DENTAL CARE IN SPECIAL NEEDS POPULATION

The oral health conditions of people with special health care needs are affected by many factors and they are prone to have very poor oral hygiene. To provide good oral health, dentists must understand the special needs of those patients and their ability to respond dental care. We as dentists, should develope an effective caries preventive program and an appropriate treatment plan for special health care individuals in order to obtain an optimum oral hygiene

Evaluation of Knowledge, Attitude and Behaviour on Oral Health Through COVID-19 Pandemic

Objective: This research is aimed at determining the changes in individuals' knowledge, attitudes and behaviours regarding oral health in terms of nutritional habits, daily oral care and the provision of dental services during the quarantine process in the Coronavirus disease-19 (COVID-19) pandemic

Clinical evaluation of a polyacid-modified resin composite (Dyract) in class V carious lesions: 5-year results

This study evaluated the 5-year clinical performance of polyacid-modified resin composite, Dyract (DeTrey/Dentsply, Konstanz, Germany), restorations in class V carious lesions. Ninety-two class V carious lesions in 28 patients were restored with Dyract. Restorations were clinically evaluated at baseline, 1-, 2-, 3-, 4-, and 5-year recalls and were evaluated according to the modified Ryge criteria by two experienced calibrated examiners in regard to color match, marginal discoloration, wear or loss of anatomical form, caries, marginal adaptation, and surface texture. The retention rate after 5 years compared to baseline in class V carious restorations was 84%, with only 12 restorations failing. Color change and marginal discoloration in restorations were found to be statistically significant (p=0.0238 and p < 0.0001, respectively) at the end of the 5 years, but did not require replacement of any of the restorations. The results of this study revealed that at the end of 5 years, Dyract exhibited a clinically acceptable success rate but had significant color changes and marginal discoloration in class V carious lesions

Effect of different adhesive strategies on the post-operative sensitivity of class I composite restorations

OBJECTIVE: To evaluate the post-operative sensitivity of occlusal restorations using different dentin adhesives performed by an undergraduate and a post-doctorate dentist. MATERIALS AND METHODS: One hundred and eighty-eight molar occlusal restorations were placed in 39 patients (ages between 18 and 30) using 3 different kind of adhesive systems; Optibond FL (OBF), Clearfil Protect Bond (CPB), and iBond (IB) by a post-doctorate dentist or a fifth-year dental student according to the manufacturers’ instructions. Post-operative sensitivity to cold and air was evaluated using a Visual Analog Scale (VAS) after 24 hours, 30, 90, and 180 days. Data were analyzed using the Mann-Whitney U and Friedman tests (P < 0.05). RESULTS: Post-operative sensitivity scores for OBF and CPB were higher for the dental student (P < 0.05), while IB scores did not differ statistical significantly according to the operator (P > 0.05). CONCLUSION: Operator skill and experience appears to play a role in determining the outcome of post-operative sensitivity of multi-step adhesive systems although the post-operative sensitivity was low. It is suggested that the less experienced clinicians (rather than experienced clinicians) should better use the self-etching dentin bonding systems with reduced application steps to minimize the potential risk of post-operative sensitivity of dental adhesives

Effect of light curing modes on the color stability of a nanohybrid composite immersed in different beverages

Aim: Sufficient polymerization remains as crucial for composites to prevent discoloration. Both LEDs and halogen units are used for polymerization and different curing modes are improved to overcome inadequate polymerization. This in vitro study investigated staining susceptibility of a nano-hybrid resin composite light-cured in different modes and immersed in different staining media. Methods: Disc-shaped specimens were prepared from nano-hybrid resin composite (Filtek Z550) and light-cured according to following modes: Halojen (GI), LED standard (GII), LED pulse (GIII) or LED ramp (GIV). Half of the specimens of each group (n=7)  were stored in one of the staining media (red wine or coffee) for 10 min/day during experimental period. Measurements were performed using spectrophotometer according to CIEL*a*b system at baseline and on 7, 28 and 56 days. Colour differences (∆E) between groups were submitted to statistical analysis. Results: Regarding 7-day evaluation, colour change values of specimens immersed in coffee revealed no remarkable difference among curing modes (p>0.05); whereas specimens in GIV were significantly less stained compared to specimens in GII and GIII when immersed in red wine. Regarding 56-days of evaluation, specimens of GIV showed statistically significant colour change in red wine compared to other groups. However specimens in GI revealed the least staining after 56-days of coffee immersion, and this result was statistically different from LED groups. Conclusion: This study suggest that light-curing mode influences the staining susceptibility of the tested composite. Composites polymerized with halogen unit showed lower staining than all LED modes. Despite novel light sources, halogen units may still used reliably at clinics.Objetivo: La polimerización suficiente sigue siendo crucial para que los compuestos eviten la decoloración. Tanto los LED como las unidades halógenas se utilizan para la polimerización y se mejoran los diferentes modos de curado para superar la polimerización inadecuada. Este estudio in vitro investigó la susceptibilidad a la tinción de un compuesto de resina nano-híbrida curado a la luz en diferentes modos y se sumergió en diferentes medios de tinción. Métodos: Las muestras en forma de disco se prepararon a partir de un compuesto de resina nano-híbrida (Filtek Z550) y se curaron con luz de acuerdo con los siguientes modos: Halojen (GI), estándar de LED (GII), pulso de LED (GIII) o rampa de LED (GIV). La mitad de las muestras de cada grupo (n = 7) se almacenaron en uno de los medios de tinción (vino tinto o café) durante 10 minutos / día durante el período experimental. Las mediciones se realizaron utilizando un espectrofotómetro de acuerdo con el sistema CIEL * a * b en la línea de base y en 7, 28 y 56 días. Las diferencias de color (∆E) entre los grupos se sometieron a análisis estadístico. Resultados: Con respecto a la evaluación de 7 días, los valores de cambio de color de las muestras sumergidas en café no revelaron diferencias notables entre los modos de curado (p> 0.05); mientras que las muestras en GIV se tiñeron significativamente menos en comparación con las muestras en GII y GIII cuando se sumergieron en vino tinto. Con respecto a los 56 días de evaluación, las muestras de GIV mostraron un cambio de color estadísticamente significativo en el vino tinto en comparación con otros grupos. Sin embargo, las muestras en GI revelaron la menor tinción después de 56 días de inmersión en el café, y este resultado fue estadísticamente diferente de los grupos LED. Conclusión: este estudio sugiere que el modo de fotopolimerización influye en la susceptibilidad de tinción del material compuesto probado. Los compuestos polimerizados con una unidad halógena mostraron una tinción más baja que todos los modos LED. A pesar de las nuevas fuentes de luz, las unidades halógenas todavía pueden usarse de manera confiable en las clínicas

Effect of different adhesive strategies on the post-operative sensitivity of class I composite restorations

OBJECTIVE: To evaluate the post-operative sensitivity of occlusal restorations using different dentin adhesives performed by an undergraduate and a post-doctorate dentist. MATERIALS AND METHODS: One hundred and eighty-eight molar occlusal restorations were placed in 39 patients (ages between 18 and 30) using 3 different kind of adhesive systems; Optibond FL (OBF), Clearfil Protect Bond (CPB), and iBond (IB) by a post-doctorate dentist or a fifth-year dental student according to the manufacturers’ instructions. Post-operative sensitivity to cold and air was evaluated using a Visual Analog Scale (VAS) after 24 hours, 30, 90, and 180 days. Data were analyzed using the Mann-Whitney U and Friedman tests (P < 0.05). RESULTS: Post-operative sensitivity scores for OBF and CPB were higher for the dental student (P < 0.05), while IB scores did not differ statistical significantly according to the operator (P > 0.05). CONCLUSION: Operator skill and experience appears to play a role in determining the outcome of post-operative sensitivity of multi-step adhesive systems although the post-operative sensitivity was low. It is suggested that the less experienced clinicians (rather than experienced clinicians) should better use the self-etching dentin bonding systems with reduced application steps to minimize the potential risk of post-operative sensitivity of dental adhesives

Clinical evaluation of a polyacid-modified resin composite (Dyract) in Class III cavities: 5-year results

Purpose : This study evaluated the 5-year clinical performance of Dyract polyacid-modified resin composite material in Class III cavities. Methods: 62 Class III cavities in 30 patients were restored with Dyract. Two experienced, calibrated examiners evaluated the restorations clinically at baseline and at 1-, 2-, 3-, 4-, and 5-year recalls, according to the modified Ryge criteria. Results: After 5 years, a total of six restorations had failed and the cumulative failure rate was 94.6%. By the 5-year recall, one restoration was replaced due to pulpitis and five were replaced due to secondary caries. After 5 years, marginal discoloration was statistically significant (P= 0.0002)

Effect of surface sealants on color stability of different resin composites

© 2022Objective. The aim was to assess the effect of surface sealants on the color stability of different composite materials. Methodology. 120 samples were prepared using Filtek Ultimate (3M, USA), Charisma Topaz (Kulzer, Germany), and Clearfil Majesty Es-2 Premium (Kuraray Noritake, Japan) composites. The samples were polished with polishing discs and divided by test groups (n=10 for each), regarding the sealant used; Permaseal (Ultradent Products, USA), Biscover LV (Bisco, USA), Optiglaze Clear (GC Corp., Japan) and control. The samples were discolored for 144 hours in coffee solution at constant 37ºC, renewing daily. Color measurements were performed at the baseline, following the sealant application, and after discoloration procedure, using a spectrophotometer (EasyShade 5, Vita-Zahnfabrik, Germany). The collected L*C*h* coordinates were converted to corresponding L*a*b* coordinates and the color changes (∆E) were calculated. Results. All the sealants presented perceptible (>1.2) and unacceptable (>2.7) color changes. Biscover LV presented the lowest ∆E among all sealants (p<0.001). The highest ∆E was observed for Permaseal (p<0.001). Color changes for Optiglaze and control groups were similar (p≥0.05). Filtek Ultimate presented the highest color stability (p<0.001), followed by Charisma Topaz and Clearfil Majesty. The combination of Filtek Ultimate with Biscover LV was considered to have the highest color stability, whereas the combination of Clearfil Majesty with Permaseal was considered the lowest, among all. Conclusion. Experimented sealants were considered relatively effective on color stability of resin composites depending on the type of the sealant and the composite material. However, the use of surface sealants may not be advantageous every time. Biscover LV have inhibited the level of discoloration, whereas Permaseal had an increasing effect generally

The effect of post surface silanization and luting agents on the push-out bond strengths of adhesively inserted fiber reinforced posts

The effect of silane treatment on the push-out bond strengths of three different luting agents to fiber-reinforced composite (FRC) posts after thermocycling was evaluated