{"title":"C-shaped Root Morphology with Four Canals in Mandibular First Molar: A Rare Case Report.","authors":"S V Ravi, Swapna Honwad","doi":"10.5005/jp-journals-10024-3736","DOIUrl":"10.5005/jp-journals-10024-3736","url":null,"abstract":"<p><strong>Aim: </strong>Aim of this case report is to present an unfamiliar case of mandibular first molar with a C-shaped root having four canals.</p><p><strong>Background: </strong>Root canal system (RCS) is generally very complex, and it is always important for every practitioner who perform root canal treatment to have a knowledge of unusual variations in the root anatomy and root canal configuration, such as the C-shaped configuration. The frequency of C-shaped root canals is more common in mandibular second molars but very rare in mandibular first molars.</p><p><strong>Case description: </strong>A 28-year-old male patient presented with a history of spontaneous pain, intermittent in nature, in the right mandibular first molar region, for about 2 months. On clinical inspection, a large, carious lesion was noted distally in the mandibular first molar and was nonresponsive to percussion. A preoperative orthopantomograph (OPG) confirmed the involvement of pulp with widening of PDL space, and hence was diagnosed as symptomatic irreversible pulpitis with asymptomatic apical periodontitis. A nonsurgical endodontic treatment was planned. During access cavity preparation, four distinct orifices were located in the pulp chamber, which was not uncommon and hence, proceeded with obturation by the cold lateral compaction method and access cavity restoration with resin composite. Though the initial preoperative OPG or clinical examination of the access cavity did not reveal any significant morphological variation, on contrary, master-cone check radiograph had a different view from the common variation of the mandibular molar. Hence, postoperative cone beam computed tomography was conducted to verify the same, which revealed a C-shaped root with four canals, a rare morphological and unfamiliar variation of the mandibular first molar.</p><p><strong>Conclusion: </strong>An awareness and understanding of this unusual root and its root canal morphology can contribute to the successful outcome of root canal treatment.</p><p><strong>Clinical significance: </strong>Knowledge of root morphology and the configuration of the pulpal space play an important role in ensuring thorough debridement and the outcome of root canal treatment. How to cite this article: Ravi SV, Honwad S. C-shaped Root Morphology with Four Canals in Mandibular First Molar: A Rare Case Report. J Contemp Dent Pract 2024;25(11):1077-1080.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 11","pages":"1077-1080"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189949","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}
Anh Pv Khuong, Duc A Pham, Hien Tm Nguyen, My Ny Phan, An Duong Chieu Le, Tung D Nguyen
{"title":"The Barriers in Using Oral Health Services of People Aged 18 or Over in Danang in 2023: A Cross-sectional Study.","authors":"Anh Pv Khuong, Duc A Pham, Hien Tm Nguyen, My Ny Phan, An Duong Chieu Le, Tung D Nguyen","doi":"10.5005/jp-journals-10024-3776","DOIUrl":"10.5005/jp-journals-10024-3776","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to identify the barriers associated with access to oral health services among individuals aged 18 or over in Danang city.</p><p><strong>Materials and methods: </strong>A cross-sectional descriptive study using a self-completed questionnaire with 29 questions built on the theoretical framework of Jean-Frederic Levesque and the modified dental anxiety scale (MDAS) was conducted on 386 people aged 18 years and older living in Danang city through face-to-face interviews. The study responses were closed after achieving the target sample size, with the sample collection period recorded as 3 months from October 2023 to January 2024. Data were analyzed using SPSS 20.0 software. Factors influencing the decision to use dental services among individuals who have either never used or have used oral care services more than 12 months ago were analyzed in univariate analysis and multivariate logistic regression analysis.</p><p><strong>Results: </strong>The proportion of participants who have either never utilized dental services or had last used them more than 12 months ago was 57.5%. Factors linked to the decision to seek dental care include personal dental hygiene practices, knowledge of oral health, accessibility to information, recommendations from peers, the process of scheduling appointments, examination duration, and income level, with odds ratio (OR) of 2.011-15.394 (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>A large proportion of adults in Danang lack the habit of utilizing dental care services. The prevalent barriers include physical accessibility to dental facilities (such as locating, scheduling, and arranging appointments), affordability, and a deficiency in individual skills and knowledge regarding the importance of regular oral healthcare.</p><p><strong>Clinical significance: </strong>The analysis of factors such as knowledge of oral health and service accessibility provides crucial insights for developing strategies to enhance community engagement in oral care. The clinical translational value of this research lies in its potential to support the development of more effective educational programs and healthcare policies, thereby encouraging regular oral health practices and improving the oral health of the community. How to cite this article: Khuong APV, Pham DA, Nguyen HTM, <i>et al.</i> The Barriers in Using Oral Health Services of People Aged 18 or Over in Danang in 2023: A Cross-sectional Study. J Contemp Dent Pract 2024;25(11):1009-1014.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 11","pages":"1009-1014"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190563","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}
Katherinne A Bardales-Espinoza, Anderson R Mora-Ipince, Martín A Chávez-Méndez, Claudio Peña-Soto, Javier Flores-Fraile, Myriam A De la Garza-Ramos, Guillermo Cano-Verdugo
{"title":"Compressive Stress in Teeth Restored with Endocrown and Build-up: A Finite Element Analysis.","authors":"Katherinne A Bardales-Espinoza, Anderson R Mora-Ipince, Martín A Chávez-Méndez, Claudio Peña-Soto, Javier Flores-Fraile, Myriam A De la Garza-Ramos, Guillermo Cano-Verdugo","doi":"10.5005/jp-journals-10024-3777","DOIUrl":"10.5005/jp-journals-10024-3777","url":null,"abstract":"<p><strong>Aim: </strong>This study evaluates compressive stress in teeth restored with endocrown (ECW) and build-up (BUP) using finite element analysis (FEA). Understanding stress distribution in dental restorations is crucial for improving treatment outcomes and longevity.</p><p><strong>Materials and methods: </strong>A second lower molar was modeled using Solidworks® (Version 2017). The ECW was simulated with nanoceramic resin, while the BUP included a core and nanoceramic crown. Mechanical properties, including modulus of elasticity, Poisson's ratio, and tensile strength were assigned to materials. Axial and oblique loads of 900N were applied, and stress was analyzed using Solidworks®.</p><p><strong>Results: </strong>Results indicated that under axial loading, ECW experienced a maximum stress of 91.9 MPa, significantly higher than BUP's 49 MPa. Under oblique loading, ECW exhibited 132 MPa compared with 116 MPa in BUP. The highest stress concentration was in the cervical area, where ECW showed greater stresses in both the substrate and restored area. Build-up demonstrated better stress distribution and lower fracture risk.</p><p><strong>Conclusion: </strong>Endocrown restoration results in higher compressive stresses, especially in the cervical region, which may increase the risk of fracture. Conversely, the BUP technique, which preserves cervical dentin, offers improved stress distribution and reduced fracture risk, making it a more robust solution for endodontic rehabilitation.</p><p><strong>Clinical significance: </strong>This study underscores the importance of selecting appropriate restoration methods to minimize stress and enhance the longevity of dental treatments, ultimately leading to better patient outcomes. How to cite this article: Bardales-Espinoza KA, Mora-Ipince AR, Chávez-Méndez MA, <i>et al.</i> Compressive Stress in Teeth Restored with Endocrown and Build-up: A Finite Element Analysis. J Contemp Dent Pract 2024;25(11):1027-1033.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 11","pages":"1027-1033"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190879","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}
Mohamed R Hussain, Mohamed M Shrif, Hesham I Othman, Hussain R Mohamed
{"title":"Comparative Study between Two Adjacent Implants Supported Crowns and One Implant Supported Cantilever Fixed Dental Prosthesis: An <i>In Vivo</i> Study.","authors":"Mohamed R Hussain, Mohamed M Shrif, Hesham I Othman, Hussain R Mohamed","doi":"10.5005/jp-journals-10024-3771","DOIUrl":"10.5005/jp-journals-10024-3771","url":null,"abstract":"<p><strong>Aim: </strong>To assess hard as well as soft peri-implant tissues within cases having two lost adjacent anterior teeth treated through placing either two implants with two separate crowns or only an implant along with a crown with a cantilever, and evaluating the effect of polyetheretherketone (PEEK) restoration on cantilever design up to 18 months after functional loading.</p><p><strong>Materials and methods: </strong>Twenty-seven participants (15 males and 12 females; mean age, 38.6 years; range 20-50 years) with missing two adjacent anterior teeth were treated with implant system (Flotecno implant system, Italy). In the first group (implant-implant metal ceramic group), we treated nine participants utilizing two adjacent implants with two separate single metal ceramic crowns. In the second group (implant-cantilever metal ceramic group), we treated nine participants by placing single implant with cantilever metal ceramic fixed dental prosthesis (FDP). In the third group (implant-cantilever PEEK group), we treated nine cases utilizing single implant with a cantilever PEEK FDP framework. Clinical and radiographic examinations were recorded. Marginal bone level, implant stability, and prosthetic complications were assessed during an 18-month follow-up period.</p><p><strong>Results: </strong>Marginal bone loss (MBL) exhibited similar measurements among all groups. The clinical outcomes did not address significant variance among all groups as regards implant stability within the period of follow-up. We also observed minor prosthetic complications. Participants were very satisfied within all groups.</p><p><strong>Conclusion: </strong>Based on the limitations of our research, utilizing cantilever extensions has no influence on MBL as well as implant stability.</p><p><strong>Clinical significance: </strong>Mean marginal bone level exhibited a significant rise from baseline to 18 months for all groups, however, still within the clinically accepted range. Regarding implant stability, no significant variance was observed among all groups for 18 months. The cantilever FDP design facilitated prosthesis fabrication among those having laterals of narrow diameters. Further research is required to investigate such a particular concern due to a limited sample size in our research. How to cite this article: Hussain MR, Shrif MM, Othman HI, <i>et al.</i> Comparative Study between Two Adjacent Implants Supported Crowns and One Implant Supported Cantilever Fixed Dental Prosthesis: An <i>In Vivo</i> Study. J Contemp Dent Pract 2024;25(10):983-991.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"983-991"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053775","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":"Comparing Sectional and Total Dentin Bond Strengths of Three Endodontic Sealers after Using the Single-cone Obturation Technique: An <i>In Vitro</i> Study.","authors":"Mohamed El Sayed","doi":"10.5005/jp-journals-10024-3765","DOIUrl":"10.5005/jp-journals-10024-3765","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate and compare the total and sectional bond strengths of three endodontic sealers when used with the single-cone obturation technique.</p><p><strong>Materials and methods: </strong>Forty-five human maxillary central incisors were prepared and divided into three groups according to the type of endodontic sealer: Group I (Gutta-percha/AH Plus Jet), group II (Gutta-percha/GuttaFlow 2), and group III (RealSeal/RealSeal SE). All canals were filled with the single-cone technique. Roots were sectioned and scanning electron microscope (SEM) analysis was performed on randomly selected samples from each group to assess the root canal filling interfaces. A root section from each root level was subjected to a push-out test. The sectional and total bond strengths were analyzed, then the failure modes were investigated. Statistical analysis was performed using one-way analysis of variance (ANOVA) and Tukey's test, and alpha was set at 0.05.</p><p><strong>Results: </strong>Significant differences in bond strength values were observed (<i>p</i> < 0.05), with RealSeal SE demonstrating the highest bond strength, particularly in the middle and apical root regions. On the contrary, GuttaFlow 2 exhibited the lowest bond strength. Cohesive failure modes were more common for AH Plus Jet and GuttaFlow 2, while RealSeal SE showed cohesive and adhesive failures. The SEM analysis revealed that each sealer exhibited different levels of adaptability to dentin and core material.</p><p><strong>Conclusion: </strong>RealSeal SE and AH Plus Jet showed superior bond strength compared to GuttaFlow 2 when the single-cone obturation technique was used. The apical root sections exhibited the highest bond strength for all sealers, except for AH Plus Jet, which showed a higher bond strength in the coronal root sections.</p><p><strong>Clinical significance: </strong>The current findings could guide dental professionals in choosing the most appropriate sealer for the single-cone obturation technique, potentially leading to more effective obturation procedures, especially for teeth requiring post and core restoration. How to cite this article: El Sayed M. Comparing Sectional and Total Dentin Bond Strengths of Three Endodontic Sealers after Using the Single-cone Obturation Technique: An <i>In Vtro</i> Study. J Contemp Dent Pract 2024;25(10):976-982.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"976-982"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053778","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}
Menna-Allah S Ali, Shaimaa A Alrafee, Noha I Metwally, Aytallah Salem, Sherine Badawy, Shahenda A Abdallah
{"title":"Effect of Mushroom, Ozone Gas, and Their Combination as Pretreatment Materials on the Bond Strength of Resin Composite to Dentin.","authors":"Menna-Allah S Ali, Shaimaa A Alrafee, Noha I Metwally, Aytallah Salem, Sherine Badawy, Shahenda A Abdallah","doi":"10.5005/jp-journals-10024-3774","DOIUrl":"10.5005/jp-journals-10024-3774","url":null,"abstract":"<p><strong>Aim: </strong>To assess the effect of mushrooms, ozone gas, and their combination as cavity disinfectants on the bonding strength of composite to dentin.</p><p><strong>Materials and methods: </strong>The study was conducted on 40 sound premolar teeth randomly divided into four groups. Group I: control group, Group II: mushroom group, Group III: Ozone group, and Group IV: mushroom + ozone gas (combination) group. After the pretreatment of dentin with the previous material the adhesive bonding agents and composite were applied and polymerized. The shear bond strength was measured using the universal testing machine. A sample from each group was evaluated blindly by scanning electron microscope (SEM) to see changes in dentin morphology after treatment. The data were statistically analyzed using one-way ANOVA for inter-group general comparisons while qualitative data were analyzed using the Chi-squared test.</p><p><strong>Results: </strong>The mean value of shear bond strength of the control group was 5.44 ± 1.45, the mushroom group was 7.55 ± 3.46, the ozone group was 10.42 ± 6.55 and the mushroom and ozone group was 7.45 ± 5.26. Comparison between the four groups regarding the shear bond strength indicated that there was a non-significant difference between the tested groups, with a <i>p</i>-value of 0.52. The SEM result showed a continuous hybrid layer in all groups with no gap formation in the combination group.</p><p><strong>Conclusion: </strong>It was concluded that ozone and mushrooms could be employed reliably as cavity disinfectants in permanent teeth without affecting bond strength negatively. The ozone group showed the highest bond strength.</p><p><strong>Clinical significance: </strong>Using antibacterial material before restoration is important to help in the prevention of recurrent caries and increase the longevity of restoration, and this should be performed without affecting bond strength. How to cite this article: Ali MAS, Alrafee SA, Metwally NI, <i>et al.</i> Effect of Mushroom, Ozone Gas, and Their Combination as Pretreatment Materials on the Bond Strength of Resin Composite to Dentin. J Contemp Dent Pract 2024;25(10):914-920.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"936-940"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053781","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}
Arya Saraswathy, Neethu Latha, Pramodkumar Ayyadanveettil, Vinni Thavakkara
{"title":"Comparative Evaluation of Surface Roughness and Color Stability of Polyetheretherketone with Conventional Interim Prosthetic Materials: An <i>In Vitro</i> Study.","authors":"Arya Saraswathy, Neethu Latha, Pramodkumar Ayyadanveettil, Vinni Thavakkara","doi":"10.5005/jp-journals-10024-3767","DOIUrl":"10.5005/jp-journals-10024-3767","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this <i>in vitro</i> study was to compare the surface roughness and color stability of polyetheretherketone (PEEK) with those of conventional interim prosthetic materials like polymethylmethacrylate, bis-acrylic composite, and rubberized diurethane dimethacrylate, following immersion in solutions of varying pH value.</p><p><strong>Materials and methods: </strong>A total of 320 circular discs with 10 mm diameter and 2 mm height were divided based on the fabrication (<i>n</i> = 80)-group A: polymethylmethacrylate; group B: bis-acrylic composite; group R: rubberized diurethane; and group P: hot-pressed PEEK-and were subjected to baseline measurement of roughness (<i>n</i> = 40) and color (<i>n</i> = 40) using 3D profilometer and UV-Vis spectrophotometer, respectively. Later, 10 samples from each group were immersed in distilled water, black coffee, green tea, and Pepsi, respectively, for 120 days, and measurements of roughness and color were repeated. The differences in roughness (ΔR<sup>a</sup>) and color change(ΔE) were calculated and statistically analyzed with a significance level of <i>p</i>-value < 0.05.</p><p><strong>Result: </strong>Irrespective of the immersion solution, the highest mean difference in the roughness values was shown by rubberized diurethane specimens: ΔR<sup>a</sup> = 3.574880 (0.0048350) in carbonated beverages, and lowest difference was shown by bis-acrylic composite: ΔR<sup>a</sup> = 0.29004 (0.0017473) in distilled water. The greatest color stability was exhibited by PEEK. The type of interim material and immersion solution had a statistically significant effect on change in color and roughness values.</p><p><strong>Conclusion: </strong>The immersion in solutions of varying pH had a significant effect on surface roughness and color stability of all the tested materials. The R<sup>a</sup> value of all specimens after immersion was still within the clinically acceptable range. Polyetheretherketone was the most color stable material in all solutions, except in green tea.</p><p><strong>Clinical significance: </strong>This study will provide guidance to dentists and patients regarding the selection of interim material for long-term use, depending on the effect of beverage consumption on its color stability and roughness. How to cite this article: Saraswathy A, Latha N, Ayyadanveettil P, <i>et al.</i> Comparative Evaluation of Surface Roughness and Color Stability of Polyetheretherketone with Conventional Interim Prosthetic Materials: An <i>In Vitro</i> Study. J Contemp Dent Pract 2024;25(10):930-935.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"930-935"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053772","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}
Dhayanand J Victor, Nirmala S Anandan, Devapriya Appukuttan, Santosh Venkatassalapathy
{"title":"Tissue-invasive Pathogens in Periodontitis Patients and Their Correlation with Pro-inflammatory Markers: An Analytical Case-control Study.","authors":"Dhayanand J Victor, Nirmala S Anandan, Devapriya Appukuttan, Santosh Venkatassalapathy","doi":"10.5005/jp-journals-10024-3766","DOIUrl":"10.5005/jp-journals-10024-3766","url":null,"abstract":"<p><strong>Aim: </strong>Tissue-invasive bacteria have been proposed to be a crucial factor in the etiopathogenesis of periodontitis, with the probable interaction of tissue-invasive bacteria with the innate immune response through inflammasomes, perpetuating periodontal attachment loss. This study aims to reveal the correlation between such tissue-invasive bacteria in upregulating inflammasomes and pro-inflammatory cytokines.</p><p><strong>Materials and methods: </strong>This study recruited a total of 10 patients with stage III/IV and grade C periodontitis based on the bone loss to age ratio. Patient sites were grouped into group I: healthy sites with no clinical attachment loss (CAL); group II (mild-to-moderate): 1-4 mm of CAL; group III: severe (≥ 5 mm of CAL). Tissue samples were collected in these sites during periodontal flap surgery and assessed for both the bacterial genomic DNA and assessed for the upregulation of pro-inflammatory markers NOD-like receptor - Pyrin domain containing protein 3 (NLRP3), Human AIM2, Human Pro-TNFα, Human Pro-IL-1β, Human Pro-IL 6 and Human glyceraldehyde-3-phosphate dehydrogenase (GAPDH) genes.</p><p><strong>Results: </strong>The levels of NLRP3, AIM2, and pro-inflammatory cytokine levels were all higher in the severe sites when compared with the other two sites. The tissue invasive bacterial phylotypes in these sites were thereafter compared with the levels of the pro-inflammatory markers in the various groups. The fold changes in the pro-inflammatory markers evaluated in this study all hovered around 1, indicating not much difference in the upregulation of these markers of inflammation. Statistically, significant correlation between bacterial phenotypes in the healthy sites group and the pro-interleukin-6 (IL-6) cytokine expression was observed (<i>r</i> = 0.68; <i>p</i> < 0.04).</p><p><strong>Conclusions: </strong>This study has highlighted the presence of tissue-invasive bacteria in sites with or without CAL. The fact that these healthy sites, after non-surgical therapy, have comparable levels of pro-inflammatory markers in the tissues may be explained by immune priming, by tissue- invasive periodontal pathogens.</p><p><strong>Clinical significance: </strong>Tissue-invasive bacteria are present in periodontally healthy sites too, and non-surgical periodontal therapy is inadequate to eliminate them. Greater importance should be given to the soft tissue walls of the periodontal pocket in clinical management of periodontitis. How to cite this article: Victor DJ, Anandan NS, Appukuttan D, <i>et al.</i> Tissue-invasive Pathogens in Periodontitis Patients and Their Correlation with Pro-inflammatory Markers: An Analytical Case-control Study. J Contemp Dent Pract 2024;25(10):992-996.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"992-996"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060807","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}
Vincenzo Ronsivalle, Diana Russo, Marco Cicciù, Maria Maddalena Marrapodi, Giuseppe Minervini
{"title":"Navigating the Interconnected World of Tooth Wear, Bruxism, and Temporomandibular Disorders.","authors":"Vincenzo Ronsivalle, Diana Russo, Marco Cicciù, Maria Maddalena Marrapodi, Giuseppe Minervini","doi":"10.5005/jp-journals-10024-3782","DOIUrl":"10.5005/jp-journals-10024-3782","url":null,"abstract":"<p><p><b>How to cite this article:</b> Ronsivalle V, Russo D, Cicciù M, et al. Navigating the Interconnected World of Tooth Wear, Bruxism, and Temporomandibular Disorders. J Contemp Dent Pract 2024;25(10): 911-913. Keywords: Bruxism, Sleep disorders, Temporomandibular disorders, Tooth wear.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"911-913"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053790","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}
Khalid Aldhorae, Ramy Ishaq, Salah Alhaidary, Ashraf M Alhumaidi, Mohammed M Al Moaleem, Ghamdan Al Harazi, Naela Al-Mogahed, Hani Homaid, Sadam A Elayah
{"title":"Impact of Maxillomandibular Sagittal Variations on Upper Airway Dimensions: A Retrospective Cross-sectional CBCT Evaluation.","authors":"Khalid Aldhorae, Ramy Ishaq, Salah Alhaidary, Ashraf M Alhumaidi, Mohammed M Al Moaleem, Ghamdan Al Harazi, Naela Al-Mogahed, Hani Homaid, Sadam A Elayah","doi":"10.5005/jp-journals-10024-3762","DOIUrl":"10.5005/jp-journals-10024-3762","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to analyze the upper airway dimensions in adult patients with different anteroposterior (sagittal) skeletal malocclusions (class I, II, and III) using cone beam computed tomography (CBCT) imaging.</p><p><strong>Materials and methods: </strong>This retrospective cross-sectional study involved 90 CBCT records from adult subjects who were categorized into three skeletal groups based on their ANB values: Class I (<i>n</i> = 30), class II (<i>n</i> = 30), and class III (<i>n</i> = 30) and were evaluated. The following upper airway measurements were considered: oropharyngeal airway volume, hypopharyngeal airway volume, pharyngeal airway volume, oropharyngeal airway length, hypopharyngeal airway length, pharyngeal airway length, the most constricted site of the pharyngeal airway, and the most constricted cross-sectional area (MIN-CSA) of the pharyngeal airway. Additionally, the volume of the intraoral airway was determined. Pearson's correlation test was employed to evaluate the relationship between age and upper airway dimensions.</p><p><strong>Results: </strong>Significant differences in upper airway volume were found among skeletal groups in the hypopharyngeal (<i>p</i> = 0.034) and pharyngeal (<i>p</i> = 0.004) regions, with class III patients showing larger volumes compared to class II. Oropharyngeal (<i>p</i> = 0.044) and pharyngeal (<i>p</i> = 0.011) lengths were shorter in class III than in class I. In contrast, the narrowest cross-sectional area of the pharyngeal airway was larger in class III compared to class II (<i>p</i> = 0.003) and class I (<i>p</i> = 0.032). Class III patients had a significantly greater intraoral space volume than class II patients (<i>p</i> = 0.036).</p><p><strong>Conclusions: </strong>The present study found significant differences in upper airway dimensions among adults with varying maxillomandibular sagittal relationships. Class III patients had larger hypopharyngeal and pharyngeal volumes, but shorter oropharyngeal and pharyngeal lengths compared to other classes. The narrowest pharyngeal area was larger in class III, with gender and age also influencing airway dimensions.</p><p><strong>Clinical significance: </strong>These findings underscore the need to consider skeletal relationships, gender, and age in airway assessments. Accordingly, these factors can help clinicians better understand the correlation between airway dimensions and jaw position for accurate diagnosis and treatment planning of orthodontic and surgical interventions. How to cite this article: Aldhorae K, Ishaq R, Alhaidary S, <i>et al.</i> Impact of Maxillomandibular Sagittal Variations on Upper Airway Dimensions: A Retrospective Cross-sectional CBCT Evaluation. J Contemp Dent Pract 2024;25(10):955-962.</p>","PeriodicalId":35792,"journal":{"name":"Journal of Contemporary Dental Practice","volume":"25 10","pages":"955-962"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053788","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}