Nowa Stomatologia最新文献

{"title":"Dentists’ knowledge of fluoride cariostatic mechanisms","authors":"U. Kaczmarek, W. Kowalczyk, D. Gozdowski, D. Olczak-Kowalczyk","doi":"10.25121/ns.2018.23.3.102","DOIUrl":"https://doi.org/10.25121/ns.2018.23.3.102","url":null,"abstract":"Introduction. The use of age- and risk-adjusted caries prevention requires up-to-date knowledge on the cariostatic effects of fluoride, as well as the methods and safety of fluoride prophylaxis. Aim. The aim of the study was to assess dentists’ knowledge of the safety and mechanism of anticaries effects of fluoride. Material and methods. An anonymous questionnaire was conducted among 212 dentists participating in dental training. The questions included in the questionnaire related to knowledge about water fluoridation, fluoride cariostatic mechanisms and the safety of fluoride prophylaxis. The chi-square test and the Spearman’s rank correlation coefficient were used for statistical analysis. A significance level of 0.05 was used. Results. Incorrect knowledge about water fluoridation was demonstrated by 26.9% of respondents in the country and 16.0% of respondents in Europe. Most respondents (80.7%) reported higher efficacy of exogenous vs endogenous anticaries approaches, and more than half of respondents (59.0%) considered the processes of remineralisation and demineralisation as the most important anticaries activity. Almost all respondents (95.7%) agreed that the use of fluoride for caries prevention is controversial, mainly due to its dose-dependent therapeutic or toxic effects (85.4%). According to about 20% of respondents, cariostatic fluoride doses have adverse effects on the general health, mainly in the form of bone fragility (10.4%). Conclusions. Lack of correct knowledge about the dominant cariostatic effects of fluoride may result in the choice of an inappropriate preventive method or avoiding local application of fluoride preparations for fear of adverse systemic effects, which may in turn lead to increased caries prevalence in a given population.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130324981","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":"The effectiveness of formocresol amputation in deciduous molars – a retrospective study","authors":"A. Kozubska, J. Szczepanska","doi":"10.25121/ns.2018.23.3.95","DOIUrl":"https://doi.org/10.25121/ns.2018.23.3.95","url":null,"abstract":"Introduction. The treatment of carious denudation of pulp and irreversible partial pulp inflammation is pulpotomy. In this method formocresol was used as the “gold standard”. Aim. Assessment of the effectiveness of the use of formocresol in pulpotomy in deciduous teeth. Material and methods. Formocresol amputation performed in 2010-2012 in children born in 2006-2007 were analysed. The consent of the Bioethical Committee at the Medical University of Łódź as well as written consent from all the subject/parents of all the subjects/legal guardians of all the subjects were obtained. Results. In this research, the amputation in 102 deciduous teeth, including 49 first and second upper molars, and 53 lower molars, performed on 64 children were analysed. In 102 amputation cases 78 were caused by carious denudation of pulp and 24 by irreversible partial pulp inflammation without visible denudation of pulp. 37 patients underwent pulpotomy in 1 tooth, 19 patients needed it in 2 teeth, 6 patients in 3 teeth, 1 patient in 4 teeth, and 1 patient in 5 molars. The pulpotomy was repeated because of the glass-ionomer lost in 19 cases. In total 63 teeth were extracted, including 25 at the right time and 38 too early. During the last oral examination held 2016/2017, 31 out of 102 teeth were still on place. The lack of 8 teeth without the presence of permanent successors was reported. The analysis of 102 cases showed the average of 2.5 years period of the teeth maintenance following the formocresol pulpotomy. Conclusions. Retrospective analysis of the use of formocresol in pulpotomy in deciduous teeth proved clinical success of this material, which provided the maintenance of the teeth with the pulpitis for 2 to 3 years after the amputation.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117030257","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":"The role of proper maternal nutrition during pregnancy for caries prevention in both mother and child. Opinion of the working group of the Polish Alliance for a Cavity-Free Future on dental prophylaxis in pregnant women","authors":"R. Chałas, Angelika Kobylińska, Magdalena Kukurba-Setkowicz, A. Szulik, E. Pels","doi":"10.25121/ns.2018.23.2.84","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.84","url":null,"abstract":"Introduction. Proper nutrition in pregnancy has effects on the health and well-being of the mother as well as is a key factor responsible for foetal growth and development, which are initiated at conception and last throughout pregnancy. Aim. The aim of the paper was to present relevant data on the role of prenatal maternal nutrition for caries prevention in both mother and child. Material and methods. Pubmed, EMBASE, MEDLINE, guidelines of dental associations and World Health Organization were searched using the following keywords: “diet”, “dentition”, “pregnancy”, “oral health in pregnancy”. Results. The diet of a pregnant woman should be well-balanced and rich in proteins, calcium, phosphorus, fluorine and vitamins (A, C and D). Women should avoid sneaks between meals or at night to avoid dental plaque accumulation and oral pH decrease. Balanced nutrition influences the development of future nutritional habits of the child as taste receptors begin to develop already at month 4 of pregnancy. High maternal consumption of confectionery in this period may in the future increase the child’s tendency to consume sweet food products. Conclusions. There is a need to intensify dental prophylaxis among pregnant women through introduction and promotion of proper nutrition in dental offices, up-dating teaching programs for dental hygienists and education in birth schools.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128906011","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":"Direct pulp capping in permanent teeth in children – tertiary dentin formation, materials used. Part II","authors":"M. Kolasa, J. Szczepanska","doi":"10.25121/ns.2018.23.2.78","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.78","url":null,"abstract":"Direct pulp capping involves placing therapeutic material on mechanically or traumatically exposed pulp. The most essential requirement of therapeutic success is clinical state of the pulp which should be healthy or in reversible pulpitis. The method is particularly recommended for young permanent teeth due to the high regenerative potential of dental pulp. The mechanisms underlying these repair processes involve the ability of odontoblasts to form dentin bridges via tertiary dentin deposition. If pulp exposure occurs, a layer of odontoblasts is killed and must be replaced with a new odontoblastic population, which differentiates from pulpal stem cells under the influence of a therapeutic agent applied on the pulp. In addition to odontotropic properties and the ability to stimulate production of qualitatively satisfying dentinal bridge, the substance used for pulp capping should be biocompatible, not stain dental tissues, exhibit good adhesion to them, and insolubility in dentin tubule fluid or water. So far an agent which meets all the requirements mentioned above has not been invented. It is crucial to continue research to develop a substance that will yield the best effects in direct pulp capping.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126691979","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":"Chronic mandible inflammation as the first symptom of chronic recurrent multifocal osteomyelitis (CRMO) – a case report","authors":"E. Krasuska-Sławińska, Paulina Piekarska, P. Gietka, A. Wieteska-Klimczak, Mirela Wadecka, Anna Matosek-Rutkowska","doi":"10.25121/ns.2018.23.2.72","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.72","url":null,"abstract":"Chronic recurrent multifocal osteitis (CRMO) is a rare disease of an unknown aetiology, occurring mainly in children aged 4-14 years. It is characterised by recurring episodes of osteitis, with no detectable cause, lasting from several months up to a few years. It usually affects the metaphysis of long bones. Primary lesions in the form of isolated focuses rarely occur in the mandible. The clinical symptoms of CRMO include ostealgia, soft tissue swelling (oedema), skin reddening, and mild fever. The diagnosis is difficult. It involves numerous laboratory and radiological investigations. In order to exclude infectious and neoplastic aetiology, it is advisable to perform a tissue biopsy. The disease is long-lasting with exacerbations and remissions. The prognosis is uncertain. Non-steroidal anti-inflammatory drugs and empirical antibiotic therapy are a recommended first-line therapy; if no improvement is observed, corticosteroids should be used. The analysed case concerns a 10-year-old boy with mandible inflammation as the first symptom of chronic recurrent multifocal osteitis (CRMO). Mandibular lesions may be the first symptom of chronic recurrent multifocal osteitis. The non-specific onset and variable clinical picture delay the diagnosis. Early diagnosis enables early treatment, which prevents complications.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121516805","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":"Comparison of radiological dental age estimation by means of the method by Cameriere and the modified European formula","authors":"Katarzyna Różyło, K. Gruszka, I. Różyło-Kalinowska","doi":"10.25121/ns.2018.23.2.66","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.66","url":null,"abstract":"Introduction. Dental age apart from skeletal age is an important factor in the estimation of biological age of patients. Its evaluation is crucial in making decisions concerning diagnostic algorithms and treatment options in such fields of medicine as paedodontics, conservative dentistry, orthodontics, paediatrics or endocrinology as well as for forensic purposes. There are various methods of radiological dental age estimation and their validity is related to the studied population. Aim. The aim of the paper is to estimate dental age by means of two radiological methods based on panoramic radiographs, i.e. the original method by Cameriere and the modified European formula. Material and methods. The material consisted of 2148 digital radiographs taken in patients of both genders, aged from 5 to 15 years, with visible germs of all permanent teeth, apart from third molars. Two methods by Cameriere were applied – the original one and the European formula. Statistical analysis was performed. Results. Dental age obtained by means of the two Cameriere’s methods was significantly different from chronological age (Wilcoxon’s test, p < 0.001). However, in the case of the original method the mean dental age was lower than the chronological one, while the European formula led to the overestimation of dental age. Conclusions. The European formula is more suitable for the evaluation of the Polish population than the original method by Cameriere.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114147517","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":"Developmental defects of enamel in the population of Polish adolescents aged 18 years old: the prevalence and selected socio-demographic factors. A cross-sectional study","authors":"D. Olczak-Kowalczyk, Anna Turska-Szybka, D. Gozdowski, U. Kaczmarek","doi":"10.25121/ns.2018.23.2.47","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.47","url":null,"abstract":"Introduction. There has been a lack of current epidemiological data regarding the prevalence of developmental defects of enamel in Polish adolescents. Aim. To evaluate the prevalence of developmental defect of enamel in the permanent dentition in the population of adolescents aged 18 years old, including the impact of selected sociodemographic factors. Material and methods. A cross-sectional study conducted in 2017 covered adolescents aged 18 years old attending schools in 16 Polish voivodeships, selected by stratified sampling. Sociodemographic factors such as sex, place of residence, parents’ education level and subjective economic status were collected with a survey. The condition of enamel was assessed with the use of DDE Index modified by Clarkson and Dean’s Indicator by dentists specially trained and calibrated for this study. Prior to its initiation, the study was approved by the Bioethics Committee of the Medical University in Warsaw (Ref. No.: KB/134/217 of 6.06.217). Results. A total of 1611 adolescents were examined (with 52.6% female and 50.5% were residents of rural areas). Developmental defects of enamel were identified in 16.3% of the participants of the study, most frequently in the form of demarcated opacities (10.4%). In 2.7%, they were classified as fluorosis, most frequently questionable. Maxillary central incisors and first premolars were most frequently affected. In 2.5% of the examined adolescents, the defects involved single teeth, whereas in 0.6% the defects were generalised. Defects not classified as fluorosis were more commonly identified in males. There were statistically significant differences in the prevalence between voivodeships, with defects most commonly observed in participants from southern voivodeships. No other sociodemographic factors, however, were identified as significant. Conclusions. The highest prevalence of demarcated opacities suggests the significance of local factors in the aetiology of developmental enamel defects of permanent dentition in Poland. Fluorosis is a rarely encountered entity. The lack of the significance of sociodemographic factors and the regional differences in the prevalence of developmental defects of enamel suggest the need for further research, aimed at identifying geographical risk factors.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"693 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121992709","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 caries status and trend in 5-, 7- and 12-year-old children from the Małopolskie region in comparison to the Polish population","authors":"Małgorzata Staszczyk, Magdalena Kępisty, Iwona Kołodziej, D. Kościelniak, I. Gregorczyk-Maga, Jadwiga Ciepły, A. Jurczak","doi":"10.25121/ns.2018.23.2.55","DOIUrl":"https://doi.org/10.25121/ns.2018.23.2.55","url":null,"abstract":"Introduction. In 2016, 5-, 7- and 12-year-old children from the Małopolskie region were included in the study of oral health as part of the Nationwide Monitoring of Oral Health programme, which has been periodically implemented in selected index groups of the Polish population since 1997. Aim. To evaluate the prevalence and level of dental caries in 5-, 7- and 12-year-old children from the Małopolskie region and to observe the dental caries trend in this region in recent years in relation to the Polish population. Material and methods. The study covered 673 children from the Małopolskie region, including 223 aged 5, 225 aged 7 and 225 aged 12 years. Dental condition/state of dentition was examined according to the WHO recommendations and criteria. The prevalence and level of dental caries in children from the Małopolskie region were evaluated and compared with the results of earlier studies from this province. The obtained results were also compared with the results for the entire Polish population from the current and previous nationwide monitoring studies. The studies were conducted upon the consent of the Medical University of Warsaw Ethics Committee no. KB 190/2016. Results. Dental caries prevalence in 5-, 7- and 12-year-old children from the Małopolskie region that were covered by the study was 74.9, 84.9 and 81.8%, respectively. The average values of dmft were 4.55 (in the age group of 5) and 5.38 (in the age group of 7), while DMFT for particular age groups was 0.03, 0.56 and 3.54, respectively. Slight decrease in the value of these indications of caries is noticed for 5- and 7-year-old children from the Małopolskie region (decrease in prevalence by 2.5 and 6.7%, respectively, as well as a fall in the value of dmft by 0.71 in the age group of 5, relative to 2011). The group of 12-year-old children from our region, as the only one from the entire Polish population of children of this age, have kept a downward trend of caries prevalence (a fall by 12.7% relative to the monitoring study from 2010). This reduction needs to be confirmed in the next monitoring studies. Conclusions. The presented results indicate stable high prevalence of dental caries in children of the Małopolskie region and in the whole country. It is therefore necessary to enhance actions intended to improve this situation through education of both children and their parents, widespread prophylaxis, and greater health-oriented awareness of patients.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115139122","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":"Metalloproteinases and their role in the degradation of bonding systems. Part 2","authors":"Sylwia Olszewska, Aneta Zduniak, Agnieszka Mielczarek","doi":"10.25121/ns.2018.23.4.166","DOIUrl":"https://doi.org/10.25121/ns.2018.23.4.166","url":null,"abstract":"The stability of the hybrid layer is crucial for ensuring the durability of fillings made of composite materials. Factors which weaken the bond strength are related to, among others, the presence of bacteria and their enzymes in the structure of the bacterial biofilm. Chronic damage the hybrid layer is also a result of hydrolysis and leaching of adhesive monomers which infiltrated the demineralised dentin matrix. Nanoleakage is also among the factors contributing to degradation. Many studies examine the effect of endogenous proteases on the degradation of the hybrid layer. Endogenous collagenolytic enzymes: metalloproteinases (MMPs) and cysteine cathepsins, are responsible for the degradation of the collagen matrix in the hybrid layer. Inhibition of endogenous proteases is therefore necessary to slow the degradation of fillings. The enzyme activity in dentine and in the hybrid layer can be regulated by endo- and exogenous inhibitors. The paper is a review of the available literature published in the PubMed medical database, as well as in Polish dental journals in the years 2002-2017. Its aim is to assess the role of metalloproteinases and cysteine cathepsins in the degradation of the hybrid layer and to review the compounds with inhibitory properties in relation to these enzyme groups.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130588083","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":"Orthodontically induced root resorption – a literature review","authors":"A. Pogorzelska, Anna Stróżyńska-Sitkiewicz, K. Szopinski","doi":"10.25121/ns.2019.24.2.48","DOIUrl":"https://doi.org/10.25121/ns.2019.24.2.48","url":null,"abstract":"Root resorption in moved teeth is a common undesirable side effect of orthodontic treatment. This pathology usually affects permanent teeth. Although any part of the root may be involved, the apical or cervical area is usually affected. The formation and development of these changes are a long-term process and depend on various factors. The etiology of resorptive changes associated with orthodontic treatment has been widely discussed by many authors, who proposed numerous classifications. Particularly noteworthy are the works on techniques for the treatment of malocclusion and their potential adverse effects. Modern diagnostic methods allow for an early detection of this pathology and the implementation of appropriate therapeutic measures. These techniques include periapical radiography (paralleling technique) combined with cone-beam computed tomography. Dentists not only notice the need to achieve a beautiful smile, but they also take into account possible root shortening. This process is not fully understood, but realizing its existence is important for planning and implementing both orthodontic and general dental treatment.","PeriodicalId":445226,"journal":{"name":"Nowa Stomatologia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131388919","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}