European Journal of General Dentistry最新文献

{"title":"Histopathological Evaluation of Pulp Reaction to Potassium Nitrate in Polycarboxylate Cement Compared with Mineral Trioxide Aggregate in Immature Dogs' Teeth","authors":"Moustafa Mohammed Sayed, Khaled Radad, Xiaohui Rausch-Fan, A. Elheeny","doi":"10.1055/s-0044-1785475","DOIUrl":"https://doi.org/10.1055/s-0044-1785475","url":null,"abstract":"\u0000 Objective The vitality of the pulp and the formation of new dentin are important for the success of direct pulp capping (DPC). Accordingly, the present study aims to histologically evaluate the pulp reaction to potassium nitrate in polycarboxylate cement (KNO3/PCA) compared with mineral trioxide aggregate (MTA) in immature dogs' teeth. DPC was done on 48 teeth in three dogs (16 for each dog, 8 for each material).\u0000 Materials and Methods After 2, 3, and 4 months, a dog was euthanized at each time interval. Capped teeth were extracted, demineralized, and processed for histopathological examination based on the presence of inflammation, granulation tissue, hard tissue, and dentin bridge.\u0000 Results Inflammatory changes were absent in both MTA- and KNO3/PCA-capped teeth at the three time intervals. The incidence of granulation tissue formation was higher in MTA- (75, 87.5, and 87.5%) than in KNO3/PCA-capped teeth (62.5, 75, and 75%) after 2, 3, and 4 months after DPC, respectively. Hard tissue was seen after 3 months of DPC with both MTA and KNO3/PCA. It was more evident in MTA-capped teeth with an incidence of 75 and 75%, and 12.5 and 25% in teeth capped with KNO3/PCA after 3 and 4 months, respectively. Dentin bridge was only noticed in MTA-capped teeth after 3 and 4 months intervals.\u0000 Conclusion Taken all together, pulpal responses in the form of granulation and hard tissues, and dentin bridge formation are more evident in MTA-capped teeth than those capped with KNO3/PCA in immature dogs.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"333 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006962","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":"Bulk-Fill Ormocer versus Methacrylate-Based Resin Composite Restorative Systems: The Effect of Flowable Lining on Two-Year Clinical Performance in Class II Cavities","authors":"Moustafa Ahmed Elsharkawy, Radwa Ali Ibrahim, H. Hamama, S. Mahmoud","doi":"10.1055/s-0044-1785472","DOIUrl":"https://doi.org/10.1055/s-0044-1785472","url":null,"abstract":"\u0000 Objective The aim of this study was to assess and compare the impact of bulk-fill flowable resin composite liners (BFFL) on the 2-year clinical performance of bulk-fill ormocer (BORC) in comparison to methacrylate-based resin composites (BMRC) in Class II cavities.\u0000 Materials and Methods Thirty participants, each aged between 18 and 30 years, were included in the study, each presenting four class II cavities. A total of 120 restorations were placed, with participants randomly assigned to one of four restorative systems through a blind drawing: Admira Fusion X-Tra (AFX) alone, AFX after lining with Admira Fusion Xtra-Base (AFB), X-Tra Fill (XF) for complete cavity filling, and XF after lining with Xtra-Base (XB). The universal adhesive system (Futura U bond Voco, Germany) was consistently applied for all restoration techniques using selective enamel etching. A single operator, following the manufacturer's instructions for each material, performed all restorations, and finishing/polishing occurred immediately after placement. Clinical evaluation, based on World Dental Federation (FDI) criteria, was conducted by two blinded examiners at baseline (7 days) and at 6, 12, and 24 months postoperatively.\u0000 Results The chi-squared test was used to compare the four applied restorative systems within each follow-up period, while the marginal homogeneity test was employed to assess changes over time. No statistically significant differences were observed among the four restorative systems at any evaluation period.\u0000 Conclusions After 2 years, the clinical performance of BFFL or complete bulk-fill technique remained similar, regardless of the material composition.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"31 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008379","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":"Quality Assessment and Comparison of 3D-Printed and Milled Zirconia Anterior Crowns and Veneers: In Vitro Pilot Study","authors":"Les Kalman, J. P. Tribst","doi":"10.1055/s-0044-1782183","DOIUrl":"https://doi.org/10.1055/s-0044-1782183","url":null,"abstract":"The esthetic rehabilitation of a patient is a demanding yet rewarding procedure, improving the form, function, and well-being of a patient. Three-dimensional (3D) printed, or additive manufactured, zirconia has recently entered the dental space, but without a thorough assessment or comparison. This pilot study utilized digital impressions of two demonstration casts: Cast 1 prepared both central incisors for full ceramic crown coverage, while cast 2 had a lateral incisor (#22) prepared for a ceramic veneer. Both casts underwent digital scanning (Straumann CARES 3, Straumann, Basel, Switzerland) to create virtual STL models. Cast 1 had two full zirconia anterior crowns digitally designed, and Cast 2 had a zirconia veneer digitally designed, using Exocad GmbH software by a certified dental technician at Schulich Dentistry. The STL files were used for fabricating six milled zirconia crowns for central incisor (#21) and six 3D-printed zirconia crowns for the other central incisor (#11). Similarly, for Cast 2, milled and 3D-printed zirconia veneers were made for the prepared lateral incisor (#22). Statistical analysis employed Minitab 16.1.0 software to construct a 2 × 2 table for cross-tabulation and chi-squared analysis. This statistical approach assessed the relationship between restoration design and processing method. Cochran–Mantel–Haenszel test evaluated categorical variables considering different classification variables. Milled restorations showed minor variations, while 3D-printed units displayed consistency. Statistical tests found no significant associations. This in vitro study suggests 3D-printed zirconia for crowns and veneers meets precementation standards akin to conventionally milled restorations. Further research can assess its potential benefits for dentistry's efficiency, cost, and sustainability.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"76 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141019445","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":"Contributing Factors of Dysphagia in Indonesian Elderly","authors":"Randi Dias, L. Kusdhany, M. Indrasari","doi":"10.1055/s-0044-1782184","DOIUrl":"https://doi.org/10.1055/s-0044-1782184","url":null,"abstract":"\u0000 Objective Dysphagia is one of the signs that can describe oral hypofunction in the elderly. This condition is usually not noticed nor realized by the elderly and their families, resulting in disability and death. Studies on the relationship between age, gender, education, the number of systemic diseases, and the number of remaining teeth toward dysphagia in the elderly are still limited, so further research is needed. The aim of this study was to analyze the relationship between age, sex, education level, the number of systemic diseases, and the number of remaining teeth with dysphagia and find out which factors contribute the most to dysphagia. The contributing factors need to be known to minimize the risk of dysphagia.\u0000 Materials and Methods This is a cross-sectional study with 121 elderly aged 60 years living in community dwellings as subjects of this study. General health data were obtained from anamnesis; demographic data were also collected and an examination of the number of remaining teeth was carried out and recorded on the odontogram by one researcher. After that, a dysphagia screening tool was given for self-assessment or assisted by the two researchers according to the conditions felt. Two researchers were calibrated before collecting data.\u0000 Results In the bivariate analysis, age, the number of remaining teeth, and several systemic diseases were associated with dysphagia (p = 0.027, 0.023, and 0.047, respectively). No association was found between gender, education, and dysphagia status (p > 0.05). Age (p = 0.027), gender (p = 0.165), number of remaining teeth (p = 0.023), and the number of systemic diseases (p = 0.047) are the risk factors that were included in the multivariate model. From the final multivariate model, the number of remaining teeth (p = 0.017; odds ratio [OR] = 4.318), several systemic diseases (p = 0.036; OR = 2.427), and age (p = 0.072; OR = 1.962) contributed most to the dysphagia status, after controlling for confounding variables.\u0000 Conclusion It is concluded that the number of remaining teeth, several systemic diseases, and age are the factors that contribute the most to the occurrence of dysphagia.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"25 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141021671","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 Cross-Sectional Cone-Beam Computed Tomography Study of Root Canal Morphology and Configuration of Mandibular Premolars in Saudi and Sudanese Subpopulations","authors":"Lina Salah, Hussain M. Alkhames, Zokaa Alhaj, Saleh M. A. Al-Jubran, Aseel Mohammed, Hussain H. I. Baleis, N. M. Almadeh, Amir I. O. Ibrahim","doi":"10.1055/s-0044-1785474","DOIUrl":"https://doi.org/10.1055/s-0044-1785474","url":null,"abstract":"\u0000 Objective To evaluate and compare the root canal morphology of mandibular premolars in Saudi and Sudanese subpopulations and between males and females within each group using cone-beam computed tomography (CBCT).\u0000 Materials and Methods A cross-sectional study was done between May 2022 and July 2023. Six hundred premolars from Saudi and Sudanese subpopulations were evaluated using CBCT for their number of roots, type of root canal configuration based on Vertucci's classification, and average canal length measured from the buccal cusp tip to the root end.\u0000 Statistical Analysis Statistical comparisons were made between males and females within each subpopulation and the two subpopulations using the chi-square test for root number and type of root canal configuration and an independent sample t-test for the canal length.\u0000 Results Most mandibular premolars in both subpopulations had a single root, with type I root canal configuration. However, Sudanese showed various canal configurations (I, II, III, IV, and V) compared with Saudis, which was statistically significant in the first canal of the first mandibular premolar (p < 0.05). Also, there were statistically significant differences in canal length between Saudi males and females (p < 0.05) and between Saudis and Sudanese (p < 0.05) in the first and second premolars.\u0000 Conclusion Although most mandibular premolars in Saudi and Sudanese subpopulations exhibited a single root and type I canal configuration, variations exist between and within the groups, highlighting ethnic and gender differences and emphasizing the need for dentists' attention.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035738","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 Large Mandibular Anterior Swelling—A Diagnostic Dilemma: A Case Report","authors":"Prasanna R. Sonar, Aarati Panchbhai, Suwarna B. Dangore","doi":"10.1055/s-0043-1775826","DOIUrl":"https://doi.org/10.1055/s-0043-1775826","url":null,"abstract":"Hybrid lesions are lesions that combine characteristics of many pathologies. The literature has shown a rare relationship between aneurysmal bone cysts, fibro-osseous lesions, and a central giant cell lesion. In this case, we describe an unusual hybrid lesion in the mandibular anterior area. As a result, the goal of this article is to highlight the significance of comprehensive clinical, radiographic, and histological investigation in addition to presenting a rare instance of hybrid lesion. This will lessen the likelihood of misdiagnosis in these situations and aid in prompt treatment planning of the lesion.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"111 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614131","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 Effects of the Coronavirus Disease (COVID-19) Pandemic on Dental Patients' Attitudes and Oral Health Problems in Thailand","authors":"Aisoon Ruetaijetjaroen, Thaksaporn Sirichanyaphong, Jiratchaya Nuntachurat, S. Yuma, Chanita Tantipoj","doi":"10.1055/s-0043-1775987","DOIUrl":"https://doi.org/10.1055/s-0043-1775987","url":null,"abstract":"Abstract Objectives  The aim of this study was to determine oral problems and attitude of dental patients toward the effect of the COVID-19 pandemic in Thailand. Materials and Methods  This cross-sectional study used a questionnaire consisting of four parts: demographic data, oral health problems before and during the COVID-19 outbreak, daily behavior and oral hygiene care during the pandemic, and attitudes toward the effects of COVID-19 situations and oral health problems in Thailand. It is randomly distributed to the dental patients at the Faculty of Dentistry, Mahidol University. Statistical Analysis  Descriptive statistics and Pearson's chi-squared test were used to determine the correlation between each individual demographic data and the attitudes toward the COVID-19 effect. McNemar's test was used to examine the association between oral problem before and during the pandemic. Results  Among the total of 409 participants, 59.9% believed that the COVID-19 situation impacted their oral health. The fractions are 64.6 and 50.7% for females and males, respectively. Halitosis and gum bleeding showed significant increase during the pandemic from 9.3 to 15.4% and 5.9 to 10.3%, respectively. Unchanged tooth brushing habit was reported in 86.3% of respondents, while only 44.6% reported unchanged consumption of sugary snacks and/or beverages. COVID-19 caused more difficulty in accessing the dental service for 89.5% of respondents. The majority of the participants were not worried about their safety while receiving dental treatment after the pandemic, but they believed that the pandemic influenced their decision to seek dental treatment. Conclusion  Inadequate oral hygiene appears to be the main reason for the increase in cases of halitosis and gum bleeding during the pandemic. Viral infection preventive measures and protocols greatly affected the patients' decision to visit a dentist. This information could serve as a primary reference for both dentists and administrators in preparing actions in case a similar pandemic occurs in the future.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"36 1","pages":"189 - 198"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343884","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":"Awareness and Perception of Dentists in Kuwait Regarding the Dental Management of Patients on Oral Antithrombotic Medications","authors":"Mohammad Ali, D. Sundaram","doi":"10.1055/s-0043-1775827","DOIUrl":"https://doi.org/10.1055/s-0043-1775827","url":null,"abstract":"Abstract Objective  It is crucial that dentists are up to date on the most recent recommendations for managing patients on oral antithrombotic medications (OAMs). The current study aims to analyze dental practitioners' knowledge and practice of perioperative treatment of patients on OAM in Kuwait. Materials and Methods  The study was performed among dentists in Kuwait utilizing a structured questionnaire. The questionnaire tested their knowledge about common OAMs and their indications, the bleeding risk of specific dental procedures, as well as the dangers of stopping antithrombotic therapy. Questions regarding the practice of obtaining relevant blood investigations as well as consultations with health professionals and their current course of management pertaining to specific dental procedures were included. Statistical Analysis  The collected data were analyzed by SPSS statistical software for Windows, version 28.0 (Chicago, Illinois, United States). The Student's t -test was used to compare mean percentage knowledge scores. Association between independent variables (predictors) and knowledge was assessed by employing univariate and multivariate logistic regression. A p -value of ≤ 0.05 was considered statistically significant. Results  A majority of the dentists (60.9%) demonstrated fair knowledge. Gender, practice type, and years of experience were significantly associated with knowledge. Very few dentists knew about direct oral anticoagulants. Eighty-two (33.1%) would rely on international normalized ratio tests done within 72 hours. Sixty-six (26.6%) dentists would interrupt aspirin therapy before extensive dental scaling without a medical consult and 45 (18.1%) would ask the patient to stop warfarin 3 days before extraction of one to three teeth. For patients on aspirin or warfarin, 35.1 and 47.2% of the dentists perceived the postoperative bleeding risk after a simple extraction to be high, and 14.4 and 11.2% of the dentists considered the rethrombosis risk to be low if aspirin and warfarin were interrupted. Conclusion  In this study, the dentists demonstrate a lack of knowledge and are not clear regarding practice recommendations. Every dental care provider therefore needs to update their knowledge with the latest antithrombotic medications and their indications, when to order blood investigations and medical consult, bleeding risk associated with each dental procedure, interruption of therapy, and risk of bleeding versus rethrombosis risk.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"1 1","pages":"160 - 168"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346821","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":"Toothpaste Consumption: Implications for Health and Sustainability in Oral Care","authors":"Fabiana Nicita, C. D’amico, G. Minervini, G. Cervino, L. Fiorillo","doi":"10.1055/s-0043-1776320","DOIUrl":"https://doi.org/10.1055/s-0043-1776320","url":null,"abstract":"Abstract Objective  Toothpaste is a crucial component of daily oral hygiene routines and is significant in maintaining oral health. This study aimed to assess the amount of toothpaste consumed during tooth brushing and investigate the influence of toothbrush type on toothpaste consumption. Materials and Methods  Ten volunteer students of dentistry who regularly practiced oral hygiene at home were enrolled. Participants used a 15-mL tube of toothpaste with manual and electric toothbrushes and the amount consumed was recorded three times daily. Statistical Analysis  Variance analysis for repeated measures was applied for differences within groups for toothbrush types while the t -test was carried out to compare the mean quantities between groups. Statistical significance was set at p  < 0.05. Results  The findings revealed no significant difference in toothpaste consumption across different time intervals for both manual and electric toothbrushes. However, a significant difference in toothpaste consumption was observed when comparing toothbrush types. Participants using electric toothbrushes consumed less toothpaste compared to those using manual toothbrushes. Conclusion  The observed differences in toothpaste consumption highlight the importance of considering toothbrush type when promoting appropriate usage. With their advanced brushing mechanisms, electric toothbrushes may enhance cleaning efficiency and reduce the need for a large amount of toothpaste. Reducing toothpaste consumption benefits oral health and contributes to environmental sustainability. It minimizes packaging waste, conserves energy and resources, promotes water conservation, preserves ecosystems, and encourages a culture of ecological responsibility. By embracing a more conscious approach to toothpaste usage, individuals can contribute to a greener and more sustainable future.","PeriodicalId":502477,"journal":{"name":"European Journal of General Dentistry","volume":"50 1","pages":"183 - 188"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346942","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}