Frontiers in DentistryPub Date : 2025-12-01eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i50.20632
Robab Noormohammadi, Milad Khoadei, Mohammad Borna Amirian, Roya Belbasi, Sona Rafieyan
{"title":"Solitary Fibrous Tumor of the Lower Lip; A Rare Case Report.","authors":"Robab Noormohammadi, Milad Khoadei, Mohammad Borna Amirian, Roya Belbasi, Sona Rafieyan","doi":"10.18502/fid.v22i50.20632","DOIUrl":"10.18502/fid.v22i50.20632","url":null,"abstract":"<p><p>Solitary Fibrous Tumor (SFT) is a rare benign neoplasm primarily associated with the pleura. However, it has also been identified in diverse locations, including the skin, deep soft tissues, genitourinary system, gastrointestinal tract, and the head and neck region, including the oral cavity. There is no gender predilection for SFT of the oral cavity and it can occur at any age. We herein present a case of SFT on the lower lip of a 19-year-old male patient and describe our diagnostic approach. The histopathological findings showed typical features of SFT with immunoexpression of CD34, CD99, BCL2, and STAT6, along with low expression of Ki67 in 10% of the tumor cells.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962798","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}
Frontiers in DentistryPub Date : 2025-11-30eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i49.20330
Maedeh Masoumzadeh, Mina Taheri, Shima Yunespour, Ghasem Yadegarfar, Negar Kanounisabet
{"title":"Comparison of Photodynamic Therapy and Air Abrasion for Implant Surface Decontamination with Laser Treatment in Terms of Efficacy and Implant Surface Alterations: A Systematic Review.","authors":"Maedeh Masoumzadeh, Mina Taheri, Shima Yunespour, Ghasem Yadegarfar, Negar Kanounisabet","doi":"10.18502/fid.v22i49.20330","DOIUrl":"10.18502/fid.v22i49.20330","url":null,"abstract":"<p><p><b>Objectives:</b> Considering the shortcomings of the currently applied mechanical and chemical methods for implant surface decontamination, this study compared the efficacy of three decontamination methods and their impact on implant surface. <b>Materials and Methods:</b> This systematic review was conducted based on the PRISMA guidelines, with searches performed in PubMed, Scopus, and Web of Science databases. The inclusion criteria were English-language animal, in vivo, and in vitro studies on the effects of photodynamic therapy (PDT), laser treatment, and air abrasion on implant surface changes or microbial load. <b>Results:</b> Of 1,076 initially retrieved articles, 30 studies were fully reviewed; out of which, 20 met the inclusion criteria. One study found that erbium-doped yttrium-aluminum-garnet (Er:YAG) laser and air abrasion were equally effective in reducing the microbial load, but seven studies favored laser treatment. Five studies noted minor surface changes with air abrasion, while three reported more changes with laser. Regarding biocompatibility, eight studies favored laser; while, three found both methods effective. In six studies, Er:YAG laser was more effective than PDT in reducing the microbial load, with five studies also showing better preservation of implant integrity. Both methods were biocompatible, but laser treatment was superior in preserving cell viability, with three studies favoring it over PDT. Additionally, PDT outperformed air abrasion in reducing the microbial load, preserving the implant surface, and enhancing biocompatibility. <b>Conclusion:</b> Both PDT and laser therapy are effective in reducing the microbial load. Additionally, laser causes the least surface alterations, with some studies reporting minor improvements in implant surface properties.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2025-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962205","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}
Frontiers in DentistryPub Date : 2025-11-22eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i48.20331
Zahra Jowkar, Mohammad Mahdi Abdolinezhad, Seyed Ahmadreza Hamidi, Ali Moaddeli
{"title":"Impact of Mesoporous Zinc Oxide Nanoparticles on Diametral Tensile Strength and Flexural Strength of Resin-Modified Glass Ionomer Cement: An In-Vitro Study.","authors":"Zahra Jowkar, Mohammad Mahdi Abdolinezhad, Seyed Ahmadreza Hamidi, Ali Moaddeli","doi":"10.18502/fid.v22i48.20331","DOIUrl":"10.18502/fid.v22i48.20331","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to investigate the effects of incorporating zinc oxide nanoparticles (ZnONPs) and mesoporous ZnONPs into resin-modified glass ionomer cement (RMGIC) on diametral tensile strength (DTS) and flexural strength (FS). <b>Materials and Methods:</b> A total of 70 RMGIC specimens were fabricated and randomly divided into 7 groups (n=10 per group). Group 1 served as the control group. Groups 2 to 4 contained 3wt.%, 5wt.%, and 7wt.% ZnONPs, respectively, and groups 5 to 7 had 3wt.%, 5wt.%, and 7wt.% mesoporous ZnONPs, respectively. ZnONPs and mesoporous ZnONPs were homogeneously incorporated into the RMGIC powder. Disc-shaped (for DTS) and bar-shaped (for FS) specimens were fabricated according to ISO standards. All specimens were stored in distilled water at 37°C for 24 hours before testing. The DTS was measured using a diametral compression test, and the FS was measured by a three-point bending test using a universal testing machine. Data were analyzed by one-way ANOVA and Tukey's post-hoc test (alpha=0.05). <b>Results:</b> Statistically significant differences were observed in the DTS and FS among the groups (P< 0.001). The 5wt.% mesoporous ZnONPs group exhibited the highest DTS and FS values. The group with 7wt.% ZnONPs showed the lowest DTS and FS values (P<0.05). <b>Conclusion:</b> Incorporation of 5wt.% mesoporous ZnONPs into RMGIC significantly improved its DTS and FS, suggesting that this concentration offers optimal reinforcement of mechanical properties.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962542","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}
Frontiers in DentistryPub Date : 2025-11-14eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i47.20329
Mike Eghosa Ogbeide, Abdurrazaq Olanrewaju Taiwo
{"title":"Caries Experience and Severity among Students with Disabilities in Sokoto, Nigeria.","authors":"Mike Eghosa Ogbeide, Abdurrazaq Olanrewaju Taiwo","doi":"10.18502/fid.v22i47.20329","DOIUrl":"10.18502/fid.v22i47.20329","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to assess the caries experience and severity among students with disabilities in Sokoto, Nigeria. <b>Materials and Methods:</b> This descriptive cross-sectional study was conducted on elementary and high-school students with special needs attending Abdulrasheed Adisa Raji Special School in Sokoto State, Nigeria, who were selected by a systematic random sampling method. The students were between 6 to 28 years, and had hearing, visual, intellectual, or physical disabilities. Data regarding their sociodemographic characteristics were collected using a questionnaire, and their dental caries experience was determined by using the decayed, missing, and filled teeth (DMFT) index. SPSS version 23 was used for data analysis with a statistical significance set at 0.05. <b>Results:</b> Sixty-nine females (29.2%) and 167 males (70.8%), totaling 236 students, with disabilities participated in this study. The mean DMFT score was 0.72±1.32. Children between 6-12 years had the highest caries experience (mean DMFT=0.92±1.17). Among different disability groups, those with intellectual disability had the highest rate of caries experience (mean DMFT=0.98±1.61). Males had a higher rate of dental caries experience than females (P=0.006). The decayed component (DT) had by far the highest mean score (0.66±1.26) compared to other DMFT components. <b>Conclusion:</b> The caries experience of the study population was low. Nonetheless, the severity of caries was high in those who had caries experience.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"47"},"PeriodicalIF":0.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963039","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":"Influence of Smile Arc on Esthetic Perception in Relation to Gingival Display: A Cross-Sectional Study on an Iranian Population.","authors":"Majid Mahmoudzadeh, Maryam Farhadian, Yousef Ahmadpour, Maryam Salehzadeh","doi":"10.18502/fid.v22i46.20328","DOIUrl":"10.18502/fid.v22i46.20328","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to evaluate and compare the Iranian's perception of smile arc esthetics and its relationship with gingival display. <b>Materials and Methods:</b> Two sets of digitally-altered images of a female and a male model were presented to orthodontists and laypeople. Sixteen images with four different smile arcs (including reverse, flat, consonant, and exaggerated) in combination with four gingival display values (-4mm, -2mm, 0mm, and +2mm) were displayed in each set, sorted by gingival display. The raters were asked to rank the smile arcs from the most attractive (1) to the least attractive (4) for each amount of gingival display. The Kruskal-Wallis H and Mann-Whitney U tests were employed to statistically analyze the relationship of gingival display with smile arc esthetics. <b>Results:</b> Totally, 200 laypeople and 22 orthodontists participated in this study. Laypeople preferred flat smile arcs, and orthodontists believed that flat and consonant arcs were the most attractive in all gingival display values for female and male smiles. Reverse arc was mostly disliked in lower amounts of gingival display, and excessive arc was mostly disregarded in higher amounts of gingival display. <b>Conclusion:</b> As the preferred smile arcs were flat and consonant types regardless of the amount of gingival display, and reverse and exaggerated arcs were ranked the lowest in lower and upper extremes of gingival display, respectively, it may be concluded that the relationship between the gingival display and smile arc esthetics is more significant when considering unattractiveness.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962450","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":"Influence of Surface Treatments on the Bond Strength of a Self-Adhesive Bulk-Fill Composite Resin to Cut and Uncut Enamel: An In-Vitro Study.","authors":"Zahra Jowkar, Fereshteh Shafiei, Zahra Lotfhaghpanah, Zahra Sajedianfard, Seyed Ahmadreza Hamidi","doi":"10.18502/fid.v22i45.20296","DOIUrl":"10.18502/fid.v22i45.20296","url":null,"abstract":"<p><p><b>Objectives:</b> The objective of this study was to investigate how various surface treatments impact the microshear bond strength (μSBS) of a self-adhesive bulk-fill composite resin to cut and uncut enamel. <b>Materials and Methods:</b> Eighty sound human third molars were collected in this in vitro study. Forty were prepared to create cut enamel surfaces, and 40 were left uncut. Each group was randomly divided into four subgroups (n=10) according to the type of surface treatment: no treatment (control), 18% ethylenediaminetetraacetic acid (EDTA), All-Bond Universal adhesive in etch-and-rinse (E&R) mode, and All-Bond Universal adhesive in self-etch (SE) mode. Surefil One self-adhesive bulk-fill composite resin was bonded to enamel, and μSBS was measured after 24 hours. Data were analyzed by two-way ANOVA and Tukey's HSD post-hoc test (alpha=0.05). <b>Results:</b> Two-way ANOVA showed significant main effects of enamel preparation (P<0.001) and surface pretreatment (P<0.001), as well as their significant interaction effect (P=0.005) on μSBS. Cut enamel exhibited a higher mean μSBS (7.12±2.66MPa) than uncut enamel (5.88±2.70MPa; P=0.019). Universal adhesive application in E&R mode yielded the highest μSBS, followed by the SE mode; whereas, EDTA and no-treatment groups showed the lowest μSBS values. <b>Conclusion:</b> Cut enamel samples exhibited a greater μSBS in comparison to uncut samples. The highest μSBS values were observed when both cut and uncut enamel surfaces received pretreatment with a universal adhesive applied in E&R mode.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905974","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":"Multidisciplinary Management of a Permanent Central Incisor Fused with a Supernumerary Tooth: A Case Report.","authors":"Mahdi Isaabadi, Siamak Yaghobee, Behnam Bolhari, Fatemeh Malekpour","doi":"10.18502/fid.v22i44.19977","DOIUrl":"10.18502/fid.v22i44.19977","url":null,"abstract":"<p><p>Dental anomalies can be challenging for clinicians to diagnose and treat, such as fusion/gemination, which can be considered one of the most challenging anomalies to present a treatment plan for, due to esthetic, orthodontic, and periodontal problems they can cause in most cases. This case report describes an 8-year-old patient who complained of the unpleasant appearance of her right central incisor. Oral and radiographic examinations revealed a supernumerary tooth unilaterally fusing with the maxillary permanent central incisor. Two major factors in choosing a treatment plan in this case included: patient's age and presence of anomaly in the esthetic zone. This case report describes a treatment approach involving endodontic, periodontal, and restorative interventions for preserving a tooth in a child who could not undergo routine treatments such as implant placement due to incomplete growth of her dentoalveolar region, and bone deficiency caused by the dental anomaly.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"44"},"PeriodicalIF":0.0,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905934","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}
Frontiers in DentistryPub Date : 2025-10-10eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i43.19976
Atefe Saffar Shahroudi, Rashin Bahrami
{"title":"Assessing the Impact of Removable Orthodontic Retainers on Oral Health Related Quality of Life: Non-Randomized Clinical Trial.","authors":"Atefe Saffar Shahroudi, Rashin Bahrami","doi":"10.18502/fid.v22i43.19976","DOIUrl":"10.18502/fid.v22i43.19976","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to compare the oral health-related quality of life (OHRQoL) and self-perceived satisfaction of patients wearing Hawley (HR) or Essix retainer (ER) using the Oral Health Impact Profile (OHIP-14) questionnaire. <b>Materials and Methods:</b> Sixty patients who had recently completed orthodontic treatment and received either an HR or ER were recruited. Participants completed the OHIP-14 questionnaire one week (T<sub>1</sub>) and two months (T<sub>2</sub>) after receiving their retainers. Self-perceived satisfaction with the retainers was also recorded. <b>Results:</b> The ER group showed significantly lower overall OHIP-14 scores than the HR group at both T<sub>1</sub> and T<sub>2</sub>. In 14 OHIP items, HR scored higher in all except \"sense of taste\" (T<sub>1</sub> and T<sub>2</sub>), \"unsatisfactory diet\" (T<sub>1</sub>), and \"uncomfortable eating\" (T<sub>2</sub>). From T<sub>1</sub> to T<sub>2</sub>, overall OHIP-14 scores decreased significantly in both groups, with reductions in 10 items for ER and 8 items for HR. The mean satisfaction score (out of 3) was higher for ER (2.5±0.5) than for HR (1.23±0.43), and satisfaction increased significantly in both groups over time. <b>Conclusion:</b> ER had less negative impact on OHRQoL than HR. After two months, most OHIP-14 dimensions showed improvement in both groups, indicating patient adaptation to retainers and reduced discomfort over time. Adaptation was slightly greater with ER, and overall satisfaction was higher compared to HR.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905968","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}
Frontiers in DentistryPub Date : 2025-10-10eCollection Date: 2025-01-01DOI: 10.18502/fid.v22i42.19908
Behrad Tanbakuchi, Sara Valizadeh, Navid Tariverdi
{"title":"Shear Bond Strength of Orthodontic Eyelets Bonded with a Self-Adhesive Moisture-Tolerant Resin Cement Under Isolation and with Blood and Saliva Contamination.","authors":"Behrad Tanbakuchi, Sara Valizadeh, Navid Tariverdi","doi":"10.18502/fid.v22i42.19908","DOIUrl":"10.18502/fid.v22i42.19908","url":null,"abstract":"<p><p><b>Objectives:</b> Bonding of orthodontic attachments to enamel is essential in orthodontic treatment. This study aimed to assess the shear bond strength (SBS) of orthodontic eyelets to the enamel surface using a moisture-resistant self-adhesive resin cement under isolation in comparison with saliva and blood contamination. <b>Materials and Methods:</b> This in vitro experimental study used 78 sound human premolars extracted for orthodontic purposes. Brackets were bonded to the teeth with either Transbond XT or Embrace WetBond in isolated conditions and also in presence of blood and saliva contamination. The samples were subjected to thermocycling, and then the SBS of the eyelets attached to the enamel was measured in each group. The adhesive remnant index (ARI) was also determined under a stereomicroscope. Data were analyzed by two-way ANOVA, Tukey's test, and Kruskal-Wallis test (alpha=0.05). <b>Results:</b> The SBS of Transbond XT group was significantly higher than Embrace WetBond group under isolation and contamination with saliva and blood (P=0.000). In both adhesives, the SBS under isolated conditions was significantly higher than that in presence of blood and saliva contamination (P=0.000). There was a significant difference between the isolation and blood and saliva contamination groups regarding the ARI scores (P<0.05). <b>Conclusion:</b> Transbond XT adhesive yielded a stronger bond than WetBond Embrace in both situations; however, it appears that Embrace WetBond can also provide satisfactory results and minimize enamel damage during debonding.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"42"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905908","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":"Comparative Efficacy of MadaJet<sup>®</sup>XL and Conventional Injection Technique for Primary Maxillary Molar Local Anesthesia: A Randomized Clinical Trial.","authors":"Ghazale Baniebrahimi, Bahman Seraj, Maryamosadat Mosavi Bagheri, Hanieh Moghimi","doi":"10.18502/fid.v22i41.19907","DOIUrl":"10.18502/fid.v22i41.19907","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to compare the efficacy of a needle-free system (MadaJet<sup>®</sup>XL) and the conventional injection technique for primary maxillary molar local anesthesia before restorative procedures in 6 to 12-year-old patients. <b>Materials and Methods:</b> This cross-over randomized clinical trial was conducted on 30 children requiring restoration of at least two primary maxillary molars. The two molars requiring restoration in each patient were randomized using quaternary random blocks to receive either local anesthesia with MadaJet<sup>®</sup>XL or the conventional injection technique. To assess the efficacy of the techniques, pain score during injection was recorded using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale, and the number of patients with failed local anesthesia after MadaJet<sup>®</sup>XL administration was reported. The Wilcoxon Signed Ranks test was employed for data analysis (alpha=0.05). <b>Results:</b> The highest score was reported with the conventional injection technique (FLACC score=9). The mean pain score was 4.1±2.6 in the conventional group and 2.3±1.3 in the MadaJet<sup>®</sup>XL group. The Wilcoxon Signed Ranks test showed significantly higher pain score in the conventional injection technique than the MadaJet<sup>®</sup>XL (P<0.001). Re-injection was performed for 19 patients (63.3%) due to their discomfort during dental procedure when MadaJet<sup>®</sup>XL was used. <b>Conclusion:</b> Despite the lower level of pain and discomfort experienced during local anesthesia administration by MadaJet<sup>®</sup>XL, this device is not suitable for restorative procedures of primary maxillary molars, due to failure to achieve complete anesthesia.</p>","PeriodicalId":12445,"journal":{"name":"Frontiers in Dentistry","volume":"22 ","pages":"41"},"PeriodicalIF":0.0,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12765347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905982","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}