Dentistry Journal最新文献

{"title":"Synergistic Effect of Sodium Hypochlorite and Carbon Dioxide Against <i>Enterococcus faecalis</i> Biofilm.","authors":"Júlia Guerra de Andrade, Ana Flávia Folhas Natali, Caroline Loureiro, Gladiston William Lobo Rodrigues, Ana Paula Fernandes Ribeiro, Rayara Nogueira de Freitas, Renan Jose Barzotti, Laura Cesário Oliveira, Yuri Gabriel Chamorro de Moraes, Natália Amanda Gomes, Antônio Hernandes Chaves-Neto, Frederico Canato Martinho, Rogério de Castilho Jacinto","doi":"10.3390/dj13090417","DOIUrl":"10.3390/dj13090417","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to evaluate whether the addition of pressurized carbon dioxide (PCD) influences the antimicrobial efficacy of 2.5% sodium hypochlorite (NaOCl) against <i>Enterococcus faecalis</i> biofilm in root canals and dentinal tubules. <b>Methods:</b> Forty extracted human mandibular premolars with single canals were contaminated with <i>E. faecalis</i> for 10 days and randomly assigned to four groups (<i>n</i> = 10): 2.5% NaOCl, 2.5% NaOCl + CO₂, sterile saline, and sterile saline + CO₂. The pH and temperature of the NaOCl solution were measured before and after CO₂ incorporation. Microbial load was assessed by CFU counts before and after irrigation, and in dentin samples from the cervical, middle, and apical thirds. Oxidative stress was evaluated via lipid peroxidation (TBARS), protein carbonyl content, and total protein quantification. Biofilm metabolic activity was analyzed using the XTT reduction assay. Data were analyzed using one-way ANOVA on ranks and two-way repeated measures ANOVA (α = 0.05), a very large effect size (Cohen's <i>d</i>) ≈ 1.756 was assumed. <b>Results:</b> All irrigation protocols significantly reduced bacterial load (<i>p</i> < 0.05). Both NaOCl groups outperformed the saline controls (<i>p</i> = 0.009). The addition of CO₂ to NaOCl slightly enhanced disinfection in the main canal but did not improve antimicrobial action in dentinal tubules. CO₂ incorporation reduced the pH of NaOCl from ~13.4 to 7.4 and slightly increased the temperature, making the solution more chemically reactive. However, both oxidative stress markers and the XTT assay showed that the combination with CO₂ impaired the antimicrobial effectiveness of NaOCl. <b>Conclusions:</b> Despite the improvement in bacterial reduction in the root canal lumen, the combination of PCD with NaOCl failed to enhance intratubular disinfection and reduced the oxidative damage and metabolic inactivation of the biofilm. CO₂ pressurization appears to limit the antimicrobial action of NaOCl.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laser Therapy for Vascular Malformations of the Oral Cavity: A Systematic Review.","authors":"Matteo Pellegrini, Martina Bosisio, Federica Pulicari, Carmen Darinca Todea, Francesco Spadari","doi":"10.3390/dj13090416","DOIUrl":"10.3390/dj13090416","url":null,"abstract":"<p><p><b>Objectives</b>: to compare the clinical effectiveness, safety, and aesthetic outcomes of different laser systems used for the treatment of oral vascular malformations. <b>Materials and Methods</b>: This review followed JBI guidelines and adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 statement. The research was performed through the databases PubMed, Scopus, and Web of Science using MeSH (Medical Subject Headings) terms for MEDLINE (PubMed), while equivalent free-text terms were applied to Scopus and Web of Science. The initial database search was performed on 20 May 2024. Studies published from 2014 to 2024 focusing on laser therapy for oral vascular lesions were included. Data quality was assessed using NHLBI and ROBINS-I V2 tools. <b>Results</b>: Of the 139 articles identified, 11 met inclusion criteria, assessing Nd:YAG, diode, Er,Cr:YSGG, and CO₂ lasers. The Nd:YAG laser was effective for deep vascular lesions with strong thermal effects. The diode laser provided excellent coagulation and minimal postoperative discomfort. The Er,Cr:YSGG laser offered faster healing and better cosmetic results. The CO₂ laser showed effective results with low recurrence rates. Most studies reported reduced bleeding, pain, and recovery time following laser treatment. <b>Conclusions</b>: Laser therapy, particularly Nd:YAG, diode, and CO₂ lasers, offers a safe, effective alternative for oral vascular malformations, providing improved outcomes and fewer complications. Future studies should include larger sample sizes and comparisons with traditional therapies.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bond Strength of an Epoxy Resin Root Canal Sealer Prototype.","authors":"Matthias J Roggendorf, Hubert C Roggendorf, Markus Müller-Krott, Franz-Josef Faber, Roland Frankenberger","doi":"10.3390/dj13090415","DOIUrl":"10.3390/dj13090415","url":null,"abstract":"<p><p><b>Background/Objectives</b>: We aimed to assess the bond strength of AH Plus Jet (AH) and an epoxy resin-based root canal sealer prototype (K-0189) adhered to three different obturation points. <b>Methods</b>: A total of 120 single-rooted teeth were selected after radiographic analysis, and their root canals were instrumented with ProTaper Next files (PTN) up to size X5. The teeth were randomly assigned to two sealer groups (G) (G1: AH, G2: K-0189, each n = 60) and further divided into three subgroups: (A) ConformFit X5 points (PTN) cold obturation (CO), (B) ProTaper Universal F5 points (PTU) (CO), (C) GuttaCore X5 (GC) warm obturation (WO). After final irrigation (NaOCl 3%, EDTA 17%, NaOCl 3%) and drying, root canals were obturated and stored for 30 days at 37 °C in Simulated Body Fluid (SBF). The specimens were embedded in acrylate and sectioned horizontally; then, push-out bond strength (POBS) analysis was performed. <b>Results</b>: The median POBS values [MPa] were G1A: 2.03; G1B: 2.12; G1C: 3.2; G2A: 1.91; G2B: 2.56; and G2C: 3.36. WO showed significantly higher POBS (<i>p</i> < 0.001 *) than CO. The POBS was not significantly different between the two WO groups (<i>p</i> = 0.508). The POBS of G2B was significantly higher compared to all other CO groups. <b>Conclusions</b>: The epoxy resin sealer prototype demonstrated POBS values comparable to AH Plus when used with WO and PTU points, indicating significantly higher POBS values compared to all other CO points.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of Treatment for Patients with Hypertrophic Maxillary Labial Frena.","authors":"Veronica Lexa Marr, Lauren Grace Stewart, Man Hung, Val Joseph Cheever","doi":"10.3390/dj13090414","DOIUrl":"10.3390/dj13090414","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The maxillary labial frenum (MLF) is a connective tissue structure attaching the upper lip to the maxillary alveolar process. Its morphology varies significantly among individuals and is often most prominent during early childhood. While hypertrophic or low-attaching frena have been associated with diastemas, feeding issues, and speech impairments, there is no causal evidence supporting early surgical intervention. This review aims to examine current evidence regarding the timing and necessity of frenectomy procedures and to evaluate the implications of early versus delayed intervention. <b>Methods</b>: A narrative review was conducted using twenty peer-reviewed articles published in the past 10 years, with one additional article from 2012 included for its ongoing relevance. Databases searched included PubMed, the NIH database, the Reference Manual of Pediatric Dentistry, and journals from the American Academy of Pediatrics. Inclusion criteria were English-language, peer-reviewed studies that addressed the morphology, classification, diagnosis, management, and outcomes of MLFs across age groups. Excluded were studies focusing solely on mandibular, buccal, or lingual frena; non-English publications; case reports; and articles lacking full-text availability. <b>Results</b>: The literature suggests that premature frenectomy, prior to the eruption of permanent maxillary canines, typically between 9 and 12 years of age, is associated with frenum regrowth, surgical complications, and orthodontic relapse. Additionally, a lack of standardized diagnostic criteria contributes to inconsistent clinical decision-making. Conservative management, including monitoring, is strongly recommended as the frenum often migrates apically as the maxilla develops. Factors such as airway obstruction and developmental delays should be ruled out before considering surgery. <b>Conclusions</b>: There is insufficient evidence to support early surgical intervention for MLF-related concerns. A conservative, individualized approach, delaying frenectomy until after permanent canine eruption, may minimize complications, improve long-term outcomes, and allow the frenum to migrate apically as the patient develops. Standardized diagnostic tools are urgently needed to guide clinical decision-making.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated Detection of Periodontal Bone Loss in Two-Dimensional (2D) Radiographs Using Artificial Intelligence: A Systematic Review.","authors":"Alin M Iacob, Marta Castrillón Fernández, Laura Fernández Robledo, Enrique Barbeito Castro, Matías Ferrán Escobedo Martínez","doi":"10.3390/dj13090413","DOIUrl":"10.3390/dj13090413","url":null,"abstract":"<p><p>Artificial intelligence is an emerging tool that is being used in multiple fields, including dentistry. An example of this is the diagnosis of periodontal bone loss by analyzing two-dimensional (2D) radiographs (periapical, bitewing, and panoramic). <b>Objectives</b>: The objectives of this systematic review are to bring together the existing evidence and evaluate the effectiveness of the different artificial intelligence architectures that have been used in recent studies. <b>Materials and Methods</b>: This work has been carried out following the PRISMA criteria and has been recorded in PROSPERO (ID = CRD 42025640049). We searched six different databases, and the results were filtered according to previously established inclusion and exclusion criteria. We extracted data independently by three review authors and analyzed the risk of bias of the studies using the QUADAS-2 test, calculating Cohen's kappa index (κ) to measure the agreement between assessors. <b>Results:</b> We included 20 diagnostic accuracy studies according to the inclusion and exclusion criteria, published between 2019 and 2024. All included studies described the detection of periodontal bone loss on radiographs. <b>Limitations:</b> One of the main limitations identified was heterogeneity in the indices used to assess the accuracy of models, which made it difficult to compare results between studies. In addition, many works use different imaging protocols and X-ray equipment, introducing variability into the data and limiting reproducibility. <b>Conclusions:</b> Artificial intelligence is a promising technique for the automated detection of periodontal bone loss, allowing the accurate measurement of bone loss, identifying lesions such as apical periodontitis and stage periodontitis, in addition to reducing diagnostic errors associated with fatigue or inexperience. However, improvements are still required to optimize its accuracy and clinical applicability.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Severe Oral Mucositis Development Despite Photobiomodulation Therapy in Stem Cell Transplant Patients.","authors":"Sandra Bastos Rezende, Luana Campos, Maria Clara de Souza, Marcos Schoenmann, Maria Cristina Martins de Almeida Macedo, Roberto Luiz da Silva, Alyne Simões","doi":"10.3390/dj13090411","DOIUrl":"10.3390/dj13090411","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Oral mucositis (OM) is an extremely common and debilitating side effect in patients undergoing Hematopoietic Stem Cell Transplantation (HSCT). As such, managing this condition is an obligatory component for their supportive care. Among the available treatment options, photobiomodulation therapy has long since established itself as the most promising approach, with consistent evidence supporting its efficacy. Despite this, the clinical results of this therapy are still influenced by the chosen dosimetry parameters, as well as patient-specific factors. Therefore, this study aimed to assess which factors can continue to influence the severity and onset of OM despite the protective effect provided by the ongoing photobiomodulation therapy. <b>Methods</b>: To achieve this, a retrospective analysis was conducted on the medical records of 171 patients who underwent PBMT during HSCT over a two-year period at the Brazilian Institute of Cancer Control. These files were used to review clinical and laboratorial parameters, such as OM grade, serum CRP, creatinine, urea, OGT, PGT, pain levels, presence of microorganisms in cultures, type of transplant, and conditioning regimens. All of these were evaluated at two different time points: the first day of conditioning and the day of highest OM degree. The statistical analysis was then conducted to evaluate the correlation between the variables and OM grade. <b>Results</b>: Results showed that type of conditioning regimens, use of MTX during conditioning, presence of microorganisms in cultures, and increased serum CRP, PGT, and initial urea levels were associated with severe OM. <b>Conclusions</b>: Among these, the type of conditioning regimens, MTX usage, positive results in cultures, and increased PGT levels on the first day of conditioning could be considered predictive for severe OM and the worst PBMT results. Consequently, in patients exposed to additional risk factors, adjustments in dosimetry paraments of PBMT or employment of adjuvant therapies should be considered to achieve better results.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Satisfaction with Anterior Bite Turbos: A Prospective Clinical Trial.","authors":"Fady Hussein Fahim, Donald Lloyd Baumann, Ahmed Othman, Reham M Abdelsalam, Hamada Ahmed Deyab, Constantin von See, Dina Osman ElAbbasy","doi":"10.3390/dj13090412","DOIUrl":"10.3390/dj13090412","url":null,"abstract":"<p><p><b>Background</b>: Bonded composite bite turbos are an efficient tool in the treatment of deep bite malocclusion. Patient satisfaction with orthodontic appliances has been correlated with treatment success. The aim of this study is to evaluate the level of patient satisfaction associated with bonded composite anterior bite turbos in deep bite treatment. <b>Materials and Methods</b>: This study was a one-arm prospective clinical study. Sixty patients, younger than 25 years old with permanent dentition and increased anterior overbite were treated with composite bite turbos bonded to the maxillary central incisors. A questionnaire form using the Likert scale with five responses (Very Unpleasant, Unpleasant, Acceptable, Pleasant, and Very Pleasant) was used by patients to document their satisfaction and feedback regarding the bite turbos after 1 week and 1 month. Statistical analyses with the chi-squared test was used to analyze the data for statistical significance. <b>Results</b>: Spearman's correlation coefficient was used to determine the correlation between age and satisfaction score, while the Mann-Whitney U test was used to compare the satisfaction scores between males and females. There was a statistically significant difference between all patient responses after 1 week and 1 month. A significant decline occurred in the unpleasant response from 10% after 1 week to 0% after 1 month; acceptable response from 36.7% after 1 week to 3.3% after 1 month. There was a statistically significant increase in the pleasant and very pleasant responses. Minor speech and eating difficulties were reported during the first week by 46.7% of patients. <b>Conclusions</b>: Anterior bite turbos made from Triad Gel and bonded to palatal surfaces of both maxillary central incisors using a Mini-Mold tip with 5 mm depth tip will most likely lead to an acceptance rate of 90% after 1 week and 100% acceptance rate after 1 month, without any problems in 53.3% of the patients. Short follow-up periods and lack of control group are the main limitations in this study. Trial registration: Registered at ClinicalTrials.gov (NCT07143916).</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maxillary Expansion in the Management of Obstructive Sleep Apnea: A Comprehensive Review.","authors":"Roqaya Alrumaih, Ali Alterki, Mohammad Qali","doi":"10.3390/dj13090410","DOIUrl":"10.3390/dj13090410","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by partial or complete blockage of the upper airway during sleep, leading to disrupted airflow and fragmented sleep. Maxillary expansion has emerged as a promising treatment option, as widening the maxilla can increase nasal airway volume and improve airflow. The treatment options for maxillary expansion include rapid maxillary expansion (RME) for pediatric patients, mini-screw-assisted rapid palatal expansion  (MARPE) for adolescents and adults, surgically assisted rapid palatal expansion (SARPE) for skeletally mature individuals, and distraction osteogenesis maxillary expansion (DOME) for adults with severe maxillary constriction and nasal obstruction.  This comprehensive review explores the role of maxillary expansion in the management of OSA, examining its clinical applications and potential effectiveness as a therapeutic intervention.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical and Morphological Analyses of Enamel White Spot Lesions Treated by Different Therapeutic Approaches (In Vitro Comparative Study).","authors":"Lamis Abdul Hammed Al-Taee, Mohammad Talal Al-Hyazaie, Rabeia J Khalil, Avijit Banerjee","doi":"10.3390/dj13090408","DOIUrl":"10.3390/dj13090408","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Within the minimum intervention oral care (MIOC) delivery framework, the management and improvement in the esthetics of enamel white spot lesions (WSLs) are recommended. This study evaluated the chemomechanical and morphological characteristics of WSLs treated by four therapeutic approaches using Raman spectroscopy, Knoop microhardness (KH), and field-emission scanning electron microscopy (FESEM). <b>Methods</b>: Sixty human enamel slabs were divided into six groups: non-treated (baseline), WSLs (8% methylcellulose gel with 0.1 M lactic acid, pH 4.6 at 37 °C for 21 days), and four treated groups, namely bovine collagen supplement (Nutravita Ltd., Maidenhead, Berkshire, UK), Regenerate system (NR-5, Bordeaux, France), Sylc air abrasion (AquaCare, Denfotex Research Ltd., Edinburgh, UK), and CO₂ laser (JHC1180, Jinan, China). Treatment lasted 28 days, followed by four weeks of storage in artificial saliva (pH = 7.0, 37 °C). Bovine collagen was analyzed using Fourier-Transform Infrared Spectroscopy (FTIR). The mineral content, including the phosphate peak intensities (PO₄ ν₁, ν₂, and ν₄) and carbonate (CO₃), as well as tissue microhardness, were assessed at varying depths (50-200 µm), followed by morphological assessment. <b>Results</b>: The FTIR spectrum of bovine collagen powder confirms the presence of amide I, II, and III. It produced a statistically significant enhancement in the phosphate content and KHN compared to WSLs of up to 150 µm in depth (<i>p</i> < 0.001). Regenerate-treated surfaces recorded the highest phosphate content among groups at the superficial layer. All treatment interventions enhanced the morphology of lesions by covering the exposed prisms and inter-prismatic structure. <b>Conclusions</b>: Bovine collagen supplements can enhance the phosphate content and surface properties of enamel white spot lesions (WSLs) and could be considered a potential modality comparable to other micro-invasive approaches for addressing incipient enamel lesions. This could significantly impact dental care management.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Dentoalveolar Trauma Patterns Between E-Scooter and Bicycle Accidents in a German Urban Area: A Retrospective Study.","authors":"Anna Aydin, Johannes Schunk, Manfred Giese, Oliver Schuck, Florian Dudde","doi":"10.3390/dj13090409","DOIUrl":"10.3390/dj13090409","url":null,"abstract":"<p><p><b>Objectives:</b> The increasing popularity of electric scooters (E-scooters) has led to a rise in trauma-related injuries, particularly in the craniofacial region. This study aims to compare dentoalveolar trauma (DT) patterns between E-scooter and bicycle accidents in a German urban area to identify differences in injury characteristics, risk factors, and treatment approaches. <b>Materials and Methods:</b> This retrospective study analyzed 178 patients treated for DT following E-scooter (n = 56) or bicycle (n = 122) accidents between January 2022 and December 2022 at a single oral and maxillofacial surgery department in a German urban area. Demographic, clinical, temporal, and therapeutic data were collected and statistically compared. <b>Results:</b> E-scooter patients were significantly younger (mean age: 33.6 vs. 47.0 years, <i>p</i> < 0.001) and predominantly female (85.7% vs. 26.2%, <i>p</i> < 0.001) compared to bicycle patients. E-scooter accidents more frequently occurred at night (69.6%) and on weekends (62.5%) and were significantly associated with alcohol consumption (55.4%) and low helmet use (8.9%). Clinically, E-scooter accidents resulted in more complex dental injuries, including a higher incidence of root fractures (14.3% vs. 0%, <i>p</i> < 0.001), complicated crown fractures (25.0% vs. 9.0%, <i>p</i> = 0.004), and crown-root fractures (32.1% vs. 9.8%, <i>p</i> < 0.001). Mandibular injuries were more prevalent in the E-scooter group, and concomitant facial fractures (excluding alveolar) were also more common (28.6% vs. 19.7%, <i>p</i> = 0.018). <b>Conclusion:</b> E-scooter accidents are associated with a distinct DT pattern involving younger, often alcohol-intoxicated, and helmetless patients, typically presenting with more severe and complex DT-injuries. These findings highlight the urgent need for targeted prevention strategies, legislative measures on helmet use, and clinician awareness of specific trauma profiles linked to E-scooter use.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12468970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145148283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}