Dentistry Commons^™

Acquired Bracket Pellicle Modulation Via Exposure To Histatin 3, Niklas W. Neilson

Electronic Thesis and Dissertation Repository

Objectives: To investigate the effect of histatin 3 on the protein pellicle formation on the orthodontic bracket surface.

Methods: Our study consisted of 4 sample groups. A sample of human parotid saliva without histatin functioned as a control group. Other groups were immersed with or without histatin 3 and human parotid saliva. Each group was incubated for 2 hours in their respective substrate at 37°C. The acquired pellicle from each group was harvested, then analyzed with SDS-PAGE and LC-ESI-MS/MS.

Results: Thirty-nine proteins were identified in the control group, 18 were identified in group 2, and 21 were identified in group …

Changes In The Transverse Dimension Of The Nasomaxillary Complex Following Rapid Palatal Expansion – A Post-Retention, Cbct Evaluation, Allison Schubert

Theses & Dissertations

Purpose: The purpose of this investigation was to evaluate the immediate and long-term effects of palatal expansion on the transverse dimension of the nasomaxillary complex.

Materials and Methods: Twenty-eight patients’ CBCTs were obtained at four time points: pre-expansion (T₁), post-expansion (T₂), pre-treatment (T₃), and middle or end of orthodontic treatment (T₄). The patients’ age, sex, cervical vertebral maturation stage, and the number of instructed expander turns were recorded. Measurements of the nasal floor, nasal passage, maxillary sinus, maxillary first molar mesiolingual cusp, maxillary first molar palatal cusp, maxillary first molar buccal cortical …

Effects Of Class Ii Correctors And Functional Appliances On The Periodontal Health Of The Mandibular Incisors – A Prospective Cone-Beam Computed Tomography (Cbct) Study, David C. Duevel

Theses & Dissertations

The purpose of this investigation was to evaluate the effects of Class II correctors and functional appliances on the dentoalveolar support of the mandibular incisors during orthodontic treatment. Twenty six patients who were treated with a Forsus^TM, Herbst, or MARA participated this study. Lateral cephalometric radiographs, limited field-of-view CBCTs, and periodontal measurements were collected both the day of appliance activation and day of appliance deactivation. Ten hard tissue measurements on all four mandibular incisors were collected at each time point on CBCT images. Bone thickness increased at 6 and 9 mm apical from the cementoenamel junction (CEJ) on …

Perceptions And Clinical Applications Of Feedback Type If Dental Hygiene, Elmer Eleazar Gonzalez

Individual, Family, and Community Education ETDs

Purpose/Objectives: The study assesses whether or not feedback type and feedback delivery method play a significant role in students’ learning and clinical performance. The study explores Ego Stroking Sandwich feedback and Non-Sandwich feedback as the feedback types and Instructors feedback vs. Scoring guide feedback as the feedback delivery method. Students’ perceptions and clinical applications were considered as part of the study.

Methods: Eleven participants were included in the study. One group was the Ego Stroking Sandwich type feedback (n=5) and the other was the Non-Sandwich Type feedback (n=6). Each group performed two dental impressions (a maxillary and a mandibular) while …

The Impact Of Transfer Shock In A Dental Hygiene Program At A Four-Year Health-Sciences University, Claire Sallee Tucker

Graduate Theses and Dissertations

In order for a student to be successful in dental hygiene education, the student must gain the required knowledge and skills necessary to perform as a hygienist and possess the ability to utilize critical thinking to apply these attributes while in the program and on the National Board of Dental Hygiene Examination (NBDHE) (Alzahrani, Thompson, & Bauman, 2007; Fried, Maxey, Battani, Gurenlian, Byrd, & Brunick, 2017). Dental hygiene students who attend a medical university have the option to take required pre-requisite courses at a community college or a four-year university. All dental hygiene students transfer from another institution and all …

Influences Of Porphyromonas Gingivalis On The Viability Of Esophageal Cancer Cells., Muddasir Mohammed

Electronic Theses and Dissertations

A recent study demonstrated an association between the Porphyromonas gingivalis (Pg)infection and the progression of ESCC (Gao et al., 2016). However, how Pg infection affects the nature of ESCC remains unknown. We examined the effects of Pg on the proliferation and chemotherapy drug-induced apoptosis of ESCC cells and elucidated the signaling molecules involved in these processes. Method: Apoptosis and cell proliferation were tested using Flow cytometry and Tetrazolium salt based proliferation assays respectively. Western Blot was utilized to detect the protein expression. CDK2 and Cyclin E were knocked down in the ESCC cells through transfection. Unpaired T-test and …

Synthesis And Characterization Of Targeted Bar Encapsulated Polylactic-Co-Glycolic Acid Nanoparticles To Inhibit Porphyromonas Gingivalis Biofilm Formation., Ranjith Radha Krishnan

Electronic Theses and Dissertations

Periodontal disease is one of the most prevalent infectious diseases worldwide. Between 30-50% of the global adult population suffers from periodontal disease. Some form of periodontitis is present in 46% of American adults, corresponding to annual expenditures in excess of 14 billion dollars for treatment and prevention. Current treatments for periodontal diseases involve mechanical removal of plaque, correction of risk factors, gingival surgery and/or antibiotic therapy. To our knowledge there is no effective therapeutic approach that aims to limit pathogen colonization of the oral biofilm or re-colonization after treatment. Interaction of the pathogen Porphyromonas gingivalis with oral streptococci is critical …

Effect Of Grape Components On Periodontal Disease., Juili Subodh Shivde

Electronic Theses and Dissertations

Background: Half of the adult American population (47 %) are victims of periodontitis, a chronic inflammatory disease which leads to destruction of the tissues supporting the tooth. Periodontitis is initiated by periodontal pathogens and caused by excessive or prolonged host mediated inflammation. Porphyromonas gingivalisis one important agent implicated in the etiopathogenesis of chronic periodontitis. Pro-inflammatory cytokines induced by periodontal pathogens can cause alveolar bone loss and periodontitis. Bone loss is caused by the imbalance of bone formation and bone resorption. Osteoclasts are major cells that cause bone resorption. Moreover, periodontal inflammation also leads to bone resorption. Grapes are rich …

Diagnostic Ultrasound In The Measurement Of Cortical Bone Thickness In Porcine Mandibular Specimens, Diego Diaz Guerrero

Electronic Thesis and Dissertation Repository

Introduction: Ultrasound (US) is a safe, non-invasive diagnostic method that has been used in various capacities in medicine and dentistry. Periodontal bone loss, bony dehiscence, and gingival recession have been reported as potential risks of orthodontic treatment in patients who have decreased buccal/labial bone thickness. US has the potential to aid in the diagnosis of patients at risk for these possible complications of orthodontic treatment. Purpose: To validate the use of a novel US device in the measurement of buccal cortical bone (BCB) thickness over roots in porcine mandibles. Materials and Methods: Jaw and cortical bone models were constructed and …

Access To Dental Care In Fillmore County Minnesota, Katie M. Ristau

Dental Hygiene ETDs

Purpose: Dental care accessibility can be an issue for certain populations and can be an issue for people on Medical Assistance. This has been a struggle throughout our country. The purpose of this research was to assess if the children on Medical Assistance in Fillmore County are in need of dental services and if parents of these children are willing to accept an Advanced Dental Therapist provider. Methods: This descriptive research utilized a survey to collect data on access to care for children on Medical Assistance insurance in Fillmore County, Minnesota. Of the total number of children on Medical Assistance, …

Effect Of Clear Aligner Therapy On Masticatory Muscle Tenderness And Orthodontic Pain, Johnny Tran

Electronic Thesis and Dissertation Repository

Introduction: Patients undergoing orthodontic clear aligner therapy (CAT) may experience discomfort in their teeth and jaws, and often present with visible wear on their aligners. This multi-site prospective clinical study aimed to analyze tooth pain and masticatory muscle tenderness in patients subjected to CAT with Invisalign©.

Methods: Twenty-seven healthy adults undergoing treatment with Invisalign© were recruited from three university-based orthodontic clinics. Tooth pain and muscle tenderness were reported on visual analog scales in pain diaries prior to, and after starting CAT. Pressure pain thresholds (PPT) measured using pressure algometers were used to assess somatosensory changes in trigeminal and extra-trigeminal locations. …

Dental Hygiene Protocol Used By Nurses In The Hospital Setting A Pilot Survey, Tsenre M. Vigil

Dental Hygiene ETDs

Oral care is often dismissed or undervalued in the overall health and wellness of individuals and can be detrimental to patients in hospital-like settings. Although dental hygienists are educated to practice in alternative practice settings like pediatric offices, hospitals, nursing homes, schools and federally qualified health centers they are underutilized in such arenas. The purpose of this study is to learn about the University of New Mexico Hospital’s (UNMH) current oral hygiene care practices and protocols, nurses’ values and interests in inter-professional collaboration with a dental hygienist.

A feedback survey was created and intended recipients included all UNMH nurses regardless …

Effect Of Centric Interference On Canine Tooth Wear, Andrey Gaiduchik

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The aim of this study was to determine the long term effect of a centric interference on canine tooth wear (CTW) and on centric occlusion (CO) and maximal intercuspation (MIP) variance. Materials and Methods: Thirty subjects, 11 males and 19 females, were selected based on inclusion and exclusion criteria. Changes in enamel volume were studied between the end of orthodontic treatment (T2) and at least seven years post treatment (T4). All models were scanned using a high resolution desktop scanner, (OrthoInsight 3D Scanner™, MotionView LLC). T4 models were articulated using a Panadent® Articulator and evaluated for dental interferences and …

Estimating Root Volumes By Limited Segmentation: A Volumetric Analysis Of Cbct And Micro-Ct Data, Theresa C. Baldwin

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The increased dimensional accuracy of images provided by cone beam computed tomography (CBCT) scans allows for more in-depth diagnosis and treatment planning. Expedient interpolation of segmented data that provides clinically acceptable results will encourage clinicians to frequently use CBCT images for clinical/radiographic evaluation. Some of these applications include, quantification of root resorption, determination of force required for specific tooth movements, and customized appliances. Purpose: The study had two purposes. The first was to compare the accuracy of digital tooth volumes acquired from CBCT to the gold standard, micro-computed tomography (micro-CT). The second was to determine the effect of axial …

Benefits Of Interprofessional Education Between Advanced Practice Nurse Practitioner And Dentistry Students, Oksana Prodan

DNP Qualifying Manuscripts

Background: Interprofessional Education (IPE) is mandated for accreditation in health professional schools. IPE between Advanced Practice Registered Nurse (APRN) and dentistry students have been developed to improve health oral systemic health outcomes and improve inter-professional practice competencies.

Method: Literature on APRN dental IPE was searched was searched via CINAHL Complete from 2007-2018, looking for scholarly journals, English language. The search was narrowed from 55 to three relevant, data-based studies.

Results: Review of literature produced one study demonstrating benefits of IPE for both APRN and dentistry students, one study only focused on benefits for APRN students, and another IPE article was …

Improving Pediatric Oral-Systemic Health Through Motivational Interviewing: An Interprofessional Training Intervention, Oksana Prodan

Doctor of Nursing Practice (DNP) Projects

Introduction: In response to the prevalence of early childhood carries (ECC) in the United States, recommendations were established for pediatric primary care providers to routinely incorporate oral-systemic health promotion services into clinical practice. An interprofessional education project was developed between Advanced Practice Registered Nurses (APRNs) and dentistry students in San Francisco to assist trainees in the effective delivery of oral systemic health promotion services. Improving health promotion communication skills was identified as an area of need for both sets of learners. Therefore, the IPE activity was designed to incorporate Motivational Interviewing (MI) into the training along with pediatric oral …

In-Vitro Evaluation Of Accuracy Of Conventional And Cad/Cam Removable Partial Denture Frameworks, Pooya Soltanzadeh

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: Computer-aided design/computer-aided manufacturing (CAD/CAM) technology is gaining popularity in dentistry, and more recently, to fabricate removable partial dentures (RPD). The purpose of this study was 1) to evaluate the overall accuracy and fit of conventional versus CAD/CAM fabricated printed RPD frameworks based on STL data analysis, and 2) to evaluate the accuracy and fit of each component of the RPD framework. Materials and Methods: A maxillary metal framework was designed for a Kennedy class III modification I situation. The master model was scanned and used to compare the fit and accuracy of the RPD frameworks. A total of 40 …

Reliability And Accuracy Of A Novel Photogrammetric Orthodontic Monitoring System, Vahe Ohanesian

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: This study quantitatively investigated the reliability and accuracy of Dental Monitoring’sTM proprietary orthodontic tracking system in comparison to an established reference. Materials and Methods: Intraoral scans (True Definition Scanner, 3MTM) and video scans (iPhone 7, AppleTM) were taken of 30 subjects undergoing comprehensive orthodontic treatment at Loma Linda University’s Graduate Orthodontic Clinic at T1 (initial) and T2 (3 months later). At each time point, an intraoral scan was taken by the operator followed by three video scans- two taken by the patient and one by the operator. Three linear and three angular measurements were analyzed using Dental Monitoring’sTM tracking …

Accuracy Of Cephalometric Analyses And Tooth Movements Of Conventional Vs Cbct-Generated Cephalograms, Thanh Khong Ng

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The aim of this study was to compare Ricketts and American Board of Orthodontics (ABO) cephalometric measurements and tooth movements from tracings between conventional lateral cephalograms (Sirona Orthophos XG Plus, Charlotte, NC) and CBCT-generated cephalograms (NewTom 5G; QR srl, Verona, Italy). Materials and Methods: Patients who had bilateral Angle’s class II molar were evaluated. Pre-treatment (T1) and post-treatment (T2) conventional lateral cephalograms (CLCs) and CBCT-generated lateral cephalograms (CBLCs) were traced in Quick Ceph Studio using Ricketts and ABO cephalometric analyses. Linear and angular cephalometric measurements from tracings were compared between the two radiographic modalities using one-sample Wilcoxon signed rank …

A Retrospective Cephalometric Growth Study Of Sagittal Airway In Skeletal Class Ii Patients, Sue V. Kim

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The study retrospectively determined the average sagittal pharyngeal airway widths in Class II males and females between 7 to 16 years of age and changes in sagittal airway with increasing age. Additionally, this study determined whether average airway differs between gender at each age and compared the average airway widths in relation to increasing age between Class I and II patients. Materials and Methods: Longitudinal cephalograms were digitally traced for 38 untreated subjects (23 males, 15 females) from age 7 to 16 with skeletal and dental Class II patterns. These records were previously taken through growth studies conducted between …

Measuring A Sample Of Orthodontic Models/Panographs At Llusd Using The Cr-Eval, Jonathan Michael Drew

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: An index must be used to quantify the improvement in the position of teeth treated by orthodontics. The Cast-Radiograph Evaluation is the index used by the American Board of Orthodontics. The purpose of this study is to use this index to evaluate treatment outcomes in the graduate orthodontic clinic at Loma Linda University from 2012-2016. Materials and Methods: Patients included were comprehensively treated, debonded between 1/1/2012 and 12/31/2016, and under age 30. A total of 80 patients were randomly selected, with 16 coming from each year. The ABO DI was used to score the T1 models, and the CR-Eval …

The Wear Of Acrylic Resin And Composite Resin Teeth Against Polished And Glazed Zirconia, Abdulkareem Alshehri

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Excessive wear for the occlusal surfaces of teeth results in decreased masticatory efficiency, poor esthetics and leads to reduced the occlusal vertical dimension which could lead to the development of temporomandibular disorders, consequently, further compromise function. Very few studies have been performed on the wear resistance of zirconia against artificial denture teeth and human enamel. Aim: The purpose of this study was to investigate the influence of polished zirconia (PZ) and glazed zirconia (GZ) on the 2-body wear resistance (vertical substance loss) of seven commercially available denture teeth made of different resins. Material and Method: Eight groups (n=10) of …

Cannabidiol Alters The Immune Response To Porphyromonas Gingivalis In Mice., Shilpa Singh

Electronic Theses and Dissertations

Background: Porphyromonas gingivalis is an important etiologic agent of chronic periodontitis, an infectious disease defined by destruction of supporting tissues of the teeth. Marijuana is a risk factor for chronic periodontitis, although underlying mechanisms are poorly understood. As phytocannabinoids have been ascribed antiinflammatory properties, we hypothesized that cannabidiol exposure would lead to altered immune response to P. gingivalis infection facilitating bacterial persistence and, subsequently, increased alveolar bone loss in cannabidiol (CBD)-exposed mice. Methods: P. gingivalis-infected cannabinoid receptor 2 (CB2) knockout and wild type C57/Bl6 mice were exposed, or not exposed, to cannabidiol. Oral swabs from mice were used to monitor …

Dental Hygeinists Clinical Assessment Of Dental Cervical Lesions, Shyanne Padilla

Dental Hygiene ETDs

Dental hygiene is among one of the fastest growing career fields in the healthcare system. With dental hygienists spending a considerable amount of time with their patients during periodic recall appointments, it is important for dental hygienists to be calibrated with one another in how they recognize and aid in recommending treatment options for certain dental conditions. Dental cervical lesions is one of the most commonly seen oral implications in the dental office, many times being associated with tooth sensitivity. With the array of etiologies and treatment options for dental cervical lesions it is important to see if this same …

Dental Hygienists' Knowledge Of Medical Marijuana: A Survey, Lizbeth Hinojos

Dental Hygiene ETDs

Cannabis consumption is at an all-time high in the United States. Due to its fast growth in the medical industry and the lack of FDA approval, research is very limited. Dental hygienists’ will likely encounter a patient under the influence of this substance in the dental office. To provide the best quality of care, the dental hygienist must be aware of the oral implications, side effects and necessary modifications to treatment. Therefore, dental hygiene providers must be knowledgeable on medical marijuana to have discussions with patients when needed. Due to scarce research on the topic it makes it difficult to …

Orthodontic Open-Coil Spring Deactivation Forces Differ With Varying Activation Levels, Ryan Lubinsky

Master's Theses (2009 -)

Coil springs are used in orthodontics to deliver forces to move teeth. However, the optimal amount of activation to produce predictable, continuous deactivation forces, for the purpose of orthodontic tooth movement, is unclear. The purpose of this study was to evaluate the deactivation force characteristics of nickel-titanium open-coil springs after varying levels of activation. Methods: Four open-coil spring products were evaluated: Dentsply GAC 100 gram and 150 gram, Orthoclassic Orthodontics Medium 150 gram, and American Orthodontics nickel-titanium springs. Open-coil springs were compressed (activation) with a universal testing machine to 20, 40, 60, or 80% of original length (15 mm; n=15/product/activation …

Orthodontic Treatment Planning Using Direct Visual Approximation Of Arch Length Discrepancy And Cephalometric Analyses, Kathleen Rouse Vaught

Master's Theses (2009 -)

Introduction: Space analysis and radiographic analyses are crucial elements in developing an orthodontic treatment plan. It is imperative that the orthodontist makes accurate measurements in order to come up with the most effective treatment options for each patient. Some practitioners refrain from direct measurements to determine arch length discrepancies and instead determine the amount of crowding by using direct visual approximation. In addition, more orthodontists do not routinely trace all cephalograms taken. If more and more orthodontists are using direct visual approximation to determine angular cephalometric measurements, it is important to assess the accuracy and reliability of these measurements. This …

Orthodontic Bond Strength Comparison Between Two Filled Resin Sealants, James Kolstad

Master's Theses (2009 -)

Introduction: Sealants are used in orthodontics to help prevent demineralization during treatment. The objective of this study was to determine if there is a difference in the shear bond strength (SBS) between two different resin sealants bonded to teeth. Materials and Methods: Extracted human premolars (n=20/group) were randomly divided and prepared by acid etching, followed by application of primer or sealant. Group 1, the control group, used Transbond XT Primer (3M Unitek). Groups 2 and 3 were prepared with the sealants L.E.D. Pro Seal (Reliance Orthodontic Products) and Opal Seal (Opal Orthodontics) respectively. Transbond XT Adhesive was applied to a …

Comparison Of Immediate Vs. Delayed Recall Of Orthodontic Information Following An Electronic Reminder, Michael Lenz

Master's Theses (2009 -)

Patients and parents in dentistry often do not remember important information disclosed during the informed consent process, so improvement in the delivery of information is needed. This study explored the effect of an emailed narrated instructional PowerPoint on the immediate vs. delayed recall and comprehension of informed consent information in orthodontics. Thirty-two subjects were recruited from a university and private practice orthodontic clinic. At the initial visit, subjects were alternately assigned to one of two groups and were presented with a mock orthodontic treatment plan and informed consent presentation for a pretend patient. Immediately following the presentation, the subjects’ verbal …

Application Of Mechanical Vibration To Enhance The Stability After Orthodontic Treatment - A Micro - Ct Study, Nicolas Branshaw

Master's Theses (2009 -)

Introduction: Mechanical vibration (MV) possesses anti-resorptive properties that can possibly enhance the stability of the dentition during retention, lessening the potential for relapse of teeth to their initial positions. In this project, we established a mouse model and investigated the effects of MV on bone modeling during orthodontic retention. Materials and Methods: Thirty-two 14-week-old inbred strain C57BL/6 male mice were randomly assigned into four groups: 1) Control (N=6); 2) Mechanical Vibration (MV) (N =6); 3) Orthodontic Retention (OR) (N=9); and 4) Orthodontic Retention and Mechanical Vibration (ORMV) (N=11). All mice in OR and ORMV groups received approximately 10g of orthodontic …