CBCT-3D radiographic analysis of an infected radicular cyst of the upper jaw: a case report

Objectives: The purpose of this case report is to find out the function of CBCT that can analyze in detail a radicular cyst case where CBCT has the ability to determine the density of a lesion. An overview of the density pattern of a radicular cyst can help determine the lesion and its margins. Case Report: : A 40-year-old patient complained of swelling in the palate that had been felt for about a year with a history of trauma due to an accident fifteen years ago. The patient underwent CBCT examination with the results of a hypodense area compared to the surrounding bone in the maxillary anterior area involving teeth 11,21,22 to 23 accompanied by a discontinuity of the cortical plate of the palatal bone and extending to involve the base of the nasal cavity. Part of the lesion is clearly demarcated, while the other side is diffuse. The suspected radiodiagnosis of the case was a moderately aggressive radicular cyst with a differential diagnosis of an odontogenic tumor. Conclusion: The final diagnosis of this case was a radicular cyst with chronic granulomatous inflammation, based on a combination of radiographic findings, clinical findings, and histopathological examination

Common Oral Manifestations in a Denture Wearer Patients with Suspected Diabetes Mellitus

Background. Acute pseudomembranous candidiasis or often called oral thrush is a disease in the oral cavity caused by the overgrowth of Candida albicans. Angular cheilitis is an inflammatory lesion on the corners of the mouth. The purpose of this case report is to document the oral manifestations in patients with suspected diabetes mellitus. Case Report. A 57-year-old woman came with complaints of a burning sensation throughout the mouth and lips and presented a white spot on her tongue with soreness in the past year. The patient has diabetes mellitus and regularly takes medication. Despite this, the patient still has experienced classical signs of diabetes mellitus which are polyphagia, polydipsia, and polyuria. Intraorally the burning sensations were related to the full denture continuous wearness and were diagnosed as acute pseudomembranous candidiasis and angular cheilitis. The treatment given to this patient was symptomatic therapy in the form of Aloclair Plus mouthwash, causative therapy in the form of Nystatin oral suspension and referral to an internist to further examine the condition of diabetes mellitus, and supportive therapy in the form of lanolin and vaseline. Treatment ends with the provision of communication, instruction, and education

Differences in mental index value in patients with type II diabetes mellitus using panoramic radiography

Objectives: This research is aimed to determine the mandibular cortical thickness by the Mental Index value using panoramic radiography in patients with type 2 DM based on length of suffering ≤ 5 years and > 5 years. Materials and Methods: This research is using unpaired comparative analytical design with a cross-sectional stratified random sampling method and unpaired T-test statistic. Results: 34 samples of patients with type 2 DM showed that the mean mental index was 4.219 ± 1.223. The two groups did not have a difference in the meaning of the MI value. The MI of the group with a shorter history of suffering (≤ 5 years) was 4.227 ± 1.063 and the group with a longer history of suffering (>5 years) was 4.211 ± 1.399. There were 8 people who experienced thinning bone from the whole age group, the most were from the age group of 51-60 years old. Conclusion: Mental Index (MI) value is greater or exceeds the normal value (≥ 3,1 mm) in both groups of patients with type 2 DM based on length of suffering ≤ 5 years and > 5 years. Keywords: Diabetes mellitus type 2, Mental Index, Mandibular Cortical Bone, Panoramic Radiography, Bone Mineral Density

The Effect of Bonding Agents IV Generation and Universal on Shear Bond Strength of Nanofiller Resin Composites on Enamel

Introduction: Composite resins require a bonding material in their attachment to the tooth surface. IV generation is the gold standard because it has high bond strength in tooth structure and durability in long-term use with the total-etch technique. Universal bonding is the newest generation that can be applied in total-etch, self-etch, or selective etch, and it has high bond strength to the enamel. The measurement of the strength by the bonding material against the tooth surface can be measured by using a shear bond strength test. Objective: To determine the effect of generation IV and universal bonding (total-etch, self-etch) on the shear bond strength of nanofiller composite resin on the enamel surface. Methods: A total of 30 mandibular premolars were divided into three groups. In the first group, bonding generation IV (Optibond FL, Kerr) was used. Universal bonding (Optibond Universal, Kerr) were used in the second group as total-etch, and in self-etch in the third group. The composite resin used was a nanofiller composite resin (Filtek Z350XT, 3M ESPE). After restorations were applied, specimens were stored in incubator at 37˚C for 24 hours and then tested at 0.5 mm/min with universal testing machine. Results: one-way ANOVA test showed that there was a significant difference in each treatment group (p<0.05), and there was a significant difference in the generation IV bonding with the universal bonding in self-etch technique at the Tukey post-hoc test (p<0.05). Conclusion: There is an effect of generation IV bonding and universal bonding (total-etch, self-etch) on the shear bond strength of nanofiller composite resin on enamel

Ameloblastoma radiographic imaging on 3D CBCT: a literature review

Objectives: This review article is aimed to provide an overview of 3D CBCT in determining the diagnosis of ameloblastoma. Review: This study is a literature review consisting of English articles about the ameloblastoma radiographic imaging on 3D CBCT, published 2013-2023.The article search databases used were Google scholar, Ebsco, Pubmed .The total search results for articles based on keywords obtained were 552 articles, and only 9 articles were include. Ameloblastoma is a persistent and locally invasive tumor; with aggressive but docile growth characteristics. Ameloblastoma is generally associated with impacted teeth, so it requires a more detailed radiographic examination. Computed cone-beam tomography (CBCT) is a more advantageous imaging system with a lower radiation dose and smaller area requirements. 3D CBCT is a radiographic examination with a high modality, so it is very important in helping to establish a diagnosis, especially for cases that show radiographic differences. Ameloblastoma is divided into several types based on the radiological picture. Odontogenic Keratosis Cysts and ameloblastoma may exhibit similar radiographic features, which make diagnosis difficult. Conclusion: 3D CBCT examination is helpful in diagnosing and validating the treatment of ameloblastoma

Effectiveness of Flavonoid Isolate (Glycine max merill) on Distances of Orthodontic Teeth Movement

  Introduction: The success of orthodontic treatment is influenced by a number of factors, including nutrition factor. Orthodontic force application is characterized by remodeling changes in the periodontal tissues leading to the phenomenon of tooth movement. Phytoestrogens are estrogen compounds that can maintain the balance of bone resorption formation and its impact on bone remodeling. Isoflavone, one of the phytoestrogen compounds, can be found in soybeans. Objectives: The aim of the study was to investigate the effectiveness of soy milk (Glycine max (L.) Merill) on tooth movement in orthodontic treatment. Methods: An experimental laboratory post-test with a control group design was used in this research. Twenty four female guinea pigs (Cavia C) were divided into 8 and divided into 3 groups used in this research. Each object was fed with soy-milk flavonoid isolate powder at doses of 3.12 g/kg BW and 6.25 g/kg BW. The data analysis used one-way ANOVA and Kruskal-Wallis, then continued with the Mann-Whitney test. Results: The result of the study showed, soy milk with 6.25 g/kg BW and 3.12 g/kg BW doses were effective on the distance guinea pigs' teeth movement who are undergoing orthodontic treatment. Conclusion: The most effective soy milk for the distance of teeth movement in guinea pigs in orthodontic treatment is a dose of 6.25g/kg WB. The soy milk was effective to the number of tooth distance movement with orthodontic treatment

The effect of changing vertical irradiation angle of periapical radiography bisecting technique on the length dimension of mandibular teeth

Objectives: This research is aimed to determine the effect of changing the vertical irradiation angle with a change in angle of +10°, +5°, -5°, -10° in bisecting technique periapical radiography on the length dimension of mandibular teeth. Materials and Methods: This study used a laboratory experimental method with a post test only control group design. The samples used in this study were teeth I1, I2, C, P1, P2, M1, and M2 region 4. All teeth were treated by changing the angle from the standard angle recommended by White and Pharoah with changes of +10°, +5°, -5°, and -10° in each tooth using a Morita Veraview iX 70 Kv, 7mA dental X-ray unit. Results: The results showed that the angle change of -10°, -5° causes foreshortening and +10°, +5° causes elongation. Based on the results of the Saphiro-Wilk and Kruskal-Wallis test, it is known that there are significant differences in the dimensions of tooth length at +10°, +5°, -5°, -10° against changes in the angle 0° or angulation form White and Pharoah (p < 0.05) . Conclusion: There is a significant effect on the change of vertical irradiation angle with angle changes of +10°, +5°, -5°, -10° in bisecting technique periapical radiography on the length dimension of mandibular teeth

Accuracy of Cone-beam Computed Tomography in diagnosing root canal configuration: a literature review

Objectives: This review article aims to describe the accuracy of cone-beam computed tomography (CBCT) in diagnosing root canal configuration. Review: This study is a literature review consisting of English articles about the accuracy of cone-beam computed tomography in diagnosing root canal configuration, published in 2013 – 2023. The article search databases used were Pubmed and Science Direct with the keyword “(cone-beam computed tomography[MeSH Terms]) AND (configuration, root canal[MeSH Terms]).” The selected articles were screened by checking the publication year, duplicating articles, reading the titles and abstracts, and the entire article's contents.  The total search results for articles based on keywords obtained were 205 and only seven were included. In order to successfully perform root canal treatment, thorough knowledge of the root canal configuration is essential. Cone-beam computed tomography (CBCT) can improve our understanding of root canal configuration. The development of CBCT has brought to light the disadvantages of conventional radiography, which include the compression of three-dimensional anatomy, geometric distortion, and anatomical noise. Conclusion: Radiology is essential in treatment planning, disease monitoring, and assessmen  t of treatment outcomes. The development of cone-beam computed tomography (CBCT) offers three-dimensional accuracy with a reasonable cost, no geometric distortion and anatomical noise, and the ability to create cross-sectional images, revolutionizing the imaging of dentomaxillofacial structures. This imaging system has been shown to overcome some of the limitations of conventional radiography. &nbsp

A novel approach of tongue cancer diagnostic imaging: a literature review

Objectives: This review article is aimed to provide a scientific information about novel approach of tongue cancer diagnostic imaging based on evidence-based reputed published studies. Review: The databases used in this literature review are Google Scholar, PubMed and Elsevier. The research results were selected by title and abstract according to their relevance to the review topic, then the results were selected again based on the inclusion and exclusion criteria. A total of 13 literatures were reviewed. This review shows the diagnostic imaging is a useful tool for staging and management planning in tongue cancers. In this era of technological development, a novel diagnostic imaging technologies that can be used for the diagnosis of tongue cancers such us Ultra High-Frequency Ultrasound (UHFUS), Diffusion-Weighted Imaging MRI (DWI-MRI), Dynamic Contrast-Enhanced MRI (DCE-MRI), Optical Coherence Tomography (OCT), Positron Emission Tomography (PET), Endoscopic images, and the other noninvasive imaging methods like vital staining, autofluorescence, Narrow-Band Imaging (NBI), and in vivo confocal microscopy. Besides that, imaging of tongue cancer requires a multimodality imaging approach to obtain accurate information about pathological condition such as PET/MRI, FDG PET/CT, and SPECT-CT.  Conclusion: Each diagnostic imaging has limitations in imaging the patient's condition, so it can be used alone or in combination with one another to obtain accurate information about pathological conditions. FGD PET-CT and UHFUS reportedly provide a high level of sensitivity and specificity to diagnose and staging of tongue cancer

Comparative Evaluation of Scalpel, Electrosurgery, and Laser in Periodontal Surgery: A Systematic Case Review

  In periodontal surgery, utilizing a conservative approach yields more aesthetically pleasing outcomes while reducing patient morbidity and tissue damage. The development of tools such as electrosurgery and lasers for periodontal treatment has facilitated the implementation of these conservative procedures. This study aims to evaluate the efficacy, outcomes, and postoperative complications of scalpel, electrosurgery, and laser techniques in the periodontal surgery. This article was created by making a research question using the PICO method and searching for articles from PubMed/MEDLINE, Web of Science, Scopus, ScienceDirect, and Google Scholar from 2019-2023. This study used the PRISMA standard guidelines. Almost all studies in this systematic case review compared the three therapies in treating gingival hyperpigmentation. Only one study discussed the treatment of gingival enlargement using the gingivectomy method. Laser use in periodontal surgery is best compared to electrosurgery or scalpel in effectiveness, quality, outcome, postoperative complications, and wound healing. Dry and bloodless surgical wounds, instant sterilization of the surgical area, reduced bacteremia, mechanical trauma, minimal postoperative swelling and scarring, and minimal postoperative pain point to the effectiveness of using lasers compared to surgery with electrosurgery or scalpel techniques. Laser therapy in periodontal surgery is superior to scalpel and electrosurgery, offering faster treatment, fewer postoperative complications, enhanced wound healing, and higher patient satisfaction. These findings support the adoption of laser techniques for optimal clinical and patient outcomes