Dentistry Commons^™

Silver Diamine Fluoride As A Caries Management Option For The Young Child, Giovana Anovazzi Medeiros Dds, Msc, Phd, Chia-En Tsai Dds, Ms, Nita Singh Dds, James R. Boynton Dds, Ms

The Journal of the Michigan Dental Association

Dental caries is among the most-common childhood diseases around the world, and neglected caries can result in pain, infection, and can have a negative cascading impact on a child’s overall well-being. Definitive care of these lesions involves restorative procedures and/or extractions, but these treatment options require some level of child cooperation, which can sometimes be a challenge with very young children.

Silver diamine fluoride (SDF) is a non-invasive treatment intended to arrest the caries process. SDF is a liquid solution that contains a high concentration of silver and fluoride ions and has been used as an alternative agent for treating …

Staying Focused On A Moving Target: Coping With Change, North Shetter Dds

The Journal of the Michigan Dental Association

Amid rapid changes in dentistry, this commentary addresses strategies to manage stress and maintain professional balance. Drawing parallels to Moore's Law in technology, the author emphasizes the need for a balanced life, integrating work, play, love, and worship. The concept, rooted in the Pankey Philosophy, aligns with principles from Stephen Covey's Seven Habits. Core skills, including patient relationships, foundational dental practices, periodontal health, occlusion, and perpetual learning, are deemed essential. The article underscores the importance of personal dental health and advocates for study clubs to share, learn, and mentor, fostering a positive professional environment amid evolving technologies and information overload.

Setting The Foundation For A Lifetime Of Oral Health, Samuel Blanchard Dds, Ms

The Journal of the Michigan Dental Association

In this Children’s Dental Health Month article, the Michigan Academy of Pediatric Dentistry emphasizes the crucial role of relationships and trust in pediatric dentistry. Highlighting the significance of collaborative efforts between dental societies, the commentary discusses the impact of professional connections on patient care. The author shares personal insights on transitioning in their career, underscoring the value of cultivated relationships. The age-1 dental visit is highlighted as a powerful preventive measure to establish rapport and empower parents with oral health knowledge. The article emphasizes the enduring benefits of building connections in promoting lifelong oral health.

Dentistry And The Law: Know The Facts About Noncompete And Liquidated Damages Agreements, Dan Schulte Jd

The Journal of the Michigan Dental Association

Navigating dental employment agreements involves understanding the enforceability of non-compete and liquidated damages provisions. While these aim to protect the employer's business, courts may scrutinize their reasonability. In Michigan, noncompete terms of two years or less are generally deemed reasonable, and the restricted area must align with the patient base. A $15,000 liquidated damages amount per patient might face challenges, as it should relate reasonably to actual damages. Courts may also consider equitable factors and the employer's adherence to the agreement. Both employers and employees benefit from reasonable restrictions, avoiding potential legal disputes.

The Pacesetter Style Of Leadership, Michelle C. Dziurgot Dds

The Journal of the Michigan Dental Association

This editorial explores the pacesetter leadership style, likening it to a marathon "rabbit" setting a fast pace. Pacesetters, exemplified by figures like Jack Welch and James Cameron, set ambitious goals, driving themselves and their teams relentlessly. While effective in achieving short-term goals and maximizing team potential, drawbacks include employee stress, lack of feedback, and a "rat race" atmosphere. The author, a self-identified pacesetter with a compassionate approach, emphasizes the importance of balancing high standards with employee well-being for sustained success.

Surgical Periodontal Management Of Peripheral Ossifying Fibroma: A Series Of Three Cases, Karo Parsegian, Roger M Arce, Nikola Angelov

Faculty, Staff and Student Publications

Peripheral ossifying fibroma (POF) is a benign swelling of the gingival connective tissue commonly associated with dental biofilm and biofilm-retentive dental appliances. In the present case report, we described three cases of POF with different clinical presentations and treatment approaches. The treatment consisted of the removal of supra- and subgingival calculus, followed by a flap surgery with excision of the entire lesion ensuring the inclusion of the periosteal bed. The first patient developed POF during her pregnancy that remained clinically noticeable postpartum. The second case represented a rare case of POF appearing on the palatal aspect of the anterior maxilla …

Increased Resolvin E1 Production By Peripheral Blood Mononuclear Cells In Periodontitis Patients: Pilot Study, Lina J Suárez, Wilmer González-Duarte, Rodrigo Torrez-Velasco, Viviana Salinas, Nelly S Roa-Molina, Sindy M Muñoz, Luz-Stella Rodríguez, Roger M Arce, Jamil A Shibli, Adriana Rodríguez-Ciodaro

Faculty, Staff and Student Publications

This study quantified the production of the pro-resolving agent Resolvin E1 by peripheral blood mononuclear cells (PBMC) from 20 systemically healthy volunteers with and without periodontitis after stimulation with lipopolysaccharide (LPS) from Porphyromonas gingivalis (Pg). Ten periodontitis patients and 10 healthy volunteers (30-50 years old), matched by age and sex, were recruited. Peripheral blood mononuclear cells were isolated and stimulated in culture plates for 24 hours with Pg LPS. Resolvin E1 levels were measured in the supernatants by enzyme-linked immunosorbent assay. Significantly higher production of Resolvin E1 was observed in both groups when stimulated with LPS compared to baseline levels …

Comparative Study Of Dynamic Cyclic Fatigue Resistance Of Two Files With Different Kinematics, Rahma Abdelshafy, Abeer Mahran, Mahmoud Fahim

International Arab Journal of Dentistry

Objectives: The aim of the study was to determine the dynamic cyclic fatigue resistance (DCFR) of R-motion file and Protaper Next file (PTN) by differential scanning calorimetry (DSC) and scanning electron microscopy (SEM).

Methods: R-motion file (25/.06), PTN file (25/.06) were used and divided into 2 groups (n = 28) according to the file type. DCFR was performed using an artificial canal. Files were allowed to work until separation. The numbers of cycles to failure (NCF) and the time to fracture (TTF) were calculated. The files were subjected to DSC and SEM.

Results: R-motion files had higher …

Clinical Assessment Of The Abutment Teeth Of Children Undergoing Space Maintainer Therapy: A Randomised Controlled Trial, Ayesha Fathima, Ganesh Jeevanandan, Prabhadevi Maganur, Suman Panda, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Introduction: The band and loop space maintainer are one of the most commonly used fixed space maintainers in children. However, prolonged use of appliances in the oral cavity may lead to changes in gingival health and an increased risk of caries.

Objectives: This study aims to evaluate the clinical parameters of the abutment teeth, specifically the banded teeth and the tooth to which the loop is extended.

Methods: This prospective clinical study included 35 children between the age group of 5 to 9 years. The children were examined at baseline and 6-month follow-up. The abutment teeth were …

Clinical Management Of Mandibular Permanent Premolars With Periapical Lesion And Bilateral Supernumerary Teeth: A 7-Year Follow-Up Case Report, Chiara Pirani, Shehabeldin Saber, Francesco Iacono

International Arab Journal of Dentistry

Objectives: This 7-years follow-up case report describes two diversified strategies for the management of bilateral mandibular permanent premolars associated with periapical lesion and unerupted supernumerary teeth.

Case Report: A non-syndromic 9 years-old Asian female patient presented pain and swelling of the 35 in anatomical contiguity with an immature and unerupted supernumerary tooth. Clinical examination revealed an intraoral vestibular sinus tract related to the necrotic 35. Periapical radiography and CBCT showed that the 35 had an immature apex associated with a periapical lesion, and a supernumerary tooth in a lingual direction. Endodontic treatment of the 35 was performed by creating …

Assessment Of Clinical Performance Of Universal Adhesives Versus Other Adhesive Systems: A Systematic Review And Meta-Analysis Of Clinical Trials, Rim Bourgi, Naji Kharouf, Carlos Enrique Cuevas-Suárez, Cynthia Kassis, Ana Josefina Monjaras-Avila, Mohammad Qaddomi, Sophie Abi Raad, Mohammed Al Hasani, Youssef Haikel, Louis Hardan

International Arab Journal of Dentistry

Universal adhesives (UAs) often exhibit comparable or even superior bond strength to traditional adhesive systems, ensuring reliable and long-lasting adhesion between the resin composite and the tooth structure. Therefore, this study aimed to assess the clinical performance of UAs compared to other adhesive systems in direct resin composite restorations through a systematic review and meta-analysis. Two reviewers executed a literature search in five electronic databases: PubMed, EMBASE, Scopus, Web of Science, and Scielo. Clinical trials comparing the clinical evaluation of resin composite restorations in Class I, Class II, or Class V cavities placed with an universal adhesive (UA) system against …

Does The Application Of Polywave Light-Curing Units Influence Physico-Mechanical Properties Of Resin-Based Materials? A Meta-Analysis Of In Vitro Studies, Miguel Ángel Fernández-Barrera, Rim Bourgi, Abigailt Flores-Ledesma, Cristina Pereira Isolan, Vincenzo Tosco, Bogdan Dimitriu, Carlos Enrique Cuevas-Suárez, Monika Lukomska-Szymanska, Louis Hardan

International Arab Journal of Dentistry

The objective of this study was to systematically review the existing literature and to assess the effect of the use of polywave light-curing units on the properties of resin-based materials. A thorough search was conducted across five electronic databases: PubMed (MedLine), ISI Web of Science, SciELO, Scopus, and EMBASE. Inclusion criteria comprised in-vitro studies that compared the effects of polywave light-emitting diode (LED) curing units with monowave LED curing units on resin-based material properties. Two reviewers evaluated the methodological quality of the included studies, considering parameters from previous systematic reviews. Meta-analyses were conducted using Review Manager version 5.3.5 (The Cochrane …

Does Reduced Taper Canal Preparation Increase The Load Capacity Of Endodontically Treated Teeth?, Mostafa M.A. Elkholy, Omar Mahmoud Noureldin, Hala Fayek Khalil, Shehabeldin M. Saber

International Arab Journal of Dentistry

Objectives: The aim of this in-vitro study is to assess and compare the load capacity of teeth with canals prepared using progressive taper versus regressive taper.

Methods: Twenty-seven extracted mandibular molars were categorized into three equal groups. The negative control group involved teeth that were accessed and restored with composite resin without canal preparation. The regressive canal preparation group used the TruNatomy file system, while the progressive canal preparation group employed the ProTaper Gold system. Subsequently, all samples underwent loading using a universal testing machine until tooth fracture occurred. The force required to fracture each tooth was recorded …

Caries Risk Prediction In Pediatric Patients Using Machine Learning Techniques: A Retrospective Study, Nagarathna P J, Vishnu Priya Veeraraghavan, Aysha Jebin A, Shikar Daniel, Kaladhar Reddy Aileni, Santosh R Patil

International Arab Journal of Dentistry

Introduction: Dental caries is a multifactorial disease prevalent in children and is often influenced by behavioral, environmental, and genetic factors. Traditional caries risk assessment methods have a limited accuracy and objectivity. Machine learning (ML) models provide a data-driven approach for predicting caries risk, thereby enabling targeted interventions.

Objectives: The main objective of this study is to develop and validate ML models for predicting caries risk in pediatric patients aged 6–12 years by incorporating clinical, behavioral, dietary, and socioeconomic factors.

Methods: This retrospective observational study included 148 children aged 6–12 years. Data, including demographic details, Decayed Missing Filling …

Evaluation Of Post Operative Pain After Obturation Using Two Different Types Of Sealer: A Randomized Clinical Trial, Sara Amin, Mohamed Kataia, Hala Khalil

International Arab Journal of Dentistry

Objective: This study aims to assess the impact of bioceramic and resin based sealers on post endodontic pain after endodontic treatment performed in single visit.

Methods: In this study, forty patients in need of endodontic therapy were chosen. single visit endodontic treatment was done for the patients but obturated using two different types of sealers: in Group 1: AH Plus sealer was used and in Group 2: EndoSequence BC sealer Hiflow was used. Post endodontic pain was measured for 12,24,48 and 72 hours postoperatively.

Results: Both sealer groups’ post-endodontic pain levels did not significantly differ from one …

Validation Of A Screening Tool For Sleep Apnea In Children, Brandon Khor

Theses and Dissertations

Objective: The aims of this study were to (1) determine the ability of a pediatric obstructive sleep apnea (POSA) questionnaire to identify high-risk patients through confirmation with an at-home sleep apnea test (HSAT) and (2) to evaluate the correlation between high-risk patients as identified by the questionnaire (PM-STOP-Bang) and an already validated POSA screening tool.

Methods: Orthodontic patients aged 12-17 who met the inclusion criteria were consecutively enrolled in the study (n=16). At the initial orthodontic appointment, the clinician filled out the PM-STOP-Bang questionnaire. Subsequently, participants were invited to complete a one-night HSAT (WatchPat, WP-Itamar-Medical, Caesarea, Israel), which recorded diagnostic …

Factors Important To Underrepresented Minority Applicants In Ranking Orthodontic Programs, Alyssa Patterson

Theses and Dissertations

Purpose: To determine if there was a difference in desirability of various factors used by applicants ranking orthodontic programs depending on their racial or ethnic background.

Method: A survey was distributed to orthodontic residents to assess overall preferences, and differences in desirability of various factors between underrepresented minority (URM) and non-URM applicants.

Results: For applicants overall, “clear aligner therapy training”, “good quality of clinical faculty” and “high number of cases started” had the highest mean desirability. “Racial and ethnic diversity among current and former residents”, “racial and ethnic diversity among faculty” and “participation in care of Medicaid patients” were significantly …

A Radiographic Analysis Of Teeth With Carrier-Based Obturation Requiring Retreatment, Robert W. Rudnicki

Theses and Dissertations

Objective: The purpose of this study was to determine observer accuracy and agreement in detecting carriers using preoperative radiographs, as well as to identify potential radiographic indicators for the presence of carriers.

Methods: A chart review was conducted for patients seen at the VCU graduate endodontic clinic. Eligible cases included previously treated teeth that were nonsurgically retreated, with and without identified carriers. 100 cases were identified, including 61 carrier and 39 non-carrier cases. Preoperative radiographs were randomized, and evaluators assessed each case for the presence of carrier-based obturation. Evaluators included three endodontists, one general dentist, and four endodontic residents. Statistical …

Characteristics Of Permanent Teeth Diagnosed With Pulpal Necrosis: A Retrospective Study, William Lee

Theses and Dissertations

Objective: To determine associations of pulpally necrotic teeth with demographics, clinical findings, radiographic presentation, and periapical status.

Methods: Virginia Commonwealth University uses AxiUm software to record dental treatment and treatment notes. The current study involves a keyword search using the term “pulpal necrosis”. Factors compiled and evaluated included but not limited to patient demographics, location in the dental arch, clinical findings, radiographic presentation, and periapical status.

Results: Data has revealed that teeth with pulpal necrosis can present with a variety of different clinical findings. All of the following were observations of teeth with pulpal necrosis. A total of 325 teeth …

Age Of First Dental Visit And Early Childhood Oral Health Quality Of Life, Richard Greene

Theses and Dissertations

Objective: This project aims to examine the association between the age of a child's first dental visit and their Early Childhood Oral Health Impact Scale (ECOHIS) score.

Methods: A 22-item cross-sectional survey was distributed to caregivers of healthy children aged 5 years and younger with an American Society of Anesthesiology (ASA) I and II status who presented for new patient exams.

Results: In total, 117 caregivers participated in the survey. The ECOHIS was assessed on a 5-point Likert scale and scores ranged from 0-52; higher values indicate poor oral health having a greater impact on the child and family. Those …