4 research outputs found
The Yin and Yang of Sodium Lauryl Sulfate Use for Oral and Periodontal Health: A Literature Review
Sodium lauryl sulfate (SLS) is an anionic surfactant, which has a wide range of usage in the health sector and in dental pharmaceutical products, especially in toothpastes. The objective of this review was to investigate the effects of SLS containing dentifrices on oral and periodontal health, possible side effects, and its benefits. A thorough literature search was done using databases of PubMed and Google Scholar and finally, 40 articles were included in the study. This narrative review revealed the sources of discrepancy and conflicting results regarding the impact of SLS on oral cavity as well as a lack of sufficient evidence in most topics. Hence, the evidence suggests improved drug bioavailability when used as a solubilizer, improved plaque control, and reduction in bad breath. On the other hand, SLS can serve as a risk indicator of prolonged oral wound healing time, recurrent aphthous stomatitis
Root coverage with apical tunnel approach using propolis as a root conditioning agent: A case report with 2âyear followâup and review of the literature
Abstract Objectives One of the main challenges in performing root coverage is patient discomfort and donor site morbidity. This case report presents a minimally invasive apical tunnel surgical technique, with propolis for root conditioning, to correct gingival recession defects without harvesting donor grafts, flap elevation, or sutures. Propolis is a natural antiâinfective, antiâinflammatory, and antioxidant agent. Material and Methods A 58âyearâold woman with no significant medical history was presented for root coverage of her upper left canine and first premolar with recession type (RT)1A (+). Propolis was used as a root conditioning agent to promote soft tissue coverage via an apical tunnel approach. During the apical tunnel approach, a small apical hole was made 6âmm below the mucogingival junction, and the mucosa and associated attached gingiva was away from the tooth so the flap could be repositioned coronally. Collagen matrix was used as a soft tissue graft material. Results At the 2âmonth, 6âmonth, 8âmonth, and 2âyear followâup, complete root coverage was achieved for both teeth. No bleeding on probing was noticed nor recurrent GRs at the treated sites. Conclusion Without incisions, donor site reflection, or flaps, the apical tunnel approach can be successfully used to cover the exposed roots. Additionally, propolis is a potential root conditioning agent during soft tissue graft procedure due to its antiâinflammatory and antioxidant properties
Periodontal status following orthodontic miniâscrew insertion: A prospective clinical splitâmouth study
Abstract Background Anchorage control is one of the most important determinants of orthodontic treatments. Miniâscrews are used to achieve the desired anchorage. Despite all their advantages, there is a possibility that treatment will not be successful due to conditions related to their interaction with the periodontal tissue. Objective To evaluate the status of the periodontal tissue at the sites adjacent to the orthodontic miniâimplants. Methods A total of 34 teeth (17 case and 17 control) in 17 orthodontic patients requiring a miniâscrew in the buccal area to proceed with their treatment were included in the study. Oral health instruction was provided to the patients prior to the intervention. In addition, scaling and root planing of the root surface were done using manual instruments and ultrasonic instruments if needed. For tooth anchorage, a miniâscrew with Elastic Chain or Coil Spring was used. The following periodontal indices were examined in the miniâscrew receiving tooth and the contralateral tooth: plaque index, pocket probing depth, attached gingiva level (AG), and gingival index. Measurements were made before the placement of the miniâscrews and 1, 2, and 3 months following that. Results The results revealed a significant difference only in the amount of AG between the tooth with miniâscrew and the control tooth (pâ=â0.028); for other periodontal indices, there were no significant differences between the two groups. Conclusion This study showed that periodontal indices in adjacent teeth of the miniâscrews do not change significantly compared to other teeth and miniâscrews can be used as a suitable anchorage without posing a threat to the periodontal health. Using miniâscrews is a safe intervention for orthodontic treatments
Digital planning for two-implant-supported overdenture and bone reduction guide using cone-beam computed tomography: Simple features for predictable outcomes
The two-implant-supported mandibular overdenture is considered a reliable treatment option to restore masticatory function. Digital planning has been shown to improve the precision and accuracy of the surgical procedure. The outcomes are indeed pertinent to the ideal three-dimentional positioning of the implant placement. Recently, the uses of cone-beam computed tomography (CBCT) and intraoral scan have improved greatly the workflow of digital planning; however, the sophisticated technology caused confusion among clinicians. The purpose of this case series was to exhibit the efficacy of a bone-supported guide in applying simultaneous implant placement and bone reduction, solely based on CBCT data. The bone reduction can therefore be determined accordingly, by adding windows to the guide, allowing the clinician to decide the amount of bone reduction as well as the location for implant placement. This novel surgical guide would not only fit properly on the bone but also provide the benefits of less-invasive surgery and the opportunity to place implants parallel. The digital workflow described not only simplifies the fabrication process but also yields predictable surgical outcomes.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/176289/1/jopr13657_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/176289/2/jopr13657.pd