Nowa StomatologiaPub Date : 2019-09-01DOI: 10.25121/ns.2019.24.3.100
Sylwia Majewska-Beśka, J. Szczepańska
{"title":"Wpływ różnych metod modyfikacji powierzchni zębiny zębów mlecznych na adhezję materiałów światłoutwardzalnych – na podstawie piśmiennictwa","authors":"Sylwia Majewska-Beśka, J. Szczepańska","doi":"10.25121/ns.2019.24.3.100","DOIUrl":"https://doi.org/10.25121/ns.2019.24.3.100","url":null,"abstract":"Bonding dental materials to dentinal surface, demineralised in particular, still poses a challenge for contemporary dentistry. Adhesion of filling materials to primary tooth tissue poses a greater difficulty compared to permanent teeth due to poorer enamel and intertubular dentin mineralisation and wider dentinal tubules. The bonding strength of dental materials to tooth surfaces depends on, among other things, surface development, the depth of cavity, as well as the associated degree of tissue mineralisation, the content of organic components and water, as well as the number and width of dentinal tubules. The quality of bonding of dental materials to dental tissues is also determined by the mode of substrate preparation, e.g. conventional drilling or air abrasion, and the type of adhesive system used - etch and rinse or self-etch approach. The choice of material that will ensure optimal bonding to the tooth surface under given conditions, i.e. microretention or chemical adhesion, is also important. The aim of the paper was to assess the effects of different methods for primary tooth dentinal surface modification on the adhesion of light-cured materials in experimental studies, based on literature data. The subject of adhesion of light-curing materials to the dentinal surfaces in primary teeth is current and worth further exploration. Self-etching systems are a good solution for filling carious cavities in primary teeth due to less aggressive demineralising effects on dentin compared to phosphoric acid. Demineralised surface is a difficult substrate for adhesive materials, especially in primary teeth; therefore, there is a need for procedures that will improve the retention of light-cured materials in these teeth. The use of air abrasion – mechanical development of the surface combined with chemical modification using self-etching systems may be one of solutions.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128453031","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":"A child’s first dental visit – age and reasons. A literature review","authors":"A. Mika, M. Mituś-Kenig, Anna Mizerska-Żurowska","doi":"10.25121/ns.2019.24.2.43","DOIUrl":"https://doi.org/10.25121/ns.2019.24.2.43","url":null,"abstract":"Dental caries is a multifactorial disease, which may begin shortly after tooth eruption. The development of a carious lesion is conditioned by the lack of or irregular dental visits, incorrect oral hygiene, and poor dietary habits. Dental caries is still a very serious health problem in the paediatric population in Poland. It is extremely important that the child’s first adaptation visit to the dentist takes place at an early stage of the child’s life. The purpose of this early visit is not only to assess child’s dentition, but first and foremost to provide parents with guidance on proper child’s oral hygiene and to correct improper dietary and eating habits. The aim of this study was to determine the age at and the reasons for the child’s first dental visit based on the current literature. A review of the literature published in the years 1992-2017 was conducted using the PubMed and Google Scholar databases. The study was supplemented with papers published by Polish authors discussing the issues in question. A total of 39 literature positions regarding this field were selected and analysed. The obtained data indicate that the first dental visit of a child takes place much later than recommended in medical guidelines. In most cases, it is a symptomatic visit resulting from the presence of advanced carious processes.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129168581","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}
U. Kaczmarek, T. Jackowska, M. Mielnik-Blaszczak, A. Jurczak, D. Olczak-Kowalczyk
{"title":"Individualised caries prevention with fluoride in children and adolescents – recommendations of Polish experts","authors":"U. Kaczmarek, T. Jackowska, M. Mielnik-Blaszczak, A. Jurczak, D. Olczak-Kowalczyk","doi":"10.25121/ns.2019.24.2.70","DOIUrl":"https://doi.org/10.25121/ns.2019.24.2.70","url":null,"abstract":"In addition to proper diet, the use of fluoride is the primary and effective method for the prevention of dental caries in primary and permanent dentition. Knowledge and compliance with the current guidelines for the use of different strategies and agents containing fluoride compounds is crucial for ensuring safety and efficacy of prevention. A panel of experts in paediatric dentistry and paediatrics was established as part of the working group of the Polish Branch of Alliance for a Cavity-Free Future (ACFF) to update the position on individual fluoride prevention in children and adolescents in Poland. We conducted a literature review on the knowledge of fluoride prevention, its use in the paediatric population in Poland, efficacy and safety of fluoride-containing preventive agents, as well as recommendations on fluoride prophylaxis issued by academic organisations and societies in different countries worldwide. The first version of the document was discussed and accepted by the panel of experts on paediatrics and paediatric dentistry on the 4th of April 2019. Update was scheduled for not later than 5 years after publication. This document includes basic data on the knowledge of fluoride prevention in parents, children and adolescents, the anticariogenic mechanism of fluoride, the safety and efficacy of different methods for individual fluoride prophylaxis, and the principles for its use depending on age and the risk of caries.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126439783","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}
I. Przywitowska, U. Kaczmarek, Grzegorz Bartnicki, Alina Wrzyszcz-Kowalczyk
{"title":"Salivary flow rate, total protein and pH in caries-free children and adolescents aged between 5 and 18 years","authors":"I. Przywitowska, U. Kaczmarek, Grzegorz Bartnicki, Alina Wrzyszcz-Kowalczyk","doi":"10.25121/ns.2019.24.2.56","DOIUrl":"https://doi.org/10.25121/ns.2019.24.2.56","url":null,"abstract":"Introduction. Data regarding salivary flow and the levels of salivary components in developmental age are scarce and not fully consistent. Aim. The aim of the study was to compare unstimulated mixed saliva flow rate, pH and total protein in children aged between 5 and 18 years to obtain information on the functional maturation of salivary glands during the developmental period. Material and methods. A total of 90 children and adolescents (both sexes) aged between 5 and 18 years were examined. All subjects were caries-free (ICDA II score zero). Unstimulated mixed saliva was sampled from all patients to assess pH, total protein and flow rate. The subjects were divided into age groups 5-6, 13-14 and 18 years. The study was approved by the Bioethics Committee of the University (No. Nr KB-335/2013). Results. Significantly lower salivary flow rates were observed in 5-6 year olds vs. 13-14 and 18-year-olds. In contrast, pH values were significantly higher in the youngest group compared to older age groups. Total protein was the lowest in 5-6 year olds, higher in 13-14 year olds and the highest at the age of 18 years (significant difference between age groups of 5-6 and 18 years). A decreasing trend in pH values and an increasing one in protein levels were observed between the age groups. Considering the entire group of subjects, a positive correlation between age and salivary flow rate and protein levels, and a negative correlation with pH were found. Moreover, pH and protein levels decreased with increasing salivary flow. Conclusions. Unstimulated mixed saliva flow rate and total protein increase, while pH levels decrease between the ages of 5 to 18 years.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132220320","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}
Piotr Rożniatowski, Emil Korporowicz, D. Gozdowski, D. Olczak-Kowalczyk
{"title":"The impact of oral hygiene, the intensity and increase of caries on the condition of Equia Fil glass ionomer and Tetric EvoCeram composite proximal restorations in permanent teeth","authors":"Piotr Rożniatowski, Emil Korporowicz, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/ns.2019.24.2.62","DOIUrl":"https://doi.org/10.25121/ns.2019.24.2.62","url":null,"abstract":"Introduction. Glass-ionomer cements and composite materials are widely used for direct restoration of carious lesions, also in young permanent teeth. However, knowledge on the effects of cariogenic factors on the quality of restorations performed using these materials, especially those covering proximal surfaces, which are more often exposed to bacterial plaque, is insufficient. Aim. The aim of the study was to assess the impact of oral hygiene and increased intensity of caries on proximal composite and glass ionomer restorations in young permanent teeth after 2 years of usage. Material and methods. Equia Fil glass-ionomer and Tetric EvoCeram composite restorations were performed in patients aged between 12 and 20 years with proximal carious lesions in premolars and molars. The clinical condition of restorations was assessed and indices such as OHI-S and D1-2DMFT (along with their increased values) were calculated at baseline, as well as during follow-up visits at 6, 12, 18 and 24 months. Correlations between clinical assessment of restorations and indices for oral hygiene and caries intensity, their increase and increased number of teeth with carious spots were evaluated. The study was approved by the Bioethics Committee of the Medical University of Warsaw (No. KB/157/2013). Results. A total of 100 proximal restorations were performed in 49 patients. After 24 months, 98 restorations (50 Equia Fil and 48 Tetric EvoCeram) were evaluated. Mean baseline OHI-S and D1-2DMFT were 1.37 and 12.04, respectively, for Equia Fil restorations, and 1.27 and 10.38 for Tetric restorations, with the following values reported during follow-up: 1.80 and 15.4; 1.63 and 12.38. Statistically significant relationships were found between OHI-S and values describing the state of materials. These values increased with increasing OHI-S and D1-2DMFT. Conclusions. Both Tetric Evo Ceram and Equia Fil restorations are susceptible to cariogenic factors.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121589810","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}
S. Shamsa, I. Soika, Anna Turska-Szybka, Maja Lipiec, D. Gozdowski, D. Olczak-Kowalczyk
{"title":"Determinants of the use of dental care of deciduous teeth in children – questionnaires","authors":"S. Shamsa, I. Soika, Anna Turska-Szybka, Maja Lipiec, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/ns.2019.24.1.13","DOIUrl":"https://doi.org/10.25121/ns.2019.24.1.13","url":null,"abstract":"Introduction. Nationwide epidemiological studies indicate that the need for tooth decay treatment is not sufficiently met despite the risk of multiple complications. Limited access to paediatric dental care and improper parental attitude towards deciduous teeth treatment may be the causes of neglect. Aim. To define factors determining the use of dental care of deciduous teeth in children. Material and methods. Parents of 4- to 10-year-old children attending a randomly selected primary school and kindergarten in Warsaw participated in the study. The respondents answered 21 questions concerning their socio-economic situation, the oral health of their children and previous use of dental care by their children. Descriptive statistics and Spearman’s correlation coefficients were calculated for the analysed quantitative variables. Logistic regression analysis of statistically relevant correlations was performed (Statistica 13, statistical significance p < 0.05). The study was approved by the Bioethics Committee of the Medical University of Warsaw (no. AKBE 171/16). Results. The analysis included 295 questionnaires. The majority of respondents (87.1%) were women with mean age of 36.73 ± 5.44 years, who had children with mean age of 7.31 ± 1.96 years. Nearly all respondents answered correctly to the questions concerning health awareness. A total of 74.2% of children had positive attitude towards dental appointments. It is more likely that parents will visit a dentist regularly if their child’s first dental visit is before the age of 3 years (OR = 2.77), and the child is not afraid of doctors due to previous medical experience (OR = 0.24). Conclusions. First dental visit before the age of 3 years, a lack of fear of doctors and positive attitude towards dentists have a significant impact on the frequency of dental visits.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124122940","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}
Sylwia Kuderewska, M. Stawiecka, R. Milewska, Anna Kuźmiuk, Ewa Chorzewska
{"title":"Molar-incisor hypomineralisation (MIH) – aetiology, clinical picture, treatment","authors":"Sylwia Kuderewska, M. Stawiecka, R. Milewska, Anna Kuźmiuk, Ewa Chorzewska","doi":"10.25121/ns.2019.24.1.8","DOIUrl":"https://doi.org/10.25121/ns.2019.24.1.8","url":null,"abstract":"Introdution. Molar-incisor hypomineralisation is a disorder of dental enamel of a systemic origin. It may affect one or all four first permanent molars, and often involves permanent incisors. Aim. The aim of this study was to present views on aetiology, clinical picture and treatment of molar-incisor hypomineralisation. Material and methods. PubMed database was reviewed for years 2003-2017, the search criteria were: “molar incisor”, “hypomineralisation”, “permanent teeth”. Results. The aetiology of MIH is multifactorial and not fully explained. Authors agree that the general health during the first 3-4 years of life has a major impact on this disorder. The clinical picture includes demarcated white, yellow or brown tissue spots, and increased porosity of the enamel. Enamel damage and defects can also occur. Therapeutic management depends on the severity of the disease and includes intensive prevention, hard tissue reconstruction, and extractions. Conclusions. Due to the increasing prevalence of this disorder, special attention should be paid to children whose health status is or was bad in the first 3-4 years of life. They are at a higher risk for this condition.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117265715","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}
Alicja Porenczuk, Bartłomiej Górski, Wioletta Bielas, D. Gozdowski, Agnieszka Mielczarek
{"title":"The application of restorative material packed in blisters in cross infection control in restorative dentistry","authors":"Alicja Porenczuk, Bartłomiej Górski, Wioletta Bielas, D. Gozdowski, Agnieszka Mielczarek","doi":"10.25121/ns.2019.24.1.27","DOIUrl":"https://doi.org/10.25121/ns.2019.24.1.27","url":null,"abstract":"Introduction. Dental procedures bear risk of pathogens transmission leading to cross--infection. Means of protection aim at preventing direct contact with patient’s infected tissues. Less attention is paid to indirect threats, such as the restorative material’s infection during treatment. Restorative materials portioned and packed in disposable blisters may effectively eliminate the risk of material’s contamination. Aim. The aim of the study was to assess the knowledge and attitude of polish dental students on infection of dental restorative materials during treatment. Material and methods. A survey was conducted among students of the Faculty of Dentistry at the Medical University of Warsaw, who were given disposable packages of the restorative material for cavity reconstruction during practical classes. Results. All students gained theoretical knowledge on cross-infection control. Less than half declared need for more classes in this field. Almost all of them (96%) admitted that pathogens transmission may occur during restorative treatment where one spatula is used for both picking the material from the syringe and placing it in the cavity. Only 68% of them actually use separate instruments during restorative treatment. All of them think that packing of the material in separate blisters may increase safety during treatment through minimizing risk of the material contamination. Conclusions. Polish dental students need more classes concerning cross-infection control in restorative dentistry. Restorative materials packed in disposable blisters may increase patients safety during restorative treatment.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116203195","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":"Dental aspects of hearing impairment in children – aetiology, classifications, diagnostic programmes, rehabilitation. A literature review","authors":"Anita Śmiech, J. Szczepanska","doi":"10.25121/ns.2019.24.1.3","DOIUrl":"https://doi.org/10.25121/ns.2019.24.1.3","url":null,"abstract":"A literature review was performed to present the epidemiology of hearing impairment both worldwide and in Poland. Pre-and postnatal risk factors were assessed. The paper presents classifications of hearing impairment considering different factors, as well as the method of neonatal hearing screening in Poland. Diagnostic, therapeutic and rehabilitation methods for patients with hearing loss were described. The paper further describes oral health in deaf and hardly hearing children in Poland and worldwide, as well as implications of hearing impairment on the masticatory organ. Several factors, such as insufficient hygiene, contribute to high caries frequency and gingivitis in children with hearing impairment. Missing or malformed teeth and malocclusions pose a great challenge for dentists. Furthermore, the work draws attention to the psychological aspect of the development of children with hearing impairment. The communication barrier during a dental visit attended by a hearing-impaired child, as well as the need for appropriate training for medical personnel, which could contribute to improved oral health, are emphasised.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114948518","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":"Oral hygiene and periodontal status in children and adolescents with Down syndrome","authors":"M. Ziętek, U. Kaczmarek","doi":"10.25121/ns.2019.24.1.20","DOIUrl":"https://doi.org/10.25121/ns.2019.24.1.20","url":null,"abstract":"Background. Down syndrome, the most common chromosomal aberration, is a congenital disorder caused by having an extra 21st chromosome. Dysmorphic features and characteristic systemic defects are accompanied by mental disability of varying degree. Malocclusions, disproportion between the development of masticatory system and the tongue, abnormal respiratory tract, poor oral hygiene, and reduced salivary secretion contribute to the development of periodontal diseases in patients with Down syndrome. Aim. The aim of the study was to assess oral hygiene and gingival health status in children and adolescents with Down syndrome compared to generally healthy subjects. Materials and methods. The study included 150 subjects of both genders, aged between 5 and 21 years. The research group comprised of children and adolescents with Down syndrome (n = 75) and a control group with generally healthy individuals (n = 75). Oral hygiene status was assessed using the oral Hygiene Index -Simplified (OHI-S) and the Aproximal Aproximal Plaque Index (API). Periodontal status was assessed using the Gingival Index (GI) and the Sulcus Bleeding Index (SBI). Results. The prevalence of periodontitis among patients with Down syndrome reached 100%. GI and SBI values were significantly higher in Down syndrome group compared to control group (0.90 ± 0.56 vs . 0.39 ± 0.53; 70.99% ± 27.65% vs 26.69% ± 34.94%, respectively; p < 0.001). OHI-S and API values were also significantly higher in Down syndrome patients compared to healthy individuals (1.68 ± 0.68 vs 1.32 ± 0.76, p < 0.01; 86.66% ± 17.78 vs 66.34% ± 34.33, p < 0.001). Conclusions. Patients with Down syndrome had significantly poorer oral hygiene and worse periodontal health status compared to healthy individuals.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130555510","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}