Journal of Stomatological Medicine最新文献

{"title":"Various diseases in the maxillo-facial region. methods of their diagnosis and treatment","authors":"Natalia Rusu-Radzichevici, Mihail Radzichevici, Vitalina Ignatiev","doi":"10.53530/1857-1328.24.1.11","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.11","url":null,"abstract":"Introduction: Various diseases are found in the maxillofacial region: inflammatory processes, trauma, tumors, and aesthetic disorders. Each of these diseases requires a careful and individualized approach for diagnosis and their treatment. Materials and Methods: Clinical cases with various diseases in maxillofacial region were studied on the basis of the department of oral and maxillo-facial surgery and oral implantology „Arsenie Guțan’’ Results: In the maxillofacial region there are diseases with different etiologies. One of them, which are most often diagnosed is inflammatory processes, namely toxic osteomyelitis on the background of narcotic drugs use. Diagnosis of this disease is revealed against the background of a thorough collection of anamnesis, paraclinical methods of examination: laboratory tests, orthopantomography, CT. Treatment was medication and surgery (necrectomy, plasty of the post on the upper jaw, osteosynthesis on the lower jaw). In the maxillofacial region the following types of traumas are most often encountered: fractures of facial bones, soft tissue traumas of various etiologies, of which a special approach is required for long-standing traumas, which for various reasons could not be eliminated by surgical methods (severe neurological condition of patients after various traumas). Complex clinical cases include burns in the face and neck region with skin and muscle lesions. Scar tissue after burns requires careful medical preparation before surgical treatment: gradual introduction of hormonal drugs and enzymes into the scar tissue to soften them, prescription of various physical procedures. In burns in the facial area is particularly difficult to perform surgical treatment, each incision must be carefully considered to improve the patient’s appearance (elimination of microstoma, lengthening of scars by moving the triangular flaps, mechanical dermatosis, plasty with nearby flaps, and in some cases from distant areas). It is difficult to work with scars in the neck area especially in patients of young age, as the neck is very mobile and the skin at this age is elastic, which greatly affects the process of aesthetic scar formation. In some cases, surgical treatment leads to worse results: the formation of hypertrophic scars, divergence of the wound edges. In such cases, it is best to carry out medical treatment and physical procedures. In the maxillofacial region, a special approach requires treatment of tumors, given that in this area are a large number of nerves and vessels that can be damaged. In case of injury to the facial nerve during interventions in the parotid gland, immediate treatment by a neurologist is recommended; vitamin therapy and acupuncture are most effective in these cases. Conclusions: All diseases in the maxillofacial region require a careful approach to diagnostic methods and treatment techniques, as well as an excellent knowledge of the location of vessels and nerves in the area.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"2017 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141400589","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":"Mechanical modification of the implant surface as an adjunctive measure during surgical treatment of peri-implantitis","authors":"Radu Bolun, Maria Mihaela Vovc, Marcela Tighineanu, Vitalie Gribenco, Valeriu Fala","doi":"10.53530/1857-1328.24.1.09","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.09","url":null,"abstract":"Background. Peri-implantitis has been defined as a biofilm-associated pathological condition, occurring in tissues around dental implants, and characterized by inflammation in the peri-implant mucosa and subsequent progressive loss of supporting bone. Numerous surgical approaches, including access flap surgery, and resective or augmentative techniques, have been proposed previously in order to treat peri-implantitis. The mechanical modification of the implant surface has been proposed as an adjunctive measure during surgical treatment of peri-implantitis. Implantoplasty is a procedure based on the mechanical removal of implant threads to create a smooth surface that is less predisposed to plaque accumulation and reinfection. Objective of the study. This study aims to evaluate the clinical efficacy of mechanical modification of the implant surface as an adjuvant measure during resective surgical treatment of peri-implantitis. Material and Methods: Peri-implantitis was defined as radiographic bone loss ≥ 3 mm and/or probing depths ≥ 6 mm, followed by profuse bleeding. 12 patients with peri-implantitis were included in the study. The control group (CG, n=6) received resective surgical treatment with implantoplasty, while the test group (TG, n=6) received the same treatment using rotating titanium brushes for decontamination. Tungsten carbide instruments were used for implantoplasty on titanium during the surgical treatment of peri-implantitis. Mechanical debridement of implant surfaces was preceded by the application of antibacterial and chemical agents, such as 0,05 % chlorhexidine gluconate and 3% hydrogen peroxide The following outcome variables were assessed: peri-implant probing depth (PiPD), modified bleeding on probing (mBoP), modified plaque index (mPI), suppuration (SUP) and recession (REC). Results. All subjects had previously received submarginal instrumentation. At the 3-month follow-up, both groups showed clinical improvements. The reduction in clinical index, mBoP were quite similar between the study and control groups (p > 0.05). However, the GC group demonstrated a statistically significant greater reduction of the indices mPI and PiPD (p < 0.05). There was no statistically significant difference in suppuration index between the two groups (p > 0.05). The sites treated with implantoplasty revealed significantly more soft-tissue recession (CG: 1.9±0.4 mm; TG: 1.1±0.35 mm; p < 0.05) and consequently marked exposure of the implant surface. C onclusions. Patients from the control group showed better results on mPI and PiPD indices. Both methods resulted in stable conditions, with high improvement in clinical indices. Implantoplasty is more suitable for lateral areas. Implant surface polishing is indicated at implant sites where no bone regeneration is expected.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"13 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412271","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":"Peculiarities in the orthodontic treatment of dental crowding associated with arch compression","authors":"Gheorghe Mihailovici, Lucia Avornic-Ciumeico, Corina Mihailovici","doi":"10.53530/1857-1328.24.1.16","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.16","url":null,"abstract":"Introduction. Decreased transverse and sagital length of dental arches are characteristic signs of patients with dental crowding. This is to conclude that one of the orthodontic treatment aims is to expand dental arches. Objective of the study. Increase the diagnosis efficiency and simplify the treatment methods of DDA with crowding by using dental arches expansion. Study goals. 1.Selection of appropriate and efficient methods in dental crowding diagnosis. 2. Study the efficiency of rigid arches usage in the treatment of dental arch compression associated with crowding. 3. Ensure the treatment result stability of this pathology by applying more effective retention methods. Methods and Materials. This study is based on the evaluation of 22 patients with dental crowding, in which the expansion of the transverse and sagittal lengh of dental arches was performed. 6(27.3%) were male, 16(72.7%) - female. The average age of the patients was 15.86±1.25 years. Diagnosis was established based on clinical examination, X-ray examination (lateral cephalometrics and panoramic X-ray, cone beam computed tomography), biometric study of the casts (Pont, Korkhaus, Bolton analysis). In all patients,during the orthodontic treatment, were used fixed MBT appliances with a .022″ slot in combination with a dental arch expansion device. Results. According to the facial type, the patients were divided into:13(68.42%) cases – euriprosop type, 3(15.79%) cases – mesoprosop type, 3(15.79%) cases – leptoroprosop facial type. The SI index was 31.85 mm±0.37. There were 18(72.0%) patients with normodentia, with macrodentia - 7(28.0%). The anterior Bolton indices had a value of 77.88%, 0.68% higher than the norm. The intermolar width of the upper dental arch, before treatment, was reduced with 4.77 mm, the lower one with 3.51 mm. When analyzing the total space in the lower arch, a total deficit of 8.04 mm was detected. The duration of the treatment by expansion of the dental arches was 16.82 months ± 0.78, being truthfully shorter than in cases with extractions (p<0.05). Conclusions. In the diagnosis of dento-alveolar disharmonies with crowding is important the use of total space analysis in association with cephalometric analysis. To simplify the treatment, it is necessary to use in several patients the possibility of expanding the arches by activating the rigid stainless steel wires. To ensure the stability of the treatment result and to preserve the created transverse width, the use of retention appliances made of rigid plates with a thickness of 1.5 mm can be recommended.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"279 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412696","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":"Surgical treatment of total cleft palate from the perspective of postoperative complications","authors":"S. Railean, Roman Lupan, Dănis Ursu, C. Poştaru","doi":"10.53530/1857-1328.24.1.26","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.26","url":null,"abstract":"Introduction. Cleft palates are the most common malformations among congenital malformations. According to existing classifications, the most common complications according to the bibliographic data are total palatal clefts. Due to the insufficiency of both bone and soft tissue in the anterior part of the hard palate, complications in the form of oronasal fistulas frequently occur in the postoperative period. Objective of the study. Optimization of surgical treatment to reduce complications of anterior oronasal fistula origin in total and total transfixing cleft palates. Methodology. 20 medical files of patients with oronasal fistulas were examined. Their number and causative factors of oronasal fistulas were found. Results. As a result of the analysis of the medical records of children with clefts of the face, we found that 40% of children present with cleft palates. Of the total clefts, 15% are total and transfixing palatal clefts. In all children, bone tissue insufficiency was found in the anterior part of the hard palate. These forms of cleft palate showed the highest complication rate of oronasal fistulas. Which represents the location of fistulas in the anterior region of the hard palate. In the primary treatment of cleft palate, a modification of the classical method was proposed, which consists in the creation of a bipediculated Langhenbeck flap. The method involves preserving the continuity of the Langhenbeck flap in the anterior part. The wide detachment of the mucoperiosteal layer is performed on the anterior part of the hard coat, in the areas with preserved bone tissue integrity. Results. The proposed method created favorable conditions for the prevention of anterior oronasal fistulas. All 20 children operated according to this method did not present oronasal fistulas. Conclusion. In conclusion, we can state that preserving the integrity of the Langhenbeck flap in the anterior part of the hard palate prevents the formation of oronasal fistulas.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"392 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401677","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":"The incidence and management of the rehabilitation of patients with cleft lip and palate","authors":"E. Porosencov, S. Railean, Tatiana Porosencova","doi":"10.53530/1857-1328.24.1.23","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.23","url":null,"abstract":"Introduction: Cleft lip and palate (CLP) is a facial malformation resulting from the incomplete fusion of the facial buds during the intrauterine period between the fourth and ninth week of pregnancy. CLP globally occurs in approximately 1 in 700 newborns, and the rehabilitation of these patients is lifelong. Objective of the study: Evolutionary estimation of the number of children born with facial fusion pathology and their management. Material and Methods: A retrospective study of patients with CLP was carried out through the analysis of the Electronic Register Archive of the IMSP Mother and Child Institute, „Emilian Coțaga” Clinic, who were referred in the period 2018-2022 within the Department of OMF Pediatric Surgery; The database of the National Bureau of Statistics in the Republic of Moldova. The comparative analysis of the results of previous studies from the years 1996-2000 (Lupan I.) and 2011-2015 (Railean S.) was carried out. Results: In the period 2018-2022, 454 patients with congenital malformations were detected in the OMF region: cleft palate 27.5%; cleft lip 13.7%; CLP 58.8% (p=0.046). Of these, 68.5% were up to 3 years, 11.5% - 4-7 years, 6.4% - 8-12 years, ≥13 years - 13.7%. 59.5% - benefited primary interventions, 25.8% - secondary interventions, 14.8% - rehabilitation (p<0.05). According to retrospective incidence data, compared to the previous 2 studies the number of live newborns decreases from 42,844 to 30,813.2 average children/ year, but the incidence of congenital facial malformations (1.97:1000) is increasing in the study from 20112015 and CLP (0.9:1000) in our study are increasing. Conclusions: According to the evolutionary data of the number of children born with facial fusion pathology - facial clefts in children and adolescence from the period 1996-2000, 2011-2015 and 2018-2022 cause an increase in the incidence of facial clefts and especially of the most serious forms in the Republic of Moldova in relation to the birth of registered live newborns who require a long period of rehabilitation throughout their lives.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"89 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390699","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":"Pain syndrome in adolescents and young adults with temporomandibular disorders","authors":"Valeria Vasiliu, Gheorghe Bordeniuc, E. Porosencov, S. Railean, Valeriu Fala","doi":"10.53530/1857-1328.24.1.29","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.29","url":null,"abstract":"Introduction: Temporomandibular disorders (TMD) are a global public health problem affecting between 5-12% of the population, determined that the age peak with the highest incidence is among young people (up to 35 years), and with the advancement in age it decreases. In recent decades, special attention has also been paid to investigating the manifestation of temporomandibular disorders among adolescents, attesting to an increasing trend in prevalence in this age group. In the specialized literature, the peculiarities of the clinical expression of these conditions and the association with the sex of patients are not fully elucidated, especially regarding the cardinal symptoms related to the pain syndrome associated with TMD. The purpose of the study: to determine the peculiarities of the manifestation of pain syndrome in young people (adolescents, young adults) with temporomandibular disorders. Material and methods: Between 2022-2023, 37 young patients with temporomandibular disorders (mixed clinical form – myogenous-arthrogenous TMD) – 19 adolescents (10 girls, 9 boys) and 18 young adults (14 women, 4 men), who were referred to the university clinical bases of the departments of therapeutic dentistry and pediatric OMF and pedodontics “Ion Lupan”. The diagnosis of temporomandibular disorder was predetermined by applying the diagnostic criteria from the DC/TMD protocol. The clinical instrumental investigations were based on the evaluation of the number of pain-positive stomatognathic sites during the clinical examination and the investigation of the pain sensitivity thresholds (PPT) at the level of the masseter muscles and TMJ by means of the Wagner FDIX algometer (USA). Results: In the analyzed sample, a different gender distribution was determined in the 2 age groups – in teenagers, the proportions being approximately equal between girls and boys, while in young adults (18-29 years) a predominance of the female sex, with statistical significance (Chi2 = 5.65, p = 0.0174). The average number of algic positive sites in adolescents was 13.72±3.1, and in young adults 10.34±1.21, in adolescents a tendency to more frequent painful masticatory muscles was observed, the number of affected sites decreasing with age. Also, the average sensitivity thresholds were lower in female adolescents and young adults compared to males, both at the level of masseter muscles (0.64±0.12 vs. 0.89±0.7) and TMJ (0.34±0.2 vs. 0.43± 0.4). Conclusion: In young people (adolescents, young adults), an expression of the pain syndrome associated with temporomandibular disorders is attested to be more extensive (especially larger number of affected muscle sites) as well as in intensity (lower sensitivity thresholds), in especially with tendencies of more pronounced manifestation in female persons.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"15 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390369","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":"Review of the scientific literature to analyse the cariogenic potential of the diet of military personnel on active duty","authors":"Maria Mihaela Vovc, Dan Zagnat, Valeria Vasiliu, Dragoș Baciu, Gheorghe Bordeniuc, Valeriu Fala","doi":"10.53530/1857-1328.24.1.08","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.08","url":null,"abstract":"Introduction. In 2021 the World Health Organization adopted a resolution on oral health in response to the high prevalence of oral diseases globally. It is estimated that 3.5 billion people suffering from oral diseases, the most common being dental caries and periodontal diseases. It requires UN member states to take action to mitigate the risk factors for oral diseases. While in the general population the concern of the scientific community is reflected in an increased availability of oral health data, in the military the number of scientific studies is limited. Oral health is considered to be an important component of general health, with an impact on the ability of personnel to perform their duties properly. Dietary patterns that increase the risk of dental caries include consistent and long-term consumption of foods containing sugars, sticky foods, and sugary drinks. The literature review revealed that there is no data available regarding oral health status of active military personnel in the Republic of Moldova. Objective of the study. Analysis of available scientific literature to determine the influence of diet with cariogenic potential on oral health of military personnel. Materials and methods. Data was collected using search terms (MESH) about the cariogenic potential of diet in military personnel – Pubmed, MEDLINE. Results. A review of the scientific literature found an increased prevalence of dental caries in military personnel who consistently consumed high carbohydrate products. According to the study proposed by Tudoronion et al on 2020 high carbohydrate diet resulted in a higher percentage of subjects diagnosed with dental caries 70.9%, compared to those who did not show clinical signs of dental caries 29.1% . Conclusion and mitigation strategies. Different studies showed that an increase in the percentage of carbohydrate consumption relative to the total daily energy increases the prevalence of dental caries, which is consistent with the results of many previous studies. The WHO has recommended < 10% consumption of sugars to prevent dental caries. In contrast to many other studies indicating the anti-caries properties of fruits, increasing fruit consumption during the day increased susceptibility to caries.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404991","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":"Diagnosis and treatment of gingivitis","authors":"Vladislav Zarițchii, Diana Uncuţa","doi":"10.53530/1857-1328.24.1.18","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.18","url":null,"abstract":"Introduction. According to epidemiological data, gingivitis is one of the most common periodontal pathologies and occupies one of the primary places in the work of dentists. The prevalence of gingivitis varies between 50% and 99%, regardless of age - both in children and adults. The main cause in the development of gingivitis are microorganisms that manifest themselves through pathogenic properties against a background of poor oral hygiene and reduced local and general resistance. Objective of the study. To establish the diagnosis and methods of treatment of different forms of gingivitis, to evaluate patients dynamically, to identify the characteristics of the clinical course regarding different forms of gingivitis, to study data on the prevalence of periodontal diseases, to identify the main causes of periodontal diseases in children and adults. Materials and methods. Seventeen patients (8 females and 9 males) aged 8-19 were included in the given study. The examination of the periodontal status showed: 2 patients with healthy periodontium, 6 patients with localized chronic catarrhal gingivitis and 9 patients with generalized chronic catarrhal gingivitis. The periodontal status was assessed by gingival inflammation indices according to Loe and Silness, oral hygiene index “OHI-S”, papillary bleeding index (Muhlemann), Schiller-Pisarev test. In all forms of gingivitis, the choice of methods and means of treatment is determined by the particular clinical course of the disease of patients and the severity of the gingival lesions. Results. Clinical examinations detected the presence of gingivitis in 15 patients (6 patients with localized chronic catarrhal gingivitis and 9 patients with chronic generalized catarrhal gingivitis). The prevalence and intensity as well as the poor oral hygiene index are significantly higher in rural areas compared to the urban population. Periodic bleeding of the gums was found in 40% of those examined. The main periodontal tissue pathology detected was chronic generalized catarrhal gingivitis. Conclusion. The study found that the prevalence of periodontal disease is very high in both children and adults. The most common causes of gingivitis are unsatisfactory oral hygiene, negligent attitude of parents towards the hygienic education of the child, presence of dento-maxillary anomalies, immune incompetence caused by local and general factors.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"28 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414746","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":"Therapeutic particularities in the rehabilitation of the upper frontal group","authors":"Dan Zagnat, Vitalie Gribenco","doi":"10.53530/1857-1328.24.1.04","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.04","url":null,"abstract":"Introduction: Changes caused by periodontal disease, anomalies of shape and position, partial edentulism, lead to disharmonies of the dento-gingival composition. A controversial topic in dental literature is the relationship between aesthetic and occlusal parameters in the context of the existence of a habitual occlusion of convenience. At the same time, the tendency to incorporate factors describing the patient’s personality, age and gender into the dental composition may bring the practitioner closer to achieving therapeutic success. Purpose: To develop an algorithm for planning and applying treatments with bioaesthetic therapeutic goals. Material and methods: 8 subjects (3 males and 5 females) aged 28 to 62 years were examined, with the assessment of dentofacial, dental and gingival components of the smile, followed by conventional imaging and chromatic analysis methods. Results and Discussion: The subjects included in the study group showed signs and/or symptoms characteristic of aesthetic disharmony of the upper frontal dento-gingival compositions as well as chronic occlusal disorders. The evaluation and quantification of dento-gingival aesthetic parameters was materialized by means of the „guide-schema” developed by us, with the demarcation of transition areas in „critical aesthetic areas”. Through complex therapeutic procedures of occlusal balancing, recontouring of compositional elements and guided layering, occlusal and esthetic curative objectives could be addressed simultaneously. Conclusion: In the algorithm of stepwise planning of cosmetic treatment sequences, the compromise of quantifying aesthetic parameters and preserving occlusal parameters was achieved.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"3 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389933","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":"Dual-light antibacterial photodynamic therapy in periimplant mucositis treatment","authors":"Radu Bolun, Maria Mihaela Vovc, Marcela Tighineanu, Dragoș Baciu, Valeriu Fala","doi":"10.53530/1857-1328.24.1.10","DOIUrl":"https://doi.org/10.53530/1857-1328.24.1.10","url":null,"abstract":"Background. The link between biofilm accumulation around dental implants and the development of an inflammatory disease around them has been demonstrated in classical pre-clinical and clinical studies. In patients with peri-implant mucositis, the EFP S3 level clinical practice guideline suggest not to use locally administered agents (antiseptics, postbiotics, desiccant gel) or photodynamic therapy, as adjunct methods to professional mechanical plaque removal (PMPR). Instead, the use of a time limited self-administration of oral rinse antiseptics (chlorhexidine and herbal-based) or the professionally guided self-administration of probiotics may be considered. In previous studies, some antiseptics have been associated with undesirable side effects, such as transient anaesthetic sensation in the oral mucosa or higher levels of staining of the teeth or tongue. Previously, antibacterial photodynamic therapy (aPDT) has been used mainly in dental offices practice and rare aplications (1-4 times per year ) usually did not improve the results. Recently, LED based aPDT has been developed allowing repeated and practical use at home. Objective of the study. This study aimed to determine the clinical outcomes obtained with regular antibacterial photodynamic therapy in peri-implant mucositis treatment. Materials and methods. After applying inclusion and exclusion criteria, 29 patients were enrolled in the study. Each of them had at least 1 implant diagnosed with mucositis. Patients were randomized into 2 groups: Study Group (GS) – 14 patients, and Control Group (GC) – 15 patients. Patients from GS, besides submarginal instrumentation, received repeated aPDT treatment. The study used a medical device containing a light-activated Lumorinse® mouthwash and a Lumoral® light activator. The primary outcome variable was peri-implant probing depth reduction (PiPD), while the secondary outcome variables were changes in bleeding on probing (mBOP) and plaque index (mPI). Clinical parameters were assessed at the beginning and after 2 months. Results. All 29 patients included in the study finalized the study. In GS and GC respectively, the results were: PiPD of 5.3±0.6 mm and 5.4±0.5 mm initially, and after 2 months 4.1±0.5 mm and 4.2±0.7 mm respectively (p >0.05), mPI was more reduced in GS group than GC (p < 0.05), and mBoP was lower in GS comparing to GC (p < 0.05). Conclusion. Patients from the control group showed better results on mPI and mBoP indices. Repeated aPDT treatment at home can improve oral hygiene and the results of peri-implant mucositis treatment. Additional studies are required to validate the current results.","PeriodicalId":122574,"journal":{"name":"Journal of Stomatological Medicine","volume":"8 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389752","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}