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Background: Prosthetic treatment in case of complete edentulism has the task of restoring the lost chewing function, speech and breathing and preventing the appearance or deepening of the reduction changes of both the soft tissues and the bones in the maxillofacial region, as well as restoring the aesthetic appearance and improving the psyche of the patient The aim of the present pilot study is to evaluate the satisfaction with treatment with complete dentures articulated with articulation paper and the T-SCAN system, which will serve as the basis for a large-scale cross-sectional study. Material and methods: The study includes a sample of 20 completely edentulous patients. The sample consisted of 10 women and 10 men. The studied patients were randomly divided into two groups of 10 people each. The patients were interviewed post treatment [at 5 weeks], a validated questionnaire about oral health-related quality of life in edentulous people [OHIP-EDENT] was applied. Results: The digital occlusal analysis provides more accurate information on the articulation of the prostheses, as it indicates the teeth with increased force in percentages and also the sequence of occurrence of the occlusal contacts. Analysis of occlusal contacts is subjective, and articulating them with this method carries error risks.When using the T-Scan system, patients are more satisfied than the treatment with total patients, as they feel the prostheses are much more comfortable and in much fewer visits. Conclusion: This quantitative methodology can be used as the method of choice for control of occluso-articulation relationships in treatment with total dentures in any dental practice, if technically possible.

Writing a research paper is like telling a story of your journey, your discoveries, and your contributions to medical science. It's not something you rush through; it requires careful planning and attention to detail. Each section, from the introduction that sets the stage to the discussion that interprets your results, plays a crucial role. And when it comes to increasing citations and quality, publishing in reputable journals, writing clear and concise abstracts, and adhering to guidelines for reporting research studies are key factors to consider. How many of us are familiar with the reporting guidelines for various research studies, such as CONSORT, STROBE, PRISMA, and COREQ? These guidelines provide valuable frameworks for writing different types of studies, including randomized controlled trials, observational studies, systematic reviews, and qualitative research. As editors, we look for manuscripts that align with these principles, ensuring that each paper contributes meaningfully to the scientific community.

In 2022, the World Health Organization (WHO) released a landmark report on oral health, emphasizing the staggering global prevalence of oral disorders, which affect approximately 3 [...]

Abstract Objectives This study aims to analyze and visualize the top dental papers from 2012 to 2022 using data from essential science indicators (ESIs). Materials and Methods The present study was conducted using library and retrospective bibliometric analysis methods. Additionally, a science map has been created. Web of Science was searched on January 18, 2023. The results were limited to the top papers in ESIs. The bibliometric information of the top papers was evaluated. Next, the VOSviewer was used to perform a co‐occurrence analysis and visualize data. Results The findings showed that Mariano Belén Sanz and Maurizio S. Tonetti were the top two authors. The University of London and the University of Bern had the highest number of articles. These articles were published in 55 journals. According to the analysis of keyword co‐occurrence, the most frequently used keywords in the field of dentistry include “periodontitis,” “dental implants,” “periodontal disease,” “mechanical properties,” “peri‐implantitis,” “oral health,” “dental caries,” “dental materials,” “3D printing.” Conclusion The findings of this study enable readers to pinpoint the authors, organizations, countries, and journals that have made the biggest contributions to the list of the most often cited dentistry papers. In medicine, bibliometric citation analysis is frequently used to assist researchers in learning the fundamentals of a subject and pinpoint subtopics of broad interest for additional study.

Abstract This study assessed the features of the 100 most-cited papers on diabetes mellitus (DM) in dentistry using bibliometric measures. A search of the most cited papers on DM using journals included in the category “Dentistry, Oral Surgery and Medicine” in the Web of Science database up to January 2023 was performed. The complete bibliographic records of the selected papers were exported in plain text or Research Information Systems (RIS) file format. The following bibliometric indicators were collected: title, year, authors, number of citations, mean number of citations, institution, country, continent, study design, journal, impact factor, and keywords. Graphical bibliometric networks were created using the VOSviewer software. The number of citations for the 100 most-cited papers in DM research ranged from 111 to 566. Six papers each had more than 400 citations. Most were observational studies (n = 50) from the United States (USA) (n = 23) and were published in the Journal of Periodontology (30%; n=30). Robert Genco was the most cited author and contributed the most to the top 100 articles (3,653 citations; n = 13). The VOSviewer map of co-authorship showed the existence of clusters in research collaboration. The most prolific institutions were the Universities of Buffalo and Michigan (n = 6 each). “Diabetes mellitus” was the most frequent keyword, with 31 occurrences. In conclusion, the most cited studies that investigated the relationship between dentistry and DM were in periodontology. Observational studies, primarily from the USA, have been the most cited thus far.

Objective: This bibliographic analysis was designed to review all dental publications in the Kingdom of Saudi Arabia (KSA) and evaluate the effect of international collaboration on the impact of published articles. Methods: The Web of Science (WOS) database was used to extract all related published articles in the KSA from 1982 to 2021. The keywords were connected using Boolean Operators to download related articles. Downloaded articles were screened according to the following inclusion criteria: collaboration journal category, journal discipline, number of citations, number of authors, and impact factor. After applying the inclusion criteria and excluding single-author articles, 5,689 documents were included in the final analysis. The chi-square test and two-independent samples t-test were used to determine the statistical significance between the variables. Results: A significantly higher proportion of articles with international collaboration (51.4%) were published in dental journals than those published nationally (43.3%) or within the institutional level (41.8%) (P

Abstract Purpose Japan, with an increasing number of elderly people needing long-term care in a super-aged society, urgent needs to develop the clinical guidelines on implant maintenance for elderly people with declining independence. The purpose is to categorize the troubles encountered in the care of patients with dental implants and to indicate actual practices and points of note. Methods From the members of the Japanese Society of Oral Implantology, 12 expert panelists who were experienced with many problems of implant maintenance during dental visits and were familiar with their solutions were selected. Through repeated discussions in the many panel meetings, the problems of implant maintenance during dental visits were distilled. Results During a dental visit, the oral cavity, general conditions, and background of elderly patients who cannot orally care for themselves must be grasped, and medical staff, care managers, and patients should understand the changes in these factors as time goes by. The solutions and responses that can be made differ greatly depending on the medical care facilities, the environment, differences in the experience of medical staff, and the patient’s background. Thus, it is necessary to select safe treatments appropriate to each situation. Conclusions This paper features many opinions based on clinical experiences. However, clinical guidelines on implant management during dental visits should be formulated in the future based on the accumulation of evidence through the implementation of clinical research.

Using quantitative methods to analyze various aspects of written scientific documents helps to monitor growth of literature and patterns of research. This paper examines the articles published in the Nigerian Dental Journal (NDJ) from 2007 to 2021 for geographical distribution, pattern of study design analysis and topic analysis. Through the review we were able to provide a broad aspect of the types of research published in the Nigerian Dental Journal. Within Nigeria, the contribution from Lagos is the highest while majority of contributions from outside Nigeria were from India. In total 183 articles were published, out of which 103 (56.3%) were full-length articles. The remaining papers included short communications and technical notes. Only one article provided qualitative data, and there were no laboratory-based research highlighting a need to foster further research in this area.

Objective: To identify the 100 most-cited articles in DH and analyze their characteristics. Material and Methods: A search was performed on the Web of Science (WoS) and the 100 most-cited articles were selected. The following data were extracted: citations, year of publication, authorship, institution, country, journal, language, study design, topic of interest, conflict of interest (COI), and sponsorship. The VOSviewer software was used to visualize bibliometric networks. Poisson regression analysis was performed to measure associations between several citations and the characteristics of the studies. Results: The number of citations ranged from 346 to 48. The most-cited article was published in 1997 by Holland in the Journal of Clinical Periodontology. This journal published the most papers, followed by the Journal of Oral Rehabilitation and Journal of Dentistry. Laboratory research, review, and clinical trial were the study designs most prevalent. Reviews (p

ObjectivesBenzydamine is a compound indicated in the treatment of symptoms of irritation/inflammation of the oropharyngeal cavity, including those associated with pain. Objectives of this expert opinion narrative review is to summarize current indicated benzydamine applications and elicit further ones to be explored.Materials and methodsIn this expert opinion paper, evidences underlying the mechanism of action and clinical application of benzydamine are reviewed. Insights are also provided on possible new clinical applications of the drug and new formulations.ResultsCurrent recognized indications of benzydamine include: relief of symptoms associated with inflammatory conditions of the mouth and oropharynx, symptomatic treatment of gingivitis and stomatitis, oral mucositis induced by chemotherapy and/or radiotherapy and post operative sore throat. In addition, among new applications that need to be explored experts embed: oral lichen planus, burning mouth syndrome, post intubation sore throat, antifungal action and new anticancer target agents induced mucositis.ConclusionsBenzydamine is a very versatile compound able to play an auxiliary and adjuvant role in the prevention and treatment of oral cavity/oropharynx disorders. According to experts’ opinion there is the need to design clinical trials to highlight novel possible applications of benzydamine and implemented translational analyses to fine-tune patients’ selection and open future research scenarios.

Abstract This bibliometric study analyzed the 100 most-cited papers about the use of lasers and their modalities in dentistry. A search strategy was created using specific keywords related to the topic. A comprehensive search was then conducted in the Web of Science Core Collection (WoS-CC) database up to July 2021. Papers that addressed the application of any type of laser and its modalities in dentistry were included. Each paper was cross-matched with the number of citations on Scopus and Google Scholar. The following data were extracted from papers: title, number of citations, authorship, country, year of publication, journal, study design, subject, laser type, and oral health outcomes. The VOSviewer software was used to generate bibliometric networks. The total number of citations ranged from 120 to 4,124 and 23 papers received more than 200 citations. Papers were published from 1964 to 2015. Most papers were from Europe (42%) and Anglo-Saxon America (27%). The USA was the country with more top 100 papers (25%). Papers were published mainly in Lasers in Surgery and Medicine (15%) and Lasers in Medical Science (7%). VOSviewer maps demonstrated the existence of national and international research collaborations among institutions and authors. Most studies had a laboratory design (57%) and were about restorative dentistry (32%) and periodontics (21%). This bibliometric study of the top 100 most-cited papers on lasers in dentistry allowed a quantitative and qualitative analysis of this very promising research field, revealing a net of collaboration and the importance of this topic in dentistry.

Background and Aims: According to the research background and need to print CBCT images in case of emergency, this study has been done to compare the quality and accuracy of the two methods of film and paper printing for CBCT images. Materials and Methods: The study of CBCT images taken from 5 patients was done and the cross-sectional slices on Fotolusio DNP papers and film AGFA were printed. Afterward, the images was exmined by a maxillofacial radiologist. The images’ quality were identified and recorded with anatomical, from 1 to 4 on forms. The accuracy was determined by the diagnosis of alveolar canal area and the comparison with the gold standard. Data were analyzed using independent chi-square and Fisher exact tests’. Results: The images quality in anatomical landmarks consisting PDL (P=0.02), lamina dura (P=0.006), the inferior alveolar canal (P=0.01) and the filling (P=0.006) had a significant difference. There was no significant difference. For the lower border of the mandible landmark, there was no difference between the two methods of printing. In comparing the diagnostic accuracy between the two methods (P=1). Conclusion: The results showed that the diagnostic quality in film printing is better than paper printing and the diagnostic accuracy is the same in both methods.

Excessive sugar consumption is the main cause of dental caries. Dental caries is highly prevalent and negatively impacts the quality of life at all stages. Furthermore, sugar consumption is associated with other noncommunicable conditions and diseases, such as obesity, diabetes, and cardiovascular diseases. The aim of this paper is to propose recommendations at the individual and population levels for health professionals, families, educators, stakeholders, and public officials to reduce the burden of dental caries and other noncommunicable diseases that are caused by the excessive sugar intake. A systematic search was performed in PubMed and Cochrane databases to investigate the effectiveness of strategies and policies aiming to reduce sugar consumption as well as the impact of different patterns of sugar consumption on the occurrence of dental caries. Reference list of the identified papers and practice guidelines were manually reviewed as well. Based on the best evidence available, the Brazilian Academy of Dentistry recommends not to offer sugars to children younger than 2 years of age, and to limit total sugar consumption to

Radiation caries (RC) is an aggressive oral toxicity in head and neck cancer survivors, which develops 6 to 12 months after head and neck radiotherapy. It initially affects the tooth cervical/incisal surfaces, and if not promptly diagnosed/managed, progresses to dental crown amputation and risk of osteoradionecrosis. It results from a multidimensional cluster of treatment-induced oral symptoms, including hyposalivation, dietary changes, and oral hygiene impairment. Although recognized as a frequent complication of radiotherapy and extensively assessed by a myriad of retrospective, in vitro, and in situ studies, RC patients are still orphans of clinically validated methods for risk prediction, prevention, and treatment of early lesions. This review provides a historical overview of science-based concepts regarding RC pathogenesis and treatment, emphasizing the growing demand for interventional clinical studies (randomized trials).

Introduction: Questionnaires are often used to quantify the subjective aspects of burnout syndrome. Data collection using web-based questionnaires generally improves data quality, because data are entered electronically and may automatically be transformed into an analyzable format, and errors in the process of data entry and coding are avoided as well. Purpose: The aim of the study is to compare the completeness of data and consuming time of web-based and paper questionnaires for burnout syndrome based on Boyko’s inventory Material and methods: In study took part 30 patients from one ambulatory practice, who completed the two versions of the questionnaire and their physician. Data completeness was assessed by comparing the number of missing values between the two methods. Consuming time was assessed by comparing the duration of completing and analyzed the data from the web-based and paper questionnaires. Results: Paper questionnaires generally had more missing values (P

Introduction: Precancerous lesion of the oral mucosa consists of a group of diseases which sometimes resemble each other leaving the clinician in a diagnostic dilemma. Etiology of these diseases varies geographically with most frequently being tobacco use, alcohol drinking, chewing of betel quid containing areca nut, and solar rays. The long-standing practice of these lifestyle habits causes an alteration in the mucosal barrier level leading to malignant transformation. Earlier, the diagnosis of malignant transformation was confirmed using biopsy, but the advent of exfoliative cytology showed that histological features of a cell undergoing transformation are distinctive during early stages. Early diagnosis can be lifesaving, along with chairside adjunct tools that can facilitate the clinician for better diagnosis and use it as an explanatory tool for patients. Aim: The aim of this study was to test the efficacy of foldscope as a chairside diagnostic tool to detect dysplastic changes in potentially malignant lesions affecting the oral cavity. Materials and Methods: This was a cross-sectional comparative study of a total of 54 individuals clinically diagnosed with oral premalignant lesions. Exfoliative cytological smears were taken and observed under light microscope and foldscope. After Papanicolaou stain, it was subjected to cytomorphometric analysis. Results: Cytological changes in potentially malignant lesions detected using foldscope were appreciable and found to be a mirror image of the routine light microscope. Conclusion: Morphological parameters assessed by foldscope proved to be employed in routine practice as well as in the mass screening of oral lesions.

Maznurfarhatunnisak Anowar,1 Colman McGrath,2 Roslan Saub1 1Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia; 2Dental Public Health, Faculty of Dentistry, University of Hong Kong, Hong Kong, People’s Republic of ChinaCorrespondence: Roslan SaubDepartment of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, Kuala Lumpur, MalaysiaEmail roslans@um.edu.myPurpose: To determine the measurement equivalence of computer touch screen assessment (CTSA) and paper based assessment (PBA) of the oral health impact profile (OHIP-14).Patients and Methods: A randomized crossover trial was conducted. Sixty participants were randomized to either i) Arm A: completed CTSA then PBA of OHIP-14, or ii) Arm B: PBA and then CTSA of OHIP-14 within the same day. User preference and time taken to complete the assessments were recorded. Agreement between CTSA and PBA was determined using directional difference (DD), absolute difference (AD), and intraclass correlation coefficient (ICC).Results: There was no significant difference in CTSA and PBA OHIP-14 scores (P> 0.05). The magnitude of the DD in scores between assessment methods was small for overall scores and all domains (< 0.3). The AD in OHIP-14 scores was small (∼ 6% for overall score, between 8– 16% for domains). Agreement between CTSA and PBA was high (ICC=0.9; 95% CI=0.8– 0.9) for overall OHIP-14 scores, but ICC values varied across domains. Most (78%) preferred CTSA. There was no significant difference in time taken to complete assessments (P=0.09). Regression analyses did not identify any significant socio-demographic factor associated with absolute difference between CTSA and PBA scores.Conclusion: There is equivalence of measurements in OHRQoL assessments from CTSA and PBA, and the time taken to complete assessment by either means is similar. There is a greater preference for CTSA. This has implications to support the use of CTSA in OHRQoL assessments.Keywords: OHIP-14, computer touch screen, written questionnaires, score agreement, feasibility

Summary: Since Marx reported on osteonecrosis of the jaw caused by the injectable bisphosphonates (BPs) pamidronate and zoledronate, there have been numerous reports not only in Western countries, but in Japan as well, of bisphosphonate-related osteonecrosis of the jaw (BRONJ) as a pathology similar to radiation-related osteonecrosis/osteomyelitis of the jaw, which is accompanied by exposure of the bone. Osteonecrosis of the jaw similar to that occurring with BPs is also produced with the anti-receptor activator of nuclear factor kappa-Β ligand (RANKL) antibody denosumab, a bone resorption inhibitor that has a different mode of action from BPs, and there is also a report of osteonecrosis of the jaw related to bevacizumab, an angiogenic inhibitor. Because of this, in its newest position paper (2014), the AAOMS changed the nomenclature from BRONJ to “medication-related osteonecrosis of the jaw” (MRONJ). This article presents an overview of the position paper on medication-related osteonecrosis of the jaw and the current status of the MRONJ in Japan. Keyword: Bisphosphonates, Anti-RANKL antibody, Bisphosphonate-related osteonecrosis of the jaw, Medication-related osteonecrosis of the jaw, Osteoporosis, Position paper

Abstract This study aimed to analyze the 100 most-cited papers in the field of oral medicine and pathology over time, identifying the areas of more intense research. Papers in journals of oral medicine and pathology were identified using the Web of Science database. The specified research period was between 1900 and 2019. Descriptive statistics was used to analyze the data. Pearson’s correlation analysis was used to explore the relationships among Web of Science citations, Dimensions citations, and Altmetric Attention Score. The number of citations of an article in the top 100 most-cited papers published in 1953 or later ranged from 541 to 3623. The papers were published in 47 different journals. The New England Journal of Medicine, American Cancer Society, and Nature Genetics published the most papers. Authors from 18 different countries published papers on head and neck cancer, craniofacial congenital anomalies, and osteonecrosis. Most of the papers were laboratory and descriptive studies. A correlation analysis showed a strong correlation only between Web of Science and Dimensions citations. In sum, although non-specific journals for pathology and oral medicine published the majority of the 100 most-cited papers, this biometric citation study show that head and neck cancer was the issue with the most citations. Together, these results make an important scientific contribution by providing a historical perspective on the research carried out.

The study and documentation of occlusal-articulation relationships has a high diagnostic significance in patients with bruxism and bruxomania. The study aims on the basis of registration of occlusal contacts via articulating paper and the T-Scan system to evaluate the advantages and disadvantages of both methods in occlusal diagnosis of patients with bruxism and bruxomania. Material and Methods: 40 patients with bruxism and / or bruxomania (29 women and 11 men) aged between 21 and 77 years from October 2010 to February 2014 was conducted computerized occlusal analysis using the systems T-Scan II (in 12 patients), T-Scan III (in 28 patients) and the software T-Scan III. All patients were subjected to registration of occlusal relationships in centric occlusion (CO) with articulating paper Bausch PROGRESS 100 µ and Bausch® Arti-Fol® 8 µ. Results and Discussion: In 90.0% of patients it is established unevenly distributed, irregular in size and intensity occlusal contacts. Essential factor for preventing the spontaneous bilateral closure with balanced forces is the presence of interceptive contacts and sliding occurring in the first frame of the occlusion time until the maximum intercuspation - MIP. Conclusion: Registration with articulating paper visualizes cumulative picture of the contacts in CO and interceptive contacts without being able to distinguish them in size and time of onset. Computerized occlusal analysis objectively and quantitatively determines interceptive contacts and distinguishes them from contacts in MIP and gives real meaning to the terms "strong" and "light contacts".

Aim of the study. The aim of the current study was to analyze and compare the registration of the occlusal contact points using three intraoral scanners and articulation paper. Material and methods. The static occlusal contact points in maximum intercuspation of ten subjects (3 women and 7 men), were analyzed using three different scanners: Cerec Omnicam (CEREC® Sirona, Germany), Medit i700 (MEDIT® Seoul, Republic of Korea), Trios 3 (3-SHAPE® Copenhagen, Denmark) and articulating paper 200 μm (Dr. Jean Bausch Gmbh & Co. KG, Germany). All the contact points obtained on each arch were counted and statistically evaluated. Results. The highest number of contacts was identified with Omnicam Scan (564 contact points) followed by the contacts obtained with occlusal paper (528 contact points). Contact obtained with Medit i700 were 483 and the fewest points of contact were identified with Trios 3 (477 contact points). However, no statistically significant difference was observed between the different types of examination (p> 0,005). Conclusions. Intraoral cameras represent a useful and reliable tool for the analysis of occlusal contact points. However, for the precise diagnosis and treatment of occlusal imbalance, a correlation between the conventional and digital methods of occlusal analysis may provide superior results.

Aims of the study The purpose of this study was to evaluate the agreement of the Medit i700 scanner in determining the number and position of occlusal contacts, comparing its results with those obtained by 100 μm articulating paper. Materials and methods The present study was conducted on a total of 10 patients aged between 20 and 25 years old. Occlusal contact areas were determined in maximum intercuspation position using both 100 μm articulating paper (Bausch Progress 100) and the Medit i700 scanner software (MEDIT). The contact areas were photographed using Nikon D7200 DSLR with AF-S MICRO 105 mm 1:28 G ED lens and overlapped using Adobe Photoshop (Adobe Photoshop®) and the number of contacts whose position coincided with those of the articulating paper was determined. Results The results have shown statistically significant differences (p

Abstract Background Across the European Union costs for the treatment of oral disease is expected to rise to €93 Billion by 2020 and be higher than those for stroke and dementia combined. A significant proportion of these costs will relate to the provision of care for older people. Dental caries severity and experience is now a major public health issue in older people and periodontal disease disproportionately affects older adults. Poor oral health impacts on older people’s quality of life, their self-esteem, general health and diet. Oral health care service provision for older people is often unavailable or poor, as is the standard of knowledge amongst formal and informal carers. The aim of this discussion paper is to explore some of the approaches that could be taken to improve the level of co-production in the design of healthcare services for older people. Main text People’s emotional and practical response to challenges in health and well-being and the responsiveness of systems to their needs is crucial to improve the quality of service provision. This is a particularly important aspect of care for older people as felt, expressed and normative needs may be fundamentally different and vary as they become increasingly dependent. Co-production shifts the design process away from the traditional ‘top-down’ medical model, where needs assessments are undertaken by someone external to a community and strategies are devised that encourage these communities to become passive recipients of services. Instead, an inductive paradigm of partnership working and shared leadership is actively encouraged to set priorities and ultimately helps improve the translational gap between research, health policy and health-service provision. Discussion The four methodological approaches discussed in this paper (Priority Setting Partnerships, Discrete Choice Experiments, Core Outcome Sets and Experience Based Co-Design) represent an approach that seeks to better engage with older people and ensure an inductive, co-produced process to the research and design of healthcare services of the future. These methods facilitate partnerships between researchers, healthcare professionals and patients to produce more responsive and appropriate public services for older people.

Objective: To evaluate the influence of the sterilization process on paper cones as regards their absorption capacity, and consequently, root canal drying, in addition to the possible release of any antimicrobial or cytotoxic product. Methods: The cones used were of three of the brands found on the Brazilian market Dentsply (Dentsply Indústria e Comércio Ltda., Petrópolis, Brazil), Endopoints (Endopoints Indústria e Comércio Ltda., Paraíba do Sul, Brazil) and Tanari (Tanari Industrial Ltda., São Paulo, Brazil). To evaluate the absorption capacity, the cones were submitted to four sterilization cycles, and the modified Holland technique was performed. The antimicrobial/cytotoxic capacity was verified by means of depositing the sterilized cones in Petri dishes containing Miller-Hinton Agar and Blood Agar, seeded with S.aureus and E. coli. Results: The Dentsply (Dentsply Indústria e Comércio Ltda., Petrópolis, Brazil) and Tanari (Tanari Industrial Ltda., São Paulo, Brazil)cones presented greater absorption after the first sterilization cycle, followed by a drop in the second and third cycles, and a new increase in the fourth cycle. For the Endopoints (Endopoints Indústria e Comércio Ltda., Paraíba do Sul, Brazil) cones, the values were inverted, with a small drop in absorption after the first cycle, increase in the second and third cycles, and a new drop in the fourth cycle. None of the cones presented antimicrobial activity after the sterilization process. Conclusion: The sterilization process by damp heat does not alter the properties of absorption and there is no release of by-products from the tested paper cones.

Thorough planning and execution is the key for successful treatment of dentofacial deformity involving surgical orthodontics. Presurgical planning (paper surgery and model surgery) are the most essential prerequisites of orthognathic surgery, and orthodontist is the one who carries out this procedure by evaluating diagnostic aids such as crucial clinical findings and radiographic assessments. However, literature pertaining to step-by-step orthognathic surgical guidelines is limited. Hence, this article makes an attempt to provide an insight and nuances involved in the planning and execution. The diagnostic information revealed from clinical findings and radiographic assessments is integrated in the "paper surgery" to establish "surgical-plan." Furthermore, the "paper surgery" is emulated in "model surgery" such that surgical bite-wafers are created, which aid surgeon to preview the final outcome and make surgical movements that are deemed essential for the desired skeletal and dental outcomes. Skeletal complexities are corrected by performing "paper surgery" and an occlusion is set up during "model surgery" for the fabrication of surgical bite-wafers. Further, orthodontics is carried out for the proper settling and finishing of occlusion. Article describes the nuances involved in the treatment of Class III skeletal deformity individuals treated with orthognathic surgical approach and illustrates orthodontic-orthognathic step-by-step procedures from "treatment planning" to "execution" for successful management of aforementioned dentofacial deformity.

Abstract not available Update Dent. Coll. j: 2018; 8 (1): 01-04

Abstract not available Update Dent. Coll. j: 2017; 7 (2): 01-03

Objectives: To compare and evaluate the occlusal variability/discrepancy recorded using qualitative (articulating paper) and quantitative (T-scan) techniques in partially edentulous implant-supported restorations. Materials and Methods: A total of 20 patients in the age group of 25–61 yrs participated in this study. All the patients had more than one tooth replaced with implant-supported prosthesis. After three months of restoration, occlusion reevaluated was carried out using qualitative (articulating paper) and quantitative (T-scan). T-scan data were used to measure implant occlusion time, occlusion time, and the relative occlusal force (ROFs) on implant prosthesis. And the data were statistically evaluated. Results: The T-scan values showed high points on the implants in most of the patients, which could not be evaluated by that of articulating paper outcomes. Conclusion: The occlusal harmony achieved from using qualitative analysis of articulating paper was not supported by the finding of the quantitative analysis (T-scan). Also the T-scan provided the time interval of occlusion of the implant-supported restorations, which would help in better defining the implant-protected occlusal. Clinical Relevance: The T-scan occlusal analysis system provides ROF and time intervals of occlusal contact. This allows accurate occlusal equilibration of implant-supported restoration according to implant protected occlusal concept.

Introduction: The electronic health record (EHR) is a computerized health information system where provider record detailed encounter information such as patient demographics, encounter summaries, medical history allergies, intolerances, and lab test histories [9]. The EHR will be used in future diagnostic and treatment decision making. The decision is always taken by a physician or dentist. Medical documentation contains information about treatment, communication with insurance service system and statistical data evaluation. The EHR may support and improve future diagnostics and therapy in general. The data can be used in statistics and other scientific purposes. Aim: The aim of study is to verify the simplicity of data process implementation and time of data storing for modification of classical paper WHO dental card, lifetime dental EHR controlled by keyboard and lifetime dental EHR controlled by voice. Methods: All three methods were applied on 126 patients. The dental status of patients was examined and the data recorded in classical way into the paper WHO dental card. The same person recorded all data to lifetime dental EHR using keyboard and using voice. Then we compared the time, which was needed for recording the data using these three methods.Using Friedaman test we found very significant differences in time of recording among three methods (p

Nikola Angelov1, Raydolfo M Aprecio1, James Kettering1, Tord Lundgren2, Matt Riggs3, Jan Egelberg11School of Dentistry, Loma Linda University, Loma Linda, CA, USA; 2Department of Periodontology, University of Florida, Gainesville, FL, USA; 3Department of Psychology, California State University, San Bernardino, CA, USABackground: The aim of this study was to compare the recovery of three putative periodontal pathogens from periodontal lesions in samples using paper points inserted to different depths of the lesions.Methods: Twenty 6–8 mm deep periodontal lesions with bleeding on probing were studied. Microbial samples were obtained using paper points inserted to three different depths of the lesions: orifice of lesion; 2 mm into the lesion; and to the base of lesion. Culturing was used for recovery and identification of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, and Prevotella intermedia.Results: The recovery of each of the three putative periodontal pathogens was similar following sampling at the various depths of the lesions.Conclusions: The findings may be explained by the fact that the paper points become saturated as they pass through the orifice of the lesion. Absorption of microorganisms will therefore primarily occur at the orifice. It is also conceivable that the pathogens may be present in similar proportions throughout the various depths of the periodontal lesions.Keywords: paper point sampling, P. gingivalis, P. intermedia, A. actinomycetemcomitans

In order to detect an indicator of the onset of pubertal spurt, the DHEAS serie levels were correlated with age, weight, height, skeletal maturity stage (Hägg and Taranger) and sexual maturity (Tanner and, Prader). 33 patients; 18 males and 15 females, between 8 and 12 years old were studied. Healthy children in Tanner I sexual maturity stage was the research criteria for inclusion. The data were taken every six months during three years (2000-2002). The behavior of the anthropometric variables of the general population was published in a previous paper. In the group of males, we did not found any significant correlation between the seric levels of DHEAS with the studied variables, except for the weight at the beginning of the study. In the female group, a correlation was found with the ulnar sesamoid although not in the long term, and with the weight in the middle of the study. However, none of these associations and correlations confirmed our initial hypothesis because the correlations found were considerate such as isolated facts.

Aim: To assess the reporting quality of papers published between 2002-2012 in Chilean dental journals. Methods: Bibliometric analysis of research papers published in indexed Chilean dental journals between 2002-2012. Three calibrated examinators (interoperator- Kappa=.83) assessed 205 papers: 150 case-reports, 37 observational studies and 18 clinical trials. Reporting quality was evaluated using CARE for case reports, STROBE for observational studies and CONSORT for clinical trials. Descriptive statistics were conducted. Results: Case-reports reported 35% of the required methodological items; epidemiological research reported 16% of required items for Materials and Methods and 10% for Results. Clinical research reported 29% of required Materials and Methods items and 20% of Results items. Conclusion: Case-report, epidemiological and clinician research papers in Chilean dental journals published during the 2002-2012 period are lacking explicit key methodological items, preventing a proper research replication or clinical application of the results.

Objectives: To answer the question: Can sterilized pouches be used a second time while maintaining their sterility conditions? Methods: This investigation tested paper/plastic sterilization pouches divided into three groups: experimental group – twice-used pouches; negative control group – once-used pouches; and positive control group – environmentally contaminated pouches. In the experimental group, pouches were opened, a gauze dressing was placed into them, and they were sterilized again, representing the reuse of the pouches (second sterilization cycle). After the sterilization cycle, samples were stored for 1 day (T0), 7 days (T1), 31 days (T2), and 153 days (T3). Positive control group pouches were opened and exposed to contamination in the storage environment. After the specified storage period, the experimental and negative control groups’ pouches were opened, and the gauze dressings were removed aseptically. All gauze dressings of all groups, including the positive control group, were incubated in Petri dishes with nutrient agar at 37°C for 3 days. After incubation, the Petri dishes were inspected, and the microbial contamination was assessed and classified as present or absent. Results: The experimental group’s Petri dishes showed no sign of contamination. The same happened to the negative control group. The positive control group’s Petri dishes presented microbial contamination. The same results were obtained for all incubation times. Conclusions: This study showed that sterilization pouches could be used a second time while maintaining sterility and integrity conditions, even for extended periods (153 days – 5 months of storage).

BackgroundThe aim of the study was to assess gender differences in the productivity, impact, collaboration pattern and author position of dentistry and oral sciences researchers in Nigeria.MethodsWe examined the Web of Science (WoS) publication records of dentistry and oral sciences researchers to assess gender differences in productivity, impact, collaboration and authorship pattern (first authorship, last authorship and corresponding author). The analysis included the number of publications in journals ranked based on their quartile rating amongst the journals in the subject area (Q1–Q4). Chi square was used to make gender comparisons. Significance was set at >5%.Results413 unique authors published 1,222 articles on dentistry and oral sciences between 2012 and 2021. The number of WoS documents per female author was significantly higher than that per male author (3.7 vs. 2.6, p = 0.03). A non-significantly higher percentage of females authored papers in Q2 and Q3 journals and a higher percentage of males authored papers in Q4 journals. The number of citations per female author (25.0 vs. 14.9, p = 0.04) and the percentage of females listed as first authors (26.6% vs. 20.5%, p = 0.048) were statistically greater than men. The percentage of males listed as last authors was statistically greater than females (23.6% vs. 17.7%, p = 0.04). The correlation between the percentage of papers with researchers listed as first authors and that listed as last authors was not significant for males (p = 0.06) but was significant for females (p = 0.002). A non-significantly greater percentage of females were listed as corresponding authors (26.4% vs. 20.6%) and males were listed as international (27.4% vs. 25.1%) and domestic collaborators (46.8% vs. 44.7%). Also, there was no statistically significant gender difference in the proportion of articles published in open access journals (52.5% vs. 52.0%).ConclusionThough there were significant gender differences in the productivity, impact, and collaboration profile of dentistry and oral sciences researchers in Nigeria, the higher female research productivity and impact may be driven by cultural gender nuances that needs to be explored further.

Abstract Background This paper describes the oral healthcare system and disease situation amongst children in Turkey. Considering the high prevalence and severity of dental caries, a proposal for improvement of oral health in this population group is formulated. Discussion A virtual absence of palliative, preventive and restorative care characterises juvenile oral healthcare in Turkey. Consequently, carious cavities remain untreated, which may lead to pain, discomfort and functional limitation and, further, may impact negatively upon general health and cognitive development. As a first step to controlling dental caries, a national health programme including promotional, preventive and minimal intervention approaches for managing dental caries is proposed. The pros and cons of community-oriented caries-preventive measures are discussed. Daily tooth brushing with fluoridated toothpaste at home, in mother- and child-care centres, kindergartens, and schools is highlighted. Summary The dental profession, government, university officials and other stakeholders need to meet and determine how best the oral health of children in Turkey can be improved. The present proposed plan is considered a starting point.

Abstract Background To assess the ability of fluorescence imaging to detect a dose response relationship between fluorosis severity and different levels of fluoride in water supplies compared to remote photographic scoring in selected populations participating in an observational, epidemiological survey in Chiang Mai, Thailand. Methods Subjects were male and female lifetime residents aged 8-13 years. For each child the fluoride content of cooking water samples (CWS) was assessed to create categorical intervals of water fluoride concentration. Fluorescence images were taken of the maxillary central incisors and analyzed for dental fluorosis using two different software techniques. Output metrics for the fluorescence imaging techniques were compared to TF scores from blinded photographic scores obtained from the survey. Results Data from 553 subjects were available. Both software analysis techniques demonstrated significant correlations with the photographic scores. The metrics for area effected by fluorosis and the overall fluorescence loss had the strongest association with the photographic TF score (Spearman’s rho 0.664 and 0.652 respectively). Both software techniques performed well for comparison of repeat fluorescence images with ICC values of 0.95 and 0.85 respectively. Conclusions This study supports the potential use of fluorescence imaging for the objective quantification of dental fluorosis. Fluorescence imaging was able to discriminate between populations with different fluoride exposures on a comparable level to remote photographic scoring with acceptable levels of repeatability.

Abstract Background To determine the severity of dental fluorosis in selected populations in Chiang Mai, Thailand with different exposures to fluoride and to explore possible risk indicators for dental fluorosis. Methods Subjects were male and female lifetime residents aged 8–13 years. For each child the fluoride content of drinking and cooking water samples were assessed. Digital images were taken of the maxillary central incisors for later blind scoring for TF index (10% repeat scores). Interview data explored previous cooking and drinking water use, exposure to fluoride, infant feeding patterns and oral hygiene practices. Results Data from 560 subjects were available for analysis (298 M, 262 F). A weighted kappa of 0.80 was obtained for repeat photographic scores. The prevalence of fluorosis (TF 3+) for subjects consuming drinking and cooking water with a fluoride concentration of 0.9 ppm F the prevalence of fluorosis (TF 3+) rose to 37.3%. Drinking and cooking water at age 3, water used for infant formula and water used for preparing infant food all demonstrated an increase in fluorosis severity with increase in water fluoride level (p Conclusions The consumption of drinking water with fluoride content >0.9 ppm and use of cooking water with fluoride content >1.6 ppm were associated with an increased risk of aesthetically significant dental fluorosis. Fluoride levels in the current drinking and cooking water sources were strongly correlated with fluorosis severity. Further work is needed to explore fluorosis risk in relation to total fluoride intake from all sources including food preparation.

Abstract Background A prospective Aboriginal Birth Cohort (ABC) study has been underway in Australia's Northern Territory since 1987. Inclusion of oral epidemiological information in a follow-up study required flexible and novel approaches with unconventional techniques. Documenting these procedures may be of value to researchers interested in including oral health components in remotely-located studies. The objectives are to compare and describe dental data collection methods in wave III of the ABC study with a more conventional oral health investigation. Methods The Australian National Survey of Adult Oral Health (NSAOH) was considered the 'conventional' study. Differences between this investigation and the dental component of the ABC study were assessed in terms of ethics, location, recruitment, consent, privacy, equipment, examination, clinical data collection and replication. In the ABC study, recording of clinical data by different voice recording techniques were described and assessed for ease-of-use portability, reliability, time-efficiency and cost-effectiveness. Results Conventional investigation recruitment was by post and telephone. Participants self presented. Examinations took place in dental clinics, using customised dental chairs with standard dental lights attached. For all examinations, a dental assistant recorded dental data directly onto a laptop computer. By contrast, follow-up of ABC study participants involved a multi-phase protocol with reliance on locally-employed Indigenous advocates bringing participants to the examination point. Dental examinations occurred in settings ranging from health centre clinic rooms to improvised spaces outdoors. The dental chair was a lightweight, portable reclining camp chair and the dental light a fire-fighter's head torch with rechargeable batteries. The digital voice recorder was considered the most suitable instrument for clinical dental data collection in the ABC study in comparison with computer-based voice-recording software. Conclusion Oral health examinations among indigenous populations residing in predominantly remote locations are more logistically challenging than are surveys of the general population. However, lack of resources or conventional clinical infrastructures need not compromise the collection of dental data in such studies. Instead, there is a need to be flexible and creative in establishing culturally-sensitive environments with available resources, and to consider non-conventional approaches to data gathering.

The aim of this study was to determine whether or not the analysis of maximal intercuspation, protrusive and laterotrusive movements requires an additional digital method of occlusal diagnosis using the T-Scan™ Novus™ device (TekScan). In this observational study, we retrospectively examined a number of 10 subjects which were divided into 2 groups: the 1st group involved patients with intact dental arches and the 2nd group with patients that had received implant-supported restorations. The methods of analysis involved the calibrated articulating paper of 200 and 40 micrometers, and also the T-Scan™ Novus™ device (TekScan). The following data were collected: contact points in maximum intercuspation (functional and premature contacts), the pairs of teeth performing protrusion and right/left laterotrusion, active/passive interferences and premature contacts during protrusion and right/left laterotrusion. Descriptive statistics were obtained using the MedCalc Statistical Software version 19.2.6 (MedCalc Software bv, Ostend, Belgium) and Microsoft Excel for MAC 2011. It was tested if a statistically significant difference existed between the diagnostic methods regarding the number of contact points. The T test for independent samples without the assumption of equal variances and the Mann-Whitney test was used (to which we reported the medians of the 2 subgroups and the P value adjusted for equalities) and also the magnitude of association using the Chi-square test (p value) was measured. Also it was studied the correlation between the number of premature contacts and the number of contact points, respectively, obtained by each diagnostic method, and we expressed the results through the Spearman correlation coefficient. The analysis of the maximum intercuspation, of the protrusive and the laterotrusive movements has shown comparable results using the two examination methods. There were no statistically significant differences between the two methods of analyzing dental occlusion.

Abstract The purpose of this study was to evaluate the effect of pH conditioners on tooth bleaching using hematoporphirin‐stained paper and artificially discolored bovine tooth model. Experimental bleaching gels containing 23% hydrogen peroxide, adjusting pH 7.0 by different pH conditioners (NaOH, NaHCO3, Na2CO3, KOH, KHCO3, and K2CO3), were prepared. Each bleaching gel was applied on a hematoporphirin‐stained paper, and the light was exposed for 5 min. Before and after bleaching, color was measured and color difference was calculated. Artificially discolored bovine tooth samples were prepared and bleached by four experimental bleaching gels containing NaOH, NaHCO3, Na2CO3, or KHCO3. The bleaching time was 10 min with light exposure, and bleaching was repeated 10 times. The color of bleached surface was measured at each bleaching period, and color difference was calculated. In the experiment using hematoporphirin‐stained paper, degrees of color difference were KHCO3 > NaHCO3 > KOH > NaOH > Na2CO3 ≥ K2CO3. In the experiment using bovine teeth, degrees of color difference were KHCO3 > NaHCO3 > NaOH > Na2CO3. It was concluded that the bleaching materials with same pH and different pH conditioners showed different bleaching effects and that both cation and anion in the pH conditioners affected bleaching effect.

Statement of the Problem: After introducing digital radiography, practitioners started reading radiographs from computer monitors; however, many still prefer hard-copy radiographs. Purpose: This study aimed to assess the possible superiority of either type of radiograph recording media (computer monitor, film, or paper) in diagnosis and perception of the depth of the cariogenic lesions. Materials and Method: Twenty digital bitewing radiographs, obtained from 200 posterior extracted teeth, were displayed on an LG monitor and printed on paper and film using Kodak printers. Two observers independently measured lesions depth on the images. Serial sections of teeth were obtained and the sections were evaluated by a stereomicroscope to determine the actual depth of cariogenic lesions. The efficacy of the each medium was assessed by determining its specificity and sensitivity in comparison with those of histological images. Weighted kappa coefficients and the ROC analysis were used for the statistical analysis. Results: Strong intra- and inter-observer agreements (0.818 to 0.958, 0.77 to 0.85) were found for all detection methods. The highest Az value was obtained with the monitor-displayed images (Az: 0.879); however, differences between detection methods were not statistically significant (p> 0.05). Conclusion: Monitor-displayed bitewing radiographs, paper, and film prints used in our study performed similarly in the detection of proximal caries.