Demystifying Cracked-Tooth Syndrome: An Evidence-Based Approach To Diagnosis And Treatment Planning,
2024
University of the Pacific
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,
2024
University of the Pacific
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,
2024
University of the Pacific
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 …
Overcoming Challenges: Management Of Dentat Implants In The Aesthetic Zone,
2024
University of the Pacific
Overcoming Challenges: Management Of Dentat Implants In The Aesthetic Zone, Blake Giuliani
Excellence Day
Project Summary The patient was seen by two different student dentists before being transferred to me. I came to assist with the implant surgery and continued dental care from there on. The patient presented with missing #8 and a large vertical bone defect from #7-#9. The patient's confidence had gotten worse due to the continuous failure of implants and missing a front tooth. After over 3 years of treatment at the school, the patient felt whole again. Significance: Vertical bone defects can be very hard to manage, but espcially hard to manage when they are in the anterior region. Some …
Attempting Heroics: Restoring Buccally Angulated Implants,
2024
University of the Pacific
Attempting Heroics: Restoring Buccally Angulated Implants, Ryan Leong
Excellence Day
Buccally placed tissue-level implants in the esthetic zone may encounter various challenges, particularly concerning the trajectory of the screw channel and the implant body's placement. In this case, while addressing an edentulous space in the upper left quadrant with an implant bridge spanning from #12 to #14 it became evident that #12 was far too buccally placed. To address this issue, #14 was designed for screw retention, while #12 was planned for cement retention to accommodate the screw channel exiting through the buccal cusp. Although this method may seem to make the cement retained aspect of the restoration unretrievable, using …
Perio-Pros Interdisciplinary Smile Reconstruction Case Report,
2024
University of the Pacific
Perio-Pros Interdisciplinary Smile Reconstruction Case Report, Katherine Chen
Excellence Day
Summary of Project: The poster will show a step by step treatment plan and clinical progress of a maxillary anterior perio and pros smile reconstruction with extraction and bone grafting, crown lengthening, RCT, post and core, #7-10 crowns to correct a canted smile, gummy smile, fractured teeth due to bruxism Significance: This case will demonstrate the importance of interdisciplinary treatment planning. Acknowledgements: Dr. Wong, Dr. Woo, Dr. Huynh, all restorative AEGD attendings, and most importantly, my patient Robert Chisick
Endosseous Implant Placement In The Le Fort I Maxilla,
2024
University of the Pacific
Endosseous Implant Placement In The Le Fort I Maxilla, Kathleen Pham
Excellence Day
Summary of Project: Explanation of treatment plan to restore missing teeth in a previously treated Le Fort I mouth. Significance: To show the importance of restoring occlusal balance in a heavily restored, surgically treated mouth. Treatment plan will show multi-phase planning that encompasses operative, major restorative, and surgical implant placement. Combines aesthetic and functional planning as part of our comprehensive care. Acknowledgments: Dr. Wong, Dr. Woo, Dr. Beckley, Dr. Lee
Rebuilding Smiles: A Multidisciplinary Approach,
2024
University of the Pacific
Rebuilding Smiles: A Multidisciplinary Approach, Edrick Tan
Excellence Day
Summary of Project Dentistry today necessitates a comprehensive, multidisciplinary approach to effectively meet the diverse needs of patients. This case underscores the delicate balance between patient preferences and clinical feasibility, guided by input from multiple specialists. By integrating various experiences and perspectives, we crafted a treatment plan that not only addressed the patient's concerns but also considered future implications. Restoratively, numerous options were explored, culminating in the decision to place two veneers as a compromise between aesthetics and longevity. Significance The significance of this approach in dentistry cannot be overstated, particularly for general dentists who collaborate with specialists to manage …
Restoring A Smile: Functional And Esthetic Full Mouth Rehabilitation,
2024
University of the Pacific
Restoring A Smile: Functional And Esthetic Full Mouth Rehabilitation, Rachel Min
Excellence Day
Summary of Project: Restoring vertical dimension of occlusion (VDO) involves a complex interdisciplinary approach involving multiple specialties. The patient presented to the clinic with loss of VDO, tooth structure, and multiple posterior teeth leading to a smile and function that she was unsatisfied with. After careful planning, we created a treatment plan that would be carried out in multiple phases: increasing VDO through anterior direct restorations, endodontic treatment, placing implants, and restoring her posterior occlusion through indirect restoration of multiple premolars and implant crowns. This case demonstrates the detailed steps, treatment planning, and care provided to achieve a stable occlusion …
Full Mouth Rehab: Finding A Dental Home,
2024
University of the Pacific
Full Mouth Rehab: Finding A Dental Home, Colton Gruhler
Excellence Day
Patient, aged 64, presents with no significant medical history or current medications. Notably, the patient hails from Mexico and has foregone dental care for a decade, highlighting pertinent social factors. The patient's primary concern is the pursuit of comprehensive dental treatment. Following a meticulous examination, saliva analysis revealed a moderate pH, coupled with a high caries risk. Clinical findings revealed a sinus tract on tooth #31, accompanied by inflamed gingiva and multiple 5mm pocket depths in the maxillary region, necessitating two quadrant Scaling and Root Planing (SRP) procedures on the upper arch and a prophylaxis on the lower arch. Recurrent …
Full Mouth Rehabilitation: Turning Back The Clock With An Esthetic Result,
2024
University of the Pacific
Full Mouth Rehabilitation: Turning Back The Clock With An Esthetic Result, Vineet Gangadharan
Excellence Day
This case is about the dental management of a 78-year-old male patient with significant systemic health issues, including hypertension, hyperlipidemia, and polycythemia vera, under treatment with valsartan and atorvastatin. The patient expressed a desire to improve his dental aesthetics, particularly through the application of veneers. Clinical examination revealed an edentulous space at the locations corresponding to teeth #19 and #30, with #30 fractured at the gumline, and incisal chipping of the lower anterior teeth. The treatment plan was multifaceted, prioritizing the stabilization of the patient's periodontal health through prophylactic cleaning, followed by caries control. This involved resin fillings on teeth …
Aesthetic & Functional Oral Rehabilitation: A Multi-Disciplinary Case Involving Periodontics, Orthodontics, Implants, Veneers, And Crowns,
2024
University of the Pacific
Aesthetic & Functional Oral Rehabilitation: A Multi-Disciplinary Case Involving Periodontics, Orthodontics, Implants, Veneers, And Crowns, Siavash Ghardiri Zahrani
Excellence Day
A truly multidisciplinary case, this project is a case presentation of a patient who recently finished orthodontic treatment and has been wanting implants and veneers since becoming a patient in 2016. Prosthodontic treatment plan consists of 4 implants (sites 3, 13, 19, 30), 7 veneers (sites 4, 5, 6, 7, 8, 11, 12), and 3 crowns (sites 9,10,14). The patient is acutely aesthetically conscious, so we strived to deliver the best results possible via extensive, detailed, open communication with the lab. Challenges included the lack of proper posterior support and minimal contacts, management of patient expectations, as well as time …
Assessing Knowledge Of Cleft Lip And Palate Among Dental Students At The Universtiy Of Pacific Arthur A. Dugoni School Of Dentistry,
2024
University of the Pacific
Assessing Knowledge Of Cleft Lip And Palate Among Dental Students At The Universtiy Of Pacific Arthur A. Dugoni School Of Dentistry, Niki Panahi Zadeh, Simin Charkhzarri, Miroslav Tolar, Marie Tolarova
Excellence Day
Objectives: Orofacial clefts (OFC) are among the most common congenital anomalies, the most severe congenital anomalies of the orofacial region, requiring long and challenging multidisciplinary treatment. There is no doubt that all dental providers meet in their practice patients with OFC. Their knowledge, skills and experience are reflected in treatment outcomes. Methods: We created an anonymous Qualtrics survey to assess the basic knowledge about OFC among Arthur A. Dugoni School of Dentistry students and orthodontic residents. It consists of 20 questions, including etiology, prevalence, and prevention of clefts and other congenital anomalies. The study continues and so far results are …
The Antimicrobial Mechanisms Of Boswellia Serrata Extract In P. Gingivalis Infected Gingival Epithelial Cells,
2024
University of the Pacific
The Antimicrobial Mechanisms Of Boswellia Serrata Extract In P. Gingivalis Infected Gingival Epithelial Cells, Mahsa Asgari, Vincent Duarte
Excellence Day
Periodontitis is a severe gum infection that damages the soft tissue and destroys the bone that supports teeth. One of the major etiologic agents of periodontitis is Porphyromonas gingivalis (P. g). If untreated, periodontitis can lead to tooth loss and has been linked to systemic disorders such as heart disease and cancer. Frankincense is a resin obtained from the Boswellia tree and possesses potent anti-inflammatory properties, which have been shown to minimize the symptoms of inflammatory disease, such diabetes, rheumatoid arthritis, and microbial infections. Boswellia serrata extract was proposed to control the P. g growth in GEC, however the mechanism …
The Role Of Endoplasmic Reticulum In Pathogenesis Of Congenital Anomalies,
2024
University of the Pacific
The Role Of Endoplasmic Reticulum In Pathogenesis Of Congenital Anomalies, Edrick Tan
Excellence Day
Objectives This review delves into the intricate structural and functional roles of the endoplasmic reticulum (ER) in the context of congenital anomalies, encompassing conditions such as chondrodysplasias, congenital heart defects (CHD), and glycosylation mutations. Materials and Methods Searches within Google Scholar and PubMed databases were done using keywords "chondrodysplasias and ER stress", "maternal diabetes mellitus embryopathy and ER stress", and "UPR and birth defects". Systematic reviews, meta-analyses, and original studies were analyzed. The total of 23 articles published between the years 2012 and 2023 were reviewed. Results Dysregulation of protein folding in the ER, resulting in the accumulation of misfolded …
Advancements In Nasal Cavity Characterization: An Innovative Approach Using Cbct Imaging,
2024
University of the Pacific
Advancements In Nasal Cavity Characterization: An Innovative Approach Using Cbct Imaging, Nicole Alvandian, Jesse Manton, David Lam, Heesoo Oh, Jonas Bianchi
Excellence Day
Objectives: Analyzing a patient’s nasal anatomy and airway space is valuable for orthodontics and anesthesiology and is possible using CBCT images captured for orthodontic treatment planning. Here, we developed and tested a novel protocol for measuring airway features along the inferior nasal passage in pre and post CBCT images of patients who received conventional orthodontic treatment. We aimed to determine if there were significant differences in the airway measurements between the two time points for each patient using this novel protocol. Methods: In this retrospective longitudinal observational study, CBCT images of each patient at two time points (T1 and T2) …
Review Of Long Term Prognosis Of Endodontic Microsurgery,
2024
University of the Pacific
Review Of Long Term Prognosis Of Endodontic Microsurgery, Aayushma Hamal, Pooja Bashyal, Fotima Jaludi
Excellence Day
Objective : To determine the long term prognosis of Endodontic Microsurgery. Methods : Different keywords such as endodontic microsurgery, CBCT, apical resections, endo surgery were used to find the research papers. Various research papers were reviewed to collect the data. Results : The success rate for outcomes with VRF included was 86.9% for 1-4 yrs and 67.2% for 5-9 yrs. The success rates for the outcomes with VRF excluded was 92.5% for 1-4 years and 81.8% for 5-9 yrs.The prognosis was influenced by the crestal bone level lower probability of healing when the interproximal bone level is >3mm from CEJ …
Dental Pulp Stem Cells In Regenerative Dentistry,
2024
University of the Pacific
Dental Pulp Stem Cells In Regenerative Dentistry, Zachary Eschenberg, Marie Tolarova, Mirek Tolar
Excellence Day
Abstract Objectives: This literature review aims to provide a comprehensive overview of recent research on dental pulp stem cells (DPSCs) in regenerative dentistry, addressing their characteristics, importance, isolation techniques, utilization in different dental specialties, and future prospects. Methods: Relevant studies published within the last 20 years were identified through database searches and manual selection. The review synthesizes findings from key research articles, including those investigating DPSC characterization, isolation methods, therapeutic applications, and future uses. Results: Dental pulp stem cells (DPSCs) are mesenchymal stem cells located within dental pulp tissue, exhibiting a high proliferation rate and multilineage differentiation capacity. DPSCs offer …
Growth Prediction Using Artificial Intelligence,
2024
University of the Pacific
Growth Prediction Using Artificial Intelligence, Yoosun (Sunny) Jang, Richa Roy, Shaila Patel, Jeff Roseth, Heesoo Oh, Heeyeon Suh
Excellence Day
Abstract: Objectives: To compare facial growth prediction models based on the partial least squares and artificial intelligence (AI) Materials and Methods: Serial longitudinal lateral cephalograms from 33 patients who had not undergone orthodontic treatment but had taken serial cephalograms were collected from Mathews Growth Study located in the American Association of Orthodontists Foundation (AAOF) Growth Legacy Collection. On every image, 46 skeletal and 32 soft- tissue landmarks were identified using CEPPRO. Growth prediction models were built using multivariate Partial Least Squares regression (PLS) and a deep learning method based on the deep neural network incorporating 161 predictors, and 156 responses, …
Transcutaneous Electrical Nerve Simulation (Tens) In Pain Management,
2024
University of the Pacific
Transcutaneous Electrical Nerve Simulation (Tens) In Pain Management, Simin Charkhzarrin, Brianna Wolfe, Miroslav Tolar, Marie Tolarova
Excellence Day
"Transcutaneous Electrical Nerve Stimulation (TENS) in Pain Management Simin Charkhzarrin, Brianna Wolfe, Miroslav Tolar, Marie M. Tolarova Summary of Project: Drug dependence and addiction, including opioids used in many situations to mitigate pain, are serious problems of our society. It is not only affecting the human body physically and psychologically with harmful consequences, but it is also costly to our society that provides for substance abuse rehabilitation, addiction recovery centers, and outpatient and in-patient treatment. Thus, applying TENS (Transcutaneous Electrical Nerve Stimulation) and other non- pharmacological therapies for pain management are very important for improvement of healthcare. TENS inhibits neural …
