Relationship Between Diabetes Mellitus and Periodontal/Peri-Implant Disease: A Contemporaneous Review

The prevalence of diabetes mellitus (DM), a major chronic disease and a leading cause of death and disability around the world, is rising. According to the latest data, the global prevalence of DM has increased to 463 million (9.3% of adults) in 2019 and is estimated to reach 700 million by 2045. Periodontal disease, result of periodontium inflammation, is a common, chronic disease and has long been considered one of the complications of DM. Moreover, literature reflects a spectrum of conflicting viewpoints on the effect of diabetic conditions on the implant treatment strategies. The current review aims to update the recent epidemiologic evidence regarding the relationship between DM and periodontal/peri-implant disease, emphasising the effects of glycaemic control on the severity of these diseases and describing the pathobiological mechanisms underlying this association. This review's findings indicate a bidirectional relationship between DM and periodontal/peri-implant disease and that this relationship seems causal, implying that controlling these two diseases might help prevent each other's incidence. Additionally, the severity of periodontal/peri-implant disease is directly related to metabolic control. Although patients with diabetes can obtain implant success similar to those in systemically healthy individuals, an increased risk of peri-implantitis has been reported in DM patients. Therefore, the importance of glycaemic control and maintaining proper oral hygiene cannot be overstated.

Scaling and root planing for a patient with perforated palate caused by mucormycosis: A case report

Some diseases like mucormycosis can lead to palatal perforation which can cause limitations for dental and oral care for the patients. Nasal septal buttons may be an effective solution according to the literature.

Application of Platelet-Rich Fibrin and Bone Morphogenetic Protein for Full-Mouth Implant-Based Oral Rehabilitation in a Case of Mandibular Osteoradionecrosis

Osteoradionecrosis (ORN) is a debilitating complication following radiation therapy, which in the head and neck region, occurs most frequently in the mandible. Although ORN is rare, it is complex and multifactorial and requires appropriate management. Manipulation of bone in patients with head and neck cancers before radiotherapy can cause ORN. In this report, we aim to present successful insertion of four dental implants in the interforaminal segment combined with application of platelet-rich fibrin and bone morphogenetic protein in a 60-year-old male with stable ORN in the posterior regions of the mandible.

Relationship between Anger Expression in Mothers and Acceptance of Behavior Management Techniques in Pediatric Dentistry

Statement of the Problem

The parental acceptance rate of the behavior management methods used in pediatric dentistry is influenced by various factors.

Purpose

This study was aimed to investigate the relationship between mothers' anger expression and their acceptance of behavior management methods.

Materials and Method

In this cross-sectional study, 110 mothers of children who had less than 12 years of age were recruited. They completed Spielberg's state-trait anger expression inventory (STAXI). The respondents watched an educational video that included explanations of seven behavior management methods. Then, they reported their acceptance of each of these methods using the visual analog scale (VAS).

Results

The acceptance rates of behavior management methods from the highest to lowest included tell-show-do, pre-appointment behavior shaping, mouthpiece, voice control, general anesthesia, active restraint, and passive restraint, respectively. There was only a significant inverse relationship between the acceptance of the tell-show-do method and the anger expression (p< 0.05). There was no significant relationship between the acceptance of behavioral management methods and the previous history of a pediatric dental visit, age, and mothers' education.

Conclusion

There was a significant inverse relationship between acceptance of the tell-show-do behavioral management method and mothers' anger expression. However, there is no significant relationship between other methods and mothers' anger expression. According to this study, there was a relation between mothers' ages and their acceptance of using a mouthpiece.

Granular cell odontogenic tumor: report of a rare case and a review of literature

Background

Granular cell odontogenic tumor (GCOT) is a rare neoplasm with about 45 cases reported in the literature. It usually occurs in the posterior mandible of middle-aged women.

Case presentation

We report a case of asymptomatic GCOT in the posterior mandible of a 28 years old female and provide a literature review of GCOT cases. Some unusual features such as root resorption, displacement of inferior tooth canal, and multilocular appearance were considerable in this case.

Conclusions

Complete surgical excision of the lesion was beneficial for the patient.