PROVISIONAL RESTORATIONS IN RESTORATIVE DENTISTRY

Provisional restorations are of a great significance in fixed prosthodontic rehabilitation, particularly in case long-term treatment is needed before final prosthetics. The restorations are also important from the point of view of diagnosis and treatment plan assessment so they should be similar to the final constructions in their shape and function. Provisional restorations quite often need alterations and adjustment to the new requirements, so it’s important to comprehend the compositional properties of the base and repair materials to make a reliable bond between them. Thus, interim treatment should meet a number of requirements such as biocompatibility, marginal adaptation, strength and longevity. The purpose of this review is to discuss fabrication technology of provisional restorations, possible failure and complications, the ways to correct them as well as the aspects of relining provisional restoration.Provisional restorations are of a great significance in fixed prosthodontic rehabilitation, particularly in case long-term treatment is needed before final prosthetics. The restorations are also important from the point of view of diagnosis and treatment plan assessment so they should be similar to the final constructions in their shape and function. Provisional restorations quite often need alterations and adjustment to the new requirements, so it’s important to comprehend the compositional properties of the base and repair materials to make a reliable bond between them. Thus, interim treatment should meet a number of requirements such as biocompatibility, marginal adaptation, strength and longevity. The purpose of this review is to discuss fabrication technology of provisional restorations, possible failure and complications, the ways to correct them as well as the aspects of relining provisional restoration

Computer Vision Syndrome: Will the Pandemic Lead to Eye Problems for Dentists?

Over the past year and a half dental education has been conducted primarily online due to the SARS-CoV-2 pandemic. During the pandemic, we have spent many hours a day on our computers, mobile phones, and tablets to gather information and participate in online seminars and classrooms. Health consequences resulting from the overuse of these devices include carpal tunnel syndrome as well as computer vision syndrome (CVS). Computer vision syndrome, also known as digital eye strain, has several associated features such as eye burning, strained vision, dry eye, blurred vision, and associated neck and shoulder pain. Several predisposing factors have been linked with CVS, but often this problem gets ignored. The management of this syndrome is aimed at educating dentists on computer use, position, and the surrounding environment. Considering all this, we must ensure that we spend some time away from these devices every day to avoid any significant vision problems. The objective of preparing this manuscript was to provide a brief overview of the increased prevalence of computer vision syndrome and its associated features

CEMENT SELECTION IN DENTAL PRACTICE

The cementation procedure is considered to be the most important stage of fixed prosthodontics, while the correct selection of cement is the guarantee of successful restoration which is conditioned by the its durability. Over the recent years, numerous cementing substances have been introduced to the dental practice that differ greatly from conventional cements with their properties and application methods and that is why even experienced dentists often have certain difficulties in the variety of cements to choose the one that is right for each clinical case. The selection of cement depends on a number of factors, such as the type of resorption substance, the shape of prepared tooth, the possibility to isolate the area, subject to cementation in the oral cavity as well as the patient’s aesthetic requirements. Thus, the objective of the article is to analyze currently used dental cements in order to help the dentists make the right selection of cement for different clinical cases.The cementation procedure is considered to be the most important stage of fixed prosthodontics, while the correct selection of cement is the guarantee of successful restoration which is conditioned by the its durability. Over the recent years, numerous cementing substances have been introduced to the dental practice that differ greatly from conventional cements with their properties and application methods and that is why even experienced dentists often have certain difficulties in the variety of cements to choose the one that is right for each clinical case. The selection of cement depends on a number of factors, such as the type of resorption substance, the shape of prepared tooth, the possibility to isolate the area, subject to cementation in the oral cavity as well as the patient’s aesthetic requirements. Thus, the objective of the article is to analyze currently used dental cements in order to help the dentists make the right selection of cement for different clinical cases

In Vitro Microscopic Evaluation of Metal- And Zirconium-Oxide-Based Crowns’ Marginal Fit

Objective: To evaluate the marginal adaptation of computer-aided designing and computer-aided machining (CAD/CAM) fabricated cobalt-chromium and zirconium-oxide-based ceramic crowns compared to those produced by a conventional method. Material and Methods: The study consists of three groups; 45 crowns fabricated from cobalt-chromium (CAD-CoCr) and 45 crowns manufactured from zirconium CAD/CAM technology (CAD-Z), and 45 control (C) which consists of conventional metal-ceramic crowns. The marginal discrepancies in vertical dimensions were assessed utilizing a microscope in four surfaces (mesial, distal, vestibular, and oral) for each crown. On completion of the microscopic evaluation, multivariate analysis of variance (MANOVA) was used to study the difference in the four surfaces, considered altogether. Two-way ANOVA revealed the effect of three systems used for gap measurements of each landmark. The differences observed were considered significant at p<0.05. Results: There were no differences in the four surfaces revealed by АNOVА in the three groups when considered altogether. Two-way ANOVA of each surface discovered no differences among all groups as well. Conclusion: The CAD/CAM crowns revealed a comparable and satisfactory marginal adaptation compared to conventional metal-ceramic crowns

Oral manifestations of COVID-19 and its management in pediatric patients: a systematic review and practical guideline

Objectives: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus causes coronavirus disease 2019 (COVID-19), a respiratory infection that has spread worldwide and is responsible for a high death toll. Although respiratory symptoms are the most common, there is growing evidence that oral signs of COVID-19 can also be seen in children. The purpose of this systematic review is to provide a comprehensive analysis of the available data on the oral manifestations of COVID-19 in children and to recommend appropriate methods of diagnosis and treatment. Methods: A systematic search of the MEDLINE, EMBASE, Scopus, and Web of Science databases was done to discover relevant papers published between their establishment and January 2023. Articles detailing oral symptoms in pediatric patients with confirmed COVID-19 infection were included, and data on clinical characteristics, diagnosis, treatment, and outcomes were extracted and evaluated. Results: A total of 24 studies involving 2112 pediatric patients with COVID-19 were included in the review. The most common presentations are oral lesions, taste and smell disorders, oral candidiasis, hemorrhagic crust, tongue discoloration, lip and tongue fissuring, gingivitis, and salivary gland inflammation. These manifestations were sometimes associated with multi-system inflammatory syndrome in children (MIS-C) or Kawasaki disease (KD). Management strategies varied depending on the severity of the oral manifestation and ranged from symptomatic relief with topical analgesics to systemic medications. Conclusion: Oral symptoms of COVID-19 are relatively prevalent in juvenile patients and can be accompanied by severe systemic diseases, such as MIS-C or Kawasaki illness. Early detection and adequate care of these oral symptoms are critical for the best patient results. Understanding the underlying pathophysiology and developing targeted treatments requires more investigation.info:eu-repo/semantics/acceptedVersio

Synthesis of Silver Nanoparticles from Extracts of Wild Ginger (Zingiber zerumbet) with Antibacterial Activity against Selective Multidrug Resistant Oral Bacteria

Antibiotic resistance rate is rising worldwide. Silver nanoparticles (AgNPs) are potent for fighting antimicrobial resistance (AMR), independently or synergistically. The purpose of this study was to prepare AgNPs using wild ginger extracts and to evaluate the antibacterial efficacy of these AgNPs against multidrug-resistant (MDR) Staphylococcus aureus, Streptococcus mutans, and Enterococcus faecalis. AgNPs were synthesized using wild ginger extracts at room temperature through different parameters for optimization, i.e., pH and variable molar concentration. Synthesis of AgNPs was confirmed by UV/visible spectroscopy and further characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy analysis (EDXA), and Fourier-transform infrared spectroscopy (FTIR). Disc and agar well diffusion techniques were utilized to determine the in vitro antibacterial activity of plant extracts and AgNPs. The surface plasmon resonance peaks in absorption spectra for silver suspension showed the absorption maxima in the range of 400–420 nm. Functional biomolecules such as N–H, C–H, O–H, C–O, and C–O–C were present in Zingiber zerumbet (Z. zerumbet) (aqueous and organic extracts) responsible for the AgNP formation characterized by FTIR. The crystalline structure of ZZAE-AgCl-NPs and ZZEE-AgCl-NPs was displayed in the XRD analysis. SEM analysis revealed the surface morphology. The EDXA analysis also confirmed the element of silver. It was revealed that AgNPs were seemingly spherical in morphology. The biosynthesized AgNPs exhibited complete antibacterial activity against the tested MDR bacterial strains. This study indicates that AgNPs of wild ginger extracts exhibit potent antibacterial activity against MDR bacterial strains

Evaluation of bi-lateral co-infections and antibiotic resistance rates among COVID-19 patients

In addition to the pathogenesis of SARS-CoV-2, bacterial co-infection plays an essential role in the incidence and progression of SARS-CoV-2 infections by increasing the severity of infection, as well as increasing disease symptoms, death rate and antimicrobial resistance (AMR). The current study was conducted in a tertiary-care hospital in Lahore, Pakistan, among hospitalized COVID-19 patients to see the prevalence of bacterial co-infections and the AMR rates among different isolated bacteria. Clinical samples for the laboratory diagnosis were collected from 1165 hospitalized COVID-19 patients, of which 423 were found to be positive for various bacterial infections. Most of the isolated bacteria were Gram-negative rods (n = 366), followed by Gram-positive cocci (n = 57). A significant association (p 50% of COVID-19 patients were fever, fatigue, dyspnea and chest pain with a significant association (p < 0.05) in bacterial co-infected patients. The current study results showed a comparatively high prevalence of AMR, which may become a severe health-related issue in the future. Therefore, strict compliance of antibiotic usage and employment of antibiotic stewardship programs at every public or private institutional level are recommended

Insights into Polymeric Materials for Prosthodontics and Dental Implantology

Nowadays, a large variety of prostheses both in medicine and dentistry are increasingly made of polymers and polymer-based materials [...

Rare non‐syndromic bilateral maxillary and mandibular permanent canine agenesis

Abstract Oligodontia or absence of teeth such as the Canines is rare and is often accompanied with several other missing teeth. This condition may also be accompanied with morphological and growth related changes in the teeth and the maxillofacial complex. Complete agenesis of the permanent canines in the maxilla and the mandible is extremely rare and occurs in association with syndromic oligodontia. Non‐syndromic absence of canines however, is extremely rare and has only been reported twice. Studies have shown that the incidence of missing canines is more in females. This report describes a sporadic case of congenital absence of maxillary and mandibular bilateral canines. The patient reported to the clinic with a chief complaint of crowding and wanted alignment. On intra‐oral examination it was observed that the patient had all permanent canines missing with no prior history of extractions, crowding in both the arches and class I molars on both sides. With no other symptoms fixed orthodontic therapy was planned for the patient with premolars substituted for the canines