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Clinical, Cosmetic and Investigational Dentistry

Ibtesam Alzain, Waeil Batwa, Alex Cash, Zuhair A Murshid
Patients with cleft lip and/or palate go through a lifelong journey of multidisciplinary care, starting from before birth and extending until adulthood. Presurgical orthopedic (PSO) treatment is one of the earliest stages of this care plan. In this paper we provide a review of the PSO treatment. This review should help general and specialist dentists to better understand the cleft patient care path and to be able to answer patient queries more efficiently. The objectives of this paper were to review the basic principles of PSO treatment, the various types of techniques used in this therapy, and the protocol followed, and to critically evaluate the advantages and disadvantages of some of these techniques...
2017: Clinical, Cosmetic and Investigational Dentistry
Azizah Bin Mubayrik, Rana Al Hamdan, Emad M Al Hadlaq, Hamad AlBagieh, Dan AlAhmed, Hend Jaddoh, Mawadh Demyati, Rawan Abu Shryei
BACKGROUND: Halitosis or oral malodor is defined as an unpleasant breath odor. It can become a serious problem affecting individuals' social communication and self-confidence. Furthermore, it is a discomforting issue for the people around the person affected, because they consider it embarrassing to inform the person of the problem. AIM: This study was designed to measure self-perception, knowledge, and awareness of halitosis among female university students in Saudi Arabia...
2017: Clinical, Cosmetic and Investigational Dentistry
José Carlos Elias Mouchrek Júnior, Cristina Gomes Macedo, Henrique Ballassini Abdalla, Ana Karina Saba, Lucas Novaes Teixeira, Adriana Quinzeiro E Silva Mouchrek, Marcelo Henrique Napimoga, Juliana Trindade Clemente-Napimoga, Alvaro Henrique Borges, Mateus Rodrigues Tonetto, Shelon Cristina Souza Pinto, Matheus Coelho Bandeca, Elizabeth Ferreira Martinez
PURPOSE: The aim of this study was to evaluate the effect of simvastatin on the synthesis of cytokines TNF-α and IL-10 and metalloproteinase (MMPs) 2 and 9 in a rat model of ligature-induced periodontitis. MATERIALS AND METHODS: Twenty Wistar rats were used, and a cotton ligature was place in a subgingival position encircling the entire cervix of the first molar of the left (ipsilateral) side of the mandible. The right (contralateral) side of the mandible had no ligature placed and was used as control...
2017: Clinical, Cosmetic and Investigational Dentistry
Rudys Rodolfo de Jesus Tavarez, Gisele Lima Bezerra, Karla Janilee de Souza Penha, Carlos Rocha Gomes Torres, Leily Macedo Firoozmand
OBJECTIVE: The aim of this study was to evaluate in vitro bond strength of metal brackets bonded with: total etch, total etch with erbium: yttrium aluminum garnet laser (Er:YAG) and self-etching adhesive systems, submitted to thermal-mechanical cycling, simulating 1 year of orthodontic treatment. MATERIALS AND METHODS: For the study, 80 bovine incisors were randomly divided into 3 experimental groups (n=16 each): XT- acid etching + Transbond XT, XT/Er:YAG- Transbond XT associated with Er:YAG laser irradiation (λ=2...
2017: Clinical, Cosmetic and Investigational Dentistry
Fawaz Alqahtani
OBJECTIVE: The purpose of this study was to determine the effect of two extraoral computer-aided design (CAD) and computer-aided manufacturing (CAM) systems, in comparison with conventional techniques, on the marginal fit of monolithic CAD/CAM lithium disilicate ceramic crowns. STUDY DESIGN: This is an in vitro interventional study. PLACE AND DURATION OF STUDY: The study was carried out at the Department of Prosthodontics, School of Dentistry, Prince Sattam Bin Abdul-Aziz University, Saudi Arabia, from December 2015 to April 2016...
2017: Clinical, Cosmetic and Investigational Dentistry
Felipe Rychuv Santos, Carmen Lucia Mueller Storrer, Emanuelle Juliana Cunha, Lucienne M Ulbrich, Camilo Andress Villabona Lopez, Tatiana Miranda Deliberador
Gingival recession is the most common mucogingival defect, characterized by apical migration of the gingival margin from the cementoenamel junction and root exposure. Several surgical techniques are reported for the treatment of gingival recession. Here we present a comparison of the conventional (coronally advanced flap) and semilunar coronally positioned flap techniques for root coverage in teeth with cervical abrasion restored with pink resin that mimics the color of the gingiva. Although the conventional technique is more predictable, we found that both techniques were effective in achieving satisfactory and esthetic root coverage...
2017: Clinical, Cosmetic and Investigational Dentistry
Fahad I Alkhudhairy
OBJECTIVE: The purpose of this study was to investigate the effects of two curing light intensities on the mechanical properties (Vickers microhardness, compressive strength, and diametral tensile strength) of bulk-fill resin-based composites (RBCs). MATERIALS AND METHODS: Four commercially available bulk-fill RBCs (Tetric(®) N-Ceram, SonicFill™, Smart Dentin Replacement (SDR™) Posterior Flowable Material, and Filtek™ Posterior Restorative) were used in this study...
2017: Clinical, Cosmetic and Investigational Dentistry
Asma M Al-Jobair, Laila F Baidas, Anfal A Al-Hamid, Sara G Al-Qahtani, Amani T Al-Najjar, Huda M Al-Kawari
OBJECTIVE: To assess and compare the severity of malocclusion and orthodontic treatment need among young Saudis receiving free treatment at public dental practices versus those paying for treatment at private practices. MATERIALS AND METHODS: This retrospective study evaluated the records of 300 patients (179 females, 121 males; age 13-21 years) treated at orthodontic clinics from 2013 through 2015. The public sample was selected from orthodontic clinics at the College of Dentistry, King Saud University (KSU); the private sample was selected from five private orthodontic clinics in Riyadh, Saudi Arabia...
2016: Clinical, Cosmetic and Investigational Dentistry
Janet H Southerland, Danielle G Gill, Pandu R Gangula, Leslie R Halpern, Cesar Y Cardona, Charles P Mouton
Hypertension is a chronic illness affecting more than a billion people worldwide. The high prevalence of the disease among the American population is concerning and must be considered when treating dental patients. Its lack of symptoms until more serious problems occur makes the disease deadly. Dental practitioners can often be on the frontlines of prevention of hypertension by evaluating preoperative blood pressure readings, performing risk assessments, and knowing when to consider medical consultation of a hypertensive patient in a dental setting...
2016: Clinical, Cosmetic and Investigational Dentistry
Saturnino Marco Lupi, Matteo Cislaghi, Silvana Rizzo, Ruggero Rodriguez Y Baena
BACKGROUND: The onset of perioral wrinkles often prompts patients to request treatment. This aesthetic deterioration linked to aging may be associated with tooth and alveolar bone loss in fully edentulous patients. PURPOSE: To evaluate perioral wrinkles before and after maxillary and mandibular rehabilitation with implant-retained dentures in fully edentulous patients. METHODS: In this prospective cohort, single-center, blinded study, patients requiring maxillary and mandibular rehabilitation with implant-retained dentures were enrolled...
2016: Clinical, Cosmetic and Investigational Dentistry
Grethe Jonasson, Marianne Rythén
Maxillary and mandibular bone mirror skeletal bone conditions. Bone remodeling happens at endosteal surfaces where the osteoclasts and osteoblasts are situated. More surfaces means more cells and remodeling. The bone turnover rate in the mandibular alveolar process is probably the fastest in the body; thus, the first signs of osteoporosis may be revealed here. Hormones, osteoporosis, and aging influence the alveolar process and the skeletal bones similarly, but differences in loading between loaded, half-loaded, and unloaded bones are important to consider...
2016: Clinical, Cosmetic and Investigational Dentistry
Amal I Linjawi
OBJECTIVE: To investigate the association between the health status of permanent first molars and different craniofacial relationships among adolescents. STUDY DESIGN: This is a retrospective study on patients' records aged 11-15 years. Sex, skeletal relationship, vertical growth pattern, malocclusion, overjet, and overbite were assessed. The health status of permanent first molars was recorded from the orthopantomograms and intraoral photographs as "sound" and "not sound"...
2016: Clinical, Cosmetic and Investigational Dentistry
Marcelle M Nascimento, Deborah A Dilbone, Patricia Nr Pereira, Wagner R Duarte, Saulo Geraldeli, Alex J Delgado
Abfraction is a type of noncarious cervical lesion (NCCL) characterized by loss of tooth tissues with different clinical appearances. Evidence supports that abfraction lesions, as any NCCLs, have a multifactorial etiology. Particularly, the cervical wear of abfraction can occur as a result of normal and abnormal tooth function and may also be accompanied by pathological wear, such as abrasion and erosion. The interaction between chemical, biological, and behavioral factors is critical and helps to explain why some individuals exhibit more than one type of cervical wear mechanism than others...
2016: Clinical, Cosmetic and Investigational Dentistry
Cristiane Machado Mengatto, Fábio Herrmann Coelho-de-Souza, Oswaldo Baptista de Souza Junior
Bruxism is a parafunctional activity related to clenching or grinding the teeth and tooth wear can be a consequence of sleep bruxism (SB). Management of severe tooth wear due to SB is a challenging situation because of the common reduced amount of remaining dental structure and loss of vertical dimension of occlusion. Rationale for the planning of oral rehabilitation of patients with SB presenting severe tooth wear should rely on evidence-based approaches; however, few studies have discussed properties of dental materials for SB rehabilitation and how to cosmetically manage severe tooth wear...
2016: Clinical, Cosmetic and Investigational Dentistry
Amit A Paryag, Reisha N Rafeek, Melissa S Mankee, Jenai Lowe
Gingival recession has a diverse etiology. The consequences may include gingivitis, periodontitis, and hypersensitivity. Whereas the management can include surgical treatment options, sometimes a more conservative, yet still esthetic approach may be required. The use of gingiva-colored composites provides one such alternative and can be applied to varying presentations of the problem. While surgical treatment can be successful in re-creating favorable esthetic anatomy as well as achieving accurate tissue contour in cases when minor amounts of tissue are reconstructed, long-term results vary because of the vascularity and complexity of the interdental space...
2016: Clinical, Cosmetic and Investigational Dentistry
Jamal Giri, Basanta Kumar Shrestha, Rajiv Yadav, Tika Ram Ghimire
BACKGROUND: Assessment of growth status of a patient is a key component in orthodontic diagnosis and treatment planning for growing patients with skeletal discrepancy. Skeletal maturation based on hand-wrist radiograph and cervical vertebral maturation (CVM) are commonly used methods of growth assessment. Studies have shown that stages of dental calcification can also be used to assess skeletal maturation status of an individual, whereas other studies have suggested that the relationship between dental calcification and skeletal maturation should be interpreted with caution owing to racial variation...
2016: Clinical, Cosmetic and Investigational Dentistry
Beau Meyer, Eric Adkins, Nathan M Finnerty, Fonda G Robinson
BACKGROUND: Emergency department (ED) visits for dental reasons continue to impact EDs nationwide. This investigation determined the rate of follow-up in an emergency dental clinic (EDC) after hospital ED visits for nontraumatic dental conditions. METHODS: This prospective investigation reports the number of patients who presented to an ED for nontraumatic dental conditions and the rate of follow-up at an EDC. Upon ED discharge, patients were provided instructions to follow-up for low-cost care at the EDC...
2016: Clinical, Cosmetic and Investigational Dentistry
Deva Priya Appukuttan
Dental anxiety and phobia result in avoidance of dental care. It is a frequently encountered problem in dental offices. Formulating acceptable evidence-based therapies for such patients is essential, or else they can be a considerable source of stress for the dentist. These patients need to be identified at the earliest opportunity and their concerns addressed. The initial interaction between the dentist and the patient can reveal the presence of anxiety, fear, and phobia. In such situations, subjective evaluation by interviews and self-reporting on fear and anxiety scales and objective assessment of blood pressure, pulse rate, pulse oximetry, finger temperature, and galvanic skin response can greatly enhance the diagnosis and enable categorization of these individuals as mildly, moderately, or highly anxious or dental phobics...
2016: Clinical, Cosmetic and Investigational Dentistry
Meena Kumari Mishra, Raj Kumar Singh, Pramita Suwal, Prakash Kumar Parajuli, Pragya Shrestha, Dharanidhar Baral
BACKGROUND: One of the most confusing and difficult aspects of complete denture prosthodontics is the selection of appropriately sized maxillary anterior denture teeth. Various guidelines have been suggested for determining the size of anterior teeth, but different opinions have been reported regarding their significance. In the study reported here, the relationships between facial measurements and the width of maxillary anterior teeth in two ethnic groups, namely Aryans and Mongoloids, were determined...
2016: Clinical, Cosmetic and Investigational Dentistry
Deyar Jallal Hadi Mahmood, Ewa H Linderoth, Ann Wennerberg, Per Vult Von Steyern
AIM: To investigate and compare the fracture strength and fracture mode in eleven groups of currently, the most commonly used multilayer three-unit all-ceramic yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) fixed dental prostheses (FDPs) with respect to the choice of core material, veneering material area, manufacturing technique, design of connectors, and radii of curvature of FDP cores. MATERIALS AND METHODS: A total of 110 three-unit Y-TZP FDP cores with one intermediate pontic were made...
2016: Clinical, Cosmetic and Investigational Dentistry
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