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The aim of this study was to evaluate temporary teeth caries incidence in a group of school-childrens and to identify determinants of caries lesions that can be controlled through cost-effective interventions. Material and method. 112 school-childrens were followed from the age of 7 to 10 years. The status of the temporary teeth was evaluated annually, by means of the dmft index. The data were processed statistically, and the results were considered significant for p < 0.05. Results. The evolution of the dmft index reflected the lack of interest for the treatment of dental lesions, having values of 4.82 ± 2.19 at the age of 7 years, respectively 5.02 ± 1.40 at the age of 8 years. The frequency of dental brushing has led to significant differences in relation to the temporary teeth decay incidence, at the above mentioned ages. Discussions. The dmft index for temporary teeth during mixed dentition has no absolute relevance, due to the individual variability related to dental permutation, but remains the best predictor for caries risk assessment of young permanent teeth. Oral-dental hygiene has proven to be an element that allows for adequate control of carious disease. Conclusions. The programs for the prevention of dental caries, with the direct purpose of learning the correct dental brushing technique, should be started from the period of the temporary dentition, in order to allow the proper posteruption evolution and maturation of the permanent teeth.

Background: In dental practice, different situations require etching the enamel layer. Acid etching, the present golden standard, may be replaced by other methods, such as laser etching. The main focus of our scoping review is to assess the existent literature regarding the effectiveness of different types of lasers, to identify the main aspects studied so far, and to understand where new search strategies are needed. Methods: The search was conducted in several databases focusing on the laser etching of human definitive enamel. We included English language articles published between January 2000 and December 2021. Results: The 34 articles reviewed showed that hard lasers, Er:YAG, Er,Cr:YAG, may represent an alternative etching method on enamel surfaces. They create a fractured, irregular surface and open dentin tubules, highly suitable for adhesion but with a lower risk of cavity formation. Nd:YAG, CO2, and Diode lasers do not help in creating sufficient shear bond strength. There is, however, evidence suggesting that microcracks in the enamel layer may appear after thermomechanical ablation using laser energy. Conclusions: While the use of acid etching is still successfully used for enamel conditioning, some researchers have emphasized the role played by saliva in the enamel-remineralization process a few days after the procedure. In this context, laser energy can be used, especially for bonding ceramic brackets in the case of orthodontic treatments. However, as thermomechanical ablation can generate microcracks, further research is required in order to establish clear findings concerning the use of laser energy on enamel etching.

Tooth decay in children and adolescents remains a public health problem, despite prophylaxis and preventive measures being largely available. The aim of our study was to evaluate the clinical behavior of four dental sealants, related to first permanent molar topography and patient age (when sealant was applied for the first time). We assessed, by means of visual inspection and palpation with a dental probe, a group of 200 children, enrolled corresponding to school age-grade (mean age of 7 years at baseline) and randomly divided according to the material used as dental sealant (Admira seal©, Embrace Wet Bond©, Fotoseal©, GC Fuji Triaje©) in 4 groups (n = 50). Sealant clinical evaluation was made at 6-, 12-, 18-month intervals for dental material retention assessment. At 6 months, the sealant detached the most from 3.6 molars, and the material used was Fotoseal© (27.6%). At 12 months, Fotoseal© (48.3%) and GC Fuji Triaje© (41.4%) from 3.6 molars express detachment. At 18 months, 4.6. molars sealed with Admira Seal© (25.7%) and Embrace Wet Bond© (28.6%) lost the sealant. We noticed less detachment in maxillary molars and if sealant was applied around 7 years of age. In conclusion, sealant application on first permanent molars must be encouraged and practitioners can choose between various materials available.

Loss of hard dental tissues of the posterior teeth during caries removal represents an important issue for conservative dentistry. The use of direct dental biomaterials in this case have to satisfy the requirements of the restored area. The studies have shown higher values of chewing forces at the molar teeth level (20-120N) compared to other teeth [1,2]. Thus, for a long-term clinical success the dental biomaterials have to assure a good marginal sealing and a high resistance to thermal and mechanical stresses developed in the lateral zones of the oral cavity [3]. The aim of this study was carried out to assess the effect of an in vitro chewing simulation model on the adhesively-bonded resin composite restorations. Standardized extended proximal cavities were prepared and restored in forty five sound human third molars. Three in vitro aging methods: a chewing simulation model (mechanical cycling and periodontal ligament simulation) (MC+PDL), thermocycling (TC) and distilled water storage (WS), were used to test the marginal sealing behavior of two adhesive techniques (an adhesive-free flowable resin composite and a self-etch all-in-one adhesive system). A weight-controlled dual-axis chewing device (CS-4.2, SD Mechatronik, Germany) was used for mechanical testing (MC) of the samples. Significantly higher marginal leakage values were observed for the chewing simulation model (MC) compared to TC and WS groups (p

Esthetic dentistry imposes several demands on the artistic abilities of the dentist, and knowledge of the underlying scientific principles of tooth color is considered to be essential by Sikri. The supervised classification methods, such as the artificial neural networks, the support vector machines, and also the Bayesian classifier, and the feature selection methods, such as decision trees, genetic algorithms and neural networks, as well as independent component analysis combined with least square support vector machines, were applied successfully in the medical field but were less implemented in the dental analysis domain. This study was conducted on extracted premolars from people who required orthodontic treatment. Data gathering was done using spectrophotometric recordings of tooth color parameters before and after accelerated bleaching, staining, and control procedures on extracted teeth on which was simulated orthodontic treatment. Comparison between data mining techniques and classical statistical...

The present study was conducted with the aim of evaluating and comparing the microleakage at the dentin and enamel/composite interfaces of two adhesive systems. The adhesives are: a new-developed experimental adhesive systems and OptiBond FL (Kerr Corp.) The new adhesive system was prepared for the composite material as three steps adhesive (etchant, primer and bonding). The bonding resin contains the base monomer that was present in the corresponding composite material, HEMA and TEGDMA as diluents. Twenty box-type Class V standardized cavities were prepared on the facial and oral surfaces of each tooth, with coronal margins in enamel and apical margins in cementum (dentin). The preparations were restored with two restorative materials a new experimental microfilled resin composites based on Bis-GMA analogue and hybrid resin composite Herculite XRV Ultra (Kerr Corp.). The teeth were thermocycled and immersed in 2% methyl blue solution for 24 hours. The specimens were sectioned buccolingually into 3 slices and the resulted sections were examined using a stereomicroscope under 40x magnification. The extent of dye penetration was measured in a quantitative manner. This measurement was converted into percentage using the formula described by Sano et al.I=p/Lx100. These percentage values were submitted to variance analyses (ANOVA) andttest at a p

The development of novel Bis-GMA derivatives incorporated as base monomers in resin-based composites (RBCs) may offer a potential reduction in polymerization stresses generated in the tooth/restoration complex compared with conventional Bis-GMA. The hypothesis of the current study was that RBCs based on either a urethane derivative of Bis-GMA (Bis-GMA1) or a Bis-GMA superior oligomer (Bis-GMA2) would produce less cuspal deformation and less cervical enamel microleakage than RBCs based on a conventional Bis-GMA. Standardized MOD cavities were prepared in extracted upper premolars (n = 9) and restored with each of the three experimental RBCs. The cuspal deformation of premolars was recorded during and post-irradiation using direct current differential transformer (DCDT) displacement transducers, and data were analyzed using Kruskal–Wallis and Mann–Whitney tests at a p