Two years survival rate of class II composite resin restorations prepared by ART with and without a chemomechanical caries removal gel in primary molars

The aim was to test the null hypotheses that there is no difference: (1) in carious lesion development at the restoration margin between class II composite resin restorations in primary molars produced through the atraumatic restorative treatment (ART) with and without a chemomechanical caries removal gel and (2) in the survival rate of class II composite resin restorations between two treatment groups after 2 years. Three hundred twenty-seven children with 568 class II cavitated lesions were included in a parallel mouth study design. Four operators placed resin composite (Filtek Z 250) restorations bonded with a self-etch adhesive (Adper prompt L pop). Two independent examiners evaluated the restorations after 0.5, 1, and 2 years using the modified Ryge criteria. The Kaplan–Meier survival method was applied to estimate survival percentages. A high proportion of restorations were lost during the study period. Therefore, the first hypothesis could not be tested. No statistically significant difference was observed between the cumulative survival percentages of restorations produced by the two treatment approaches over the 2-year period (ART, 54.1 ± 3.4%; ART with Carisolv™, 46.0 ± 3.4%). This hypothesis was accepted. ART with chemomechanical gel might not provide an added benefit increasing the survival percentages of ART class II composite resin restorations in primary teeth

Oral and dental manifestations of Gastroesophageal reflux disease in children: A preliminary study

WOS: 000238319200011PubMed ID: 16805363Purpose: The aim of this study was to investigate the effects of gastroeophageal reflux disease (GERD) on: (1) erosion; (2) caries formation; (3) salivary function; and (4) salivary microbiological counts. Methods: Thirty-eight GERD patients with a mean age of 6 1/2 years and 42 healthy children of the same age and gender and social background comprised the study group. All subjects answered a detailed frequency questionnaire related to acidic drinks, foods, and sugar consumption and participated in a clinical dental examination. The caries experience of the children was recorded according to World Health Organization criteria, and erosion was scored according to the Eccles and Jenkins grading scale. The children were also investigated for stimulated salivary flow rate, buffer capacity, and salivary mutans streptococci (MS), lactobacilli, and yeast colonization. Results: The prevalence of dental erosion and the salivary yeast and MS colonization in GERD children was found to be significantly higher than for healthy subjects (P <.05). The caries experience, salivary flow rate, buffering capacities of the children, and frequency of acidic drinks, foods, and sugar consumption were found to be similar in both groups. Conclusion: This current investigation has shown that GERD children were at an increased risk of developing erosion and caries compared with healthy subjects

Are Oral Health Conditions Associated with Schoolchildren's Performance and School Attendance?

Aim: To examine the relationship between children's oral health-related quality of life and their academic achievement and school attendance.Materials and Methods: Data was gathered from the answers to a structured questionnaire from 150 children aged 7-12 years. Their demographic data, the children's/parents' oral health conditions, their academic performance/school absenteeism, and their intraoral examination outcomes were recorded via a structured questionnaire. The Silness ; toe plaque index was used to assess their dental plaque scores and DMFT/DMFS, dmft/dmfs indices according to the WHO criteria were used to determine their dental caries scores. Results: The mean age of the 150 pediatric patients [72 girls (48%) and 78 boys (52%)] was 9.23 +/- 1.44 years. Due to dental care-related issues, 82% of schoolchildren missed less than two weeks, and 18% missed more than two weeks of school. Furthermore, 21% of these missed days were related to toothache or infections, and 34% were due to going to dental treatment appointments. The association between nail biting and hard object biting and the school achievement of the children was shown to be statistically significant (p=0.02 and p=0.03, respectively). According to the results of the present study, it was determined that school absenteeism was higher in those children who needed dental treatment. It was also observed that there was a negative correlation between school absenteeism and academic success (p=0.01).Conclusion: Dental problems can cause school-aged children to be absent from school and affect their school performance negatively

A clinical evaluation of resin-based. composite and glass ionomer cement restorations placed in primary teeth using the ART approach - Results at 24 months

WOS: 000242245100021PubMed ID: 17082278Background. The authors evaluated the 24-month performance of a packable resin-based opposite/dentin bonding system and a high-viscosity glass ionomer cement (GIC) in restorations placed in primary molars with the atraumatic restorative treatment (ART), approach. Methods. Three dentists placed 419 restorations in 219 children aged 6 through 10 years who had bilateral matched pairs of carious posterior Class I and II primary teeth. They used a split-mouth design to place the two materials, which were assigned randomly to contralateral sides. The authors evaluated the restorations, according to U.S. Public Health Service Ryge criteria. Results. After 24 months, 96.7 percent of the Class I GIC restorations and 91 percent of the resin-based composite restorations survived, while the success rates for the Class II restoration were 76.1 percent and 82 percent for the GIC and resin-based composite restorations, respectively. The survival rate of the Class II resin-based composite restorations was 5.9 percent higher than that of the GIC restorations at the 24-month evaluation, but this difference was not statistically significant. However, the study results showed a statistically significant difference in survival rates between Class I and II restorations for both materials. Conclusion and Clinical implications. The two-year clinical performance of both materials was satisfactory for the restoration of Class I and II primary molars using the ART approach

Dental Trauma and Mouthguard Usage among Soccer Players in Izmir, Turkey

The aims of this study were to verify the occurrence of dental injuries in 343 amateur Turkish soccer players in İzmir and the level of knowledge of the teams’ soccer players about mouthguards. The soccer players were interviewed to determine the occurrence of dental trauma during soccer and mouthguard usage level. The data were analyzed with descriptive analysis to determine absolute and relative frequencies of answers for each one of the questions. Only 35 (10.2%) soccer players reported the occurrence of some type of dental injury during soccer practice. Regarding emergency conducts, approximately 84 players (24.48%) answered that replantation could be obtained after teeth avulsion, 23 players (27.38%) answered that successful replantation could be obtained within 2 hours immediately after injury, and 60.71% were not able to answer this question. Regarding mouthguard use, 61.8% of soccer players did not know about mouthguards. It was possible to conclude that dental injuries are common during amateur soccer practice and that there is a lack of information in the soccer players related to the emergency conducts and prevention of dental trauma

Evaluation of Postoperative Pain Following Single-Visit Root Canal Treatment with Rotary and Reciprocal Ni&ndash;Ti File Systems in Children

Background and Objectives: Postoperative pain is a common symptom of a flare-up after root canal treatments (RCTs). Insufficient instrumentation, extrusion of irrigation solutions and debris, and the existence of a periapical lesion are the factors affecting postoperative pain after root canal treatments. The aim of this study was to evaluate the postoperative pain and instrumentation time of the single-file reciprocating system and multiple-file Ni&ndash;Ti rotary system in children ages 9&ndash;12 years old. Materials and Methods: Our study was conducted on 51 permanent mandibular molars with the diagnosis of irreversible pulpitis. Patients were randomly assigned into two groups, and RCTs were completed with either the Reciproc Blue or Protaper NEXT file systems. Instrumentation time for each system was noted, and patients were given a pain scale that included a visual analog scale for 6, 24, 48, and 72 h after treatment. Postoperative pain scores and instrumentation times were analyzed statistically with a chi-square test and Student&rsquo;s t-test. Results: There was no statistically significant difference in postoperative pain between the Reciproc Blue and Protaper NEXT systems at all time intervals. Instrumentation time was significantly shorter in the Reciproc Blue group in comparison with the Protaper NEXT group. Conclusions: Postoperative pain findings following RCT using single-file reciprocating systems were similar to the rotary system group. However, chair time in the reciprocating system group was significantly lower. This provided a comfortable and patient-friendly treatment approach for children, and could enhance their cooperation