1
|
Lucisano MP, Ramos GT, Blanco-Victorio DJ, Ramírez-Sotelo LR, Lima RB, Nelson-Filho P, da Silva RAB, Miranda JA, da Silva LAB. Root canal conicity determination of primary second molars using nanotomography: An in vitro study. Int J Paediatr Dent 2024. [PMID: 38676283 DOI: 10.1111/ipd.13198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 04/06/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND The conicity of the root canals of primary teeth is an important measure for endodontic therapies. However, determining this conicity depends on the methods employed, which requires further investigation. AIM The aim of this study was to determine the conicity of the root canals of the upper and lower primary second molars using nanotomography (nCT). DESIGN An in vitro study was performed using nine primary second molars, both upper and lower, subjected to nCT. Comparisons between the diameters of root canals were performed between the thirds (cervical-D0, middle-D5, and apical-D7). The conicity (%) was determined for each root canal from cervical to apical. Data were statistically analyzed with a significance level of 5%. RESULTS The conicity ranged from 2% to 8% for the upper primary second molars. Significant differences in root canal diameter between the thirds (D0, D5, and D7 points) were observed in the mesio- and distobuccal roots (p < .05), but not in the palatal roots (p > .05). For the lower primary second molars, the conicity ranged from 2% to 17%, as well as significant differences in root canal diameter between the thirds (D0, D5, and D7 points) were observed in all roots (distal, mesiobuccal, and mesiolingual; p < .05). CONCLUSION The conicity of the upper primary second molars was different from that of the lower ones, which showed a greater variability.
Collapse
Affiliation(s)
- Marília Pacífico Lucisano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Gilmer Torres Ramos
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Departamento de Odontopediatría, Facultad de Odontología, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | | | - Laura Ricardina Ramírez-Sotelo
- Departamento de Estomatología Médico Quirúrgico, Facultad de Odontologia, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Ricardo Barbosa Lima
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Jessica Arieta Miranda
- Departamento de Odontopediatría, Facultad de Odontología, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Léa Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
2
|
Heggie C, Al-Diwani H, Arundel P, Balmer R. Diagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid. Int J Paediatr Dent 2024. [PMID: 38609350 DOI: 10.1111/ipd.13188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/21/2024] [Accepted: 03/28/2024] [Indexed: 04/14/2024]
Abstract
BACKGROUND Premature loss of primary teeth (PLPT) can be a rare presentation of systemic medical conditions. Premature loss of primary teeth may present a diagnostic dilemma to paediatric dentists. AIMS To identify systemic conditions associated with PLPT and develop a clinical aid. DESIGN OVID Medline, Embase and Web of Science were searched up to March 2023. Citation searching of review publications occurred. Exclusion occurred for conference abstracts, absence of PLPT and absence of English-language full text. RESULTS Seven hundred and ninety-one publications were identified via databases and 476 by citation searching of review articles. Removal of 390 duplicates occurred. Following the exclusion of 466 records on abstract review, 411 publications were sought for retrieval, of which 142 met inclusion criteria. Thirty-one systemic conditions were identified. For 19 conditions, only one publication was identified. The majority of publications, 91% (n = 129), were case reports or series. Most publications, 44% (n = 62), were related to hypophosphatasia, and 25% (n = 35) were related to Papillon-Lefèvre. Diagnostic features were synthesised, and a clinical aid was produced by an iterative consensus approach. CONCLUSIONS A diverse range of systemic diseases are associated with PLPT. Evidence quality, however, is low, with most diseases having a low number of supporting cases. This clinical aid supports paediatric dentists in differential diagnosis and onward referral.
Collapse
|
3
|
Kurt A, Yaylacı M, Dizdar A, Naralan ME, Yaylacı EU, Öztürk Ş, Çakır B. Evaluation of the effect on the permanent tooth germ and the adjacent teeth by finite element impact analysis in the traumatized primary tooth. Int J Paediatr Dent 2024. [PMID: 38584350 DOI: 10.1111/ipd.13183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 02/27/2024] [Accepted: 03/10/2024] [Indexed: 04/09/2024]
Abstract
BACKGROUND One of the primary concerns in the paediatric emergencies is traumatic dental injuries. OBJECTIVE This study aimed to create trauma in primary teeth and reveal its effects finite element analysis. DESIGN Three-dimensional models were created using cone-beam computed tomography images, representing a maxillary primary central incisor. An impact force moving at a speed of 10 m/s was simulated on the labial tooth surface in two directions: buccal and incisal. RESULTS The stress and deformation experienced in the adjacent tooth due to the primary tooth were higher than those generated in the permanent tooth. Forces applied in the incisal direction resulted in higher levels of stress and deformation in the permanent tooth germ. The difference between the stress and deformation values in primary teeth in the forces applied in the buccal and incisal directions is 21% and 75%, respectively; in the permanent tooth germ, this difference was 233% and 100%, respectively. CONCLUSIONS Based on the findings of this study, it is crucial to thoroughly evaluate not only the affected primary tooth but also the adjacent teeth and the permanent tooth germ in traumatic dental injuries. This comprehensive examination allows for the anticipation and management of potential long-term problems.
Collapse
Affiliation(s)
- Ayça Kurt
- Faculty of Dentistry, Department of Pediatric Dentistry, Recep Tayyip Erdogan University, Rize, Turkey
| | - Murat Yaylacı
- Biomedical Engineering MSc Program, Recep Tayyip Erdogan University, Rize, Turkey
- Faculty of Engineering and Architecture, Department of Civil Engineering, Recep Tayyip Erdogan University, Rize, Turkey
- Turgut Kıran Maritime Faculty, Recep Tayyip Erdogan University, Rize, Turkey
| | - Ayberk Dizdar
- Department of Biomedical Engineering, Kocaeli University, Kocaeli, Turkey
| | - Muhammed Enes Naralan
- Faculty of Dentistry, Department of Oral and Dentomaxillofacial Radiology, Recep Tayyip Erdogan University, Rize, Turkey
| | - Ecren Uzun Yaylacı
- Technology Transfer Office, Recep Tayyip Erdogan University, Rize, Turkey
| | - Şevval Öztürk
- Faculty of Engineering and Architecture, Department of Civil Engineering, Recep Tayyip Erdogan University, Rize, Turkey
| | - Binali Çakır
- Faculty of Dentistry, Department of Oral and Dentomaxillofacial Radiology, Atatürk University, Erzurum, Turkey
| |
Collapse
|
4
|
Negro BD, Hermann NV, Lauridsen E, Mendes FM, Wanderley MT. Risk factors associated with the occurrence of avulsion in the primary incisors: A case-control study. Int J Paediatr Dent 2024. [PMID: 38572855 DOI: 10.1111/ipd.13172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 01/22/2024] [Accepted: 02/12/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Identifying factors associated with the occurrence of primary tooth avulsion is essential to promote prevention strategies. AIM To investigate the risk factors associated with primary incisor avulsion and variables associated with post-avulsion sequelae in the permanent successor. DESIGN This case-control study comprised 407 children (cases) with primary incisor avulsion and 407 children (controls) with other traumatic dental injuries (TDI). The association between explanatory variables and avulsion was evaluated through logistic regression. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated. Poisson regression analyses between potential explanatory variables and sequelae were run, from which relative risks (RR) and corresponding 95% CI were estimated. RESULTS TDI caused by moderate falls (OR = 2.20; 95% CI = 1.47 to 3.27), affecting lateral incisors (OR = 10.10; 95% CI = 3.89 to 26.54) and the lower arch (OR = 9.54; 95% CI = 3.15 to 28.85), were associated with primary incisor avulsion. Moreover, children with previous severe TDI, anterior open bite, and anterior crossbite had higher odds of primary incisor avulsion. Children who suffered from any primary tooth avulsion (RR = 2.68; 95% CI = 1.82 to 3.95) had a higher risk of sequelae in the permanent successors. The risk for sequelae in the permanent teeth was significantly greater for younger children under age 2 years than for children ages 3 to 5 years. CONCLUSION Risk factors for primary incisor avulsion are related to the severity of the fall, tooth position, history of previous TDI, and malocclusion. Furthermore, avulsion increases the risk of sequelae in the permanent successors.
Collapse
Affiliation(s)
- Bianca Del Negro
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| | - Nuno Vibe Hermann
- Department of Pediatric Dentistry and Clinical Genetics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Eva Lauridsen
- Department of Oral and Maxillofacial Surgery, University Hospital, Copenhagen, Denmark
| | - Fausto Medeiros Mendes
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
- Department of Dentistry, Research Institute for Medical Innovation, Radboud university medical center, Nijmegen, Netherlands
| | - Marcia Turolla Wanderley
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo - USP, São Paulo, Brazil
| |
Collapse
|
5
|
Araújo LPD, Gobbo LB, Silva TAD, Rosa WLDOD, Almeida JFAD, Gomes BPFA, Ferraz CCR. Photodynamic therapy in the root canal treatment of primary teeth: A systematic review of clinical trials. Int J Paediatr Dent 2024; 34:114-124. [PMID: 37195228 DOI: 10.1111/ipd.13088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 03/04/2023] [Accepted: 05/10/2023] [Indexed: 05/18/2023]
Abstract
BACKGROUND Dental caries is the most common oral disease worldwide, and it is estimated to affect 2.3 billion people, with at least 530 million of them being schoolchildren with decayed primary teeth. This condition can rapidly evolve into irreversible pulp inflammation and pulp necrosis and thus requiring endodontic intervention. Photodynamic therapy (PDT) is a supplementary method to conventional pulpectomy and is used to improve the protocol used for disinfection. AIM The main objective of this study was to evaluate through a systematic review the efficacy of supplementary PDT on the pulpectomy of primary teeth. This review was registered a priori on the PROSPERO database (CRD42022310581). DESIGN Two independent and blinded reviewers carried out a comprehensive search in five databases: PubMed, Cochrane, Scopus, Embase, and Web of Science. Eligible studies were randomized and nonrandomized clinical trials that evaluated in vivo microbiological load or clinical outcomes after using supplementary PDT in infected primary teeth. RESULTS After the selection process, four studies met the inclusion criteria and were included in this study. Data regarding the sample characteristics and PDT protocols were retrieved. All included trials used phenothiazinium salts as photosensitizer agents. Only one study observed a significant difference in the in vivo microbiological load reduction outcome when performing PDT on primary teeth. The remaining studies all discussed the possible benefits of this intervention; however, none observed a significant difference in this outcome. CONCLUSION In this systematic review, moderate-to-low certainty of the available evidence was observed, and thus, no significant conclusions can be drawn from the findings.
Collapse
Affiliation(s)
- Lucas Peixoto de Araújo
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
- School of Dentistry, Catholic University of Pelotas (UCPel), Pelotas, Brazil
| | - Leandro Bueno Gobbo
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Tamares Andrade da Silva
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | | | - José Flávio Affonso de Almeida
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Brenda P F A Gomes
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Caio Cezar Randi Ferraz
- Department of Restorative Dentistry, Division of Endodontics, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| |
Collapse
|
6
|
Mohammed NY, Abdel-Ghany DM, Ben Hamadi N, Özdemir S, Selamoglu Z, Plavan G, Boufahja F, Elassar DM. The Impact of Silver Diamine Fluoride Only or Simultaneously With Potassium Iodide Treatment on the Bond Durability of Resin Composite Material on Primary Teeth. Cureus 2024; 16:e57064. [PMID: 38681260 PMCID: PMC11052556 DOI: 10.7759/cureus.57064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/27/2024] [Indexed: 05/01/2024] Open
Abstract
We aim to evaluate the bond strength between resin composite and primary demineralized dentin, pretreated with silver diamine fluoride (SDF) and simultaneous SDF with potassium iodide (KI) after thermal aging. In this in vitro study, human carious-free primary molars were randomly assigned into three groups and prepared by exposing the superficial dentin. The primary dentin of each molar was demineralized. The first group (the control) received saline treatment before bond application. SDF was pretreated for the second group, whereas SDF and KI were used for the third. After that, the pretreated dentin was immediately built with resin composite bonded with a universal adhesive and kept wet for 24 hours. Then, the pretreated molars were prepared into beam specimens for microtensile bond strength (µTBS), 16 for each group, and subjected to thermal aging. Lastly, they were tested using a universal testing machine, and the resulting data were analyzed using one-way analysis of variance (ANOVA) followed by Tukey's post hoc test. It was found that the SDF-KI group had a significant difference with both the control and SDF groups (p < 0.05), while the control and SDF groups showed no significant differences (p = 0.310). The SDF-KI group had the highest mean value of 11.73 ± 4.39 megapascal (MPa). In contrast, the control group had the lowest mean value of 9.31 ± 3.41 MPa. Post hoc pairwise comparison results showed that SDF-KI pretreatment had a significantly higher strength value than the control and SDF groups. Pretreatment of demineralized primary dentin with SDF-KI does not negatively affect the immediate loading of resin composite. However, under the limitation of this study, KI application after SDF pretreatment is recommended to enhance the bond's durability of resin composite to demineralized dentin.
Collapse
Affiliation(s)
- Nesreen Y Mohammed
- Dental Biomaterials Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, EGY
| | - Dina M Abdel-Ghany
- Pediatric Dentistry and Oral Public Health Department, October 6 University, Giza, EGY
| | - Naoufel Ben Hamadi
- Chemistry Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, SAU
| | - Sadin Özdemir
- Food Processing Programme, Technical Science Vocational School, Mersin University, Mersin, TUR
| | - Zeliha Selamoglu
- Medical Biology Department, Medicine Faculty, Nigde Omer Halisdemir University, Nigde, TUR
| | - Gabriel Plavan
- Biology Department, Faculty of Biology, Alexandru Ioan Cuza University, Iasi, ROU
| | - Fehmi Boufahja
- Biology Department, College of Science, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, SAU
| | - Dalia M Elassar
- Operative Dentistry Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, EGY
| |
Collapse
|
7
|
Panetta A, Lopes P, Novaes TF, Rio R, Fernandes GVO, Mello-Moura ACV. Evaluating Glass Ionomer Cement Longevity in the Primary and Permanent Teeth-An Umbrella Review. J Funct Biomater 2024; 15:48. [PMID: 38391901 PMCID: PMC10890125 DOI: 10.3390/jfb15020048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 02/12/2024] [Accepted: 02/16/2024] [Indexed: 02/24/2024] Open
Abstract
The aim of this umbrella review was to evaluate the longevity of glass ionomer cement (GIC) as a restorative material for primary and permanent teeth. Research in the literature was conducted in three databases (MedLine/PubMed, Web of Science, and Scopus). The inclusion criteria were: (1) to be a systematic review of clinical trials that (2) evaluated the clinical longevity of GICs as a restorative material in primary and/or permanent teeth; the exclusion criteria were: (1) not being a systematic review of clinical trials; (2) not evaluating longevity/clinical performance of GICs as a restorative material; and (3) studies of dental restorative materials in teeth with enamel alterations, root caries, and non-carious cervical lesions. Twenty-four eligible articles were identified, and 13 were included. The follow-up periods ranged from 6 months to 6 years. Different types of GICs were evaluated in the included studies: resin-modified glass ionomer cement (RMGIC), compomers, and low- and high-viscosity glass ionomer cement. Some studies compared amalgam and composite resins to GICs regarding longevity/clinical performance. Analyzing the AMSTAR-2 results, none of the articles had positive criteria in all the evaluated requisites, and none of the articles had an a priori design. The criteria considered for the analysis of the risk of bias of the included studies were evaluated through the ROBIS tool, and the results of this analysis showed that seven studies had a low risk of bias; three studies had positive results in all criteria except for one criterion of unclear risk; and two studies showed a high risk of bias. GRADE tool was used to determine the quality of evidence; for the degree of recommendations, all studies were classified as Class II, meaning there was still conflicting evidence on the clinical performance/longevity of GICs and their recommendations compared to other materials. The level of evidence was classified as Level B, meaning that the data were obtained from less robust meta-analyses and single randomized clinical trials. To the best of our knowledge, this is the first umbrella review approaching GIC in permanent teeth. GICs are a good choice in both dentitions, but primary dentition presents more evidence, especially regarding the atraumatic restorative treatment (ART) technique. Within the limitation of this study, it is still questionable if GIC is a good restorative material in the medium/long term for permanent and primary dentition. Many of the included studies presented a high risk of bias and low quality. The techniques, type of GIC, type of cavity, and operator experience highly influence clinical performance. Thus, clinical decision-making should be based on the dental practitioner's ability, each case analysis, and the patient's wishes. More evidence is needed to determine which is the best material for definitive restorations in permanent and primary dentition.
Collapse
Affiliation(s)
- Alessandro Panetta
- Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
| | - Pedro Lopes
- Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
- Center for Interdisciplinary Research in Health, Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
| | | | - Rute Rio
- Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
- Center for Interdisciplinary Research in Health, Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
| | - Gustavo Vicentis Oliveira Fernandes
- Center for Interdisciplinary Research in Health, Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
- A. T. Still University-Missouri School of Dentistry & Oral Health, St. Louis, MO 63104, USA
| | - Anna Carolina Volpi Mello-Moura
- Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
- Center for Interdisciplinary Research in Health, Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, Portugal
| |
Collapse
|
8
|
Schulz-Weidner N, Gruber M, Wöstmann B, Uebereck CF, Krämer N, Schlenz MA. Occlusal Caries Detection with Intraoral Scanners in Pediatric Dentistry: A Comparative Clinical Study. J Clin Med 2024; 13:925. [PMID: 38398239 PMCID: PMC10889243 DOI: 10.3390/jcm13040925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 02/02/2024] [Accepted: 02/04/2024] [Indexed: 02/25/2024] Open
Abstract
Background: The aim of this clinical study was to compare the occlusal caries detection (OCD) performance of the intraoral scanners (IOSs) Trios 4 (TIO, 3Shape) and Emerald S (EME, Planmeca) and the Diagnocam (DIA, KaVo) with the established visual (WHO) examination (VIS, reference method). Methods: Between 08/2022 and 02/2023, 60 children (mean age 9.6 ± 2.5 years) were examined as part of their regular dental checkups. OCD was performed at the tooth level, separately for primary and permanent unrestored teeth. Furthermore, two thresholds were analyzed: sound versus overall caries (pooled data of enamel and dentin caries, TH1) and pooled data of sound and enamel caries versus dentin caries (TH2). Results: The best agreement with the reference method (reliability) in both dentitions was obtained for DIA (ĸ = 0.829/ĸ = 0.846; primary/permanent teeth), followed by EME (ĸ = 0.827/ĸ = 0.837) and TIO (ĸ = 0.714/ĸ = 0.680). Similar results were shown for the diagnostic quality (sensitivity, specificity and area under the curve of the receiver operating characteristic curve), with higher values for TH1 than for TH2. Both IOSs and the DIA showed worse results than the reference method VIS. Conclusions: Currently, IOS should be used as an additional caries detection tool, especially for visualization, and cannot be recommended as a basic tool for diagnosis or invasive/noninvasive therapy decisions in OCD.
Collapse
Affiliation(s)
- Nelly Schulz-Weidner
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (N.S.-W.)
| | - Marina Gruber
- Department of Prosthodontics, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany (B.W.)
| | - Bernd Wöstmann
- Department of Prosthodontics, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany (B.W.)
| | - Constanze Friederike Uebereck
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (N.S.-W.)
| | - Norbert Krämer
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany; (N.S.-W.)
| | - Maximiliane Amelie Schlenz
- Department of Prosthodontics, Dental Clinic, Justus Liebig University, Schlangenzahl 14, 35392 Giessen, Germany (B.W.)
| |
Collapse
|
9
|
Campos PSSL, Gois CMB, Serafim V, Puppin-Rontani RM, Pascon FM. Teaching pulpectomy in paediatric dentistry: A national cross-sectional survey of dental schools in Brazil. Int J Paediatr Dent 2024. [PMID: 38317276 DOI: 10.1111/ipd.13165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 11/19/2023] [Accepted: 12/03/2023] [Indexed: 02/07/2024]
Abstract
BACKGROUND Pulpectomy is used to treat primary teeth with irreversibly inflamed or necrotic pulp tissue. There is, however, a lack of consensus on clinical protocols for teaching pulpectomy at dental schools. AIM To determine what faculty members at Brazilian dental schools are teaching about pulpectomy in primary teeth. DESIGN A cross-sectional, observational study was conducted using a 39-question survey available via the Google Forms® platform. A snowball sampling strategy was used for recruitment. Invitations to participate were sent via e-mail, WhatsApp® and Instagram®. The data were analysed descriptively. RESULTS A total of 177 (58.4%) responses were obtained. Most faculty members recommended the use of Kerr hand files (66.1%), and 1% sodium hypochlorite was the most common choice for the irrigating solution (35.3%). Iodoform pastes were the first choice of faculty members (41.6%), and 60.5% of the faculty members recommended composite resin as the definitive restoration. CONCLUSION Similarities were found in the teaching of pulpectomy for primary teeth among faculty members at dental schools in Brazil.
Collapse
Affiliation(s)
- Priscilla Sena Souza Luz Campos
- Department of Health Science and Pediatric Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Carla Marinho Barreto Gois
- Department of Health Science and Pediatric Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Verônica Serafim
- Department of Health Science and Pediatric Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Regina Maria Puppin-Rontani
- Department of Health Science and Pediatric Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Fernanda Miori Pascon
- Department of Health Science and Pediatric Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| |
Collapse
|
10
|
Abanto J, Tsakos G, Olegário IC, Paiva SM, Mendes FM, Ardenghi TM, Bönecker M. Impact of pulpectomy versus tooth extraction in children's oral health-related quality of life: A randomized clinical trial. Community Dent Oral Epidemiol 2024; 52:13-23. [PMID: 37519111 DOI: 10.1111/cdoe.12895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 06/17/2023] [Accepted: 07/14/2023] [Indexed: 08/01/2023]
Abstract
AIM The aim of this randomized clinical trial was to compare the impact of two management options for primary molars with pulp necrosis (pulpectomy or extraction) on children's oral health-related quality of life (OHRQoL). DESIGN A total of 100 children aged 3-5 years with at least one necrotic primary molar were selected and randomized into the study groups. The Brazilian version of early childhood oral health impact scale (B-ECOHIS) was completed by the parent proxy reports at baseline and after 4, 8 and 12 months. Differences between the trial groups were assessed through bootstrap linear regression for B-ECOHIS scores, logistic regression for dental pain self-reports and anxiety scores (α = 5%). RESULTS The mean (SD) B-ECOHIS scores at baseline and after 12 months were 17.7 (6.5) and 3.0 (4.0) in the pulpectomy group and 18.8 (7.7) and 7.9 (7.7) in the extraction group. Both treatments significantly improved OHRQoL, but tooth extraction group showed higher scores in total B-ECOHIS (p < .001) and most domains, indicating lower OHRQoL. Furthermore, higher anxiety levels were reported for dental extraction compared to pulpectomy (OR = 2.52; p = .008). CONCLUSION Pulpectomy resulted in an improved OHRQoL scores after 12 months when compared to tooth extraction and should be considered as the treatment of choice for necrotic primary molars.
Collapse
Affiliation(s)
- Jenny Abanto
- Department of Paediatric Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Georgios Tsakos
- Department of Epidemiology & Public Health, Institute of Epidemiology & Health, University College London, London, UK
| | - Isabel Cristina Olegário
- Department of Child & Public Dental Health, Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland
| | - Saul Martins Paiva
- Department of Paediatric Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Fausto Medeiros Mendes
- Department of Paediatric Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain
| | - Thiago Machado Ardenghi
- Postgraduate Program in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil
| | - Marcelo Bönecker
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| |
Collapse
|
11
|
Tungjitphianpong P, Trairatvorakul C, Thunyakitpisal P, Songsiripradubboon S. Partial pulpotomy success in primary molars followed up for 24 months: A randomized controlled clinical trial using mineral trioxide aggregate, biodentine, and acemannan. Int J Paediatr Dent 2024. [PMID: 38297465 DOI: 10.1111/ipd.13163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 12/19/2023] [Accepted: 01/01/2024] [Indexed: 02/02/2024]
Abstract
BACKGROUND Finding the best treatment approach and suitable capping materials in primary molars with deep carious lesions remains unresolved. AIM To compare the success rates of partial pulpotomy in deep caries lesions in primary molars treated with mineral trioxide aggregate (MTA), biodentine, or acemannan for 6-24 months. DESIGN A parallel-design, non-inferiority randomized controlled clinical trial was performed. Ninety mandibular primary molars from 65 children meeting the criteria, aged 3-8 years, were included. After inflamed pulp tissue removal and hemostasis, each tooth was randomly allocated into the MTA control group, or the biodentine or acemannan experimental group (N = 30 per group). All teeth were restored with a stainless steel crown. The outcomes were evaluated for 6-24 months. A generalized estimating equation model was used to compare the overall success rate in each group. RESULTS After 24 months, 58 children (83 teeth) were available for evaluation. The results indicated that the success rate in the MTA, biodentine, and acemannan groups was 83.3%, 76.9%, and 74.1%, respectively. No significant difference in success rates among groups, however, was observed at the 6- to 24-month follow-ups (at 24th month, p = .30). CONCLUSION There was no statistically significant difference between MTA, biodentine, or acemannan in the partial pulpotomy success after 24 months.
Collapse
Affiliation(s)
| | - Chutima Trairatvorakul
- Department of Paediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Pasutha Thunyakitpisal
- Research Unit of Herbal Medicine, Biomaterial and Material for Dental Treatment, Department of Anatomy, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Suranaree University of Technology, Nakhon Ratchasima, Thailand
| | | |
Collapse
|
12
|
Rojas-Briceño NB, Oc Carrasco OJ, Silva Díaz YA, Ordinola Ramírez CM, Pizarro Salazar O, Tuesta-Mendoza SJ, Silva-López JO. Knowledge and Attitudes of Parents about Oral Health in the Primary Dentition Stage in a Peruvian High Andean City. Int J Environ Res Public Health 2024; 21:154. [PMID: 38397645 PMCID: PMC10888232 DOI: 10.3390/ijerph21020154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 01/16/2024] [Accepted: 01/22/2024] [Indexed: 02/25/2024]
Abstract
Children's oral health depends on parents' knowledge and attitudes. The primary dentition stage, in particular, plays a crucial role in the comprehensive development of children. Therefore, the objective was to evaluate parents' knowledge and attitudes about oral health in the primary dentition stage in Chachapoyas (Amazonas, NW Peru). A questionnaire was administered to 409 parents from 15 educational institutions, and the data were analyzed using multinomial logistic regression. Among the surveyed parents, 75.3% could identify at least one habit harmful to their children's teeth (such as excessive sugar consumption) and one of its effects (such as dental caries). Additionally, 77.5% reported that their children presented some dental problem, more frequent in the peripheral areas than in the city's center. Gender (odd ratio, OR = 0.484; p = 0.037), educational level (OR = 2.144; p = 0.043), and type of health insurance (OR = 2.627; p = 0.044) of the parents influenced awareness of taking care of their children's primary dental health. The geographic location of the school (1.729 < OR < 2.079; p ≤ 0.011) and family income (OR = 3.504; p = 0.028) influenced parents' identification of the different harmful effects of children's habits. Factors such as low socioeconomic status and never taking the child to the dentist increased the risk of dental problems (p < 0.05). It is suggested that peripheral areas, like rural areas, lack the same oral health programs and access to treatment as central urban areas, leading to disparities in parental knowledge and attitudes.
Collapse
Affiliation(s)
- Nilton B. Rojas-Briceño
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
- Escuela Profesional de Ingeniería Ambiental, Facultad de Ingeniería y Arquitectura, Universidad Nacional de Moquegua, Moquegua 18610, Peru
| | - Oscar J. Oc Carrasco
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| | - Yshoner A. Silva Díaz
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| | - Carla M. Ordinola Ramírez
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| | - Oscar Pizarro Salazar
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| | - Shírley J. Tuesta-Mendoza
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| | - Jhonsy O. Silva-López
- Facultad de Ciencias de la Salud, Universidad Nacional Toribio Rodríguez de Mendoza de Amazonas, Chachapoyas 01001, Peru; (O.J.O.C.); (C.M.O.R.)
| |
Collapse
|
13
|
Fontana M, Khera D, Levy S, Eckert G, Katz B, Yanca E, González-Cabezas C, Moursi A. A Randomized Clinical Trial to Assess Caries Arrest by Using Silver Diamine Fluoride in U.S. Children: Interim Findings. Pediatr Dent 2024; 46:8-12. [PMID: 38449039 PMCID: PMC10921985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
Purpose: To assess the effectiveness of 38 percent silver diamine fluoride (SDF) in arresting cavitated caries lesions in young U.S. children. Methods: Children 12 to 71 months of age with severe early childhood caries participated in this phase three, multicenter, randomized, placebocontrolled trial. SDF was applied twice (at baseline and six months), and children were followed for eight months. A planned interim analysis of only the six-month primary outcome caries arrest data, for approximately half of the cohort (680 of 1,144 children), was conducted using a generalized estimating equation model, accounting for non-independence among carious lesions within a patient. Results: Five hundred ninety-nine of the 680 participants, with 1,413 lesions, completed the six-month exam. Lesions in the SDF group demonstrated 54 percent arrest versus 21 percent in the placebo (P<0.001). Conclusions: Silver diamine fluoride was effective at arresting active cavitated lesions in this population, leading to the early stop of the trial. Final analyses of all data and other outcomes are currently underway.
Collapse
Affiliation(s)
- Margherita Fontana
- Clifford Nelson Endowed Professor of Dentistry, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Mich., USA
| | - Divya Khera
- Clinical Assistant Professor, Department of Pediatric Dentistry, College of Dentistry, New York University, New York, NY, USA
| | - Steven Levy
- Wright-Bush-Shreves Endowed Professor of Research, Department of Preventive and Community Dentistry, College of Dentistry, and professor, Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA
| | - George Eckert
- Biostatistician, Department of Biostatistics and Health Data Science, School of Medicine and Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Ind., USA
| | - Barry Katz
- Professor Emeritus, Department of Biostatistics and Health Data Science, School of Medicine and Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Ind., USA
| | - Emily Yanca
- Clinical Research Project Manager, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Mich., USA
| | - Carlos González-Cabezas
- Richard Christiansen Collegiate Professor, Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, Mich., USA
| | - Amr Moursi
- Professor and Chair, Department of Pediatric Dentistry, College of Dentistry, New York University, New York, NY, USA
| |
Collapse
|
14
|
Iranparvar P, Ghasemi A, Iranparvar P. Adhesion of glass ionomer cements to primary dentin using a universal adhesive. Dent Med Probl 2024; 61:93-98. [PMID: 38426654 DOI: 10.17219/dmp/131066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 12/01/2020] [Indexed: 03/02/2024] Open
Abstract
BACKGROUND Glass ionomers are widely used for restoring carious primary teeth. However, their ability to bond to primary dentin is considered a challenge in pediatric dentistry. OBJECTIVES The study aimed to evaluate the microshear bond strength (μSBS) of a resin-modified glass ionomer (RMGI) and a high-viscosity glass ionomer cement (Hv-GIC) to primary dentin using a universal adhesive. MATERIAL AND METHODS Thirty human primary maxillary canines were cut in half and prepared for the μSBS test. The specimens (N = 60) were assigned to 6 groups. Three groups were defined for RMGI (FUJI II LC) and 3 groups for Hv-GIC (EQUIA Forte): with an immediately curing adhesive (G-Premio); with a delayed curing adhesive; and without an adhesive (control group). After preparing the dentin surfaces, the glass ionomers were bonded using Tygon® tubes with an internal diameter of 0.7 mm. The μSBS test was performed, and the data was analyzed using two-way analysis of variance (ANOVA) followed by Tukey's post hoc test. Additionally, the failure modes were determined using a stereomicroscope. Six specimens, one for each study group, were prepared for scanning electron microscopy (SEM) analysis to observe the glass ionomer-dentin interface. RESULTS The type of glass ionomer did not have a significant effect on the μSBS (p = 0.305). Groups that received universal adhesive application prior to glass ionomer exhibited a significantly higher μSBS (p < 0.0001). However, there was no significant difference between the immediately curing and delayed curing groups (p = 0.157). The predominant failure mode was mixed failure. CONCLUSIONS Higher bond strength of glass ionomers to primary teeth can be achieved by using universal adhesives, which, in addition to the proven benefits of glass ionomers, can improve their clinical success.
Collapse
Affiliation(s)
- Parastoo Iranparvar
- Department of Pediatric Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Amir Ghasemi
- Department of Restorative Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Pouria Iranparvar
- Dental Research Center, Research Institute for Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
15
|
Malas N, Kochaji C, Soukkarieh C, Almonakel MB, Alzoubi H. Association of Dental Caries in Primary Teeth With HLA Class II Gene Among Syrian Children. Cureus 2024; 16:e53081. [PMID: 38414691 PMCID: PMC10897358 DOI: 10.7759/cureus.53081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2024] [Indexed: 02/29/2024] Open
Abstract
Background and objectives Numerous studies have shown that there is evidence that genetic factors contribute in different ways to the occurrence of caries lesions, and the multiple differences in the human leucocytes antigen (HLA) gene patterns play an important role in the body's immune response. Therefore, this study aimed to evaluate the association between some HLA class II alleles (HLA-DR4, HLA-DQ2, HLA-DQ4) and early childhood caries (ECC) occurrence in Syrian children. Materials and methods The study included 80 children aged three to six, divided into two groups: Group 1 (n = 40) being severe early childhood caries (S-ECC) children (deft ≥ 10) and Group 2 (n = 40) being free caries children (deft = 0). The genomic DNAs were extracted and collected by taking a buccal swab using a sterile metal strip and were amplified by polymerase chain reaction-single specific primer (PCR-SSP) and then HLA-typing was performed for all alleles. Results There were no statistically significant differences in the frequency of occurrence of S-ECC, HLA-DR4, and HLA-DQ2 alleles (p = 0.626, 0.256 respectively), while the incidence of S-ECC was associated with the DQ4 allele (p = 0.012). Conclusion HLA class II molecules may play a crucial role in predisposing to ECC, since positive HLA-DQ4 may enhance the chance of developing ECC. However, no association were found between (HLA-DR4 and HLA-DQ2) and ECC.
Collapse
Affiliation(s)
- Nassouh Malas
- Pediatric Dentistry, Damascus University, Damascus, SYR
| | - Chaza Kochaji
- Pediatric Dentistry, Damascus University, Damascus, SYR
| | | | | | - Hasan Alzoubi
- Pediatric Dentistry, Damascus University, Damascus, SYR
| |
Collapse
|
16
|
Ahuja V, Ahuja A, Thosar NR. Evaluation and Comparison of Facial Appearance Using the Golden Ratio: An Anthropometric Study in Preschool and School-Going Children of Santhal Tribe in West Bengal. Cureus 2024; 16:e53200. [PMID: 38425581 PMCID: PMC10902746 DOI: 10.7759/cureus.53200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Accepted: 01/29/2024] [Indexed: 03/02/2024] Open
Abstract
Introduction Golden ratio and beauty are two inseparable sides of the same coin and have been studied for centuries by the Greeks. This divine ratio is defined as an invincible parameter in aesthetic dentistry to measure looks, symmetry, and balance. Being beautiful and handsome also boosts confidence in today's children and therefore is a top priority for young growing kids. However, there is no study done to define facial measurements based on the golden ratio in preschool and school-going children that can succor aesthetics in formative years. The purpose of this research was to evaluate facial proportions in the vertical dimension, quantify them in reference to the golden ratio, and analyze the association with gender among preschool and school-going children of the Santhal tribe in the Bankura district. Materials and methods A total of 399 subjects, 198 children of 3-5 years with primary teeth and 201 children of 6-12 years with mixed dentition, were selected from schools in villages of Bankura district, West Bengal, India. The subjects were made to relax in a sitting position and a digital vernier caliper was used to record the following vertical facial parameters: total facial height (TFH), trichion-gnathion distance (Tr-Gn), and subnasale-gnathion distance (Sn-Gn). The total facial height was correlated with sexual dimorphism and dentition. The ratio of Tr-Sn/Sn-Gn was calculated and compared with the golden ratio. The ratio was classified as normal (if it was between 1.6 and 1.699, i.e., normal to the golden ratio value), long (if it was more than 1.699, i.e., more than the golden ratio value), or short (if it was below 1.6, i.e., less than the golden ratio value). This facial analysis based on the golden ratio was correlated to sexual dimorphism and dentition. The data were recorded, compared with gender, and statistically analyzed using the unpaired t-test and Chi-square test. Results The total facial height was larger in males than females in both primary and mixed dentition; however, the value was highly significant in primary dentition. Tr-Sn/Sn-Gn ratios were lower in the long facial category in both males and females in both preschool and school-going children. The values were statistically significant in these ratios for both dentitions. Conclusion The majority of children in the Santhal tribe of Bankura in West Bengal did not conform to the golden ratio and showed long faces. There was a significant association of facial features with sexual dimorphism. Clinical significance The early prediction of facial features in children and its confirmation with the established golden ratio can be considered an imperative parameter to comprehend facial aesthetics and symmetry.
Collapse
Affiliation(s)
- Vipin Ahuja
- Pediatric and Preventive Dentistry, Hazaribag College of Dental Sciences and Hospital, Hazaribag, IND
| | - Annapurna Ahuja
- Periodontics and Implant Dentistry, Hazaribag College of Dental Sciences and Hospital, Hazaribag, IND
| | - Nilima R Thosar
- Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| |
Collapse
|
17
|
Felemban O, Abdrabuh R, El Meligy O, Farsi N, Bakry AS, Abu Haimed T. Micro-Morphological Features of the Er:YAG-Lased Interface in Primary Teeth: 12 Months Randomized Split-Mouth Trial. J Funct Biomater 2024; 15:17. [PMID: 38248684 PMCID: PMC10816583 DOI: 10.3390/jfb15010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 12/28/2023] [Accepted: 12/30/2023] [Indexed: 01/23/2024] Open
Abstract
Despite considerable improvements in oral health, dental caries remains a public health issue. The most frequently used technique to remove caries is through rotating drills. New minimally invasive strategies were introduced into dental practice, such as the use of lasers to perform highly controlled tissue ablation while limiting pain and discomfort, as well as overcoming drill phobia. The objective was to assess and compare treatment with Er:YAG laser versus a conventional rotary treatment during cavity preparation in children with regard to bond interface quality. In a randomized trial using a split-mouth design, 40 (9-12 year-old) children with 80 carious primary molars were included. The cavity in one quadrant was treated conventionally using a bur, while the cavity in the other quadrant was prepared using an Er:YAG laser. Twenty restored teeth were extracted after one year. The SEM histological evaluation of bond interface results demonstrated no statistically significant differences between restorations placed following bur preparation and those placed following the Er:YAG laser preparation, and both treatments demonstrated promising results. Over a one-year period, no statistically significant differences in the bond interface quality were observed following class I cavity preparation in primary teeth with either Er:YAG laser or a conventional rotary bur.
Collapse
Affiliation(s)
- Osama Felemban
- Paediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.A.); (O.E.M.); (N.F.)
| | - Raghdah Abdrabuh
- Paediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.A.); (O.E.M.); (N.F.)
| | - Omar El Meligy
- Paediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.A.); (O.E.M.); (N.F.)
- Paediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, Alexandria 21521, Egypt
| | - Najat Farsi
- Paediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (R.A.); (O.E.M.); (N.F.)
| | - Ahmed Samir Bakry
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (A.S.B.); (T.A.H.)
- Department of Conservative Dentistry, Faculty of Dentistry, Alexandria University, Alexandria 21521, Egypt
- King Fahd Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Tariq Abu Haimed
- Restorative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (A.S.B.); (T.A.H.)
| |
Collapse
|
18
|
Maslak EE, Arjenovskaya EN. [The results of vital pulpotomy in primary teeth in children with negative behavior]. Stomatologiia (Mosk) 2024; 103:77-79. [PMID: 38741539 DOI: 10.17116/stomat202410302177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
OBJECTIVE The aim of the study. Comparative assessment of the results of vital pulpotomy in primary teeth in children with negative behavior when using non-drug behavior correction or sedation with preserved consciousness. MATERIALS AND METHODS The proportions (%), 95% Confidence Interval (CI), the Student's criterion and χ2 for assessment of the difference between indicators were calculated. After 24 months, the pulpotomy efficiency in the 1st group was lower than in the 2nd group: 81.7% (95% CI 74.7-88.6%) and 89.2% (95% CI 83.6-94.7%), respectively, p>0.05. RESULTS The proportions (%), 95% Confidence Interval (CI), the Student's criterion and χ2 for assessment of the difference between indicators were calculated. After 24 months, the pulpotomy efficiency in the 1st group was lower than in the 2nd group: 81.7% (95% CI 74.7-88.6%) and 89.2% (95% CI 83.6-94.7%), respectively, p>0.05. CONCLUSION The treatment of the children aged 3-6 years with negative behavior under sedation with preserved consciousness increased the results of pulpotomy in primary teeth mainly due to the improvement of the quality of restorations.
Collapse
Affiliation(s)
- E E Maslak
- Volgograd State Medical University, Volgograd, Russia
| | | |
Collapse
|
19
|
Sharma K, Maria R, Durga Dutta S, Semwal M, Srija K, Pawar M, Dagli N, Niranjan Mehta D. Evaluation of obturation techniques in primary teeth among Indians. Bioinformation 2023; 19:1324-1328. [PMID: 38415036 PMCID: PMC10895539 DOI: 10.6026/973206300191324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 12/31/2023] [Accepted: 12/31/2023] [Indexed: 02/29/2024] Open
Abstract
Evaluation of four distinct obturating methods namely endodontic pressure syringe (n=40), reamers (n=40), Lentulo spirals driven through slow-speed handpiece (n=40) and incremental filling technique (n=4) using zinc oxide eugenol (ZOE) paste as obturating material in deciduous teeth is of interest to dentist. Hence, we are interested determining the effective obturation methodology using CBCT. Handpiece driven lentuspirals helped in optimum obturation in high percentage of root canals. Low percentage of optimally filled root canals was observed in reamers technique. Moreover, under filled root canals was low in lentuspirals technique of obturation. Thus, overfilled root canals were high in endodontic pressure syringe and reamers obturation technique.
Collapse
Affiliation(s)
- Karuna Sharma
- Department of Pediatric and Preventive Dentistry, Rama Dental College, Hospital and Research Centre, Kanpur, U.P., India
| | - Rahul Maria
- Department of Conservative Dentistry and Endodontics, Jaipur Dental College, Jaipur, Rajasthan, India
| | - Smita Durga Dutta
- Department of Conservative Dental Sciences and Endodontics, Qassim University, Saudi Arabia
| | - Mansi Semwal
- Department of Pediatric and Preventive Dentistry, Babu Banarasi Das College of Dental Sciences, BBDU, Lucknow, India
| | - Kodali Srija
- Department of Pediatric and Preventive Dentistry, Supraja Dental Clinic, Moti Ngar, Hyderabad, Telangana, India
| | - Madhura Pawar
- Department of Pediatric and Preventive Dentistry, Dr D Y Patil Dental College and Hospital, Dr D Y Patil Vidyapeeth, Pimpri, Pune, India
| | - Namrata Dagli
- Karnavati Scientific Research Centre, Karnavati School of Dentistry, Karnavati University, Gandhinagar, India
| | - Dhaval Niranjan Mehta
- Department of Oral Medicine and Radiology, Narsinbhai Patel Dental college and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India
| |
Collapse
|
20
|
Bhattacharjee A, Singh RK, Patil RK, Chandra S, Singhai A, Singh US, Ansari AA, Khanna R. Comparative assessment of cleaning efficacy of two exclusive paediatric rotary files in root canals of primary teeth: An in vitro study. Int J Paediatr Dent 2023. [PMID: 38124259 DOI: 10.1111/ipd.13148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 10/17/2023] [Accepted: 11/26/2023] [Indexed: 12/23/2023]
Abstract
BACKGROUND Paediatric rotary file systems have recently been developed for primary teeth use. AIM To study the cleaning efficacies of two paediatric rotary endodontic files, the Prime PedoTM , and the Kedo-SG BlueTM against the standard H files. DESIGN This in vitro study included 54 freshly extracted primary molars, which were randomised into three groups (n = 18 each) and were prepared using either Kedo-SG BlueTM , Prime PedoTM or hand H files after injecting methylene blue dye into the canals. Pre- and post-operative cone beam computerised tomography (CBCT) was performed to assess change in root canal volumes. Methylene blue dye removal from canals was assessed using stereomicroscopy, and canal cleanliness was examined by scanning electron microscopy (SEM). RESULTS Both Prime PedoTM and Kedo-SG BlueTM files reduced significantly less dentine when compared with conventional hand filing with Prime PedoTM removing the least amount of dentine. No significant difference was found in median SEM scores among the groups in the cervical, middle and apical thirds of the roots. Stereomicroscopic assessment of root canal cleanliness using dye removal technique shows a statistically significant difference existing between Kedo-SG BlueTM and hand H files groups. CONCLUSION Prime PedoTM removed the least amount of dentine. Kedo-SG BlueTM performed significantly better than conventional hand filing with H files when the root canal cleanliness was assessed.
Collapse
Affiliation(s)
- Abhisek Bhattacharjee
- Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Rajeev Kumar Singh
- Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Ranjit Kumar Patil
- Department of Oral Medicine and Radiology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Shaleen Chandra
- Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Atin Singhai
- Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Uma Shankar Singh
- Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Afroz Alam Ansari
- Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| | - Richa Khanna
- Department of Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
| |
Collapse
|
21
|
Schulz-Weidner N, Wang J, Steinbart J, Windfelder AG, Krombach GA, Krämer N, Schlenz MA, Scherberich J. Evaluation of Mechanical Versus Manual Root Canal Preparation in Primary Molars-A Comparative In Vitro Study. J Clin Med 2023; 12:7718. [PMID: 38137787 PMCID: PMC10743663 DOI: 10.3390/jcm12247718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/04/2023] [Accepted: 12/12/2023] [Indexed: 12/24/2023] Open
Abstract
The endodontic treatment of primary teeth is to maintain the function of the tooth free of symptoms until its physiological exfoliation. A critical factor for success is how quickly and effectively the root canal preparation can be performed. Therefore, the aim of this comparative in vitro study was to analyze the efficiency of two mechanical root canal preparation systems FM (FlexMaster) and HF (HyFlex EDM) to manual KF (K-file) on extracted primary molars. A total of 45 teeth were divided into three groups (n = 15): KF (#15-35), FM (04#30) and HF (25/~ OneFile). Root canal preparation was performed, and the preparation time was measured. All root canals were non-destructively analyzed by micro-computed tomography in the cervical, middle and apical thirds before and after preparation with regard to the parameters of canal transport (in μm) and centering ratio (0-1). Statistical analysis was performed at a 5% significance level using non-parametric tests. HF caused the lowest canal transport in the apical third (p = 0.008). The centering ratio value of HF was significantly higher in the middle third of the root canals than in the other two groups (p < 0.01). The mean instrumentation time was significantly higher for KF (6.67 min) than for FM (4.69 min) and HF (4.03 min, p < 0.01). HF can be recommended for primary molar root canal treatment.
Collapse
Affiliation(s)
- Nelly Schulz-Weidner
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Jiameng Wang
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Jessica Steinbart
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
| | - Anton G. Windfelder
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
- Branch for Bioresources, Fraunhofer Institute for Molecular Biology and Applied Ecology IME, 35392 Giessen, Germany
| | - Gabriele A. Krombach
- Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, Giessen 35392, Germany;
| | - Norbert Krämer
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Maximiliane A. Schlenz
- Department of Prosthodontics, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany;
| | - Jan Scherberich
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
| |
Collapse
|
22
|
Yavagal CM, Subramani SK, Patil VC, Yavagal PC, Talwar RP, Hebbal MI, Saadaldin SA, Eldwakhly E, Abdelhafeez MM, Soliman M. Disinfection Efficacy of Laser Activation on Different Forms and Concentrations of Sodium Hypochlorite Root Canal Irrigant against Enterococcus faecalis in Primary Teeth. Children (Basel) 2023; 10:1887. [PMID: 38136089 PMCID: PMC10741736 DOI: 10.3390/children10121887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 11/30/2023] [Accepted: 12/01/2023] [Indexed: 12/24/2023]
Abstract
Photoactivated disinfection with sodium hypochlorite (NaOCl) has improved primary root canal treatment outcomes. This in vitro study aims to assess and compare the disinfecting efficacy of 2.5% sodium hypochlorite solution and 5.25% sodium hypochlorite gel, without laser activation and accompanied by laser activation, on Enterococcus faecalis-contaminated primary teeth root canals. After one month of incubating extracted teeth specimens with E. faecalis, 36 specimens were randomly divided into two groups: Group A (conventional method without laser-activated irrigation) and Group B (with laser-activated irrigation). Each group was further divided into three subgroups, with six samples in each subgroup. Subgroup 1 received irrigation with normal saline, Subgroup 2 with 2.5% sodium hypochlorite solution, and Subgroup 3 with 5.25% sodium hypochlorite gel. Diode laser activation at 810 nm was used in Group B. Bacterial colony counts were measured before and after the intervention. Student's t-test and one-way analysis of variance (ANOVA) with Tukey's post hoc test were used for statistical analysis. The significance level was set at p < 0.05. Microbial analysis revealed no bacterial growth in samples irrigated with 5.25% sodium hypochlorite gel activated with the laser. Activation with the laser significantly (p = 0.02) improved the disinfection ability of the irrigant compared to the non-activation group. The disinfection ability of sodium hypochlorite gel was better than that of saline (p = 0.02); however, it was comparable to that of sodium hypochlorite solution (p = 0.67). Conclusion: Root canal irrigation with 5.25% sodium hypochlorite gel activated with an 810 nm diode laser resulted in complete eradication of Enterococcus faecalis, indicating its effectiveness as an endodontic disinfection treatment modality.
Collapse
Affiliation(s)
- Chandrashekar Murugesh Yavagal
- Department of Pediatric Dentistry, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences & Research Centre, Belgaum 590019, Karnataka, India
| | - Srinivas K. Subramani
- Department of Pediatric Dentistry, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences & Research Centre, Belgaum 590019, Karnataka, India
| | - Viplavi Chavan Patil
- Department of Pediatric Dentistry, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences & Research Centre, Belgaum 590019, Karnataka, India
| | - Puja C. Yavagal
- Department of Public Health Dentistry, Bapuji Dental College and Hospital, Davanagere 577004, Karnataka, India
| | - Ramachandra P. Talwar
- Department of Pediatric Dentistry, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences & Research Centre, Belgaum 590019, Karnataka, India
| | - Mamata Iranna Hebbal
- Department of Preventive Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Selma A. Saadaldin
- Prosthodontics Division, Schulich School of Medicine and Dentistry, Western University, London, ON N6A 3K7, Canada
| | - Elzahraa Eldwakhly
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Manal M. Abdelhafeez
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, P.O. Box 6666, Buraydah 51452, Saudi Arabia
- Department of Endodontics, Faculty of Dentistry, October University for Modern Sciences and Arts, 6th of October City 12451, Egypt
| | - Mai Soliman
- Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| |
Collapse
|
23
|
Mathew MG, Jeevanandan G. Evaluation of Clinical Success, Caries Recurrence, and Oral Health-Related Quality of Life of Children Undergoing Full Mouth Rehabilitation for Early Childhood Caries: A Prospective Cohort Study. Cureus 2023; 15:e50327. [PMID: 38205476 PMCID: PMC10778429 DOI: 10.7759/cureus.50327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2023] [Indexed: 01/12/2024] Open
Abstract
AIM This prospective cohort study aimed to assess the clinical success, caries recurrence, and oral health-related quality of life of children undergoing full mouth rehabilitation for early childhood caries under general anesthesia. The study sought to understand the long-term impact of these interventions on early childhood caries (ECC) management. METHODOLOGY The study included 300 children aged three to six years diagnosed with ECC requiring full mouth rehabilitation under general anesthesia. The assessment included clinical success of various dental treatments, caries recurrence rates, and oral health-related quality of life using the Early Child Oral Health Impact Scale at baseline, 12 months, and 24 months post-treatment. Specialized caries preventive protocols were implemented, including education on oral hygiene, reminders, and nutritional guidance. RESULTS 272 children attended the 12-month follow-up, out of which 11 children had new carious lesions. Two hundred fifty-two children were reported for the 24-month follow-up, in which 19 children reported new carious lesions. The clinical success rate of treatment was found to be high. The oral health-related quality of life showed a significant and sustained improvement from baseline to 12 months and further improvement at 24 months post-treatment. CONCLUSION Full mouth rehabilitation under general anesthesia is an effective approach for managing ECC in young children, with high clinical success rates and significant improvements in the oral health-related quality of life over two years. Preventive oral health strategies are necessary to maintain these positive outcomes and improve the overall well-being of affected children.
Collapse
Affiliation(s)
- Mebin George Mathew
- Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, IND
| | - Ganesh Jeevanandan
- Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, IND
| |
Collapse
|
24
|
Kumar RK, Subramani SK, Swathika B, Ganesan S, Chikkanna M, Murugesan S, Babu JS, Swarnalatha C, Nayyar AS. Comparison of shear bond strength of composite resin, compomer, and resin-modified glass-ionomer cements in primary teeth: An in-vitro study. J Orthod Sci 2023; 12:71. [PMID: 38234647 PMCID: PMC10793848 DOI: 10.4103/jos.jos_36_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/01/2023] [Accepted: 05/12/2023] [Indexed: 01/19/2024] Open
Abstract
OBJECTIVE The contemporary esthetic restorative materials such as composite resin and glass-ionomer cements and their modifications have all been developed keeping in mind the requirements of permanent teeth. There have been plenty of studies that have focused on the characteristics of these materials in relation to permanent teeth with a relative dearth of such studies as regard to the primary teeth. The present study was undertaken to compare and evaluate the shear bond strength of composite resin, compomer, and resin-modified glass-ionomer cements in primary teeth. METHODS Thirty non-carious primary molars that were indicated for extraction because of physiological resorption or, for orthodontic reasons, were selected. The selected teeth were randomly allocated to three groups of 10 each for composite, compomer, and resin-modified glass-ionomer cements. The enamel from the occlusal surface of all teeth was removed to expose the superficial dentin and was wet polished with 400 grit sand paper. Composite, compomer, and resin-modified glass-ionomer stubs were bonded on to the occlusal surfaces using a plastic tube as a template. All samples were, then, subjected to thermocycling and evaluation of shear bond strength using the universal testing machine at a cross-head speed of 0.5 mm/min, whereas the results obtained were subjected to statistical analysis. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 17.0 (SPSS Inc., Chicago, IL, USA), whereas one-way analysis of variance (ANOVA) and Tukey's multiple post-hoc procedures were used for statistical analysis. A P < 0.05 was considered statistically significant. RESULTS The mean shear bond strength values for Groups I, II, and III were found to be 11.7 ± 3.07 MPa, 7.74 ± 4.16 Mpa, and 4.43 ± 2.08 Mpa, respectively, whereas one-way ANOVA and Tukey's multiple post-hoc procedures indicated that there were remarkable differences among the three groups with the results being statistically significant (P < 0.05). CONCLUSIONS Composite resin showed the highest shear bond strength in relation to primary dentin when compared to compomer and resin-modified glass-ionomer cements.
Collapse
Affiliation(s)
- R Kranthi Kumar
- Department of Paediatric and Preventive Dentistry, Dr. Hedgewar Smruti Rugna Seva Mandal Dental College and Hospital, Hingoli, Maharashtra, India
| | | | - B Swathika
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Pondicherry, India
| | - S Ganesan
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Pondicherry, India
| | - Meenakumari Chikkanna
- Department of Restorative Dental Sciences and Prosthodontics, College of Dentistry, Majmaah University, Al Majma'ah, Kingdom of Saudi Arabia
| | - Sabari Murugesan
- Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - J Suresh Babu
- Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, University of Ha'il, Ha'il, Kingdom of Saudi Arabia
| | - C Swarnalatha
- Department of Preventive Dental Sciences, Division of Periodontology, College of Dentistry, University of Ha'il, Ha'il, Kingdom of Saudi Arabia
| | - Abhishek S. Nayyar
- Department of Oral Medicine and Radiology, Saraswati Dhanwantari Dental College and Hospital and Post-Graduate Research Institute, Parbhani, Maharashtra, India
| |
Collapse
|
25
|
Lampl S, Gurunathan D, Krithikadatta J, Mehta D, Moodley D. Reasons for Crown Failures in Primary Teeth: Protocol for a Systematic Review and Meta-Analysis. JMIR Res Protoc 2023; 12:e51505. [PMID: 37910174 PMCID: PMC10652188 DOI: 10.2196/51505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2023] [Revised: 09/28/2023] [Accepted: 10/05/2023] [Indexed: 11/03/2023] Open
Abstract
BACKGROUND There is a tendency nowadays to restore large defects in primary dentition with pediatric crowns instead of conventional restorations. Thus, understanding the factors contributing to the survival or failure of dental crowns in pediatric dentistry is essential for optimizing treatment outcomes. OBJECTIVE The primary objective of this protocol is to outline the methodological approach for analyzing data from observational studies and randomized controlled trials to investigate reasons for the failure of dental crowns in primary teeth and to compute their survival and failure rates. METHODS A comprehensive literature review will be performed in electronic databases, including PubMed (MEDLINE), Cochrane, Embase, and Web of Science. As per predefined inclusion criteria, we will include observational studies (prospective clinical studies) and randomized clinical trials that have an English abstract and involve children aged 1-10 years undergoing crown restorations. Two independent reviewers will independently screen all retrieved records and full-text articles and extract data. The study's methodological quality will be appraised using suitable tools. Assessments of publication bias will be performed using funnel plots. The findings will be described qualitatively for the systematic review. If possible, a meta-analysis will be performed to estimate failure rates by dividing the number of failures by the total exposure time. A Poisson regression model, assuming constant event rates, will be used to compute 3-year and 5-year survival proportions. The Pearson goodness-of-fit statistics will be used to assess the heterogeneity of the model. A P value <.05 will be considered significant. All analyses will be performed using R Statistical software (version 4.1.2; R Core Team). RESULTS This systematic review and synthesis aim to assess the survival and failure rates of dental crowns in pediatric dentistry. By following this rigorous methodology, we seek to provide valuable insights into the factors contributing to the success or failure of these restorations. The results of our full review will have implications for pediatric dentists, researchers, and policy makers, helping to improve dental care for children. CONCLUSIONS This systematic review protocol helps in establishing a thorough approach for reviewing failures in pediatric crowns. By following this methodology, standardization and transparency of the process as well as accountability for the stated methods and outcomes will be ensured. The findings of this review and analysis will provide useful data on the survival of crowns to pediatric dentists and researchers. TRIAL REGISTRATION PROSPERO CRD42023442266; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=442266. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/51505.
Collapse
Affiliation(s)
- Stephan Lampl
- Department of Cariology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | - Deepa Gurunathan
- Department of Pediatric Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | - Jogikalmat Krithikadatta
- Department of Cariology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | - Deepak Mehta
- Department of Cariology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
| | | |
Collapse
|
26
|
Pereira TS, da Silva CA, Quirino ECS, Xavier Junior GF, Takeshita EM, Oliveira LB, De Luca Canto G, Massignan C. Parental beliefs in and attitudes toward teething signs and symptoms: A systematic review. Int J Paediatr Dent 2023; 33:577-584. [PMID: 37017581 DOI: 10.1111/ipd.13071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 12/09/2022] [Accepted: 04/02/2023] [Indexed: 04/06/2023]
Abstract
BACKGROUND Parents believe that teething is associated with signs and symptoms, which may induce them to give medications that could harm their children. Some children may require alleviation of symptoms and overall attention. AIM To assess parents' beliefs in and attitudes toward teething. DESIGN Through electronic databases and gray literature, this systematic review identified cross-sectional studies reporting parents' beliefs in, knowledge about, and attitudes toward the signs and symptoms of primary tooth eruption in children aged between 0 and 36 months. Three reviewers independently selected the studies, collected the information, assessed methodological quality, and checked for accuracy with disagreements solved by a fourth reviewer. The Agency of Research and Quality in Health questionnaire for cross-sectional studies was used for quality assessment. Descriptive analysis with median and interquartile ranges was adopted. RESULTS Twenty-nine studies comprising 10 524 participants from all geographic regions were included. The methodological quality of the studies was moderate. Most parents have beliefs in signs and symptoms during dentition, the most reported symptom being the desire to bite. Oral rehydration was the most exposed attitude in the studies included. Only a small proportion of parents reported no attitude. CONCLUSIONS The majority of parents believed in at least one sign or symptom associated with teething, and only few of them would do nothing or just wait for the signs or symptoms to pass, with no difference among countries (Protocol doi: 10.17605/OSF.IO/S2KZ3).
Collapse
Affiliation(s)
| | | | | | | | | | - Luciana Butini Oliveira
- Department of Pediatric Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Graziela De Luca Canto
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
- School of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil
| | - Carla Massignan
- Department of Pediatric Dentistry, University of Brasília, Brasília, Brazil
- Brazilian Center for Evidence-Based Research, Federal University of Santa Catarina, Florianópolis, Brazil
| |
Collapse
|
27
|
Fawzy El-Sayed KM, Rudert A, Geiken A, Tölle J, Mekhemar M, Dörfer CE. Toll-like receptor expression profile of stem/progenitor cells from human exfoliated deciduous teeth. Int J Paediatr Dent 2023; 33:607-614. [PMID: 37158295 DOI: 10.1111/ipd.13080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 03/31/2023] [Accepted: 05/05/2023] [Indexed: 05/10/2023]
Abstract
BACKGROUND Stem/progenitor cells from human exfoliated deciduous teeth (SHED) show remarkable pluripotent, regenerative, and immunological capacities. During in vivo regenerative processes, there could be the presence of SHED in the surrounding inflammatory microenvironment, through toll-like receptors (TLRs). AIM The aim of this paper was to present a characteristic TLR expression profile on SHED for the first time. DESIGN Cells were harvested from extracted primary teeth (n = 10), anti-STRO-1 immunomagnetically sorted and cultivated, through colony-forming units (CFUs). SHED were examined for mesenchymal stem/progenitor cell traits, including the expression of clusters of differentiation (CDs) 14, 34, 45, 73, 90, 105, and 146, and their multilineage differentiation aptitude. TLRs 1-10 expression was investigated for SHED in uninflamed and inflamed (25 ng/mL IL-1β, 103 U/mL IFN-γ, 50 ng/mL TNF-α, and 3 × 103 U/mL IFN-α; SHED-i) microenvironmental conditions. RESULTS SHED were negative for CDs 14, 34, and 45, but were positive for CDs 73, 90, 105, and 146, and demonstrated characteristic multilineage differentiation. In an uninflamed microenvironment, SHED expressed TLRs 1, 2, 3, 4, 6, 8, 9, and 10. The inflammatory microenvironment downregulated TLR7 significantly on gene level and upregulated TLR8 on gene and protein levels (p < .05; Wilcoxon signed-rank test). CONCLUSION There appears to be a unique TLR expression profile on SHED, which could modulate their immunological and regenerative abilities in oral tissue engineering approaches.
Collapse
Affiliation(s)
- Karim M Fawzy El-Sayed
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
- Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
- Stem Cells and Tissue Engineering Unit, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Antonia Rudert
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
| | - Antje Geiken
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
| | - Johannes Tölle
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
| | - Mohamed Mekhemar
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
| | - Christof E Dörfer
- Conservative Dentistry and Periodontology Department, Christian Albrechts University, Kiel, Germany
| |
Collapse
|
28
|
Kevci M, Gerds TA, Lauridsen E, Andersson L. The risk of healing complications in primary teeth with root fractures: A retrospective cohort study. Dent Traumatol 2023; 39:455-461. [PMID: 37272585 DOI: 10.1111/edt.12853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 04/27/2023] [Accepted: 05/04/2023] [Indexed: 06/06/2023]
Abstract
BACKGROUND/AIM Primary teeth are frequently affected by traumatic dental injuries. Root fractures are rare and have a reported incidence of 2% in the primary dentition. Hence, there is limited evidence on this topic. This study aims to evaluate the risk of healing complications in primary teeth with root fracture and to identify possible sequelae in the permanent dentition following root fracture in the primary dentition. MATERIALS AND METHODS A retrospective analysis of a cohort of 53 patients with 74 root fractured primary teeth. The standard follow-up program included clinical and radiographic examination after 4 weeks, 8 weeks, 6 months, and 1 year after the trauma and when the patient was 6 years of age. The following complications were registered: pulp necrosis (PN), pulp canal obliteration (PCO), ankylosis with replacement root resorption (ARR), infection-related root resorption (IRR), premature tooth loss (PTL), and repair-related resorption (RRR). STATISTICS The Kaplan-Meier and Aalen-Johansen estimators were employed. The level of significance was 5%. RESULTS A total of 74 teeth were included. 42 teeth were extracted at the initial examination. Risks estimated after 3 years: PTL 45.9% [95% CI: 28.8-63.0], PCO 12.9% [95% CI: 2.3-23.4], PN 14.9% [95% CI: 3.9-25.9], RRR 2.6% [95% CI: 0.0-7.5]. No teeth showed ARR or IRR. All complications were diagnosed within the first year. Most common sequelae in the permanent dentition was demarcated opacities, with an estimated risk of 20% [95% CI: 8.2-41.3]. CONCLUSIONS There is a low risk of healing complications following a root fracture in the primary dentition. Root fractures often result in early extraction of the coronal fragment. The remaining apical fragment will undergo a physiological resorption. Aside from opacities, there is a low risk of sequelae in the permanent dentition.
Collapse
Affiliation(s)
- Mir Kevci
- Department of Oral and Maxillofacial Surgery and Oral Medicine, Malmö University, Malmö, Sweden
| | | | - Eva Lauridsen
- Resource Centre for Rare Oral Diseases Department of Oral and Maxillo-Facial Surgery, Copenhagen University Hospital, Copenhagen, Denmark
| | - Lars Andersson
- Department of Oral and Maxillofacial Surgery and Oral Medicine, Malmö University, Malmö, Sweden
| |
Collapse
|
29
|
Mekkriangkrai D, Nakornchai S, Jirarattanasopha V. Success Rate and Related Factors of Vitapex Pulpectomy in Primary Teeth: A Retrospective Study. Eur J Dent 2023; 17:1163-1169. [PMID: 37276881 PMCID: PMC10756814 DOI: 10.1055/s-0042-1758792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023] Open
Abstract
OBJECTIVES Our aims were to evaluate the Vitapex pulpectomy (PE) success rate, Vitapex resorption rate, and their associated factors in primary teeth. MATERIAL AND METHODS This retrospective study evaluated the clinical records of Vitapex PE-treated patients at the Pediatric Dental Clinic, Faculty of Dentistry, Mahidol University, from 2013 to 2019. The patient's and pulpectomized tooth's characteristics, procedure, materials used, and type of operator were recorded. A dentist evaluated and compared the periapical lesion, root status, obturation quality, and Vitapex resorption on preoperative, immediate, and follow-up digital radiographs. PE failure was defined as radiographic lesion progression. STATISTICAL ANALYSIS The Kaplan-Meier method was used to estimate the Vitapex PE success rate and Vitapex resorption rate. Multivariate Cox regression was used to determine the related factors. RESULTS In total, 647 Vitapex PE teeth from 448 patients (19-121-month-old) were analyzed. The follow-up periods ranged from 6 to 60 months. The success rate was 88.9 and 68.1% at the 12- and 24-month follow-up, respectively, and remained stable at 53.8% at the 36 to 60-month follow-ups. The factors related to Vitapex PE failure were age and a preoperative pathologic lesion. More than 50% of the pulpectomized teeth presented Vitapex resorption faster than physiologic root resorption at the 12-month follow-up. The patients' age at treatment and the obturation quality were significantly related to the Vitapex resorption rate. CONCLUSIONS The success rate of Vitapex PE decreased time dependently and was related to the patient's age at treatment and a preoperative lesion. The Vitapex resorption was faster than root resorption and was associated with the patient's age at treatment and the root filling extravasation.
Collapse
Affiliation(s)
| | - Siriruk Nakornchai
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | | |
Collapse
|
30
|
Yilmaz S, Keles S. Efficacy of orthoMTA, retroMTA and ferric sulphate as pulpotomy agents in primary molars: a randomized clinical trial. Eur Oral Res 2023; 57:144-150. [PMID: 37929220 PMCID: PMC10622155 DOI: 10.26650/eor.2023950004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 04/13/2023] [Accepted: 05/05/2023] [Indexed: 11/07/2023] Open
Abstract
Purpose The purpose of this study is to evaluate the clinical and radiographic success rates of RetroMTA, OrthoMTA, and ferric sulfate as pulpotomy agents in primary molars. Materials and methods Ninety-six primary second molars from 32 children aged 5 to 9 years were enrolled in this study. The teeth were randomly divided into three groups based on the pulpotomy agent used: O-MTA, R-MTA, and FS. Clinical and radiographic follow-up examinations were conducted at 3, 6, 9, and 18 months postoperatively. Results At the end of the study period, 84 teeth were evaluated. The clinical success rates were 75% for FS, 96.4% for O-MTA, and 92.8% for R-MTA groups. In the radiographic analysis, the success rates at the 18-month follow-up period were 50% for FS, 85.8% for O-MTA, and 82.2% for R-MTA groups. According to the Chi-square test and Kaplan-Meier survival analysis, there was a statistically significant difference among the success rates and survival probabilities of the groups (p<0.05). Conclusion OrthoMTA and RetroMTA demonstrated better treatment outcomes for pulpotomy of primary second molars than ferric sulfate at the 18-month follow-up period.
Collapse
Affiliation(s)
- Sıla Yilmaz
- Department of Pediatric Dentistry, Faculty of Dentistry,
Aydin Adnan Menderes University, Aydin,Turkiye
| | - Sultan Keles
- Department of Pediatric Dentistry, Faculty of Dentistry,
Aydin Adnan Menderes University, Aydin,Turkiye
| |
Collapse
|
31
|
Thwin KM, Takehara S, Kawaguchi Y, Ogawa H. Maternal Factors in Relation to Early Childhood Caries Among Preschool Children in Myanmar. Asia Pac J Public Health 2023; 35:437-440. [PMID: 37635395 DOI: 10.1177/10105395231197900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
A cross-sectional study was conducted among 3- to 5-year-old preschool children in Yangon City in 2016-2017 to investigate the association between their caries experience and maternal factors. Children's oral examination and questionnaire surveys to their mothers were conducted. Children's caries prevalence was 82.9% with mean dmft of 6.4 ± 4.9. Mean oral health knowledge score of their mothers was 8.5 ± 2.8. Mother's educational level and oral health knowledge were significant predictors of childhood caries. Third- or later-born children were twice more likely to have dental caries than first-born children (P = .022). Mother's regular dental check-up resulted in significantly lower odds ratios for caries development in her child. Children's caries experience was high and mother's oral health knowledge regarding the importance of primary teeth was unsatisfactory. It is, therefore, necessary to improve awareness and attentiveness for prevention of childhood caries among parents and guardians in Myanmar.
Collapse
Affiliation(s)
- Kaung Myat Thwin
- Division of Preventive Dentistry, Faculty of Dentistry and Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Sachiko Takehara
- Division of Preventive Dentistry, Faculty of Dentistry and Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Yoko Kawaguchi
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Hiroshi Ogawa
- Division of Preventive Dentistry, Faculty of Dentistry and Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| |
Collapse
|
32
|
Patil N, Vishwakarma AP, Singh R, Aggarwal M, Ali MO, Khan AR. Effect of Chronic Apical Periodontitis in Primary Molars on Succedaneous Permanent Teeth: An Observational Retrospective Study. Cureus 2023; 15:e45275. [PMID: 37846239 PMCID: PMC10576973 DOI: 10.7759/cureus.45275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/14/2023] [Indexed: 10/18/2023] Open
Abstract
INTRODUCTION Periapical infection of primary molars affects the development of permanent teeth (premolars). Therefore, the present study was conducted to test the null hypothesis in children aged 4-10 years with chronic apical periodontitis (CAP) of the primary molars. MATERIALS AND METHODS A retrospective, cross-sectional study was conducted on 185 panoramic radiographs of healthy children aged 4-10 years with CAP in the primary molars. A total of 256 infected primary molars (144 teeth in females, 112 teeth in males) were analyzed, radiographically, and compared with 245 healthy primary molars on the contralateral side. Permanent successors were evaluated for follicular damage, maturation, morphology, and deviation in the eruption path. Primary molars were evaluated for root resorption. Sixteen permanent teeth on the affected side and five teeth on the control side were excluded due to abnormal development. Student's t-test and the chi-square test were used to analyze the data. RESULTS The null hypothesis is rejected. There were significant differences in the developmental status of permanent successors on the affected side, compared to the normal side at four to seven years (p<0.05). There were no significant sex differences in the abnormalities of permanent successors on the affected side (p>0.05). As the root resorption of the primary molars increased, the follicular damage observed in the permanent successors also increased (p<0.05), which suggests that, as the infection of primary molars increases, more damage is caused to underlying permanent successors (premolars). CONCLUSION Apical periodontitis of the primary molars retards the development of permanent successors (premolars), affects their shape, causes follicular damage, and alters the eruption path.
Collapse
Affiliation(s)
- Nileshrao Patil
- Department of Conservative Dentistry and Endodontics, Jawahar Medical Foundation's (JMF) Annasaheb Chudaman Patil Memorial (ACPM) Dental College, Dhule, IND
| | - Aruna P Vishwakarma
- Department of Pediatric Dentistry, Jawahar Medical Foundation's (JMF) Annasaheb Chudaman Patil Memorial (ACPM) Dental College, Dhule, IND
| | - Romalpreet Singh
- Department of Conservative Dentistry and Endodontics, Desh Bhagat Dental College, Malout, IND
| | - Monika Aggarwal
- Department of Pediatric Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, IND
| | - Mohd Osman Ali
- Department of Orthodontics, Sharavathi Dental College and Hospital, Shivamogga, IND
| | - Abdul Rahim Khan
- Department of Orthodontics, Mithila Minority Dental College and Hospital, Darbhanga, IND
| |
Collapse
|
33
|
Torsakul P, Rirattanapong P, Prapansilp W. The Remineralization Effect of Calcium Glycerophosphate in Fluoride Mouth Rinse on Demineralized Primary Enamel: An in vitro Study. J Int Soc Prev Community Dent 2023; 13:410-415. [PMID: 38124723 PMCID: PMC10729885 DOI: 10.4103/jispcd.jispcd_114_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/22/2023] [Accepted: 09/22/2023] [Indexed: 12/23/2023] Open
Abstract
Aim To evaluate the remineralization effect of a fluoride mouth rinse containing calcium glycerophosphate in fluoride mouth rinse based on the surface microhardness of demineralized primary enamel. Materials and Methods 40 sound primary incisors were placed into self-curing acrylic resin and subjected to a demineralizing solution for 5 days, resulting in the formation of artificial caries. The teeth were categorized into four groups (n = 10): group I artificial saliva, group II sodium fluoride, group III sodium fluoride + sodium monofluorophosphate, and group IV sodium monofluorophosphate + calcium glycerophosphate. The specimens received a pH cycling procedure and were submerged twice in their assigned groups for 7 days. The baseline, after demineralization, and after remineralization surface microhardness values were determined. One-way analysis of variance (ANOVA) was used to analyze the mean surface microhardness between groups and one-way repeated measures ANOVA for the mean surface microhardness within each group and Bonferroni's for multiple comparisons at 95% confidence level. The percentage recovery surface microhardness was determined by calculating the average surface microhardness. Results After demineralization, the mean surface microhardness in all groups significantly decreased. After remineralization, group I had the lowest surface microhardness values and the percentage recovery surface microhardness (P value < 0.001), and group IV had the highest surface microhardness values and the percentage recovery surface microhardness (P value < 0.001). No significant difference was found between groups II and III (P value = 0.365). Conclusions Fluoride mouth rinse containing calcium glycerophosphate has a remineralization effect on demineralized primary enamel.
Collapse
Affiliation(s)
- Pannaros Torsakul
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand
| | - Praphasri Rirattanapong
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand
| | - Woranun Prapansilp
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok 10400, Thailand
| |
Collapse
|
34
|
Danevitch N, Frankenberger R, Lücker S, Gärtner U, Krämer N. Dentin Bonding Performance of Universal Adhesives in Primary Teeth In Vitro. Materials (Basel) 2023; 16:5948. [PMID: 37687643 PMCID: PMC10488408 DOI: 10.3390/ma16175948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 06/17/2023] [Accepted: 06/22/2023] [Indexed: 09/10/2023]
Abstract
(1) Background: The aim of this in vitro study was to evaluate the micro-tensile bond strength (µ-TBS) of universal adhesives to primary tooth dentin after different storage periods. (2) Methods: Dentin of 100 extracted primary molars was exposed. Dentin surfaces were bonded with six universal adhesives (Adhese®Universal [AU], All-Bond Universal® [ABU], G-Premio Bond [GPB], iBond®Universal [IBU], Prime&Bond active™ [PBa], and Prime&Bond®NT as control [PBN]) and restored with a resin composite build-up (Filtek™ Z250). After 24 h, 6 months, and 12 months of water storage, specimens were cut into sticks, and µ-TBS was measured and analyzed using one-way ANOVA (p < 0.05) for normal distributions and the Mann-Whitney U-test (p < 0.05) for non-normal distribution. Pretesting failures were recorded as 0 MPa. Fracture modes were analyzed under a fluorescence microscope; interfaces were visualized with SEM/TEM. (3) Results: Compared with the reference group (PBN: 32.5/31.2 MPa after 6/12 months), two adhesives showed a significantly higher bond strength after 6 months (AU: 44.1 MPa, ABU: 40.9 MPa; p < 0.05) and one adhesive after 12 months (AU: 42.9 MPa, p < 0.05). GPB revealed significantly lower bond strengths in all storage groups (16.9/15.5/10.9 MPa after 24 h/6 months/12 months; p < 0.05). AU and IBU did not suffer pre-test-failures [PTF]. (4) Conclusions: After 12 months, PBN, IBU, AU, and GPB showed significantly lower results compared ithw initial µ-TBS, whereas AU revealed the highest µ-TBS and no PTF.
Collapse
Affiliation(s)
- Nina Danevitch
- Department of Pediatric Dentistry, Medical Center for Dentistry, University Medical Center Giessen and Marburg, 35392 Giessen, Germany
| | - Roland Frankenberger
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Medical Center for Dentistry, University Medical Center Giessen and Marburg, 35039 Marburg, Germany
| | - Susanne Lücker
- Department of Pediatric Dentistry, Medical Center for Dentistry, University Medical Center Giessen and Marburg, 35392 Giessen, Germany
| | - Ulrich Gärtner
- Institute for Anatomy and Cell Biology, University of Giessen, Aulweg 123, 35392 Giessen, Germany
| | - Norbert Krämer
- Department of Pediatric Dentistry, Medical Center for Dentistry, University Medical Center Giessen and Marburg, 35392 Giessen, Germany
| |
Collapse
|
35
|
Alfares R, Agha A, Jabour O. Temperature Changes in Primary and Permanent Teeth Dentine of Varying Thicknesses Following Irradiation by Two Light Curing Units. Cureus 2023; 15:e44029. [PMID: 37746354 PMCID: PMC10517433 DOI: 10.7759/cureus.44029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/23/2023] [Indexed: 09/26/2023] Open
Abstract
AIM This study was performed to determine the temperature rise under human dentin discs of different thicknesses from primary and permanent teeth during the photo-curing process using quartz tungsten halogen (QTH) or light-emitting diode (LED). MATERIALS AND METHODS The current experimental study sample consisted of 160 dentin discs of different thicknesses (0.5, 1, 1.5, and 2 mm), of which 80 dentin discs were prepared from sound lower second primary molars, and the remaining 80 dentin discs were prepared from sound lower third permanent molars extracted surgically for various reasons. A "K" type of thermal tentacle was placed in the center of an acrylic resin base, followed by the placement of a dentin disc. Then, the thermal changes were measured during the photo-curing of the composite using a second LED or QTH light curing unit for 20 s. Statistical evaluation was performed using the IBM SPSS Statistics® Version 20.0 software system (SPSS Inc., Chicago, IL, USA). RESULTS The current study found that the temperature rise in primary teeth (1.17-2.96°C) is significantly lower compared to the rise in permanent teeth (1.55-3.33°C), regardless of the dentin disc thickness or light curing unit used. The temperature rise decreases significantly when the thickness of dentin discs increases, regardless of the type of teeth or light curing unit used (P<0.05). Furthermore, QTH causes less temperature rise (1.17-2.65°C) compared to LED (1.61-3.33°C). CONCLUSIONS The temperature rise during polymerization of the resin composite with the second-generation LED appeared to be below 5.5°C. Hence, it appears to be safe for use during the restoration of primary teeth. Primary teeth dentin might be more effective than permanent teeth dentin in protecting the dental pulp.
Collapse
Affiliation(s)
- Reem Alfares
- Pediatric Dentistry, University of Hama, Hama, SYR
| | - Amani Agha
- Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, GBR
| | - Obada Jabour
- Pediatric Dentistry, University of Hama, Hama, SYR
| |
Collapse
|
36
|
Paradiso D, Tullio A, Bensi C. Working length determination in primary teeth pulpectomy: A systematic review and meta-analysis. AUST ENDOD J 2023; 49:444-454. [PMID: 35770609 DOI: 10.1111/aej.12652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 06/18/2022] [Indexed: 11/30/2022]
Abstract
The present meta-analysis aimed to describe the methods to determine the working length in primary teeth pulpectomy, also evaluating and comparing their reliability. A systematic review was performed following the PRISMA Statement. The electronic search was conducted on PubMed, Scopus, Cochrane Library and Web of Science. After the screening protocol, a number of 14 studies were included in the qualitative analysis, while seven were included in the quantitative one. The mean working length determined by the electronic apex locator was 11.8 mm (9.0-15.55), while 12.42 mm (11.0-13.52) and 12.3 mm (9.73-15.93) were the mean working length observed with the conventional radiography and the digital radiography, respectively. No statistically significant difference was detected in quantitative analysis between the investigated methods. The present meta-analysis showed that electronic apex locator, conventional radiography and digital radiography are similar in determining working length in primary teeth.
Collapse
Affiliation(s)
- Daniele Paradiso
- Maxillo-Facial Surgery Unit, S. Maria della Misericordia Hospital, Perugia, Italy
| | - Antonio Tullio
- Maxillo-Facial Surgery Unit, S. Maria della Misericordia Hospital, Perugia, Italy
- Maxillo-Facial Surgery, University of Perugia, Perugia, Italy
| | - Caterina Bensi
- Maxillo-Facial Surgery Unit, S. Maria della Misericordia Hospital, Perugia, Italy
| |
Collapse
|
37
|
Prokshi R, Gjorgievska E, Prokshi B, Sopi M, Sejdiu M. Survival Rate of Atraumatic Restorative Treatment Restorations in Primary Posterior Teeth in Children with High Risk of Caries in the Republic of Kosovo-1-Year Follow-up. Eur J Dent 2023; 17:902-909. [PMID: 36513339 PMCID: PMC10569845 DOI: 10.1055/s-0042-1757907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVE Atraumatic restorative treatment (ART) may be beneficial for disadvantaged populations with no or limited access to dental services. This study aimed to evaluate the survival rate of single-surface ART restorations in primary posterior teeth in children with high caries risk. MATERIALS AND METHODS This study was conducted in six rural areas of the Republic of Kosovo, and 100 children aged 3 to 8 years participated in the study. Information was obtained from each parent/guardian regarding their children, such as sociodemographic characteristics, general health, dental history, dietary habits, oral hygiene, and fluoride exposure. The reduced Cariogram was used to estimate the risk of caries in the participants based on the seven factors specified in the program, and all the provided information were collected and entered in a computer program of the Cariogram. A pediatric dentist, accompanied by two assistants, performed 100 ART restorations in school settings using high-viscosity glass-ionomer cement (Fuji IX) following the nine steps of the ART procedure. The restorations were evaluated at 3, 6, 9, and 12 months using the ART restoration criteria. STATISTICAL ANALYSIS Percentages, mean value, standard deviation, mean interquartile range, and difference test between arithmetic mean values were used to analyze the research results. RESULTS Review of the average of reduced Cariogram showed that the majority of children, 72%, were at high risk of developing caries, with only 28% having a good chance of avoiding caries in the future. A total of 77% of the children in the study had never visited dentists before due to poor economic conditions and the lack of dentists in the area. The success rates of ART restorations performed in single-surface cavities in primary teeth were very encouraging, with more than 97% success rates after a 1-year follow-up period. CONCLUSION Our results demonstrate that ART is efficient, affordable, and practical for the treatment of single-surface cavities in primary posterior teeth. Owing to its low price and atraumatic nature, ART can potentially help disadvantaged children in Kosovo access dental care.
Collapse
Affiliation(s)
- Rina Prokshi
- Department of Pediatric and Preventive Dentistry, Dentistry School, University of Pristina, Pristina, Kosovo
| | - Elizabeta Gjorgievska
- Department of Pediatric and Preventive Dentistry, Faculty of Dentistry, Ss. Cyril and Methodius University, Skopje, Republic of North Macedonia
| | - Brikena Prokshi
- Department of Pharmacy, Faculty of Medicine, University of Pristina, Pristina, Kosovo
| | - Mirlinda Sopi
- Department of Periodontology and Oral Medicine, Dentistry School, University of Pristina, Pristina, Kosovo
| | - Miranda Sejdiu
- Department of Dentistry, Faculty of Medicine, University of Pristina, Pristina, Kosovo
| |
Collapse
|
38
|
Varghese E, Samson RS, Albaker SA, Thomas AA, Alqarni AS, Dhanya KB. Evaluation of Microleakage of Stainless Steel Crowns and Pedo Jacket Crowns after Cementation With Different Luting Cements. J Pharm Bioallied Sci 2023; 15:S451-S454. [PMID: 37654276 PMCID: PMC10466643 DOI: 10.4103/jpbs.jpbs_584_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/26/2022] [Accepted: 12/31/2022] [Indexed: 09/02/2023] Open
Abstract
Aim The present research was conducted to assess the microleakage of stainless steel crowns along with pedo jacket crowns following cementation with different luting cements. Materials and Methods A total of 60 deciduous teeth subjected to extraction were employed in this in vitro research. These 60 specimens were randomly divided into two groups: Group I: Stainless steel crowns and Group II: Pedo Jacket crowns. Both crowns were subjected to cementation using self-cure resin-modified glass ionomer (RMGI) cement as well as by means of self-adhesive universal resin cement (RelyX luting cement). The specimens were subjected to storage in distilled water at 37°C for 24 h and were subjected to 500 thermal cycles between 5°C and 55°C using a dwell span of 30 s. Individual surfaces were assessed for the amount of dye infiltration at the boundaries by the side of the tooth-cement border beneath a stereomicroscope under 50× magnifying power. At the mesial and distal surfaces, the amount of microleakage was measured in micrometers (μm), and the mean value was computed for each sample. Results Stainless steel crowns subject to cementation with RelyX luting cement exhibited the lowest microleakage (0.88 ± 0.78) versus self-cure RMGI cement (0.94 ± 0.78). There was no statistically significant difference found between the groups. Pedo Jacket crowns subject to cementation with RelyX luting cement exhibited the lowest microleakage (0.96. ± 0.32) while self-cure RMGI cement (1.83 ± 0.16) depicted the maximum microleakage. There was an extremely statistically noteworthy dissimilarity noted among the groups. Conclusion The current research concluded that Pedo Jacket crowns subjected to cementation with RelyX luting cement can be regarded as an esthetically pleasing restorative alternative for numerous young patients. Applying RelyX luting cement to Pedo Jacket crowns provides a strong bolstering by composite materials that ensures the success of the therapy provided.
Collapse
Affiliation(s)
- Eby Varghese
- Department of Pediatric Dentistry, Manipal University College Malaysia, Malaysia
| | - Renu S. Samson
- Department of Orthodontics, Manipal University College Malaysia, Malaysia
| | | | - Archana A. Thomas
- Department of Pedodontics and Preventive Dentistry, KMCT Dental College, Mukkam, Kerala, India
| | - Adel S. Alqarni
- Department of Preventive Dental Sciences, Division of Paediatric Dentistry, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj, Kingdom of Saudi Arabia
| | - K B Dhanya
- Department of Pedodontics and Preventive Dentistry, Mahe Dental College and Hospital, Chalakkara, Palloor, Mahe, Kerala, India
| |
Collapse
|
39
|
Al Ghwainem A. Impact of Various Remineralizing Agents on Artificial White Spot Lesion on Primary Teeth-A Comparative Study. J Pharm Bioallied Sci 2023; 15:S426-S429. [PMID: 37654400 PMCID: PMC10466537 DOI: 10.4103/jpbs.jpbs_485_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 12/30/2022] [Accepted: 12/31/2022] [Indexed: 09/02/2023] Open
Abstract
Aim The aim of the current research was to assess the effectiveness of different remineralizing substances on artificial white spot lesions on deciduous teeth. Materials and Methods 45 deciduous teeth without dental caries constituted the study group for this in vitro research. A 3 mm by 3 mm window of enamel was uncovered at the occluso-gingival midpoint of the coronal labial surface; an acid-resistant nail varnish was coated alongside the uncovered enamel surface of all specimens, employing vertical strokes. Demineralization was executed for the tenure of 72 hours at 37°C temperature in an incubator. The forty-five specimens, fifteen in each group, were assigned to the investigational groups plus a control group as: Group A: Control, Group B: Calcium sucrose phosphate (CaSP), Group C: Casein phosphopeptide-amorphous calcium phosphate-fluoride (CPP-ACPF). Microhardness tester was employed for testing the microhardness of the enamel surface using a Vickers diamond indenter laden with twenty-five milligrams for approximately ten seconds. Vickers hardness number (VHN) calculations for the microhardness were performed at baseline and on the fourteenth day. Results The CPP-ACPF group exhibited greater mean microhardness value at 236.14 ± 2.12, in pursuit by CaSP group with a score of 231.98 ± 3.16 and then the control group at 220.22 ± 5.08. An extremely statistically significant difference was seen amid the groups. Conclusion The current research arrived at a conclusion that both the remineralizing substances were certainly efficient in handling early dental caries, and additionally, casein phosphopeptide-amorphous calcium phosphate-fluoride (CPP-ACPF) was found highly efficient as a remineralizing substance, in pursuit by calcium sucrose phosphate (CaSP).
Collapse
Affiliation(s)
- Abdulhamid Al Ghwainem
- Assistant Professor of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj, Kingdom of Saudi Arabia
| |
Collapse
|
40
|
Mukundan D, R V. Comparative Evaluation on the Effects of Three Pediatric Syrups on Microhardness, Roughness and Staining of the Primary Teeth Enamel: An In-Vitro Study. Cureus 2023; 15:e42764. [PMID: 37663991 PMCID: PMC10468718 DOI: 10.7759/cureus.42764] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 07/31/2023] [Indexed: 09/05/2023] Open
Abstract
Introduction One of the most prevalent oral diseases is dental caries. Syrups are commonly used by children who have difficulty swallowing tablets and capsules. Some medications can make dental caries worse and cause the enamel to erode. Most of the time, parents are unaware that a number of foods, drinks, and syrup-formulated pediatric drugs include sugar, which can cause erosion of primary teeth, resulting in plaque accumulation and dental caries. Henceforth, the aim of this study is to assess the effects of pediatric syrups on the microhardness, roughness, and staining ability of primary tooth enamel as a result of daily intake of syrup. Methods Eighty primary teeth, including both anterior and posterior, that required extraction due to pre-shedding mobility were randomly divided into four groups of twenty samples each. Samples were exposed to multivitamin syrup (Rudimin), iron syrup (C Pink), and diuretic syrup (Furosemide). The samples were submerged in 10 mL of the respective medication once daily for five minutes for 21 days. On days 0 and 21, enamel surfaces were assessed for changes in microhardness, roughness, and staining. The microhardness was assessed using a Micro Vickers microhardness tester machine; the roughness was assessed using a Mitutoyo surface roughness tester; and the staining ability was assessed using a spectrophotometer, and data processing was done using the analysis of variance (ANOVA) test and Tukey's post hoc analysis. Results The changes in enamel surface for microhardness, roughness, and staining were assessed twice, at days 0 and 21. Group 4 (Furoped) showed a significant difference in surface microhardness and staining ability of enamel surfaces with a statistically significant p-value (<0.05). When roughness was compared, all three interventions had a significant difference from the control group, whereas there was no statistically significant difference between the intervention groups. Conclusion This study concludes that pediatric syrups can significantly weaken the enamel of primary teeth, resulting in loss of enamel surface microhardness and roughness making them vulnerable to caries. Since frequent consumption of these syrups is correlated with tooth decay, certain precautions like oral hygiene maintenance and rinsing with water after taking the syrup should be done to prevent dental caries, as consumption of medicinal syrups by children cannot be avoided.
Collapse
Affiliation(s)
- Divya Mukundan
- Pediatric Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, IND
| | - Vignesh R
- Pediatric Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, IND
| |
Collapse
|
41
|
Suresh B, Jeevanandan G, Ravindran V, Mashyakhy M, Alessa N, Syed AA, Panda S, Assiry AA, Maganur PC, Vishwanathaiah S. Comparative Evaluation of Extrusion of Apical Debris in Primary Maxillary Anterior Teeth Using Two Different Rotary Systems and Hand Files: An In Vitro Study. Children (Basel) 2023; 10:children10050898. [PMID: 37238446 DOI: 10.3390/children10050898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/10/2023] [Accepted: 05/15/2023] [Indexed: 05/28/2023]
Abstract
Successful outcome of pulp therapy depends on good chemomechanical preparation of the canals. This is completed with the help of various upcoming rotary and hand files. However, during this preparation, there might be an apical extrusion of the debris which may result in postoperative complications. The aim of this study was to evaluate and compare the number of debris apically extruded during canal preparation using two different pediatric rotary file systems and conventional hand file systems in primary teeth. 60 primary maxillary central incisors that were extracted due to trauma or untreated dental caries with no signs of resorption were taken. Canal preparation was executed using three different file systems: Group A: Group A hand K file system, Group B Kedo S Plus, Group C Kedo SG Blue. For each of these files using the Myers and Montgomery model, the pre- and post-weight of the eppendorf tube was assessed to quantify the number of apical debris. The maximum extrusion of apical debris was noticed with the Hand K-file system. The least debris was noticed in the Kedo S Plus file system. Statistical analysis revealed that there were highly significant differences in apical extrusion and debris when comparing hand files and rotary files and also between the two rotary files used. Apical debris collection is an unavoidable outcome of canal instrumentation. Among the file systems compared, rotary files had lesser extrusion when compared to hand files. Among the rotary files, Kedo S plus showed normal extrusion compared to SG Blue.
Collapse
Affiliation(s)
- Balaji Suresh
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
| | - Ganesh Jeevanandan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
| | - Vignesh Ravindran
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
| | - Mohammed Mashyakhy
- Restorative Dental Science Department, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia
| | - Noura Alessa
- Department of Pediatric Dentistry and Orthodontics, Dental College, King Saud University, Riyadh 11545, Saudi Arabia
| | - Ather Ahmed Syed
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 45152, Saudi Arabia
| | - Suman Panda
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 45152, Saudi Arabia
| | - Ali Ahmed Assiry
- Preventive Dental Science Department, Faculty of Dentistry, Najran University, Najran 1988, Saudi Arabia
| | - Prabhadevi C Maganur
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 45152, Saudi Arabia
| | - Satish Vishwanathaiah
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan 45152, Saudi Arabia
| |
Collapse
|
42
|
Badnaware S, Srivastava VK, Chandel M. Non-syndromic Oligodontia in Primary Dentition: A Report of a Rare Case. Cureus 2023; 15:e39426. [PMID: 37378140 PMCID: PMC10292124 DOI: 10.7759/cureus.39426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2023] [Indexed: 06/29/2023] Open
Abstract
The congenital absence of teeth is the most common dental anomaly affecting 2.2% to 10% of the population. It could be present in the form of anodontia, hypodontia, or oligodontia, excluding wisdom teeth. Oligodontia is most commonly associated with several syndromes like ectodermal dysplasia, Down syndrome, and Van der Woude syndrome that involve the mutation of the MSX-1 and PAX-1 genes. Few cases have been reported in the literature on how oligodontia affects primary dentition. In this case report, a total of 17 primary teeth were missing. This case report investigates whether the features of non-syndromic oligodontia are present in the primary dentition in a two-year-old boy.
Collapse
Affiliation(s)
- Sheetal Badnaware
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND
| | - Vinay Kumar Srivastava
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND
| | - Meenakshi Chandel
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND
| |
Collapse
|
43
|
Schachter D, Blumer S, Sarsur S, Peretz B, Sella Tunis T, Fadela S, Kharouba J, Elbahary S. Exploring a Paradigm Shift in Primary Teeth Root Canal Preparation: An Ex Vivo Micro-CT Study. Children (Basel) 2023; 10:children10050792. [PMID: 37238340 DOI: 10.3390/children10050792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 04/21/2023] [Accepted: 04/25/2023] [Indexed: 05/28/2023]
Abstract
Traditional hand instrumentation is a commonly used technique to perform pulpectomy in deciduous teeth by most specialists in pedodontics. Lately, dentists have embraced rotary instrumentation as a safe and effective alternative. This study aimed to compare the efficacy of root canal preparation in extracted primary molars between manual and two rotary file systems using micro-CT. Thirty-six extracted human second primary mandibular molars were divided into three groups according to the instrumentation method: (1) Manually instrumented (MI) group (n = 9) in which the teeth were treated using K-files up to size 30; (2) Kedo-Ssystem (KS) group (n = 9); (3) ProTaper Gold system (PTG) group (n = 10) and control group (n-8). Each tooth was scanned before and after the retrograde root canal preparation. Residual dentin volume was calculated using micro-CT scans to evaluate the technique's efficacy. Additionally, the preparation time and procedural errors were recorded for each tooth preparation. A one-way ANOVA test was carried out to compare the groups' dentin volume and preparation time. The mean preparation time using the manual method (13.14 min) was more than two times longer than that of the rotary techniques (4.62 min and 6.45 min). The manual preparation method using a K-file removed almost half the root canal material when compared with the rotor method (p = 0.025). Conclusion: our results suggest that rotary instrumentation is more efficient for root canal preparation in primary teeth than the traditional manual method. This finding may call for a paradigm shift in current clinical practices, where manual instrumentation is still commonly preferred.
Collapse
Affiliation(s)
- Dora Schachter
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Sigalit Blumer
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Sara Sarsur
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Benjamin Peretz
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Tatiana Sella Tunis
- Department of Orthodontics, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Shada Fadela
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Johnny Kharouba
- Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| | - Shlomo Elbahary
- Department of Endodontology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6997801, Israel
| |
Collapse
|
44
|
Bansal B, Kariya PB, Dave BH, Bargale S, Deshpande AN, Poonacha KS. Effect of enamel surface coating on staining capability due to iron containing supplements on primary teeth: An in vitro study. J Indian Soc Pedod Prev Dent 2023; 41:163-169. [PMID: 37635476 DOI: 10.4103/jisppd.jisppd_173_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/29/2023] Open
Abstract
Background Iron supplements prescribed to anemic children may results in teeth staining. Possible methods for preventing staining of primary teeth following exposure to iron supplements are need of an hour. Aim This study was conducted with the aim to assess effect of enamel surface coating on staining capability of iron containing supplements in primary teeth. Settings and Design This is an in vitro Experimental study. Methods Hundred and forty-four primary incisors with intact crowns were sequentially numbered and randomly divided into four main groups of 36 samples receiving different enamel surface coating such as no surface coating, MI fluoride varnish™, GC G-coat Plus™ and GC-Equia®-forte-coat. Each group was subdivided into two groups, namely A (sound teeth) and B (artificially demineralized teeth). All the samples were immersed in 250 ml artificial saliva containing 10 ml of iron supplement to make the iron concentration 100 mg. The shade of the teeth was measured at baseline and at 90 days, using VITA Easy shade® V digital spectrophotometer. The data was statistically analyzed using the Kruskal-Wallis test and Mann-Whitney U test. Descriptive and inferential statistical analyses was made via SPSS 23. Results Overall color change was found to be significantly less at the end of 90th day in sound samples when GC-Equia®-forte-coat was used as an enamel surface coating with pvalue of 0.017. In demineralized samples the overall color change was least at the end of 90th day when MI Varnish™ used as an enamel surface coating with P = 0.042. Conclusions GC-Equia®-forte-coat, MI Varnish™ and GC-G-coat-plus™ can be used as a preventive or a precautionary measure to minimizes the staining of teeth. The amount of color change at the end of 90 days with GC-Equia®-forte-coat was least followed by MI varnish™, GC G coat Plus™ and control group.
Collapse
Affiliation(s)
- Barkha Bansal
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Pratik B Kariya
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Bhavna Haresh Dave
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Seema Bargale
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Anshula Neeraj Deshpande
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - K S Poonacha
- Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| |
Collapse
|
45
|
Alsaadawi A, Felemban O, Nassar HM, Abdelbaki M. Shear Bond Strength and Fluoride Release of a Universal Adhesive: An In-Vitro Study on Primary Teeth. Materials (Basel) 2023; 16:2573. [PMID: 37048867 PMCID: PMC10095296 DOI: 10.3390/ma16072573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/15/2023] [Accepted: 03/21/2023] [Indexed: 06/19/2023]
Abstract
This investigation aimed to assess the shear bond strength and fluoride-releasing capabilities of Clearfil Universal Bond Quick (Kuraray Noritake Dental Inc., Tokyo, Japan). Forty-four extracted primary molars were divided into two groups, and the enamel substrate was prepared for evaluating shear bond strength. Scotchbond (3M ESPE) and Clearfil UBQ were used to bond composite-to-enamel substrates in each group (n = 22). Shear bond strength was measured using a universal testing device and compared. Sixteen discs (6 mm diameter and 3 mm thickness) were fabricated from each Clearfil UBQ, Fuji IX, and Fuji II LC. Over the course of 30 days, each materials' fluoride release was examined and compared using ion analysis. Results revealed that Clearfil UBQ had statistically similar shear bond strength to Scotchbond. Between the three materials, Clearfil UBQ had the lowest fluoride release at baseline (0.11 ± 0.25) and the lowest cumulative fluoride release (0.12-0.27 ppm) over 30 days. Fuji IX had the highest fluoride release at baseline (19.38 ± 2.50) and cumulatively (40.87 ± 4.03 ppm), followed by Fuji II LC. We conclude that Clearfil UBQ and Scotchbond showed comparable bond strengths to the enamel. Fluoride release was seen in Clearfil UBQ in the initial two days of the 30-day period. The amount of fluoride release was significantly less than with glass ionomer cements.
Collapse
Affiliation(s)
- Alaa Alsaadawi
- Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Osama Felemban
- Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Hani M. Nassar
- Department of Restorative Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| | - Medhat Abdelbaki
- Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia
| |
Collapse
|
46
|
Arrow P, Piggott S, Jamieson L, Brennan D, Tonmukayakul U, Kularatna S, Atkinson D, Nanda S. Dental enamel defects and dental caries of primary teeth among Indigenous children in Western Australia. Aust Dent J 2023; 68:35-41. [PMID: 36461644 PMCID: PMC10952132 DOI: 10.1111/adj.12948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2022] [Indexed: 12/05/2022]
Abstract
BACKGROUND Teeth affected with enamel defects (EDs) are at an increased risk of dental caries. In spite of improving oral health status overall in Australia, Indigenous Australians still experience higher rates of dental caries than non-Indigenous Australians. This study reports on the prevalence of EDs and dental caries experience among Indigenous children in the Kimberley region of Western Australia. METHODS Health status of all the primary teeth (ICDAS II criteria) and the presence of EDs on index teeth (modified Dental Defects of Enamel index; DDE) of young Indigenous children who participated in a 2-arm intervention trial was recorded. Generalized estimating equations were used to estimate the association between EDs and dental caries and effect estimates were presented as odds ratios and associated 95% confidence intervals. RESULTS Person-level prevalence, from 237 children (mean age 3.6 years, standard deviation 1.7) assessed for EDs, was 58% and tooth-level prevalence was 24%. Teeth affected with demarcated or diffuse defects were associated with a twofold higher odds of having caries experience, odds ratio (OR) 2.5, 95% confidence interval (CI) 1.7-3.7 and OR 2.7, 95% CI 1.7-4.0 respectively. CONCLUSIONS The presence of EDs among young Indigenous children was associated with a higher odds of caries experience among affected teeth.
Collapse
Affiliation(s)
- P Arrow
- Dental Health ServicesDepartment of HealthPerthWestern AustraliaAustralia
- Dental SchoolUniversity of Western AustraliaPerthWestern AustraliaAustralia
- Australian Research Centre for Population Oral HealthUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - S Piggott
- Dental Health ServicesDepartment of HealthPerthWestern AustraliaAustralia
| | - L Jamieson
- Australian Research Centre for Population Oral HealthUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - D Brennan
- Australian Research Centre for Population Oral HealthUniversity of AdelaideAdelaideSouth AustraliaAustralia
| | - U Tonmukayakul
- Institute for Health TransformationDeakin UniversityGeelongAustralia
| | - S Kularatna
- School of Public Health and Social WorkQueensland University of TechnologyBrisbaneQueenslandAustralia
| | - D Atkinson
- Rural Clinical SchoolUniversity of Western AustraliaPerthWestern AustraliaAustralia
| | - S Nanda
- Department of HealthPerthWestern AustraliaAustralia
| |
Collapse
|
47
|
Tanvir Z, Jabin Z, Agarwal N, Anand A, Waikhom N. Comparative evaluation of antimicrobial efficacy of nanosilver solution, Azadirachta indica, sodium hypochlorite, and normal saline as root canal irrigants in primary teeth. J Indian Soc Pedod Prev Dent 2023; 41:76-82. [PMID: 37282416 DOI: 10.4103/jisppd.jisppd_74_23] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/08/2023] Open
Abstract
Background Microorganisms are the main cause of pulpal and periapical diseases. Hence, the elimination of such potential microbes is achieved by endodontic treatment. Mechanical preparation is the main mechanism to reduce the bacterial load in canals which is enhanced by intracanal irrigants. Despite these procedures, some bacteria might persist within the canals. It is important to disinfect the pulp space and dentinal tubules thoroughly with an effective endodontic irrigant to prevent reinfection of a treated root canal. Aim This study aimed to evaluate and compare the antimicrobial efficacy of nanosilver (NS) Solution, Azadirachta indica, sodium hypochlorite, and normal saline when used as irrigants in infected root canals of primary teeth. Settings and Design The study was a prospective randomized control trial which was conducted as per the consort statement. Materials and Methods Eighty pulpally involved primary teeth requiring endodontic treatment of children aged 5-12 years were selected for this study. The subjects were randomly allocated to 4 groups (3 irrigant and control groups) consisting of 20 children each where Group I = NS solution, Group II = A. indica, Group III = Sodium hypochlorite (2.5%), and Group IV = Control group. Microbiological samples were collected at the baseline (before irrigation) and postirrigation after biomechanical preparation using the selected irrigant. The samples were subjected to an anaerobic bacterial culture test. Microbial colonies were identified and expressed as colony forming units per milliliter. Statistical Analysis Data were analyzed using one-way analysis of variance, Paired t-test, and Post hoc Bonferroni test. Results NS solution showed the highest mean of 4.384 × 103 ± 1.019 followed by Sodium hypochlorite with a mean of 3.500 × 103 ± 1.193 and A. indica of 2.590 × 103 ± 0.778. Conclusion Based on the results of this study, NS solution can be used as an alternative to other root canal irrigating solutions in primary teeth.
Collapse
Affiliation(s)
- Zoya Tanvir
- Department of Pediatric Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Uttar Pradesh, India
| | - Zohra Jabin
- Department of Pediatric Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Uttar Pradesh, India
| | - Nidhi Agarwal
- Department of Pediatric Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Uttar Pradesh, India
| | - Ashish Anand
- Department of Pediatric Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Uttar Pradesh, India
| | - Nandita Waikhom
- Department of Pediatric Dentistry, Institute of Dental Studies and Technologies, Ghaziabad, Uttar Pradesh, India
| |
Collapse
|
48
|
da Silva AR, Bortoluzzi EA, Vitali FC, Bolan M, Cardoso M. Evaluation of pH and calcium ions release of two tricalcium silicate-based sealers through roots of primary teeth. J Conserv Dent 2023; 26:42-46. [PMID: 36908737 PMCID: PMC10003284 DOI: 10.4103/jcd.jcd_355_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 09/06/2021] [Accepted: 10/11/2021] [Indexed: 11/04/2022] Open
Abstract
Background This study aimed to evaluate the pH and calcium ions (Ca2+) release from two tricalcium silicate-based sealers (Sealer Plus BC and Bio-C Pulpecto) through roots of primary teeth. Methods Forty root canals of primary incisors were prepared and distributed into four groups according to the filling material: GPlusBC (Sealer Plus BC); GBioC (Bio-C Pulpecto); GUltra (Ultracal); and GC (no filled). pH measurement was performed with a digital pH meter, and the Ca2+ release was measured in an atomic absorption spectrophotometer at baseline, 24 h and 1, 2, 3, and 4 weeks later. The data were analyzed using two-way ANOVA and Tukey's post hoc tests. Results The results did not reveal significant differences between the groups in terms of pH in 24 h, 1-, and 2-weeks' periods. After 4 weeks, there was a significant difference, with the highest mean pH values in GUltra, followed, respectively, by GPlusBC and GBioC. Regarding the Ca2+ release, the GUltra showed greatest mean values at all evaluated times, and the other groups showed no difference between them. Conclusion Both sealers were able to promote the elevation of the pH and Ca2+ release through roots of primary teeth, which brings favorable properties for their use as a filling material.
Collapse
Affiliation(s)
- Apoliana Reis da Silva
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | | | - Filipe Colombo Vitali
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Michele Bolan
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Mariane Cardoso
- Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| |
Collapse
|
49
|
Sedoykin AG, Kiselnikova LP, Zatevalov AM, Ermolyev SN, Fokina AA. [Application of autofluorescence microscopy and laser Induced fluorescence methods to study the dynamics of the demineralization primary teeth process in vitro]. Stomatologiia (Mosk) 2023; 102:6-13. [PMID: 37937917 DOI: 10.17116/stomat20231020516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
OBJECTIVE Improvement of methods for studying the processes of demineralization of hard tissues of temporary teeth. MATERIAL AND METHODS The study included primaries second molars (n=11). Samples of primary teeth were placed in a test tube with a demineralizing solution for - 1, 4, 8, 21 and 31 days. The of primary teeth samples were examined using methods - laser induced fluorescence (LIF) and autofluorescence microscopy (AFM). Assessment of the degree of demineralization of samples of temporary teeth was carried out according to the score scale developed by us. RESULTS The enamel of the samples is demineralized slowly and evenly for up to 8 days with minimal objective signs, starting from the 8th day of the experiment, there is a significant increase in demineralization indicators. By the 21st day, the peak of demineralization is reached with partial dissolution of the enamel, an increase in the fluorescence effect to 80 UE, and reaches a maximum of 4 points on the evaluation scale. Dentin's hard tissues are demineralized gradually without "sudden jumps" in the fluorescence effect and at the same rate throughout the experiment, reaching a maximum on 31 days (30 UE - LIF). Dentin demineralization is characterized by less dissolution, however, the phenomenon of delamination is determined by the type of exfoliation of the organic dentin matrix, starting from the 21st day of the experiment. CONCLUSION Enamel and dentin of deciduous teeth demineralize at different rates and have a characteristic specificity of morphological changes. Logistic regression analysis showed the consistency of the classifier for the predictive accuracy of each unit of the proposed scale for assessing the degree of demineralization of temporary teeth samples.
Collapse
Affiliation(s)
- A G Sedoykin
- A.I. Yevdokimov Moscow University of Medicine and Dentistry, Moscow, Russia
| | - L P Kiselnikova
- A.I. Yevdokimov Moscow University of Medicine and Dentistry, Moscow, Russia
| | - A M Zatevalov
- G.N. Gabrichevsky Research Institute for Epidemiology and Microbiology, Moscow, Russia
| | - S N Ermolyev
- A.I. Yevdokimov Moscow University of Medicine and Dentistry, Moscow, Russia
| | - A A Fokina
- A.I. Yevdokimov Moscow University of Medicine and Dentistry, Moscow, Russia
| |
Collapse
|
50
|
Igna A, Rusu D, Ogodescu E, Dinu Ș, Boariu M, Voicu A, Stratul ȘI. Age-Related Variation of Pulpal Oxygen Saturation in Healthy Primary and Permanent Teeth in Children: A Clinical Study. J Clin Med 2022; 12. [PMID: 36614971 DOI: 10.3390/jcm12010170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/13/2022] [Accepted: 12/23/2022] [Indexed: 12/28/2022] Open
Abstract
(1) Background: Pulse oximetry (PO) is an effective method of dental pulp status monitorization but still lacks practical implementation in dentistry, as well as clear reference values for different tooth types. The study’s aim was to investigate the age-related variation of blood oxygen saturation (SpO2) from the dental pulp during different stages of tooth development in all types of primary and permanent teeth of children. (2) Methods: The pulps of 600 healthy primary and permanent teeth (incisors, canines, premolars, and molars) of patients aged 2−15 years were tested with an adapted PO device, and the results were statistically analyzed; (3) Results: Statistically significant differences (p < 0.05) were found between open-apex and closed-apex teeth and between the canines and other tooth types in both primary and permanent dentitions. (4) Conclusions: Values of SpO2 tended to decrease with age progression in both primary and permanent dentitions. Enamel and dentine thickness and their optical properties and the shape and volume of coronal pulp, which differed among tooth types, seemed to have some influence on the reading as well. The study indicates that factors such as the root development and the tooth type must be taken into account when establishing reference SpO2 values for the dental pulp.
Collapse
|