Dental and Medical Problems最新文献

{"title":"Effect of various beverages on the surface roughness and color stability of different denture base resins: An in vitro study.","authors":"Mai Salah El-Din, Passent Ellakany, Shaimaa Mohamed Fouda, Mohammed Moustafa Gad","doi":"10.17219/dmp/139041","DOIUrl":"https://doi.org/10.17219/dmp/139041","url":null,"abstract":"<p><strong>Background: </strong>Denture base materials can be highly sensitive to the effects of daily beverage consumption, manifesting in alterations to their surface texture or color.</p><p><strong>Objectives: </strong>The study aimed to evaluate the effect of different beverages (Pepsi, coffee and tea) on the surface roughness (Ra) and color stability of 3 types of denture base materials.</p><p><strong>Material and methods: </strong>A total of 120 specimens (n = 10/group) were fabricated from 3 different denture base materials, namely heat-polymerized polymethyl methacrylate (HP), thermoformed polyamide (PA) and acetal (AC). The surface roughness and color stability of the specimens were evaluated 3 times: before immersion in beverages; after 30 days of immersion; and after 90 days of immersion in artificial saliva (a control group) and Pepsi, coffee and tea (test groups). The data analysis was performed using twoway analysis of variance (ANOVA) to compare the results of Ra and color change (ΔE) between denture base resins and beverages.</p><p><strong>Results: </strong>The differences between the materials, beverages and time were significant for Ra values, as well as the interaction between materials and beverages, and between beverages and time. The findings indicated significant differences in ΔE between denture base materials. In comparison to PA and AC, HP exhibited lower ΔE values. A significant change in color was observed over time for all of the tested materials.</p><p><strong>Conclusions: </strong>The tested beverages increased Ra and caused change in the color stability for all materials. The observed color change was correlated with the duration of the immersion, and was more evident in thermoformed resins.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the link between temporomandibular disorders and infectious diseases: A systematic review of comorbidities and underlying mechanisms.","authors":"Magdalena Osiewicz, Mieszko Więckiewicz, Anna Olchowy, Jacek Czepiel, Paweł Dąbrowski, Maciej Cebula, Carmelo Messina, Cyprian Olchowy","doi":"10.17219/dmp/203808","DOIUrl":"https://doi.org/10.17219/dmp/203808","url":null,"abstract":"<p><p>Temporomandibular disorders (TMD) are often linked with a variety of comorbidities, which can complicate their diagnosis and management. A systematic literature review (SLR) was conducted to investigate the association between the occurrence of TMD signs and symptoms in patients with infectious diseases.The present SLR was carried out in PubMed®. The eligibility criteria were established to include patients presenting with TMD signs and symptoms associated with an infection. The search identified 258 records, of which 27, involving 20,489 patients, were included in the qualitative analysis. Three types of associations were identified between the onset of TMD signs and symptoms and the type of infection. The first association is TMD arising from hematogenous spread of the pathogen to the temporomandibular joint (TMJ), the predominant symptoms of which are related to impaired TMJ function. The infection varies in severity and is occasionally asymptomatic, making it challenging to establish a clear connection between pathogen spread and symptoms in the temporomandibular region. Second, TMD resulting from the local spread of pathogens to adjacent tissues within the temporomandibular area were examined. This category included odontogenic infections, upper respiratory tract infections and otogenic infections. Thirdly, TMD associated with chronic systemic infection without arthritis were analyzed, which develop as a consequence of systemic changes due to prolonged illness and/or psychological disorders arising from limited treatment options.The relationship between the onset of TMD and infectious diseases is complex and multifaceted. A careful differential diagnosis is essential, as TMD can mask an underlying infection, leading to delays in accurate diagnosis and timely anti-infective treatment.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep bruxism and sleep architecture in chronic migraine: A polysomnographic study.","authors":"Bartłomiej Błaszczyk, Helena Martynowicz, Mieszko Więckiewicz, Sławomir Budrewicz, Marta Waliszewska-Prosół","doi":"10.17219/dmp/210439","DOIUrl":"https://doi.org/10.17219/dmp/210439","url":null,"abstract":"<p><strong>Background: </strong>Despite the fact that sleep bruxism (SB) is common in migraine, and that patients with migraine often report poor sleep quality, SB and sleep architecture in chronic migraine (CM) have not been fully explored.</p><p><strong>Objectives: </strong>The aim of the study was to establish the association between SB and CM, with an assessment of sleep structure alterations in CM.</p><p><strong>Material and methods: </strong>The diagnosis of migraine was made using the 3rd edition of the International Classification of Headache Disorders (ICHD-3). Sleep bruxism and sleep structure were assessed using polysomnography, according to the American Academy of Sleep Medicine (AASM) Guidelines. All results were adjusted for medication use in the treatment of migraine, which may interfere with sleep and SB.</p><p><strong>Results: </strong>A total of 110 patients with migraine (mean age: 39.3 years; 88% female) were evaluated, including 65 individuals with CM and 45 episodic migraine (EM) patients. The patients with CM had lower REM sleep duration when compared to those with EM (median (Me): 21.4% of total sleep time (TST) vs. 24.4% of TST, p = 0.008), while REM sleep below 23.1% of TST was associated with increased odds of CM (odds ratio (OR): 3.61 (95% confidence interval (CI): 1.60; 8.15), p = 0.002). Seventy-six out of 110 (69%) participants were diagnosed with SB. The presence of mixed bruxism at a frequency of above 0.4 episodes per hour (n/h) was associated with increased odds of CM (OR: 2.40 (95% CI: 1.06; 5.46), p = 0.048). However, severe SB (bruxism episode index (BEI) >4) was associated with increased odds of migraine with aura (MwA) (OR: 2.68 (95% CI: 1.05; 6.83), p = 0.044). Migraine without aura showed a weak, negative correlation with BEI (r = -0.293, p = 0.002).</p><p><strong>Conclusions: </strong>A decrease in the REM stage of sleep was associated with CM. Despite the high prevalence of SB in patients with migraine, SB was not associated with CM, while severe bruxism was associated with MwA. Therefore, if any association between SB and migraine exists, it is more likely related to aura phenomena than to migraine chronification.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145237887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of biofilm formation, adhesive strength and effectiveness of cleaning protocols on adhesive-containing acrylic resin specimens: An in vitro study.","authors":"Caroline Vieira Fortes, Adriana Barbosa Ribeiro, Bart De Wever, Amina Sakly, Viviane De Cássia Oliveira, Lorena Mosconi Clemente, Evandro Watanabe, Cláudia Helena Silva-Lovato","doi":"10.17219/dmp/176231","DOIUrl":"https://doi.org/10.17219/dmp/176231","url":null,"abstract":"<p><strong>Background: </strong>Denture adhesives promote greater stability and retention of dentures. However, they can also facilitate biofilm formation related to oral diseases.</p><p><strong>Objectives: </strong>The study aimed to evaluate the influence of 2 adhesives on the microbial load of mixed biofilm and adhesive strength. Additionally, the objective was to assess the effect of 3 hygiene protocols on the microbial load and cell metabolism of this biofilm.</p><p><strong>Material and methods: </strong>The study compared Corega Ultra Cream (CCA) and OlivaFix® Gold (OFA) adhesives by evaluating the biofilm formation of Candida albicans, Candida glabrata, Staphylococcus aureus, and Streptococcus mutans by colony-forming unit (CFU), as well as adhesive strength. The implemented hygiene protocols included brushing and immersion in water (BW), 0.15% triclosan (BT0.15%), or 0.25% sodium hypochlorite (BSH0.25%). The control groups were either without adhesive (CG) or without any hygiene protocols (CGwH). The one-way and two-way analyses of variance (ANOVAs) with Tukey's post hoc test and a generalized linear model with Bonferroni adjustment were used for statistical analysis (α = 0.05).</p><p><strong>Results: </strong>The microbial load of C. albicans was higher when OFA was used (p < 0.001). The microbial loads of C. glabrata and S. mutans were similar between adhesives and higher in the CG (p < 0.001). The influence of the adhesives on the microbial load of S. aureus was not statistically significant (p = 0.287). The adhesive strength promoted by OFA was greater and more stable than when CCA was used (p = 0.007). The immersion in sodium hypochlorite led to a reduction in the microbial load of C. albicans (p < 0.001), C. glabrata (p = 0.002) and S. mutans (p = 0.012), independent of the adhesive. For S. aureus, the microbial load was lower with OFA/BSH0.25% (p = 0.022). All hygiene protocols resulted in a decreased cell metabolism when compared to the CGwH (p < 0.001).</p><p><strong>Conclusions: </strong>Brushing with BSH0.25% solution was the most effective hygiene protocol, resulting in a reduction in the microbial load and metabolism. This protocol may be recommended as a first-line option for the disinfection of dentures.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of long-term stress on awake bruxism: An observational longitudinal within-subject study of stress-related changes.","authors":"Alona Emodi-Perlman, May Zur, Anna Yael Czygrinow, Noa Ventura, Ilana Eli","doi":"10.17219/dmp/209181","DOIUrl":"https://doi.org/10.17219/dmp/209181","url":null,"abstract":"<p><strong>Background: </strong>Awake bruxism (AB), characterized by repetitive jaw muscle activity during wakefulness, is often associated with stress, anxiety and depression.</p><p><strong>Objectives: </strong>The aim of the study was to examine the long-term relationships between psychological distress, resilience and AB behaviors during stressful periods. To this end, a longitudinal, within-subject design of the study was used.</p><p><strong>Material and methods: </strong>A repeated-measures design was employed to evaluate 136 individuals. The participants underwent 2 assessments: the baseline evaluation conducted at the onset of an armed conflict (phase 1); and the follow-up evaluation, performed 1 year later, when the conflict remained ongoing (phase 2). Each subject served as their own control. At each phase of the study, the participants completed a self-report questionnaire, the Oral Behavior Checklist (OBC), which addressed selfawareness of performance of teeth grinding, teeth clenching, tooth contact, and/or mandible bracing while awake. A score of 2 and above on any of the questions indicated positive awareness of the presence of AB behaviors. The additional questionnaires referred to subjects' ability to cope with stress adaptively, their ability to recover from stress, perceived stress, screening for depressive and anxiety symptoms, and screening for adjustment disorder and post-traumatic stress disorder (PTSD).</p><p><strong>Results: </strong>A significant increase in teeth clenching was apparent during phase 2. The subjects' ability to cope with stress in an adaptive manner, as well as their perceived stress levels, increased the likelihood of AB behaviors during both phases (odds ratios ranging from 11% to 27%).</p><p><strong>Conclusions: </strong>Awake bruxism behaviors in general, and teeth clenching in particular, should be considered as possible stress-relieving behaviors.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the antibacterial activity of glass ionomer cements modified by polyamidoamine and bioactive glass: An in vitro study.","authors":"Dalia Mohamed Elbahi, Rania El-Saady Badawy, Saber Ahmed Mohamed Ibrahim, Mariam Hassan, Nour Ahmed Habib","doi":"10.17219/dmp/166140","DOIUrl":"https://doi.org/10.17219/dmp/166140","url":null,"abstract":"<p><strong>Background: </strong>Secondary caries is one of the main reasons for the clinical failure in dental restorations. Therefore, it is preferable for restorative materials to possess antibacterial properties, which support a longlasting restoration.</p><p><strong>Objectives: </strong>The present in vitro study aimed to evaluate the effect of both the polyamidoamine (PAMAM) liquid and bioactive glass (BAG) powder added to glass ionomer cements (GICs) on their antibacterial properties.</p><p><strong>Material and methods: </strong>Polyamidoamine was prepared and characterized. Four groups were distinguished, as follows: GI - samples of commercially available GIC (control); GII - samples of GIC mixed with PAMAM; GIII - samples of GIC mixed with BAG; and GIV - samples of GIC mixed with PAMAM and BAG.The biofilm assessment test was conducted using a colony forming unit (CFU) count, and the ion release test was used to quantify the amount of released silica (Si), calcium (Ca), phosphorus (Ph), and sodium (Na) ions in mg/L. Thirty-six samples were prepared for each test. Furthermore, the pH of the soaking solution was measured for each sample in the ion release test. The parametric data was examined using one-way analysis of variance (ANOVA) followed by Tukey's post-hoc test.</p><p><strong>Results: </strong>The biofilm assessment test revealed a significant reduction in the recovered Streptococcus mutans counts in all modified groups compared to the control group (p < 0.05). Also, the ion release test demonstrated a significant increase in the release of Si and Na ions for all modified groups compared to the control group (p < 0.05).</p><p><strong>Conclusions: </strong>The modification of GICs with PAMAM and BAG enhances their antibacterial properties.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of oral hygiene knowledge and health-promoting behaviors among adults in the Masovian Voivodeship, Poland: A cross-sectional survey study.","authors":"Ewa Rusyan, Mariusz Panczyk, Zuzanna Jończyk, Filip Budnik, Karolina Zalisz, Agnieszka Mielczarek","doi":"10.17219/dmp/194167","DOIUrl":"10.17219/dmp/194167","url":null,"abstract":"<p><strong>Background: </strong>The examination of pro-health behaviors is important in the assessment of factors that influence the health of the population. Despite a constant increase in pro-health awareness observed within Polish society, the epidemiological picture of adult oral health remains unsatisfactory.</p><p><strong>Objectives: </strong>The aim of the study was to assess the level of knowledge of the study population regarding the prevention of caries, the role of fluoride compounds, and hygiene habits.</p><p><strong>Material and methods: </strong>A quantitative cross-sectional methodology was employed in the study. A specially designed anonymous survey was used to ensure the confidentiality of participants and to encourage truthful responses. The data was collected over a 5-month period using computer-assisted web interviewing (CAWI) with a Google Forms survey. The link to the survey was shared in public groups and on social media platforms, ensuring the collection of a diverse sample. Submitted surveys were cataloged and de-identified prior to analysis.</p><p><strong>Results: </strong>The final sample size of the study was 643 participants. In the present study, only 95 respondents (14.77%) demonstrated sufficient knowledge about oral hygiene and declared behaviors that align with recommended practices. Factors such as place of residence, education and income did not have a statistically significant effect on the level of health awareness in relation to the preferred health attitude of the \"ideal patient\". The study revealed a lack of knowledge regarding the role of fluoride in caries prevention, with some individuals considering it harmful and refraining from using fluoride toothpaste. Approximately 20% of the surveyed population lacked awareness of the presence of fluoride in their toothpaste. These observations were comparable across both rural and urban areas.</p><p><strong>Conclusions: </strong>The present study indicates insufficient knowledge regarding oral health among the study population. It is necessary to introduce more comprehensive oral health education programs targeted at the adult population of Poland.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"569-578"},"PeriodicalIF":3.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of EDTA, fumaric acid, and the chitosan solutions prepared with distilled water and acetic acid on dentin microhardness and tubular penetration: An in vitro study.","authors":"Esma Sariçam, Hanife Altınışık, Neslihan Bulak, Berna Güven, Sabiha Zeynep Yurdagül, Gülin Amasya","doi":"10.17219/dmp/167467","DOIUrl":"10.17219/dmp/167467","url":null,"abstract":"<p><strong>Background: </strong>Chitosan prepared with acetic acid is commonly used as an endodontic irrigant. However, the chitosan solution prepared with distilled water has not been evaluated for endodontic usage.</p><p><strong>Objectives: </strong>The present study aimed to compare the effects of ethylenediaminetetraacetic acid (EDTA), fumaric acid, and the chitosan solutions prepared with distilled water (C-DW) and acetic acid (C-AA) on dentin microhardness and dentinal tubule penetration.</p><p><strong>Material and methods: </strong>Eighty maxillary central incisors were endodontically instrumented and randomly divided into 2 main groups (n = 40) for the evaluation of dentin microhardness and tubular penetration, with 4 subgroups in each main group (n = 10) according to the final irrigation solutions used (EDTA, fumaric acid, C-DW, and C-AA). The C-AA solution was prepared by diluting medium-molecularweight chitosan in acetic acid. The C-DW solution was prepared with distilled water and chitosan ammonium salts, which were synthesized using trichloroacetic acid and low-molecular-weight chitosan. After irrigation, the roots were sectioned horizontally 2 mm (the apical third) and 5 mm (the middle third) from the apex. The microhardness measurements were taken at depths of 500 μm and 1,000 μm from the canal lumen. The sections were examined for tubular penetration using confocal laser scanning microscopy. The data was analyzed using the analysis of variance (ANOVA), with a significance level set at p < 0.05.</p><p><strong>Results: </strong>The microhardness values were statistically similar at either depth for each third (p > 0.05), except for the 1,000-μm depth in the apical third, where the use of the C-AA solution resulted in lower microhardness as compared to fumaric acid (p < 0.05). No significant differences were observed in tubular penetration with regard to each third (p > 0.05).</p><p><strong>Conclusions: </strong>All solutions showed a similar penetration ability in each third. At the 1,000-μm depth in the apical third, the fumaric acid solution provided a higher microhardness value than the C-AA solution.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"731-737"},"PeriodicalIF":3.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early healing after regenerative periodontal surgery with or without antibiotics.","authors":"Ewa Dolińska, Małgorzata Pietruska, Robert Milewski, Anton Sculean","doi":"10.17219/dmp/175893","DOIUrl":"https://doi.org/10.17219/dmp/175893","url":null,"abstract":"<p><strong>Background: </strong>The effectiveness of guided tissue regeneration (GTR) has been thoroughly documented. Since most post-GTR complications are related to the exposure of the membrane and its subsequent bacterial contamination, clinicians treat the incorporation of systemic antibiotics as an integral component of the standard surgical procedure. However, this approach remains controversial.</p><p><strong>Objectives: </strong>The aim of the study was to assess the effect of postsurgical administration of antibiotics on early healing and patient morbidity after treatment of periodontal intrabony defects with deproteinized bovine bone mineral (DBBM) and a collagen membrane (GTR).</p><p><strong>Material and methods: </strong>The study encompassed 41 patients with 41 intrabony defects. The subjects were randomly assigned to either the test group (DBBM/GTR+AB (postsurgical antibiotic)) or the control group (DBBM/GTR). In the test group, 1 g of amoxicillin was administered twice daily for 7 days. The early healing index (EHI) was assessed 1 and 2 weeks after the procedure. Patient morbidity was recorded. The clinical attachment level (CAL), probing depth (PD) and gingival recession (GR) were measured at baseline and 6 months after surgery.</p><p><strong>Results: </strong>Early healing was uneventful in both groups. No adverse events were recorded in either group. In the second week, EHI-defined primary flap closure was evident in 95% of the test group sites and 80% of the control group sites. The CAL changed significantly in both groups: from 8.7 ±1.4 mm to 4.6 ±1.7 mm in the DBBM/GTR+AB group (p < 0.0001); and from 8.6 ±1.9 mm to 5.7 ±1.2 mm in the DBBM/GTR group (p < 0.0001). The significant outcome was in favor of the test group (p = 0.010). Probing depth significantly decreased in both groups, without any observed intergroup differences.</p><p><strong>Conclusions: </strong>The administration of systemic amoxicillin after regenerative periodontal surgery did not have any effect on early wound healing; however, it yielded a statistically significant CAL gain after 6 months compared to the group treated without antibiotics.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":"62 4","pages":"601-608"},"PeriodicalIF":3.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of deciduous teeth in children using the Er:YAG laser compared to the traditional method: A randomized clinical trial.","authors":"Agnieszka Milc, Jacek Kotuła, Jan Kiryk, Paweł Popecki, Zuzanna Grzech-Leśniak, Krzysztof Kotuła, Marzena Dominiak, Jacek Matys, Kinga Grzech-Leśniak","doi":"10.17219/dmp/194009","DOIUrl":"10.17219/dmp/194009","url":null,"abstract":"<p><strong>Background: </strong>Erbium family lasers have been used as an alternative method for the treatment of dental caries in deciduous teeth, in comparison to traditional methods.</p><p><strong>Objectives: </strong>The study aimed to determine the most optimal erbium-doped yttrium-aluminum-garnet (Er:YAG) laser settings for carious lesions in deciduous teeth on different surfaces with the evaluation of treatment time and pain level on a visual analog scale (VAS).</p><p><strong>Material and methods: </strong>The randomized clinical trial involved 66 teeth with deep caries in 33 children aged 3-8 years, divided into 2 study groups: Er:YAG laser (test group); and conventional treatment with a dental turbine (control group). The time required for caries removal and cavity preparation using both methods was recorded. The inclusion criteria encompassed generally healthy pediatric patients, pain-free subjects, first-time dental appointment, and unicuspid primary teeth with caries. Dental caries treatment was performed without the administration of local anesthesia.</p><p><strong>Results: </strong>The cavity preparation time was on average 2.5 times longer when the Er:YAG laser was used compared to the conventional method. The study demonstrated the effectiveness of the Er:YAG laser in hard tissue preparation of deciduous teeth with a pulse energy of 230 mJ for enamel preparation, mainly on occlusal and proximal surfaces, and with a pulse energy of 120 mJ and 150 mJ for dentin preparation. Optimum operating frequencies were 10 Hz and 20 Hz with corresponding water consumption. The level of discomfort among the laser-treated patients indicated 0 based on VAS, meaning no pain. Among patients treated with the traditional method, the pain level averaged 5.27.</p><p><strong>Conclusions: </strong>The use of the Er:YAG laser offers substantial advancements in comparison to traditional treatment with dental turbines by enhancing the overall comfort during caries therapy in children. It fosters better patient cooperation and reduces the need for intraoperative anesthetics due to its minimally invasive nature and the fact that it is a relatively quiet operation. This approach minimizes anxiety and discomfort often associated with dental procedures, making them more amenable to children.</p>","PeriodicalId":11191,"journal":{"name":"Dental and Medical Problems","volume":" ","pages":"579-589"},"PeriodicalIF":3.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}