Nevin Manimala

Dent J (Basel). 2022 Jul 20;10(7):138. doi: 10.3390/dj10070138.

ABSTRACT

BACKGROUND: Children suffer from various oral and periodontal diseases. Dental caries is one of the most prevalent oral diseases among children in the world. This study was conducted to identify the prevalence and risk factors of dental caries in children in Mymensingh, Bangladesh.

METHODS: A cross-sectional study was conducted on 362 pediatric patients who attended the Dental Unit of Mymensingh Medical College from March to September 2019. The sample size was calculated using a statistical formula and the children were selected using a systematic random sampling technique. Children and their guardians were interviewed and data were recorded using a structured questionnaire. Risk factors were analyzed using multivariate logistic regression.

RESULTS: The overall prevalence of dental caries was 82.7%. The prevalence of caries was significantly higher in aged children (8-10 years) and also in rural, low-income, and illiterate families. Seven significant risk factors were identified that included residence in the rural area (OR: 7.31 [1.73-30.83]), a parental income of BDT ≤ 20,000 per month (OR: 4.75 [1.49-15.05]), reduced duration (≤1 min) of teeth cleaning (OR: 18.54 [2.05-168.17]), teeth cleaning before breakfast (OR: 93.30 [10.95-795.32]), the spoon-feeding method (OR: 12.57 [2.09-75.61]), long-term (37-48 months) breastfeeding (OR: 212.53 [8.69-5195.25]), and family oral problem (OR: 8.20 [2.57-26.16]).

CONCLUSIONS: The prevalence of dental caries among the children in Mymensingh is very high and was associated with residence in rural areas, parental income, reduced duration of teeth cleaning, teeth cleaning before breakfast, the spoon-feeding method, long-term breastfeeding, and family oral problems.

PMID:35877412 | DOI:10.3390/dj10070138

Dent J (Basel). 2022 Jul 19;10(7):137. doi: 10.3390/dj10070137.

ABSTRACT

OBJECTIVES: Oral lichen planus (OLP) is an inflammatory disease. Bioelectrical impedance analysis (BIA) is a method for assessing tissue composition. Based on a combination of reactance and resistance data, a phase angle is calculated that may range from 90° to 0°, and that correlates with body cell mass. There is evidence to suggest that neoplastic tissue has a lower phase angle than normal tissue. The aim of the present experimental study was to establish whether OLP patients have a different tissue phase angle from healthy controls.

MATERIALS AND METHODS: Bioelectrical impedance measurements were obtained for the buccal mucosa, tongue, hard palate and upper anterior gums using an ad hoc device in a sample of 57 consecutive patients with OLP and 60 healthy controls, and their phase angles were calculated.

RESULTS: The mean resistance, reactance, and phase angle of the hard palate and gums were higher in the OLP group than in the controls, and the differences were statically significant. The resistance and reactance recorded for the adherent gingiva and hard palate were always higher in the OLP group (p = 0.044; p = 0.020; p = 0.054), and so was the phase angle for the adherent gingiva. No statistically significant differences emerged for the other areas of the oral cavity (p < 0.05).

CONCLUSION: These findings confirm differences between the bioelectrical impedance of OLP lesions and that of healthy oral tissues.

CLINICAL RELEVANCE: Bioelectrical impedance analysis could be useful in the diagnosis of OLP.

PMID:35877411 | DOI:10.3390/dj10070137

Dent J (Basel). 2022 Jul 13;10(7):133. doi: 10.3390/dj10070133.

ABSTRACT

There is empirical evidence of an association between periodontitis and coronary heart disease (CHD). However, it is uncertain whether periodontal treatment in CHD patients might lead to reduced healthcare costs. This study aims to assess the association between periodontal treatment and healthcare costs in newly diagnosed CHD patients. Data from 21,263 adults who were continuously insured between 2011 and 2016 and who were newly diagnosed with CHD in 2013 were selected from a German claims database. The study population was differentiated by the utilization of periodontal treatment. The average treatment effect (ATE) of periodontal treatment on healthcare costs (total, inpatient, outpatient, drugs) was investigated using weighted Poisson regression models conditional on covariates and is shown as a ratio (of geometric means). Periodontal treatment was documented for 4.7% of the persons in the study population. Newly diagnosed CHD patients showed an ATE of 0.98 for total healthcare cost (95% CI 0.90-1.06), 0.79 for inpatient costs (95% CI 0.61-1.04), and 0.95 for drug costs (95% CI 0.87-1.04). A statistically significant 7% increase in outpatient costs was shown (95% CI 1.01-1.13). Despite a lack of statistical significance in most cases, the study provides evidence of a meaningful decrease in inpatient costs after periodontal treatment. Further studies are needed.

PMID:35877407 | DOI:10.3390/dj10070133

Dent J (Basel). 2022 Jul 8;10(7):130. doi: 10.3390/dj10070130.

ABSTRACT

BACKGROUND: The estimation of an individual’s age is a fundamental component of forensic odontology. Literary reports found that the efficiency of Cameriere methodology for age estimation varied among many population groups. Therefore, this study aimed to determine the applicability of the Cameriere methods to a select South African population of the KwaZulu-Natal (KZN) province.

MATERIALS AND METHODS: This cross-sectional retrospective study was conducted on 840 digital panoramic radiographs that met the inclusion criteria. Dental maturity was determined through the morphometric analysis of the seven left permanent mandibular and maxillary teeth in accordance with Cameriere et al. (2006). Moreover, the dental age was also calculated using the South African Black Bayesian formulae of the Cameriere method by Angelakopoulos et al. (2019). The paired sample t-test or Wilcoxon’s signed rank test assessed the significant difference between the chronological age and estimated dental age for the various formulae. A p-value < 0.05 was considered to be statistically significant.

RESULTS: The Cameriere et al. (2006) Italian formula and the South African Black Bayesian formulae of the Cameriere method by Angelakopoulos et al. (2019) underestimated and overestimated age in the South African Black and Indian population groups of the KZN province, respectively. Therefore, the authors generated a novel population-specific regression formulae (including and excluding third molars) using “step-wise regression analysis” and a “best-fit model” for the South African Black and Indian population groups of KZN.

CONCLUSION: This study recommends that the population-specific formulae generated in this study be utilized in the KZN population to improve the accuracy of dental age estimation within this region.

PMID:35877404 | DOI:10.3390/dj10070130

Dent J (Basel). 2022 Jul 7;10(7):129. doi: 10.3390/dj10070129.

ABSTRACT

The purpose of this study is to evaluate the effects of nanocrystal cellulose (NCC) from bamboo on the flexural strength of heat-cured acrylic resin. A total of 35 specimens (3.3 mm × 10 mm × 64 mm) were prepared and the specimens were divided into five groups of seven specimens each. Group 1 used conventional acrylic resin that was prepared based on the instructions of the manufacturer (0%). The filled NCC from bamboo fiber in four concentrations (0.25, 0.5, 1, and 2% w/w) was used in the four-reinforcing resin workpiece groups. The specimens were loaded until failure occurred on a three-point bending test machine. One-way analysis of variance and Dunnett’s multiple comparison test at a 95% confidence level were used to determine the statistical differences in the flexural strength among the five groups. The results found that the average flexural strength of five specimen groups (0, 0.25, 0.5, 1, and 2% w/w) were 60.11 ± 2.4, 60.75 ± 2.18, 66.50 ± 5.08, 56.04 ± 0.31, and 48.05 ± 2.61 MPa, respectively. The flexural strength of 0.5 mg% w/w NCC-reinforced acrylic resin was significantly higher than the control group (p < 0.01). The reinforced NCC from bamboo fiber to acrylic resin improved the flexural strength properties.

PMID:35877403 | DOI:10.3390/dj10070129

Dent J (Basel). 2022 Jul 5;10(7):126. doi: 10.3390/dj10070126.

ABSTRACT

AIM: The present paper aims to systematize data concerning the prevalence and risk of dental erosion (DE) in adult patients with gastroesophageal reflux disease (GERD) compared to controls.

MATERIALS AND METHODS: Core electronic databases, i.e., MEDLINE/PubMed, EMBASE, Cochrane, Google Scholar, and the Russian Science Citation Index (RSCI), were searched for studies assessing the prevalence and risk of DE in adult GERD patients with publication dates ranging from 1 January 1985 to 20 January 2022. Publications with detailed descriptive statistics (the total sample size of patients with GERD, the total sample size of controls (if available), the number of patients with DE in the sample of GERD patients, the number of patients with DE in the controls (if available)) were selected for the final analysis.

RESULTS: The final analysis included 28 studies involving 4379 people (2309 GERD patients and 2070 control subjects). The pooled prevalence of DE was 51.524% (95 CI: 39.742-63.221) in GERD patients and 21.351% (95 CI: 9.234-36.807) in controls. An association was found between the presence of DE and GERD using the random-effects model (OR 5.000, 95% CI: 2.995-8.345; I² = 79.78%) compared with controls. When analyzing studies that only used validated instrumental methods for diagnosing GERD, alongside validated DE criteria (studies that did not specify the methodologies used were excluded), a significant association between the presence of DE and GERD was revealed (OR 5.586, 95% CI: 2.311-13.503; I² = 85.14%).

CONCLUSION: The meta-analysis demonstrated that DE is quite often associated with GERD and is observed in about half of patients with this extremely common disease of the upper gastrointestinal tract.

PMID:35877400 | DOI:10.3390/dj10070126

Dent J (Basel). 2022 Jul 4;10(7):123. doi: 10.3390/dj10070123.

ABSTRACT

The purpose of the present study was to examine the impact of scanning strategy on trueness and precision of the impression acquired from an intraoral scanner. Fifteen complete-arch, mandibular, post-orthodontic treatment casts were scanned with a laboratory scanner (Identica SE 3D, Medit) as the gold standard, and with an intraoral scanner (i500 Medit) following three different paths of the scanning head over the arch (scanning strategies A, B, and C). The hand scans were performed twice by one examiner and repeated by a second examiner, resulting in 180 triangular mesh surfaces (digital casts). The meshes were superimposed on the gold standards using the Viewbox 4 software. The closest distances between the meshes were computed and trueness and precision were evaluated using a General Linear Model. An interaction was found among the examiner and strategy. The accuracy of complete-arch impressions was affected by the scanning strategy; the manufacturer’s recommended strategy (A) was statistically significantly better (p < 0.05) than B and C, which were similar. An average accuracy below 50 μm, which is clinically acceptable in most orthodontic procedures, was achieved with all the examined scanning strategies.

PMID:35877397 | DOI:10.3390/dj10070123

Dent J (Basel). 2022 Jul 1;10(7):119. doi: 10.3390/dj10070119.

ABSTRACT

The aim of this cross-sectional study was to evaluate the status of laser use and training in the U.S. and Canadian graduate periodontology programs. A survey questionnaire was sent electronically to 55 periodontology program directors in North America. The questions focused on laser implementation, types of lasers used, for which procedures lasers were used, and level of education/clinical training provided to residents. Data were analyzed using descriptive statistics and Fisher’s exact test. Twenty-two directors responded (40%). Most programs (86%) used lasers and 89% used a diode laser. Laser treatment was the most used for periimplantitis (84%). Fifteen programs (79%) provided didactic and clinical training, with 47% programs giving 4-12 h of didactic training. In 53% of programs, residents completed 4 to10 procedures. Only 29% of programs had residents who had received a certification in lasers, with most (80%) programs requiring between 1-9 cases for certification. Of the participants not providing laser training, the major barrier was indicated as being “expense”, with 68.7% reporting plans to implement laser education. Conclusions: Most graduate periodontics programs were providing laser training and treatment. There was great variability regarding the training methods, specifically in number of dedicated laser courses, time allocated for laser training, and prerequisites for laser certification.

PMID:35877393 | DOI:10.3390/dj10070119

Dent J (Basel). 2022 Jun 22;10(7):115. doi: 10.3390/dj10070115.

ABSTRACT

The aim of this study was to evaluate the color stability of esthetic ceramic brackets and adhesive samples after immersion in most commonly consumed beverages. A hundred ceramic brackets from five different manufacturers (Forestadent^®, G&H^®, GC, DynaFlex^®, and American Orthodontics) and 120 samples of adhesives (3M™Transbond™ XT and American Orthodontics BracePaste^® color change adhesive and BracePaste^® adhesive) were immersed into four different solutions: coffee, Coca-Cola^®, the vitamin drink Cedevita^®, and artificial saliva (control group). The samples were kept in an incubator at 37 °C. Color readings were evaluated before (T0), at 24 h (T1), 72 h (T3), 7 days (T4), and 14 days (T5) after initial immersion using a spectrophotometer according to the L*a*b* color scale. All the examined brackets showed a statistically significant difference in discoloration (p = 0.001). 20/40™ Brackets (American Orthodontics) showed the best color stability, while the greatest color modification was recognized in QuicKlear^® III (Forestadent^®) brackets. Regarding adhesives, the greatest staining was observed in the BracePaste^® color change adhesive and the least in the Transbond™ XT samples. In conclusion, color change occurs in all solutions, including control groups, and coffee has the greatest impact on color stability.

PMID:35877389 | DOI:10.3390/dj10070115

Bioengineering (Basel). 2022 Jul 12;9(7):308. doi: 10.3390/bioengineering9070308.

ABSTRACT

BACKGROUND: Antimicrobial photodynamic therapy (PDT) has been introduced as a potential option for peri-implantitis treatment. The aim of this study is to evaluate the antimicrobial effect of a novel technique involving a combination of 445 nm diode laser light with 0.1% riboflavin solution (used as a photosensitizing dye) as applied on a bacterial-fungal biofilm formed on implants and to compare the performance of this technique with that of the commonly used combination of 660 nm diode laser with 0.1% methylene blue dye.

METHODS: An in vitro study was conducted on 80 titanium dental implants contaminated with Staphylococcus aureus (SA) and Candida albicans (CA) species. The implants were randomly divided into four groups: negative control (NC), without surface treatment; positive control (PC), treated with a 0.2% chlorhexidine (CHX)-based solution; PDT1, 660 nm (EasyTip 320 µm, 200 mW, Q power = 100 mW, 124.34 W/cm², 1240 J/cm²) with a 0.1% methylene blue dye; and PDT2, 445 nm (EasyTip 320 µm, 200 mW, Q power = 100 mW, 100 Hz, 124.34 W/cm², 1.24 J/cm²) with a 0.1% riboflavin dye.

RESULTS: The PDT1 and PDT2 groups showed greater reduction of SA and CA in comparison to the NC group and no significant differences in comparison to the PC group. No statistically significant differences between the PDT1 and PDT2 groups were observed.

CONCLUSIONS: A novel antimicrobial treatment involving a combination of 445 nm diode laser light with riboflavin solution showed efficiency in reducing SA and CA biofilm formation on dental implant surfaces comparable to those of the more commonly used PDT treatment consisting of 660 nm diode laser light with methylene blue dye or 0.2% CHX treatment.

PMID:35877359 | DOI:10.3390/bioengineering9070308