Dentistry Commons^™

Management Of Anterior Teeth Affected By Molar Incisor Hypomineralization Using Resin Infiltration Technique: A Case Report, Atika Bouabid, Selsebil Laajimi, Yamina Elelmi, Fatma Masmoudi, Ahlem Baaziz

International Arab Journal of Dentistry

Background: Molar-Incisor Hypomineralization (MIH) is a developmental enamel defect affecting first permanent molars and often incisors, presenting unique restorative challenges. In line with minimally invasive dentistry, the “Würzburg concept” promotes conservative management strategies with resin infiltration.

Objectives: This case report investigates the impact of modifications to the ICON resin infiltration protocol on esthetic outcomes and adhesion in MIH-affected anterior teeth.

Method: Three clinical cases involving MIH lesions on anterior teeth were treated using the Icon® resin infiltration system by DMG (Hamburg, Germany).

Results: Preconditioning hypomineralized enamel with 5.25% sodium hypochlorite followed by resin infiltration enhances the physical integrity of composite …

Investigate The Role Of Tgfβ3 In Regulating Irf6 And Δnp63 In Periderm Desquamation, Nam Ha

Theses & Dissertations

Introduction: Failure in palatal fusion during palate development results in cleft palate, one of the most common birth defects in the US. During the final phases of palatogenesis, the palatal periderm (a protective cell layer that prevents premature fusion and adhesion with oral epithelium) must be removed, also known as desquamation. This process is a prerequisite for establishing the midline seam in the fused palate. Previous studies have shown that transforming growth factor-β3 (TGFβ3) plays an irreplaceable role in palate development in mice. Our previously published mechanistic models outline the role of TGFβ3 and its downstream signaling cascade involving proteins …

Musculoskeletal Disorders In Dentistry: An Insight Into Dental Techniques And Practices, Mehwash Kashif, Aman Ashar, Amna Rehman, Abdul Aleem, Sidra-Tul-Muntaha Hashmi, Muhammad Yousuf Ali

Journal of Dentistry Indonesia

Objective: Musculoskeletal disorders (MSDs) are common workplace hazards in dentistry resulting from poor ergonomics and static postures, which lead to back, neck, and upper limb (shoulder, elbow, wrist, and hand) problems among dentists, resulting in harm to their health, productivity, and career. This study aimed to assess the frequency of MSDs, risk factors related to MSDs, and awareness of ergonomics among clinicians. Methods: Data were collected from 400 dental professionals, including house officers, postgraduate trainees, general dentists, and teachers/consultants, each with at least 12 months of practice. Data were collected using a structured, closed-ended questionnaire. Before data collection, ethical approval …

Attitudes Of New York State Pediatric Dentists Toward Treating Hasidic Patients, Gideon Turk Dmd, Michelle Goldstein Dmd

The New York State Dental Journal

Purpose: This survey investigated variations in practices among pediatric dentists and dental residents in New York State concerning the treatment of Hasidic, Haredi or Ultra-Orthodox Jewish (HHUOJ) patients.

Methods and Results: The 16-question survey was distributed to 641 AAPD pediatric dentists and residents via email. Results were analyzed across six variables using the Mann-Whitney U Test. Statistically significant differences were observed in the responses to 14 of 16 questions.

Conclusion: The study revealed statistically significant variations in various aspects related to the treatment of HHUOJ patients, suggesting the need for further education among providers in New York State.

Management Of A Periapical Cyst In An 8-Year-Old Patient With Challenging Etiology: A Case Report With Three-Year Follow-Up, Nancy Nochahrly, Claire El Hachem, Josephine El Balaa, Elie Khoury, Christelle Abdel Nour, Marlene Khoury

International Arab Journal of Dentistry

The success of pulp therapy in primary teeth depends on accurate diagnosis and effective treatment. Periapical inflammation due to bacterial infection or pulpal necrosis can result in granulation tissue and may activate epithelial rests of Malassez, leading to a periapical cyst. In large cysts, especially in children, marsupialization is preferred to preserve developing teeth and minimize damage to surrounding structures. This case report describes an 8-year-old presenting with spontaneous pain in the lower right jaw. Radiographic examination revealed a round welldefined radiolucency over 1 cm around tooth #84 with root canal treatment and #85 with pulpotomy, with dental bud displacement. …

A Clinical Investigation Of The Correlation Of Black Stains With Oral Cavity Ph And Dental Caries Presence In Children: A Cross-Sectional Study, Maguy Sfeir, Nada Chedid

International Arab Journal of Dentistry

Introduction: Black stains (BS) on teeth often lead to dental visits in children due to their esthetic impact. Beyond cosmetic concerns, black stains may play a role in oral health, potentially suggesting a lower risk of dental caries through the regulation of oral microbiota and pH levels. Understanding the association of black stains with oral pH and caries presence can offer insights into protective and preventive strategies in pediatric dentistry.

Objectives: the purpose of this study is to assess the correlation between black stains, oral cavity pH, and the presence of caries in a sample of 6-to 8- …

Effect Of Sdf Application Versus Diode Laser Irradiation On Incipient Carious Lesion’S Progression In Primary Molars: A Randomize Clinical Trial, Islam Yehia, Noha Samir Kabil, Basma Gamal

Dentistry

The present study aimed to investigate the effect of two different preventive measures a) Silver diamine (SDF) application, b) Diode laser irradiation, on caries progression of incipient carious occlusal lesions in primary second molars. This clinical trial included two equal study groups of patients, for applying; Group I: SDF application, Group II: Diode laser irradiation, the included second primary molars for intervention were selected with incipient carious lesions graded by International Caries Detection & Assessment System (ICDAS)with scores (0,1,2). The involved molars were followed up for 3, 6, 12 months and ICDAS scores were graded to check for caries progression …

Comparison Of The Efficacy Of Smart Polymer Burs With Carisolv Gel In Removing Dental Caries And Reducing Pain In Children - A Clinical Study., Nagham N. Khoury, Mohannad G. Laflouf, Mohammad S. Rikab

Arabian Journal of Pediatric Dentistry

Introduction The disadvantages of using conventional method in dental caries removal, such as patient discomfort, pain, and use of local anesthesia, in addition to thermal effects on dental pulp as a result of using high speed rotating burs, have increased the need for new approaches in removing caries can be more acceptable to patients and more conservative for dental tissues. Such as chemo-mechanical method (Carisolv) and smart polymer burs.

Methodology:. A total of 44 carious primary mandibular molars were selected for the study from children aged (6-8) years, they were selected from Damascus schools.

Results: Statistical analyzes of …

Evaluation Of The Irrigation Efficacy Of Chlorhexidine Gel In Disinfection Necrotic Pulp Root Canals Of Anterior Primary Teeth (Clinical Comparative Bacteriological Study), Dania K. Alkhourbotly, Mohamed Kamel Altinawi2 K. Altinawi, Rouaida Abou Samra

Arabian Journal of Pediatric Dentistry

Objectives: The study aimed to compare Qmix2in1 and sodium hypochlorite solution in eliminating Enterococcus faecalis bacteria within root canals of primary teeth.

Materials and Methods: The study sample consisted of 30 extracted primary molars, which were divided into two groups: Group 1 experimental

(n=15) Qmix²ⁱⁿ¹, Group 2 control (n=15) 5.25% sodium hypochlorite. The root canals were prepared using Kedo-S file rotary then sterilized within autoclave and then contaminated with Enterococcus faecalis bacteria. The root canals were irrigated for 5 minutes in a quantity of 3 ml using a 31-gauge irrigation needle and then bacterial sample were …

Comparing The Pull Out Resistance Of Two Typs Of Posts Used In Restoration Of Severely Damaged Primary Anterior Teeth )A Comparative In Vitro Study.(, Ayham H. Hijaz, Mohamed Kamel Altinawi2 K. Altinawi

Arabian Journal of Pediatric Dentistry

Background: severely damaged primary anterior teeth that require pulp therapy present a high-risk of failure due to the loss of tooth substance resulting from pre-existing decay and endodontic therapy itself. The ideal post material should have physical and mechanical properties that are similar to those of dentin . Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb in a similar way to natural tooth structure as a part of the exfoliation process allowing normal eruption of permanent successors . Accordingly there is no such material other than dentine itself.The introduction of …

Evaluation Of Dentinal Bridge Formation And Canal Obliteration After Pulpotomy In Primary Molars Using Mta And Bioceramic Putty (Well-Root-Pt), Ibrahim S. Alnassar, Mohamed K. Altinawi, Mohammad S. Rekab

Arabian Journal of Pediatric Dentistry

Summary: Preserving the primary teeth is important, as it plays an important role in the integrity of the dental arch, the development of the craniofacial complex, and the integrity of speech and chewing, as early loss of primary teeth leads to cosmetic, functional and verbal problems.

Objective: This study aimed to evaluate the formation of the dentinal bridge and canal obliteration after pulpotomy n in the primary molars using both mineral trioxides aggregate and Bioceramic putty (Well_Root PT) in the pulpotomy of the primary molars.

Materials and Methods: The study sample included forty second lower primary molars …

Assessing The Effect Of Aqueous Lavender Extract Sprays On Gingivitis In Pediatric Patients With Type 1 Diabetes (Randomized Clinical Trial), Doaa J. Sadea, Chaza N. Kouchaje

Arabian Journal of Pediatric Dentistry

Introduction: The prevalence of diabetes mellitus in children and adolescents has increased worldwide over the past three decades. High blood sugar levels in diabetic patients negatively affect the inflammatory response to dental plaque, leading to gingivitis and periodontitis, manifested by periodontal abscesses, and xerostomia, which leads to cervical caries and a high carious predisposition. Several studies have shown that plaque removal is not completely achieved using mechanical methods alone, so chemical control methods have emerged as an adjuvant and enhancing method.

The aim of the research: The current study aims to evaluate lavender sprays on gingivitis in pediatric patients with …

Evaluation Of The Time Taken To Remove Caries From Immature Permanent Molars Using Brix 3000 Gel Compared To The Traditional Rotary Method (Clinical Study), Malek Rajab, Samar Alsalameh, Shadi Azzawi

Arabian Journal of Pediatric Dentistry

Background: The traditional method of removing caries using rotary instruments is associated with a number of disadvantages, such as thermal effects that are harmful to the pulp tissue and excessive preparation of the dental tissue, in addition to the feeling of discomfort, fear, and anxiety that accompany it.

Aim: This study aims to evaluate the time taken to remove caries by the chemo-mechanical method using Brix 3000 compared to the traditional rotary method.

Materials and methods: The study sample consisted of 30 permanent first molars with Class I dentine caries, in 30 children between 7 and 9 years …

A Study Of The Knowledge And Awareness Of Dental Students In Syrian Public Universities About The Using Artificial Intelligence In Pediatric Dentistry, Abdulrhman A. Alkhaled, Chaza N. Kouchaje

Arabian Journal of Pediatric Dentistry

Background : The advent of artificial intelligence (AI) has caused a paradigm change in the medical and dental disciplines in recent years. It is crucial for practitioners to comprehend the basic ideas, underlying principles, and applications of AI as it continues to influence clinical practices in the present and the future. AI is a potent diagnostic tool in pediatric dentistry that improves precision, effectiveness, and judgment. To maximize AI's potential in clinical practice, a thorough grasp of its function in this field is essential.

Object: The purpose of the current study was to evaluate a group of Syrian dental …

Effectiveness Of Apple Cider Vinegar And Mechanical Removal On Dental Plaque And Gingival Inflammation In Preschool Children (In-Vivo Study), Nour A. Asaad, Mohannad G. Laflouf

Arabian Journal of Pediatric Dentistry

Background: Daily oral care is a great challenge for preschool children. Therefore, it is essential to study methods that facilitate oral care to establish early oral hygiene and improve oral health in these groups.

This study was designed evaluate the effectiveness of apple cider vinegar (ACV) 5% and mechanical plaque removal with a manual toothbrush without toothpaste or both ACV with mechanical removal, on dental plaque and gingivitis in preschool children.

Materials and Methods: The sample consisted of 75 children aged 3-6 years, divided into three groups based on the applied method. The modified plaque index (TQHPI) and the modified …

The Relationship Between Body Mass Index And Oral Health Indices In Adolescent Children: A Cross-Sectional Study., Lana Anwar Alshayeb, Mayssoon A. Dashash

Arabian Journal of Pediatric Dentistry

Background and Objective: The prevalence of obesity has increased dramatically worldwide in recent years, becoming a growing public health concern globally, especially among children, due to its association with systemic health. Despite emerging evidence suggesting a bidirectional relationship between obesity and oral health, limited studies have examined this association in adolescent populations, particularly in Syria. This study aimed to investigate the relationship between body mass index (BMI) and oral h

ealth indices, including gingival index (GI), plaque index (PI), and decayed, missing, and filled teeth (DMFT) index, among adolescents aged 12-14 years in Damascus, Syria.

Materials and Methods: In this …

Oral Hygiene Practices, Treatment Needs And Barriers To Dental Care Among Adolescents Attending Special Education Schools In Shah Alam, Selangor, Malaysia, Nur Hafizah Nor Wira, Noraida Mamat, Maryani Mohamed Rohani, Aimi Kamarudin, Sofia Anis

Journal of Dentistry Indonesia

Objective: This study aimed to evaluate the oral health practices, status, and treatment requirements of adolescents with special healthcare needs attending special education schools in Selangor, Malaysia. The adolescents’ parents perceived challenges to oral healthcare were also established. Methods: The current study employed a cross-sectional approach involving 131 adolescents with varying special needs. The participants were between 13 and 18 years old and fulfilled the pre-determined inclusion criteria. The participants’ parents supplied information on sociodemographic, oral health practices, and possible obstacles to dental care through an online survey form. The oral examination on decay, missing, and filled teeth (DMFT), simplified …

Cooling Protocols Impact On Nickel-Titanium Rotary Instruments Cyclic Fatigue Resistance Under Extreme Curvatures And Sodium Hypochlorite, Palak Ravjibhai Ranparia, Chintan Joshi, Mona Somani, Aashray Patel, Urooj Desai, Janki Prajapati

Journal of Dentistry Indonesia

Objective: In this work, Hyflex CM, TruNatomy, and Plex V heat-treated nickel titanium rotary instruments were evaluated at body temperature (36 °C ± 1 °C) with and without a cooling protocol to assess the cyclic fatigue resistance. Methods: A 90° curved stainless-steel block was used for cyclic fatigue tests on 60 randomly selected rotary instruments, divided into two groups of 30: body temperature (n = 10) and body temperature with cooling (n = 10). Instruments were further subdivided into 6 groups of 3 different instruments. Cooling protocol group instruments received 5-second spray cooling every 30 seconds, along with continuous 5% …

Development And Comparative Evaluation Of A Novel Aloe Vera–Vinegar Gel As A Sustainable Histological Slide Coating Agent, Jayagopi Deepasakthi, Palati Sinduja

Journal of Dentistry Indonesia

Objective: Reliable tissue adhesion to glass slides is critical for accurate histological evaluation. Egg albumen, a commonly used coating agent, often results in background staining and inconsistent performance. Aloe vera, known for its biocompatibility and adhesive properties, presents a sustainable alternative. This study aimed to develop a novel aloe vera–vinegar gel formulation and compare its slide-coating performance with that of traditional egg albumen. Methods: Fresh Aloe vera gel was extracted and combined with nonfruit vinegar, filtered, and refrigerated. Thirty paraffin-embedded tissue sections were divided into two groups: one coated with aloe vera–vinegar gel and the other coated …

Neutral Zone Vs. Conventional Denture Fabrication: A Randomized Crossover Study On Denture Performance, Karthik Kannaiyan, Arunima Chauhan, Vijayendranath Nayak, Riyshmaa Devendaran, Dashmita Peterson, Pavittra Kanesan, Vityaa Lakshmi

Journal of Dentistry Indonesia

Objectives: It is challenging to achieve satisfactory outcomes in a complete denture for patients with resorbed residual ridges. Utilization of neutral zone techniques to guide posterior denture tooth arrangement and denture base contouring has been considered for many decades. However, the evidence is still not enough to revise protocols. This study aimed to compare patient satisfaction and stability of neutral zone denture with conventional denture. Methods: A crossover clinical trial was conducted among patients with resorbed mandibular ridges. Each participant received two sets of dentures: one fabricated using the neutral zone technique and one using the conventional method, in a …

Papillon–Lefèvre Syndrome: A Report Of Four Cases In One Family, Muhammed Abdullah Çege, Dilek Aynur Çankal, Ebru Binici, Bilge Turhan Bal

Journal of Dentistry Indonesia

Papillon–Lefèvre syndrome (PLS) is a rare genetic disorder caused by mutations in the cathepsin C gene and inherited in an autosomal recessive pattern. The risk of its occurrence is heightened by consanguineous marriages. PLS affects both genders and presents with hyperkeratotic patches on the hands and feet and precocious aggressive periodontitis. Although teeth initially erupt normally, rapid resorption in periodontal tissues leads to swift tooth loss, and prosthetic rehabilitation is complicated due to aggressive alveolar bone resorption. Case report: In 2021, a brother and sister sought dental treatment at Gazi University’s Faculty of Dentistry. After thorough examinations, the brother underwent …

Effectiveness Of Resin-Infiltration In Masking White Spot Lesions And Enamel Defects, Color Stability And Inhibition Of Caries Progression: A Systematic Review, Amaradri Sravya, Chandrappa Vinay, Kadidal Uloopi, Peddi Ravigna, Penmatsa Chaitanya, Spandana Cheeli

Journal of Dentistry Indonesia

Objective: The study aims to demonstrate the efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and caries progression inhibition in primary and permanent teeth. Methods: PubMed, Cochrane library, Wiley Online Library, and Google Scholar databases were searched from 2018 to 2022 and only randomized controlled clinical trials (RCT’s) were included. The studies were analyzed regarding the clinical efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and inhibition of caries progression. Results: Of the 14 articles identified, 5 RCTs were included. The quality of the studies was assessed …

Development Of Preventive Dental Guidelines In The Primary Healthcare Setting In Egypt: A Delphi Method, Basant Mehriz

Theses and Dissertations

This study addresses the critical need for standardized preventive dental care guidelines within Egypt's primary healthcare system amid the rising burden of oral diseases. Through a systematic two-phase methodology combining a comprehensive literature review and a Delphi consensus-building process engaging 35 dental professionals, the research established priorities for contextually appropriate preventive measures. The consensus framework revealed strong support for clinical interventions (mean of 83% agreement), particularly fluoride-based prevention; community initiatives (mean of 83%), especially school-based programs; policy measures (mean of 77%) such as workforce and educational development, though with variable support for taxation and social determinants approaches. Statistical analysis demonstrated …

A Multi-National Questionnaire-Based Analysis Of Dental Students’ Knowledge Of The Management Of Deep Caries And The Exposed Pulp, Venkateshbabu Nagendrababu, Arindam Dutta, Ana Arias, Aleksandar Jakovljevic, Ahmed Hieawy, Frank C. Setzer, Jugoslav Ilic, Milos Beloica, Meric Karapinar Kazandag, Nandini Suresh, Paul V. Abbott, Raghavendra M. Shetty, Srinivasan Narasimhan, Victoria Sh Yu, Vellore Kannan Gopinath, Ya Shen, Henry F. Duncan

School of Dentistry Faculty Publications

Introduction and aims: To evaluate knowledge regarding the management of deep carious lesions and exposed pulps among undergraduate and postgraduate endodontic students from ten dental institutions across ten countries, and the impact of operator (material, antibiotic prescription) and patient-related (age, symptoms) factors on their treatment protocols. Methods: An online questionnaire was distributed to evaluate student knowledge of the management of deep caries and exposed pulp related to four clinical scenarios. Simple descriptive statistics were used to describe the data and McNemar tests were employed to identify significant differences between the scenarios. The P-value was set at 5%. Results: A total …

Triple Antibiotic Paste Pulpotomy (Lstr: Lesion Sterilization And Tissue Repair Technique) To Treat Necrotic Primary Molars, Kayleigh Denner Dmd

St. Chris Research Day

No abstract provided.

A Multi-Modal Intervention To Improve Identification, Management, And Prevention Of Early Childhood Caries In The Primary Care Setting, Rieley M. Hull

Evidence-Based Practice Project Reports

Early childhood caries (ECC) is the most prevalent chronic childhood disease and, if untreated, can lead to significant long-term health and social consequences, posing a substantial healthcare burden (AAPD, 2023; ADA, 2023; USPSTF, 2021; WHO, 2022). This evidence-based practice (EBP) project aimed to implement a multi-modal intervention to reduce ECC risk factors, prevent new dental caries, and halt the progression of existing dental caries. Conducted in a pediatric primary care setting in West Michigan, the project included patients five and under who received an oral examination and dental caries risk assessment following the AAP’s guidelines. Based on their oral health …

Dental Considerations For A Pediatric Patient With Osteopetrosis: Case Report, Bethany Castro, Robin Onikul, Neena Patel, Jenna Sparks, Amy Burleson, Brenda S Bohaty

Posters

Introduction: Osteopetrosis is comprised of a group of rare hereditary disorders characterized by impaired osteoclast development or activity resulting in altered bone metabolism and high bone mineral density. Resulting bone is denser and heavier but more fragile than healthy bone. This condition can have oral manifestations such as malformed teeth, hypomineralization, or agenesis of teeth. The treatment for osteopetrosis can include hematopoietic stem cell transplantation and recommendations for prophylactic dental treatment7. The purpose of this report is to present a review of the literature regarding the dental considerations for patients with osteopetrosis. Case Report: This case report details a six-year-old …

Primary Molar Loss And Resulting Space Outcomes: A Systematic Review, Kaitlin Carlson, Meredith Clark, Richard Nguyen, Brenda S Bohaty, Amy Burleson, Robin Onikul, Neena Patel, Jenna Sparks

Posters

Premature loss of a primary molar can occur due to a multitude of reasons, including caries, infection, and trauma. When this occurs and restoration of the affected primary tooth is not possible, the AAPD recognizes space maintenance as a “Best Practice” to prevent loss of arch length, width, and perimeter after extraction. However, reports suggest that with proper intercuspation of first permanent molars, space loss from premature loss of a primary molar is minimal and a space maintainer in that area may not be needed. The clinical management for such cases has been controversial across pediatric dental providers, with factors …

Oral Surgical Needs In A Pediatric Hospital Dental Clinic, Meredith Clark, Richard Nguyen, Kaitlin Carlson, Brenda S Bohaty, Amy Burleson, Robin Onikul, Neena Patel, Jenna Sparks

Posters

Purpose: The aim of this study is to evaluate and assess the oral surgery needs in a pediatric hospital dental clinic at Children’s Mercy Hospital in Kansas City. Methods: Following IRB approval, appointments over a 6-month time-period were reviewed and recorded when a referral was placed to an oral surgeon. The reason for referral, patient age and medical history were recorded and analyzed. Results: Half of the patients needing oral and maxillofacial procedures were between the ages of 8-10 years old. There was an equal number of patients needing extractions due to carious/non-restorable teeth with and without special health care …

Differential Diagnosis Of Oral Ulcerations: A Case Report, Richard Nguyen, Kaitlin Carlson, Meredith Clark, Amy Burleson, Brenda S Bohaty, Robin Onikul, Neena Patel, Jenna Sparks

Posters

The diagnosis of oral lesions in children can be challenging as it can be an unspecified symptom of several diseases. Differential diagnoses can range from infectious diseases of childhood, inflammations, nutritional deficiencies, and chronic diseases. Because of this, children with oral ulcers may be treated by different specialists such as pediatric dentists and pediatricians. The purpose of this poster is to report the case of a twenty-one-month-old female patient who presented to Children’s Mercy Hospital Kansas City Emergency Department with chief concern for acute onset of intraoral oral ulcers, extraoral blisters near the lower lip, and fetid oral odor. Patient …