Journal of Clinical and Experimental Dentistry最新文献

{"title":"The effect of replacing dental needles between subsequent inferior alveolar nerve blocks on pain and trismus - a double blinded, randomised split-mouth study.","authors":"Tony Skapetis, Adelewa Olakitan Idowu, Thiruni Anushka Fernando, Gillian Marvel, Kanisha Vrajesh Mehta, Herdeza Verzosa","doi":"10.4317/jced.61784","DOIUrl":"10.4317/jced.61784","url":null,"abstract":"<p><strong>Background: </strong>Inferior alveolar Nerve Blocks are widely used in dental practice for achieving anaesthesia in the mandibular teeth. It is widely accepted that in order for this type of injection to be effective, the needle needs to penetrate a substantial depth of soft tissues as well as make contact with bone. This routinely leads to both blunting and barbing of the needle tip suggesting that a needle change is preferable for any subsequent injection as this will result in less tissue damage and pain for patient's. The study aimed to verify whether a change in needle affected measures of pain and trismus.</p><p><strong>Material and methods: </strong>This was a prospective, single center, double blinded (both clinician and participant), randomized, split-mouth study conducted in a large dental hospital and teaching facility. Participants were screened for factors that might alter their head pain sensation and participated in 2 clinical visits. In the first visit 2 needle insertions either with/without needle change were performed without anaesthetic as per an IANB injection. A survey instrument was used to capture several dimensions of pain both immediately after the visit as well as 48-72 hours later. This method was repeated on a second visit on the opposite mandibular quadrant after a washout period of at least 2 weeks. Paired t-Test's were performed at the 2 time points.</p><p><strong>Results: </strong>Significance was only demonstrated in one of 10 sensory and 12 emotional pain descriptors during one of the 2 time points of measurement. Similarly, VAS mean pain scores and a measure of trismus were not affected by needle change.</p><p><strong>Conclusions: </strong>This study was able to demonstrate that a change in needle between subsequent IANB's does not affect self-reported measures of pain nor trismus. <b>Key words:</b>Nerve block, dental injection, dental anaesthesia, pain, trismus.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e29-e36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432797","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":"Glandular odontogenic cyst: Comprehensive clinicopathological and immunohistochemical characterization.","authors":"Nicole Lonni, Breno Barbosa, Liane Souza, Daniella Couto-Vieira, Elena Rivero, Rogério Gondak, Ricardo Luiz Albuquerque-Júnior","doi":"10.4317/jced.62150","DOIUrl":"10.4317/jced.62150","url":null,"abstract":"<p><strong>Background: </strong>The glandular odontogenic cyst (GOC) is a rare aggressive odontogenic lesion, whose diagnosis can be challenging due to the overlap of microscopic findings with other lesions of the jaws. However, the main histopathological and immunohistochemical criteria for establishing the proper diagnosis have not yet been universally accepted. This study aimed to report a series of seven cases of Glandular Odontogenic Cyst, with emphasis on the comprehensive clinicopathological and immunohistochemical characterization.</p><p><strong>Material and methods: </strong>Clinicopathologic data were gathered from medical records and histological slides obtained from paraffin-embedded samples of GOC. Additionally, the slides were subjected to immunohistochemical staining for cytokeratins (CK) 5, 7, 8/18, 19 and a cytokeratin pool (pan-CK), as well as for p63, α-SMA, and Ki67.</p><p><strong>Results: </strong>GOC occurred predominantly in females (71.42%), with a mean age of 48.28 ± 17.67 years, affecting the anterior region of the mandible (42.85%). Radiologically, the lesions were mostly unilocular (71.42%), showing buccal cortical bone expansion (85,71%). The main histological features included intraepithelial duct-like and crypt formations, apocrine metaplasia, and epithelial thickenings of the cystic lining. All lesions were strongly positive for pan-CK, CK5, and CK19, and moderately positive for p63. Ki67 was expressed in less than 5% of epithelial cells.</p><p><strong>Conclusions: </strong>Although many histopathological features of GOC have been reported, the presence of duct-like structures and crypts, and focal epithelial thickenings are likely the main diagnostic criteria of this lesion. Furthermore, the correlation of these features with immunohistochemical positivity for pan-CK, CK5, Ck19, and p63 may help establish the proper differential diagnosis of this odontogenic cyst. <b>Key words:</b>Odontogenic cysts, differential diagnosis, oral pathology, immunohistochemistry.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e70-e78"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433163","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":"Color characteristics of various computerized machinable ceramics veneered to yttria-stabilized tetragonal zirconia polycrystalline upon different hybridized techniques.","authors":"Niwut Juntavee, Apa Juntavee, Siripim Tangsatchatham","doi":"10.4317/jced.62187","DOIUrl":"10.4317/jced.62187","url":null,"abstract":"<p><strong>Background: </strong>Hybridization technique impacted color of ceramic veneered zirconia. This study examined color characteristics of different ceramics veneered zirconia upon different hybridized techniques.</p><p><strong>Material and methods: </strong>120 zirconia specimens (0.8 mm thickness, 12 mm diameter) were prepared from 3-yttria-stabilized tetragonal zirconia polycrystalline and unintentionally veneered with Vitabloc Mark-II (Vm), IPS e.max CAD (Em), Vita-Suprinity (Vs), and Celtra-Duo (Cd), by CAD-bonded (Cb) versus CAD-fused (Cf) hybridization (n=15/group). CIE-L*a*b* color characteristics were determined for translucency parameter (TP), contrast ratio (CR), opalescence parameter (OP), and color difference (ΔEdiff). Microstructures were investigated with SEM and XRD. Analysis of Variance and Bonferroni comparisons were determined for significant differences (<i>p</i><0.05).</p><p><strong>Results: </strong>TP and OP were significantly higher, but lower CR and ΔEdiff for Vm and Em than Cd and VS. Cf hybridized technique significantly decreased TP and OP but increased CR and ΔEdiff than Cb, which amplified color alteration. Better TP and OP, with less CR and ΔEdiff, were achieved for zirconia veneering with either Vm or Em, compared to Vs or Cd, whether hybridized with Cb or Cf technique.</p><p><strong>Conclusions: </strong>Different veneering ceramics and hybridized techniques significantly altered color characteristics of ceramic veneered zirconia. Zirconia veneering with either Vm or Em appeared to produce better translucence and opalescence, with less contrast and color alteration than veneering with either Vs or Cd. CAD-fused decreased translucency, opalescence, and intensified color alteration due to t→m transformation. Nevertheless, the color alteration of ceramics veneered zirconia still rendered an acceptable limit, except for both Vs and Cd upon Cf hybridization. <b>Key words:</b>CAD/CAM, color, contrast, hybridized technique, opalescence, translucency.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e37-e49"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433238","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":"Oral manifestations of syphilis: A report of six cases.","authors":"Manoela Wisniewski Bevervanso, Vanessa Carvajal Soto, Larissa Knysak Ranthum, Helen Heloene Rosa, Eduardo Bauml Campagnoli, Marcelo Carlos Bortoluzzi","doi":"10.4317/jced.62248","DOIUrl":"10.4317/jced.62248","url":null,"abstract":"<p><p>Syphilis is a highly contagious infectious disease primarily transmitted through sexual contact, caused by Treponema pallidum, an anaerobic gram-negative bacterium. Oral manifestations are significant, with the oral cavity often being the first site to exhibit symptoms. This study aims to present the clinical manifestations of oral syphilis through a six cases diagnosed in a dental setting. The results reveal that oral syphilis lesions predominantly affect areas such as the tongue, gingiva, and palates, presenting as mucous plaques, ulcerations, and erythematous regions. Painful oral sores and cervical lymphadenopathy were common, with symptoms varying in duration from 3 weeks to 3 months. All cases were classified as secondary syphilis and were confirmed through serological tests. <b>Key words:</b>Syphilis, Treponema pallidum, Oral Cavity, Oral manifestation.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e112-e118"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432455","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":"Determination of the legal age of majority in Spain and in the European Union. Current situation.","authors":"Araceli Miravé, Pedro Abecasis","doi":"10.4317/jced.62348","DOIUrl":"10.4317/jced.62348","url":null,"abstract":"<p><strong>Background: </strong>Migration brings numerous challenges, especially when undocumented minors arrive in large numbers. Age determination is essential in providing minors with legal protection while preventing abuse of systems designed for their welfare. Traditional methods, such as hand radiographs and orthopantomography, have faced criticism for their lack of precision and reliance on outdated standards. This study evaluates contemporary approaches for determining age, emphasizing the need for updated protocols.</p><p><strong>Material and methods: </strong>The study examines the legal framework in Spain regarding age determination of undocumented migrants, emphasizing the phased process involving physical examinations, dental radiographs, and CT scans of the clavicle. The challenges of using traditional methods, including variations in bone maturation across ethnic groups, are addressed.</p><p><strong>Results: </strong>Analysis revealed limitations in traditional methods such as the Greulich and Pyle atlas and orthopantomography. These methods tend to overestimate age in certain populations and lack applicability in diverse ethnic contexts. CT of the clavicle emerged as a more reliable tool for late adolescents, despite its higher radiation dose.</p><p><strong>Discussion: </strong>The findings underscore the importance of adapting age estimation methods to diverse populations and leveraging advanced imaging technologies. Radiological techniques must be used judiciously to balance accuracy and ethical considerations. Updating protocols to include multidisciplinary approaches and integrating new technologies can significantly improve outcomes.</p><p><strong>Conclusions: </strong>Modernizing age determination practices is crucial to align with contemporary needs and protect the rights of migrants. Establishing detailed and specific protocols tailored to diverse populations will ensure both scientific reliability and humanitarian principles in forensic and legal applications. <b>Key words:</b>Forensic Age Estimation,Cone Beam Computed Tomography (CBCT), Mandibular Condyle, Third Molar Apical Closure, Skeletal Maturity, Legal Age Determination, Cortical Bone Analysis, Ethnicity and Age Estimation.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e79-e86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433239","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":"Fluoride-Induced Microhardness Changes in Resin-Modified Glass Ionomer Cements: A Comparative Study.","authors":"Katherine Susan Rufasto-Goche, E S Cerro-Olivares, N F San Martín-Hilario, Flor M Santander-Rengifo, Alexis G Murillo-Carrasco, María Victoria Lizarbe-Castro","doi":"10.4317/jced.62349","DOIUrl":"10.4317/jced.62349","url":null,"abstract":"<p><strong>Background: </strong>Resin-modified glass ionomer cement (RM-GIC) is widely used in clinical dental procedures as a restorative material due to its chemical composition. It is known for its strong adhesion to dental structures and its fluoride content. However, fluoride in RM-GIC is insufficient for preventing the formation of carious lesions, making the use of fluoride gel and varnish necessary as preventive strategies. Nevertheless, there may be adverse interactions between RM-GIC and fluoride, which could compromise the properties of these restorative materials. Therefore, it is crucial to understand the physicochemical and biological properties of the products used in dental treatments. This experimental study aimed to evaluate the effect of the following fluorides: 2% neutral sodium fluoride (NaF), 1.23% acidulated phosphate fluoride (APF), and 0.1% fluoride varnish (7700 ppm F) in the mi-cro-hardness of the RM-GIC.</p><p><strong>Material and methods: </strong>Using GC Fuji II LC-A2, 80 RM-GIC discs measuring 6cm x 4cm were made and immersed in artificial saliva for seven days. Then, the discs were washed, dried, and randomly divided into four groups, and the initial surface microhardness was measured. After that, the discs were immersed in the three fluorides to measure the microhardness for a second time. The average value of the surface microhardness of the RM-GIC in the final phase (exposure to fluorides) of the three experimental study groups is lower than the initial phase (non-exposure to fluorides).</p><p><strong>Results: </strong>There was a significant decrease in the microhardness of the ionomer with the application of the three fluorides (<i>p</i>= 3.6x10-12). Particularly, the treatment with 1.23% acidulated phosphate fluoride demonstrated higher variation than 2% neutral sodium fluoride (<i>p</i>=0.0063) or 0.1% fluoride varnish (<i>p</i>=2.2x10-5).</p><p><strong>Conclusions: </strong>2% neutral sodium fluoride, 1.23% acidulated phosphate fluoride, and 0.1% fluoride varnish (7700 ppm F) applied to RM-GIC decreases surface microhardness. <b>Key words:</b>Acidulated fluorine phosphate; fluoride treatment; fluorine varnish; glass ionomer cement; sodium fluoride; surface micro-hardness.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e50-e57"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433243","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":"Oral neurovascular hamartoma: An independent entity not associated to rhabdoid tumors.","authors":"Mario Guerrero-Martín, Guillermo García-Serrano, Laura Nájera-Botello, Adrián González-Jiménez, Kora Sagüillo-Pallares, Mario Pezzi-Rodríguez, Julio Acero-Sanz","doi":"10.4317/jced.62341","DOIUrl":"10.4317/jced.62341","url":null,"abstract":"<p><strong>Background: </strong>Oral cavity neurovascular hamartomas are extremely rare, with unknown prevalence, possibly due to their rarity, unrecognition or under-report. We describe a 6-year-old female patient with this uncommon lesion and review existing literature.</p><p><strong>Results: </strong>The patient presented with asymptomatic papular lesions, which increased in size and number since birth. First, one of the papular lesions on the lower lip was excised for histopathologic study, revealing the unexpected diagnosis.</p><p><strong>Discussion: </strong>Oral neurovascular hamartomas are unusual and challenging lesions to diagnose. Even though their benign nature, the need of differential diagnosis with other oral lesions makes necessary their histopathological study and confirmation.</p><p><strong>Conclusions: </strong>Even oral neurovascular hamartoma is an uncommon entity, surgeons and oral pathologist should be aware of this entity in order to distinguish it from other lesions. Besides, it is not clearly related to rhabdoid tumors as other authors have stablished previously, being an independent entity with great prognosis for the patient. <b>Key words:</b>Oral neurovascular hamartoma, benign tumors, pediatric age masses, rhabdoid tumors.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e108-e111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432457","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 indirect air-cooling on the variation in intrapulpal temperature during rapid high-intensity light-curing using a bulk-fill resin composite.","authors":"Samille Biasi Miranda, Vinícius Cristovão de Oliveira Mendes, Caroline de Farias Charamba Leal, Luiz Antonio Soares Falson, Guilherme da Luz Silva, Ana Karina Maciel de Andrade, Rodrigo Barros Esteves Lins, Marcos Antônio Japiassú Resende Montes","doi":"10.4317/jced.62228","DOIUrl":"10.4317/jced.62228","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the effect of indirect air-cooling on the variation in intrapulpal temperature (ΔT) during different light-curing protocols of bulk-fill resin composites in molars with class V cavities.</p><p><strong>Material and methods: </strong>A nonretentive class V cavity was prepared in a maxillary molar. The intrapulpal temperature changes with and without indirect air-cooling were recorded using a type K thermocouple. The cavity was restored with bulk-fill resin composites: Tetric PowerFlow (Ivoclar, Vivadent) and Filtek Bulk-Fill Flow (3 M, ESPE). The tooth was exposed to different light-curing protocols (n=5) using the Valo Grand light-curing unit: (i) high-intensity light-curing protocol of 3200 mW/cm² (3 and 6 s) and (ii) moderate-intensity light-curing protocol of 1000 mW/cm² (10 and 20 s). The ΔT data were subjected to two-way ANOVA, followed by the Bonferroni post hoc test.</p><p><strong>Results: </strong>A significant increase in temperature was observed with the use of the high-intensity light-curing resin composite without indirect air-cooling. In addition, the application of air-cooling significantly decreased the temperature in all the groups except for the Tetric PowerFlow bulk-fill resin composite at 3 s of light-curing.</p><p><strong>Conclusions: </strong>Indirect air-cooling resulted in a lower increase in intrapulpal temperature during the light-curing of bulk-fill resin composites, making it an effective alternative technique for controlling the temperature rise in class V restorations with 1 mm of remaining dentin. <b>Key words:</b>Dental curing lights, dental pulp, temperature, resin composite.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e58-e63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433165","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 lip volume enhancement with hyaluronic acid in-filtrations on lip Imprints.","authors":"Laura Luis-Sanchez, Daniel Torres-Lagares, Celia Vazquez-Pachón, Esther Hernandez-Pachecho, Gonzalo Ruiz-de-Leon-Hernandez, Maria Angeles Serrera-Figallo, Jose Luis Gutierrez-Perez, María Baus-Dominguez","doi":"10.4317/jced.62395","DOIUrl":"10.4317/jced.62395","url":null,"abstract":"<p><strong>Background: </strong>Cheiloscopy, as a method of forensic identification, maintains its currency in legal and forensic dentistry. The increase in aesthetic lip filler treatments could influence lip prints. This aspect has not yet been studied to the research team's knowledge. Objective: This study aims to evaluate the possible modification of lip imprints after hyaluronic acid infiltration for volume augmentation in this location.</p><p><strong>Material and methods: </strong>A descriptive, non-experimental study was carried out in patients with lip augmentation using hyaluronic acid infiltration (32 patients). Pre-infiltration data were collected (age, sex, lip traces, and lip characteristics), and data on the infiltration performed (volume used, points, and infiltration technique). During five visits, the evolution of the lip print and lip characteristics was monitored six months after the initial infiltration.</p><p><strong>Results: </strong>Applying the Suzuki and Tsushihashi classification, 92.9% of the cases studied showed differences concerning the preoperative situation.</p><p><strong>Conclusions: </strong>From the data of the present study, we can affirm that, without generating critical changes, lip hyaluronic acid infiltration modifies some characteristics of the lip print, which should be known and considered when using cheyloscopy as a forensic identification tool. <b>Key words:</b>Lip prints, Hyaluronic acid, Cheiloscopy, Forensic identification, Semi-permanent in-filtration, Volume enhancement.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"17 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433254","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":"Pain perception and morbidity after peri-implant surgeries in patients with and without temporomandibular disorder - A clinical study.","authors":"Mateus Fiuza Santos, Yago Warles Silva Pereira, Luiz Renato Paranhos, Antônio Sérgio Guimarães, João Antônio Chaves de Souza, Rogério Heládio Lopes Motta, Juliana Cama Ramacciato","doi":"10.4317/jced.62332","DOIUrl":"https://doi.org/10.4317/jced.62332","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorder (TMD) involves various conditions affecting the anatomy and functional characteristics of the temporomandibular joint (TMJ). Hence, this study evaluated pain perception and morbidity after dental implant surgeries in patients with and without TMD.</p><p><strong>Material and methods: </strong>It is a prospective randomized clinical trial with 50 participants with and without TMD, randomly selected for rehabilitation procedures with dental implants. Pain scores were recorded at seven, 14, and 21 postoperative days using a visual analog scale (VAS) for reporting pain on a scale from 0 to 10. The data were described from absolute and relative frequencies and median pain scores and then stratified between patients with and without TMD. Fisher's exact tests compared the distribution of sex, surgery duration, and limitations for patients with and without TMD. Kruskal-Wallis tests related pain scores between the groups in the three evaluated periods. All tests applied a 5% significance level.</p><p><strong>Results: </strong>All patients (with and without TMD) subjected to peri-implant surgeries were analyzed. Pain and morbidity levels in the seventh (<i>p</i>< 0.001) and 14th (<i>p</i> = 0.002) postoperative days were higher in TMD patients. The perceived pain score in the seventh and 14th postoperative days was higher in male TMD patients than in females.</p><p><strong>Conclusions: </strong>Patients diagnosed with TMD presented higher pain and morbidity levels on the first 14 postoperative days. However, pain significantly reduced over time. <b>Key words:</b>Temporomandibular disorder, pain, dental implant, oral rehabilitation.</p>","PeriodicalId":15376,"journal":{"name":"Journal of Clinical and Experimental Dentistry","volume":"16 12","pages":"e1503-e1508"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006090","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}