IS INLAY A CURRENT METHOD OF TREATMENT ?

Introduction. Incrustation is indicated in the treatment of coronary lesions as an alternative to obturations by direct techniques but also has a number of specific prosthetic indications. At present, most of the cases are based mainly on conservative odontal techniques, whereby the defect or lack of hard dental material is rehabilitated with the help of obturations made of suitable materials. Material and method. The study was conducted over a period of 24 months (between 2016 and 2018), on a batch of 10 patients 20 composites (“Nexco Paste” – Ivoclar-Vivadent) were made by the indirect method for 20 teeth (10 premolars and 10 molars respectively), of which 10 for Class I and 10 cavities for Mezio- occlusal or Disto- occlusal class II cavities. Results. For the evaluation of the results, a set of direct clinical assessment criteria, following the USPHS model (based on the modified CVAR / RYGE criteria), was used. The criteria used to evaluate the results were as follows: 1. Coronary aesthetic / physiognomic aspect; 2. Anatomical coronary form; 3. Coronary axial contour; 4. proximal interdental contact area; 5. Marginal adaptation; 6. Marginal discoloration; 7. Marginal side caries; 8. Postoperative sensitivity. The evolution of the results was followed at 1 year and 2 years respectively. Conclusions. In dentistry, as well as in biology, boundaries can generally be placed only taking into account the particularities of each case. There are clear indications for each type of direct and / or indirect restoration

Clinical Effects of Locally Delivered <i>Lactobacillus reuteri</i> as Adjunctive Therapy in Patients with Periodontitis: A Split-Mouth Study

Different methods and products have been investigated as measures of adjunctive therapy to scaling and root planing (SRP). Probiotic use has gained interest for this particular application, especially Lactobacillus spp. This split-mouth interventional prospective study aimed to evaluate the clinical effects of L. reuteri DSM 17938 with local application in periodontal pockets of severe periodontitis patients. The study was conducted on 40 subjects with stage 3–4 periodontitis who, based on a split-mouth model, followed SRP and SRP + L. reuteri solution in five weekly sessions. Probing depth (PD), clinical attachment loss (CAL), and bleeding on probing (BOP) were assessed at baseline and at three months after probiotic treatment completion. Both SRP and SRP + L. reuteri generated significant improvements of all three clinical parameters, but the changes were significantly better for SRP + L. reuteri treated sites. Therefore, we can conclude that adjunctive therapy with L. reuteri DSM 17938 could represent an interesting treatment option, particularly for severe periodontitis cases

Clinical Effects of Locally Delivered Lactobacillus reuteri as Adjunctive Therapy in Patients with Periodontitis: A Split-Mouth Study

Different methods and products have been investigated as measures of adjunctive therapy to scaling and root planing (SRP). Probiotic use has gained interest for this particular application, especially Lactobacillus spp. This split-mouth interventional prospective study aimed to evaluate the clinical effects of L. reuteri DSM 17938 with local application in periodontal pockets of severe periodontitis patients. The study was conducted on 40 subjects with stage 3&ndash;4 periodontitis who, based on a split-mouth model, followed SRP and SRP + L. reuteri solution in five weekly sessions. Probing depth (PD), clinical attachment loss (CAL), and bleeding on probing (BOP) were assessed at baseline and at three months after probiotic treatment completion. Both SRP and SRP + L. reuteri generated significant improvements of all three clinical parameters, but the changes were significantly better for SRP + L. reuteri treated sites. Therefore, we can conclude that adjunctive therapy with L. reuteri DSM 17938 could represent an interesting treatment option, particularly for severe periodontitis cases