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J Mich Dent Assoc October 2024

The Journal of the Michigan Dental Association

Each month, The Journal of the Michigan Dental Association provides news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. It stands as the primary publication reaching Michigan dentists. The October issue's key content includes:

• Clinical Feature on Endodontics and Vital Pulp Therapy
• Practice Management Feature with Tips on Surviving the Death of a Partner
• An update on Advocacy

Contents Of Vol. 31, No.2, August 2024, Dr. Yuniardini Septorini Septorini Wimardhani

Journal of Dentistry Indonesia

This is the Cover and the Contents of the Vol. 31 No. 2 2024

Clinical Features Of Anterior Teeth Affected By Molar Incisor Hypomineralization And Treatment Experiences Using Transilluminated Light: A Cross-Sectional Study, Phạm Thanh Ha, Nguyễn Phương Huyen, Phạm Kim Thanh, Lương Minh Hang, Trần Tuấn Anh, Võ Như Trương Ngoc, Lê Khả Anh, Trần Anh Tuan, Tạ Thành Dong

Journal of Dentistry Indonesia

Classification and resin infiltration treatment of MIH-related permanent anterior teeth are increasingly receiving attention nowadays. Objective: The study aims to evaluate the characteristics of these teeth; and to assess factors regarding treatment. Methods: A cross-sectional study was conducted using transilluminated and reflected light photographs, and the lesion was classified according to its color, size, type, heterogeneity and surface integrity. The data were analyzed using a chi-square test and multivariate logistic regression analysis to evaluate enamel craze lines (ECL), post-eruptive breakdown (PEB), and treatment procedures. Results: 73 teeth from 46 patients were included, in which 53 teeth had been treated. Size …

Comparative Evaluation Of Tooth Enamel Surface Microhardness Exposed To Novel Modified Casein Phosphopeptide Amorphous Calcium Phosphate, Apf Gel And Gc Tooth Mousse, P Rahmath Meeral, Indumathy Pandiyan, Meignana Arumugham

Journal of Dentistry Indonesia

Objective: The acidic pH of remineralizing agents is beneficial in etching the enamel to facilitate increased remineralization. This study aims to modify the pH of Casein Phosphopeptide Amorphous Calcium phosphate to acidic and evaluate the enamel surface microhardness exposed to acidified CPP ACPF, acidulated phosphate fluoride (APF gel), and conventional CPP ACPF. Methods: The pH of conventional CPP ACPF (GC Tooth Mousse) is acidified. 24 tooth samples were assigned into three groups receiving as follows: Group 1 (n = 8) acidified CPP ACPF, Group 2 (n = 8) APF gel, and Group 3 (n = 8) CPP ACPF for four …

Esthetic Management Of Maxillary Anteriors With Complicated And Uncomplicated Fractures Using Different Fragment Reattachment Approaches, Lavanya A, Rajendra Kumar Tewari, Sharique Alam

Journal of Dentistry Indonesia

Appropriate management of anterior tooth fracture restores the function and aesthetics and provides a positive psychological impact for the patient. One of the most conservative approaches for such a restoration is reattachment; if a fracture fragment remains attached to the tooth and is available, as in young patients, immediate reporting helps preserve the vitality and long-term defense mechanism. Objective: This case report provides two cases with varied approaches for the management of complicated and uncomplicated crown fractures using reattachment procedures. Case report: During the clinical examination, the first case described the management of an uncomplicated fracture using the …

Minimally Invasive Treatment Of Molar Incisor Hypomineralization Without Using Burs: Experiences Via A Case Series In Vietnam, Võ Truong Nhu Ngoc, Nguyen Phương Huyen, Le Khả Anh, Phan Thi Thu Hang, Hoang Kim Loan, Ta Thành Dong

Journal of Dentistry Indonesia

Mild form of molar-incisor hypomineralization (MIH) on anterior teeth are posing great challenges to dental practitioners as it can have a huge aesthetic impact. In terms of deep MIH-related lesion below the healthy enamel, highly invasive methods for approaching the lesion body and removing the entire hypomineralized enamel using burs could lead to failures including aesthetic problems and even further tooth structure damage to the affected teeth. Case report: To resolve t his issue, we have proposed a modified resin infiltration technique based on the minimally invasive philosophy. In this study, we would like to report three specific cases …

Assessment Of Mandibular Incisive Canal And Anterior Loop In Cone Beam Computed Tomography In Vietnamese Mature Patients: A Retrospective Study, Anh Kha Le, Thao Phuong Tran, Tra Thu Nguyen, Loc Nguyen Gia Pham, Trung Thanh Nguyen, Viet Hoang Do

Journal of Dentistry Indonesia

Objective: This study aimed to assess the anatomical length of the mandibular incisive canal and anterior loop and the distance to surrounding structures. Methods: Our study was conducted on 70 cone beam computed tomography (CBCT) films of 70 Vietnamese adult outpatients (40 females, 30 males) at Hanoi Medical University, Vietnam. T-test was applied to assess the difference between the two sides and genders. Results: The mean length of the mandibular incisive canal (MIC) was 12.83 ± 5.13 mm. The anterior loop (AL) prevalence was 62.86%, with an average length of 2.37 ± 0.90 mm. The difference between the right and …

Role Of Titanium-Reinforced Platelet-Rich Fibrin In Periodontal Tissue Regeneration-A Systematic Review, Bhavya Manchala, Anurag Teju, Mohan Kumar Pasupuleti, Gautami S Penmetsa, Sruthima Gottumukkala, Venkata Lakshmi

Journal of Dentistry Indonesia

Objective: The objective of the study is to demonstrate the efficacy of Titanium reinforced platelet-rich fibrin (T-PRF) as the sole biomaterial amongst the biologics in periodontal regeneration of both soft and hard tissues. Methods: A PUBMED database search is conducted from August 2013 to August 2023. Only original articles, including Randomized controlled clinical trials, cross-sectional studies, prospective studies, and case-control studies, were included. The studies will be analyzed regarding the outcome of the association between T-PRF and periodontal regeneration of both hard and soft tissue. Results: From 35 articles identified, 8 RCTs were included. The use of …

Remineralization Potential Of Grape Seed Extract On Artificial Enamel Caries Lesions, Serif Alpcan Ozden, Esra Oz

Journal of Dentistry Indonesia

Objective: This study aimed at a comparative analysis of the remineralization potential of grape seed extract (GSE) alone, together with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and/or acidulated phosphate fluoride (APF). Methods: The samples were randomly divided into seven groups according to the treatment used: 25% GSE, 1.23% APF (Gelato APF gel), and CPP-ACP (GC Tooth Mousse). The samples in group 7 received no treatment as a control group. All specimens were subjected to pH cycling for two weeks. Surface microhardness analyses were performed at baseline, after demineralization and remineralization. Data were analyzed using one-way analysis of variance (ANOVA), …

Va Dent J January, February & March 2023

Virginia Dental Journal

In the January, February and March 2023 issue, the reader will find the following feature articles:

• An Interview with Dr. Richard Roadcap: Virginia Dental Journal Editor (2007 – 2023)
• Through the Looking Glass: The Fantastical World of Oral Pathology
• Treatment Access and Outcomes for Craniofacial Care: Patient and Parent Perspectives
• Cheiloscopy
• We’re Taking on the Fight tor Fairness and Transparency: We Need More Dentists to Join the Fight
• Serving the Petersburg Community: VDA Foundation Collaboration with Central Virginia Health Services

This issue includes regular columns with regional news impacting the Virginia membership including: editorial and perspectives columns, legal, association activities, …

Listening To The Unsaid: Utilizing Patient-Reported Outcome Measures (Proms) To Manage The Dental Anxiety Of A Special Child, Asiya Attar, Kasturi Shukla

Patient Experience Journal

This article is the journey of a dentist who adopted the additional role of a healthcare manager and embarked on a transformative journey to enhance the realm of pedodontics. The story describes how the care process and related experiences were improved for a special child who came anxious and worried to a dental office for treatment and returned with better outcomes. Dental anxiety is a known barrier to smooth dental care which is further amplified in children and more so for the special children. In addition to providing the best treatment, we ensured a worry-free environment to release the anxiety …

Early Intervention With Clear Aligners: A New Frontier In Paediatric Dentistry, Ritika Tiwari, Ajay Ht Rao, Sharan S. Sargod, Sundeep K. Hegde, Raksha K. Ballal, Shazma Sharief

Manipal Journal of Medical Sciences

Clear aligner therapy (CAT) has emerged as a popular alternative to traditional braces, offering a more discreet and comfortable option for orthodontic treatment, particularly in growing patients. This technique uses a set of clear, specially designed plastic trays that gradually force teeth into place. Although transparent aligners are frequently used by adults, their use in children has increased significantly, especially for those with mixed dentition (ages 6–12). Since it enables orthodontists to treat occlusal and functional problems before they worsen, this stage of dental development is essential for early intervention. The benefits of clear aligners include enhanced face and dental …

Effects Of Platelet-Rich Plasma And Platelet-Rich Fibrin Usage In Regenerative Endodontic Treatments: An Analysis Of Root Length And Dentin Thickness, Enes Mustafa Aşar, Murat Selim Botsali, Taibe Tokgöz Kaplan

International Journal of Health and Allied Sciences

Background: Regenerative endodontic treatment aims to relieve symptoms and maintain root development and regeneration of pulp tissue. This study aimed to retrospectively examine and compare the use of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in the regenerative endodontic treatment (RET) of immature necrotic teeth in terms of clinical and radiographic treatment results.

Materials and Methods: This study included patients who underwent Regenerative Endodontic Treatment (RET) at Selcuk University Faculty of Dentistry between 2014 and 2019, totalling 38 cases. After apical bleeding is induced into the canal, PRP was utilized in 16 cases, while PRF was employed in …

Success Of Early Childhood Caries After Treatment With Silver Diamine Fluoride Compared To Conventional Glass Ionomer Restoration. A Systematic Review, Sara H. Younis, Afnan M. Elkordy, Nouran M. Alshazly

Future Dental Journal

Abstract

Aim: To compare the success rate regarding esthetics, parenteral satisfaction, and oral health related quality of life (OHRQoL) after treatment of early childhood caries with Silver Diamine Fluoride (SDF)compared to conventional Glass ionomer Restoration (CGI).

Materials and Methods: We conducted a systematic review following PRISMA statement by searching on the following electronic databases: PubMed, Cochrane.

Results: From the studies included in this systematic review, two studies showed significant difference in color stability between SDF and CGI. Two studies showed no significant difference in parental satisfaction with either SDF or Glass Ionomer. Regarding the Oral Health Related Quality of Life, …

Comparison Of Alignment Duration Between 0.018” And 0.022” Slot Brackets In Non-Extraction Orthodontic Adult Patients: (A Randomized Clinical Study), Omar Hazem Abouwafia, Hala Munir Abdel Majeed, Mona Salah Fayed, Nouran Fouad Seif-Eldin

Future Dental Journal

Abstract:

Introduction: Orthodontist tend to use one of the 2 bracket slot sizes available either the 0.018” or 0.022” bracket slot. Till now there is no reliable scientific evidence that indicates if any of them has a superior effect on the duration of teeth alignment. The aim of this study is to compare alignment duration between 0.018 and 0.022-inch bracket slot systems.

Subjects and methods: 14 Eligible participants having an age range of 14-22 years were randomly allocated to 2 groups (7 in each group). Group I: 0.018-inch and Group II: 0.022-inch slot (American orthodontics Mini master Roth prescription …

Measuring Accuracy Of Dolphin Imaging Software In Predicting Upper Jaw Soft Tissue Profile Changes In Class Ii Adult Patients Treated With Extraction Versus Non-Extraction., Amr Amin Arif, Esam Nasef, Amira Aboalnaga

Future Dental Journal

Abstract

Objective: To assess the accuracy of Dolphin Imaging software in predicting upper jaw profile changes in class II patients treated by extraction and non-extraction.

Methods: The records of 60 Class II div 1 patients were selected; 30 patients treated by extraction of upper first premolar and 30 patients treated by non-extraction. The Pre- and post-treatment lateral cephalometric x-rays of each patient were traced using Dolphin software. The actual hard tissue changes due to treatment were calculated and installed into the prediction module to generate the predicted profile. The soft tissue measurements of the actual post-treatment and predicted profiles were …

Contents Of Vol. 31, No.1, April 2024, Yuniardini Septorini Wimardhani

Journal of Dentistry Indonesia

This is the Cover and the Contents of the Vol. 31 No. 1 2024

Increasing Oral Health In A Midwest Elementary School: Quality Improvement Project, Dee Young

Doctor of Nursing Practice Projects

Marginalized communities experience barriers to accessing oral healthcare in the United States (US). Due to this, many children are left to use the emergency department (ED) for dental care. The purpose of this Doctor of Nursing Practice (DNP) project was to improve oral health services access in children at one suburban Midwest elementary school. The objectives of this project were: a) to improve the efficiency of students registering in Fall 2023 to access available oral health exam services, b) to increase the number of students who receive an oral health exam compared to the number in the previous school year. …

Trueness Of Milled Zirconia Versus Milled Hybrid Ceramic Crowns Designed For Primary Teeth Restoration Compared To The Digitally Designed File: An In Vitro Study, Joy Elian Hayek, Hani Tohme, Lara Nasr, Ghida Lawand, Roula El Hachem, Nada Farhat Mchayleh

International Arab Journal of Dentistry

Introduction: Stainless Steel Crowns (SSC) are not easily replaced by Zirconia Prefabricated Crowns (ZPC) because of their adaptation problem and risk of fracture and loosening.

Objectives: To assess and compare the trueness of milled zirconia and milled hybrid ceramic crowns designed for primary teeth restoration to a digitally designed file.

Methods: The fourteen extracted primary molars were scanned using an intraoral scanner to obtain digital files of the teeth. The digital files were imported into the Design dental software (TDS) and used to design and mill zirconia and hybrid ceramic crowns using a 4-axis milling machine: 14 …

Correlating The Consequences Of Untreated Dental Caries (Pufa/Pufa Scores) And Body Mass Index Related To Age In A Group Of Egyptian Children: A Correlation Study, Hani Abdulwahab Alattallah, Dalia Moheb

International Arab Journal of Dentistry

Objectives: The present study aimed to investigate the correlation between dental caries and its consequences in terms of pulp involvement, ulceration, fistula, abscess utilizing (PUFA/pufa) indices and specific Body Mass Index (BMI) with reference to age in a group of Egyptian Children.

Methods: A total of 201 children (101 female and 100 male) from Pediatric Dentistry Department in Cairo University having PUFA/pufa ≥1 were included. PUFA/pufa index was used according to the standard procedure to assess the consequence of untreated dental decay. The height and weight of the children were determined using standardized scales. The BMI percentile was …

Space Loss After Removal Of A Band And Loop Space Maintainer: A Case Report And Review Of The Literature., Kaitlin Carlson, Robin Onikul, Amy Burleson, Jenna Sparks, Neena Patel, Brenda S. Bohaty

Posters

Premature loss of a first primary molar can occur due to a multitude of reasons, including caries and infection. 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 first primary molar is minimal and space maintainers in that area may not be needed. This case report details an 8-year-old female who had significant space loss between the mandibular …

Differential Diagnosis Of A 12-Year-Old Presenting With A Nodular-Sessile Lesion On The Hard Palate: Review Of Literature And Report Of A Case., Meredith Clark, Robin Onikul, Amy Burleson, Brenda S. Bohaty, Jenna Sparks, Neena Patel, A Naidu

Posters

Soft-tissue lesions in children present with a wide range of etiologies, including those related to normal development, underlying systemic illness and/or those associated with benign or malignant tumors1 . In children and adolescents, the most common soft tissue lesions include, aphthae, fibromas, papillomas, pyogenic granulomas and traumatic lesions all of which may present on the hard palate.2 This case report details a 12-year-old female presenting to Children’s Mercy Dental Clinic with a chief complaint of a flesh-colored nodular sessile lesion visualized on the anterior hard palate, directly posterior to teeth #8 and #9. The patient’s medical history is non-contributory, and …

Dental Manifestations And Management Of A Pediatric Patient With Hypophosphatasia: Case Report And Literature Review, Dev Patel, Robin Onikul, Amy Burleson, Brenda S Bohaty, Jenna Sparks, Neena Patel

Posters

Hypophosphatasia is a rare autosomal recessive disorder affecting the ALPL gene, which is involved in mineralization of bones and teeth. Given the importance of mineralization on proper tooth development, patients with hypophosphatasia present with numerous dental manifestations and require careful, coordinated care to maintain function and esthetics. This case report details a 9-year-old patient presenting to Children’s Mercy Kansas City Dental Clinic with complex medical history including hypophosphatasia, hypophosphatemic rickets, and developmental delay. The case report will include the patient’s clinical and radiographic presentation and will detail the patient’s treatment history. The presentation will also review the relevant scientific literature …

Dental Manifestations Of A 4-Year Old Male Patient With Congenital Vitamin D Rickets: Review Of The Literature And Report Of A Case, Richard Nguyen, Robin Onikul, Brenda S. Bohaty, Neena Patel, Jenna Sparks, Amy Burleson

Posters

Patients that present with Vitamin D-resistant rickets may have abnormal tooth morphology, such as enlarged pulp horns that may extend into the dentino-enamel junction. As a result of this communication, there may be an increased chance of pulpal infection, resulting in spontaneous dental abscesses occurring without evident caries or history of trauma. The purpose of this poster is to report the case of a four-year-old patient who presented to Children’s Mercy Kansas City Dental clinic with chief concern for swelling of the face with unknown causes. The patient’s medical history was significant for congenital Vitamin D-resistant rickets. The poster presents …

Perceptions Of Oral Health-Related Care For Children With Autism Spectrum Disorder: A Scoping Review, Ismail Nabil Albhaisi, Shahida Mohd-Said, Yan Jia Lim, Tuti Ningseh Mohd-Dom, Ahmad Shuhud Irfani Zakaria, Colman Patrick Mcgrath

Journal of Dentistry Indonesia

Objective: This review aimed to seek insights into the challenges faced by caregivers and children with autism spectrum disorder (ASD) when performing and accessing oral care and their recommendations to overcome the matter. Methods: Six electronic databases were used to search for published English full articles using a standardised strategy and grouped using thematic analysis as findings to the study’s goal. Results: The initial screening found 46 relevant articles, but 21 were deemed eligible. Studies were mostly observational (18 crosssectional surveys and 3 case-controls), retrieving data from online or face-to-face surveys and insurance health info. The perceptions …

Epidemiology Of Bruxism And Temporomandibular Joint Disorders (Tmd) In Iranian Adults: A Cross-Sectional Study, Parviz Amini, Maryam Sharifi, Reyhane Aftabi, Fatemeh Jahanimoghadam, Hamidreza Jahanimoghadam

Journal of Dentistry Indonesia

Objective: The prevalence of bruxism in the literature has been reported differently. The aim of this study was to assess the prevalence of bruxism in patients aged 25–40 who were referred to Kerman Dental School. Methods: This analytical descriptive cross-sectional study was performed on 320 patients referred to the Department of Oral Medicine of Kerman Dentistry Faculty in the age range of 25 to 40 years old. The prevalence of bruxism as well as TMJ disorders were evaluated. Data were collected in a questionnaire and entered into SPSS version 24. Analyzing was done by a chi-square test at …

Effect Of Taper And Pitch On Nickle-Titanium File With Variable Cross Section To Its Cyclic Fatigue (In Silico Study), Yustika Chrysandra, Tunjung Nugraheni, Wignyo Hadriyanto

Journal of Dentistry Indonesia

The geometric design of an endodontic file includes cross-sectional shape, taper, and pitch. NiTi endodontic files of OneCurve (MicroMega) are made of two variations of cross-sectional shape, that is, double-s shaped and triple helix. Various kinds of modifications were made to increase the resistance of the NiTi endodontic files from fracture. Cyclic fatigue is the most common factor that causes a fracture of the endodontic file. Objective: The purpose of this study was to obtain a NiTi endodontic file design that has the best cyclic resistance value based on its taper size and number of pitch. Methods: This …

Mathematical Modeling For Dental Decay Prevention In Children And Adolescents, Mahdiyeh Soltaninejad

Dissertations

The high prevalence of dental caries among children and adolescents, especially those from lower socio-economic backgrounds, is a significant nationwide health concern. Early prevention, such as dental sealants and fluoride varnish (FV), is essential, but access to this care remains limited and disparate. In this research, a national dataset is utilized to assess sealants' reach and effectiveness in preventing tooth decay, particularly focusing on 2nd molars that emerge during early adolescence, a current gap in the knowledge base. FV is recommended to be delivered during medical well-child visits to children who are not seeing a dentist. Challenges and facilitators in …

Barriers To Dental Utilization Among Medicaid-Enrolled Young Children From Primary Care Practices In Northeast Ohio, David Selvaraj, Neel Agarwal, Jeffrey M. Albert, Suchitra Nelson

Faculty Scholarship

Objectives: To evaluate the individual and community factors that contribute to dental utilization among young children on Medicaid utilizing the Anderson Model and the Socio-Ecological Framework. Methods: This observational cross-sectional study was conducted using baseline data (socio-demographics, clinical dental need) from a cluster-randomized hybrid effectiveness-implementation trial among 1021 child–parent dyads recruited from primary care practices across northeast Ohio. The baseline data were then linked to dental Medicaid claims data (categorized as any dental visit, volume, and type in the past 12 months) and ICD-10 codes from the child's EHR data (individual-level) together with Dental Health Provider Shortage Area (HPSA) status …

The Role Of School-Based Dental Sealing Programs And Fluoride Varnish In Preventing Caries, Gyuri Park

SACAD: Scholarly Activities

To examine the effectiveness of school-based dental sealant programs and fluoride varnish applied to the teeth, we analyzed existing research on both methods. We also reviewed data from past research to reason the need for state funds, a sealant metric, and the elimination of prior exam rules for hygienists to increase dental sealant programs in the United States. Both dental sealants and fluoride varnish applied to the molar were found to be effective in caries prevention in existing dental research.