Dentistry Commons^™

Orthograde Apical Plug In A Traumatized Tooth With Necrotic Pulp And Immature Apex Using Calcium Silicate Cement: A Case Report, Shizrah Jamal, Fahad Umer

Section of Dental-Oral Maxillofacial Surgery

This case report describes dental management of a 15- year-old boy, undergoing treatment for Thalassaemia Major and Acute Myeloid Leukaemia with bone marrow transplant and immuno-suppressants. During the course of his treatment the patient developed a swelling in anterior maxilla and therefore was referred by the primary physician for evaluation. This case report highlights the management of medically compromised patients in a tertiary care hospital in which apexification was carried out in a permanent immature tooth utilizing MTA as an immediate apical plug.

Conventional And Contemporary Approaches Of Splinting Traumatized Teeth: A Review Article, Shizrah Jamal, Momina Motiwala, Rabia Ghafoor

Section of Dental-Oral Maxillofacial Surgery

Trauma moves a tooth from its original position which needs to be repositioned for optimum healing and better outcomes. To stabilize the traumatically displaced teeth, splinting is specified as the gold standard. In this article we have discussed about various old and modern techniques based on the type of material to splint teeth with dentoalveolar trauma. As per recommendation of IADT, providing flexible splint is beneficial for good healing. A biologically favourable splint should not just be user friendly but also should be convenient in terms of removal. Every technique has its merits and demerits. Iatrogenic trauma to the teeth …

J Mich Dent Assoc February 2020

The Journal of the Michigan Dental Association

Every month,The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on the 2020 MDA Annual Session
• A feature covering student perspectives on the Opioid Crisis
• News you need, Editorial and regular department articles on MDA Foundation activities, Dentistry and the Law, Staff Matters, Headquarters Report, and component news

This issue also includes articles reprinted with permission:

• “Muscle Deprogramming: A Source of Confusion”, …

Periodontal Inflammation: Integrating Genes And Dysbiosis, Shaoping Zhang, Ning Yu, Roger M Arce

Faculty, Staff and Student Publications

Biofilm bacteria co-evolve and reach a symbiosis with the host on the gingival surface. The disruption of the homeostatic relationship between plaque bacteria and the host can initiate and promote periodontal disease progression. Recent advances in sequencing technologies allow researchers to profile disease-associated microbial communities and quantify microbial metabolic activities and host transcriptional responses. In addition to confirming the findings from previous studies, new putative pathogens and novel genes that have not previously been associated with periodontitis, emerge. For example, multiple studies have reported that Synergistetes bacteria are associated with periodontitis. Genes involved in epithelial barrier defense were downregulated in …

Polymeric Scaffolds For Dental Pulp Tissue Engineering: A Review, Hossein E. Jazayeri, Su-Min Lee, Lauren Kuhn, Farahnaz Fahimipour, Mohammadreza Tahriri, Lobat Tayebi

School of Dentistry Faculty Research and Publications

Objectives

The purpose of this review is to describe recent developments in pulp tissue engineering using scaffolds and/or stem cells. It is crucial to understand how this approach can revitalize damaged dentin-pulp tissue. Widespread scaffold materials, both natural and synthetic, and their fabrication methods, and stem-progenitor cells with the potential of pulp regeneration will be discussed.

Data and Sources

A review of literature was conducted through online databases, including MEDLINE by using the PubMed search engine, Scopus, and the Cochrane Library.

Study Selection

Studies were selected based on relevance, with a preference given to recent research, particularly from the past …

Craniofacial Analysis May Indicate Co-Occurrence Of Skeletal Malocclusions And Associated Risks In Development Of Cleft Lip And Palate, Denise K. Liberton, Payal Verma, Konstantinia Almpani, Peter W. Fung, Rashmi Mishra, Snehlata Oberoi, Figen Ç. Şenel, James K. Mah, John Huang, Bonnie L. Padwa, Janice S. Lee

Dental Medicine Faculty Research

Non-syndromic orofacial clefts encompass a range of morphological changes affecting the oral cavity and the craniofacial skeleton, of which the genetic and epigenetic etiologic factors remain largely unknown. The objective of this study is to explore the contribution of underlying dentofacial deformities (also known as skeletal malocclusions) in the craniofacial morphology of non-syndromic cleft lip and palate patients (nsCLP). For that purpose, geometric morphometric analysis was performed using full skull cone beam computed tomography (CBCT) images of patients with nsCLP (n = 30), normocephalic controls (n = 60), as well as to sex- and ethnicity- matched patients with an equivalent …

Adea-Adee Shaping The Future Of Dental Education Iii: Engaging With Global Networking To Enable Global Oral Health, Upen S. Patel, Lior Shapira, Jennifer E. Gallagher, Joan Davis, Lily T. Garcia, Richard W. Valachovic

Dental Medicine Faculty Research

Global networking has been identified as an important method of enhancing health care education and services in the field of dentistry.1 The ability to share expertise, resources, knowledge, and experience to benefit all is highly desired among students, educators, health care professionals, and communities globally. Both our student and patient populations are dynamic societies that are becoming increasingly complex and facing growing needs and expectations, which is a constant challenge for educators and health care professionals to satisfy.2 The key question, stemming from the Global Networking (GN) workshop of the 2017 ADEE‐ADEA Shaping the Future of Dental Education II meeting, …

Adea‐Adee Shaping The Future Of Dental Education Iii: Assessment In Competency‐Based Dental Education: Ways Forward, Ingrid Tonni, Cynthia C. Gadbury-Amyot, Marjan Govaerts, Olle Ten Cate, Joan Davis, Lily T. Garcia, Richard W. Valachovic

Dental Medicine Faculty Research

Assessment in competency-based dental education continues to be a recognized area for growth and development within dental programs around the world. At the joint American Dental Education Association (ADEA) and the Association for Dental Education in Europe (ADEE) 2019 conference, Shaping the Future of Dental Education III, the workshop on assessment was designed to continue the discussion started in 2017 at the ADEA-ADEE Shaping the Future of Dental Education II.1 The focus of the 2019 conference involved examining the potential of entrustable professional activities (EPAs) and current thinking about workplace-based assessment (WBA) within competency-based education in the 21st century. Approximately …

Ada News - 01/20/2020, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Retrospective Analysis Of The Association Of Non-Carious Cervical Lesions With Bruxism, Angelica J. Bustos, Tanya Al-Talib, Neamat H. Abubakr

Dental Medicine Faculty Research

Recently, bruxism became the center of attention for the etiological research of non-carious cervical lesions (NCCLs). The present study aims to investigate the presence and types of NCCLs associated with bruxism. Retrospective keywords search of the clinical notes of all patient charts in axiUmTM was performed using the terms “bruxism”, “attrition”, “abrasion”, “erosion”, and “abfraction”. All bruxer patients 18 years and older who presented to the UNLV School of Dental Medicine (01/01/2014 to 09/30/2018) with the complete record were included. To determine the statistical analysis implications, the chi-square test was used. Commonest types of NCCL associated with bruxism were attrition …

Ada News - 01/06/2020, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Using Big Data To Promote Precision Oral Health In The Context Of A Learning Healthcare System, Joseph Finkelstein, Frederick Zhang, Seth A. Levitin, David Cappelli

Dental Medicine Faculty Research

There has been a call for evidence‐based oral healthcare guidelines, to improve precision dentistry and oral healthcare delivery. The main challenges to this goal are the current lack of up‐to‐date evidence, the limited integrative analytical data sets, and the slow translations to routine care delivery. Overcoming these issues requires knowledge discovery pipelines based on big data and health analytics, intelligent integrative informatics approaches, and learning health systems. This article examines how this can be accomplished by utilizing big data. These data can be gathered from four major streams: patients, clinical data, biological data, and normative data sets. All these must …

Comprehensive Review Of Current Endodontic Sealers, Takashi Komabayashi, David Colmenar, Nicholas Cvach, Aparna Bhat, Carolyn Primus, Yohji Imai

Dental Medicine Faculty Publications

Endodontic sealers for non-surgical root canal treatment (NSRCT) span many compositions and attributes. This comprehensive review discusses current types of endodontic sealers by their setting reaction type, composition, and properties: zinc oxide-eugenol, salicylate, fatty acid, glass ionomer, silicone, epoxy resin, tricalcium silicate, and methacrylate resin sealers. Setting time, solubility, sealing ability, antimicrobial, biocompatibility, and cytotoxicity are all aspects key to the performance of endodontic sealers. Because sealing ability is so important to successful outcomes, the relative degree of microleakage among all the relevant sealers was calculated by way of a meta-analysis of relevant literature. Compared to AH Plus, tricalcium silicate …

Utilization Of Dental Services Among Medicaid Enrolled Pregnant Women In Virginia, Shillpa Naavaal, Tegwyn Brickhouse, Jonathan W. Yu, Joann Wells

Philips Institute for Oral Health Research Publications

The study evaluated the impact of the Virginia Medicaid dental benefit on dental services utilization among pregnant women enrolled in Medicaid. Data from a total of 10,395 women who had at least one dental claim during the 2015-2017 period were included in the study. The number of dental visits and dental services utilized per person grew from an average of 2.2 visits and 7 services in 2015 to 3.1 visits and 10.5 services in 2017, respectively. In 2017, of all dental services used, 6% were for preventive services and 59% were for treatment services. Continued efforts and targeted interventions are …

Marijuana Legislation: Identifying The Impact On The Oral Healthcare Provider, Abby L. Geiser, Jessica Reid-Burrell

Dental Hygiene Student Scholarship

Objectives/Aims: Since the mid-2000s, the United States has seen a surge in legislation involving the legalization of marijuana, both recreationally and medicinally. The relaxed laws translated into an increase of marijuana consumption and thereby a potential increase in the number of patients a provider will see that are cannabis users. The purpose of this review is to illustrate how the providers begin to see pathologies related to cannabis use more frequently, and how they will need to be prepared for ways this can be addressed. Additionally, oral healthcare providers will face ethical dilemmas and legal challenges when treating patients and …

The Effect Of Competitive Swimming On Oral Health Status, Laura Apsley, Alexandra Walter

Dental Hygiene Student Scholarship

Objectives/Aims: Competitive athletes are often considered to be susceptible to bodily injury. It is now being realized that competitive swimmers are also at risk, specifically in the unsuspected realm of the oral cavity. The purpose of our research is to examine the effect of competitive swimming on an athlete's oral health status.

Methods: Using sources found on Pubmed and Google Scholar, the data used for the correlation of swimming pools and generalized dental trauma are as follows: competitive swimmers and non- competitive swimmers were examined for specific variables such as decayed, missing, or restoratively involved teeth, plaque and gingival index, …

Lead X-Ray Vests: Pros And Cons In Dental Radiography And Patient Education On Radiographic Technology, Kayla D. Oakley, Emily Deker

Dental Hygiene Student Scholarship

Problem: There is a greater need to emphasize and educate patients and providers about radiologic advancements and patient exposure. The tradition of placing lead x-ray vests on patients for all radiographs is no longer a necessity. Without the explanation of why lead aprons are no longer needed, unnecessary steps for the provider and potential harm to the patient could be caused.

Methods: This review of literature was assembled by analyzing data from primary and secondary sources through online databases. The most recent research on the risks and benefits of the use of lead x-ray vests towards patients in …

The Ethics Of Using A Live Patient For Dental Board Exams, Aaliyah Gibbs, Ashley Christ

Dental Hygiene Student Scholarship

Objective: This study will discuss the various viewpoints regarding the ethics of using a live patient for board examination in dentistry. It will expand upon the inconsistency of the exam to include the compromised patient care, dishonorable delay in care needed so students can perform care during boards, the dignity of both the student and the patient that is paid to agree to be subject to such procedures, and the potential and irreversible harm caused to these patients. The research in this paper will explore various options for obtaining a license for clinical boards in dentistry and dental hygiene in …

Probiotic Biotherapy: Discussing Its Influential Role In Oral Health, Karla Florez, Claudette Sullano

Dental Hygiene Student Scholarship

Introduction: Probiotics are widely known for their health promoting benefits, especially with its association to gastrointestinal health. For many years, most research has been focused on the prevention or treatment of gastrointestinal infections or diseases. However, recently probiotics has been a subject of investigation with its association to oral health. This review of literature is designed to analyze the effectiveness of using probiotics as a preventative and therapeutic method for oral infections/diseases such as periodontitis, dental caries, and the like.

Methods: Databases such as the PubMed, and Google Scholar were utilized to find current and relevant findings for this …

Finite Element Analysis Of A One-Piece Zirconia Implant In Anterior Single Tooth Implant Applications, Georgi Talmazov, Nathan Veilleux, Aous Abdulmajeed, Sompop Bencharit

General Practice Publications

This study evaluated the von Mises stress (MPa) and equivalent strain occurring around monolithic yttria-zirconia (Zir) implant using three clinically simulated finite element analysis (FEA) models for a missing maxillary central incisor. Two unidentified patients’ cone-beam computed tomography (CBCT) datasets with and without right maxillary central incisor were used to create the FEA models. Three different FEA models were made with bone structures that represent a healed socket (HS), reduced bone width edentulous site (RB), and immediate extraction socket with graft (EG). A one-piece abutment-implant fixture mimicking Straumann Standard Plus tissue level RN 4.1 X 11.8mm, for titanium alloy (Ti) …