DOI: 10.3290/j.qi.b5437507, PubMed-ID: 38847140Juni 7, 2024,Seiten: 1-28, Sprache: EnglischAziz, Ahmed M / Hamdoon, Zaid / Husein, Adam Bin / Dheyab, Shaima / Obaid, Fajer
Aim: Artificial intelligence (AI) applications in restorative dentistry are remarkably increased in the past 5 years. This review outlines the applications, promises and limitations of AI in the most performed procedures in restorative dentistry. Methods: An electronic search was performed in 4 databases: MEDLINE/PubMed, Embase, Web of Science and Scopus. The search included articles published in English language without date restriction. Two independent reviewers assessed the eligibility of the studies and performed data extraction. Any discrepancy was resolved by the consensus of a third reviewer.
Results: A total of 33 studies were included in this review. For AI applications in restorative dentistry, the included studies were classified into 3 main groups: 1) diagnosis, detection and prediction of the disease, 2)detection and prediction of the longevity of dental restorations, and 3) teeth detection and treatments.For each study, the AI model, type of dataset, sample size and main results (accuracy, precision, sensitivity and specificity) were reported.
Conclusions: AI systems are promising as advantageous aids for diagnosis, prediction and treatment in dentistry with a high degree of accuracy. Despite the AI promises, several limitations are still unresolved and must be addressed to bridge the gap between technology and clinical applications.
Schlagwörter: artificial intelligence, machine learning, dental caries, dental prostheses, dental restoration failure
DOI: 10.3290/j.qi.b5437505, PubMed-ID: 38847139Juni 7, 2024,Seiten: 1-17, Sprache: EnglischVerma, Richa / Tewari, Shikha / Anand, Deepti
Objective: Varying levels of sex hormones across the menstrual cycle in young systemically healthy females may alter tissue responses to plaque, resulting in increased gingival inflammation. Also, higher severity and prevalence of gingivitis has been demonstrated in adult females than males, attributed to hormonal changes. Further, literature reported that Gingivitis raises the levels of systemic inflammatory markers such as C Reactive Protein. This interventional trial aimed to evaluate the effect of supragingival scaling on serum highsensitivity C-reactive protein (hsCRP) levels along with periodontal parameters in systemically healthy women of reproductive age group with natural gingivitis.
Material and Methods: 57 women of reproductive age were enrolled into two groups. Test Group (n=30) comprised of systemically healthy women with gingivitis who received supragingival scaling. Control Group (n=27) included systemically and periodontally healthy females. Periodontal parameters [gingival index (GI), plaque index (PI), pocket probing depth (PPD), bleeding on probing (BOP)], and serum hsCRP levels were recorded at baseline for both the groups. Follow up of Test Group participants was done at 3 and 6 months.
Results: Serum hsCRP and periodontal parameters were significantly higher in Test Group than control group at baseline which decreased significantly after treatment in Test Group at 6 months follow up (p≤0.05). GI, BOP and hsCRP in Test Group at 6 months were reduced up to the baseline levels of systemically and periodontally healthy females.
Conclusion: Treatment of gingival inflammation can help in lowering the systemic and local inflammation up to the levels of systemically and periodontally healthy females.
Schlagwörter: C-Reactive Protein, dental scaling, gingivitis, gingival bleeding on probing, inflammation
DOI: 10.3290/j.qi.b5414733, PubMed-ID: 38818638Mai 31, 2024,Seiten: 1-32, Sprache: EnglischHalabi, Dima / Slutzkey, Gil / Meir, Haya / Sebaoun, Alon / Beitlitum, Ilan
Objective: To evaluate the survival of fully guided implants placed with a hollow tooth-supported computerized surgical guide (TSSG).
Materials and Methods: This retrospective study included 94 patients who underwent implant placement using freehand (FH) or tooth-supported computerized surgical guide (TSSG) by the same operator between 2015 and 2020. Early implant failures occurring within one-year post-rehabilitation were assessed.
Results: In the study, two types of implants were placed using two different techniques: TSSG and FH. The TSSG group consisted of 84 S implants and 100 LP implants, while the FH group included 90 S implants and 94 LP implants. The results showed that more implants survived when placed FH compared to TSSG (181 (98.4%) vs 172 (93.5%) respectively, p < 0.05). The only significant factor affecting the success rate was the type of implant, with LP implants having a higher survival rate in the TSSG group (p < 0.05).
Conclusion: Surgeons should consider the impact of implant type on survival rates when utilizing the TSSG system.
Schlagwörter: computer-guided implant placement, dental implant, free-hand placement, smoking, survival rate
DOI: 10.3290/j.qi.b5342511, PubMed-ID: 38757949Mai 17, 2024,Seiten: 1-33, Sprache: EnglischZhang, Qinglai / Zhang, Yue / Lin, Lili / Meng, Fei / Jia, Meng
Objective: To determine the oral health status of patients on maintenance hemodialysis (MHD) and to identify the factors influencing their oral health.
Methods: This observational study included 1,186 patients with chronic kidney disease who received MHD across 33 hospitals in China. The patients were recruited for a questionnaire survey between April and August 2023 at Beijing Chaoyang Hospital using stratified sampling. Data collection tools included the General Information Questionnaire for Maintenance Hemodialysis Patients, the Oral Health Assessment Tool, the Pittsburgh Sleep Quality Index, and the Hospital Anxiety and Depression Scale. Spearman’s rank correlation coefficients were used to assess the relationships between the oral health of patients on MHD and continuous variables such as sleep quality and emotional status. Multiple linear regression analysis was employed to explore the relationship between oral health and various variables.
Results: The oral health scores of the patients ranged from 8 to 22, with a mean score of 12.54 ± 2.63. The final model of the multiple linear regression analysis indicated a goodness of fit of 22.19%. Independent factors affecting the oral health of patients included smoking, the proportion of medical expenses, water consumption, sleep quality, and anxiety scores (all P < 0.05). High levels of smoking, substantial medical expenses, poor sleep quality, and elevated anxiety scores were risk factors for poor oral health (all P < 0.05). Adequate daily water intake served as a protective factor for oral health (P < 0.05).
Conclusion: This study proposes targeted interventions to enhance the management and improvement of oral health in patients on hemodialysis, aiming to provide highly personalised and effective oral health care. These interventions are expected to improve oral health outcomes in future clinical practice.
Schlagwörter: maintenance hemodialysis, oral health, influencing factors, nursing care
DOI: 10.3290/j.qi.b5316977, PubMed-ID: 38726763Mai 10, 2024,Seiten: 1-21, Sprache: EnglischKablan, Fares / Fahoum, Abdallah / Moreinos, Daniel / Srouji, Samer / Slutzky-Goldberg, Iris
Objective: An altered sensation during endodontic treatment can occur due to the extrusion of endodontic materials. This study aims to discuss intentional replantation to address paresthesia resulting from an endodontic file penetrating the inferior alveolar nerve canal (IANC) and provide a protocol for managing nerve injuries in such incidents.
Case presentation: A 12-year-old girl developed paresthesia when an endodontic file separated and was inadvertently pushed through the apical foramen into IANC during root canal treatment of the mandibular left first molar. A CBCT scan revealed the file penetrating the canal towards the inferior border of the mandible. After considering the treatment options, intentional replantation was deemed suitable. The tooth was a-traumatically extracted and preserved in sterile saline. The surgeon then carefully cleaned and irrigated the socket. The radiographic assessment confirmed successful file removal from the socket. The Root ends were resected, and retrograde preparation and obturation were conducted using ultrasonic tips and MTA. The tooth was then replanted into the socket. Successful replantation was confirmed by tooth stability and an audible click. The patient was prescribed antibiotics and steroids. Subsequently, after completing the endodontic treatment. a stainless-steel crown was cemented. The successful intentional replantation procedure resulted in rapid improvement in the patient's condition. The normal sensation had been restored, indicating nerve recovery. At the 15-month follow-up, Periapical bone healing and the eruption of the adjacent second molar were observed, affirming the treatment protocol's overall success.
Conclusion: Prompt intervention and immediate intentional replantation facilitated direct inspection of the separated file within the socket. Collaboration between an oral maxillofacial surgeon and an endodontist ensures expedited and targeted treatment, leading to favorable outcomes.
Schlagwörter: altered sensation, endodontic file extrusion, intentional replantation, multidisciplinary approach, inferior alveolar nerve canal
DOI: 10.3290/j.qi.b5316965, PubMed-ID: 38726762Mai 10, 2024,Seiten: 1-25, Sprache: EnglischBrooks, John K. / Alajaji, Shahd / Sultan, Ahmed S. / Parraguirre, Yesenia E. / Cerrito, Justin F. / Gupta, Riya / Price, Jeffery B. / Lubek, Joshua E. / Younis, Rania H.
Objective: The aim of this report is to review oral FLH, with emphasis on palatal lesions.
Method and materials: A comprehensive search was performed on PubMed for case reports and case series of palatal FLH published in the English language literature. Relevant data from collated articles was sought, including patient demographics, clinical manifestations, imaging modalities and findings, comorbidities, etiopathogenesis, lesional management, and lesional outcome. A new palatal case has also been provided to illustrate several features of this lesion.
Results: In total, 32 cases were assembled to establish clinicopathologic correlations, representing the largest aggregation of published cases. Most of the affected patients were at least 60-years old and with a decisive female predilection. The majority of lesions were ≤ 3 cm, appearing as normal color, purple-red or red, and varied from soft to firm. Notably, 32% of palatal FLHs were associated with denture wear and lesional recurrence was recorded in 16% of cases. To date, none of the reported cases of palatal FLH has undergone malignant transformation.
Conclusions: Palatal FLHs often arise as a reactive process. Critical histopathologic and histochemical assessments are necessary to establish benignity. Postoperatively, clinicians should follow patients for at least 5 years for recurrence and remain vigilant for neoplastic change as several published accounts of non-oral FLHs have undergone malignant transformation, usually to lymphoma.
Schlagwörter: Cases, follicular lymphoid hyperplasia, palate, review
DOI: 10.3290/j.qi.b5316947, PubMed-ID: 38726761Mai 10, 2024,Seiten: 1-21, Sprache: EnglischMutallibli, Ariz / Sağlam, Mehmet
Objectives:This study compared the effects of L-PRF and A-PRF on patients' quality of life and the healing of palatal wounds after free gingival graft harvesting.
Method and Materials: After FGG harvesting, palatal donor sites of 36 patients were assigned one of the three group: 1)L-PRF group, 2) A-PRF group and 3) Palatal stent+periodontal pack group (control group).Wound healing was evaluated by H2O2 test. Pain was evaluated by visual analog scale (VAS)and number of analgesics consumed. For patient quality of life, the Oral Health Impact Profile-14 (OHIP-14) questionnaire was utilized.
Results: Complete epithelialization was higher in thecontrol group on the 7th day than test groups (p< 0.05). Complete epithelization was achievedin all groups 14th day postoperatively. VAS scores for pain and the number of analgesic tabletsconsumed were similar in all groups (p >0.05). OHIP-14 total scores were similar in all studygroups at 7th day postoperatively (p>0.05). OHIP-14 total and physical pain scores was lowerin L-PRF group than A-PRF group at 14th day postoperatively (p< 0.05).
Conclusion: Asidefrom the slight superiority of L-PRF over A-PRF, it can be concluded that both PRF procedureshave similar effects on palatal wound healing and quality of life.
Schlagwörter: Free gingival Graft, Platelet-Rich Fibrin, Wound Healing, Quality of Life
DOI: 10.3290/j.qi.b5316927, PubMed-ID: 38726760Mai 10, 2024,Seiten: 1-33, Sprache: EnglischRodrigues, João Victor Soares / Poli, Maria Clara Faria / Cirelli, Thamiris / Nakamune, Ana Cláudia de Melo Stevanato / Chaves-Neto, Antonio Hernandes / Aranega, Alessandra Marcondes / Dornelles, Rita Cássia Menegati / Turcio, Karina Helga Leal / Figueredo, Carlos Marcelo da Silva / Theodoro, Leticia Helena
Objective: This study aimed to evaluate the degrees of dependence and presence of bacterial plaque in children with autism spectrum disorder (ASD) and the quality of life (QoL) of children and their caregivers.
Method and Materials: This is a cross-sectional observational study. This study included one hundred and nineteen individuals with ASD and their caregivers. Data were collected through a sociodemographic questionnaire, WHOQOL-Bref, and Burden Interview to measure QoL and caregiver burden, respectively. The Autoquestionnaire Qualité de Vie Enfant Imagé questionnaire, adapted in game format, was applied to verify QoL in children with ASD. An oral clinical examination evaluated the visible plaque index. The collected data were tabulated and organized for statistical analysis with a significance level of 5%.
Results: It was observed that 52% of the children had a severity of ASD level 1, 70% were dependent on general activities, and 65% were dependent on oral hygiene. Of the 77 children who thoroughly answered the questionnaire about their QoL, 64.9% had good QoL, and 35.1% had scores below 48, that is, low QoL. In general, the caregivers generally presented QoL with a rate of 60.95 (good) points on the scale. It was observed that gingival bleeding greater than 30% is 2 (ASD 2 + ASD 3) to 3 (ASD 3) times more likely to occur in patients who have higher levels of ASD (p˂0.004).
Conclusion: It was concluded that the QoL of individuals with ASD was good, that most children depend on their daily activities and oral hygiene, and that they showed reasonable plaque control. On the other hand, the caregivers presented low QoL and moderate burden.
Schlagwörter: Autism spectrum disorder; Quality of life; Caregivers; Observational study
DOI: 10.3290/j.qi.b5223649, PubMed-ID: 38634628April 18, 2024,Seiten: 1-28, Sprache: EnglischDhaliwal, Gurleen / Ouanounou, Aviv
Objectives: Tooth wear (TW), also referred to as tooth surface loss (TSL), occurs due to causes other than caries. This involves the loss of hard tissues, namely enamel, dentin and/or cementum. Types of TW/TSL are abrasion, abfraction, attrition and erosion. These multifactorial conditions can be caused things such as lifestyle, diet or even habits and may not be symptomatic. The focus of this article is to provide clinicians with detailed examples and explanations of the causes of tooth loss to aid in early diagnosis. Through early identification, the preventive measures outlined can be implemented to avoid excessive TW. The provision of a treatment flowchart and general treatment recommendations aims to help clinicians determine when to restore these lesions and the most appropriate treatment measures for the 4 types of wear.
Materials and Methods: The PubMed (MEDLINE) search engine was used to gather information on TW restricted to a five-year period (26 August 2018 – 25 July 2022). Only English-language studies and reviews with the best balance of sensitivity and specificity were considered. A Boolean search of the PubMed dataset was implemented to combine a range of keywords: ("tooth wear" OR tooth attrition OR tooth erosion OR tooth abrasion OR tooth abfraction). Additional articles were also selected through Google Scholar.
Results: By this process, many articles and studies were obtained, and the 48 most relevant published studies were chosen and used in the current review. The selected articles are in the reference list.
Conclusion: TW affects an increasing number of individuals and can have detrimental effects physically, mentally and emotionally. It is important to stress early diagnosis and management of tooth wear through monitoring, prevention and treatment where indicated.
Schlagwörter: tooth wear, tooth surface loss, abrasion, abfraction, attrition, erosion, gastroesophageal reflux, bruxism, prevention
DOI: 10.3290/j.qi.b5223635, PubMed-ID: 38634627April 18, 2024,Seiten: 1-16, Sprache: EnglischAhmed, Eilaf E. A. / Vielhauer, Annina / Splieth, Christian H. / Schmoeckel, Julian / Mourad, Mhd Said
Background: Pre-eruptive intra-coronal radiolucency (PEIR) is a rare dental anomaly often incidentally detected during routine radiographic examinations. This condition manifests as a radiolucent lesion beneath the enamel-dentinal junction of unerupted teeth, particularly in lower molars, posing diagnostic and management challenges due to its asymptomatic nature. The treatment of PEIR depends on the extent of the lesion and the degree of pulp involvement.
Case series: This case series reports on four patients with progressive pre-eruptive intra-coronal radiolucency. In case 1 and 2, lesions were incidentally discovered in an OPG during orthodontic planning (lower permanent 2nd molars), and additional surgical exposure to access the lesion was required as teeth were only partially erupted. Interestingly in case 3, the PEIR was not visible in earlier x-rays though the crown of the tooth was already mineralized (lower permanent 2nd molar). For case 4, the tooth presented with symptoms of reversible pulpitis (lower permanent 1st molar). All lesions were treated with indirect pulp capping using biocompatible material. The patients were followed-up for a period of up to 8 years to evaluate treatment success. Indirect pulp capping and restorations were found to be successful in all four cases in the last follow-up: 1 year (case 2), 1.4 years (case 1), 1.5 years (case 4), and 8 years (case 3).
Conclusion: This case series demonstrates the effectiveness of early intervention via surgical exposure and indirect pulp capping and restoration for managing severe cases of PEIR. However, further research with larger samples and long follow-up is necessary.
Schlagwörter: pre-eruptive intracoronal radiolucency/resorption, hidden caries, occult caries, pulp capping
DOI: 10.3290/j.qi.b5223619, PubMed-ID: 38634626April 18, 2024,Seiten: 1-21, Sprache: EnglischSayed Taha, Aisha M. / Almahdi, Wael H. / Alhamad, Nada A.
Objectives: The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. Frenectomy is the surgical removal of the whole frenum, including the area connected to the bones. This study's purpose was to compare the healing period and postsurgical pain experienced by patients operated with diode and erbium:yttrium-aluminium-garnet (Er:YAG) lasers.
Methods: Twenty referred patients need to excision of the abnormal upper labial frenum were included in this study. Patients were randomly assigned into two groups; Diode group (810 nm, 2W, continuous emission, initiated tip) and Er:YAG group (2940 nm, 2W, 200 mJ, 10 Hz). Both lasers were applied in contact mode. Post-operative pain was assessed with Numerical Rating Scale (NRS) at post-operative 3rd hour and every day during the first week. Epithelialization process of the wound surface was evaluated by hydrogen peroxide solution applied to the wound on days 7, 14, 30, 60 and 90 following operations.
Results: The result shows mean values in Pain index after 3 hours (Diode Group 2.1±2.0, Er:YAG Group 2.6±1.4), 1st day (Diode Group 1.1±1.1, Er:YAG Group 1.9±1.4), and 2nd day (Diode Group 0, Er:YAG Group 0.9±1.1) and shows no significant difference after (3-7 days); p =1.00). In Healing index the results shows a significant difference between the Diode Group and the Er:YAG Group (after 7 days; p = 0.029 and 14 days; p = 0.001) and show no significant difference after (30-60-90 days; p = 1.00).
Conclusions: The Er:YAG laser has better clinical results in healing wounds, whereas the diode laser is better in decreasing pain after frenectomy during follow-up periods.
Schlagwörter: diode laser, erbium:yttrium-aluminium-garnet laser, frenectomy, papillary, papilla penetrating
DOI: 10.3290/j.qi.b5213685, PubMed-ID: 38619260April 15, 2024,Seiten: 1-49, Sprache: EnglischMahmoud, Mohamed R. / Rashwan, Noha / Marzouk, Tamer / Porcello, Lorraine / Becker, Rachel W. / Barmak, Abdul Basir / Malmstrom, Hans
Objectives: This systematic review compares the impact of ball and locator attachments on marginal bone loss in implant-retained overdentures in completely edentulous patients.
Method and Materials: Following PRISMA guidelines, health science librarians completed literature searches from inception to March 17, 2023 in seven databases. There were 15,686 items exported to EndNote from Embase.com, CINAHL (EBSCO), Cochrane Library, Ovid MEDLINE-ALL, PubMed, Scopus, and Web of Science. Hand-searching added four more articles. After deduplication, 6756 items were screened for eligibility. Twenty-nine studies were assessed by full text, of which ten studies, involving 424 subjects, were included in the review. Risk of bias assessment was conducted using the Cochrane Risk of Bias tool and the Newcastle Ottawa Scale. A meta-analysis was performed to synthesize and analyze the collective data from the selected studies.
Results: The included studies used diverse methodologies, implant systems, and loading protocols. Most studies reported no significant difference in marginal bone loss between ball and locator attachments. The meta-analysis revealed high heterogeneity.
Conclusion: The results of this systematic review suggest that ball and locator attachments exhibit similar performance in terms of marginal bone loss in implant-retained overdentures. However, the limited number, risk of bias, and heterogeneity of studies highlight the need for standardized research designs and larger sample sizes in future investigations to draw more definitive conclusions.
Schlagwörter: edentulous, complete, dental implantation, prosthesis retention, denture, overlay, dental prosthesis, implant-supported, denture attachment, ball, locator, self-align, non-splint, marginal bone loss
DOI: 10.3290/j.qi.b5213529, PubMed-ID: 38619258April 15, 2024,Seiten: 1-34, Sprache: EnglischElad, Sharon / Keegan, Rebeca / Fregnani, Eduardo Rodrigues / Gavish, Lilach / Ottaviani, Giulia / Arany, Praveen / Zadik, Yehuda
Objective: Photobiomodulation (PBM) therapy is recommended by multiple international societies for managing oral mucositis (OM). These recommendations are based on extensive evidence. However, the search for an optimal PBM protocol continues. This mapping review focuses on a novel aspect of PBM therapy which is the immediate effect on pain levels associated with oral ulcerative conditions.
Data sources: This literature review systematically compiles and evaluates the evidence about OM, alongside other oral ulcerative conditions, as the protocols that achieved pain relief for these oral conditions may have potential applicability to OM management. The scientific database used was PubMed.
Conclusion: Whereas most of the randomized controlled trials about PBM therapy for OM and other ulcerative oral diseases reported delayed pain relief, certain PBM therapy protocols reported immediate pain relief. The results of this review highlight the concept of preemptive PBM therapy, in which PBM therapy is delivered early in the development of OM throughout the oncotherapy and may achieve immediate pain relief consistently in most of the patients and close to a negligible pain level. PBM therapy, as a powerful non-pharmacologic tool for immediate pain relief, has a great beneficial value in patients suffering from OM and other painful oral ulcerative diseases such as recurrent aphthous stomatitis and chronic graft-versus-host disease.
Schlagwörter: Aphthous stomatitis, Cancer, Graft vs host disease, Laser, Oral mucositis, Pain relief, Photobiomodulation
DOI: 10.3290/j.qi.b4925761, PubMed-ID: 38299599Februar 1, 2024,Seiten: 1-19, Sprache: EnglischSubramanian, Gayathri / Yeung, Vincent / Baredes, Soly / Kim, Sung / Bergsbaken, Tessa / Quek, Samuel Y. P.
Radiation treatment plays a mainstream role in the management of head and neck cancers (HNSCC). Adverse effects from radiation therapy include osteoradionecrosis of the jaw, and rarely, pathological fracture. Immune checkpoint inhibitors (ICI) such as pembrolizumab are of growing relevance to the management of metastatic and recurrent HNSCC. Adverse impact on bone secondary to medications such as pembrolizumab and nivolumab have been sporadically documented in the literature. The objective of this manuscript is to raise awareness of possible increase in risk for adverse jaw outcomes in patients with HNSCC exposed to both radiation treatment to the jaws and ICI therapy.
This manuscript documents adverse jaw outcomes including osteonecrosis and pathological fracture of the mandible in two patients receiving pembrolizumab for management of HNSCC and had received prior radiation treatment.
A potential link between immunotherapy and adverse jaw outcomes is consistent with our growing understanding of osteoimmunology, investigating the closely interrelated processes in bone remodeling and immune system function, in health and disease. It is important to ascertain if pembrolizumab poses an incremental risk for such outcomes, beyond the risk from prior radiation, for patients managed with radiation treatment and ICI therapy for HNSCC.
The general dentist may encounter such patients either in the context of facilitating dental clearance prior to initiation of chemotherapy, or rarely, with poorly explained jaw symptoms and must be alert to the possibility of occurrence of such adverse jaw events to facilitate timely diagnosis and optimal patient management.
Schlagwörter: Cancer, Case-report/series, immunotherapy, Oral surgery , Osteonecrosis, Pathology, Radiation Therapy
DOI: 10.3290/j.qi.b4920305, PubMed-ID: 38289001Januar 30, 2024,Seiten: 1-25, Sprache: EnglischHamadeh, Wiam / Alhabashneh, Rola / Abdelhafez, Reem / Khader, Yousef
Objective: Currently, there is no established treatment protocol to treat Interdental papillary loss. This research aimed to evaluate the outcomes of interdental papillary reconstruction using minimally invasive surgery, with injectable hyaluronic acid (HA) gel.
Materials and Methods: Seventeen patients were included, each with five sites of class 1 papillary recession; (forty sites in the upper jaw and forty-five sites in the lower jaw). Subperiosteal tunneling was performed through a horizontal incision made apical to the base of the papilla without penetrating it. The free gingival sulcus was sealed by 000 retraction cord. After that a total of 0.2-0.6 mL HA was injected gradually. The incision was sutured with polyglycolic sutures. Treated sites underwent clinical and digital evaluation at three follow up time points (1 month, 3 months and 6 months).
Results: The interdental papillary defect height in the upper jaw sites significantly reduced by 60%, 66%, and 42% at 1 month, 3 and 6 months, respectively. Also, in lower jaw sites, the reduction was of about 54%, 55%, and 40% at the same follow up time points. Regarding interdental papillary defect surface area in the upper jaw the reduction was about 65%, 71%, and 45% at 1 month, 3 and 6 months. In the lower jaw, a reduction of about 60%, 64%, and 48% was noticed at the same time points. Regarding patients’ pain level score, during the day of surgery, sixteen patients reported pain, the average pain score out of 10 was 3.94, and eleven patients (64.7%) needed to take analgesics. The pain generally subsided in the following days. Also, at the day of the treatment twelve out of the seventeen patients (70.6%) reported mild difficulty in speaking and eating. No complication, hypersensitivity or allergy was noted in any patient.
Conclusion: Subperiosteal tunneling with HA injection demonstrates clinical improvements in papilla height and papillary recession surface area reduction after 3 months of follow-up with reduction in improvement after 6 months.
Schlagwörter: black triangle, dental papilla augmentation , hyaluronic acid, minimal invasive surgery, periodontal surgery, Periodontology
DOI: 10.3290/j.qi.b4790573, PubMed-ID: 38126717Dezember 21, 2023,Seiten: 1-21, Sprache: EnglischTobias, Guy / Khaimov, Alexander / Zini, Avi / Sgan-Cohen, Harod D / Mann, Jonathan / Chotiner Bar-Yehuda, Yael / Aflalo, Efrat / Vered, Yuval
Objectives: To assess the effect of Community Water Fluoridation (CWF) in the prevalence of dental caries and dental fluorosis in 12-year-old children living in Israel. Considering that CWF is important in the prevention of dental caries. Between 2002 and 2014, the water in communities of at least 5000 individuals was fluoridated. In 2014 CWF in Israel stopped.
Methods: Data on 12-year-old children from all areas in Israel from the national crosssectional epidemiological survey conducted in 2011-2012 were stratified by city water fluoridation and by city and school socio-economic status (SES). Two dependent variables were defined: (1) DMFT index -caries experience in the permanent dentition; (2) dental fluorosis in central incisors using the Thylstrup-Fejerskov (TF) classification of fluorosis.
Results: Data from 2181, 12-year-olds was analyzed. the average DMFT was 1.17+1.72 and 49% were caries free. Based on DMFT, the caries experience was significantly higher in nonfluoridated cities (1.38 vs. 0.98 in fluoridated cities) and there were more caries free children 56.4% in fluoridated cities vs. 40.6% in non-fluoridated. DMFT was higher in cities with lower SES than high SES (1.29 vs. 1.05 respectively, p<0.001) and there were less caries free children in low SES (44.5% vs. 53% in high SES cities, p<0.0001). Almost all the 10.3% of children with signs of fluorosis (scoring at least 1 in TF index), had questionable to mild fluorosis (9.3%).
Conclusions: CWF is a cheap, simple method of dental health protection that reaches all socio-economic levels and cessation of water fluoridation reduced the health of Israel's children.
Clinical Significance: Water fluoridation provides substantial caries prevention, by reaching a substantial number of people. The relevance of this work is for policymakers to consider CWF as clinically proven method for reducing health inequalities.
Schlagwörter: Caries detection, DMFT, Epidemiology, Fluoride, Public health