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Henricsson S, Wallin Bengtsson V, Renvert S, Sanmartin Berglund J, Lundegren N, Andersson P. Self-perceived oral health and orofacial appearance in older adults - an 18-year follow-up study in Karlskrona, Sweden. Acta Odontol Scand 2024; 83:255-263. [PMID: 38700368 DOI: 10.2340/aos.v83.40574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 03/31/2024] [Indexed: 05/05/2024]
Abstract
OBJECTIVES To analyze whether self-perceived oral health and orofacial appearance change with increasing age. METHODS This longitudinal study is based on data from a questionnaire used in the Swedish National Study of Aging and Care. The sample comprises 160 participants 60 years of age at baseline 2001-2003. The same participants were re-examined at 66-, 72-, and 78 years of age. To analyze whether perceptions of oral health and orofacial appearance changed with increasing age, Cochran's Q test was conducted. Statistical significance was considered at p ≤ 0.05, and the calculated value Q must be equal to or greater than the critical chi-square value (Q ≥ 7.82). Significance values have been adjusted for the Bonferroni correction for multiple tests. RESULTS Self-perceived mouth dryness, both day (Q = 7.94) and night (Q = 23.41), increased over the 18-year follow-up. When divided by gender, significant differences were only seen for mouth dryness at nighttime. A decrease in sensitive teeth was perceived with increasing age, and an increase in self-perceived satisfaction with dental appearance, and a decrease in self-perceived problems with dental gaps between the ages of 60 and 78. These changes were, however, not statistically significant. Men experienced a higher proportion of discomfort with discolored teeth at age 78 than at 60 (Q = 9.09). CONCLUSIONS Self-perceived oral health and orofacial appearance were relatively stable, with few changes over an 18-year follow-up.
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Affiliation(s)
- Sara Henricsson
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden; Faculty of Odontology, Malmö University, Malmö, Sweden.
| | | | - Stefan Renvert
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden; Department of Health, Blekinge Institute of Technology, Karlskrona, Sweden
| | | | | | - Pia Andersson
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
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El-Kateb NM, Abdallah AM, ElBackly RN. Correlation between pulp sensibility and magnetic resonance signal intensity following regenerative endodontic procedures in mature necrotic teeth- a retrospective cohort study. BMC Oral Health 2024; 24:330. [PMID: 38481211 PMCID: PMC10935898 DOI: 10.1186/s12903-024-04095-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 03/04/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND With increasing studies being published on regenerative endodontic procedures (REPs) as a treatment modality for mature necrotic teeth, the assessment of outcomes following regenerative endodontic procedures has become more challenging and the demand for a better understanding of the regenerated tissues following this treatment is rising. The study aimed to correlate cold, electric pulp testing (EPT), and magnetic resonance imaging (MRI) signal intensity (SI) in mature necrotic teeth treated with regenerative endodontic procedures. METHODOLOGY This retrospective cohort study included eighteen adult patients who experienced tooth necrosis in mature maxillary anterior teeth recruited from the outpatient clinic, Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt from July 2017 until December 2018 with 12 months of follow-up. regenerative endodontic procedures via blood clot were performed. The canals were instrumented by ProTaper Next (PTN) files until final sizes X3 or X5. Biodentine was used as cervical plug material. Pre and post-operative clinical follow-up was done where the patients' responses to cold and electric pulp testing were given a scoring system and were compared to the normal contralateral tooth. Pre and post-operative magnetic resonance imaging signal intensity of both the involved tooth and its contralateral at the middle and the apical thirds of the root canals were assessed after 3, 6, and 12 months. Data was analyzed using the ANOVA, Friedman and Bonferroni tests. Significance was set at a p-value < 0.05. RESULTS All 18 teeth scored a baseline score of "2" for cold and electric pulp testing. There was a significant difference between scores of the cold test at baseline and 12-month follow-up (p < 0.001). There was a significant difference between scores of the electric pulp testing of baseline and 12-month follow-up (p < 0.001). There was a moderately significant indirect (inverse) correlation between magnetic resonance imaging signal intensity and cold test in both the middle and apical thirds at 12 months. No significant correlations were detected between magnetic resonance imaging signal intensity and electric pulp testingat any of the time intervals (p > 0.05). CONCLUSION Magnetic resonance imaging is a successful non-invasive method to assess outcomes of regenerative endodontic procedures and correlating it with another reliable method of assessing pulpal responses, cold test, could validate these outcomes. CLINICAL TRIAL REGISTRATION The study was registered with ClinicalTrials.gov (ID: NCT03804450).
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Affiliation(s)
- Noha Mohamed El-Kateb
- Conservative Dentistry Department, Endodontics Division, Faculty of Dentistry, Alexandria University, Champollion Street, El Azareta., Alexandra, Egypt.
| | - Amr Mohamed Abdallah
- Conservative Dentistry Department, Endodontics Division, Faculty of Dentistry, Alexandria University, Champollion Street, El Azareta., Alexandra, Egypt
| | - Rania Noaman ElBackly
- Conservative Dentistry Department, Endodontics Division, Faculty of Dentistry, Alexandria University, Champollion Street, El Azareta., Alexandra, Egypt
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Cardoso MEDOP, Takeuchi EV, Alencar CDM, de Mesquita RA, Alves EB, Silva CM. The effect of photobiomodulation therapy associated with casein phosphopeptide-amorphous calcium phosphate fluoride paste on the treatment of posthome whitening tooth sensitivity and color change: A randomized clinical trial. Clin Exp Dent Res 2024; 10:e817. [PMID: 38345511 PMCID: PMC10828902 DOI: 10.1002/cre2.817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 09/15/2023] [Accepted: 10/31/2023] [Indexed: 02/15/2024] Open
Abstract
OBJECTIVE This study assessed whether combining photobiomodulation therapy (PBMT) with casein phosphopeptide-amorphous calcium phosphate fluoride (CPP-ACPF) paste can effectively reduce post-home whitening tooth sensitivity (TS) without compromising shade change. METHODS Fifty participants were selected and assigned to one of four groups: (1) PLACEBO group-received a placebo paste and PBMT simulation; (2) PBMT group-received a placebo paste + PBMT; (3) CPP-ACPF group-received CPP-ACPF paste and PBMT simulation; (4) CPP-ACPF + PBMT group-received both CPP-ACPF paste and PBMT. The participants used whitening trays containing 22% carbamide peroxide for 2 h a day for 21 days. TS was measured daily using a visual analog scale, while shade change was assessed using a spectrophotometer: before bleaching treatment (T0), after the first (T1), second (T2), and third (T3) weeks of treatment, and 30 days (T4) after completing the whitening treatment. RESULTS Intragroup analysis revealed that the PLACEBO group had the highest increase in sensitivity during the whitening treatment. The CPP-ACPF and PBMT groups showed no significant difference tooth whitening (TW) between weeks regarding aesthetic change. The CPP-ACPF and PBMT group exhibited a significant reduction in TS between the first and third and between the second and third weeks TW, but not between the first and second. Conversely, the PLACEBO group showed a higher sensitivity than the other groups (p < .05). The CPP-ACPF and PBMT groups did not differ from each other. Furthermore, the CPP-ACPF and PBMT group showed a greater decrease in sensitivity than the PLACEBO group at T1, T2, and T3 (p < .01), and was significantly differed from CPP-ACPF and PBMT groups only at T2 and T3. All groups confirmed TW effectiveness. Student's and paired t-test did not reveal any significant difference between groups (p > .05). CONCLUSION Therefore, PBMT associated with CPP-ACPF paste can reduce TS without compromising the efficacy of TW.
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Affiliation(s)
| | - Elma V. Takeuchi
- Department of Restorative Dentistry, Dental SchoolFederal University of ParáBelémParáBrazil
| | | | - Raissa A. de Mesquita
- Department of Restorative Dentistry, Dental SchoolFederal University of ParáBelémParáBrazil
| | - Eliane B. Alves
- Department of Restorative Dentistry, Dental SchoolFederal University of ParáBelémParáBrazil
| | - Cecy M. Silva
- Department of Restorative Dentistry, Dental SchoolFederal University of ParáBelémParáBrazil
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Castagnola R, Rupe C, Gioco G, Almadori G, Galli J, Tagliaferri L, Cassano A, Gallenzi P, Lajolo C. Clinical outcomes of teeth adjacent to the site of mandibulotomy or mandibulectomy in patients with head and neck cancer: results from a multidisciplinary mono-institutional head and neck tumor board. BMC Oral Health 2023; 23:357. [PMID: 37270480 DOI: 10.1186/s12903-023-03050-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 05/15/2023] [Indexed: 06/05/2023] Open
Abstract
INTRODUCTION The aim of this case series was to evaluate the necrosis of teeth adjacent to the site of mandibulotomy or mandibulectomy in a cohort of patients suffering from head and neck cancers. METHODS Fourteen patients who underwent segmental mandibulectomy or paramedian mandibulotomy for oral, oropharynx or major salivary gland cancer and a total of 23 teeth were included in this case series. Twelve patients underwent adjuvant head and neck radiotherapy. Cold sensitivity pulp testing and/or electric pulp testing were performed on teeth at the margin of mandibulectomy and on teeth adjacent to mandibulotomy after surgery. A "positive" response was considered the healthy state, and "negative" was considered the diseased state of the tooth. RESULTS The 10 patients who underwent mandibulotomy had 12 teeth with a negative response. The 4 patients treated by mandibulectomy had two positive and three negative responses to cold and electric pulp tests. Fifteen out of 23 teeth (65.2%) showed a negative response to sensitivity testing. CONCLUSIONS Tooth necrosis seems to be a common event after mandibulectomy and mandibulotomy. CLINICAL RELEVANCE To avoid post-surgery complications, performing root canal therapy before surgery on the teeth adjacent to the surgical site could be an appropriate strategy.
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Affiliation(s)
- Raffaella Castagnola
- Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Cosimo Rupe
- Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy.
| | - Gioele Gioco
- Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Giovanni Almadori
- Head and Neck Department, Institute of Otolaryngology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Jacopo Galli
- Head and Neck Department, Institute of Otolaryngology, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Luca Tagliaferri
- Department of Radiation Oncology, Institute of Radiology, Fondazione Policlinico Universitario A. Gemelli- IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Alessandra Cassano
- Department of Medical Oncology, Institute of Radiology, Fondazione Policlinico Universitario A. Gemelli- IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Patrizia Gallenzi
- Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
| | - Carlo Lajolo
- Head and Neck Department, School of Dentistry, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, Rome, 00168, Italy
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Thompson LA, Chen H. Physiology of Aging of Older Adults: Systemic and Oral Health Considerations-2021 Update. Clin Geriatr Med 2023; 39:225-234. [PMID: 37045530 DOI: 10.1016/j.cger.2023.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Abstract
Most oral health care providers encounter older adults in their practices and can play a critical role in supporting independence and quality of life for this aging cohort. Physiologic and structural oral cavity changes associated with normal aging may affect the presentation and oral health care of older adults. This article reviews the normative aging of dentition and oral structures and physiologic changes associated with normal aging, including cardiovascular, metabolic, and musculoskeletal changes, and how they may affect oral health. Oral health providers should be aware of normal aging processes when they plan care or schedule procedures for older adults.
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Affiliation(s)
- Lisa A Thompson
- Geriatric Dental Fellowship, Harvard School of Dental Medicine, 188 Longwood Avenue, Boston, MA 02115, USA
| | - Helen Chen
- Hebrew SeniorLife, Boston, MA, USA; Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
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Aslantas EE, Buzoglu HD, Muftuoglu SF, Atilla P, Karapinar SP, Aksoy Y. Effects of aging and inflammation on catalase activity in human dental pulp. Arch Oral Biol 2022; 141:105482. [PMID: 35728513 DOI: 10.1016/j.archoralbio.2022.105482] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 06/10/2022] [Accepted: 06/11/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVES In this study, it was aimed to examine the catalase activity in clinically healthy and caries-related inflamed symptomatic human dental pulps of young and old individuals. DESIGN Sixty pulp samples from young and old healthy donors, were collected depending on pulpal status. 48 samples were used for spectrophotometric analysis and 12 samples for immunohistochemistry. Healthy pulps were maintained from non-carries, extracted third molars. Reversible and irreversible pulpitis samples were obtained by pulp extirpation during endodontic treatment. Following homogenization catalase enzyme activity was determined by spectrophotometry. Additionally, two pulp tissue samples from each group were fixed and evaluated for catalase immunoreactivity. RESULTS Catalase enzyme activity in old healthy pulp samples were significantly higher than healthy young samples (p ≤ 0.05). Reversible and irreversible pulpitis samples indicated significantly decreased activity compared to healthy samples in elderly group (p ≤ 0.05). Young reversible pulpitis samples showed significantly increased catalase activity when compared to irreversible pulpitis and the reversible pulpitis samples in elderly group (p ≤ 0.05). Immunohistochemical evaluation indicated that there was intense catalase immunoreactivity in young patients with reversible pulpitis compared with reversible pulpitis in elderly group. However, weak immunoreactivity was observed in young irreversible pulpitis and elderly reversible pulpitis samples. CONCLUSIONS The pulp tissues presented different levels of catalase activities against pulpitis and aging.
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Affiliation(s)
- Eda Ezgi Aslantas
- Department of Endodontics, Hacettepe University, Faculty of Dentistry, Ankara, Turkey
| | - Hatice Dogan Buzoglu
- Department of Endodontics, Hacettepe University, Faculty of Dentistry, Ankara, Turkey
| | - Sevda Fatma Muftuoglu
- Department of Histology and Embriology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Pergin Atilla
- Department of Histology and Embriology, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | | | - Yasemin Aksoy
- Department of Medical Biochemistry, Hacettepe University Faculty of Medicine, Ankara, Turkey.
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Marrero YG, Kobayashi Y, Ihsan MS, Pilch LA, Chen L, Jiang S, Ye Y, Fine DH, Falcon CY, Falcon PA, Hirschberg CS, Shimizu E. Altered Prevalence of Pulp Diagnoses in Diabetes Mellitus Patients: A Retrospective Study. J Endod 2022; 48:208-212.e3. [PMID: 34780805 PMCID: PMC8810723 DOI: 10.1016/j.joen.2021.11.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 10/08/2021] [Accepted: 11/02/2021] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Diabetes mellitus (DM) is a complex multisystemic disorder that affects an estimated 21 million Americans. No studies have evaluated the association of DM with the prevalence of each pulpal diagnosis. The objective of this study was to compare the prevalence of each pulp diagnosis including symptomatic irreversible pulpitis (SIP), asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and pulp necrosis (PN) in DM patients against a nondiabetic control group. METHODS A retrospective chart review was approved by Rutgers University Institutional Review Board. The prevalence of the diagnoses SIP, asymptomatic irreversible pulpitis, reversible pulpitis, normal pulp, and PN was calculated from AxiUm (Exan software, Las Vegas, NV) electronic health records at Rutgers School of Dental Medicine. The chi-square test was used to see the relationship between the 2 categoric variables. Second, binary logistic regression analyses were performed for each group. RESULTS A total of 2979 teeth were diagnosed with a pulp condition between April 2013 and November 2018. The total tooth number of DM patients was 682, whereas the tooth number of nondiabetic patients was 2297. In the subgroup of patients younger than 40 years old, SIP was notably more prevalent in DM patients. In addition, the prevalence of PN in elderly DM patients (60-69 years old) was significantly higher than in the control group. CONCLUSIONS The prevalence of SIP in DM patients was significantly higher compared with the control group (<40 years old), suggesting the possibility that DM could hypersensitize the subgroup of patients younger than 40 years old to pulpitis pain.
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Affiliation(s)
| | | | | | - Lisa A. Pilch
- Office of Information Technology, Rutgers University
| | - Liyaa Chen
- Office of Information Technology, Rutgers University
| | | | - Yi Ye
- Bluestone Center for Clinical Research, New York University College of Dentistry, Department of Oral & Maxillofacial Surgery, New York University College of Dentistry, Department of Molecular Pathobiology, New York University College of Dentistry
| | - Daniel H. Fine
- Department of Oral Biology, Rutgers School of Dental Medicine
| | - Carla Y. Falcon
- Department of Endodontics, Rutgers School of Dental Medicine
| | - Paul A. Falcon
- Department of Endodontics, Rutgers School of Dental Medicine
| | | | - Emi Shimizu
- Department of Endodontics, Rutgers School of Dental Medicine, Department of Oral Biology, Rutgers School of Dental Medicine,Corresponding author Emi Shimizu, Department of Oral Biology, Rutgers School of Dental Medicine, 110 Bergen Street, Newark, NJ 07103, , 973-972-8892
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Erdogan O, Malek M, Gibbs JL. Associations between Pain Severity, Clinical Findings, and Endodontic Disease: A Cross-Sectional Study. J Endod 2021; 47:1376-1382. [PMID: 34256059 DOI: 10.1016/j.joen.2021.07.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Thorough pain assessment and thermal and mechanical testing are the primary diagnostic tools used to assess the status of pulp and periapical tissues in teeth with potential endodontic pathology. This study evaluated predictors of acute odontogenic pain to better understand the relationship between endodontic pain, clinical testing, endodontic disease, and diagnoses. METHODS Participants (N = 228) presenting with acute odontogenic pain underwent standardized clinical testing and reported their pain intensity. Univariate and multiple regression analyses were performed to evaluate the predictors of acute endodontic pain. Chi-square tests with Bonferroni adjustments were conducted to measure the frequency of endodontic diagnostic test findings and clinical observations in patients with different pulpal diagnoses. RESULTS A negative response to cold stimulation on the causative tooth and percussion hypersensitivity on the healthy adjacent tooth were the strongest predictors of higher levels of acute endodontic pain. Percussion hypersensitivity on the healthy adjacent tooth was present in a quarter of the cohort and was reported with equal frequency in teeth diagnosed with irreversible pulpitis, necrotic pulp, and previously initiated/treated teeth. Although painful percussion on the causative tooth was more frequently reported in teeth diagnosed with necrotic pulp, painful palpation was more frequently reported on teeth diagnosed with previously initiated/treated teeth. CONCLUSIONS Percussion hypersensitivity on the healthy adjacent tooth may reveal a lowered pain threshold and heightened pain sensitization. It is also possible that the 2 commonly performed mechanical sensory tests, percussion and palpation hypersensitivity, may detect different aspects of endodontic pathophysiology and pain processing.
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Affiliation(s)
- Ozge Erdogan
- Division of Endodontics in Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts; Department of Endodontics, New York University, College of Dentistry, New York, New York.
| | - Matthew Malek
- Department of Endodontics, New York University, College of Dentistry, New York, New York
| | - Jennifer L Gibbs
- Division of Endodontics in Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Massachusetts; Department of Endodontics, New York University, College of Dentistry, New York, New York
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9
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Braud A, Lourtioux F, Picouet P, Maitre I. Food-related oral discomfort: A cross-sectional survey assessing the sensory dimension of oral discomfort in French independently living adults. J Oral Rehabil 2021; 48:916-926. [PMID: 33914929 DOI: 10.1111/joor.13177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/03/2021] [Accepted: 04/04/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Discomfort encountered during oral processing may cause food avoidance and increase the risk of malnutrition in older adults. The aim of the present survey was to explore the relationships between oral health and the oral discomfort experienced while eating in senior people. MATERIALS AND METHODS In a cross-sectional study, oral discomfort was assessed in a sample of 119 independently living participants aged between 35 and 81 years. Statistical analyses were used to identify categorical variables associated with food-related oral discomfort, including age, oral health-related quality of life (OHQoL), saliva secretion, occluding support, oral diseases and denture use. RESULTS Food-related oral discomfort concerned 28.5% of the participants. Within the sample study, the risk of experiencing food-related oral discomfort was increased for participants perceiving average (OR = 7.968, CI 95% = 2.603-24.381, p = .000) or poor OHQoL (OR = 17.109, CI 95% = 4.398-66.552, p = .000) and presenting strictly fewer than 7 occlusal functional units (OFUs) (OR = 3.396, CI 95% = 1.206-9.561, p = .020). Textured foods including fibrous (66.6%), heterogenous (60.6%) and grainy foods (42.4%) were mostly cited as food-related oral discomfort trigger factors. Within the 66-80 years group, participants having 0-6 OFUs were four times more likely to experience oral discomfort related to fibrous foods than participants having more than 7 OFUs (OR = 4.812, CI 95% = 1.192-19.415, p = .024). Within this group, participants having their teeth replaced by denture were also four times more likely to develop oral discomfort related to foods with heterogeneous textures (OR = 4.714, CI 95% = 1.030-21.562, p = .045) and grainy foods (OR = 7.285, CI 95% = 1.308-40.568, p = .023) than non-denture wearers. CONCLUSION Poor oral health conditions may generate oral discomfort with foods in the elderly especially with fibrous, heterogenous and grainy textures, and thus affect mealtime experience.
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Affiliation(s)
- Adeline Braud
- Laboratoire de Neurobiologie Oro-faciale, Université de Paris, Paris, France.,Service d'Odontologie, Hôpital Rothschild, APHP, Sorbonne Université, Paris, France
| | - Flore Lourtioux
- USC 1422, GRAPPE, Ecole Supérieure d'Agricultures (ESA)- INRAE, Angers, France
| | - Pierre Picouet
- USC 1422, GRAPPE, Ecole Supérieure d'Agricultures (ESA)- INRAE, Angers, France
| | - Isabelle Maitre
- USC 1422, GRAPPE, Ecole Supérieure d'Agricultures (ESA)- INRAE, Angers, France
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10
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Thompson LA, Chen H. Physiology of Aging of Older Adults: Systemic and Oral Health Considerations-2021 Update. Dent Clin North Am 2021; 65:275-284. [PMID: 33641753 DOI: 10.1016/j.cden.2020.11.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Most oral health care providers encounter older adults in their practices and can play a critical role in supporting independence and quality of life for this aging cohort. Physiologic and structural oral cavity changes associated with normal aging may affect the presentation and oral health care of older adults. This article reviews the normative aging of dentition and oral structures and physiologic changes associated with normal aging, including cardiovascular, metabolic, and musculoskeletal changes, and how they may affect oral health. Oral health providers should be aware of normal aging processes when they plan care or schedule procedures for older adults.
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Affiliation(s)
- Lisa A Thompson
- Geriatric Dental Fellowship, Harvard School of Dental Medicine, 188 Longwood Avenue, Boston, MA 02115, USA
| | - Helen Chen
- Hebrew SeniorLife, Boston, MA, USA; Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
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11
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Aguirre-López EC, Patiño-Marín N, Martínez-Castañón GA, Medina-Solís CE, Castillo-Silva BE, Cepeda-Argüelles O, Aguilera-Galaviz LA, Rosales-García P. Levels of matrix metalloproteinase-8 and cold test in reversible and irreversible pulpitis. Medicine (Baltimore) 2020; 99:e23782. [PMID: 33350764 PMCID: PMC7769305 DOI: 10.1097/md.0000000000023782] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Accepted: 11/15/2020] [Indexed: 11/26/2022] Open
Abstract
Researchers have reported false positive/negative results of the cold test in the diagnosis of pulpitis. Knowledge of the correlation between results of the cold test and proteins could aid in decreasing the frequency of incorrect diagnosis. To associate the levels of matrix metalloproteinase-8 (MMP-8) with the responses (in seconds) to the cold test in teeth diagnosed with reversible and irreversible pulpitis.A cross-sectional study was performed. A total of 150 subjects were evaluated, of which 60 subjects met the selection criteria. The participants were divided into 3 groups: Group 1, healthy pulps, 20 subjects with 20 posterior teeth (premolars) with clinically normal pulp tissue; Group 2, reversible pulpitis, 20 patients with 20 teeth diagnosed with reversible pulpitis; and Group 3, irreversible pulpitis, 20 subjects with 20 teeth diagnosed with irreversible pulpitis. All participants were evaluated based on the following variables: medical and dental history, cold test, and expression of MMP-8 by enzyme-linked immunosorbent assay in dentin samples.Responses to the cold test between 4 to 5 seconds (second evaluation; P < .0001) were associated with high levels of MMP-8 (mean, 0.36 ng/mL) in the reversible pulpitis group. In the irreversible pulpitis group, the responses from 6 to ≥10 seconds (second evaluation; P < .0001) were associated with a higher average of MMP-8 levels (mean, 1.97 ng/mL).We determined that an increase in the duration of response to the cold test was associated with an increase in MMP-8 levels (Rho = 0.81, P < .0001) in teeth with pulpitis. The above correlations can be considered an adjunct to the clinical diagnosis of pulpitis.
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Affiliation(s)
| | - Nuria Patiño-Marín
- Program of Doctorate in Dental Sciences, Department of Clinical Research
| | | | - Carlo Eduardo Medina-Solís
- Department of Dentistry, Institute of Health's Sciences, Autonomous University of The State of Hidalgo, Pachuca, Hidalgo
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Petrukhina NB, Zorina OA, Boriskina OA, Berkutova IS, Venediktova VA, Saltovets RR. [Clinical and radiological assessment of the anatomical and topographic structure of the root canals of teeth in patients of different age groups]. STOMATOLOGII︠A︡ 2020; 99:32-37. [PMID: 33034174 DOI: 10.17116/stomat20209905132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
THE AIM OF THE STUDY Was to identify the features of the anatomical structure of the root canals of teeth according to CBCT data in patients in different age groups. MATERIAL AND METHODS Patients of europeoid race, both sexes, who have indications for endodontic treatment (60 people), were divided into three groups: group 1 (young) 20 people aged 18 to 44 years, group 2 (middle age) 20 people - from 45 to 60 years, group 3 (elderly) 20 people - from 61 to 75 years old. To assess the root canal anatomy, all patients underwent x-ray examination (CT) on a Vatech computed tomography and analyzed with the Ez3D plus program before beginning endodontic treatment. The object of study was the first molars of the lower jaw (distal root canal). RESULTS The analysis of axial, sagittal, coronal sections of the first molar of the lower jaw revealed that patients belonging to the 1st group, the distal root canal often had an oval shape all over (95%) and over a wide apical opening, in only one case out of 20 (5%) were identified at slit-like form of the distal root canal, probably due to malocclusion or as a consequence of increased abrasion of teeth. In group 2, two independent root canals were identified in the distal root of the first lower molar (in 65%), extending from the tooth cavity to the apex.in 35% of cases, the distal root canal began with a single entrance in the oral part and bifurcated into two separate channels at about the level of 2 /3 canals, then re - joined into a single apical opening, in group 3, in 75% of cases, a slit-like form of the distal root canal was observed. The obtained CLCT data (taking into account the image error) were confirmed in the clinic at the stage of endodontic treatment using optical magnification (microscope). CONCLUSION CBCT and operation microscopy with x40 magnification data showed clear age-dependent variations of first lower molar distal root canal anatomy.
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Affiliation(s)
- N B Petrukhina
- National Medical Research Center of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - O A Zorina
- National Medical Research Center of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - O A Boriskina
- National Medical Research Center of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia.,I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - I S Berkutova
- National Medical Research Center of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia
| | - V A Venediktova
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
| | - R R Saltovets
- National Medical Research Center of Dental and Maxillofacial Surgery of Ministry of Health of the Russian Federation, Moscow, Russia
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Tavakolinejad Kermani M, Sanjari M, Nakhaei N, Parirokh M, Abbott P. Comparison of Pulp Sensibility Tests Responses in Type 2 Diabetes Patients and Healthy Individuals. J Endod 2020; 46:364-369. [DOI: 10.1016/j.joen.2019.11.016] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2019] [Revised: 10/18/2019] [Accepted: 11/29/2019] [Indexed: 02/08/2023]
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Castillo-Silva BE, Martínez-Jiménez V, Martínez-Castañón GA, Medina-Solís CE, Aguirre-López EC, Castillo-Hernández JR, Niño-Martínez N, Patiño-Marín N. Expression of calcitonin gene-related peptide and pulp sensitivity tests in irreversible pulpitis. Braz Oral Res 2019; 33:e077. [PMID: 31531564 DOI: 10.1590/1807-3107bor-2019.vol33.0077] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 06/11/2019] [Indexed: 11/22/2022] Open
Abstract
The aim of the present study was to identify the relationship between the expression of calcitonin gene-related peptide (CGRP) and the responses of pulp sensitivity tests in healthy pulps and irreversible pulps by performing a cross-sectional study on patients. Two hundred subjects were evaluated. A total of 75 subjects complied with the criteria. The participants were divided into two groups: a) Healthy pulp (subjects [n = 35] having posterior teeth with clinically normal pulp tissue), and b) Irreversible pulpitis (subjects [n = 40] having posterior teeth with irreversible pulpitis). All participants were evaluated using the following variables: a) medical and dental history, b) pulp sensitivity tests, c) expression of CGRP by the enzyme-linked immunosorbent assay (ELISA), and d) expression levels of mRNA CGRP and mRNA CGRP receptor genes. We determined that the responses of the cold test between 4 and ≥12 s presented a higher average of the expression of CGRP in the group having irreversible pulpitis (p = 0.0001). When we compared the groups with the value of the electrical impulse, we found statistically significant differences (p = 0.0001), observing positive responses to the test with electrical impulses of 7 to 10, with an average of 72.15 ng/mL of CGRP in the irreversible pulpitis group. High values of CGRP expression were observed in that group in the responses of pulp sensitivity.
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Affiliation(s)
- Brenda Eréndida Castillo-Silva
- University of San Luis Potosí, Program of Doctorate in Dental Sciences, Department of Clinical Research, San Luis Potosí, SLP, Mexico
| | - Verónica Martínez-Jiménez
- University of San Luis Potosí, Program of Doctorate in Dental Sciences, Department of Clinical Research, San Luis Potosí, SLP, Mexico
| | | | - Carlo Eduardo Medina-Solís
- Autonomous University of The State of Hidalgo, Institute of Health Sciences, Department of Dentistry, Pachuca, Hidalgo, Mexico
| | - Eva Concepción Aguirre-López
- University of San Luis Potosí, Program of Doctorate in Dental Sciences, Department of Clinical Research, San Luis Potosí, SLP, Mexico
| | | | - Nereyda Niño-Martínez
- University of San Luis Potosí, Program of Doctorate in Dental Sciences, San Luis Potosí, SLP, Mexico
| | - Nuria Patiño-Marín
- University of San Luis Potosí, Program of Doctorate in Dental Sciences, Department of Clinical Research, San Luis Potosí, SLP, Mexico
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15
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Castillo-Silva BE, Alegría-Torres JA, Martínez-Castañón GA, Medina-Solís CE, Zavala-Alonso NV, Niño-Martínez N, Aguirre-López EC, Patiño-Marín N. Diagnostic accuracy of three placement sites for the cold test in subjects amongst different age groups. BMC Oral Health 2019; 19:189. [PMID: 31426774 PMCID: PMC6700768 DOI: 10.1186/s12903-019-0878-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Accepted: 08/06/2019] [Indexed: 11/24/2022] Open
Abstract
Background The cold test is a specific test of pulp sensitivity and is part of the endodontic diagnosis. The aim of this study was to identify the diagnostic accuracy including sensitivity, specificity, accuracy, positive predictive value and negative predictive value in three sites for the cold test in teeth with a need for endodontic treatment within different age groups from both genders. Methods A cross-sectional study was performed, evaluating 425 subjects. Two hundred and fifty-eight subjects from both genders from the ages of 17–27, 28–39, 40–50, and 51–65 years-old participated in the study. The cold test studied was 1, 1, 1, 2-tetrafluoroethane, and the gold standard was established through direct pulp inspection. The sites evaluated in the study were: The sites evaluated in the study were: a) the middle third of the buccal surface; b) the cervical third of the buccal surface, and c) the middle third of the lingual surface. Results The highest diagnosted accuracy was observed on the middle third buccal surface with an accuracy of = 0.97, a sensitivity of = 1.00, a specificity of 0.95, a predictive value of = 0.95 and a negative predictive value of = 1.00. This was in the female group aged from 40 to 50 years old. Conclusion The tables of this study can be used as an auxiliary for pulp sensitivity tests.
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Affiliation(s)
- Brenda Eréndida Castillo-Silva
- Clinical Research Laboratory, Program of Doctorate in Dental Sciences, Faculty of Dentistry, San Luis Potosí University, Manuel Nava # 2. Zona Universitaria, PC 78290, San Luis Potosí, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Area of Dentistry of the Institute of Health's Sciences, Autonomous University of The State of Hidalgo, Pachuca, Hidalgo, Mexico
| | - Norma Verónica Zavala-Alonso
- Program of Doctorate in Dental Sciences, Faculty of Dentistry, San Luis Potosí University, San Luis Potosí, Mexico
| | - Nereyda Niño-Martínez
- Program of Doctorate in Dental Sciences, Faculty of Dentistry, San Luis Potosí University, San Luis Potosí, Mexico
| | - Eva Concepción Aguirre-López
- Clinical Research Laboratory, Program of Doctorate in Dental Sciences, Faculty of Dentistry, San Luis Potosí University, Manuel Nava # 2. Zona Universitaria, PC 78290, San Luis Potosí, Mexico
| | - Nuria Patiño-Marín
- Clinical Research Laboratory, Program of Doctorate in Dental Sciences, Faculty of Dentistry, San Luis Potosí University, Manuel Nava # 2. Zona Universitaria, PC 78290, San Luis Potosí, Mexico.
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Barczak K, Palczewska-Komsa M, Wilk A, Nowicka A, Buczkowska-Radlińska J, Wiszniewska B, Kotwas A. Pulp sensibility to electric stimuli in the Caucasian population. AUST ENDOD J 2019; 46:26-32. [PMID: 31116503 DOI: 10.1111/aej.12341] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2019] [Indexed: 11/29/2022]
Abstract
The aim of the study was to determine electric sensibility of the pulp in the Caucasian population depending on tooth morphotype, age and sex. Dental pulp sensibility was determined in 279 patients (2640 teeth). The study group consisted of 226 patients (1296 teeth), 110 men and 116 women aged 55-101. The control group consisted of 53 patients (1344 teeth), 23 men and 30 women aged 20-30. A statistically significant lower sensory threshold and increased pulp sensibility in the study group were noted. These affected the lower incisors, the second upper premolars and the first and second upper molar. The differences in the pulp sensibility were found in the region of maxillary central incisors, maxillary premolars, mandibular lateral incisors and mandibular premolars. The pulp sensibility threshold was lower for the aforementioned groups of teeth in the study group. The correlation between sensibility of the pulp and sex was not confirmed.
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Affiliation(s)
- Katarzyna Barczak
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University, Szczecin, Poland
| | - Mirona Palczewska-Komsa
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University, Szczecin, Poland
| | - Aleksandra Wilk
- Department of Histology and Embryology, Pomeranian Medical University, Szczecin, Poland
| | - Alicja Nowicka
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University, Szczecin, Poland
| | | | - Barbara Wiszniewska
- Department of Histology and Embryology, Pomeranian Medical University, Szczecin, Poland
| | - Artur Kotwas
- Department of Social Medicine and Public Health, Pomeranian Medical University, Szczecin, Poland
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de Paula B, Alencar C, Ortiz M, Couto R, Araújo J, Silva C. Effect of photobiomodulation with low-level laser therapy combined with potassium nitrate on controlling post-bleaching tooth sensitivity: clinical, randomized, controlled, double-blind, and split-mouth study. Clin Oral Investig 2018; 23:2723-2732. [PMID: 30361793 DOI: 10.1007/s00784-018-2715-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 10/17/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the effect of photobiomodulation with low-level laser therapy (PBM-LLLT) combined with 5% potassium nitrate (KNO3) on controlling tooth sensitivity (TS) after in-office tooth bleaching. MATERIALS AND METHODS Fifty volunteers were selected based on the inclusion and exclusion criteria and were randomly allocated into four groups: G1 (control): placebo gel application, 35% hydrogen peroxide bleaching (HP35) and mock PBM-LLLT without light emission; G2: placebo gel application, bleaching with HP35 and PBM-LLLT; G3: application of KNO3, bleaching with HP35 and mock PBM-LLLT; and G4: application of KNO3, bleaching with HP35 and PBM-LLLT. A pain assessment questionnaire was used to evaluate TS during the 21 days of treatment. The Friedman test was used for intragroup analysis, and the Wilcoxon and Mann-Whitney tests were used for intergroup comparisons. RESULTS The intragroup evaluation showed significant differences among the evaluation times in all groups (p ≤ 0.05). The highest pain sensitivity levels were recorded on the 1st, 8th, and 15th days. In G1, TS manifested for up to 3 days after each bleaching session, while G2, G3, and G4 presented TS only on the days of the bleaching sessions. Intergroup analysis showed that TS manifestation differed significantly between G1 and the other groups (p ≤ 0.05) but did not differ significantly among G2, G3, and G4 (p ≥ 0.05). CONCLUSION PBM-LLLT and KNO3 are effective at reducing pain sensitivity after tooth bleaching, but no synergistic effect between these treatments was observed for the different evaluation periods. CLINICAL RELEVANCE The effect of PBM-LLLT combined with KNO3 on post-bleaching tooth sensitivity is similar to their individual use alone.
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Affiliation(s)
- Brennda de Paula
- Graduate Program in Dentistry, Federal University of Pará, Belém, PA, Brazil
| | - Cristiane Alencar
- Graduate Program in Dentistry, Federal University of Pará, Belém, PA, Brazil
| | - Mariángela Ortiz
- Graduate Program in Dentistry, Federal University of Pará, Belém, PA, Brazil
| | - Roberta Couto
- Graduate Program in Dentistry, Federal University of Pará, Belém, PA, Brazil
| | - Jesuína Araújo
- School of Dentistry, Federal University of Pará, Belém, PA, Brazil
| | - Cecy Silva
- Graduate Program in Dentistry, Federal University of Pará, Belém, PA, Brazil. .,Faculdade de Odontologia, Universidade Federal do Pará, Avenida Augusto Correa, no 1, Guamá, Belém, PA, 66075-110, Brazil.
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18
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Carvalho TS, Lussi A. Age-related morphological, histological and functional changes in teeth. J Oral Rehabil 2017; 44:291-298. [DOI: 10.1111/joor.12474] [Citation(s) in RCA: 69] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2016] [Indexed: 11/30/2022]
Affiliation(s)
- T. S. Carvalho
- Department of Preventive, Restorative and Pediatric Dentistry; University of Bern; Bern Switzerland
| | - A. Lussi
- Department of Preventive, Restorative and Pediatric Dentistry; University of Bern; Bern Switzerland
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Hourfar J, Bister D, Lisson JA, Ludwig B. Incidence of pulp sensibility loss of anterior teeth after paramedian insertion of orthodontic mini-implants in the anterior maxilla. Head Face Med 2017; 13:1. [PMID: 28061791 PMCID: PMC5217250 DOI: 10.1186/s13005-016-0134-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 12/21/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this retrospective investigation was to evaluate the incidence of loss to pulp sensibility testing (PST) of maxillary front teeth after paramedian (3 to 5 mm away from the suture) orthodontic mini-implant (OMI) insertion in the anterior palate. METHODS A total of 284 patients (102 males, 182 females; mean age was 14.4 years (±8.8) years at time of OMI-Insertion) with a total of 568 OMIs (1.7 mm diameter, length 8 mm) were retrospectively investigated. A binomial regression analysis was performed to explore covariates, such as age, gender, inclination of upper central incisors, dentition status and insertion position of OMIs that could have contributed to loss of sensibility. Statistical significance was set at p < 0.05. RESULTS Loss of response to PST was encountered during retention in 3 out of 284 patients and the respective OMIs had been placed at height of the second rugae (R-2). Affected teeth were a right canine, a left lateral and a left central incisor. Subsequent root canal treatment was successful. Results of the binomial regression analysis revealed that the covariate insertion position (R-2) of OMIs (p = 0.008) had statistically significant influence on loss of response to PST. CONCLUSIONS (1) Although there was no radiographic evidence for direct root injury, the proximity of the implants to the anterior teeth was nevertheless statistically related to loss of PST. (2) In all cases of PST loss OMIs were inserted at the second rugae. Therefore OMIs should be placed either more posteriorly, at the third rugae or in the median plane. (3). Loss of PST was not increased for patients with palatal OMI (0.18%) compared to samples without OMI (0.25%).
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Affiliation(s)
- Jan Hourfar
- Department of Orthodontics, University of Heidelberg, Heidelberg, Germany
| | - Dirk Bister
- Department of Orthodontics, Guy's and St Thomas' NHS Foundation Trust and King's College Dental Institute, London, UK
| | - Jörg A Lisson
- Department of Orthodontics, University of Saarland, Homburg/Saar, Germany
| | - Björn Ludwig
- Department of Orthodontics, University of Saarland, Homburg/Saar, Germany. .,Private Practice, Am Bahnhof 54, 56841, Traben-Trarbach, Germany.
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20
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Gomes MS, Böttcher DE, Scarparo RK, Morgental RD, Waltrick SBG, Ghisi AC, Rahde NM, Borba MG, Blomberg LC, Figueiredo JAP. Predicting pre- and postoperative pain of endodontic origin in a southern Brazilian subpopulation: an electronic database study. Int Endod J 2016; 50:729-739. [DOI: 10.1111/iej.12684] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 08/11/2016] [Indexed: 01/19/2023]
Affiliation(s)
- M. S. Gomes
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
- Medical and Dental Center of the Military Police of Rio Grande do Sul; Porto Alegre Brazil
| | - D. E. Böttcher
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
| | - R. K. Scarparo
- Department of Conservative Dentistry; School of Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - R. D. Morgental
- Department of Semiology and Clinics; School of Dentistry; Federal University of Pelotas; Rio Grande do Sul Brazil
| | - S. B. G. Waltrick
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
| | - A. C. Ghisi
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
| | - N. M. Rahde
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
| | - M. G. Borba
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
| | - L. C. Blomberg
- Biomedical Informatics; Federal University of Health Sciences of Porto Alegre; Porto Alegre Brazil
| | - J. A. P. Figueiredo
- Clinical Department; School of Dentistry; Pontifical Catholic University of Rio Grande do Sul; Porto Alegre Brazil
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21
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Age-related Changes in the Alkaline Phosphatase Activity of Healthy and Inflamed Human Dental Pulp. J Endod 2016; 42:131-4. [DOI: 10.1016/j.joen.2015.10.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Revised: 09/30/2015] [Accepted: 10/01/2015] [Indexed: 11/21/2022]
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Abstract
Patients are living longer and the rate of edentulism is decreasing. Endodontic treatment is an essential part of maintaining the health and well-being of the elderly. Retention of natural teeth improves the quality of life and the overall health and longevity of ageing patients. Also, teeth that might be otherwise extracted may be strategically valuable to retain a prosthesis, and elderly patients are more likely to have medical complications that may prevent dental extractions from being safely performed. The technical goals of endodontic treatment in the elderly are the same as those for younger patients. However, the pulpo-dentinal complex undergoes calcific changes over time, which may pose challenges for the clinician. The purposes of this review are to discuss age changes in the pulp and the challenges posed by diagnosing, treatment planning and treating the elderly endodontic patient.
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Affiliation(s)
- M Johnstone
- Melbourne Dental School, The University of Melbourne, Victoria, Australia
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23
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24
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Abrams AP, Thompson LA. Physiology of aging of older adults: systemic and oral health considerations. Dent Clin North Am 2014; 58:729-738. [PMID: 25201538 DOI: 10.1016/j.cden.2014.06.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This article reviews the concepts of physiologic reserve, the principles of the normative aging process as exemplified by the cardiovascular, neurologic, and musculoskeletal systems. How these principles apply to oral health, and age-related changes in the oral cavity itself, is reviewed and suggests how they may affect disease management by oral health care providers. It does not focus on diseases related to aging, but rather aims to explore the normal physiologic changes associated with aging dentition and systemic changes related to age, thus enabling clinicians to obtain a better understanding of the presentation of older adults and how it may change their approach to diagnosis and treatment.
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Affiliation(s)
- Alan P Abrams
- Geriatric Medical Fellowship Program, Division of Gerontology, Beth Israel Deaconess Medical Center, 110 Francis Street, Boston, MA 02115, USA; Harvard Medical School, Boston, MA 02115, USA.
| | - Lisa A Thompson
- Fellowship in Geriatric Dentistry, Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, 188 Longwood Avenue, Boston, MA 02115, USA
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Levin LG. Pulp and periradicular testing. J Endod 2014; 39:S13-9. [PMID: 23439039 DOI: 10.1016/j.joen.2012.11.047] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2012] [Revised: 11/21/2012] [Accepted: 11/26/2012] [Indexed: 11/19/2022]
Abstract
Pulp and periradicular testing is crucial to the initial trauma evaluation and to subsequent monitoring of the traumatized teeth and supporting structures. An accurate diagnosis serves as the basis for therapeutic intervention and helps to ensure that destruction of the dental structures will be minimized and function will be regained. The purpose of this review is to present the current best evidence for accurate diagnostic testing of the pulp and periapex of traumatized teeth. Five databases were searched for literature pertaining to pulpal testing and trauma. Widely recognized textbooks were also consulted. Currently used pulp vitality testing is constrained by its subjective character and by the fact that it is a measure of neuronal status and not true pulpal viability. Tests that measure tissue perfusion more accurately reflect pulpal vitality, but they are not available commercially. This review discusses the specificity, sensitivity, and accuracy of commonly used tests, with emphasis on the applicability of certain tests to specific patient presentations in trauma. Factors that influence test selection are discussed, and specific recommendations are made on the basis of best evidence. Although differences exist between the various studies as to the accuracy of commonly used pulpal and periradicular tests, most of these have acceptable predictive value. Pulpal and periradicular tests in the trauma patient should be used in conjunction with clinical and radiographic observations to arrive at a diagnosis and treatment plan.
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Affiliation(s)
- Linda Gibson Levin
- University of North Carolina School of Dentistry, Chapel Hill, North Carolina, USA.
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