Letter to the Editor: Critical analysis of the published literature about the effects of narghile use on oral health

No Abstrac

Juvenile recurrent parotitis in a 4-year-old patient: a case report

Juvenile recurrent parotitis (JRP) is a rare disease. It is most commonly occurring between the ages of 3 and 5 years, that classically resolves at adolescence. It is characterized by recurrent non-suppurative parotitis, with several acute inflammatory episodes per year. The parotid´s swelling tends to be unilateral, but it can occur bilaterally, with a more predominant side. The aim of this work was to present a case report that highlights signs and symptoms of this unusual condition and to stress on the value of ultrasonography as an aid to diagnosis

The Accuracy of CBCT in the Detection of Dens Invaginatus in a Tunisian Population

Objective. To assess the prevalence and characteristics and to classify the type of dens invaginatus (DI), in anterior teeth, basing on 200 Tunisian patients’ cone-beam computed tomography. Material and Methods. A retrospective study was performed using CBCT images of 200 Tunisian patients. Maxillary and mandibular anterior teeth were evaluated for the presence and characteristics of dens invaginatus. Results were reported as frequencies, means ± SD. Statistical evaluation of the presence of DI related to gender was performed by the Pearson chi-square test. Results. Dens invaginatus was observed in 42 out of 4945 examined teeth, with a prevalence of 0.85%.The anomaly affected especially maxillary lateral incisors (p≤0.001). DI location was unilateral in 36% and bilateral in 64%. Type II DI was the most commonly observed (47.61%), followed by type I (30.95%) and type III (21.42%). Apical periodontitis (AP) was mostly seen in type III DI, with a periapical index (PAI) varying from 3″ to 5 E″.The maxillary lateral incisors seem to be the most affected anterior teeth. The symmetric occurrence of DI was observed with a statistically significant difference (p≤0.001). Conclusion. Within the limits related to the present study, DI detected by CBCT is a rare anomaly that could be associated with AP. Maxillary anterior teeth should be bilaterally examined for DI in the absence of clinical symptoms

Outcome of Initial Endodontic Treatment Performed, by One Specialist, in 122 Tunisian Patients: A Retrospective Study

Objective. To assess the 6- to 24-month outcome of endodontic treatments performed, by one specialist, and to identify prognostic factors that may influence initial endodontic treatment outcome (IETO). Methods. One hundred and forty-six patients out of 163 were included. A number of 201 teeth were endodontically treated, and an overall number of 408 canals were obturated. Of these, 165 teeth received initial endodontic treatment (IET). The criteria of the European Society of Endodontology were used to assess the IETO. The level of significance was set at p3 in 28.5%. The success rate (SR) was 91.5%. It was significantly higher in vital teeth (97%) than in devital teeth (87.7%) (p=0.04); however, a lower SR was recorded in teeth with AP (p=0.02). The lesion healed in 60 teeth (85.7%), decreased in size in 4 teeth (5.7%), and increased in size in 6 teeth (8.5%). A higher SR was obtained when a permanent restoration was present (94%) than absent (68.7%) (p=0.005). Conclusion. Within the limitations of the study, pulp and periapical status and permanent restoration are found to be strong outcome predictors