Michael M Bornstein, Thomas von Arx, Daniel Baumhoer
{"title":"[Angina bullosa haemorrhagica - an unusual blistering in the oral cavity]","authors":"Michael M Bornstein, Thomas von Arx, Daniel Baumhoer","doi":"10.61872/sdj-2023-01-03","DOIUrl":"10.61872/sdj-2023-01-03","url":null,"abstract":"<p><p>Angina bullosa haemorrhagica (ABH; also: bullosa haemorrhagica oralis or \"benign hemorrhagic bullous stomatitis\") was first defined by Badham in 1967 as recurrent formation of blood blisters on the oropharyngeal mucosa as a result of mechanically traumatic irri- tation. A possible connection with previous damage to the mucosa due to general medical findings such as hypertension, diabetes mellitus or chronic inhalation of corticosteroids has not yet been confirmed.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"133 1","pages":"34-35"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10569411","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}
Martina C Schwerzmann, Daphne Schönegg, Ann-Katrin Rodewald, Thomas Gander, Martin Lanzer
{"title":"[A radiolucent rarity - primary intraosseous mucoepidermoid carcinoma of the posterior mandible: From radiographic incidental finding to molecular pathological diagnosis].","authors":"Martina C Schwerzmann, Daphne Schönegg, Ann-Katrin Rodewald, Thomas Gander, Martin Lanzer","doi":"10.61872/sdj-2022-12-02","DOIUrl":"10.61872/sdj-2022-12-02","url":null,"abstract":"<p><p>We report the case of a 64-year-old patient with incidental finding of a unilocular radiolucency in the posterior mandible on an apical radiograph. The biopsy (cystostomy) revealed the unusual finding of a primary intraosseous mucoepidermoid carcinoma; this is with 2‑4% of ectopic manifestations of this entity a rarity. Molecular pathological analysis with a specific panel (SalvGlandDx) and FISH provided diagnosis-confirming evidence of the specific CRTC1-MAML2 fusion. Box resection, prophylactic osteosynthesis using a patient-specific reconstruction plate, neck dissection, and local coverage using a Bichat flap were performed according to the interdisciplinary tumor board decision. With tumor-free lymph nodes and R0 resection, adjuvant therapy was not required. Clinical and imaging follow-up over 24 months showed no evidence of locoregional recurrence. The presented case report emphasizes the central role of private dental practices in the early detection of oral malignancies. These should always be considered in the differential diagnosis of cystic lesions.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":" ","pages":"849-854"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40491668","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 : 2022-12-05Epub Date: 2022-09-08DOI: 10.61872/sdj-2022-12-01
Graziano Zappalà, Tin Crnić, Katarina Tominz, Christoph A Ramseier
{"title":"Students' opinions on tutor-supported comprehensive care training in clinical dental education.","authors":"Graziano Zappalà, Tin Crnić, Katarina Tominz, Christoph A Ramseier","doi":"10.61872/sdj-2022-12-01","DOIUrl":"10.61872/sdj-2022-12-01","url":null,"abstract":"<p><p>Tutor-supported comprehensive care training at the University of Bern School of Dental Medicine (SDM) has been used for many years. Therefore, the aim of this study was to evaluate dental students' opinions on tutor-supported training to identify key aspects of future course organisation that are important for students to achieve the minimum requirements for their graduation. A digital survey was developed and distributed among all fourth- and fifth-year dental students enrolled in the SDM in 2014 and 2016. A total of 28 (41.2%) and 21 (36.2%) students participated in the survey in 2014 and 2016, respectively. The average age of all respondents was 25.8 (±4.0) years. The proportion of females was 75% with no differences between groups, neither among classes nor years of the survey. The students felt well prepared following the bachelor's degree pre-clinical programme and a two-week introduction immediately preceding the clinical course. During clinical training, the students' experiences with their assigned tutors were positive even though waiting times for tutors during patient care as well as organisational efforts to manage attestations and logbooks were mentioned. For each discipline, patient assignment (ρ=0.54, p<0.0001) and frequently meeting with their tutors (ρ=0.56, p<0.0001) revealed the highest correlation with 1) achieving minimum requirements and 2) improving treatment planning skills in both fourth- and fifth-year dental students. In conclusion, tutor-supported comprehensive care training is well accepted by dental students while focusing on both patient assignment and frequent discussions with tutors may help students to better achieve minimum requirements in clinical dental education.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 12","pages":"838-847"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365762","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":"Restorative and reconstructive treatment of amelogenesis imperfecta after 18 years - a published case comes of age","authors":"Patrick R Schmidlin","doi":"10.61872/sdj-2022-12-03","DOIUrl":"10.61872/sdj-2022-12-03","url":null,"abstract":"<p><p>The diagnosis and treatment of amelogenesis imperfecta (AI) represents a considerable rehabilitative challenge. Three critical aspects must be emphasised in particular: 1. as a congenital dental dysplasia, AI is a congenital defect, is covered by federal disability insurance and requires early definitive treatment before the age of twenty; 2. treatment is complex, interdisciplinary and usually invasive; and 3. restorations must be fixed on structurally compromised tooth structure.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":" ","pages":"862-863"},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40491667","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":"[Soft laser and its application areas in oral surgery and stomatology].","authors":"Esra Sekerci, Irina Kuster, Mona Schiefersteiner","doi":"10.61872/sdj-2022-11-03","DOIUrl":"10.61872/sdj-2022-11-03","url":null,"abstract":"<p><p>Low-level lasers (LLL) are used in the stomatology and oral surgery field of dentistry. Due to the biostimulation or biomodulation and photodynamic effect, the healing process of soft-tissue and bone wounds can be accelerated. The indication in oral surgery is to achieve a faster bone healing after tooth extraction, but also to improve the osseointegration in implants. The advantage in stomatology is pain alleviation and improved healing in aphthae and cold sores as well as symptom relief in mucositis. Due to the use free of side effects and low time effort, the LLL offers high patients' comfort.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 11","pages":"796-797"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40660466","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":"[Sustainable dentistry - Part II: Sustainable workplace and waste management].","authors":"Steven Cetin, Léon Mahler, Christoph A Ramseier","doi":"10.61872/sdj-2022-11-02","DOIUrl":"10.61872/sdj-2022-11-02","url":null,"abstract":"<p><p>This second and final part of the publication on the topic of sustainability in dental practices deals with the so-called workplace management, which describes the work processes and the consumption of energy and materials in the practice itself. Waste management is also addressed, which discusses the path of resources from the practice to disposal and recycling. Finally, an example from materials research is presented using implants.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 11","pages":"781-787"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40460501","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 : 2022-11-07Epub Date: 2022-09-02DOI: 10.61872/sdj-2022-11-01
Christoph A Ramseier, Raji Manamel, Raffael Budmiger, Norbert Cionca, Philipp Sahrmann, Patrick R Schmidlin, Lukas Martig
{"title":"Cost savings in the Swiss healthcare system resulting from professional periodontal care.","authors":"Christoph A Ramseier, Raji Manamel, Raffael Budmiger, Norbert Cionca, Philipp Sahrmann, Patrick R Schmidlin, Lukas Martig","doi":"10.61872/sdj-2022-11-01","DOIUrl":"10.61872/sdj-2022-11-01","url":null,"abstract":"<p><p>More than 740 million people worldwide are affected by periodontal disease and are at higher risk of secondary damage such as cardiovascular disease and type 2 diabetes, which place a considerable financial burden on healthcare systems. The aim of this study was to use a computer simulation to estimate the direct and indirect costs of prevention and treatment of gingivitis, periodontitis and related secondary damage in the Swiss population, paid both out of pocket (OOP) and from social welfare (SW). \u0000\u0000For three different scenarios, iterations with 200,000 simulated individuals over their assumed life span of 35 to 100 years corresponded to a period of four months in which an individual could move from one periodontal condition to the next, each associated with presumed direct and indirect treatment costs. \u0000\u0000Appropriate diagnosis and adherence to professional periodontal care had a strong benefit saving up to CHF 5.94 billion OOP and CHF 1.03 billion SW costs for the current Swiss population. Considering direct and indirect health care costs, the total expected costs for a 35-year-old individual until death were CHF 17'310 with minimal care and CHF 15'606 with optimal care, resulting in savings of CHF 1'704. \u0000\u0000In conclusion, early detection and appropriate treatment of periodontitis can help to reduce both overall costs of treating periodontitis and associated secondary damage, especially in the second half of life. These cost savings may further pay off on an individual level through regular supportive periodontal care, both for treatments paid out-of-pocket and those covered by social welfare.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 11","pages":"764-779"},"PeriodicalIF":0.0,"publicationDate":"2022-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335524","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":"[Sustainable dentistry - Part I: Sustainability and pre-workplace management].","authors":"Léon Mahler, Steven Cetin, Christoph A Ramseier","doi":"10.61872/sdj-2022-10-02","DOIUrl":"10.61872/sdj-2022-10-02","url":null,"abstract":"<p><p>Sustainability in dental practices is playing an increasingly important role. External and internal factors have an influence on the emissions of a practice. The external factors include the domains of politics, science, and education. It is eminent that the discussion on the environmental impact in healthcare finds its way into these three domains, as it lays the foundation for behavioural change and thus paves the way for a greener future. The internal factors include practice operations, supply chain, employees, and patients. Overall, the topic of sustainability is hardly prevalent in the dental workplace. This first article of a two-part series highlights how sustainability in dentists' practices and work is influenced by many environmental factors which, taken together, can affect the interplay between the environment and dentistry.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 10","pages":"691-697"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33490350","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 : 2022-10-10Epub Date: 2022-08-26DOI: 10.61872/sdj-2022-10-01
Luca Masoch, Monika Marending, Kevin Hofpeter, Thomas Attin, Matthias Zehnder
{"title":"The Impact of Changing from First- to Fifth-Generation Nickel-Titanium Rotaries on Root-Filling Quality in a Clinical Undergraduate Course","authors":"Luca Masoch, Monika Marending, Kevin Hofpeter, Thomas Attin, Matthias Zehnder","doi":"10.61872/sdj-2022-10-01","DOIUrl":"10.61872/sdj-2022-10-01","url":null,"abstract":"<p><p>In this retrospective study, it was investigated whether the use of a fifth-generation rotary system (ProTaper Next) resulted in improved radiological root filling quality compared to a first-generation counterpart (ProFile) in a controlled student course setting. Cases treated by fourth-year dental students in the 2020/21 academic year were collected and compared to those treated in 2019/20. Root canals in the former group were all instrumented using the ProTaper Next system, and the latter using the ProFile system. All other clinical parameters were similar between the two academic years, including the time of pre-clinical teaching, hands-on course hours, endodontic auxiliaries, and chemicals used for treatment. After excluding patients who were not available or refused to give their informed consent to this study (n = 20), and excluding teeth with missing or poor radiographs (n = 16), the fillings in 178 roots could be assessed by two calibrated observers blinded to the system that was used. The primary outcome was the radiographic quality of the root fillings according to the five-scale modified MOLANDER score. The secondary outcome was the number of separated rotary instruments by group. Both instrumenting systems resulted in a similar number of \"excellent\" root fillings (score I), 59 % in the ProTaper Next group and 60% in the ProFile group, with no statistically significant difference in outcome scores between groups (Probability > ChiSquare = 0.70). Furthermore, there was merely one separated instrument in the ProTaper Next group, and none in the ProFile group (Fisher's exact test, p = 1.00).</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 10","pages":"684-690"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33439147","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, Alexander A Navarini, Martina Schriber, Daniel Baumhoer
{"title":"Treatment of symptomatic oral lichen planus with intralesional corticosteroid injections","authors":"Michael M Bornstein, Alexander A Navarini, Martina Schriber, Daniel Baumhoer","doi":"10.61872/sdj-2022-10-03","DOIUrl":"10.61872/sdj-2022-10-03","url":null,"abstract":"<p><p>Lichen planus (synonym: lichen ruber; in the oral cavity: oral lichen planus = OLP) is a common, chronic inflammatory disease that affects the skin and mucous membranes (especially the oral and genital mucosa). With a prevalence of 1 to 2%, lichen planus is one of the most common mucodermatoses and is more common in women than in men.</p>","PeriodicalId":38153,"journal":{"name":"Swiss dental journal","volume":"132 10","pages":"706-707"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33489790","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}