Swiss dental journalPub Date : 2023-04-03Epub Date: 2022-12-15DOI: 10.61872/sdj-2023-04-01
Daphne Schönegg, Michèle Suter, Danielle Kundert, Thomas Gander, Martin Lanzer
{"title":"Meeting Quality Metrics in Oral Squamous Cell Carcinoma Surgery: A Single-Center Experience.","authors":"Daphne Schönegg, Michèle Suter, Danielle Kundert, Thomas Gander, Martin Lanzer","doi":"10.61872/sdj-2023-04-01","DOIUrl":"10.61872/sdj-2023-04-01","url":null,"abstract":"<p><p>Patient-centered quality metrics have been proposed to evaluate and optimize hospital processes, aiming to improve patient outcomes. Furthermore, they can be used to objectively rate and compare the ability of health care providers to meet the needs of their patients. In patients with advanced resectable oral squamous cell carcinoma, optimal surgical treatment of the neck and timely initiation of both surgical and adjuvant therapy, when indicated, are crucial for recurrence-free and overall survival. This retrospective analysis included 160 patients who received primary resection of oral squamous cell carcinoma and concurrent neck dissection. It aimed to investigate how well quality metrics were met during a 6-year period in the department of oral and maxillofacial surgery at a university hospital. 93.1% of patients were seen in the specialist's office within 21 days after referral. Resection was classified as R0 in 94.4%. A lymph node yield ≥ 18 was achieved in 82.5%. The lymph node ratio was ≤6% in 43.3% of nodal-positive necks. Readmission and unplanned revision surgery were rare (6.9%). Adjuvant radiotherapy was started ≤ 6 weeks after surgery in 45.3%, and the indication was in accordance with international guidelines in all cases. \u0000Quality metrics are an effective tool for planning process optimization in a hospital. Moreover, nodal quality metrics such as lymph node yield and lymph node ratio could, after validation, complement existing and well-established prognostic parameters for patient-specific adaptation of adjuvant treatment plans.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 4","pages":"230-235"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9166507","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}
Michael M Bornstein, Daniel Baumhoer, Alexander A Navarini
{"title":"Melkersson-Rosenthal syndrome - a diagnostic-therapeutic challenge in oral medicine","authors":"Michael M Bornstein, Daniel Baumhoer, Alexander A Navarini","doi":"10.61872/sdj-2023-04-02","DOIUrl":"10.61872/sdj-2023-04-02","url":null,"abstract":"<p><p>Melkersson-Rosenthal syndrome (MRS) is a rare disease and is characterised by the classic triad of cheilitis granulomatosa, lingua plicata and peripheral facia- lis paresis. These symptoms rarely manifest themselves all at the same time, often only one of these clinical signs appears. In the literature, the umbrella term orofacial granulomatosis (OFG) is also used, which covers the occurrence of granulomas in the maxillofacial region without associated systemic diseases.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 4","pages":"238-239"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9269229","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}
Swiss dental journalPub Date : 2023-03-06Epub Date: 2022-11-24DOI: 10.61872/sdj-2023-03-01
Sally Koegel, Olivier Braissant, Tuomas Waltimo, Michael M Bornstein, Monika Astasov-Frauenhoffer
{"title":"Evaluation of antibacterial properties of fluoride-containing mouth rinses differing in their acidic compound using a Streptococcus mutans biofilm.","authors":"Sally Koegel, Olivier Braissant, Tuomas Waltimo, Michael M Bornstein, Monika Astasov-Frauenhoffer","doi":"10.61872/sdj-2023-03-01","DOIUrl":"10.61872/sdj-2023-03-01","url":null,"abstract":"<p><p>This in vitro study assessed the antibacterial effect on Streptococcus mutans biofilms of mouth rinses with 700 ppm F- (derived from NaF) that differed only in their acid compounds (malic (A), citric (B), tartaric (C), fumaric (D), hydrochloric (E), phosphoric (F), and lactic (G) acid) used to adjust pH. S. mutans (ATCC 25175) was grown for 22 h at 37°C, harvested, resuspended in simulated body fluid and biofilm formation followed for 24 h at 37°C. Thereafter, biofilms were treated with experimental rinses for 30 s, and placed in TAM48 isothermal microcalorimeter at 37°C for 72 h. Applying Gompertz growth model parameters lag time and growth rate were determined from heatflow curves; additionally, reduction of active biofilms was calculated. Moreover, samples were live/dead stained and analyzed by confocal scanning microscopy. All mouth rinses were showing statistically significant lag time and reduction of active biofilm (p<0.05, A 19.1+/-2.3h and 58.5+/-7.7%, B 15.5+/-1.1h and 41.9+/-5.3%, C 17.6+/-1.9h and 53.1+/-7.5%, D 18.4+/-2.4h and 55.8+/-8.8%, E 20.2+/-3.3h and 61.5+/-10.0%, F 20.2+/-3.0h and 61.6+/-9.3%, and G 18.3+/-2.5h and 55.3+/-8.9%). Interestingly, there were no differences found between the treated groups (p>0.05, A 0.064+/-0.004 1/h, B 0.063+/-0.005 1/h, C 0.065+/-0.004 1/h, D 0.067+/-0.004 1/h, E 0.066+/-0.006 1/h, F 0.067+/-0.004 1/h, G 0.066+/-0.006 1/h) for the maximum growth rate. Vitality staining supported these findings.. The present investigation demonstrates that the type of acid compounds used to produce the rinses did not show any negative effect on the antimicrobial properties of the tested products as all of them exhibited a similar efficacy against S. mutans biofilms.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 ","pages":"156-163"},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40509558","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}
Elise Pilavyan, Delphine Wagner, François Clauss, Marion Strub
{"title":"[Aesthetic rehabilitation of a case of maxillary fibrous dysplasia in a child].","authors":"Elise Pilavyan, Delphine Wagner, François Clauss, Marion Strub","doi":"10.61872/sdj-2023-03-02","DOIUrl":"10.61872/sdj-2023-03-02","url":null,"abstract":"<p><p>Fibrous dysplasia (FD) is a rare, congenital, benign bone disorder in which healthy bone tissue is replaced by abnormal scar-like (fibrous) connective tissue. The lesions may affect one or more bones, including the jawbones. A 13-year-old girl visited the dentist for failed eruption of her left maxillary permanent teeth and facial asymmetry. Radiological analysis revealed impactions of the permanent teeth in hypertrophic, hyperdense, weakly trabeculated bone tissue. To restore the aesthetics of the smile, a treatment combining decoronation and bonded restorations was performed. FD enlargement would slow down after puberty, allowing for long-term therapies. But there is no information about implantology in this type of bone lesion. The aesthetic and functional consequences of a maxillary FD should be managed as soon as possible. Treatment involves a multidisciplinary team and follow-up care into adulthood.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 3","pages":"165-170"},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9379062","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":"Interceptive orthodontics - Treatment of distal bite, non-supports","authors":"René Kubala, Roger Minoretti","doi":"10.61872/sdj-2023-03-03","DOIUrl":"10.61872/sdj-2023-03-03","url":null,"abstract":"<p><p>In addition to levelling the teeth in the aesthetically relevant area, the aim of orthodontic treatment is also to achieve a stable periodontal and occlusal situation. It is also desirable to achieve a dental situation that requires little future dental intervention.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 3","pages":"180-181"},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9081435","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}
Kevin Hofpeter, Sebastian Reich, Alexander Winkler, Gabriel Krastl
{"title":"[Extrusion after anterior tooth trauma - Magnet and Benexextrusion, two case presentations]","authors":"Kevin Hofpeter, Sebastian Reich, Alexander Winkler, Gabriel Krastl","doi":"10.61872/sdj-2023-02-03","DOIUrl":"10.61872/sdj-2023-02-03","url":null,"abstract":"<p><p>Anterior tooth trauma with crown-root fractures represent a major challenge in the dental practice. In order to be able to treat deeply fractured teeth, a sufficient amount of coronal tooth structure is required. In this article, we would like to present two options for tooth extrusion.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 2","pages":"106-107"},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10665515","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":"[Intraoral radiography: qualitative study].","authors":"Sarah Freyche, Lydia Vazquez","doi":"10.61872/sdj-2023-02-02","DOIUrl":"10.61872/sdj-2023-02-02","url":null,"abstract":"<p><p>When taking intraoral X-rays with a round collimator, the salivary glands and the thyroid gland are exposed to ionizing radiation. The rectangular collimator reduces the patient's radiation dose. This study aims to analyze the impact of the rectangular collimator on the quality of intraoral X-rays taken by students of the University Clinics of Dental Medicine (Geneva, Switzerland). Intraoral X-rays, performed by 8 students with digital intraoral phosphor plates, were collected and a quality score was assigned to each X-ray. A total of 130 intraoral radiographs were analyzed. Half of the radiographs were taken with a rectangular collimator and 24.6% (32/130) were bitewings. The mean quality score of bitewings taken with or without a collimator was 11 ± 1.8 and 10.3 ± 0.9, respectively. The mean quality score of apical X-rays taken with or without collimator was 11.6 ± 1.0 and 11.5 ± 2.1, respectively. X-rays taken with a rectangular collimator were of excellent or sufficient diagnostic quality for 95% of the bitewings and 100% of the periapical radiographs. This quality control study showing that students perform quality intraoral X-rays with a rectangular collimator could encourage clinicians to use this device as ameans of radiation protection in their daily practice.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 2","pages":"89-96"},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632750","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}
Swiss dental journalPub Date : 2023-02-06Epub Date: 2022-10-14DOI: 10.61872/sdj-2023-02-01
Nira Maria Wangoi Mählmann, Andreas Filippi
{"title":"Self-reported injuries to oral tissues through resistance training in bodybuilders.","authors":"Nira Maria Wangoi Mählmann, Andreas Filippi","doi":"10.61872/sdj-2023-02-01","DOIUrl":"10.61872/sdj-2023-02-01","url":null,"abstract":"<p><p>Lifting heavy weights almost automatically elicits teeth clenching, which, if performed regularly, may lead to chronic trauma. This study assessed self-reported injuries to oral tissues in athletes and bodybuilders caused by resistance training and determined the association between self-reported trauma, performance level and the duration of practicing resistance training. A standardized questionnaire was used to gather information about the respondents (age and gender), their performance level (hobby versus competition athlete), experience with oral tissue trauma, the use of mouthguards, and dietary habits. From a total of 363 females and 239 males, 221 (36.7%) classified themselves as competition athletes and 381 (63.3%) as hobby athletes. Nearly 34.6% (n = 202) of the participants declared distress in their orofacial region during practice. Female hobby athletes reported 2.5 times more mouth-teeth-jaw problems than female competition athletes (p < 0.001). Females showed themselves slightly more susceptible to mouth-teeth-jaw problems with resistance training than males (odds ratio [OR] = 1.45, p = 0.076). Negative oral effects were found to be 2.1 (p = 0.003) times higher for those who had been practicing for 10 years or more. It was concluded that a higher number of years of resistance training increased self-reported oral tissue trauma in the current cohort. Females were more likely to report orofacial problems than males.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 2","pages":"80-87"},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10630158","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}
Swiss dental journalPub Date : 2023-01-09Epub Date: 2022-09-13DOI: 10.61872/sdj-2023-01-01
Fabienne M Rusch, Michael M Bornstein, Dorothea Dagassan-Berndt
{"title":"The use of protection measures in dento-maxillofacial radiology in Europe: a survey among experts.","authors":"Fabienne M Rusch, Michael M Bornstein, Dorothea Dagassan-Berndt","doi":"10.61872/sdj-2023-01-01","DOIUrl":"10.61872/sdj-2023-01-01","url":null,"abstract":"<p><p>Patient contact shielding to reduce radiation exposure to radiosensitive organs of patients is known to be used inconsistently in the field of dento-maxillofacial radiology (DMFR). There is an ongoing discussion if its use is still justified with regard to recent technical enhancements in the field. Thus, the aim of this study was to investigate the recommended and applied safety standards regarding dose protection measures in dental radiology within European countries. With an online questionnaire the use of safety measures, especially lead protection and collimation, in different patient groups (adults, children, pregnant women) was interrogated including leading experts in the field of DMFR. Among the 24 participants from 13 different countries, there was a tendency towards lead protection for intraoral radiography and towards collimation for extraoral radiography. Participants based their decision mainly on law and societal guidelines. Overall, the application of radiation protection measures varies within Europe. It seems safe to say that lead protection as a measure of radiation dose limitation is still recommendable even though collimation and technical advancements have led to great dose reductions. Collimation should be used more broadly and a standardization of protection measures and an update of radiation protection guidelines in Europe is desirable.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 1","pages":"12-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10495763","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}
Christian R Hatz, Elias Bühler, Patrick R Schmidlin
{"title":"Gingival epitheses: forgotten craft or technology with a future? - Case report of a epithesis fabricated with CAD/CAM.","authors":"Christian R Hatz, Elias Bühler, Patrick R Schmidlin","doi":"10.61872/sdj-2023-01-02","DOIUrl":"10.61872/sdj-2023-01-02","url":null,"abstract":"<p><p>The case in this report presents an alternative, partially CAD/CAM-based fabrication of a gingival epithesis in a 48-years-old female patient. The patient suffered from a periodontits stage III, grade C. After a non-surgical periodontal treatment with adjunctive systemic antibiotics, the patient developed severe circumferential gingival recessions on the upper frontal teeth. Due to social discomfort and esthetic concerns, the indication for a gingival epithesis was made. After taking a conventional impression from the upper jaw, the cast model was scanned and the gingival epithesis was designed virtually at the laboratory. The epithesis was then milled from a block of high performance polymer. Minor adjustments of surface details were added manually. The result was a esthetically sufficient and by the patient well-accepted treatment modality. Further research is necessary to prove the feasibility of a full digital workflow and the long-term stability of CAD/CAMbased gingival epitheses.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10497321","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}