Quintessenz Zahnmedizin, 11/2022
ParodontologieSeiten: 1014-1025, Sprache: Deutsch
Die Adhäsivtechnik und Komposite sind nicht nur sprichwörtlich in aller Munde – vielmehr sind sie aus der zeitgemäßen Zahnmedizin nicht mehr wegzudenken. Im Praxisalltag bleiben sie allerdings in einem Bereich häufig hinter den Möglichkeiten zurück: bei der adhäsiven parodontalen Schienung. Dieser Artikel stellt nach einer Kurzübersicht der Einsatzmöglichkeiten und der aktuellen Evidenz anhand von Fallbeispielen sowie einem Schritt-für-Schritt-Behandlungsablauf das Potenzial der adhäsiven parodontalen Schienung im zahnärztlichen Alltag dar. Zusätzlich wird in diesem Kontext der Aspekt Patientenautonomie und ihr Einfluss auf die Langzeitadhärenz dieser Maßnahme diskutiert.
Manuskripteingang: 15.08.2022, Manuskriptannahme: 12.09.2022
Schlagwörter: Parodontitis, Adhäsivtechnik, Patientenzentrierung, parodontale Schienung, Patientenautonomie
International Poster Journal of Dentistry and Oral Medicine, 4/2019
Poster 2157, Sprache: Englisch
Objectives: The aim of this observational study was to evaluate decision regret after shared decision making regarding pain control for scaling and root-planing (SRP). The decision regret scale was used as the primary outcome and pain control and future choice as secondary outcomes.
Methods: 159 patients with a need for SRP during anti-infective therapy or as retreatment in periodontal supportive therapy opted for pain control using a decision board during shared decision making. Pain control options were: (1) no anaesthesia (NO), (2) intrapocket gel (GEL, Oraqix, Dentsply Sirona), and (3) injected anaesthesia (INJ, articaine 4%, Ultracain D-S, Sanofi-Aventis). The decision regret scale, procedural pain (via VAS), and future choice were recorded after SRP by questionnaire.
Results: 88 patients opted for anaesthesia, 73 of them for intrapocket gel, and 15 for injection. Overall, patients were satisfied with their choice (98%), reported no regret (94%), and would take the same decision for future treatments (96%). Additionally, they valued their choice as smart (97%) and not harmful (97%). These outcomes were consistent for the subgroups, showing no intragroup differences (p>.05). The distribution of anaesthesia choice was affected by treatment point (p=.000). 80% choosing INJ underwent anti-infective therapy, and 65% opting for GEL received retreatment during supportive therapy. Procedural pain during SRP was distributed equally between the groups (p>.05), with an overall mean of 20.5±23.0 and a range between 0 to 90. Future choice of pain control was not influenced by procedural pain (p=.155).
Conclusion: Decision-board-supported shared decision making for pain control during SRP led to satisfaction with the anaesthesia choice, overall and in each subgroup. Patients were able to properly estimate their individual need for adequate pain control. Patients undergoing supportive periodontal therapy with a need for SRP tend to choose intrapocket gel or no anaesthesia without regretting the decision.
Schlagwörter: shared decision making, decision regret, periodontal disease, intrapocket anaesthesia
International Poster Journal of Dentistry and Oral Medicine, 3/2019
Poster 2159, Sprache: Englisch
Objectives: The aim of this randomised clinical trial was to evaluate the effectiveness of a microdroplet device in combination with a powered toothbrush to prevent proximal gingival inflammation and to determine the long-term adherence to both products in daily proximal hygiene.
Methods: 30 participants with gingival inflammation were randomly assigned (n=10) to use: exp. 1: AirFloss Pro filled with water + Sonicare FlexCare+; exp. 2: AirFloss Pro filled with Listerine Zero + Sonicare FlexCare+; and control: dental floss + manual toothbrush for 28 days. Philips provided the Sonic toothbrushes & microdroplet devices and Johnson & Johnson the Listerine Zero. At baseline and 1st recall the papillar bleeding index (PBI) and the Rustogi-modified Navy Plaque Index (RMNPI) were recorded. Patients completed a questionnaire regarding their usual oral hygiene at the first appointment. Additionally, all 30 patients received an AirFloss Ultra device and a Sonicare toothbrush. One year later, oral hygiene parameters were re-evaluated and patients' adherence to their oral hygiene habits was evaluated using a questionnaire.
Results: After 28 days, all three groups showed significantly reduced PBI scores. Both test groups showed significantly lower PBI scores than the dental floss control group. After one year, all groups showed lower PBI scores compared to baseline (p
Schlagwörter: gingivitis, biofilm, AirFloss, high-velocity microdroplet device, microburst, powered interdental cleaning device, approximal, interdental, adherence, long-term
The Journal of Adhesive Dentistry, 2/2017
DOI: 10.3290/j.jad.a38140, PubMed-ID: 28443832Seiten: 177-183, Sprache: Englisch
Purpose: To investigate the buffering capacity of restorative materials during a simulated carious and intrinsic erosive attack.
Materials and Methods: Cavities with a volume of 130 μl were milled (Cerec MC XL) out of blocks of Ceram X Mono (CM), Quixfil (QX), Filtek Supreme (FS), Apa Fill 3 (AF), an experimental dual-curing composite containing a bioactive glass (EX), Dyract eXtra (DY), Beautifil (BE), Equia Fil (EQ), Telio CAD (TL) (negative control), TheraCal (TC; positive control), and extracted teeth (ED). 80 μl of lactic acid (pH 4.5) and hydrochloric acid (pH 2.6) were each pipetted into the cavities of two samples of each material. Change of pH in the solutions was measured continuously for 12 min using a calibrated pH electrode.
Results: CM, AF, and FS (final pH 3.0-3.2) neutralized hydrochloric acid to a significantly lesser extent than did BE, EQ, DY and QX (final pH 5.0-5.6) (p < 0.05, ANOVA Scheffé). The lactic-acid buffering capacity of CM, BE, and AF was equivalent (final pH 6.3-7.4) to that of ED (7.5), but was surpassed by FS (pH 8.0). pH values for EX and TC (final pH 9.2-11.3) increased significantly (p < 0.05) in response to both acids.
Conclusions: Conventional restorative materials do not buffer better than human teeth. However, the experimental composite demonstrates that buffering against carious and intrinsic erosive acid attacks is technically feasible.
Schlagwörter: buffering capacity, ion release, bioactive glass, secondary caries, composite, erosion