Dentistry Commons^™

Toothbrushing And Flossing Sequence: The Most Effective Way To Reduce Dental Plaque Biofilm, Kimberly Ann Obiedo

Dental Hygiene ETDs

Dental plaque biofilm remaining on oral structures causes disease processes such as gingivitis, periodontitis, and dental caries. This study's purpose was to determine which sequence of dental biofilm removal is more effective, toothbrushing followed by flossing or flossing followed by toothbrushing. The study was conducted using an experimental approach with a split mouth design. A pre and post plaque index score was determined for each participant using Ramfjord’s tooth assignment and all data was recorded on a plaque control data sheet. Thirty-two adults were eligible to participate in the study. The average results of the primary plaque score were 78% …

Oral Health Education And Dental Care Access Of Families Of Children With Down Syndrome In New Mexico, Alayna Marissa Holcomb

Dental Hygiene ETDs

ABSTRACT

Purpose: The purpose of this study was to assess the oral health education and dental care access of families of children with Down syndrome in New Mexico.

Methods: The data were gathered from a survey available to members of the Rio Grande Down Syndrome Network for 14 days containing 13 questions.

Results: The most reported age range for the individuals in care were 0-14 years at 41.6%. Most individuals with Down syndrome receive dental services every six months (62.5%) at a regular dental office (54.2%). Caregivers reported the individuals are taking 1-2 prescription medications (54.2%) and not aware of …

Examining The Nexus Of Food Insecurity And Oral Health, Abigayle Talbot

Honors Theses

This research paper delves into the relationship between oral health and nutrition status among individuals with food insecurity. As both oral health and nutritional well-being play pivotal roles in overall health, understanding their interplay in the context of food insecurity becomes important. This study investigated how inadequate access to food resources, a characteristic of food insecurity, can impact oral health, leading to a spectrum of dental issues. The study explores the impact of compromised oral health on dietary habits, potentially resulting in nutritional deficiencies or malnutrition. By examining the potential pathways through which these factors influence each other, the study …

Fake Xanax: Designer Emerging Benzodiazepine Epidemic Linked To Morbidity And Mortality A Narrative Review, Alan D. Kaye, Joseph P. Tassin, William C. Upshaw, Camille M. Robichaux, Mark V. Frolov, Mark M. Dupaquier, Julia E. Fox, Jeffrey Sterritt, Jibin Mathew, Sahar Shekoohi, Adam M. Kaye, Amber N. Edinoff

School of Dentistry Faculty Publications

Etizolam is a thienodiazepine derivative which produces an anxiolytic effect similar to benzodiazepines such as alprazolam (Xanax). Like classic benzodiazepines, etizolam has a high affinity towards the GABAA receptor, and allosterically potentiates the effects of GABA resulting in neuronal hyperpolarization related to chloride influx. When taken in therapeutic doses, etizolam produces a similar effect to Xanax. Counterfeit Xanax tablets contain variable amounts of etizolam. Tablets with high amounts of etizolam can cause toxicity if ingested, especially when combined with other substances. When toxic symptoms occur in patients, they may include severe sedation, unconsciousness, and depression of the medullary respiratory center. …

Tongue Posture And Effects On Overall Health: A Dental Hygiene Curriculum Assessment, Kelly Brackeen

Dental Hygiene ETDs

Research shows that proper tongue posture can impact quality of life, stability of the mouth, and have effects on overall wellness. Dental hygienists have a unique position to be able to identify tongue placement disorders. The objective of this study was to identify to what extent dental hygiene students are being taught orofacial myofunction during dental hygiene education. A survey link was emailed to all program directors in the United States regarding the teaching of orofacial myofunction within their respective programs. Using descriptive analysis, 44%, or less than half reported that their program curriculum includes teaching students proper resting position …

The Glue That Holds It Together: Navigating Dental Cements For Indirect Restorations, Sana Chawla, Leo Makhdoom, Sangeetharaj Sheela

Excellence Day

Objectives: This poster will review the following: 1) The mechanism of action of cements available in dentistry 2) To compare the advantages and disadvantages of different materials used in conventional and adhesive cementation techniques 3) To evaluate the various options available for cementation of indirect restorations, including inlays, onlays, crowns, and bridges, and 4) To explore the rationale behind selecting specific options and techniques for different clinical scenarios. Methods: A literature review was conducted to gather information on cementation methods for indirect restorations. A combination of 18 research studies and systematic reviews comparing traditional and resin cements, as well as …

The Evolution Of Composite As A Direct Restorative Material; A "Journey Through Innovation", Nazgol Zamanian, Madiha Fatima, Niyousha Rafeie

Excellence Day

Abstract: Objectives: The present review study aimed to provide a brief history of resin-based composites (RBC) as direct restorative materials and their evolution from macrofill to nanohybrid RBCs, as well as newly developed RBCs with bioactive, antimicrobial, and remineralizing properties. Methods: PubMed, Medline, Google Scholar, and Scopus were searched using the appropriate keywords. Case reports and non-peer-reviewed articles were excluded. Results: Among the 80 papers initially resulting from the literature search, 35 studies were reviewed and included. The application of resin composite as a direct restorative material has increased significantly due to its higher esthetics compared to amalgam and fewer …

Smile Solutions: Choosing Your Perfect Fits, Jasmine Hussein, Kamaljot Rattu, Karam El-Hemaly

Excellence Day

Abstract: This research provides a comprehensive analysis of three predominant dental restoration methods: removable dentures, fixed bridges, and dental implants. By focusing on the advantages and disadvantages of removable dentures, this study aims to elucidate the efficacy, cost-effectiveness, and patient satisfaction associated with each treatment option. Removable dentures offer a non-invasive and cost-effective solution for tooth replacement, which can be particularly appealing for patients with extensive tooth loss or those looking for a temporary solution while considering long-term options. However, they may not offer the same stability and aesthetic appeal as their fixed counterparts or implants. This study leverages patient …

Comparison Of Digital Impressions And Conventional Impressions In Dentistry, Keerat Kuckreja, Charan Teja Bobba, Kunal Sethi

Excellence Day

Title:Comparison of Digital Impressions and Conventional Impressions in Dentistry Objective:This poster provides a comparative analysis of digital and conventional impression-taking methods in dentistry, assessing their performance in terms of speed, efficiency, cost, storage, impression transfer, visualization, dentist and patient acceptance, infection control, and patient education. Methods:Data from 15 research articles were meticulously reviewed, extracting insights to facilitate a comprehensive comparison. The poster integrates visual elements, including recorded images by the presenters, to augment the analysis. Results: Conventional impressions are lauded for their cost-effectiveness, reliability, and adherence to standardized protocols. Conversely, digital impressions offer enhanced precision, streamlined workflow, and improved patient …

A Shfiting Paradigm In Dental Education: Embracing Prevention Over Interventionfor Dental Caries Management, Neekita Saudagar, Karan Bajwa, Mandeep Kaur

Excellence Day

Shifting Paradigm in Dental Care: Embracing Prevention over Intervention for Dental caries Objective: This study aims to evaluate the reliability, usability, and reproducibility of CAMBRA for assessing caries risk levels in pediatric to adult patients, assess the efficacy of ADA guided treatment interventions, and investigate non-invasive dental interventions supporting caries management decisions. The purpose of the poster is three-fold, namely (1) to briefly review CAMBRA and analyze its reliability, usability and reproducibility of caries risk level for pediatric to adult patients. (2) To assess the efficacy of ADA guided treatment interventions (3) To investigate available dental intervention that supports the …

Tissue Management For Indirect Restorations Using Gingival Retraction Systems, Summer Youssef, Punyatoya Parichha, Asmaa Elbegirmy

Excellence Day

Abstract: Objectives: The objective of this study is to compare the effectiveness of different gingival retraction systems, including cords, paste, and laser, for creating adequate gingival retraction in preparation for indirect restorations. Methods: A comprehensive review of the literature was conducted to gather relevant studies and clinical trials comparing the use of cords, paste, and laser for gingival retraction. Various databases including PubMed, Cochrane Library, and Google Scholar were searched. Studies were included based on their relevance to the topic and their methodological rigor. Results: The review revealed that each gingival retraction system has its own advantages and limitations. Traditional …

Utilization Of Hopeless Teeth For Orthodontic Anchorage, Esha Patel

Excellence Day

This patient has an extensive history in UOP’s main clinic involving multiple restorations, endodontic treatment, and extractions dating back to 2017. She presented to the orthodontic clinic with a chief concern of wanting to better align her teeth prior to implant placement. The patient had a missing lower left 1st premolar and upper left 2nd premolar due to previous extractions. Both upper lateral incisors were endodontically treated prior to becoming a patient at UOP and had decayed to the gum line with a hopeless prognosis. The patient was diagnosed with skeletal bimaxillary protrusion and bilateral class III molar malocclusion. She …

Orthodontic Forced Rapid Extrusion To Avoid Crown Lengthening Or Extraction, Andrew Tran, Taylor Pearl

Excellence Day

" This patient reported to the orthodontic clinic with an unrestorable crown due to minimal ferrule on #7. The patient was looking to avoid crown lengthening surgery and wanted to explore other potential options. A wax build up was created on #7 with a suckdown splint over in order to create space to complete rapid extrusion of the tooth. The patient wore an extrusion elastic for roughly 6 months. After extrusion was completed, a fixed retainer was bonded on the teeth while waiting for the dentist to complete the crown. After the final crown was delivered, a new fixed permanent …

Resolving Anterior Cross Bite And Titrating Implant Spaces With Full Fixed Applicances And Tads (Temporary Anchorage Device, Seung Ah Jung

Excellence Day

This patient reported to the orthodontic clinic with a chief concern of anterior cross bite and multiple non-restorable posterior teeth. Patient had full cusp class III molar and canine relationship bilaterally, with anterior cross bite from #7 to #11. Patient also presented with multiple teeth with severe decay, failed root canal treatment, pulp polyp, and fracture. She was planned for extraction of #29, #30, #18, #19, #1, and #16. She hoped to get a minimum amount of implant restorations as possible after extraction and orthodontic treatment. Full fixed appliance and two anterior TADs (temporary anchorage device) were used for her …

Lateral Substitution With Full Fixed Appliances, Jeff Roseth, Edrick Tan

Excellence Day

This patient reported to the orthodontic clinic with a chief concern of crowding in the maxillary and mandibular arches. The patient had previous trauma to her U1s during a biking accident about 5 years prior to coming in for her initial ortho consultation. U1s were previously restored with root canals and composite fillings. Upon re-evaluation of root canals at UOP prior to starting ortho treatment, it was determined that the prognosis for UL1 was hopeless and UR1 needed new root canal therapy. With consults from the Endo, Ortho and restorative departments, it was determined that the treatment plan would include …

Restoring The Anterior Esthetic Zon And Closing Spaces For A Growing Female With Multiple Missing And Impacted Teeth, Kristen Lo

Excellence Day

A 13 year old female presented to the orthodontic clinic with a chief concern of "I want to fix my teeth." Her initial soft tissue profile was convex with incompetent lips, mentalis strain, and a labiomentla sulcus. She presented with a skeletal Cl II malocclusion, molars half cusp class II bilaterally, and congenitally missing upper laterals and upper second premolars as well as impacted lower second premolars. Her upper and lower incisors were severely proclined, and she had an overjet of 8mm. The goals of treatment were to achieve competent lips and improve mentalis strain. We maintained spaces for future …

Mesializing Teeth To Prevent Restorative Spance Using Benefit System And Orthodontic Microimplants, Ava Vakili

Excellence Day

Miqueas, a 22 year old male, patient reported to the orthodontic clinic with a chief concern of malalignment. He is missing four maxillary teeth and two mandibular teeth, all lost due to caries in his teens with no space maintenance. His general dentist recommended different restorative options such as removable partial denture, implants or bridges to replace the space or alternately get an orthodontic consult to discuss possibilities of closing the spaces. A bone-anchored mesializer appliance called the PSM BENEfit system was delivered to mesialize and reduce the amount of restorative space from four to two future implants in the …

Primary Failure Of Eruption: Failure Is Not An Option, Jonathan Starley

Excellence Day

This patient presented to the orthodontic clinic with a chief complaint of multiple unerupted teeth in the upper left quadrant and one unerupted tooth in the lower left quadrant. Primary failure of eruption was the suspected diagnoses. The patient was told the teeth would need to be extracted by a previous oral surgeon and came in looking for other options. Due to the nature of primary failure of eruption, orthodontic force applied to the teeth would lead to the teeth being ankylosed. It was proposed to use corticotomy surgery in conjunction with orthodontic treatment to facilitate tooth movement and retrieve …

Optimizing Implant Prosthesis Success In A Patient With Oligodontia: Distalization Strategies For Enhanced Bone Levels And Addressing Bolton's Tooth Size Discrepancy With Peg Lateral Buildups In Orthodontic Treatment, Yash Sharma, Colton Kelly

Excellence Day

Patient B.C. presented to the orthodontic clinic with the chief complaint, “I want to fix the gaps in between my teeth.” The patient presented with a skeletal and dental Class I pattern with moderate U/L spacing. Patient was congenitally missing U6s and U/L7s with no previously reported family history of oligodontia. Patient also had a Bolton’s Tooth size discrepancy with mandibular anterior excess and peg-shaped laterals. Since the patient has inadequate maxillary bone distal to the U6s for a future implant prosthesis, it was treatment planned to use fixed orthodontic appliances and open coiled springs to distilize U5s to allow …

Management Of Different Types Of Through And Through Defectsusing Guide Tissue Regeneration (Gtr), Amro Elkhatieb

Excellence Day

Through and through defects result in perforation of both alveolar cortical plates, buccal and lingual/palatal, at the apical region causing communication between the flapped tissues (usually buccal) and the unflapped tissues (usually lingual/palatal). Multiple approaches have been proposed to manage these defects using different regenerative materials such as resorbable membranes with or without graft material, calcium sulfate, platelet-rich plasma (PRP) and platelet rich fibrin (PRF). However, there is no consensus on the ultimate management protocol for these defects, which leaves clinicians uncertain about the long-term prognosis. A possible reason for the different outcomes is the variation in how through and …

Comparison Of Four Disinfection Techniques Using A Small Root Canal Model, Sarah Nash, Ankita Kathpalia, William On

Excellence Day

Objective: This study aims to test the efficacy of 4 different irrigation systems against Enterococcus faecalis biofilm in a small root canal model. Materials & Methods: Distobuccal canals of human maxillary molars were instrumented to a standard 20/.04 taper and autoclaved. Canals were then infected with E. faecalis for 21 days. Teeth were randomly divided into 4 groups (15 teeth/group) and disinfected with either standard needle irrigation (SNI), ultrasonic activation (PUI), LEAP (L), or Gentlewave (GW). Bacterial reduction from the root canals was calculated based on pre- and post-disinfection samples. 5 teeth were selected randomly from each group and sectioned …

Late Management Of Avulsed Central Incisors Associated With Complicated Alveolar Fracture, Gabriel Murphy

Excellence Day

Not available

Autotransplantation Of An Impacted, Immature 3rd Molar Using A 3d Printed Model And A Tooth Replica, Michael Glenn

Excellence Day

Not available

Does The Root Canal Preparation Size Influence The Microbial Reduction By Multisonic Irrigation System, Neha Dawar

Excellence Day

Not available

Understanding The Photothermal Energy Of Leap In Different Canal Size Models, Ankita Kathpalia, William On, Sarah Nash, Daniela Auerbach, Scott Davis, Prasanna Neelakantan, Adham A. Azim

Excellence Day

Objective: This study aims to assess the efficacy of LEAP (L) systems against Enterococcus faecalis biofilm in three root canal size (20/04,30/04 and 50/04) models in comparison to standard needle irrigation (SNI). Materials & Methods: Distobuccal roots of maxillary molars, single-canal mandibular premolars and palatal roots of maxillary first molars were instrumented to size 20/.04, 30/.04 and 50/.04 respectively and autoclaved. Canals where then incubated with E. faecalis for 21 days. Teeth were randomly divided into 2 groups (15 teeth/group) and disinfected with either SNI or L. Bacterial culture sampling was done for all specimens. 5 teeth were selected randomly …

Comparison Of Four Disinfection Techniques Using A Large Root Canal Model, William On

Excellence Day

Objective: This study aims to test the hypothesis efficacy of 4 different irrigation systems against Enterococcus faecalis biofilm in a large root canal model (50.04) in extracted maxillary molar teeth. Materials & Method: This study used Maxillary human molar palatal canals (n=60) instrumented to a standard 50/.04 taper and autoclaved. Canals were infected with Enterococcus faecalis for 21 days. Teeth were randomly divided into 4 groups (n=15) and disinfected with group 1, standard needle irrigation (SNI); group, 2 ultrasonic activation (PUI); group 3, photothermal disinfection with indocyanine green (LEAP/L); or multi-sonic irrigation system (Gentlewave/GW). Bacterial reduction from the root canals …

Smile Restoration, Cameron Goodin

Excellence Day

I have a patient with Sjögren's Syndrome who presented to the clinic wanted to "fill her missing spaces and be able to smile again". She presented with decay/recurrent decay on almost every single tooth. We needed to address her dry mouth prior to proceeding with any restorative procedures. After working with her Primary, changing some medications, reinforcing oral hygiene habits, her oral health looked like a completely new person. We then proceeded to start with her restorative treatment. We decided on doing zirc crowns on: #5-14 & 28. We started with #5, 28, and then #14 via traditional impressions to …

Demystifying Cracked-Tooth Syndrome: An Evidence-Based Approach To Diagnosis And Treatment Planning, Siavash Ghardiri Zahrani

Excellence Day

The importance of accurate diagnosis and appropriate treatment planning is more important than ever due to the increasing rate of cracked teeth being observed in our profession. It is thus imperative that dentists be able to assess and address the etiology of cracked teeth, use evidence-based methods to reach a treatment decision, and convey thorough patient education regarding risks, benefits, alternatives and prognosis of appropriate treatments. Put simply, not all cracked teeth require root canal treatment, and one must be able to discern exactly when RCT is indicated and when it is not. This project is a case presentation of …

Learning How To Overcome Challenges In Endodontic Treatment: Large And Curved Canals, Rachel Healy

Excellence Day

This project highlights the challenges that can be seen during endodontic treatment. Large canals are common amongst certain canals, such as the palatal canal of maxillary molars. However, large canals are even more predominately seen in pediatric patients. Obturation of these large canals often requires large gutta percha cones and/or warm vertical condensation. Furthermore, another common challenge that provider's must overcome are curved canals. Treatment for curved canals requires different techniques in order achieve a glide path to allow for successful cleaning and shaping as well as obturation. In this project, a case will be highlighted from the pre-doctoral clinic …

Restoration Of Oral Function In Severe Tooth Erosion Arising From Gastroesophageal Reflux Disease (Gerd): A Clinical Case Study, Xinyue (Cinny) Ma

Excellence Day

Gastroesophageal reflux disease (GERD) poses significant challenges to systemic and oral health, often resulting in severe erosive tooth wear and dentin hypersensitivity. This clinical case study focused on the restoration of oral function through the utilization of fixed and removable prosthetics to reconstruct the occlusal plane. The patient underwent a comprehensive treatment plan aimed at restoring lost tooth structure and restoring chewing functions. Tooth-colored composite restorations, monolithic Zirconia crowns, and partial dentures were strategically employed to rebuild the occlusal plane, alleviate dentin hypersensitivity and improve masticatory function. This case highlights the importance of a multidisciplinary approach in managing severe tooth …