, Mert Bulte, Didar Gursoy, Fariz Salimov

Journal of Dentistry Indonesia

Objective: The aim of this study is to evaluate the correlation between ultrasonography (USG) and cone beam computed tomography (CBCT) and the accuracy between histopathological diagnosis and preliminary diagnosis in the diagnosis of periapical lesion. Methods: 20 patients with periapical lesion in the jaw, were included in the study. The presence of expansion or perforation and dimensions of the lesion were performed with CBCT. In the examination of the lesion with USG, shape, echogenicity, vascularization of the lesion and the presence of buccal expansion and perforation, were determined. Subsequently, a biopsy was taken from the lesion for histopathological examination and …

Resolving Echoes From Dentistry’S Past, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

This editorial discusses a 1939 concept of dental disease prevention and the resistance it faced from some in the dental profession due to potential economic self-interest. It draws parallels to current issues in the dental field, such as the Centers for Medicare & Medicaid Services (CMS) rules on dental coverage. The CMS rules link dental services to medical outcomes, opening the door for future expansion. However, the editorial highlights gaps in coverage, particularly for cancer patients and those with diabetes. The new CMS rule signifies progress in integrating oral health into healthcare, echoing a goal set in 1939.

Effectiveness Of Platelet- Rich Fibrin With Beta Tri-Calcium Phosphate Plus Calcium Sulfate On Periodontal Intrabony Defect Management (Randomized Controlled Clinical Study), Nancy Traboulsi, Essam Osman, Nayer Abo Elsaad

BAU Journal - Creative Sustainable Development

The purpose of this study is to evaluate the effectiveness of beta tri-calcium phosphate plus calcium sulfate mix, with or without platelet rich fibrin in reducing probing periodontal pockets clinically and defect depths radiographically, while increasing clinical attachment levels to reconstruct intrabony defects in human clinical trials. Materials and Methods: Sixteen participants with periodontal intrabony defects ≥ 5 mm were divided into two equal groups. The first eight intrabony defects in study group received platelet rich fibrin mixed with EthOss ®; while the eight remaining intrabony defects in control group were reconstructed only with EthOss® synthetic bone substitute. Freidman ANOVA …

10-Minute Ebd: Is Oil-Pulling Useful In Treating Periodontal Disease?, Heather Willey Rda

The Journal of the Michigan Dental Association

The 10-Minute Evidence-Based Dentistry Column illustrates how to implement the evidence-based dentistry search process to quickly identify and apply the best literature to answer a clinical question. Through critical appraisal, the author of this article answers the clinical question: Is Oil-Pulling Useful in Treating Periodontal Disease? Examining the potential utility of oil-pulling as a treatment for periodontal disease and comparing it to conventional periodontal therapies. The study conducted an evidence-based search using various databases and keywords related to oil-pulling, periodontal disease, and oral health. The results revealed that oil-pulling is not a substitute for standard oral hygiene practices, and insufficient …

Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster

Journal of Dentistry Indonesia

Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. …

The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler

Journal of Dentistry Indonesia

Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence …

The Effect Of Melatonin On Implant Stability And Marginal Bone Level Around The Implant, Hemanth Ravella, Mulpuri Venkata Ramoji Rao, Sathish Manthena, Suneetha Koneru, Penubolu Lakshmi Preethi, Venkata Naga Sri Harsha Anumolu

Journal of Dentistry Indonesia

Dental implants have been used for missing teeth replacement with a high success rate. Melatonin is an antioxidant and acts as a free radical scavenger. It retards the resorption of bone by regulating RANKL and OPG synthesis, and increases the BIC (Bone to implant contact) and also bone perimeter and bone mineralization. Objective: The aim of the study was to assess if topical melatonin application at the osteotomy site has any influence on the stability and marginal bone level around the implant Methods: In this split mouth double blind randomized control trial 30 implants were placed on either …

Primary Oral Myiasis Of Anterior Maxilla In An Intellectually Disabled Female – A Case Report, Sridhar M, Shivayogi Charantimath, Anjana Bagewadi, Lokesh Kumar S, Arun Panwar, Jayapriya T, Vaishali Keluskar

Journal of Dentistry Indonesia

“Myiasis” is a term used to represent invasion caused by fly larvae that affect organs and tissues of human beings and feeds on the host tissue. It is a rare and non-specific pathology that varies according to the species of fly larvae and the area of the body involved. Various factors like extraction wounds, uncontrolled diabetes, necrotic tissues, alcohol addiction, poor oral hygiene, immunocompromised conditions and people with special care needs like debilitated or mentally challenged individuals predispose to develop myiasis. We hereby report a case of oral myiasis of the maxillary anterior region of the palate and labial mucosa, …

Fractal Analysis Of Subchondral Cyst At Mandibular Condyle Detected On Panoramic Radiograph In A Group Of Thai Population, Aloysius Putut Wijanarko, Preeyaporn Srimawong, Suchaya Pornprasertsuk-Damrongsri, Apirum Janhom

Journal of Dentistry Indonesia

Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, …

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of …

The Effect Of Interproximal Home Regimens Of Inflammatory Biomarkers In Periodontal Maintenance Patients, Grace Moore

Theses & Dissertations

A survey of dental hygienists in general practice (DHGP; n = 74) and periodontal practice (DHPP; n = 62) indicated a difference (p £ 0.04) in preference for interproximal cleaning with oral irrigators (DHGP) and interproximal brushes (DHPP) during periodontal maintenance therapy (PMT). The purpose of the subsequent blinded, randomized controlled clinical trial was to compare the effect of interproximal cleaning aids on reducing inflammation in posterior pockets during PMT. Seventy-six patients on PMT with a 5-7 mm interproximal probing depth were randomly allocated to one of three groups: 1) interproximal brush with tracking device (IB + TD; n=23), 2) …

10-Minute Ebd: Can A Vacuum-Formed Retainer Replace A Bonded Orthodontic Retainer?, Joshua Dickie

The Journal of the Michigan Dental Association

The Ten-Minute Evidence-Based Dentistry Column illustrates how to implement the evidence-based dentistry search process to quickly identify and apply the best literature to answer a clinical question. Through critical appraisal, the author of this article answers the clinical question of the effectiveness of vacuum-formed retainers (VFRs) compared to bonded orthodontic retainers in maintaining tooth positioning and promoting oral hygiene. The study reviews existing literature and highlights the challenges in evaluating the two types of retainers, primarily due to patient compliance with VFRs. While some studies suggest that bonded retainers provide better short-term retention, the choice between retainers depends on various …

Effect Of Two Different Forms Of Smoking On Periodontium : A Retrospective Study, Mohammed Wagdy Bissar

Future Dental Journal

Aim of the study: Is to compare the effects of smoking T-cigs and vaping E-cigs on clinical periodontal parameters in patients.Materials and Methods: It consisted of a clinical examination of a total of 60 individuals aged between 29 and 39 years. They responded to a questionnaire about their smoking history, and they were divided into 2 groups as E-cig vapers and T-cig smokers. Full-mouth plaque index (PI),bleeding on probing (BOP),clinical attachment loss (AL),and probing depth (PD) were measured at six sites per tooth on all maxillary and mandibular teeth except third molars. Results: T-cigarette had significantly higher probing depth, …

Evaluation Of Periodontal Status And Cytokine Levels In Saliva And Gingival Crevicular Fluid Of Patients With Inflammatory Bowel Diseases, Andre Paes Batista Da Silva

Faculty Scholarship

Background: Periodontal diseases and inflammatory bowel diseases (IBD, ulcerative colitis [UC] and Crohn disease [CD]) have been reported to present with increased salivary and gingival crevicular fluid (GCF) concentrations of cytokines. The aim of this study was to evaluate the salivary and GCF levels of TNF-α, IL-1β, IL-10, and IL-17A and their associations with the periodontal statuses of UC, CD, and non-IBD patients, and to analyze the interrelationships among these cytokines, IBD conditions, and periodontal diseases. Methods: This cross-sectional study was performed with a total of 131 patients (62 women and 69 men, mean age 42.96±13.02 years). Patients were divided …

Titanium Particles Within Mucosa During Non-Surgical Implant Debridement, Holvin Louie

Loma Linda University Electronic Theses, Dissertations & Projects

Titanium implants affected by peri-implantitis lesions are often treated non-surgically with various instruments, which may produce titanium particles that can become lodged within the peri-implant mucosa. Thus, a foreign body reaction may ensue. The aim is to assess the embedment of titanium particles into soft tissues from titanium implants via a stainless-steel ultrasonic scaler (SSU) versus a titanium hand scaler (TH). Sand-blasted, large grit, acid-etched surface-treated titanium implants were implanted into pig legs after creating peri-implantitis defects. Each implant was subjected to only one instrument type. Sequential strokes were conducted followed by thorough irrigation with sterile water. Soft tissue curettage …

10-Minute Ebd: Are Neoplasms A Risk Factor For Peri-Implantitis?, Farah Safieddine Bs, Naama Sleiman Ms, Phd, Melanie E. Mayberry Dds, Ms-Hcm

The Journal of the Michigan Dental Association

This 10-Minute EBD column explores the potential association between neoplasms and the risk of peri-implantitis in patients with dental implants. A case study involving a patient with a history of an ossifying fibroma raises questions about the impact of neoplasms on implant success. The literature search, conducted on PubMed, reveals relevant insights. The evidence suggests that ossifying fibromas, particularly with augmentation, may pose a risk for peri-implantitis. However, the direct causative relationship between neoplasms and peri-implant pathology remains unclear. Other risk factors such as periodontitis, foreign bodies, and augmentation procedures are also discussed in the context of implant complications.

J Mich Dent Assoc May 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this May 2022 issue, the reader will find the following original content:

• A feature on “Periodontal Disease and COVID-19"
• A cover feature introducing Dr. Vince Benivegna 2022-23 MDA President
• A 10-Minute EBD: “Charcoal Toothpastes Pose Risks with Few Benefits”
• A Professional Ethics article on “How Can Our Office be More Inclusive of Transgender Patients”
• News you need: an Editorial, a profile on Dr. Jessica Rikert, recipient of the …

Periodontal Disease And Covid-19, Zhaozhao Chen Dds, Ms, Phd, Laurie K. Mccauley Dds, Ms, Phd, Purnima S. Kumar Bds, Ms, Phd, Hom-Lay Wang Dds, Ms, Phd

The Journal of the Michigan Dental Association

As the gateway to the respiratory system, the oral cavity can play an essential role in SARS-CoV-2 invasion and transmission. Besides high expression of angiotensin‐converting enzyme 2 (ACE2), the oral cavity can harbor viral particles in saliva, gingival crevicular fluid, and the periodontal pocket. Microbial and inflammatory associations closely link periodontitis and COVID-19. In this review, we summarize the possible oral manifestations of COVID‐19, its association with periodontal diseases, the plausible underlying mechanisms of microbial and inflammatory crosstalk between COVID‐19 and periodontal diseases, and mitigation protocols during periodontal treatment.

Aggregatibacter Actinomycetemcomitans Exploits And Modulates The Immune Response By Human Neutrophils For Survival In The Anaerobic Environment., Hazel Ozuna

Electronic Theses and Dissertations

Aggregatibacter actinomycetemcomitans (Aa) is a Gram-negative facultative anaerobe and an opportunistic oral pathogen, strongly associated with localized periodontitis and other inflammatory diseases. Periodontitis is a chronic inflammation of the periodontium resulting from the inflammatory response of the host towards the dysbiotic microbial community present at the gingival crevice. The host immune response creates a hostile environment for microorganisms; therefore, it is important for Aa to be able to regulate the necessary genes to survive and thrive in such an environment. Aaexpresses several virulence factors such as a cytolethal distending toxin (Cdt), lipopolysaccharide (LPS) and leukotoxin A (LtxA), …

Evaluation Of The Effect Of Two Polishing Techniques And Thermocycling Process On Surface Roughness, Hardness, And Color Stability Of Composites, Muhammet Fidan, Zeynep Dereli

Journal of Dentistry Indonesia

Objectives: The aim of this study was to evaluate the effect of two polishing techniques and 10.000 thermocycles on the color stability, surface roughness, and hardness of two nanohybrid (Tetric N-Ceram, Escom100) and one bulkfill (Filtek) resin composites. Methods: A total of 60 specimens were prepared using three resin composites and 20 discs from each composite. Specimens for each composite were randomly divided into two different polishing groups (Optrapol rubber and Sof-Lex discs) (n=10). Surface roughness (Ra, μm), microhardness (VHN), and color change (ΔE00) values were measured pre- and post-thermocycling. Two-way analysis of variance (ANOVA) was used to evaluate …

A Comparison Of Four Different Methods Of Prediction Of Mesiodistal Widths Of Unerupted Permanent Canines And Premolars, Waqar Jeelani, Washma Asad, Maheen Ahmed

Journal of Dentistry Indonesia

The success of orthodontic treatment depends upon the accurate assessment of mesiodistal widths of unerupted canines and premolars in mixed dentition stage. There are several methods available for mixed dentition analysis with dubious reliability in our population. Objective: To statistically develop new prediction equations for Pakistani subjects to predict the widths of unerupted upper canines and premolars (U345) and lower canine and premolars (L345) using mesiodistal widths of lower incisors (I1I2) and lower incisors and first molars (I1I2M1) and compare their performance with previously established methods of Moyers and Tanaka-Johnston. Methods: Study was conducted using the data from the dental …

Salivary Iga Depression In Drug-Influenced Gingival Enlargement Among Hypertensive Patients, Muhammad Annurdin Sabarudin, Haslina Taib, Wan Majdiah Wan Mohamad, Siti Lailatul Akmar Zainuddin, Wan Syamimee Wan Ghazali, Ahmad Azhar Misran

Journal of Dentistry Indonesia

Drug-influenced gingival enlargement (DIGE) among hypertensive patients is commonly associated with antihypertensive drugs such as calcium channel blockers (CCBs). Immune response alteration is one of the proposed mechanisms for DIGE. Immunoglobulin A (IgA) in saliva which involves in defense mechanism was shown to be affected in patients with DIGE. Objective: This study aimed to determine the association of salivary IgA level with DIGE. Methods: This cross-sectional study comprised 47 hypertensive patients who had consumed antihypertensive drugs for at least 3 months. Twenty-one (44.7%) males and 26 (55.3%) females had participated in this study. Data was analyzed using SPSS version 26.0. …

Management Of Severe Localized Periodontal Destruction Associated With A Cemental Defect: A Case Report, Nik Madihah Nik Azis, Nurulhuda Mohd

Journal of Dentistry Indonesia

This case involved the management of a possible cemental tear, which resulted in poor response to nonsurgical periodontal therapy. This case was managed by exploratory surgery, along with the intention to surgically reduce the periodontal pocket. Exploratory surgery revealed a localized cemental defect. The periodontium healed with pocket closure after exploratory surgery and open-flap debridement. The difficulty in clinically diagnosing a localized periodontal destruction and the lack of consensus on managing these cases were highlighted. The possibility of an undiagnosed cemental defect in a tooth with localized periodontitis should be considered in cases not responding to periodontal therapy.

Effect Of Brushing Time With A Whitening Dentifrice On Surface Roughness Of Anterior Composite Resins, Ahmet Hazar, Sinem Akgül, Sibel Koçak, Mustafa Murat Koçak

Journal of Dentistry Indonesia

Objectives: This study aimed to compare the surface roughness of three anterior composite resins with different filler size, rate, and shape after brushing for 5000, 10000, and 20000 cycles with a whitening dentifrice. Methods: 44 disk-shaped specimens of each material (5mm diameter, 2mm depth) G-aenial Anterior, Harmonize, Asteria were prepared and divided into four groups according to the brushing cycles (Initial, 5000, 10000, and 20000 cycles). Initial surface roughness values (Ra-values) were assessed using a profilometer and measurements were repeated after each brushing cycle. 4 specimens from each composite resin were observed by scanning electron microscopy before and after brushing. …

Endodontic Management Of Mandibular First Molar With Four Roots - A Rare Case Report With Clinical Management Guidelines, Shaikh Shahbaz, Huma Iftekhar, Sharique Alam, Zehra Shavez

Journal of Dentistry Indonesia

Mandibular molar is usually two rooted with one mesial and one distal root. Additional roots are rare which requires accurate diagnosis and a methodical and scrupulous endodontic treatment. Objective: This paper aims to report the endodontic management of an unusual case of a mandibular permanent first molar with four roots (two mesial & two distal) and provide a clinical guideline to detect and manage these variant cases. Case report: A 15-year-old boy reported with a deep carious lesion in the lower left first molar (#36). The apical root contour of #36 on an intraoral periapical radiograph taken in different angulations …