Dentistry Commons^™

Evaluation Of Two- Implant Assisted Mandibular Overdentures Of Cobalt Chromium Vs. Peek Combined Denture Bases Regarding Occlusion And Patient Satisfaction: A Within-Subject Study, Khaled M. Diaa, Noha H. El-Shaheed, May A. Hagag, Fatma A. El-Waseef

Mansoura Journal of Dentistry

Objectives The purpose of this within-patient study was to compare two implant-assisted overdentures (IAOs) reinforced either with polyether-ether ketone (PEEK) or cobaltchromium (CO-CR) regarding the percentage of occlusal contact using a digital occlusion analysis system (Occlusense) and to assess patient satisfaction and Oral Health–Related Quality of Life (OHRQoL). Subjects and methods Ten complete edentulous subjects were eligible. All patients were delivered two mandibular implant-assisted overdentures with two reinforcement materials, CO-CR (group I) and PEEK (group II).The mandibular overdentures were retained to the underlying implant fixtures by ball and socket attachments. Patients were evaluated three months after each overdenture use. For …

Assessment Of Sox2 Expression As A Tumor Stem Cell Marker In Ameloblastoma And Dentigerous Cyst, Haneen Mahmoud Zeen El-Abdeen, Noha Ahmed Mansour, Sherif Yousef Elnagdy, Mohamed Abdel-Monem Tawfik

Mansoura Journal of Dentistry

Objective: The pathogenesis of odontogenic lesions remains unclear; however, a probable explanation could mean the presence of tumor stem cells (TSCs). The preservation of stem cells during early dental development is governed by many transcription factors, including sex-determining region Y (SRY)-box 2 (SOX-2). Numerous studies observed the increased expression of SOX2 in various benign and malignant tumors as its impact on tumorigenesis varies according to tumor type. This research aims to determine the predictive importance of the SOX2 stem cell marker by evaluating its immunoexpression in ameloblastoma (Ab) and dentigerous cyst (DC). Materials and Methods: Twenty-Four samples were part of …

The Prevalence Of Oral Mucosal Thermal And Chemical Burns Following Endodontic Treatments: A Multicenter Study, Mohamed Abd El Rahman El Shreif, Ahmed Adel Abdel-Azim, Noha Nasr El-Zalabany

Mansoura Journal of Dentistry

This multicenter retrospective study investigated the occurrence of oral mucosal thermal and chemical burns during endodontic operations conducted by dental students at Menoufia University (MU), Horus University in Egypt (HUE), and the Modern University for Technology and Information (MTI) over one year. A total of 4,791 clinical records were evaluated. MU identified 42 oral reactive lesions among 1,221 patients (3.4%), including 12 chemical and 30 thermal burns. HUE identified 63 lesions among 1,750 patients (3.6%), comprising 18 chemical and 45 thermal burns. MTI recorded 71 lesions among 1,820 patients (3.9%), including 21 cases of chemical and 50 cases of thermal …

Comparative Clinical Evaluation Of Healing Of Surgically Depigmented Gingiva By Application Of Human Placental Extract And Hyaluronic Acid, Hanaa Ibrahim Mostafa Sedeek, Islam Hussien Anwar Abdelfattah Kandil, Mohamed Mahmoud Anees, Mohammed Mostafa El Shennawi

Mansoura Journal of Dentistry

Objective The goal of the present research was to assess the outcomes of the adjunctive application of human placental extracts (HPE) and hyaluronic acid (HA) on the healing of gingival tissue following surgical depigmentation. Patients and methods Thirty patients complaining from gingival hyperpigmentation were divided to one positive control and two study (HA & HPE) groups. The three groups underwent surgical depigmentation by scraping and application of non-eugenol periodontal packs. In addition HA and HPE were applied after surgical depigmentation to the twice study sets respectively. Visual analog scale (VAS) was recorded at 24 & 72 hours, 10, 20 & …

Assessment Of Serum And Salivary Levels Of Synuclein-Γ As A Diagnostic Biomarker In Oral Squamous Cell Carcinoma Patients, Aya Yasser, Shadi Awny, Shaimaa R. Hendawy, Mohamed M. Anees

Mansoura Journal of Dentistry

Objective: The objective of the current study was to assess the serum and salivary levels of Synuclein-γ (SNCG) in Oral squamous cell carcinoma (OSCC) cases. Materials and Methods This study was conducted on 60 subjects (30 patients with OSCC and 30 subjects served as healthy controls (HCs)). Serum and salivary levels of Synuclein-γ using enzyme linked immunosorbent assay (ELISA) was determined for all participants and the study group was compared versus the healthy control. Results The serum and salivary levels of Synuclein-γ were significantly increased in cases with OSCC than in HCs p-values (

Clinical Evaluation Of Retention And Biting Force In Complete Mandibular Overdentures Retained By Two Implants Using A Solitary Ball And Socket Versus Solitary Bar And Clip Attachments: A Crossover Study, Mohamed Ali Manaa, Khaled Mohamed Zahran, Hesham El-Sharkawy, Ashraf Anwar Gebreel

Mansoura Journal of Dentistry

Objectives: a clinical evaluation of retention and biting force in complete mandibular overdentures retained by two implants using a solitary ball and socket versus solitary bar and clip attachments. Materials and methods: Fourteen completely edentulous male patients aged 49 to 65 were selected and received a maxillary complete denture and two mandibular complete dentures. Each patient received bilateral dental implants placed in the canine areas using a stereolithographic guide. They were grouped according to the period of wearing the prosthesis into: the conventional complete denture group (CD Group), using two duplicated mandibular dentures over three months; ball and socket attachment …

Comparing The Swallowing Dynamics Of Mandibular Implant Overdentures Retained With Different Attachment Systems: A Crossover Study, Nermeen Elsayed Mohamed Abdallah, Noha Hosny Elshaheed, Abdullah Mohammed Ibrahim Salem

Mansoura Journal of Dentistry

Objective This study's objective was to compare the swallowing dynamics for mandibular implant-retained overdentures with different attachment systems Materials and methods for this crossover study, 15 healthy patients were chosen from the outpatient clinic, Department of Removable Prosthodontics, Faculty of Dentistry. The patients already had 2 implants in the canine regions. New mandibular implant-retained overdentures with three different attachment systems (locator, ball, and bar) were constructed. Swallowing evaluation was done after 3 months of each implant overdenture insertion. Swallowing dynamics were evaluated by using the Test of Mastication and Swallowing Solids (TOMASS) and the Timed Water Swallow Test (TWST). ANOVA …

Swallowing Dynamics Of Two Implants Versus Single Implant-Retained Mandibular Overdentures: Randomized Clinical Trial, Mohamed Taha, Christine Raouf Ibrahim, Abdallah Mohammed Ibrahim

Mansoura Journal of Dentistry

Objective This study evaluated the swallowing dynamics of two-implant (2-IOD) versus singleimplant (1-IOD) mandibular overdentures using the Test of Mastication and Swallowing Solids (TOMASS) and the Timed Water Swallow Test (TWST). Methods Ten completely edentulous patients were selected from the Out-Patient Clinic of the Prosthodontics Department at the Faculty of Dentistry, Mansoura University. All patients initially received conventional complete dentures and were considered Group I, then randomly distributed into two equal groups; Group II (2-IOD) received a twoimplant overdenture with locator attachments, while Group III (1-IOD) received a single implant overdenture with locator attachment. Swallowing dynamics were assessed using the …

Effect Of Simulated Intra-Oral Polishing On Color Of Multi-Layered Zirconia Restoration, Mohamed K. M. Abdul Hafeez, Walid Al-Zordk, Nesma M. El-Gohary

Mansoura Journal of Dentistry

Objectives To evaluate the effect of simulated intra-oral finishing and polishing on the color of multi-layered zirconia. Materials and Methods Seventy-two zirconia specimens were designed by special software program with dimensions 10 mm ×10 mm and 1 mm thickness, and were randomly classified into 3 categories depending on the type of zirconia. Each group was further divided according to the polishing system into three groups (n=8). The color coordinates of all specimens were first measured by a reflectance spectrophotometer, then were measured again after finishing and polishing for each specimen and The CIEDE2000 color differences (ΔE00) were calculated. Three tests …

Digital Versus Functional Pick-Up Techniques For Two-Implant Retained Mandibular Overdentures: A Crossover Study, Aya E. Elnagar, Khaled M. Zahran, Heba Abo-Elfetouh Elsheikh, Fatma Ahmad El Waseef

Mansoura Journal of Dentistry

Objective: To evaluate two pick-up techniques—digital and functional—for two-implant retained mandibular overdentures with respect to occlusal force distribution using the digital occlusal analysis system (Occlusense®). Patients and Methods: Twenty completely edentulous, healthy patients were selected from the Prosthodontics Department, Faculty of Dentistry, Mansoura University. Conventional complete dentures were first constructed, followed by placement of two implants in the mandibular canine regions using a guided surgical approach and a delayed loading protocol. For each patient, two sets of digitally fabricated mandibular overdentures were constructed. Patients were randomly assigned into two equal groups: Group I received digital complete overdentures with digitally created …

Access To And Utilization Of Dental Care Services By Older Adults In Nigeria: Barriers And Facilitators, Sunkanmi Folorunsho, Victor Ajayi, Munirat Sanmori, Medinah Suleiman, Raji Abdullateef, Abdulazeez Abdulganiyu

Department of Sociology: Faculty Publications

Aims: Nigeria’s rapidly aging population presents urgent challenges for the healthcare system, particularly in oral health, which remains an overlooked aspect of well-being. While older adults are especially vulnerable to dental issues such as tooth loss, periodontal disease, and oral pain, access to care remains limited due to systemic, economic, and cultural barriers. This qualitative study explored the lived experiences of older Nigerians in accessing and utilizing dental care, with the goal of identifying key barriers, facilitators, and policy-relevant insights.

Methods: Fifteen participants aged 50–83 years were purposively selected from urban and peri-urban areas of Ilorin, North- Central …

Evaluating The Implementation Of Social Determinants Of Health Screening In An Interdisciplinary Clinic, Taylor M. Adams

DNP Projects

Background: Social Determinants of Health (SDOH), including food, housing, interpersonal violence, and transportation are non-medical problems that can influence health outcomes (World Health Organization, 2020). Low-income minorities and public-payer groups are at considerable higher risk for social needs. Collaboration within the community can improve health outcomes (Sulley et al., 2021). A literature review revealed limited evidence of screening in dental clinic settings. Failure to identify and address SDOH needs in this population can lead to poorer health outcomes.

Purpose: The purpose of this quality improvement project was to implement and evaluate social determinants of health screening and evaluate the …

Mda Services: Let Your Mda Membership Put Money Back In Your Pocket, Reva Darling

The Journal of the Michigan Dental Association

MDA membership offers significant financial savings through partnerships with endorsed vendors, providing products and services to enhance dental practice success. Members can save over $30,000 annually by utilizing resources like PPO Negotiation Solutions, Best Card for credit processing, ProSites for digital marketing, Eagle Associates for compliance, and iCoreConnect for cloud-based software. Additional discounts are available on dental supplies, accounting, and in-house dental plan administration, among other services. These benefits demonstrate the value of MDA membership in streamlining operations and improving profitability.

New Laws Aim To Improve Oral Health, Lance Plunkett Jd, Llm

The New York State Dental Journal

Increased access to fluoride varnish and expanded health and wellness campaign is expected to improve oral health of children and adults. The end of 2024 brought two new laws that specifically affect dentistry. The first such law, Chapter 457 of the Laws of 2024, took effect on Nov. 15. It amended Section 6608 of the New York State Education Law to allow registered dental assistants to apply topical fluoride varnish. Topical fluoride varnish had previously been limited to dentists and dental hygienists. It also amended Section 6902(2) of the Education Law to allow licensed practical nurses (LPNs) to apply topical …

A Question For Dentists Why Mediation?, Shahram (Sean) Shekib J.D., D.D.S., Martin Applebaum J.D., M.A.

The New York State Dental Journal

Like peer review, carefully structured and executed mediation is a beneficial tool for resolving disputes.

N Y State Dent J January 2025

The New York State Dental Journal

In the January 2025 issue, the reader will find the following feature articles:

• The Open Apex Challenge: A Case Series
• Pathological Changes in Soft Tissues Associated with Radiographically Normal Impacted Teeth
• Bridging the Dental Care Gap: Addressing Oral Health Disparities in New York State Nursing Homes
• Dental Management of a Talon Cusp on a Permanent Incisor in Traumatic Occlusion

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

Approaches To Care For Children With Special Needs In Dental Settings: Desensitization And Teledentistry, Hannah Bergeron D.M.D., M.S., Chia-En Tsai D.D.S., Giovana Anovazzi D.D.S., M.Sc., Ph.D., James R. Boynton D.D.S., M.S.

The Journal of the Michigan Dental Association

Children with special health care needs (SHCN) are at a heightened risk of developing chronic physical, developmental, behavioral, or cognitive conditions that significantly affect their oral and general health. These children often encounter significant barriers to receiving adequate dental care, which contributes to neglected oral health needs. Common challenges include increased risk of dental diseases due to medication use, oral hygiene difficulties, and dietary restrictions. Newer strategies aimed at overcoming these barriers include the use of dental social stories, desensitization techniques, and teledentistry.

Social stories offer a structured way for parents to help prepare children for their dental visits. Desensitization …

The Significance Of Asthma In Dentistry, William J. Maloney

Bulletin of the Ninth District Dental Association

Dentists and members of the dental staff must be aware of the many possible medical emergencies which may arise during dental treatment. Asthma is one such condition and, as such, all dental professionals must be familiar with its triggers, recognize the signs and symptoms of an asthma attack, know what to do when an asthma attack occurs, and be familiar with strategies to mitigate the likelihood and severity of an asthma attack. Dentists must also be aware that asthmatics have an increased incidence of dental erosion, caries, periodontal disease and decreased salivary flow.

A Dream Come True, Stuart Segelnick Dds, Ms

The New York State Dental Journal

There are many facets of a well-made journal. Producing an exceptional publication such as The NYSDJ takes a lot of time, effort and commitment by its staff: Editor Chester Gary, Managing Editor Mary Stoll, Advertising and Sponsorship Manager Jeanne DeGuire and Art Director Ed Stevens, as well as its contributors and Editorial Review Board members. Dr. Gary has done an amazing job these past eight years at the helm, writing award-winning editorials and working tirelessly to help bring ADA Commons, our indexing platform, to fruition. He has also been an inspiration and trusted advisor to me, as were past editors …

The Open Apex Challenge: A Case Series, Joseph C. Stern D.D.S.

The New York State Dental Journal

Aim: To describe different endodontic techniques for managing immature necrotic teeth. Managing immature necrotic teeth has always posed challenges because of the unpredictable nature of treating roots with wide open apices that lack an apical stop. Traditionally, treatment involved placement of long-term calcium hydroxide, which was often tedious and required multiple visits. Compliance was frequently an issue, especially since many patients in this category are children and as a result, many teeth were lost due to infection or fracture. Recently, with the introduction of more biocompatible materials, a shorter treatment approach has been advocated using calcium silicate materials, such as …

Bridging The Dental Care Gap: Addressing Oral Health Disparities In New York State Nursing Homes, Apeksha Phulgirkar B.D.S., Pgcert, M.P.H., Stacy Mcilduff Cfre

The New York State Dental Journal

Oral health is a critical component of overall wellbeing, yet disparities in access to dental care disproportionately affect vulnerable populations, particularly elderly residents in nursing homes. Poor oral hygiene is linked to systemic health conditions, such as cardiovascular disease, diabetes and cognitive decline. Despite federal regulations mandating oral health assessments in nursing homes, many facilities lack adequate resources, and care often falls to undertrained staff. This study assesses the availability of onsite dental care services in New York State’s nursing homes and the role of mobile dental clinics in bridging the access gap, especially in rural and underserved areas. A …

Pathological Changes In Soft Tissues Associated With Radiographically Normal Impacted Teeth: A Critical Update And Meta-Analysis, Adesh S. Manchanda M.D.S., Ramandeep S. Narang M.D.S., Komaldeep Kaur Sandhu B.D.S

The New York State Dental Journal

The purpose of the study was to conduct a retrospective analysis of histopathological diagnosis of all pericoronal tissues associated with impacted teeth and to correlate it with a hypothetical classification of pericoronal follicular space to improve our clinical management of treating impacted teeth. Materials and Method. The study was carried out in the Department of Oral and Maxillofacial Pathology at Sri Guru Ram Das Institute of Dental Sciences, Amritsar. Data revealed that during a 12-year period, 1,268 patients reported with a pericoronal follicular space associated with the crown of an unerupted tooth, which was subsequently submitted for histopathological evaluation. Panoramic …

General Dentists’ Education, Knowledge, Attitudes And Behavior Concerning The Effects Of Pregnant Patients’ Oral Health On Pregnancy Outcomes: A National Survey, Abad Mohammed O. Khuraybah B.D.S., M.S., James R. Boynton D.D.S., M.S., Robert F. Majewski D.D.S., M.S., Marita R. Inglehart Dr. Phil. Habil.

The Journal of the Michigan Dental Association

Objectives: Since 1996, substantial evidence showed that pregnant patients’ oral health and pregnancy outcomes are related. The objectives were to assess general dentists’ education, knowledge, and behavior related to treating pregnant patients and how COVID-19 changed behavior related to these patients’ treatment.

Methods: 2,500 surveys were mailed to general dentists who were members of the American Dental Association; 96 letters were undeliverable and 253 surveys were completed (Response rate: 10.52%).

Results: 50.2% agreed/strongly agreed that they were well-educated in dental school about treating pregnant patients. Only 34% were satisfied with this education. The majority knew that periodontal disease was associated …

Match Accuracy Of Burned Teeth: A Pilot Study Of Allied Dental Professionals, Brenda T. Bradshaw, Marsha A. Voelker, Samantha C. Vest, Sinjini Sikdar

Dental Hygiene Faculty Publications

Purpose: The purpose of this pilot study was to assess allied dental professionals' match accuracy of burned teeth; a skill required by disaster victim identification (DVI) team members.

Methods: This cross-sectional study used a convenience sample of registered dental hygienists (RDH) (n=15) and dental assistants (DA) (n=15) to assess their match accuracy of burned teeth with simulated antemortem (AM) and postmortem (PM) images. Fifteen human teeth were heated at 400°C for 15 minutes. Prior to and following heat alteration, each tooth was photographed and radiographed. Images were presented to participants in randomized order, and they were instructed to correctly match …

Surgical Symphony: Tackling Large Periapical Cysts With Precision, Paridhi Agrawal, Manoj Chandak, Pooja Agrawal, Nitin Bhola, Rajnikant Kambala, Samiha Khan, Aayushi Pakhale, Jay Bhopatkar, Tejas Suryawanshi, Palak Hirani

International Arab Journal of Dentistry

This case report details the comprehensive treatment of a large radicular cyst in a 48-yearold male with a five-year history of swelling and pus discharge in the upper anterior jaw. Clinical and radiographic examinations, including CBCT, revealed a significant periapical lesion involving multiple teeth. The multidimensional treatment began with meticulous endodontic therapy for teeth 12, 11, 21, and 22, followed by Platelet-rich fibrin (PRF) application to enhance healing. Surgical cystic enucleation was performed under local anesthesia, involving flap elevation and cyst removal, confirmed by biopsy as a radicular cyst. Apicoectomy and retrograde filling with mineral trioxide aggregate (MTA) were executed. …

Predictors Of Donor-Site Wound Complications Following Fibula Free Flap Reconstruction, Soroush Ershadifar, Angela Colback, Ugur Nur Basmaci, Machelle Wilson, Andrew C Birkeland, Dustin A Silverman

Faculty, Staff and Student Publications

Objective: The fibula free flap (FFF) remains the workhorse flap for head and neck defects necessitating osteocutaneous reconstruction. Although lower extremity angiography, ultrasound (US), and other vascular studies are routinely used for fibula assessment and patient selection, predictors of donor-site morbidity following harvest remain poorly understood. We sought to investigate the factors associated with FFF donor-site complications.

Study design: Retrospective analysis of patients at a tertiary care center.

Setting: Tertiary care center.

Methods: In total, 119 patients undergoing FFF reconstruction during the years 2012 to 2022 were included. Multivariable logistic regression was used to identify independent predictors of soft-tissue donor-site …

The Effect Of Carrier Type And Material Used On Results Of 1,1,1,2-Tetrafluoroethane Application To Teeth, Jonathon Logan Williams Dds

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The formulation of a pulpal diagnosis is crucial to prescribe appropriate treatment recommendations for endodontics. The application of a cold stimulus to the tooth’s surface utilizing the refrigerant 1,1,1,2-Tetrafluoroethane (R-134a) is a common way to obtain a pulpal diagnosis. Cotton as a form of applicator is used to absorb the R-134a and create a temperature change in the pulp. There is limited research if there is a better material than cotton to generate this cold response. No studies to date have been found to determine if a sponge as an applicator would generate a more significant cold response than …

Wear Resistance Of 3d Printed Occlusal Splint Materials, Pierpont Flanders Brown

All ETDs from UAB

Statement of problem: Three-dimensional (3D) printing offers an efficient method to produce occlusal devices (splints). However, their wear resistance is poorly understood. Purpose: The purpose of this in vitro study was to compare the wear resistance of flexible and rigid 3D printed occlusal splint materials to milled and conventionally processed occlusal splint materials. By establishing such a comparison, this study will help provide clinicians with greater knowledge of which materials and methods will provide their patients with the most wear resistant and durable occlusal splint possible. Material and methods: Identical sized blocks (n=8) of 3 flexible 3D printed materials (KeySplint …

Platal Expansion Using The Invisalign Palatal Expander "Ipe", Hassan Chihab

All ETDs from UAB

Palatal expansion has been used in orthodontics to treat a narrow maxilla and to primarily correct posterior dental crossbites. In younger patients, palatal expansion can readily be achieved through opening of the mid-palatal suture, as it is not fused at that age. As the mid-palatal suture matures, expansion will gradually be difficult to achieve, and more dental expansion is obtained rather than skeletal. In addition, there is a tendency to get more dental tipping. Palatal expansion has been recommended not only to correct crossbites but also to improve breathing in patients with sleep disorders such as obstructive sleep apnea (OSA). …

Dental Care Trajectories Among Formerly Incarcerated Older Adults In The United States, Alexander Testa, Luis Mijares, Mateus Renno Santos, Vahed Maroufy, Dylan B Jackson, Rafael Samper-Ternent, Rahma Mungia, Ana C Neumann

Faculty, Staff and Student Publications

A growing body of research has documented an association between prior incarceration and lower dental care use, yet the longitudinal impact of prior incarceration on dental care patterns over time among older adults remains unexplored. This study aims to investigate whether prior incarceration is associated with differing trajectories of dental care use among older adults in the United States. Data were drawn from the 2012-2020 waves of the Health and Retirement Study (HRS), a nationally representative longitudinal survey of older adults in the United States (n =  5,893). Group-based trajectory modeling was used to estimate dental care use patterns over …