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Balto H, Bekhit MS, Auda SH, Elansary A, Bhat RS, Marraiki N, Al-Hadlaq S. Synergistic effect of Salvadora persica and chitosan nanoparticles against oropharyngeal microorganisms. Sci Rep 2024; 14:12997. [PMID: 38844768 PMCID: PMC11156879 DOI: 10.1038/s41598-024-63636-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 05/30/2024] [Indexed: 06/09/2024] Open
Abstract
Herbal medicine combined with nanoparticles has caught much interest in clinical dental practice, yet the incorporation of chitosan with Salvadora persica (S. persica) extract as an oral care product has not been explored. The aim of this study was to evaluate the combined effectiveness of Salvadora persica(S. persica) and Chitosan nanoparticles (ChNPs) against oropharyngeal microorganisms. Agar well diffusion, minimum inhibitory concentration, and minimal lethal concentration assays were used to assess the antimicrobial activity of different concentrations of ethanolic extracts of S. persica and ChNPs against selected fungal strains, Gram-positive, and Gram-negative bacteria. A mixture of 10% S. persica and 0.5% ChNPs was prepared (SChNPs) and its synergistic effect against the tested microbes was evaluated. Furthermore, the strain that was considered most sensitive was subjected to a 24-h treatment with SChNPs mixture; and examined using SEM, FT-IR and GC-MS analysis. S. persica extract and ChNPs exhibited concentration-dependent antimicrobial activities against all tested strains. S. persica extract and ChNPs at 10% were most effective against S. pneumoni, K. pneumoni, and C. albicans. SEM images confirmed the synergistic effect of the SChNPs mixture, revealing S. pneumonia cells with increased irregularity and higher cell lysis compared to the individual solutions. GC-MS and FT-IR analysis of SChNPs showed many active antimicrobial phytocompounds and some additional peaks, respectively. The synergy of the mixture of SChNPs in the form of mouth-rinsing solutions can be a promising approach for the control of oropharyngeal microbes that are implicated in viral secondary bacterial infections.
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Affiliation(s)
- Hanan Balto
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 62645, 11595, Riyadh, Saudi Arabia
| | - Mounir Salim Bekhit
- Department of Pharmaceutics, College of Pharmacy, King Saud University, 12372, Riyadh, Saudi Arabia
| | - Sayed H Auda
- Department of Pharmaceutics, College of Pharmacy, King Saud University, 12372, Riyadh, Saudi Arabia
| | - Afaf Elansary
- Central Research Laboratory, Female Campus, King Saud University, Riyadh, Saudi Arabia
| | - Ramesa Shafi Bhat
- Department of Biochemistry, College of Science, King Saud University, 11451, Riyadh, Saudi Arabia
| | - Najat Marraiki
- Department of Botany and Microbiology, College of Science, King Saud University, P.O. Box 2455, 11451, Riyadh, Saudi Arabia
| | - Solaiman Al-Hadlaq
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P.O. Box 62645, 11595, Riyadh, Saudi Arabia.
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Chibuye B, Singh IS. Integration of local knowledge in the secondary school chemistry curriculum - A few examples of ethno-chemistry from Zambia. Heliyon 2024; 10:e29174. [PMID: 38633622 PMCID: PMC11021971 DOI: 10.1016/j.heliyon.2024.e29174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 03/21/2024] [Accepted: 04/02/2024] [Indexed: 04/19/2024] Open
Abstract
Before formally introducing chemistry in schools, Africans practiced it as ethnochemistry as they lived in their ethnic groupings. To a large extent, it may be true for other ethnic groups and communities across the globe as well. This study aimed to document a drop from the ocean of ethnochemistry knowledge that people in Zambia practiced in the past and modern times to use such ethnochemistry knowledge to teach chemistry in ethnically responsive ways. Further, this study sought to raise the profile of indigenous cultural knowledge in the globalized world dominated by modernity. Ethnography research design was used including unstructured interviews for data collection. This study purposively selected twenty (20) research participants using snowball sampling. Results show that many relevant ethnochemistry practices in Zambia can be used to grow the national economy, enrich the teaching of Secondary School Chemistry to ethnically diverse students, and generate secondary school students' interest and better familiarity with Chemistry.
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Affiliation(s)
- Bitwell Chibuye
- Department of Chemistry Education, School of Education, Mukuba University, Kitwe, PO Box 20382, Itimpi Campus, Zambia
- Department of Chemistry, School of Mathematics and Natural Sciences, The Copperbelt University, PO box 21692, Kitwe, Zambia
| | - Indra Sen Singh
- Department of Chemistry, School of Mathematics and Natural Sciences, The Copperbelt University, PO box 21692, Kitwe, Zambia
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Azizan NF, Mohd N, Nik Azis NM, Baharin B. Effectiveness of Salvadora persica toothbrush and Salvadora persica chewing stick in plaque and gingivitis control: a randomized control trial. BMC Complement Med Ther 2023; 23:456. [PMID: 38098022 PMCID: PMC10720088 DOI: 10.1186/s12906-023-04295-z] [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: 09/14/2023] [Accepted: 12/05/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND The values of plant-based products have taken on an expanding relevance in dentistry. Salvadora persica chewing stick (miswak) has been practiced for centuries and is recommended by the World Health Organization as a customary oral hygiene tool. The therapeutic effects of S. persica chewing stick are contributed by its mechanical cleansing action, active chemicals released, or the combination of these two actions. However, the S. persica chewing stick in its natural form can be difficult to maneuver in certain parts of the mouth. This concern has inspired the innovation of the S. persica toothbrush that is designed to merge the ease of use of a toothbrush with the beneficial natural properties of S. persica preserved in its bristle. The present study aimed to compare the clinical effectiveness between S. persica toothbrush, S. persica chewing stick and the standard toothbrush in plaque and gingivitis control. METHODS In this single-blinded and parallel randomized controlled trial, 78 participants were randomly divided into three groups to either use (i) S. persica toothbrush (MTB); (ii) S. persica chewing stick (MCS); or (iii) standard toothbrush (STB) in a standardized manner for three weeks. Plaque Index (PI) and Periodontal Inflamed Surface Area (PISA) values, measuring plaque levels and severity of gingivitis, respectively, were evaluated at baseline, one- and three-week post-interventions. RESULTS The MCS group showed a significant improvement in the mean PISA values of the anterior teeth compared to the MTB and STB groups (MCS: from 16.35 ± 10.03 to 3.41 ± 1.14; MTB: from 25.20 ± 14.01 to 3.57 ± 1.19; STB: from 26.54 ± 8.64 to 6.17 ± 0.86; p < .050). All three groups reported significant improvements (p < .001) in the plaque levels and the severity of gingivitis from baseline to three weeks after the intervention. CONCLUSIONS Following correct techniques, S. persica toothbrush and chewing sticks are as effective as the standard toothbrush in plaque control and gingival health, which represent the reputed anti-plaque and anti-gingivitis properties of S. persica. TRIAL REGISTRATION This clinical trial was prospectively registered in ClinicalTrials.gov with registration NCT04650685 (25/11/2020).
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Affiliation(s)
- Nurul Fatin Azizan
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia
| | - Nurulhuda Mohd
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
| | - Nik Madihah Nik Azis
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia
| | - Badiah Baharin
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia
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Shaalan O, El-Rashidy A. Antibacterial Effect of Miswak herbal toothpaste Compared to Fluoride Toothpaste in High Caries Risk Patients: Randomized Clinical Trial. J Clin Exp Dent 2023; 15:e526-e534. [PMID: 37519323 PMCID: PMC10382162 DOI: 10.4317/jced.60332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 05/22/2023] [Indexed: 08/01/2023] Open
Abstract
Background Modern toothbrushes origin can be traced to plant-derived chewing sticks, which were documented to be used Babylonians as early as 3500 BC. Chewing sticks are routinely used for cleaning teeth in Asia, Africa, South America, and the Middle East. The aim of the current study was to evaluate the antibacterial effect of miswak herbal toothpaste compared to fluoride toothpaste using a normal toothbrush, against Streptococcus mutans in high caries risk patients. Material and Methods A total of 32 participants were recruited to the current clinical trial using convenience sampling randomly either to miswak or fluoride toothpastes groups (n=16). The bacterial count represented as colony-forming units per milliliter (CFU/ml) was assessed at baseline and after 1 week, 1 month and 3 months. Moreover, the ion release for silicone, calcium, phosphorus, and fluoride from both toothpastes was analyzed in addition to the pH of both toothpastes and their supernatants. Intergroup comparison was performed using independent t test, while intragroup comparison was performed using repeated measures ANOVA followed by tukey post-hoc test and paired t test when appropriate. Results There was no statistically significant difference between both toothpastes for the S. mutans count within each follow up period, however the bacterial count significantly decreased over time in both groups. Signal Fluoride toothpaste exhibited statistically significant higher ion release when compared to the Dabur Miswak toothpaste. There was no statistically significant difference between either toothpastes regarding pH (P = 0.5368), while comparison between supernatants of toothpastes have shown statistically significant difference (P = 0.0194), with a higher pH in miswak toothpaste. Conclusions Miswak herbal toothpaste possesses a potent antibacterial effect, yet its remineralization potential is questionable due to its inferior ion release that will affect the ion substantivity in saliva, which is an important factor in remineralization. Key words:High caries risk, Miswak, Fluoride, Antibacterial, Streptococcus mutans.
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Affiliation(s)
- Omar Shaalan
- Lecturer, Department of Conservative Dentistry, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Aiah El-Rashidy
- Lecturer, Department of Biomaterials, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Rafiqah SA, Diyana AFN, Abdan K, Sapuan SM. Effect of Alkaline Treatment on Mechanical and Thermal Properties of Miswak ( Salvadora persica) Fiber-Reinforced Polylactic Acid. Polymers (Basel) 2023; 15:polym15092228. [PMID: 37177374 PMCID: PMC10181446 DOI: 10.3390/polym15092228] [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: 04/09/2023] [Revised: 05/02/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023] Open
Abstract
This study examines the effects of alkaline treatment on the mechanical and thermal properties of miswak fiber-reinforced polylactic acid. The treatment was performed with three distinct concentrations of sodium hydroxide (NaOH): 1 wt %, 2 wt %, and 3 wt %. The difficulties of interaction between the surface of the fiber and the matrix, which led to this treatment, is caused by miswak fiber's hydrophilic character, which impedes its ability to bind with hydrophobic polylactic acid. FTIR, tensile, TGA, and DMA measurements were used to characterize the composite samples. A scanning electron microscope (SEM) was used to examine the microstructures of many broken samples. The treatment is not yet especially effective in enhancing interfacial bonding, as seen by the uneven tensile strength data. The effect of the treated fiber surface significantly improves the tensile strength of miswak fiber-reinforced PLA composites. Tensile strength improves by 18.01%, 6.48%, and 14.50%, respectively, for 1 wt %, 2 wt %, and 3 wt %. Only 2 wt %-treated fiber exhibits an increase of 0.7% in tensile modulus. The modulus decreases by 4.15 % at 1 wt % and by 19.7% at 3 wt %, respectively. The TGA curve for alkali-treated fiber composites demonstrates a slight increase in thermal stability when compared to untreated fiber composites at high temperatures. For DMA, the composites with surface treatment have higher storage moduli than the composite with untreated miswak fiber, especially for the PLA reinforced with 2 wt % alkali miswak fiber, proving the effectiveness of the treatment.
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Affiliation(s)
- S Ayu Rafiqah
- Institute of Tropical Forestry and Forest Products (INTROP), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - A F Nur Diyana
- Institute of Tropical Forestry and Forest Products (INTROP), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - Khalina Abdan
- Institute of Tropical Forestry and Forest Products (INTROP), Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
- Department of Agriculture and Biotechnological Engineering, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
| | - S M Sapuan
- Department of Mechanical and Manufacturing Engineering, Universiti Putra Malaysia, Serdang 43400, Selangor, Malaysia
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Vasudevan R, Kandasamy G, Aldahish A, Almanasef M, Khobrani M, Shorog E, Prabahar K, Mohammed Alsawaq E, Wahab S, Begum MY, Paulsamy P. Antidepressant and Anxiolytic Potentials of the Chewing Stick, Salvadora persica. J Trop Med 2023; 2023:9683240. [PMID: 37096220 PMCID: PMC10122599 DOI: 10.1155/2023/9683240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 01/10/2023] [Accepted: 04/06/2023] [Indexed: 04/26/2023] Open
Abstract
Materials and Methods Salvadora persica stem bark was extracted with two different solvents, i.e., ethyl acetate and water, and preliminary phytochemical screening was performed. Two behavioral models were used: an elevated plus maze test (EPM) and the light and dark model test for anxiolytic parameters, and a forced swim test (FST) for antidepressant effects. Healthy mice weighing 18-40 gms were treated orally in four groups (n = 6), i.e., negative control treated with normal saline and positive control with 1 mg/kg diazepam (EPM) and 30 mg/kg fluoxetine (FST), and the test groups were treated with 500 mg/kg of aqueous and ethyl acetate Sp extract. The number of entries and duration spent in the open arm for 5 minutes were the parameters for evaluating the anxiolytic activity (EPM). Duration of immobility was measured for 5 min in the FST model. Results In EPM, both the Sp extracts significantly (p < 0.005) increased the number of entries and the time spent in the open arms and was much similar to those of diazepam. Similarly, these extracts and fluoxetine significantly (p < 0.005) decreased the immobility time in FST. Conclusion The results suggest the therapeutic potential of Salvadora persica an alternative in the management of comorbid anxiety and depression.
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Affiliation(s)
- Rajalakshimi Vasudevan
- Department of Pharmacology and Toxicology, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Geetha Kandasamy
- Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Afaf Aldahish
- Department of Pharmacology and Toxicology, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Mona Almanasef
- Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Moteb Khobrani
- Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Eman Shorog
- Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Kousalya Prabahar
- Department of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia
- Department of Pharmacy Practice, Faculty of Pharmacy, Dr. M.G.R Educational and Research Institute, Velappanchavadi, Chennai, Tamil Nadu, India
| | - Enas Mohammed Alsawaq
- Department of Pharmacology and Toxicology, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
| | - Shadma Wahab
- Department of Pharmacognosy, College of Pharmacy, King Khalid University, Saudi Arabia
| | - M. Yasmin Begum
- Department of Pharmaceutics, College of Pharmacy, King Khalid University, Abha, Saudi Arabia
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Mohany M, Al-zharani M, Nasr FA, El-Wetidy MS, Farag M, Abdel-Mageed WM, El-Gamal A, Al-Rejaie SS, Noman OM, Qurtam AA, Rudayni HA, Aleissa MS. Persicaline, an alkaloid from Salvadora persica, inhibits proliferation and induces apoptosis and cell-cycle arrest in MCF-7 cells. OPEN CHEM 2023. [DOI: 10.1515/chem-2022-0302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
Abstract
Abstract
Cancer is the second largest cause of mortality worldwide. Many natural bioactive chemicals generated from plants have favorable impacts on health, including cancer chemoprevention, compared to their manufactured counterparts. Persicaline, a novel sulfur-containing imidazoline alkaloid derived from Salvadora persica, has been shown to display promising antioxidant activity. In this study, the antiproliferative activity of persicaline was tested against different cancer cells using (3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide assay. The cell death mode and cell-cycle arrest were examined using flow cytometry analysis. In addition, the proapoptotic and molecular mechanism effects of persicaline against mammary MCF-7 cell line were explored. Furthermore, the impact of persicaline on apoptotic genes markers, generation of reactive oxygen species (ROS), and mitochondrial membrane potential were monitored. It was found that persicaline inhibits cell proliferation in a dose-dependent manner. Persicaline-treated MCF-7 cells also showed initiation of apoptotic events and G1 cell-cycle arrest. In addition, persicaline treatment led to an increase in ROS generation, Bax and caspase upregulation while the Bcl-2 was downregulated. Hence, for the first time, this study showed that persicaline causes G1 phase arrest and apoptosis induction in MCF-7 cells. Increased proapoptotic genes and ROS levels were required for the antiproliferative and apoptotic effects of persicaline.
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Affiliation(s)
- Mohamed Mohany
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University , P.O. Box 55760 , Riyadh – 1145 , Saudi Arabia
| | - Mohammed Al-zharani
- Biology Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU) , Riyadh 11623 , Saudi Arabia
| | - Fahd A. Nasr
- Department of Pharmacognosy, College of Pharmacy, King Saud University , P.O. Box 2457 , Riyadh 11451 , Saudi Arabia
| | - Mohammad S. El-Wetidy
- College of Medicine, Research Center, King Saud University , P.O. Box 2925 , Riyadh 11451 , Saudi Arabia
| | - Mohamed Farag
- Department of Pharmacognosy, College of Pharmacy, King Saud University , P.O. Box 2457 , Riyadh 11451 , Saudi Arabia
| | - Wael M. Abdel-Mageed
- Department of Pharmacognosy, College of Pharmacy, King Saud University , P.O. Box 2457 , Riyadh 11451 , Saudi Arabia
| | - Ali El-Gamal
- Department of Pharmacognosy, College of Pharmacy, King Saud University , P.O. Box 2457 , Riyadh 11451 , Saudi Arabia
| | - Salim S. Al-Rejaie
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University , P.O. Box 55760 , Riyadh – 1145 , Saudi Arabia
| | - Omar M. Noman
- Department of Pharmacognosy, College of Pharmacy, King Saud University , P.O. Box 2457 , Riyadh 11451 , Saudi Arabia
| | - Ashraf Ahmed Qurtam
- Biology Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU) , Riyadh 11623 , Saudi Arabia
| | - Hassan A. Rudayni
- Biology Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU) , Riyadh 11623 , Saudi Arabia
| | - Mohammed S. Aleissa
- Biology Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU) , Riyadh 11623 , Saudi Arabia
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Physical, Mechanical, and Thermal Properties and Characterization of Natural Fiber Composites Reinforced Poly(Lactic Acid): Miswak (Salvadora Persica L.) Fibers. INT J POLYM SCI 2022. [DOI: 10.1155/2022/7253136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
7000 years ago, miswak fiber (MF) was used as a toothbrush for oral care. However, since the emergence of plastic materials, it monopolized the oral care industry. The increment of plastic products also promotes accumulation of plastic wastes after its disposal. Thus, many researchers have turn to biodegradable products to reduce this problem. The aim of this study is to investigate the chemical, physical, and mechanical properties of MF as reinforcement in composites that are suitable to replace the toothbrush materials. The MF was reinforced in PLA composite with different weight percentage (0%, 10%, 20%, and 30%) and undergoes several types of testing. The chemical results show that there were high presence of cellulose in the fiber which could act as medium to transfer stress load equally from fiber to matrix. However, the results show low cellulosic contents in MF that affects the poor interfacial bonding between fiber and matrix. Physical properties shows a positive indication to be used as a toothbrush handle. As the fiber content increases, the density also increased. SEM micrographic illustrated the presence of voids as the cause for reduction in mechanical properties of composites. The mechanical results show the proposed material is comparable to the materials used in commercial applications. As for the thermal result, the TGA test melting point of the proposed composite material was comparable to the pure PLA, which means the proposed material can use similar processing temperature as PLA. DSC shows that Tg of PLA/MF composite is found to be similar to Tg in loss modulus of composites. DMA finding found that PLA/MF30 have the highest storage modulus 2062 MPa and the lowest tan δ 0.6 among PLA/MF composites. This concludes that there is a possibility of using these materials as an alternative in composites and increase the fiber strength by using pretreatments and/or compatibilizer.
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Khan AJ, Md Sabri BA, Ahmad MS. Factors affecting provision of oral health care for people with special health care needs: A systematic review. Saudi Dent J 2022; 34:527-537. [PMID: 36267535 PMCID: PMC9577340 DOI: 10.1016/j.sdentj.2022.08.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 08/23/2022] [Accepted: 08/24/2022] [Indexed: 11/24/2022] Open
Abstract
Background Special health care needs (SHCNs) individuals experience higher levels of dental problems including accessing oral health (OH) facilities. Improving standard of OH care in SHCNs requires identifying barriers and enablers. The aim of this study was to perform a systematic review of prior researches to identify OH care barriers and enablers for SHCN individuals. Methods Electronic searching was conducted systematically in PubMed and Cochrane databases. The PICOS parameters were formulated for the inclusion of studies, and the PRISMA method was used to select the articles. Two reviewers independently screened the articles for eligibility and to minimise the risk of bias in the studies and also searched the contents of key articles, quality of methodology, outcomes and reference lists of all the studies included. Results A total of 1316 (PubMed 956, Cochrane 360) studies were found initially and after title and abstract screening and also removal of duplication, reviewers selected 53 papers from PubMED and 19 articles from Cochrane to go through full articles and led to the final confirmation of 21 studies. Common challenges included lack of OH knowledge and awareness, difficulty in accessing treatment, transportation problem, treatment cost, and lack of inter-professional collaboration for specialized services. Potential solutions included OHE training and services for patients and caregivers, easy access to dental services, specialized dental practitioners and use of a combination of expertise to meet the demands of SHCN individuals. Conclusion This brief analysis will establish dental obstacles to the provision of information to policymakers for SHCN population at organizational, individuals and policy levels. It will help in effective planning for providing and improving OH care quality in caregivers.
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Affiliation(s)
- Afsary Jahan Khan
- Faculty of Dentistry, Universiti Teknologi MARA (UiTM), 47000 Sungai Buloh, Selangor, Malaysia
| | - Budi Aslinie Md Sabri
- Centre of Population Oral Health and, Clinical Prevention, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), 47000 Sungai Buloh, Selangor, Malaysia
| | - Mas Suryalis Ahmad
- Centre of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), 47000 Sungai Buloh, Selangor, Malaysia
- Corresponding author at: Centre of Comprehensive Care Studies, Faculty of Dentistry, Universiti Teknologi MARA (UiTM), 47000 Sungai Buloh, Selangor, Malaysia.
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Bokhary T, Refaat B, Bakr ES, Baz S, Rajab B, Gadalla H, El-Boshy M. Salvadora persica extract attenuates cyclophosphamide-induced hepatorenal damage by modulating oxidative stress, inflammation and apoptosis in rats. JOURNAL OF INTEGRATIVE MEDICINE 2022; 20:348-354. [PMID: 35643766 DOI: 10.1016/j.joim.2022.05.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Accepted: 11/11/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Salvadora persica (SP) is used as a food additive and is a common ingredient in folk medicine. This study investigates the antioxidant, anti-inflammatory, and beneficial effects of SP against cyclophosphamide (CYP) toxicity in rats. METHODS In a 10-day study, 32 male rats were equally allocated into 4 groups (8 rats/group) as follows: the normal control (NC group), normal rats that only received oral aqueous extract of SP (100 mg/[kg·d]; SP group), animals treated with intraperitoneal CYP injections (30 mg/[kg·d]; CYP group), and the CYP + SP group that concurrently received CYP with SP aqueous extract. Serum samples were collected to measure the liver and renal biochemical profiles, as well as antioxidant and oxidative stress markers and the concentrations of interleukin-1β (IL-1β), IL-6, IL-10, tumor necrosis factor-α (TNF-α), nuclear factor-κB (NF-κB) and adenosine 5'-monophosphate-activated protein kinase (AMPK). Hepatic and renal tissues were also harvested for histopathology and to measure apoptosis using the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling technique, alongside tissue levels of oxidative stress markers. RESULTS Liver enzymes, total bilirubin, creatinine and urea, as well as serum IL-1β, IL-6, TNF-α and NF-κB increased significantly, whilst total protein, albumin, calcium, IL-10 and AMPK declined in serum of the CYP group relative to the NC group. The hepatorenal concentrations of glutathione, glutathione peroxidase and catalase declined markedly in the CYP group, whereas malondialdehyde, protein adducts, and apoptosis index increased compared with the NC group. By contrast, the hepatorenal biochemistry and apoptosis index of the SP group were comparable to the NC group. Interestingly, the CYP + SP group had significant improvements in the liver and renal biochemical parameters, enhanced anti-oxidative and anti-inflammatory effects, and marked declines in hepatic and renal apoptosis relative to the CYP group. Moreover, all monitored parameters were statistically indistinguishable between the CYP + SP group and the NC group. CONCLUSION This study suggests that the aqueous extract of SP could be a potential remedy against CYP-induced hepatorenal damage and may act by modulating the AMPK/NF-κB signaling pathway and promoting anti-oxidative and anti-inflammatory activities.
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Affiliation(s)
- Thalat Bokhary
- Department of Immunology and Hematology, Faculty of Medicine, Umm Al-Qura University, Makkah 21955, Saudi Arabia
| | - Bassem Refaat
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 7607, Saudi Arabia
| | - El-Sayed Bakr
- Clinical Nutrition Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 7607, Saudi Arabia
| | - Sameh Baz
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 7607, Saudi Arabia
| | - Bodour Rajab
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 7607, Saudi Arabia
| | - Hossam Gadalla
- Clinical Pathology Department, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt
| | - Mohamed El-Boshy
- Department of Laboratory Medicine, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah 7607, Saudi Arabia; Clinical Pathology Department, Faculty of Veterinary Medicine, Mansoura University, Mansoura 35516, Egypt.
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Efficacy of Salvadora persica Root Extract as an Endodontic Irrigant- An In-vitro evaluation. J Herb Med 2022. [DOI: 10.1016/j.hermed.2022.100564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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12
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Hamidian K, Sarani M, Barani M, Khakbaz F. Cytotoxic performance of green synthesized Ag and Mg dual doped ZnO NPs using Salvadora persica extract against MDA-MB-231 and MCF-10 cells. ARAB J CHEM 2022. [DOI: 10.1016/j.arabjc.2022.103792] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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13
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Duarte K, Thomas B, Varma SR, Kamath V, Shetty B, Kuduruthullah S, Nambiar M. Antiplaque Efficacy of a Novel Moringa oleifera Dentifrice: A Randomized Clinical Crossover Study. Eur J Dent 2022; 16:768-774. [PMID: 35016231 DOI: 10.1055/s-0041-1736418] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVES The use of herbal dentifrices has grown exponentially over the years. They are categorically referred to as ethnomedicines. Various agents have been tried with contradicting findings based on phytopharmacological analysis. Miswak is one agent which has been used over the years. A novel Moringa oleifera-based dentifrice has shown promising results in terms of its cytotoxicity, biocompatibility, and as a potent anti-inflammatory agent. Therefore, the present study aims to compare the efficacy of two commercially available miswak- and moringa-based herbal dentifrices on the reduction of plaque and gingivitis scores. MATERIALS AND METHODS This randomized clinical crossover study included 20 subjects with mild to moderate gingivitis. The study was conducted over a total examination period of 20 days with a wash-out period of 2 weeks between the use of both the toothpastes. The plaque index and gingival index of the study subjects were recorded at the designated time intervals throughout the study period. STATISTICAL ANALYSIS The data collected were entered on Microsoft Excel, and statistical analysis using SPSS software (SPSS version 28, IBM Corp, Armonk, New York, United States) was done. The statistical test used was the Wilcoxon signed-rank test. Moreover, p ≤0.05 was considered significant. RESULTS The results showed that the reduction in mean gingival index scores from baseline to day 3 was more statistically significant in the moringa-based dentifrice. Similarly, the plaque index scores showed statistically significant reduction following the use of the moringa-based dentifrice when compared with the miswak dentifrice. This study reveals that the moringa dentifrice is a safe and effective agent in reducing plaque accumulation and treating gingival inflammation. CONCLUSION The current study aims to provide an insight into the possible role of moringa dentifrice as a possible adjunctive oral hygiene aid.
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Affiliation(s)
- Kimberly Duarte
- Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte(DU), Mangalore, Karnataka, India
| | - Biju Thomas
- Department of Periodontics, AB Shetty Memorial Institute of Dental Sciences, Nitte(DU), Mangalore, Karnataka, India
| | - Sudhir Rama Varma
- Department of Clinical Sciences, Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
| | - Vinayak Kamath
- Department of Public Health Dentistry, Goa Dental College and Hospital, Bambolim, North Goa, India
| | - Bhavya Shetty
- Department of Periodontology, Faculty of Dental Science, Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - Syed Kuduruthullah
- Department of Basic and Medical Sciences, Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
| | - Manjusha Nambiar
- Department of Periodontics, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Banguluru, Karnataka, India
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14
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Ibrahim S, Taha R, Fawzi E. Effect of Miswak versus standard preventive measures for caries control of young Egyptian adults: A randomized controlled clinical trial. J Int Oral Health 2022. [DOI: 10.4103/jioh.jioh_359_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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15
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Rafey A, Amin A, Kamran M, Haroon U, Farooq K, Foubert K, Pieters L. Analysis of Plant Origin Antibiotics against Oral Bacterial Infections Using In Vitro and In Silico Techniques and Characterization of Active Constituents. Antibiotics (Basel) 2021; 10:antibiotics10121504. [PMID: 34943716 PMCID: PMC8699006 DOI: 10.3390/antibiotics10121504] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 11/23/2021] [Accepted: 11/25/2021] [Indexed: 11/17/2022] Open
Abstract
The pervasiveness of oral bacterial infections in diabetic patients is a serious health concern that may produce severe complications. We investigated 26 Ayurvedic medicinal plants traditionally used for treatment of the oral bacterial infections with the aim to look for new promising drug leads that can be further employed for herbal formulation design. The plants were grouped into three categories based on traditional usage. All plant extracts were examined for antibacterial, antibiofilm and antiquorum-sensing properties. The plants with significant activities including Juglans regia, Syzygium aromaticum, Eruca sativa, Myristica fragrans, Punica granatum and Azadirachta indica were further analyzed using HPLC-DAD-QToF and GC-MS. In silico and in vitro activity was evaluated for selected constituents. Finally, it could be concluded that eugenol and 2-phenylethylisothiocyanate are major contributors towards inhibition of bacterial biofilms and quorum sensing.
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Affiliation(s)
- Abdul Rafey
- NPRL, Gomal Centre of Pharmaceutical Sciences, Faculty of Pharmacy, Gomal University, Dera Ismail Khan 29050, Pakistan; (A.R.); (A.A.); (M.K.)
| | - Adnan Amin
- NPRL, Gomal Centre of Pharmaceutical Sciences, Faculty of Pharmacy, Gomal University, Dera Ismail Khan 29050, Pakistan; (A.R.); (A.A.); (M.K.)
| | - Muhammad Kamran
- NPRL, Gomal Centre of Pharmaceutical Sciences, Faculty of Pharmacy, Gomal University, Dera Ismail Khan 29050, Pakistan; (A.R.); (A.A.); (M.K.)
| | - Uzma Haroon
- Department of Dentistry, D.H.Q Teaching Hospital, Dera Ismail Khan 29050, Pakistan;
| | - Kainat Farooq
- Sardar Begum Dental College, Ghandhara University, Peshawar 25000, Pakistan;
| | - Kenn Foubert
- Natural Products & Food Research and Analysis (NatuRA), Department of Pharmaceutical Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium;
| | - Luc Pieters
- Natural Products & Food Research and Analysis (NatuRA), Department of Pharmaceutical Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium;
- Correspondence:
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16
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Ramli H, Mohd-Dom TN, Mohd-Said S. Clinical benefits and adverse effects of siwak (S. persica) use on periodontal health: a scoping review of literature. BMC Oral Health 2021; 21:618. [PMID: 34861857 PMCID: PMC8641788 DOI: 10.1186/s12903-021-01950-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Accepted: 11/02/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Siwak is a chewing stick used as an oral hygiene aid associated with Muslim communities across the globe since more than 1500 years ago. Used either exclusively or in conjunction with a regular toothbrush, there is evidence supporting its clinical effectiveness in plaque control, but adverse effects on periodontal health remains inconclusive. OBJECTIVE This study aims to systematically review the wide range of data and literatures related to siwak practice and its effect on periodontal health. METHOD The review was conducted based on scoping review techniques, searching literature in EBSCOHOST, PubMed, SCOPUS and Google scholar databases using the following search terms: "siwak' or 'miswak' or 'chewing stick" for intervention, and "periodontium or 'periodontal' or 'periodontal health' or 'periodontal disease" for outcome. Articles published between January 1990 to March 2021 and written in English language were included. RESULTS A total of 721 articles collected from the search and 21 of them were eligible for the final analysis. Results of this study was described based on clinical and antibacterial reporting of siwak, method of siwak practice and its adverse effect on oral health. Siwak was found effective at removing dental plaque and improving periodontal health over time although its effect on subgingival microbiota was inconclusive. Presence of gingival recession and clinical attachment loss were much more commonly reported in siwak users, attributable to variations in the methods employed for tooth cleaning using the siwak. CONCLUSION There is substantial evidence that the lack of standardised reporting for effective siwak use may have resulted in contradictory findings about its oral hygiene benefits and adverse effects. As such, future work on safe and effective siwak practice is to be advocated among its users.
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Affiliation(s)
- Haslinda Ramli
- Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
- Department of Periodontology and Community Oral Health, Faculty of Dentistry, Universiti Sains Islam Malaysia, Pandan Indah, 55100 Kuala Lumpur, Malaysia
| | - Tuti Ningseh Mohd-Dom
- Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
| | - Shahida Mohd-Said
- Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
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17
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Panhwar M, Rajpar SP, Abrar E, Alqutub M, Abduljabbar T. Effectiveness of Chlorhexidine and Metronidazole Gels in the management of gingivitis. A clinical trial. Pak J Med Sci 2021; 37:1425-1429. [PMID: 34475924 PMCID: PMC8377906 DOI: 10.12669/pjms.37.5.4236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 04/21/2021] [Accepted: 05/04/2021] [Indexed: 12/03/2022] Open
Abstract
Objectives: The purpose of the present study was to compare the topical application of chlorohexidine (CHX) and Metronidazole (MTZ) gels, individually and in combination in patients with gingivitis for up to 12 weeks follow-up. Methods: The clinical trial was conducted at Liaquat University of Medical Health Sciences (LUMHS) Jamshoro and Hyderabad, Institute of Dentistry from 1st March 2019 to 1st March 2020. Patients were selected based on inclusion criteria. Out of 125 screened patients, ninety-nine patients agreed to participate in the study. At the beginning of study all patients were assessed for gingival inflammation by using gingival index (GI) (Loe and silness, 1963). Scaling root planning (SRP) was performed in all patients. Subjects were randomly selected in three groups (n=33 each). In Group-A CHX gel was applied, Group-B Metronidazole gel was applied and the combination of two was applied to patients of Group-C. Patient follow up was done and gingival parameters were assessed at baseline, fourth week and twelve weeks. Apart from the clinical evaluation, a subjective evaluation was also undertaken. Significance level of 0.05 and a desired study power of at least 80% was estimated. Analysis of Variance (ANOVA) test for comparison was used within groups. Results: A significant improvement in gingival scores was noted in all groups from baseline. At 4 weeks CHX (1.25±0.21) MTZ (1.81±0.38) CHX+MTZ (1.29±0.34) compared to baseline CHX (2.77±0.24) MTZ (2.84±0.54) CHX+MTZ (2.74±0.31) demonstrated substantial improvement (p<0.001). However, gingival scores showed inclination at 12 weeks CHX (1.18±0.41) MTZ (1.21±0.48) CHX+MTZ (1.11±0.14) with no significant difference to week 4 (p>0.001). Conclusion: Local MTZ gel and MTZ+CHX gel showed effectiveness similar to CHX gel application adjunct to scaling and root planning in the treatment of gingivitis.
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Affiliation(s)
- Maryam Panhwar
- Maryam Panhwar, Department of Community and Preventive Dentistry, Dow International Dental College, Karachi Pakistan
| | - Shazia Parveen Rajpar
- Shazia Parveen Rajpar, Department of Community and Preventive Dentistry, Liaquat University of Medical Health Sciences Jamshoro
| | - Eisha Abrar
- Eisha Abrar, MDS Trainee Department of Operative Dentistry, Dow International Dental College, Karachi Pakistan
| | - Montaser Alqutub
- Montaser Alqutub, Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Tariq Abduljabbar
- Tariq Abduljabbar Department of Prosthetic Dental Science, College of Dentistry, King Saud University; Research Chair for Biological Research in Dental Health , College of Dentistry, Riyadh 11545, Saudi Arabia
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18
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Zafar MS, Ullah R. PHENOLIC COMPOUND-DERIVED NATURAL ANTIMICROBIALS ARE LESS EFFECTIVE IN DENTAL BIOFILM CONTROL COMPARED TO CHLORHEXIDINE. J Evid Based Dent Pract 2021; 21:101576. [PMID: 34391562 DOI: 10.1016/j.jebdp.2021.101576] [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: 11/26/2022]
Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Efficacy of natural antimicrobials derived from phenolic compounds in the control of biofilm in children and adolescents compared to synthetic antimicrobials: A systematic review and meta-analysis. Martins ML, Ribeiro-Lages MB, Masterson D, Magno MB, Cavalcanti YW, Maia LC, Fonseca-Gonçalves A. Arch Oral Biol 2020;118:104844. SOURCE OF FUNDING Government. This study was financially supported by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Brazil (CAPES) through the grant number 001. TYPE OF STUDY/DESIGN Systematic review with meta-analysis of data.
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19
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Sogodogo E, Doumbo O, Kouriba B, Aboudharam G. Microbial biodiversity of natural toothbrushes in Mali. New Microbes New Infect 2021; 40:100844. [PMID: 33796319 PMCID: PMC7995651 DOI: 10.1016/j.nmni.2021.100844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Revised: 01/13/2021] [Accepted: 01/20/2021] [Indexed: 11/26/2022] Open
Abstract
Different oral hygiene practices are used to overcome endemic diseases such as dental caries and oral infections. In Mali (Africa), natural plant-based toothbrushes are used for eliminating bacterial biofilm. The repertoire of microorganisms associated with natural toothbrushes is unknown. The aim of our study is to study microbial flora in particular the methanogenic archaea associated with natural toothbrushes recently recognized as responsible for periodontitis and peri-implantitis. We investigated the methanogens and bacteria associated with 15 different natural plant toothbrushes collected in Bamako local market (Mali). Microbiological investigations consisted in culturing the bacteria on agar plates and searching archaea using molecular techniques. No archaea were demonstrated by molecular biology but 50 bacterial species, including 33 aero-anaerobic and 17 aerobic species, were isolated from natural toothbrushes. We isolated Pseudomonas sp., Staphylococcus sp. and Klebsiella pneumoniae, which are acknowledged as opportunistic human pathogens. This study has highlighted the likely impact of the use of natural toothbrushes in the spread of potentially pathogenic bacteria in the human oral cavity.
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Affiliation(s)
- E Sogodogo
- Aix Marseille Université. IRD, MEPHI, IHU-Méditerranée Infection, Marseille, France.,IHU Méditerranée Infection, Marseille, France
| | - O Doumbo
- Department of Epidemiology of Parasitic Diseases, Malaria Research and Training Centre, University of Science, Techniques and Technologies of Bamako, Bamako, Mali
| | - B Kouriba
- Department of Epidemiology of Parasitic Diseases, Malaria Research and Training Centre, University of Science, Techniques and Technologies of Bamako, Bamako, Mali.,Centre d'infectiologie Charles-Mérieux (CICM), Bamako, Mali
| | - G Aboudharam
- Aix Marseille Université. IRD, MEPHI, IHU-Méditerranée Infection, Marseille, France.,Aix-Marseille Université, UFR Odontology, Marseille, France
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20
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Evaluation of the Flexural Strength, Water Sorption, and Solubility of a Glass Ionomer Dental Cement Modified Using Phytomedicine. MATERIALS 2020; 13:ma13235352. [PMID: 33255839 PMCID: PMC7728315 DOI: 10.3390/ma13235352] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 11/20/2020] [Accepted: 11/23/2020] [Indexed: 11/16/2022]
Abstract
Objectives: Various medicinal plant parts and extracts have been proven to be sources of biologically active compounds, many of which have been incorporated in the production of new pharmaceutical compounds. Thus, the aim of this study was to increase the antimicrobial properties of a glass ionomer cement (GIC) through its modification with a mixture of plant extracts, which were evaluated along with a 0.5% chlorohexidine-modified GIC (CHX-GIC) with regard to the water sorption, solubility, and flexural strength. Methods: Salvadora persica, Olea europaea, and Ficus carcia leaves were prepared for extraction with ethyll alcohol using a Soxhlet extractor for 12 h. The plant extract mixture (PE) was added in three different concentrations to the water used for preparation of a conventional freeze-dried GIC (groups 1:1, 2:1, and 1:2). Specimens were then mixed according to the manufacturer’s instructions and tested against the unmodified GIC (control) and a GIC modified with 0.5% chlorhexidine. Water sorption and solubility were evaluated after 7 days of immersion in distilled water. Flexural strength was evaluated in a three-point bending test after 24 h using a universal material testing machine at a crosshead speed of 1 mm/min. One-way analysis of variance (ANOVA) was used for comparison between the groups. Tukey’s post hoc test was used for pairwise comparison when the ANOVA test was significant. Results: There were no statistically significant differences between the control (M = 20.5%), CHX-GIC (M = 19.6%), 1:1 (M = 20.0%), 1:2 (M = 19.5%), and 2:1 (19.7%) groups with regard to the percentage of water sorption, while for water solubility the 2:1 (M = −0.39%) plant-modified group was significantly different from all of the other groups. Flexural strength test results showed that the 2:1 group (M = 26.1 MPa) recorded significantly higher mean values compared to all other tested groups. Conclusion and clinical relevance: The plant extracts did not negatively affect the water sorption and solubility of the GIC, while the flexural strength was improved by the addition of the plant extract at higher concentrations.
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21
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Rokaya D, Srimaneepong V, Wisitrasameewon W, Humagain M, Thunyakitpisal P. Peri-implantitis Update: Risk Indicators, Diagnosis, and Treatment. Eur J Dent 2020; 14:672-682. [PMID: 32882741 PMCID: PMC7536094 DOI: 10.1055/s-0040-1715779] [Citation(s) in RCA: 72] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
Despite the success rates of dental implants, peri-implantitis presents as the most common complication in implant dentistry. This review discusses various factors associated with peri-implantitis and various available treatments, highlighting their advantages and disadvantages. Relevant articles on peri-implantitis published in English were reviewed from August 2010 to April 2020 in MEDLINE/PubMed, Scopus, and ScienceDirect. The identified risk indicators of peri-implant diseases are plaque, smoking, history of periodontitis, surface roughness, residual cement, emergence angle >30 degrees, radiation therapy, keratinized tissue width, and function time of the implant, sex, and diabetes. Peri-implantitis treatments can be divided into nonsurgical (mechanical, antiseptic, and antibiotics), surface decontamination (chemical and laser), and surgical (air powder abrasive, resective, and regenerative). However, mechanical debridement alone may fail to eliminate the causative bacteria, and this treatment should be combined with other treatments (antiseptics and surgical treatment). Surface decontamination using chemical agents may be used as an adjuvant treatment; however, the definitive clinical benefit is yet not proven. Laser treatment may result in a short-term decrease in periodontal pocket depth, while air powder abrasive is effective in cleaning a previously contaminated implant surface. Surgical elimination of a pocket, bone recontouring and plaque control are also effective for treating peri-implantitis. The current evidence indicates that regenerative approaches to treat peri-implant defects are unpredictable.
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Affiliation(s)
- Dinesh Rokaya
- International College of Dentistry, Walailak University, Bangkok, Thailand.,Research Unit of Herbal Medicine, Biomaterials and Materials for Dental Treatment, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Viritpon Srimaneepong
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Wichaya Wisitrasameewon
- Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Manoj Humagain
- Department of Periodontics, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
| | - Pasutha Thunyakitpisal
- Research Unit of Herbal Medicine, Biomaterials and Materials for Dental Treatment, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.,Department of Anatomy, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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22
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Miswak and oral health: An evidence-based review. Saudi J Biol Sci 2020; 27:1801-1810. [PMID: 32565699 PMCID: PMC7296476 DOI: 10.1016/j.sjbs.2020.05.020] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Revised: 05/10/2020] [Accepted: 05/10/2020] [Indexed: 02/07/2023] Open
Abstract
Poor oral health has been associated with several chronic and systemic disease. Currently, the most common method of teeth cleaning is the use of a toothbrush together with dentifrices. However, natural chewing stick such as S. persica miswak is still used in many developing countries due to their low cost and availability. The present review aims to summarize the evidences on effectiveness of miswak in promoting oral health. The search was performed using Medline via Ebscohost, Scopus and Google Scholar database to obtain relevant articles published between 2010 to May 2020 using the following set of keywords 1) Miswak OR Salvadora OR persica AND 2) dental OR caries OR plaque OR oral OR orthodontics. Isolated microbial inhibition studies were excluded from the review due to its well-established wealth of literature. Miswak was administered as ten different forms, namely mouthwash, toothpaste, chewing stick, essential oil, aqueous extract, ethanol extract, probiotic spray, dental varnish, dental cement or chewing gum. All studies reported a positive effect of miswak as an anti-plaque, anti-gingivitis, anti-cariogenic, promotion of gingival wound healing, whitening properties, orthodontic chain preservation, and biocompatibility with oral cells. Miswak in its different forms demonstrated positive effect towards oral health maintenance and management.
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23
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Niazi FH, Noushad M, Tanvir SB, Ali S, Al-Khalifa KS, Qamar Z, Al-Sheikh R. Antimicrobial efficacy of indocyanine green-mediated photodynamic therapy compared with Salvadora persica gel application in the treatment of moderate and deep pockets in periodontitis. Photodiagnosis Photodyn Ther 2020; 29:101665. [DOI: 10.1016/j.pdpdt.2020.101665] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 01/09/2020] [Accepted: 01/13/2020] [Indexed: 01/10/2023]
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Mohd F, Che Musa M, Muhammad Ali S, Ab Halim N. Deconstructing orthographic knowledge and cultural awareness of miswak practice amongst dental educators: Benefits and barriers: A qualitative study. J Int Oral Health 2020. [DOI: 10.4103/jioh.jioh_116_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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25
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Li YY, Li BS, Liu WW, Cai Q, Wang HY, Liu YQ, Liu YJ, Meng WY. Effects of D-arginine on <i>Porphyromonas gingivalis</i> biofilm. J Oral Sci 2020; 62:57-61. [DOI: 10.2334/josnusd.19-0075] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
Affiliation(s)
- Yu-Yang Li
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling
| | - Bao-Sheng Li
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
| | - Wei-Wei Liu
- Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Jilin University
| | - Qing Cai
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
| | - Hao-Yang Wang
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling
| | - Yan-Qun Liu
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling
| | - Yu-Jie Liu
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling
| | - Wei-Yan Meng
- Department of Dental Implantology, School and Hospital of Stomatology, Jilin University
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26
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Sun C, Zhao J, Liu Z, Tan L, Huang Y, Zhao L, Tao H. Comparing conventional flap‐less immediate implantation and socket‐shield technique for esthetic and clinical outcomes: A randomized clinical study. Clin Oral Implants Res 2019; 31:181-191. [PMID: 31680339 DOI: 10.1111/clr.13554] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Revised: 10/15/2019] [Accepted: 10/19/2019] [Indexed: 01/19/2023]
Affiliation(s)
- Cong Sun
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
| | - Jinxiu Zhao
- Department of Stomatology People's Hospital of Gaomi Gaomi China
| | - Zhi Liu
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
| | - Lei Tan
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
| | - YaLi Huang
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
| | - Liang Zhao
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
| | - Hong Tao
- Department of Stomatology the First Affiliated Hospital of Xi'an Jiaotong University Xi'an China
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27
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Guven Y, Ustun N, Tuna EB, Aktoren O. Antimicrobial Effect of Newly Formulated Toothpastes and a Mouthrinse on Specific Microorganisms: An In Vitro Study. Eur J Dent 2019; 13:172-177. [PMID: 31509875 PMCID: PMC6777162 DOI: 10.1055/s-0039-1695655] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Objective
The aim of this in vitro study was to assess the antimicrobial properties of newly formulated toothpastes (four toothpastes for adults and two toothpastes for kids/babies) and a mouthrinse.
Materials and Methods
Newly formulated six different toothpastes and one mouthrinse of a single brand and commercially available five toothpastes and three mouthrinse were investigated for their antimicrobial activity against two oral pathogens,
Streptococcus mutans
and
Candida albicans
, by agar well diffusion assay. After incubation, the inhibition zone diameters were measured in millimeters and statistical analyses were performed.
Results
All experimental adult toothpastes exhibited good antimicrobial activity against
S. mutans
and
C. albicans
except the experimental toothpaste D. Experimental toothpaste B exhibited the highest antibacterial activity against
C. albicans
and
S. mutans
. Experimental toothpaste for kids showed the best antimicrobial activity against
S. mutans
when kids’ toothpastes were compared. None of the tested toothpastes for kids/babies showed antibacterial effects for
C. albicans
. Among the mouthrinse tested, Sensodyne mouthrinse showed the best results. Experimental mouthrinse showed significantly lower antibacterial activity against
S. mutans
then Sensodyne, Eludril, and chlorhexidine mouthrinse.
Conclusion
Although experimental toothpaste and mouthrinse formulations revealed good results in terms of antimicrobial activity to some specific microorganisms, further studies involving more bacterial species or analyzing the quality and efficacy of these products by other in vitro or in vivo tests are needed.
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Affiliation(s)
- Yeliz Guven
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - Nilufer Ustun
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - Elif Bahar Tuna
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
| | - Oya Aktoren
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
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Ahmadi R, Ghanbarzadeh B, Ayaseh A, Kafil HS, Özyurt H, Katourani A, Ostadrahimi A. The antimicrobial bio-nanocomposite containing non-hydrolyzed cellulose nanofiber (CNF) and Miswak (Salvadora persica L.) extract. Carbohydr Polym 2019; 214:15-25. [DOI: 10.1016/j.carbpol.2019.03.010] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2019] [Revised: 02/28/2019] [Accepted: 03/03/2019] [Indexed: 01/10/2023]
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29
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Dar-Odeh NS, Gasim RA, Binsaad SM, Abu-Hammad S, Abu-Hammad OA. Use of natural remedies to treat oral diseases among female patients in Al Madinah, western Saudi Arabia. JOURNAL OF COMPLEMENTARY & INTEGRATIVE MEDICINE 2019; 16:/j/jcim.ahead-of-print/jcim-2018-0032/jcim-2018-0032.xml. [PMID: 30661056 DOI: 10.1515/jcim-2018-0032] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Accepted: 11/11/2018] [Indexed: 01/01/2023]
Abstract
Background The study aimed to investigate natural remedies use (NRU) for oral diseases among female patients. Methods Dental patients attending the female section of Taibah University Dental Hospital were invited to complete an online questionnaire which explored demographic data, and pattern of NRU for oral diseases. Results A total of 540 patients participated in the survey. A total of 232 patients (43%) used natural remedies to treat oral diseases. The most commonly cited reasons for NRU were financial reasons (n=79, 34.1%). The practice had a statistically significant association with older participants (p=0.003), and those working as employees (p=0.031). Most of the natural remedies used (n=17) were herbal, with cloves (71.1%) and miswak (26.7%) being the most frequently reported. Acute dental pain (n=157, 67.7%) and halitosis (n= 51, 22%) were the most frequently cited oral conditions associated with NRU. A percentage of 87.1% of patients using natural remedies (n=202) perceived improvement of symptoms upon use of natural remedies, however, 2.2% (n=5) reported complications. Conclusions Substantial proportion of patients use natural remedies to treat their oral disease. Patients were mostly satisfied with natural remedies in terms of effectiveness and lack of complications.
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Affiliation(s)
- Najla S Dar-Odeh
- College of Dentistry, Taibah University, Al Madinah Al Munawarah, Saudi Arabia.,School of Dentistry, University of Jordan, Amman, Jordan
| | - Rafal A Gasim
- College of Dentistry, Taibah University, Al Madinah Al Munawarah, Saudi Arabia
| | - Sara M Binsaad
- College of Dentistry, Taibah University, Al Madinah Al Munawarah, Saudi Arabia
| | | | - Osama A Abu-Hammad
- College of Dentistry, Taibah University, Al Madinah Al Munawarah, Saudi Arabia.,School of Dentistry, University of Jordan, Amman, Jordan
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30
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Mortazavi S, Aslani A, Babaee M, Hajiahmadi M. Persica Chewing Gum Effects on Saliva Fluoride Concentration and Flow Rate: A Triple-Blind Randomized Clinical Trial. Contemp Clin Dent 2019; 10:117-122. [PMID: 32015653 PMCID: PMC6974992 DOI: 10.4103/ccd.ccd_509_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Context: Dental caries is a prevalent disease worldwide. Salvadora persica or Miswak could be a source of fluoride and has caries preventive effects. Aims: The aim of this study was to compare saliva fluoride concentration and flow rate after using Persica and sodium fluoride chewing gums. Settings and Design: In a triple-blind crossover randomized trial, 44 healthy volunteers (21–25 year old) were recruited according to the inclusion criteria and were randomly allocated into two groups (22 each). Participants and Methods: This study was performed within two sets of trial with a 10-day washout period. Participants (subjects) were followed a running period and matched for trial confounders. Saliva samples were collected under controlled conditions at similar time (11 am) within baseline, 5, 10, 20, and 45 min intervals preceded by 5-min chewing of Persica or sodium fluoride chewing gum. Saliva samples were analyzed for fluoride ion using hexamethyldisiloxane diffusion method. Statistical Analysis Used: Saliva flow rate (ml/min) and mean fluoride concentration (ppm) during different time periods in two types of gum were compared using ANOVA-repeated measures (P < 0.05). Results: The difference in total means of stimulated saliva flow rates between two Persica and sodium fluoride gum intervention groups was statistically significant (P = 0.048); however, difference of fluoride concentrations was not statistically significant (P = 0.244). Conclusions: Chewing Persica containing gum released fluoride ions in saliva and increased saliva flow rate comparable with sodium fluoride chewing gum use as a gold standard.
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Affiliation(s)
- Shiva Mortazavi
- Department of Pediatric Dentistry, Dental Research Centre, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Abolfazl Aslani
- Department of Pharmaceutics, School of Pharmacy, Novel Drug Delivery Systems Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Mehrnoush Babaee
- Department of Pediatric Dentistry, Dental Research Centre, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Maryam Hajiahmadi
- Department of Pediatric Dentistry, Dental Research Centre, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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31
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Najeeb S, Zafar MS, Khurshid Z, Zohaib S, Madathil SA, Mali M, Almas K. Efficacy of metformin in the management of periodontitis: A systematic review and meta-analysis. Saudi Pharm J 2018; 26:634-642. [PMID: 29991907 PMCID: PMC6035318 DOI: 10.1016/j.jsps.2018.02.029] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Accepted: 02/15/2018] [Indexed: 12/22/2022] Open
Abstract
Periodontitis is characterized by inflammation of the periodontium and leads to loss of teeth if untreated. Although a number of surgical and pharmacological options are available for the management of periodontitis, it still affects a large proportion of population. Recently, metformin (MF), an oral hypoglycemic, has been used to treat periodontitis. The aim of this review is to systematically evaluate the efficacy of MF in the treatment of periodontitis. An electronic search was carried out using the keywords 'metformin', 'periodontal' and 'periodontitis' via the PubMed/Medline, ISI Web of Science and Google Scholar databases for relevant articles published from 1949 to 2016. The addressed focused question was: 'Is metformin effective in reducing bone loss in periodontitis? Critical review and meta-analysis were conducted of the results obtained in the selected studies. Following the removal of the duplicate results, the primary search resulted in 17 articles and seven articles were excluded based on title and abstract. Hence, 10 articles were read completely for eligibility. After exclusion of four irrelevant studies, six articles were included. The topical application of MF resulted in improved histological, clinical and radiographic outcomes. Additionally, results from the meta-analysis indicated that application of metformin improved the clinical and radiographic outcomes of scaling and root-planing, but at the same time heterogeneity was evident among the results. However, because of a lack of histological and bacterial studies, in addition to short follow-up periods and risk of bias, the long-term efficacy of MF in the treatment of bony defects is not yet ascertained. Further studies are needed to envisage the long-term efficacy of MF in the management of periodontitis.
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Affiliation(s)
- Shariq Najeeb
- Restorative Dental Sciences, Al-Farabi Colleges, King Abdullah Road, Riyadh, Saudi Arabia
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, Pakistan
| | - Zohaib Khurshid
- Department of Biomaterials and Prosthodontics, College of Dentistry, King Faisal University, Al Hofuf, Saudi Arabia
| | - Sana Zohaib
- Department of Biomedical Engineering, School of Engineering, King Faisal University, Al Hofuf, Saudi Arabia
| | - Sreenath Arekunnath Madathil
- Division of Oral Health and Society Research, Faculty of Dentistry, McGill University, 2001 McGill College Ave, Montreal, Quebec, Canada
| | - Maria Mali
- Department of Orthodontics, Islamic International Dental College, Ripah International University, Islamabad 44000, Pakistan
| | - Khalid Almas
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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32
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Shah AH, Naseem M, Khan MS, Asiri FYI, AlQarni I, Gulzar S, Nagarajappa R. Oral health knowledge and attitude among caregivers of special needs patients at a Comprehensive Rehabilitation Centre: an analytical study. ANNALI DI STOMATOLOGIA 2018; 8:110-116. [PMID: 29682223 DOI: 10.11138/ads/2017.8.3.110] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Aim To evaluate knowledge and attitude of caregivers/healthcare workers regarding oral health of special need patients, at a comprehensive rehabilitation centre. Material and methods A validated self-administered structured questionnaire was used in an interview style among 120 caregivers at a comprehensive rehabilitation centre. The first part of questionnaire collected demographic information (age, gender, experience, literacy). The other part of the questionnaire was related to the knowledge and attitude of caregivers regarding importance of oral health including oral hygiene practices, cause of tooth decay, significance of fluoride, common oral problems and need for oral health education. Comparison between oral health knowledge and oral health attitude of caregivers was done using one-sample t Test. The level of significance was set as p=0.005*. Results Adequate oral health knowledge was found to be among 59.2% and favourable attitude of caregivers towards oral health care was found among 48.3%. The results indicate that though majority among caregivers had adequate knowledge but their attitude towards oral health was inadequate. Conclusion Caregivers showed a deficiency in the proper oral health attitude. To improve oral health attitudes of caregivers, dental education plus training programs should be given high priority.
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Affiliation(s)
- Altaf H Shah
- Faculty, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia; Fellow Pacific Academy of Higher Education and Research University, Rajasthan, India
| | - Mustafa Naseem
- Assistant Professor, Department of Preventive Dental Sciences, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Mohammad Shoyab Khan
- Lecturer, Division of Periodontics, Department of Preventive Dental Sciences, Prince Sattam bin Abdulaziz University AlKharj, Saudi Arabia
| | - Faris Yahya I Asiri
- Demonstrator, Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia
| | - Ibrahim AlQarni
- Dentist, Ministry of Health, Alula, AlMadina Almunawara, Saudi Arabia
| | - Shabnam Gulzar
- Lecturer, Division of Paediatric Dentistry, Department of Preventive dental Sciences, Dar Al Uloom University
| | - Ramesh Nagarajappa
- Professor and Head, Department of Public Health Dentistry, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Kalinganagar, Bhubaneswar, Odisha, India
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Khurshid Z, Naseem M, Zafar MS, Najeeb S, Zohaib S. Propolis: A natural biomaterial for dental and oral healthcare. J Dent Res Dent Clin Dent Prospects 2017; 11:265-274. [PMID: 29354255 PMCID: PMC5768961 DOI: 10.15171/joddd.2017.046] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 08/14/2017] [Indexed: 12/28/2022] Open
Abstract
The field of health has always emphasised on the use of natural products for curing diseases. There are varieties of natural products (such as silk, herbal tea, chitosan) used today in the biomedical application in treating a large array of systemic diseases. The natural product "Propolis" is a non-toxic resinous material having beneficial properties such as antimicrobial, anticancer, antifungal, antiviral and anti-inflammatory; hence gain the attention of researchers for its potential for bio-dental applications. The study aims to explore the properties and chemistry of propolis concerning biomedical and dental applications. In addition, status and scope of propolis for current and potential future in bio-dental applications have been discussed. This review gives an insight to the reader about the possible use of propolis in modern-day dentistry.
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Affiliation(s)
- Zohaib Khurshid
- Department of Fixed Prosthodontics, College of Dentistry,King Faisal University, Hofuf, Saudi Arabia
| | - Mustafa Naseem
- Department of Preventive dental Sciences, College of Dentistry, Dar-Al-Uloom University, Riyadh, Saudi Arabia
| | - Muhammad S Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah, Al Munawwarah, Saudi Arabia.,Adjunct Faculty, Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, Pakistan
| | - Shariq Najeeb
- Private Dental Practitioner, Restorative Dental Sciences, Canada
| | - Sana Zohaib
- Department of Biomedical Engineering, King Faisal University, Al-Hofuf, Saudi Arabia
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34
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Abstract
Objectives: To evaluate the efficacy of Salvadora persica (Miswak) products on cariogenic bacteria in comparison with ordinary toothpaste. Methods: The study was conducted in Zakho city, Kurdistan region, Iraq during the period from October 2013 to January 2014. A randomized controlled clinical trial of 40 students randomly allocated into 4 groups. They were instructed to use Mismark toothpaste, Miswak mouthwash, and ordinary toothpaste with water or with normal saline. Salivary samples were collected at 3-time intervals: before, immediately after use, and after 2 weeks of use. The effect of each method on Streptococcus mutans and Lactobacilli was evaluated by using caries risk test. Results: One-way repeated measure analysis of variance (ANOVA), one-way ANOVA, and least significant difference tests were used. Miswak wash has a significant reduction effect on both bacteria immediately and after 2 weeks of use. Miswak paste has a similar effect on Lactobacilli, while Streptococcus mutans showed a significant decrease only after 2 weeks of use. Ordinary paste showed a non significant effect on both bacteria at both time intervals; while the addition of normal saline showed a significant effect on both bacteria only after 2 weeks of use. Conclusion: Miswak products, especially mouth wash, were more effective in reducing the growth of cariogenic bacteria than ordinary toothpaste.
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Affiliation(s)
- Samim A Al-Dabbagh
- Department of Family and Community Medicine, College of Medicine, University of Duhok, Kurdistan region, Iraq. E-mail.
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35
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Chitosan Biomaterials for Current and Potential Dental Applications. MATERIALS 2017; 10:ma10060602. [PMID: 28772963 PMCID: PMC5553419 DOI: 10.3390/ma10060602] [Citation(s) in RCA: 104] [Impact Index Per Article: 14.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 05/27/2017] [Accepted: 05/27/2017] [Indexed: 01/05/2023]
Abstract
Chitosan (CHS) is a very versatile natural biomaterial that has been explored for a range of bio-dental applications. CHS has numerous favourable properties such as biocompatibility, hydrophilicity, biodegradability, and a broad antibacterial spectrum (covering gram-negative and gram-positive bacteria as well as fungi). In addition, the molecular structure boasts reactive functional groups that provide numerous reaction sites and opportunities for forging electrochemical relationships at the cellular and molecular levels. The unique properties of CHS have attracted materials scientists around the globe to explore it for bio-dental applications. This review aims to highlight and discuss the hype around the development of novel chitosan biomaterials. Utilizing chitosan as a critical additive for the modification and improvement of existing dental materials has also been discussed.
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36
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Baeshen H, Salahuddin S, Dam R, Zawawi KH, Birkhed D. Comparison of Fluoridated Miswak and Toothbrushing with Fluoridated Toothpaste on Plaque Removal and Fluoride Release. J Contemp Dent Pract 2017; 18:300-306. [PMID: 28349908 DOI: 10.5005/jp-journals-10024-2035] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
INTRODUCTION Dental caries and periodontal diseases are all induced by oral biofilm (dental plaque). This study was conducted to evaluate if fluoride-impregnated miswak is as effective in plaque removal and fluoride release as toothbrushing with fluoride toothpaste. MATERIALS AND METHODS This single-blind, randomized, crossover study was conducted at the Department of Cariology, University of Gothenburg, Gothenburg, Sweden, from February 2010 to January 2011. Fifteen healthy subjects participated in this study. The participants were instructed to use the following: (1) 0.5% NaF-impregnated miswak, (2) nonfluoridated miswak, (3) toothbrush with nonfluoride toothpaste, and (4) toothbrush with 1450 ppm fluoride toothpaste. Each method was used twice a day for 1 week after which plaque amount and fluoride concentration in resting saliva were measured. There was a 1-week washout period between each method. RESULTS No significant difference between miswak and tooth-brushing was found regarding plaque removal on buccal and lingual surfaces. A somewhat higher fluoride concentration in resting saliva was found after using impregnated miswak when compared with toothbrushing with fluoride toothpaste (p < 0.05). CONCLUSION Miswak and toothbrushing showed the same plaque removing effect on buccal and lingual surfaces. Miswak impregnated with 0.5% NaF resulted in a higher concentration of fluoride in saliva than brushing with 1450 ppm fluoride toothpaste. CLINICAL SIGNIFICANCE Miswak impregnated with 0.5% NaF and toothbrushing results in comparable plaque removal and about the same fluoride concentration in saliva even it was somewhat higher for impregnated miswak.
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Affiliation(s)
- Hosam Baeshen
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia; Department of Orthodontics, Alfarabi College for Dentistry and Nursing, Jeddah Kingdom of Saudi Arabia, e-mail:
| | - Sabin Salahuddin
- Former: Department of Cariology, Institute of Odontology Sahlgrenska Academy, University of Gothenburg, Gothenburg Sweden
| | - Robel Dam
- Former: Department of Cariology, Institute of Odontology Sahlgrenska Academy, University of Gothenburg, Gothenburg Sweden
| | - Khalid H Zawawi
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
| | - Dowen Birkhed
- Former: Department of Cariology, Institute of Odontology Sahlgrenska Academy, University of Gothenburg, Gothenburg Sweden
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Naseem M, Shah AH, Khiyani MF, Khurshid Z, Zafar MS, Gulzar S, AlJameel AH, Khalil HS. Access to oral health care services among adults with learning disabilities: a scoping review. ANNALI DI STOMATOLOGIA 2017; 7:52-59. [PMID: 28149451 DOI: 10.11138/ads/2016.7.3.052] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND The prevalence of oral diseases including dental caries and periodontal conditions is remarkably higher in people with disabilities. The provision of accessible oral health services for people with learning disabilities may be challenging. OBJECTIVES The objectives of the review were to identify barriers in accessing oral health care that persists within society, enabling or disabling people with learning disabilities. METHODS Using the Arksey O'Malley framework, a scoping review was conducted on PubMed/Medline, OVIDSP, and EMBASE. Studies were evaluated and short-listed based on the inclusion criteria, which consisted of: (1) study participants or population with learning disabilities, (2) aged 16 years or over, (3) reporting on access to oral health services, (4) published in the English language. Those that justified the inclusion criteria were carefully chosen after a blind peer-reviewed process when relevance and quality were debated. RESULTS Nine studies were eventually included from searches. Tabulation of data was done under the heading of study type, outcomes, the year of publication and patient selection. The majority of studies provided a biomedical overview of access for adults with learning disabilities. CONCLUSIONS The concept of access for people with disability is still ill-defined and obscure. Access to oral health care and needs of people with learning disabilities are complex and multi-facet.
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Affiliation(s)
- Mustafa Naseem
- Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - Altaf H Shah
- Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia; Fellow, Pacific Academy of Higher Education and Research (PAHER) University, Udaipur, Rajasthan, India
| | - Muhammad Faheem Khiyani
- Oral Health and Rehabilitation Research Unit, Biomedical Sciences Faculty of Medicine, Universite de Montreal, Montreal, Canada
| | - Zohaib Khurshid
- Department of Prosthodontics and Implantology, School of Dentistry, King Faisal University, Al-Ahsa Saudi Arabia
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Medinah Munnawarrah, Saudi Arabia
| | - Shabnam Gulzar
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia
| | - AlBandary H AlJameel
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hesham S Khalil
- Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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38
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Farag MA, Fahmy S, Choucry MA, Wahdan MO, Elsebai MF. Metabolites profiling reveals for antimicrobial compositional differences and action mechanism in the toothbrushing stick “miswak” Salvadora persica. J Pharm Biomed Anal 2017; 133:32-40. [DOI: 10.1016/j.jpba.2016.11.018] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2016] [Revised: 10/18/2016] [Accepted: 11/09/2016] [Indexed: 10/20/2022]
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39
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Naseem M, Khiyani MF, Nauman H, Zafar MS, Shah AH, Khalil HS. Oil pulling and importance of traditional medicine in oral health maintenance. Int J Health Sci (Qassim) 2017; 11:65-70. [PMID: 29085271 PMCID: PMC5654187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Dental diseases have detrimental effects on the functionality and quality of life of individuals. In addition, a strong relationship has been established between various oral and systemic diseases. In fact, the prevention and treatment of dental caries and periodontal disease have been shown to reduce the risk of diabetes and heart disease significantly. This goes beyond the role of oral health as a means to identify early manifestations of systemic diseases in the oral cavity. It highlights the necessity of maintaining an optimal oral hygiene to significantly modify the risk factors for serious systemic diseases. The use of oil pulling can be frequently found in ancient medical text and is supported by recent studies for its efficacy and long-term use for maintaining and improving oral health. This article provides an overview on the concept of oil pulling or oil swishing, its mechanism of action and a summary of the evidence available, which highlights the role of oil pulling in specific oral diseases. The goal of this review is to highlight the ancient procedure that has the potential to be used as an adjunct to conventional chemical means of dental plaque control, such as mouth rinses. Incorporating oil swishing as a component of daily oral hygiene can significantly improve oral and general health, specifically in lower socioeconomic groups and rural communities that may have interrupted access to health-care services and dental products such as dentifrices and mouth washes due to various factors; availability and affordability being the most important.
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Affiliation(s)
- Mustafa Naseem
- Department of Community & Preventive Dentistry, Dar Al Uloom University Riyadh, Saudi Arabia,Address for correspondence: Mustafa Naseem, Department of Community & Preventive Dentistry, Dar Al Uloom University Riyadh, Exit 7 Riyadh, Saudi Arabia. Phone: +966598108160. E-mail:
| | - Muhammad Faheem Khiyani
- Oral Health and Rehabilitation Research Unit, Faculty of Dental Medicine, Universite de Montreal, Montreal, Canada
| | - Hiba Nauman
- Department of Community & Preventive Dental Sciences, Ziauddin University, Karachi, Pakistan
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Munawwarah, Saudi Arabia,Department of Dental Materials, Adjunct Faculty, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
| | - Altaf H Shah
- Department of Preventive Dental Sciences, Division of Community & Special Care Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia,Fellow Pacific Academy of Higher Education and Research University, Udaipur, Rajasthan, India
| | - Hesham S Khalil
- Department of Oral and Maxillofacial Surgery, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Rizvi A, Zafar MS, Al-Wasifi Y, Fareed W, Khurshid Z. Role of enamel deminerlization and remineralization on microtensile bond strength of resin composite. Eur J Dent 2016; 10:376-380. [PMID: 27403057 PMCID: PMC4926592 DOI: 10.4103/1305-7456.184167] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective: This study is aimed to establish the microtensile bond strength of enamel following exposure to an aerated drink at various time intervals with/without application of remineralization agent. In addition, degree of remineralization and demineralization of tooth enamel has been assessed using polarized light microscopy. Materials and Methods: Seventy extracted human incisors split into two halves were immersed in aerated beverage (cola drink) for 5 min and stored in saliva until the time of microtensile bond testing. Prepared specimens were divided randomly into two study groups; remineralizing group (n = 70): specimens were treated for remineralization using casein phosphopeptides and amorphous calcium phosphate (CPP-ACP) remineralization agent (Recaldent™; GC Europe) and control group (n = 70): no remineralization treatment; specimens were kept in artificial saliva. All specimens were tested for microtensile bond strength at regular intervals (1 h, 1 days, 2 days, 1 week, and 2 weeks) using a universal testing machine. The results statistically analyzed (P = 0.05) using two-way ANOVA test. Results: Results showed statistically significant increase in bond strength in CPP-ACP tested group (P < 0.05) at all-time intervals. The bond strength of remineralizing group samples at 2 days (~13.64 megapascals [MPa]) is comparable to that of control group after 1 week (~12.44 MPa). Conclusions: CPP-ACP treatment of teeth exposed to an aerated drink provided significant increase in bond strength at a shorter interval compared to teeth exposed to saliva alone.
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Affiliation(s)
- Abbas Rizvi
- Department of Restorative Dental Sciences, Faculty of Dentistry, Jazan University, Jazan, Saudi Arabia
| | - Muhammad S Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia
| | - Yasser Al-Wasifi
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia
| | - Wamiq Fareed
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia
| | - Zohaib Khurshid
- Department of Prosthodontics and Biomaterials, School of Dentistry, King Faisal University, Hafuf, Saudi Arabia
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The Use of Miswak as Toothbrush for Orthodontic Patient. Case Rep Dent 2016; 2016:7472340. [PMID: 27994891 PMCID: PMC5138459 DOI: 10.1155/2016/7472340] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Accepted: 10/27/2016] [Indexed: 11/24/2022] Open
Abstract
This case report presents a patient who is undergoing orthodontic treatment with upper and lower fixed appliance. An interesting point on this case is that the patient only uses Miswak as her oral hygiene tool due to her religious belief. The oral hygiene protocol was allowed and her oral health was closely monitored throughout her orthodontic treatment.
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