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What Are We Missing In Adult Obstructive Sleep Apnea Clinical Evaluation? Review Of Official Guidelines, Eduardo J. Correa MD, Carlos O´Connor-Reina MD,Ph D, Laura Rodriguez-Alcalá MD,Ph D, Diego M. Conti MD,Ph D, Alberto Rabino MD, Ph d, Peter M. Baptista MD, Ph D, Maria-Teresa Garcia-Iriarte Md, Ph D, Prof Guillermo Plaza MD, PhD 2023 Otorhinolaryngology Department Hospital Quironsalud Marbella Spain

What Are We Missing In Adult Obstructive Sleep Apnea Clinical Evaluation? Review Of Official Guidelines, Eduardo J. Correa Md, Carlos O´Connor-Reina Md,Ph D, Laura Rodriguez-Alcalá Md,Ph D, Diego M. Conti Md,Ph D, Alberto Rabino Md, Ph D, Peter M. Baptista Md, Ph D, Maria-Teresa Garcia-Iriarte Md, Ph D, Prof Guillermo Plaza Md, Phd

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: This article presents a narrative review of current recommendations for the clinical evaluation and management of adult patients with obstructive sleep apnea (OSA) to identify points missing from a myofunctional perspective.

Methods: The authors reviewed current official guidelines for adult patients with OSA, searching clinical evaluation and treatment recommendations for myofunctional therapy.

Results: None of the current guidelines for evaluation of adult OSA recommend performing a myofunctional evaluation. Only two guidelines consider myofunctional therapy (MFT) as a treatment modality for adult patients with OSA.

Conclusion: Despite the role of the pharyngeal dilator muscles as an essential contributor to the ...


Using Clear Aligners For Asymmetric Dental Decompensation In Skeletal Class Iii Facial Asymmetry Before Orthognathic Surgery, Yu-Ming Liang, Szu-Ching Lee, Fong Jenny, Tzu-Ying Wu 2022 Division of Orthodontic, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC

Using Clear Aligners For Asymmetric Dental Decompensation In Skeletal Class Iii Facial Asymmetry Before Orthognathic Surgery, Yu-Ming Liang, Szu-Ching Lee, Fong Jenny, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

In this case report of orthodontic combined with orthognathic surgery, we demonstrate the effectiveness of an aligner system in the treatment of asymmetric arch form. Without the help of temporary anchorage device and inter-arch elastic, unilateral arch expansion and opposite side arch constriction were achieved successfully. Cone-beam computed tomography was used to assess to evaluate the outcome and key to success was discussed.


Substitution Of A Dilacerated Impacted Maxillary Central Incisor With A Deep Horizontal Impacted Canine, Wei-Lun Chang, Szu-Ching Lee, Hsuan-Hung Chen, Man-Tin Lui, Tzu-Ying Wu 2022 Section of Orthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan

Substitution Of A Dilacerated Impacted Maxillary Central Incisor With A Deep Horizontal Impacted Canine, Wei-Lun Chang, Szu-Ching Lee, Hsuan-Hung Chen, Man-Tin Lui, Tzu-Ying Wu

Taiwanese Journal of Orthodontics

The treatment of multiple impacted anterior teeth is challenging. Proper treatment plan, meticulous biomechanics design and close collaboration with interdisciplinary team work are key factors to achieve better esthetic and periodontal outcomes. For impacted tooth cases, CBCT images can provide more detailed information about the location of the impacted tooth and its surrounding periodontal conditions during treatment. This case report described the treatment of a mild skeletal Class III, facial asymmetry teenager with dilacerated impacted maxillary left central incisor. Because of the unpredictable prognosis of dilacerated impacted central incisor, our treatment goal was to forced erupt the deeply horizontal impacted ...


Correction Of Extruded Upper First Molars And Bimaxillary Protrusion By Temporary Anchorage Device, Ignatia Wulandari, Retno Widayati 2022 Department of Orthodontic, Faculty of Dentistry, University of Indonesia

Correction Of Extruded Upper First Molars And Bimaxillary Protrusion By Temporary Anchorage Device, Ignatia Wulandari, Retno Widayati

Taiwanese Journal of Orthodontics

Early loss of the lower first molar may cause extrusion of the upper first molar and mesial tipping of the lower second molar. It could be locked by the mesial contour of the upper second molar, causing the door-wedge effect which impedes the intrusion of the upper first molar. Skeletal Class II malocclusion, canting, and the need for anterior retraction on the upper arch was adding space requirement and anchorage problem to the case. Treatment by using absolute anchorage would be the most efficient way to treat this case. This case report aims to show how to manage molar extrusion ...


Mandibular Expansion Appliances And Their Activation Protocols, Tivanani Venkata Durga Mahendra, Vyshnavi Mulakala, Manda Anoosha 2022 Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, Vishnu Dental College, Vishnupur, Bhimavaram, India

Mandibular Expansion Appliances And Their Activation Protocols, Tivanani Venkata Durga Mahendra, Vyshnavi Mulakala, Manda Anoosha

Taiwanese Journal of Orthodontics

A tooth size-arch length discrepancy (TSALD) occurs when there is an imbalance between the size of the teeth and the space available in the dental arches to accommodate them. Relief of crowding through expanding the arch is the most employed non-extraction method in orthodontics. Because of the absence of a midline suture and the resistance of the mandibular body, resolving crowding in the lower arch is more complex than in the upper arch. However, numerous researchers have devised innovative techniques and methods to successfully bring about the desired and stable changes through mandibular expansion. The advantage of this procedure was ...


Factors Affecting Mandibular Growth And Displacement And Their Effect On Treatment Outcome, Ib Leth Nielsen 2022 Division of Orthodontics, University of California, San Francisco

Factors Affecting Mandibular Growth And Displacement And Their Effect On Treatment Outcome, Ib Leth Nielsen

Taiwanese Journal of Orthodontics

Orthodontists often have difficulty distinguishing between growth and displacement when it comes to the mandible and often the two are merged into one and referred to as just mandibular growth. It is clinically important to distinguish between the two as it can greatly affect the choice of treatment protocol and mechanics. In this review we shall attempt to clarify the issue with clinical examples in the hope of bringing more understanding to the problem. Controlling the factors that are involved in determining the outcome of orthodontic treatment in a growing patient can often be a difficult task and is affected ...


A New Cephalometric Innovation For Assessing Vertical Skeletal Discrepancy: The Msg Angle, Mahamad Irfanulla Khan, Praveen Kumar Neela 2022 Dept of Orthodontics & Dentofacial Orthopedics

A New Cephalometric Innovation For Assessing Vertical Skeletal Discrepancy: The Msg Angle, Mahamad Irfanulla Khan, Praveen Kumar Neela

Taiwanese Journal of Orthodontics

Purpose: The aim of the study was to introduce a new cephalometric parameter, the MSG angle; and to assess the effectiveness of the MSG angle to diagnose the vertical skeletal discrepancy of the face.

Methods: One hundred and fifty pretreatment Lateral Cephalometric Radiographs (LCRs) of patients between 14 to 35years (Mean ± SD: 19.6 ± 4.93) were included. Based on the FMA, Sn-Go-Gn, and R - angle, all the LCRs were subdivided into three groups: low angle (28 female and 22 male); average angle (29 female and 21 male); and high angle (27 female and 23 male), with 50 samples in ...


Uncut Enamel For Optimizing Bonded Composite Restoration On Multiple Diastema Closure Cases, Citra Kusumasari, Meiken Hayashi, Yasushi Shimada 2022 Department of Conservative Dentistry, Faculty of Dentistry Universitas Indonesia, Jakarta, Indonesia

Uncut Enamel For Optimizing Bonded Composite Restoration On Multiple Diastema Closure Cases, Citra Kusumasari, Meiken Hayashi, Yasushi Shimada

Journal of Dentistry Indonesia

The main advantage of using a minimal invasive strategy concept by uncut enamel technique while doing direct composite restoration is to create a color and translucency close to the natural teeth with long-term bonding durability. Objective: This case report presents an uncut enamel technique for multiple diastema closure cases using direct composite restoration. Case Reports: an 18-year-old male and a 50-year-old female patient complained of diastema in their upper front teeth and requested aesthetic correction. Digital mock-up was made prior to the uncut enamel technique for showing the expected results to the patient and as a guidance for the clinician ...


Critical Evaluation Of Failed Maxillary Resin Bonded: A Case Study, Yew Hin Beh, Azirrawani Ariffin 2022 Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Critical Evaluation Of Failed Maxillary Resin Bonded: A Case Study, Yew Hin Beh, Azirrawani Ariffin

Journal of Dentistry Indonesia

Resin bonded bridge (RBB) is a conservative, medium to long-term restoration of missing teeth. A high rate of debonding was the main limitation in a clinically demanding situation. Objective: To highlight the critical evaluation in identifying the contributing factors leading to the failure of RBBs and avoiding as well as controlling such factors optimally prior to providing further rehabilitative treatment. Case report: This case illustrates a young patient who received resin bonded bridges to replace her missing lateral incisors. Unfortunately, she had issues with bridge debonding, in which one of the abutment teeth was extracted due to caries under the ...


The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler 2022 Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, Turkey

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 morphology was ...


Selection Of Commercially Available Membrane Between Resorbable And Nonresorbable Materials For Guided Bone Regeneration, Yunia Dwi Rakhmatia, Yasunori Ayukawa, Akihiro Furuhashi, Kiyoshi Koyano 2022 Prosthodontic Department, Faculty of Dentistry, Padjadjaran University, Bandung, Indonesia

Selection Of Commercially Available Membrane Between Resorbable And Nonresorbable Materials For Guided Bone Regeneration, Yunia Dwi Rakhmatia, Yasunori Ayukawa, Akihiro Furuhashi, Kiyoshi Koyano

Journal of Dentistry Indonesia

Objective: This study aims to evaluate the commercially available membranes used for treatment in Guided Bone Regeneration (GBR). Methods: Four membranes resorbable and non-resorbable were used and a critical size defect in six-week-old Wistar rats was created for membrane application. Meanwhile, the defect without membrane treatment was used as the control (C). Results: After 4 and 8 weeks, all rats were euthanized and block biopsies of calvaria including membrane were excised and analysed using microcomputed tomography (micro-CT). The sections were dehydrated with graded ethanol, embedded in resin, and cut for histologic evaluation. After 4 weeks, all membrane groups and the ...


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 2022 Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand

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, and the ...


The Practices Of Treating Deep Carious Lesions Compared With The Dental Curriculum In Turkish Dentistry, Leyla Kerimova, Erdem Karabulut, Kivanç Yamanel, Neslihan Arhun 2022 Department of Restorative Dentistry, School of Dentistry, Baskent University, Ankara, Turkey

The Practices Of Treating Deep Carious Lesions Compared With The Dental Curriculum In Turkish Dentistry, Leyla Kerimova, Erdem Karabulut, Kivanç Yamanel, Neslihan Arhun

Journal of Dentistry Indonesia

Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of the cavity ...


The Impact Of The Labial Flange And Artificial Teeth On Lip Support In Elderly Patients With Maxillary Complete Dentures, Aiemeeza Rajali, Nor Wati @ Nur Atikah Mustafa, Muhamad Zafir Ashman Zulkiflee, Ain Najihah Abd Rahman, Rohana Ahmad 2022 Centre of Studies for Restorative Dentistry, Faculty of Dentistry, University Teknologi MARA (UiTM), Sg Buloh Campus, Selangor, Malaysia

The Impact Of The Labial Flange And Artificial Teeth On Lip Support In Elderly Patients With Maxillary Complete Dentures, Aiemeeza Rajali, Nor Wati @ Nur Atikah Mustafa, Muhamad Zafir Ashman Zulkiflee, Ain Najihah Abd Rahman, Rohana Ahmad

Journal of Dentistry Indonesia

Both maxillary complete denture’s labial flange and anterior artificial teeth play important roles in re-establish major support for the upper lip of elderly patients. However, whether the labial flange can be removed and still perceived as aesthetic remain unclear. Objective: To determine the perception of young adults toward the effect of a labial flange and anterior teeth on lip support of an elderly with maxillary complete dentures. Methods: A total of 64 young adults were recruited to evaluate the lip support for facial aesthetics of 30 full-face photographs in 3 different states: with an original complete denture (CD), with ...


Factors Influencing The Choice Of Toothpaste And Investigation Of Those Most Commercialized By Students In Settat, Morocco, Abdellatif Rahim, Wissal El Karfi, Lalla Asmaa Katir Masnaoui, Bouchra El Amiri, Abdel Khalid Essamadi 2022 Natural Resources and Environment, Neurosciences, Laboratory of Biochemistry, Faculty of Sciences and Techniques, Hassan First University of Settat, Settat 26000, Morocco

Factors Influencing The Choice Of Toothpaste And Investigation Of Those Most Commercialized By Students In Settat, Morocco, Abdellatif Rahim, Wissal El Karfi, Lalla Asmaa Katir Masnaoui, Bouchra El Amiri, Abdel Khalid Essamadi

Makara Journal of Health Research

Background: This study aimed to determine the factors influencing the choice of toothpaste by students in Settat (Morocco) and investigate the characteristics of those most commercialized in this region.

Methods: A close-ended questionnaire was developed and filled out. This was a cross-sectional study of 429 students who agreed to participate. Based on questionnaire data, the 15 most commercialized toothpaste by respondents were purchased, and their packaging was investigated.

Results: After analysis using Excel 2019, the results revealed that the major factors influencing the choice of toothpaste are brand 55%, family choice 48%, and media advertisements 40%. Moreover, about 57% of ...


Comparisons Of Microleakage And Scanning Electron Microscope Sem Analyzes Of The Use Of Different Pulp Coverage Materials, Yasemin Yavuz, Sedef Kotanli, Mehmet Sinan Doğan, Kemal Doğan 2022 Department of Restorative Dentistry, Faculty of Dentistry, Harran University, Sanlıurfa 63300, Turkey

Comparisons Of Microleakage And Scanning Electron Microscope Sem Analyzes Of The Use Of Different Pulp Coverage Materials, Yasemin Yavuz, Sedef Kotanli, Mehmet Sinan Doğan, Kemal Doğan

Makara Journal of Health Research

Background: The aim of this study was to compare three different pulp coverage materials with calcium silicate content considering microleakage in the cavity floor and evaluate the gaps with a stereomicroscope and scanning electron microscope SEM.

Methods: A total of 40 human molar teeth were used in this study, and class V (4 mm mesio-distal × 3 mm gingivo-occlusal × 3 mm depth) cavities were prepared. The samples were divided into four groups (N = 10), including NeoPutty(Nusmile), Biodentin (Septodont), and TheraCal PT (Bisco). All groups were restored using Single Bond Universal adhesive and Filtek Z250 (3M ESPE). The 0.5% basic ...


Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster 2022 Jagiellonian University Medical College, Faculty of Medicine, Institute of Dentistry, Department of Prosthodontics and Orthodontics, Krakow, Poland

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. Results: The Class ...


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 2022 Department of Periodontics and Implantology, Drs Sudha & Nageswara Rao, Siddhartha Institute of Dental Sciences, Chinaoutpalli, Gannavaram Mandal, Andhra Pradesh, India

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 side of ...


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 2022 Department of Periodontics, Faculty of Dentistry, Universitas Brawijaya, Malang, Indonesia

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 K1(n=4 ...


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 2022 KAHER’S KLE VK Institute of Dental Science, Karnataka, India

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 ...


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