Rachel Kulchar, Florin Eggmann, Celine Mina, Steven T. Szewczyk, Francis K. Mante
{"title":"Impact of topical fluoride agents on radiation-induced dentin hardness alterations: a laboratory study.","authors":"Rachel Kulchar, Florin Eggmann, Celine Mina, Steven T. Szewczyk, Francis K. Mante","doi":"10.61872/sdj-2025-03-02","DOIUrl":"10.61872/sdj-2025-03-02","url":null,"abstract":"<p><p>Radiation therapy for head and neck cancers often leads to radiation-induced caries and microstructural dentin alterations. This laboratory study evaluated the impact of radiation on dentin microhardness and the effectiveness of various topical fluoride treatments in mitigating these effects. One hundred dentin specimens from extracted human teeth were irradiated with a cumulative dose of 60 Gy, simulating therapeutic conditions. Post-irradiation, specimens received weekly applications of silver diamine fluoride (SDF), SDF with potassium iodide, or sodium fluoride varnishes with and without additional compounds. Dentin microhardness was measured using the Knoop hardness test at three key phases: baseline, immediately after reaching a cumulative irradiation dose of 60 Gy, and weekly for five weeks following repeated fluoride applications. At baseline, the average Knoop Hardness Number (KHN) was 57.6 ± 3.9. After irradiation, the average KHN decreased significantly to 41.2 ± 8.1, reflecting an approximate 30% reduction in dentin hardness across all groups (p < 0.0001). Five weeks of weekly fluoride treatments led to partial recovery of microhardness, with average KHN values ranging from 42.4 to 54.3, but none of the groups returned to baseline hardness levels. Notably, no significant differences were found among the fluoride treatments in their ability to enhance microhardness. These findings underscore the detrimental effects of radiation therapy on dentin integrity and emphasize the need for targeted dental management strategies. While fluoride applications provide some protective benefit, their limitations highlight the necessity of comprehensive approaches to prevent radiation-related dental deterioration in head and neck cancer patients.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 3","pages":"16-28"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193466","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}
Florin Eggmann, Hauke Hildebrand, Michael M Bornstein
{"title":"Who reviewed this? Toward responsible integration of large language models for peer review of scientific articles in dental medicine.","authors":"Florin Eggmann, Hauke Hildebrand, Michael M Bornstein","doi":"10.61872/sdj-2025-03-01","DOIUrl":"https://doi.org/10.61872/sdj-2025-03-01","url":null,"abstract":"<p><p>The introduction and advancement of large language models (LLMs), such as ChatGPT, DeepSeek, and Google Gemini, present both opportunities and challenges for peer review in dental research. In this article, we propose a framework to inform the discourse on the responsible use of LLMs in dental peer review. We conducted a cross-sectional review of peer review policies from the top 50 dental journals, based on their 2024 Journal Impact Factor, to assess current guidance on LLM use. Our analysis revealed variability across dental journals: some journals permit restricted LLM use under specific conditions, while many either prohibit their use or lack explicit policies. Key concerns regarding LLM use identified by the authors include potential breaches of confidentiality, ambiguity in authorship, reduced reviewer accountability, and inherent limitations of LLMs in terms of domainspecific expertise and factual accuracy. Our proposed framework addresses confidentiality safeguards, suggested appropriate LLM applications, areas requiring caution, disclosure requirements, and accountability standards. It emphasizes that reviewers retain full responsibility for all submitted content, irrespective of LLM assistance. To protect confidentiality, the framework encourages offline or locally hosted LLMs. It also recommends regular policy reviews and reviewer training. This framework aims to support the thoughtful adoption of LLMs in dental research publishing. When employed judiciously, LLMs offer potential benefits in improving review clarity and efficiency, particularly for reviewers writing in a non-native language. However, their use must be grounded in clear ethical principles to ensure the integrity of dental peer review.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 3","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126107","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}
Robert Lessang, Melinda Rabekka Purba, Dewi Ayuningtyas
{"title":"Efficacy of Minimally Invasive Non-Surgical Therapy (MINST) in Managing Stage III/IV Periodontitis: A Systematic Review of Randomized Controlled Trials.","authors":"Robert Lessang, Melinda Rabekka Purba, Dewi Ayuningtyas","doi":"10.61872/sdj-2025-02-08","DOIUrl":"10.61872/sdj-2025-02-08","url":null,"abstract":"<p><strong>Introduction: </strong>Minimally invasive non-surgical therapy (MINST) was introduced as an alternative approach in the management of periodontitis. This technique uses a combination of mini/micro instruments with magnification loupes or microscopes for optimal root debridement without flap elevation. This systematic review of randomized controlled trials (RCTs) evaluates the efficacy of MINST in managing Stage III/IV periodontitis.</p><p><strong>Methods: </strong>A review protocol was created according to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRIS-MA) guidelines. Although the PRISMA guideline was followed, this review protocol was not registered in PROS-PERO. Online search was conducted on three databases, PubMed, EMBASE, and Google Scholar to find articles published in English from 2013 up to June 2023. Only RCTs using MINST as an intervention were included.</p><p><strong>Results: </strong>Out of 129 studies, 6 RCTs involving a total of 223 patients met the criteria. The included studies then divided into 3 groups based on intervention comparisons; MINST vs minimally invasive surgical treatment (MIST), MINST with/without adjunct material, and MINST vs conventional non-surgical periodontal therapy (CNST). Minimally invasive non-surgical therapy (MINST) showed comparable efficacy to MIST in the treatment of single intrabony defects with significant probing depth (PD) reduction and clinical attachment level (CAL) gain. After one session of full-mouth MINST, a minimal residual pocket was achieved, and the use of adjunct materials effectively enhanced the treatment outcome.</p><p><strong>Conclusion: </strong>Moderate evidence supports MINST as an effective and minimally traumatic approach for managing advanced periodontitis, offering comparable clinical outcomes to surgical therapy. Further high-quality trials with long-term follow-up are recommended.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"72-85"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691795","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":"From Fitness to Fight: Associations between training motivation and injury prevalence in Muay Thai, K-1 and Kickboxing.","authors":"Alina Ilaria Robbiani, Andreas Filippi","doi":"10.61872/sdj-2025-02-07","DOIUrl":"10.61872/sdj-2025-02-07","url":null,"abstract":"<p><p>Martial arts such as Muay Thai, K-1, and kickboxing carry a high risk of injury, particularly under conditions of intensive training and competition. This exploratory, cross-sectional study aimed to analyze the extent to which injury risk is associated with individual training motivation and whether this risk differs between training and competition contexts. A nationwide survey in Switzerland was conducted with N = 440 martial artists using a questionnaire that covered training motivation, injuries, mouthguard usage, and competition participation. A total of N = 419 participants were included in the final analysis. Of those surveyed, 65.4% reported having sustained at least one injury during training, with male athletes being significantly more affected than female athletes (P < 0.001). Individuals practicing martial arts as their primary occupation (93.8%, N = 30) and those who regularly participated in competitions (87.5%, N = 73) were particularly at risk. The most frequently injured body part during training was the leg (74.8%), whereas injuries to the head were most common during competitions (68.1%). Most injuries involved soft tissue damage. While 75% of participants reported using a mouthguard during training, only 11.5% used a professionally manufactured one. Dental injuries occurred across all groups, regardless of the type of mouthguard used. The results of this study indicate that injury risk was associated with training motivation, gender, and training intensity.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"62-71"},"PeriodicalIF":0.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638345","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":"Evaluation of Implant Survival in Xenograft-Grafted Sites.","authors":"Lina Tahour, Kamer Kurumal, Catherine Petit, Pierre-Yves Gegout, Olivier Huck","doi":"10.61872/sdj-2025-02-06","DOIUrl":"10.61872/sdj-2025-02-06","url":null,"abstract":"<p><p>Patients with a history of periodontitis often require bone augmentation prior to implant placement; however, the mid-term outcomes of implants in augmented sites are not well documented. The aim of this retrospective study was to evaluate the mid-term survival and peri-implant health of implants placed in xenograft-augmented sites in patients with a history of periodontitis. Records of 34 patients (mean age: 65.3 ± 12 years; 64.7% Stage III, 29.4% Stage IV periodontitis) treated at the University of Strasbourg between 2015 and 2023 were analyzed, including 62 implants placed in xenograft-augmented sites. The mean follow-up was 5.74 ± 2.3 years. No implant failures occurred, yielding a 100% survival rate. The mean probing depth was 2.98 mm, and bleeding on probing averaged 25.5%. Marginal bone loss averaged 0.86 mm (distal) and 0.87 mm (mesial), corresponding to an annual bone loss of 0.18 mm; the most frequent bone loss pattern was vertical (71%). No peri-implantitis was observed; 54.8% of implants presented peri-implant mucositis, and 45.2% were classified as healthy. Within the limitations of this study, implants placed in xenograft-augmented sites in periodontally compromised patients demonstrated excellent mid-term survival and peri-implant tissue stability.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"52-61"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508754","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":"Introduction of a new technique for adhesive restorations of cervical lesions.","authors":"Thomas Attin","doi":"10.61872/sdj-2025-02-05","DOIUrl":"https://doi.org/10.61872/sdj-2025-02-05","url":null,"abstract":"<p><p>Class V-restorations represent a challenge in treatment that is often underestimated due to their usually close proximity to the gingiva at the cervical margin and other specific features. Accordingly, in the literature, the long-term survival rates of these restorations fall short of those of other direct adhesive restorations. The following article presents a new technique that can help to avoid problems during the filling process of these cavities. In a first step, this so-called BERK-technique aims at a sealing of the critical gingival margin by a targeted stepwise application of flowable resin-based composite in order to facilitate subsequent filling steps.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"43-51"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318231","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}
Rawen Smirani, Franz J Strauss, Sonja Hitz, Ronald E Jung, Riccardo Kraus, Daniel S Thoma
{"title":"Tissue integration and vascularization of volume collagen matrices and connective tissue grafts following peri-implant soft tissue augmentation: a secondary histological analysis","authors":"Rawen Smirani, Franz J Strauss, Sonja Hitz, Ronald E Jung, Riccardo Kraus, Daniel S Thoma","doi":"10.61872/sdj-2025-02-04","DOIUrl":"https://doi.org/10.61872/sdj-2025-02-04","url":null,"abstract":"<p><p>This study aimed to histologically reanalyze tissue integration and vascularization of volume collagen matrices (VCMX) and subepithelial connective tissue grafts (SCTG) at 3 and 4 months following peri-implant soft tissue augmentation. Peri-implant soft tissue augmentation was performed with VCMX or SCTG and biopsies were harvested at 3 and 4 months. Secondary analyses included descriptive histology, blood vessel count and tissue composition [remaining matrix, peri-implant connective tissue containing 3 different components (collagen bundles, elastic connective tissue and loose connective tissue), elastic fibers and background]. A total of 21 samples were analyzed (VCMX: 6/9 biopsies at 3/4 months; SCTG: 6 biopsies at 3 months). Compared to SCTG, VCMX sites displayed fewer and smaller blood vessels within denser tissue. Collagen bundles in VCMX were thicker, whereas SCTG sites displayed a looser tissue structure. The proportion of elastic connective tissue were 22.5% (VCMX/3 months), 32,7% (VCMX/4 months) and 17.4% (SCTG/3 months). Additionally, VCMX samples at 3 months also showed the highest proportion of elastic fibers (10,7%). Peri-implant soft tissue augmentation with VCMX resulted in reduced vascularization but increased tissue density compared to sites augmented with SCTG.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"37-42"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988696","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":"Influence of the relative enamel abrasivity of toothpastes (REA value) on the wear of eroded enamel.","authors":"Zoe S Moser, Blend Hamza, Florian J Wegehaupt","doi":"10.61872/sdj-2025-02-03","DOIUrl":"https://doi.org/10.61872/sdj-2025-02-03","url":null,"abstract":"<p><p>Eroded enamel is more susceptible to abrasion than healthy one. The present study aims to determine the impact of toothpaste abrasiveness (REA-value) and brushing force on enamel wear after erosion. 140 enamel samples from bovine teeth were divided into seven groups (N = 20). Each group was assigned a different toothpaste with varying levels of abrasiveness (groups 1+2: Candida Parodin (REA 2), groups 3+4: Candida Multicare (REA 9), and groups 5+6: Candida White Micro Crystals (REA 19)). The samples were first exposed to a citric acid solution (pH 2.60; 2 min) to simulate an erosive attack and then subjected to brushing with the assigned toothpaste using an automatic brushing machine at 1- and 2-N brushing force. Samples of group 7 were left unbrushed and served as the control group. The erosive/abrasive cycling was repeated 10 times. Enamel wear was measured profilometrically. Higher erosive/abrasive wear was observed in all toothpaste groups compared to the control. In all toothpaste groups, erosive/abrasive wear was significantly higher at 2-N brushing force than 1 N (P < 0.05). At 1-N and 2-N force, Candida Parodin showed lower enamel wear than Candida Multicare and Candida White Micro Crystals. The results showed that toothpastes with higher REA values result in greater abrasion of eroded enamel, but only up to a certain value. Eroded tooth structure is more prone to abrasion at higher contact pressure, but REA value has a greater influence. Patients with erosion should use toothpaste with low REA value and avoid excessive contact pressure.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020322","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}
Nicola U Zitzmann, Khiêm Dinh, Daniel Klein, Cornelia Filippi, Anja Von Büren
{"title":"Factors influencing the oral health of children undergoing general anesthesia.","authors":"Nicola U Zitzmann, Khiêm Dinh, Daniel Klein, Cornelia Filippi, Anja Von Büren","doi":"10.61872/sdj-2025-02-02","DOIUrl":"10.61872/sdj-2025-02-02","url":null,"abstract":"<p><p>This study investigates factors in children undergoing general anesthesia for dental treatment at the University Children's Hospital of Basel (UKBB). A cross-sectional survey was conducted among parents of children (n = 119) receiving dental treatment under general anesthesia. A multilingual questionnaire collected data on demographics, oral hygiene practices, dietary habits, and dental experiences. Children's mean age was 5.9 years; 47.9% were aged between 5 and 8 years. A total of 18.5% had an underlying medical condition and 84.0% had a migration background. Children of migrant parents had significantly lower German proficiency than those of Swiss nationals (p < 0.05). Lower household incomes were predominantly observed in families with a migration background. Parental awareness of oral health varied with 58.8% unaware of whether their child's toothpaste contained fluoride. Children of Swiss parents were more likely to begin brushing their teeth at 6-8 months, whereas children with a migration background tended to start later (p < 0.05). High sugar consumption was prevalent, with 40.7% of children consuming sweets daily. Dental anxiety was reported in 60.7% of children, particularly in older age groups (p < 0.05). These findings highlight the need for targeted preventive measures focusing on early dental care education for risk groups to reduce the need for invasive treatments under general anesthesia.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"8-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732077","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":"[Pleomorphic adenoma of the upper lip].","authors":"Suter VGA, Olga Stanowska","doi":"10.61872/sdj-2025-02-01","DOIUrl":"10.61872/sdj-2025-02-01","url":null,"abstract":"<p><p>A 48-year-old woman presented with a submucosal, slow-growing tumor of over 1.5 cm in the left upper lip. The enucleation was performed in local anesthesia and after a curved incision cranial to the tumor. The histopathology showed an encapsulated tumor with three diagnostic components: 1) epithelial (ductal) component forming the inner layer of cysts and tubules, 2) myoepithelial cells as their outer layer and 3) myxoid mesenchymal stroma. The healing was uneventful and only a thin scar on the mucosa was visible in the follow up. Pleomorphic adenoma of the minor salivary gland are less common than those of the major salivary gland, with the upper lip being the second most localisation after the palate. Enucleation is the treatment of choice, with care taken to ensure the pseudocapsule remains intact.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"135 2","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732076","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}