Dentistry Journal最新文献

{"title":"Validity and Reliability of the Dental Neglect Scale in German.","authors":"Katharina Marilena Weil, Theresa Marie Weßlau, Laura Agnes Ingrid Magerfleisch, Hannah Tröger, Lisa Irmscher, David Bantel, Clara Theres Meyer-Probst, Katja Petrowski, Hendrik Berth","doi":"10.3390/dj13050225","DOIUrl":"https://doi.org/10.3390/dj13050225","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The Dental Neglect Scale (DNS) is known and used to evaluate and assess adult behaviors and attitudes related to oral self-care and oral-health. In English-speaking countries, the DNS has been used in many studies. At the moment, there is no validated version of the DNS that is available in the German language. The aim of this study is to validate a German version of the DNS to evaluate and assess the oral health and behavior among the German population. <b>Methods:</b> The study population consisted of N = 311 German adults (180 female, 130 male, 1 diverse) aged from 18 to 90 years from a dental clinic in Germany. The participants answered a questionnaire. In addition to questions on their socio-demographic background and the DNS, the survey included more standardized instruments relating to preventive behavior, dental anxiety, and oral health. <b>Results:</b> The DNS was translated into German. An explanatory factor analysis was conducted, which supported the unifactorial structure of the scale. The following results were obtained for the reliability of the resulting DNS: Cronbach's Alpha = 0.710, McDonald's Omega = 0.711, and Mean = 25.63 (SD = 4.02, Range 12-30). Convergent and divergent validity were demonstrated through associations between the DNS and various oral health scales, and by differences between genders and age groups. <b>Conclusions:</b> This study confirms the quality of the criteria of the DNS for German adults. The DNS is a convincing instrument that is used for epidemiological studies in the field of dentistry and psychology. Further validation with other samples should be conducted.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149436","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":"Fluoride Release from Pediatric Dental Restorative Materials: A Laboratory Investigation.","authors":"Angelo Aliberti, Roberta Gasparro, Maria Triassi, Mirko Piscopo, Pietro Ausiello, João Paulo Mendes Tribst","doi":"10.3390/dj13050224","DOIUrl":"https://doi.org/10.3390/dj13050224","url":null,"abstract":"<p><p><b>Objectives:</b> Dental caries remains a prevalent issue in pediatric dentistry, necessitating restorative materials that not only repair decay but also provide protective benefits. Fluoride-releasing restorative materials have a key function in preventing recurrent caries by inhibiting bacterial activity and promoting remineralization. The objective of this study was to examine fluoride release from three pediatric dental restorative materials-<i>Riva Light Cure HV</i>, <i>Fuji IX GP Fast</i>, and the <i>Cention Forte Filling Material</i>-under different pH and temperature conditions. <b>Methods</b>: Specimens (10 mm diameter and 2 mm thickness; n = 3 for each material) were prepared according to the manufacturers' instructions; immersed in buffer solutions at pH 4.8, 6.8, and 8.8; and stored at 37 °C and 44 °C. Fluoride release was quantified using ion chromatography at three time points (1 day, 7 days, and 28 days). <b>Results</b>: The data revealed that fluoride release was significantly influenced by pH, temperature, and time (<i>p</i> < 0.05). <i>Riva Light Cure HV</i> exhibited the highest release, particularly in acidic conditions (pH 4.8), reaching 40.14 mg/L at 44 °C after 28 days. The <i>Cention Forte Filling Material</i> and <i>Fuji IX GP Fast</i> also showed increased release over time, but with lower cumulative concentrations. Higher temperatures generally enhanced fluoride diffusion across all materials. <b>Conclusions</b>: These findings emphasize the pivotal impact of environmental factors in fluoride release dynamics. <i>Riva Light Cure HV</i> demonstrated superior fluoride release, particularly in acidic environments, suggesting its potential for high-caries-risk pediatric patients. These insights can inform the selection of restorative materials in pediatric dentistry, optimizing caries prevention strategies.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149470","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":"Balancing the Oral Redox State: Endogenous and Exogenous Sources of Reactive Oxygen Species and the Antioxidant Role of Lamiaceae and Asteraceae.","authors":"Caterina Nela Dumitru, Lupoae Mariana, Cristian Constantin Budacu, Gabriela Mitea, Marius Daniel Radu, Alina Oana Dumitru, Andreea Lupoae, Alin Tatu, Gabi Topor","doi":"10.3390/dj13050222","DOIUrl":"https://doi.org/10.3390/dj13050222","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Oral health is a complex concept involving physical, psychological, emotional, and social components. A key factor in maintaining oral tissue integrity is redox balance, which is disrupted by oxidative stress (OS) through an imbalance between reactive oxygen species (ROS) and antioxidant defenses. This study examines the contribution of endogenous and exogenous sources to OS and explores the therapeutic potential of medicinal plants from the Asteraceae and Lamiaceae families in restoring redox homeostasis and improving oral health. <b>Methods:</b> A literature review was conducted, analyzing the role of OS in oral diseases and the antioxidant mechanisms of selected Asteraceae species. Special attention was given to their phytochemical contents-polyphenols, flavonoids, and essential oils-and their biological relevance to oral health. <b>Results:</b> OS plays a critical role in the onset and progression of oral conditions such as caries, periodontitis, gingivitis, aphthous ulcers, abscesses, precancerous lesions, and oral cancers. ROS and reactive nitrogen species (RNS) cause inflammation, tissue breakdown, and salivary gland dysfunction. Asteraceae plants like <i>Matricaria chamomilla</i>, <i>Calendula officinalis</i>, <i>Cichorium intybus</i>, <i>Taraxacum officinale</i>, <i>Arctium lappa</i>, <i>Achillea millefolium</i>, and <i>Solidago virgaurea</i> demonstrate notable antioxidant, anti-inflammatory, and antimicrobial properties that help counteract OS and support oral homeostasis. <b>Conclusions:</b> Asteraceae and Lamiaceae species show high therapeutic potential in addressing OS-related oral disorders. Their bioactive compounds aid in restoring redox balance and protecting oral tissues. These findings support the integration of phytotherapeutic agents into oral healthcare and call for further clinical validation of plant-based strategies for disease prevention and management.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149785","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":"Er:YAG Laser in QSP Modality for Treatment of Indirect Adhesive Restoration Build-Up: Surface Roughness Analysis and Morphology Assessment by Environmental Scanning Electron Microscopy (ESEM).","authors":"Ilaria Giovannacci, Monica Mattarozzi, Fabrizio Moroni, Giuseppe Pedrazzi, Paolo Vescovi, Maria Careri","doi":"10.3390/dj13050223","DOIUrl":"https://doi.org/10.3390/dj13050223","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Sandblasting build-ups before applying the acid and adhesive significantly improves the bond strength. The aim of this study is to evaluate, for the first time, the effectiveness of an Er:YAG laser used in QSP mode to treat the surface of build-ups before the adhesive cementation sequence. <b>Methods:</b> This ex vivo study was conducted on 12 intact, undecayed extracted teeth kept hydrated in NaCl 0.9% solution. A cavity was created in the center and reconstructed with composite resin (build-up). Then, samples were prepared with burs and divided into three groups: control group G1, prepared only with burs; group G2, in which surfaces were treated with a sandblaster (2.5 bar, 10 mm from composite surface, aluminum oxide, 10 s); and group G3, treated using an Er:YAG laser (QSP modality, 1 W, 10 Hz, 100 mJ). The surface roughness of the build-ups was measured using a CCI MP-L digital optical profiler (Taylor Hobson, Leicester, UK), and surface morphology was studied using the Quanta™ 250 FEG (FEI, Hillsboro, OR, USA) ESEM instrument. <b>Results:</b> Regarding enamel, mean surface roughness in G1 vs. G2 was not statistically significant (<i>p</i> = 0.968); meanwhile, differences between the Er:YAG laser group (G3) and G1 or G2 were significant (G3 vs. G1 <i>p</i> < 0.001; G3 vs. G2 <i>p</i> < 0.001). Regarding dentin, G1 vs. G2 was significant (<i>p</i> = 0.021); differences between G3 and G1 or G2 were extremely significant (G3 vs. G1 <i>p</i> < 0.001; G3 vs. G2 <i>p</i> < 0.001). The same trend was detected for resin. <b>Conclusions:</b> An Er:YAG laser in QSP mode used on the build-up surface for indirect adhesive restorations is innovative and should be investigated with further studies. However, it seems extremely effective with increased roughness, the absence of a smear layer and characteristics potentially favorable for good adhesion for all substrates (enamel, dentin, resin).</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149435","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":"Effectiveness of Continuous and Sequential Chelation and Different Agitation Techniques on Smear Layer Removal and Microhardness of Root Canal Dentin (An In Vitro Study).","authors":"Asmaa Aamir Kamil, Ahmed Hamid Ali, Federico Foschi, Francesco Mannocci","doi":"10.3390/dj13050221","DOIUrl":"https://doi.org/10.3390/dj13050221","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aimed to assess and compare the elimination of the smear layer and microhardness of dentin in root canals after sequential versus continuous chelation using different agitation techniques. <b>Methods</b>: Sixty-four palatal roots of upper first molars were instrumented to size X3 (Protaper Next files). According to the irrigant solution, samples were assigned to two groups (N = 32/group), 3% NaOCl irrigation followed by 17% EDTA (sequential chelation (SC)), or dual-rinse (3% NaOCl/9% HEDP) irrigation (continuous chelation (CC)). Each group has been divided into four subgroups (n = 8/subgroup), based on agitation techniques used: conventional needle (CN) (control group), EndoActivator (EA), ultrasonic agitation (UAI), and Er.Cr.YSGG 2780 nm (laser). SEM images assessed the smear layer, and Vicker microhardness (VHN) was performed at 50 and 100 µm depths. Data were analyzed using: Kruskal-Wallis, Wilcoxon, and the Mann-Whitney U test. Statistical significance was set at <i>p</i> < 0.05. <b>Results</b>: In the UAI and laser agitation, CC significantly reduced the smear layer presence compared to SC in the apical and coronal thirds, respectively (<i>p</i> < 0.05), and no significant differences were observed in the CN and EA groups between SC and CC (<i>p</i> > 0.05). There were significantly higher VHNs of dentine in CC groups than in SC groups in all sections and depths, except in the apical of the CN group at 50 µm and the coronal section of EA and UAI groups at 100 µm. <b>Conclusions</b>: CC was comparable to SC in smear layer removal. CC had a less detrimental effect on dentin compared with SC.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149349","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":"Color Stability, Surface Gloss, Surface Roughness, and Wettability of Material Jetting 3D-Printed Denture Material Under Various Surface Treatments.","authors":"Toshiki Nagai, Amal Alfaraj, Wei-Shao Lin","doi":"10.3390/dj13050220","DOIUrl":"https://doi.org/10.3390/dj13050220","url":null,"abstract":"<p><p><b>Objectives:</b> To examine the effects of surface treatments on the color stability, surface roughness, surface gloss, and wettability of monolithic polychromatic material jetting (MJT) 3D-printed denture material. <b>Material and Methods:</b> Twenty-one color variants of the same denture material (TrueDent; Stratasys, Eden, MN, USA) underwent two surface treatments (polishing only or polishing and glazing), creating 42 study groups with a total of 420 samples (n = 10 per group). The samples were manufactured using a PolyJet 3D printer (J5 DentaJet; Stratasys, Eden, MN, USA), a type of MJT 3D printer. Color measurements were taken with a digital spectrophotometer before and after the surface treatments, and quantitative color differences (ΔE₀₀ and ΔC*) were calculated using the CIE2000 system. Comparisons of ΔE₀₀ were made against the 50%:50% acceptability threshold (AT) of 1.8 and the 50%:50% perceptibility threshold (PT) of 0.8 for tooth shade, as well as the 50%:50% PT of 1.72 and the 50%:50% AT of 4.08 for gingival (pink) shade. After surface treatment, the gloss was measured using a glossmeter, surface roughness was measured with optical profilometry, and wettability was measured by contact angle measurements using an optical tensiometer. The significance of surface treatment on color changes for each color variant was evaluated using one-sided, one-sample <i>t</i>-tests against the AT and PT. The effects of surface treatment on surface gloss, surface roughness, contact angle, and ΔC* were analyzed using <i>t</i>-tests for each color variant. Pairwise comparisons between groups were made using Fisher's Protected Least Significant Differences (α = 0.05). <b>Results:</b> In most cases, glazing caused the color change (ΔE₀₀) to exceed the AT and PT, with a few exceptions. Most materials exhibited a more vibrant (more saturated) appearance and statistically higher chroma, with glazed surface treatments compared to polished ones, though there were some exceptions. For all materials, the glazed samples had significantly higher gloss units than the polished ones (<i>p</i> < 0.0001). Additionally, all materials showed significantly higher surface roughness in glazed samples compared to polished ones (<i>p</i> < 0.0001 for most). The polished samples had significantly higher contact angles (<i>p</i> < 0.0001 for most). <b>Conclusions:</b> Surface treatments significantly influenced the color, surface gloss, surface roughness, and wettability of MJT 3D-printed denture materials. Glazing led to increased chroma and gloss and produced more hydrophilic surfaces, although it also increased surface roughness. These results highlight the importance of surface treatment selection in optimizing the clinical performance of MJT-fabricated dentures.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149831","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":"Lingual Foramina Anatomy: An Observational Study in Dry Mandibles.","authors":"Charalambos Tsatsarelis, Zoi Maria Thomaidi, Vasileios Papadopoulos","doi":"10.3390/dj13050218","DOIUrl":"https://doi.org/10.3390/dj13050218","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The lingual foramina of the mandible serve as passageways for arterial branches that are susceptible to injury during surgical procedures, potentially leading to varying degrees of hemorrhage. The objective of the present study was to contribute to the quantification and classification of lingual foramina using cadaveric dry mandibles in relation to surgical safety and, especially, to the risk of perioperative bleeding. <b>Methods</b>: This study examined the number, diameter, and spatial relationship of lingual foramina to the genial tubercle, alveolar process, and alveolar crest in dry mandibles. Stainless steel wire threads and Digimatic caliper measurements were utilized. Cluster analysis was employed for the classification of foramina into distinct spatial groups. One-way analysis of variance (ANOVA) was used to compare mean values among ≥3 groups. <b>Results</b>: A total of 100 dry mandibles were initially analyzed for the presence of lingual foramina with a diameter of ≥2 mm. In 96 of them (50 dentate and 46 edentulous), 387 lingual foramina (mean: 4.03 per mandible) were recognized; the remaining 4 had smaller lingual foramina (diameter <2 mm). Only 4 mandibles (4.2%) exhibited a single lingual foramen, whereas the remaining 92 (95.8%) displayed multiple foramina (up to nine). The observed lingual foramina had a diameter of 0.44 ± 0.02 mm and were located at distances of 8.74 ± 0.54 mm from the genial tubercle, 14.19 ± 0.87 mm from the alveolar crest, and 14.53 ± 0.84 mm from the inferior border of the mandible. Based on their relationship to the genial tubercle, the foramina were classified into four distinct groups: (i) right (27/387-7%), (ii) proximal (254/387-66%), (iii) superior (81/387-21%), and (iv) left (25/387-6%). The superior group exhibited the largest mean diameter (0.52 ± 0.22 mm, ANOVA <i>p</i> < 0.001). The probability of detecting a lingual foramen was minimized at a distance of 13.00 ± 0.50 mm from the genial tubercle, delineating a relatively safe zone with a lower risk of hemorrhage. <b>Conclusions</b>: This study provides anatomical insights that contribute to appropriate preoperative planning and the minimization of complications during surgical interventions on the mandible.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149652","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":"Considerations for Conservative, All-Ceramic Prosthodontic Single-Tooth Replacements in the Anterior Region: A Systematic Review.","authors":"Dubravka Knezović Zlatarić, Mirko Soldo","doi":"10.3390/dj13050219","DOIUrl":"https://doi.org/10.3390/dj13050219","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Conservative options for single-tooth replacements in the anterior region include all-ceramic one-retainer resin-bonded fixed dental prostheses (RBFDPs) and three-unit fixed partial dentures (FPDs). <b>Methods:</b> This systematic review assessed their clinical outcomes. Following the PRISMA 2020 guidelines, an electronic search of MEDLINE/PubMed was conducted from November 1991 to March 2025 for randomized clinical trials (RCTs), prospective cohort studies (PCSs), and retrospective cohort studies (RCSs). Keywords included dental prosthesis, fixed prosthesis, resin-bonded prosthesis, single-tooth replacement, anterior teeth, all-ceramic, lithium disilicate, monolithic, zirconia, survival rate, and success rate. Failures and complications were analyzed to determine long-term outcomes. <b>Results:</b> The search identified 990 articles, and the full-text review of 54 articles was performed, resulting in 23 studies meeting the inclusion criteria. This review revealed that one-retainer RBFDPs and three-unit FPDs in the anterior region demonstrated high survival and success rates. However, debonding was a common complication in RBFDPs, while framework design issues were noted in FPDs. <b>Conclusions:</b> These outcomes highlight the reliability of both approaches as conservative, all-ceramic, prosthodontic interventions for anterior single-tooth replacements. The consideration of one-retainer RBFDPs and three-unit FPDs is advisable due to their favorable clinical performance and minimal invasiveness.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149235","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":"Effectiveness of Activated Charcoal Toothpaste vs. 6% Hydrogen Peroxide Whitening Pen-An In Vitro Study.","authors":"Elena Bardellini, Silvia Marchetti, Alessandra Bordanzi, Simone Zanini, Alessandra Majorana, Giulio Conti","doi":"10.3390/dj13050216","DOIUrl":"https://doi.org/10.3390/dj13050216","url":null,"abstract":"<p><p><b>Background:</b> Tooth whitening is a widely sought-after cosmetic procedure, with various at-home and professional treatments available. This study compares the whitening efficacy of an activated charcoal toothpaste and a 6% hydrogen peroxide whitening pen under controlled in vitro conditions. <b>Methods:</b> Twenty freshly extracted human teeth were stained with a coffee solution and divided into two groups. Group A underwent daily applications of activated charcoal toothpaste for 30 days, while Group B received a single 5 min application of a 6% hydrogen peroxide whitening pen. Tooth color was assessed using the VITA Classical A1-D4 Shade Guide at baseline, mid-treatment, and post-treatment for Group A and at baseline and immediately after treatment for Group B. <b>Results:</b> The activated charcoal toothpaste exhibited a gradual whitening effect, with the most significant improvements occurring within the first two weeks (<i>p</i> < 0.01), after which the whitening effect plateaued. In contrast, the hydrogen peroxide whitening pen produced immediate and substantial whitening (<i>p</i> < 0.001). Statistical analysis using the Wilcoxon signed-rank test and Mann-Whitney U test confirmed the superior efficacy of the hydrogen peroxide treatment. <b>Conclusions:</b> The hydrogen peroxide whitening pen was significantly more effective in achieving rapid and substantial whitening compared to the activated charcoal toothpaste, which provided gradual but limited improvements. Further clinical studies are needed to evaluate the long-term color stability.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149322","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":"Extremely Extensive Vascular Malformation Requires Special Preparation for Simple Dental Surgical Procedures-Case Report.","authors":"Natalia Muczkowska, Klaudia Masłowska, Agnieszka Adamska","doi":"10.3390/dj13050217","DOIUrl":"https://doi.org/10.3390/dj13050217","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Vascular anomalies represent a complex group of conditions including vascular malformations and haemangiomas. Haemangiomas are benign tumours that have an endothelial origin. In contrast, vascular malformations are characterized by the abnormal dilation of vessels without proliferation. Depending on the extension of the disease, there is a higher risk of life-threatening haemorrhages that may occur during simple dental procedures. The aim of this case report is to present the interdisciplinary treatment for patients with venous malformation and to discuss the possible dental management of these patients. <b>Methods:</b> A 66-year-old male patient with an extensive venous malformation of the head and neck was referred for a tooth extraction. The venous malformation involved lips, buccal mucosa, tongue, and floor of the oral cavity. Its proximity to the tooth requiring extraction was associated with a high risk of severe bleeding. <b>Results:</b> Prior to the treatment, CBCT and CT scans were performed to confirm the extensions of the lesion and visualise its margins. Considering the possible risks related with venous malformation, the procedure consisted of tooth removal in a hospital setting with control over severe bleeding complications. <b>Conclusions:</b> The presence of an extensive vascular malformation in the head and neck region is burdened with a higher risk of haemorrhages during simple dental procedures. The radiological and clinical planning enables the choice of an accurate treatment strategy to avoid possible difficulties. In cases where such complications cannot be avoided, it is important to perform the treatment in a hospital setting with the cooperation of maxillofacial surgeons.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 5","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149380","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}