Dentistry Commons^™

Preserving Alveolar Bone Growth Following Cervical Root Fracture: A Case Report, Tülin İleri Keçeli, Burak Kutlu, H. Cem Güngör

School of Dentistry Faculty Research and Publications

Root fracture injuries affect 0.5%–7% of permanent teeth. Although cervical root fractures are less frequent in children, their serious consequences and poor prognosis may lead to tooth loss. In this case presentation, we discuss a treatment approach chosen to preserve alveolar bone growth following a cervical root fracture in an 8-year-old boy.

Dental Student Indebtedness: Where Did It Come From And Where Will It Lead?, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Today’s dental school graduates are burdened by an ever-increasing amount of student loan debt from both their undergraduate and predoctoral educations. Although considered to be multifactorial in origin, this article explores the microeconomic theory of supply and demand as a source for rising tuition costs and subsequent educational debt. The historical context for the cost of a dental education is provided, and serious questions are posed about how this indebtedness might impact the future of the profession.

Systematic Review Of Laser And Other Light Therapy For The Management Of Oral Mucositis In Cancer Patients, Cesar Migliorati, Ian Hewson, Rajesh V. Lalla, Heliton Spindola Antunes, Cherry L. Estilo, Brian D. Hodgson, Nilza Nelly Fontana Lopes, Mark M. Schubert, Joanne Bowen, Sharon Elad

School of Dentistry Faculty Research and Publications

Background The aim of this study was to review the available literature and define clinical practice guidelines for the use of laser and other light therapies for the prevention and treatment of oral mucositis.

Methods A systematic review was conducted by the Mucositis Study Group of the Multinational Association of Supportive Care in Cancer/International Society of Oral Oncology. The body of evidence for each intervention, in each cancer treatment setting, was assigned an evidence level. Based onthe evidence level, one of the following three guideline determinations was possible: recommendation, suggestion, and no guideline possible.

Results A new recommendation was made …

Ethical Obligations And The Dental Office Team, Toni M. Roucka, Pamela Zarkowski, Evelyn Donate-Bartfield, Donald E. Patthoff

School of Dentistry Faculty Research and Publications

A hypothetical case of alleged sexual misconduct in a practice with high employee turnover and stress is analyzed by three experts. This case commentary examines the ethical role expectations of an office manager who is not directly involved but becomes aware of the activities. The commentators bring the perspectives of a dental hygienist. academic administrator. and attorney; a teacher of behavioral sciences in a dental school; and a general dentist with many years of practice experience.

Intra- And Inter-Examiner Reliability Of Direct Facial Soft Tissue Measurements Using Digital Calipers, Nikolay Mollov, Jose A. Bosio, Jessica E. Pruszynski, Thomas S. Wirtz

School of Dentistry Faculty Research and Publications

Background: The objective of this study is to determine if facial soft tissue measurements using digital calipers can be reliably taken by the same examiner and by a large group of examiners.

Materials and Methods: Ten examiners performed a set of 18 in-clinic measurements on 10 female and 10 male dental students using a digital caliper twice over a 3-week period. The intra-class correlation coefficient and the Shrout-Fleiss method were used for the statistical analysis.

Results: Anthropometric intra-examiner reliability was high for all measurements (none fell below R = 0.934). However, inter-examiner reliability exhibited a wide range of values, some …

Intraoral Phaeohyphomycosis, Yeshwant B. Rawal, John R. Kalmar

School of Dentistry Faculty Research and Publications

Phaeohyphomycosis is an infection caused by pigment-producing saprophytic fungi. Systemic infections may occur in the immunocompromised patient. Infection in healthy individuals may result in subcutaneous abscess formation. Oral lesions appear to be rare. A case of intraoral phaeohyphomycosis presenting as a well-demarcated, painful nodule of the anterior hard palate in a 12-year-old healthy male is described. The mass was excised and the diagnosis was established following histopathologic examination of the tissue.

Expression And Localization Of Aquaporin‐1 In Temporomandibular Joint Disc With Internal Derangement, Carla Loreto, Concetta Galanti, Luis Eduardo Almeida, Rosalia Leonardi, Giuseppe Pannone, Giuseppe Musumeci, Maria Luisa Carnazza, Rosario Caltabiano

School of Dentistry Faculty Research and Publications

Background: Internal derangement is the most frequent arthropathy affecting the temporomandibular joint, where its commonest form is anterior disc displacement with or without reduction. Despite the frequency of the disorder, the biochemical features of displaced discs are still unclear.

Methods: We investigated the expression pattern and localization of aquaporin‐1, an important channel protein involved in plasma membrane water permeability, in patients with anterior disc displacement (both with and without reduction), with a view to assessing the characteristics of local tissue responses to the microenvironmental changes induced by abnormal mechanical loading of the displaced disc. Protein expression was studied by immunohistochemistry …

Titanium Nitride And Nitrogen Ion Implanted Coated Dental Materials, Youssef S. Al Jabbari, Jennifer Fehrman, Ashley C. Barnes, Angela M. Zapf, David W. Berzins, Spiros Zinelis

School of Dentistry Faculty Research and Publications

Titanium nitride and/or nitrogen ion implanted coated dental materials have been investigated since the mid-1980s and considered in various applications in dentistry such as implants, abutments, orthodontic wires, endodontic files, periodontal/oral hygiene instruments, and casting alloys for fixed restorations. Multiple methodologies have been employed to create the coatings, but detailed structural analysis of the coatings is generally lacking in the dental literature. Depending on application, the purpose of the coating is to provide increased surface hardness, abrasion/wear resistance, esthetics, and corrosion resistance, lower friction, as well as greater beneficial interaction with adjacent biological and material substrates. While many studies have …

Amelioration Of Oral Mucositis Pain By Nasa Near Infra Red Light Emitting Diodes In Bone Marrow Transplant Patients, Brian D. Hodgson, David Margolis, Donna E. Salzman, Dan C. Eastwood, Sergey Tarima, Lisa D. Williams, Jane E. Sande, William P. Vaughan, Harry T. Whelan

School of Dentistry Faculty Research and Publications

PURPOSE: To investigate the use of extra-orally applied near infra-red (NIR) phototherapy for the reduction of oral pain secondary to chemo- and radiation-therapy induced mucositis in adult and pediatric hematopoietic stem cell transplant (HSCT) patients.

METHODS: 80 HSCT were divided into regular (R) and low (L) risk groups, then to experimental (E) and placebo (P) groups, resulting in 4 groups (ER, EL, PR, PL). Experimental subjects received (670 (+/- 10) nm gallium-aluminum-arsinide light emitting diode (LED) device for 80 sec at an ~50mW/cm2 energy density and power exposure of 4J/cm2. Placebo patients received the same procedures, but with a placebo …

Effect Of Light-Cure Initiation Time On Polymerization Efficiency And Orthodontic Bond Strength With A Resin-Modified Glass-Ionomer, J. T. Thomas, H. W. Roberts, L. Diaz, Thomas Gerard Bradley, David W. Berzins

School of Dentistry Faculty Research and Publications

Objectives –  The polymerization and acid–base reactions in resin-modified glass-ionomers (RMGI) are thought to compete with and inhibit one another. To examine the effect of visible light-cure (VLC) delay on the polymerization efficiency and orthodontic bond strength of a dual-cured RMGI.

Setting and Sample Population –  The Orthodontics Graduate Program at Marquette University. An in vitro study utilizing 72 freshly extracted human bicuspid teeth.

Materials and Methods –  A RMGI light-cured immediately, 2.5, 5, or 10 min after mixing comprised the experimental groups. Isothermal and dynamic temperature scan differential scanning calorimetry (DSC) analysis of the RMGI was performed to determine …

Bonding With Self-Etching Primers – Pumice Or Pre-Etch? An In Vitro Study, Ian J. Fitzgerald, Gerard T. Bradley, Jose A. Bosio, Arthur F. Hefti, David W. Berzins

School of Dentistry Faculty Research and Publications

The purpose of this study was to compare the shear bond strengths (SBSs) of orthodontic brackets bonded with self-etching primer (SEP) using different enamel surface preparations. A two-by-two factorial study design was used. Sixty human premolars were harvested, cleaned, and randomly assigned to four groups (n = 15 per group). Teeth were bathed in saliva for 48 hours to form a pellicle. Treatments were assigned as follows: group 1 was pumiced for 10 seconds and pre-etched for 5 seconds with 37 per cent phosphoric acid before bonding with SEP (Transbond Plus). Group 2 was pumiced for 10 seconds before …

Analysis Of Abstracts Presented At The Prosthodontic Research Section Of Iadr General Sessions 2004–2005: Demographics, Publication Rates, And Factors Contributing To Publication, Damian J. Lee, Judy Chia-Chun Yuan, Soni Prasad, Valentim A. R. Barao, Nodesh Shyamsunder, Cortino Sukotjo

School of Dentistry Faculty Research and Publications

Purpose: The purposes of this study were to describe the demographics of abstracts presented at the prosthodontics section of IADR General Sessions from 2004 to 2005, evaluate the publication rate of abstracts, and analyze the relationship between variables in abstracts and publication.

Materials and Methods: Prosthodontics research section abstracts from the IADR General Session in 2004 and 2005 were evaluated for: number of authors, presentation type, origin, affiliation, topic, study design, statistics, study outcome, and funding. The publication rate was calculated following a PubMed search. The journal of publication, year of publication, and the length of time before publication were …

Slow-Growing Gingival Mass, Yeshwant B. Rawal, Denise Mustiful-Martin, Molly S. Rosebush, Kenneth M. Anderson, Harry H. Mincer

School of Dentistry Faculty Research and Publications

Objectives

A 33-year-old woman presented with a slow growing palatal gingival mass. The clinical differential diagnosis included benign tumors and tumor-like lesions, including the pyogenic granuloma, peripheral giant cell granuloma, peripheral ossifying fibroma, giant cell fibroma, peripheral odontogenic tumors, and oral focal mucinosis.

Study design

The lesion was excised and histopathological examination followed by immunohistochemical staining was carried out.

Results

The microscopic findings and the immunohistochemical reactivity was diagnostic for a nerve sheath myxoma.

Evidence Supporting Platform-Switching To Preserve Marginal Bone Levels Not Definitive, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Data sources

MEDLINE, EMBASE, The Cochrane Oral Health Group's Trials Register, The Cochrane Central Register of Controlled Trials (CENTRAL), UK National Research Register, Australian New Zealand Clinical Trials Registry (ANZCTR), Database of Abstracts of Reviews of Effectiveness (DARE), ISI Proceedings for relevant conference abstracts. The search strategy used keywords but not subject heading terms. A number of relevant journals were hand searched (seven most recent years) and authors were contacted in the absence of complete data.

Study selection

Randomised controlled trials (RCT) or controlled clinical trials (CCT) reported in English only, that compared platform-switched to platform-matched implants were eligible. A …

A Snapshot Of Dental Adhesives, Gary L. Stafford

School of Dentistry Faculty Research and Publications

No abstract provided.

Patient Characteristics And Trends In Nontraumatic Dental Condition Visits To Emergency Departments In The United States, Christopher Okunseri, Elaye Okunseri, Joshua M. Thorpe, Qun Xiang, Aniko Szabo

School of Dentistry Faculty Research and Publications

Objective: We examined trends and patient characteristics for non-traumatic dental condition (NTDC) visits to emergency departments (EDs), and compared them to other ED visit types, specifically non-dental ambulatory care sensitive conditions (non-dental ACSCs) and non-ambulatory care sensitive conditions (non-ACSCs) in the United States.

Methods: We analyzed data from the National Hospital Ambulatory Medical Care survey (NHAMCS) for 1997 to 2007. We performed descriptive statistics and used a multivariate multinomial logistic regression to examine the odds of one of the three visit types occurring at an ED. All analyses were adjusted for the survey design.

Results: NTDC visits accounted for 1.4% …

Rural–Urban Differences In Dental Service Use Among Children Enrolled In A Private Dental Insurance Plan In Wisconsin: Analysis Of Administrative Data, Pradeep Bhagavatula, Qun Xiang, Aniko Szabo, Fredrick Eichmiller, Raymond A. Kuthy, Christopher Okunseri

School of Dentistry Faculty Research and Publications

Background

Studies on rural–urban differences in dental care have primarily focused on differences in utilization rates and preventive dental services. Little is known about rural–urban differences in the use of wider range of dental procedures. This study examined patterns of preventive, restorative, endodontic, and extraction procedures provided to children enrolled in Delta Dental of Wisconsin (DDWI).

Methods

We analyzed DDWI enrollment and claims data for children aged 0-18 years from 2002 to 2008. We modified and used a rural and urban classification based on ZIP codes developed by the Wisconsin Area Health Education Center (AHEC). We categorized the ZIP codes …

Discrepancies Between Abstracts Presented At International Association For Dental Research Annual Sessions From 2004 To 2005 And Full-Text Publication, Soni Prasad, Damian J. Lee, Judy Chia-Chun Yuan, Valentim A. R. Barao, Nodesh Shyamsunder, Cortino Sukotjo

School of Dentistry Faculty Research and Publications

Purpose. The purpose of this study was to evaluate the discrepancies between abstracts presented at the IADR meeting (2004-2005) and their full-text publication. Material and Methods. Abstracts from the Prosthodontic Section of IADR meeting were obtained. The following information was collected: abstract title, number of authors, study design, statistical analysis, outcome, and funding source. PubMed was used to identify the full-text publication of the abstracts. The discrepancies between the abstract and the full-text publication were examined, categorized as major and minor discrepancies, and quantified. The data were collected and analyzed using descriptive analysis. Frequency and percentage of major …

Fluoride Varnish May Improve White Spot Lesions, Gary L. Stafford

School of Dentistry Faculty Research and Publications

Design

A randomised, parallel-group, controlled clinical trial.

Intervention

The test group had fluoride varnish applied onto the tooth surfaces with WSLs using a miniature cotton swab or brush and advised not to brush for four hours. The control group had saline solution applied.

Outcome measure

Status of the WSLs were assessed using a DIAGNOdent pen (KaVo, Biberach, Germany).

Results

Of the 110 participants recruited, 14 dropped out between the debonding and the six-month recall visit. There were statistically significant differences between the mean DIAGNOdent readings of the two groups at the three-month (P

Conclusions

A greater decrease in DIAGNOdent pen …

Association Between Caries, Obesity And Insulin Resistance In Mexican Adolescents, Juan Pablo Loyola-Rodgriguez, Carlos Villa-Chavez, Nuria Patiño-Marin, Celia Aradillas-Garcia, Cesar D. Gonzalez, Esperanza De La Cruz-Mendoza

School of Dentistry Faculty Research and Publications

Aim: To determine the association among dental caries, obesity and insulin resistance in Mexican adolescents. Methods: Body Mass Index, obesity (OB) blood pressure, insulin level, insulin resistance (IR), triglycerides level, serum HDL-cholesterol (cHDL), DMFT index and salivary flow were measured. Results: Anthropometric measures showed a significant statistical difference (p < 0.05). Insulin level was 8.98 for healthy subjects, whereas for OB-IR group was 25.35, there was a statistical significant difference (p < 0.05). Triglycerides level was 88.50 for healthy subjects and 169.40 mg/dL for OB-IR; cHDL was 52.88 for healthy and 41.82 mg/dL for OB-IR group, both showed a statistically significant difference (p < 0.05). Salivary flow was 4.30 for healthy and for OB-IR group was 5.48 ml/min showed a significant statistical difference (p < 0.05). DMFT index was 3.02 for healthy and for OB-IR adolescents was 4.78, showed a significant statistical difference (p < 0.05). The caries component of DMFT index was 1.84 for healthy and was 3.52 for OB-IR adolescents, showed a significant statistical difference (p < 0.05). According to the multivariate analysis, DMFT (OR=3.10; IC95%=0.20-1.02, p=0.042) and decay (OR=3.30; IC95%=0.19-1.0, p=0.011) were associated with subjects with OB-IR. Conclusion: OB-IR Mexican adolescents showed a positive association with DMFT.

Lubricin Immunohistochemical Expression In Human Temporomandibular Joint Disc With Internal Derangement, Rosalia Leonardi, Luis Eduardo Almeida, Carla Loreto

School of Dentistry Faculty Research and Publications

Lubricin is a chondroprotective, mucinous glycoprotein which contribute to joint lubrication, especially to boundary lubrication and maintains joint integrity. The present investigation aimed to study the immunolocalization of lubricin in TMJ discs from patients affected by anterior disc displacement with reduction (ADDwR) ADDwoR. Eighteen TMJ displaced disc affected by ADDwoR were processed immunohistochemically, with a polyclonal anti‐lubricin antibody, used at 1:50 working dilution. The percentage of lubricin immunopositive cells (extent score = ES) and the extent of lubricin staining of the disc extracellular matrix (ECM), were evaluated. Each sample was scored for histopathological changes. Percentage of immunostained surface disc cells …

Galvanic Corrosion Between Various Combinations Of Orthodontic Brackets And Archwires, Arash Bakhtari, T. Gerard Bradley, William K. Lobb, David W. Berzins

School of Dentistry Faculty Research and Publications

Introduction: The purpose of this study was to compare galvanic currents generated by different combinations of commonly used brackets and archwires.

Methods: As-received stainless steel, nickel-titanium, and betatitanium wires were coupled to stainless steel and titanium brackets in an artificial saliva medium. The galvanic current and amount of charge transferred for each pair were monitored with a zero resistance ammeter for 10 hours.

Results: Two-way analysis of variance (ANOVA) showed a significant difference in charge and galvanic currents when factored for type of bracket (P\0.001), but no significant difference between them when factored by type of wire (P .0.05). Specifically, …

Survey Of Partial Removable Dental Prosthesis (Partial Rdp) Types In A Distinct Patient Population, Deo K. Pun, Michael Waliszewski, Kenneth J. Waliszewski, David W. Berzins

School of Dentistry Faculty Research and Publications

Statement of problem

Current demographic information on the number and types of removable partial dentures is lacking in the prosthodontic literature.

Purpose

This study was designed to investigate patterns of tooth loss in patients receiving removable partial dentures (RPDs) in eastern Wisconsin.

Material and Methods

Digital images (1502) of casts at 5 dental laboratories in eastern Wisconsin were collected. Any prescription requesting fabrication of a removable partial denture was photographed twice. The first photograph was made immediately upon arrival at the laboratory, while the second photograph was made immediately before being returned to the prescribing dentist for the first time. …

Giant Mandibular Condyle Osteoma, Luis Eduardo Almeida, Marco Antonio De Oliveira Filho

School of Dentistry Faculty Research and Publications

Osteomas are benign tumors composed of mature compact or cancellous bone. They represent an uncommon lesion that occurs mainly in craniofacial complex bones. In jaws, they can appear on the bone surface as a polypoid or sessile mass, characterizing a peripheral osteoma (PO), or can be a lesion in the medullar space, then it is called central osteoma. In view of the scarcely reported cases about POs, this article presents a case of PO of the maxillofacial area that was surgically resected using hemicoronal approach.

A Methodology For Three-Dimensional Quantification Of Anterior Tooth Width, L. Thomas Johnson, Thomas W. Radmer, Alexis D. Visotcky, Kwang Woo Ahn, Daniel D. Blinka, Thomas Wirtz

School of Dentistry Faculty Research and Publications

The use of cone-beam computed tomography (CBCT) technology has been shown to be more accurate in measuring individual incisor tooth widths than the use of wax exemplars. There were fewer differences by investigators using CBCT than others using an F-test in a mixed model of the measurement differences of investigators, wax type, and which tooth was measured. In addition, the frequency of outliers was less in the CBCT method (a total of 5) as compared to the two-dimensional measurements in ether Aluwax (a total of 8) or Coprwax (a total of 12). Both results indicate that CBCT measurements accounted more …

Erosive Tooth Wear And Consumption Of Beverages Among Children In The United States, Christopher Okunseri, Elaye Okunseri, Cesar D. Gonzalez, Alexis D. Visotcky, Aniko Szabo

School of Dentistry Faculty Research and Publications

Background/Aim: Experimental studies have identified differences in the effect of physicochemical properties of beverages on the etiology of erosive tooth wear (ETW). Little is known from epidemiological studies about the relationship between ETW and consumption of juices, drinks and milk. This study examined the relationship between the consumption of juices, drinks, milk and ETW in children in the United States. Methods: The National Health and Nutrition Examinations Survey data for 2003–2004 was analyzed. Trained and calibrated examiners used the modified Smith and Knight Tooth Wear Index from a 1998 United Kingdom Adult Health Survey to measure ETW. Beverage consumption collected …

Access To Dental Care In Two Long-Term Refugee Camps In Western Tanzania; Programme Development And Assessment, Toni M. Roucka

School of Dentistry Faculty Research and Publications

Objective:  To analyse the demographics surrounding and the sustainability of a course in Emergency Dental Care and Health Promotion developed and taught by a team of dentists from the United States to refugee camp health-care workers in two long-term refugee camps in Western Tanzania.

Methods:  Refugee camp dental patient log books from Mtabila and Nyarugusu camps Kigoma, Tanzania were analysed and demographic data collected on each patient visit from the programme inception in November 2007 until August 2009. Data collection included information relevant to 1961 patient visits. Data were entered into SPSS Statistics 17.0 using the Freq application.

Outcomes:  Patient …

Moving An Incisor Across The Midline: A Treatment Alternative In An Adolescent Patient, Jose A. Bosio, T. Gerard Bradley, Arthur F. Hefti

School of Dentistry Faculty Research and Publications

A 13-year-old sought treatment for a severely compromised maxillary left central incisor and an impacted fully developed left canine. Extraction of both teeth became necessary. As the key component of the revised comprehensive treatment plan, the right maxillary central incisor was moved into the position of the left central incisor. All other maxillary teeth were moved mesially to close any gaps. Active orthodontic treatment was completed after 34 months. Frenectomy, minor periodontal surgeries, and bonded lingual retainers were used to improve aesthetics and stabilize the tooth positions. The patient was pleased with the treatment outcome. Cone-beam computed tomography provided evidence …

Eruption Delay And Sequelae In Permanent Incisors Following Intrusive Luxation In Primary Dentition: A Case Report, H. Cem Güngör, Esin Püşman, Serdar Uysal

School of Dentistry Faculty Research and Publications

With respect to its consequences, intrusive luxation is one of the most severe form of dental traumatic injuries in primary dentition. This case report presents crown and root deformation of a permanent incisor together with its delayed eruption which have resulted from a traumatic injury to its predecessor.

Apoptosis In Displaced Temporomandibular Joint Disc With And Without Reduction: An Immunohistochemical Study, Carla Loreto, Luis Eduardo Almeida, Paula C. Trevilatto, Rosalia Leonardi

School of Dentistry Faculty Research and Publications

Internal derangement (ID) of the temporomandibular joint (TMJ) is due to an abnormal relationship of the articular disc to the mandibular condyle, glenoid fossa and articular eminence. The two most common types of internal derangement are anterior disc displacement with (ADDwR) and without reduction (ADDwoR). Disc displacement is associated with degenerative tissue changes. The histological features of discs from patients with TMJ ID reflect a general remodelling caused by abnormal loading. A correlation has been demonstrated between TMJ ID and apoptosis. Few investigations have addressed the role of apoptosis or caspase activity in TMJ ID. The apoptosis activation process was …