The Mechanical Behavior Variation of Nickel - Titanium Orthodontic Wires in Different Fluoride Mouthwash

In this study, an orthodontic arch wire of Ni-Ti alloy made by Germany in four different mouthwashes contain fluoride was investigated in mechanical behavior. This research focused on the mechanical behavior changes in different mouthwashes. The Mouthwashes were chosen from most popular one in Iran including Oral-B, Gum, and Behsa Mouthwash. The wires after 3 month in touch with mouthwashes were studied and the result was presented. The result show that the lowest power to reshape the wire, is for the wire in Crest case (3). The maximum power assigns to wire in Behsa case (1). Also, the shortest treatment period is for wire in Behsa mouthwash case (1) with 0.087 Nm strain energy and the maximum duration of therapy is related to case (3) Crest mouthwash with 0.039 Nm. Moreover, the wires in Oral-b (0.095 Nm) has the lowest and Gum mouthwash (0.140 Nm) has the highest energy intake. The energy absorbed by the wires in Behsa and Crest is in the middle. Finally, it is proposed that patient could use all mouthwash but based on their condition, one product will be useful

The effect of leukocyte- and platelet-rich fibrin on the bone loss and primary stability of implants placed in posterior maxilla: a randomized clinical trial

Abstract Purpose In this study, we investigated the effects of leukocyte- and platelet-rich fibrin (L-PRF) on implant stability and alterations in the marginal bone surrounding posterior maxillary implants. Methods This randomized clinical trial was conducted to compare the variable of L-PRF placement around maxillary implants. Resonance frequency analysis (RFA) was used to evaluate the implant stability immediately after surgery and at 1, 2, 4, 6, 8, and 12 weeks after surgery (t 0 to t 6, respectively). In addition, the amount of marginal bone changes around the implant at t6 was compared with the baseline using periapical radiography. Results The RFA outcomes were statistically significant within each group (P  0.05). At t0, the test and control groups' respective mean levels of marginal bone loss around the implants were 0.4836 mm and 0.7343 mm, significantly different from the corresponding values at t 6. On the other hand, marginal bone loss around the implant was not significantly different between the two groups in t0 and t6 (P = 0.532). Conclusions L-PRF did not improve the RFA outcomes of implants three months after implant placement, and changes in the ISQ values over time were the same in both groups. In addition, L-PRF had no superior effect on the marginal bone loss around the implants. Trial registration number: The research was registered in the Iranian Registry of Clinical Trials on 22 December 2020 (No: IRCT20200624047906N1), available at http://www.irct.i

The Effect of Various Lasers on the Bond Strength Between Orthodontic Brackets and Dental Ceramics: A Systematic Review and Meta-Analysis

Background/objective: This systematic review and meta-Analysis aimed to assess how laser conditioning affected brackets bonded to dental ceramics' shear bond strength (SBS). Materials and methods: The study was conducted by searching Pubmed/Medline, Scopus, Embase, Web of Science, the Cochrane Library, and Google Scholar up to September 14, 2022. In addition, the reference lists of the relevant articles were checked manually. Articles that compared SBS of laser-Treated feldspathic, lithium disilicate, or zirconia surfaces with other standard techniques for bonding metal or ceramic orthodontic brackets were considered. Using a random-effects model, data pooling was carried out as the weighted mean difference (WMD). Results: This study initially contained 1717 reports, and following review, 32 articles were deemed suitable for our meta-Analysis. The pooling results showed that the treatments with lasers such as ''Er:YAG'' [WMD=-1.12 MPa; 95% confidence interval (CI):-1.93 to-0.31], ''Er:YAG + Silane'' (WMD=-3.08 MPa; 95% CI:-4.77 to-1.40), and ''Nd: YAG + Silane'' (WMD=-2.58 MPa; 95% CI:-3.76 to-1.40) had statistically significant lower adhesion values compared with controls. Contrarily, ''Ti:Sapphire femtosecond'' demonstrated significantly higher bonding values (WMD= 0.94 MPa; 95% CI: 0.29 to 1.60). In contrast, other interventions obtained no statistically significant difference in SBS. Conclusions: Most of the laser groups showed results comparable with those of conventional approaches. Although more research is necessary for definitive conclusions, laser treatment may be an effective option for treating the surfaces of ceramic materials

The effects of anatomical location and distance from dental implants on the quality and quantity of metal artifacts in cone beam computed tomography scans: a cross-sectional study

Abstract Background Artifacts in cone beam computed tomography (CBCT) images can cause disruptions in diagnosis and treatment. Multiple factors influence the artifacts, including the quality and technology of devices, positions, patient-related factors, device settings, and bone density. Besides, anatomical area and distance from the implant affect the artifacts. This study aimed to investigate the effects of anatomical location and distance from the implant on the quality and quantity of artifacts. Methods A total of 200 CBCT images of patients with titanium implants and prostheses in the anterior and posterior regions of the maxilla and mandible were evaluated in this study. Four areas were assessed for each implant in three apical, middle, and cervical regions with distances of 3 mm, 4 mm, and 5 mm from the implant. Besides, the impact of adjacent implants on the artifacts was investigated. An ANOVA test with post hoc Bonferroni correction was used to analyze variable differences between subgroups. Results The differences were statistically significant, except for the difference between the posterior areas of the upper and lower jaws. A comparison of different areas revealed that most artifacts were related to the anterior maxilla, followed by anterior mandibular regions. The results of covariance analysis indicated that region and location had independent effects on the amount of artifacts. Conclusions Artifacts are more frequent in the anterior region compared to the posterior site. They are also more frequent in the maxilla than the mandible and cervical areas close to the implant than the middle and apical regions

Analysis of shade-matching ability in dental students: a comparative study under clinical and correcting light conditions

Abstract Background Selecting the ideal tooth shade is essential to the success of aesthetic dental restorations. Students’ cognitive abilities are involved in the multifaceted and intricate process of shade matching. Hence, the present study aimed to assess and compare the shade-matching ability of undergraduate dental students in various years of dental education under clinical and correcting light. Methods This comparative cross-sectional study was instigated amongst male 4th, 5th, and 6th-year students of the dental complex of King Faisal University, Kingdom of Saudi Arabia. A total of 72 male dental students assessed the shade under clinical (fluorescent light) and correcting light (handheld Dental Base Light) by using VITA Classical shade guides. Statistical analysis was done using SPSS version 23 (Armonk, NY, USA). The Chi-square test was used to evaluate the association between correct and incorrect shade matching under correcting and clinical light. Results Out of 72 male students, 22(30.6%) were from the 4th year, 26(36.1%) were from the 5th year, and 24(33.3%) were from the 6th year, with a mean age of 22.92 ± 1.01 years. The majority of the 6th-year students selected shade of anterior tooth # 11 correctly under clinical and correcting light, and 3(12.5%) students selected incorrectly under clinical and correcting light, with a statistically significant association among them (p = 0.004). As far as the shade selection of the posterior tooth is concerned, a statistically significant difference was observed under clinical light among all clinical students (p = 0.008). Conclusion The clinical performance of dental students in shade matching improved with advancing years of dental education. Additionally, the shade matching ability of all groups of dental students was superior under correcting light compared to conditions under clinical light

Oral findings and comprehensive dental management of Moebius syndrome: a systematic review

Abstract Background Moebius syndrome (MS) is a rare, non-progressive, neuromuscular, congenic disease involving the oral maxillofacial region. The present study aimed to describe the oral and extraoral findings in MS patients and their comprehensive dental management. Methods A digital search was carried out in PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar, restricted to articles in English from Jan 01, 2000, to Apr 02, 2023, following PRISMA guidelines. The methodological quality of the studies was evaluated following the JBI guidelines. Qualitative analysis was carried out on the overall result, extraoral and intraoral manifestations, considering dental management as appropriate. Results Twenty-three studies were included, and a total of 124 cases of patients with MS were analyzed. The 82% of patients with MS were younger than 15 years of age. The most frequent extraoral manifestations were blinking and visual problems (78,22%), malformations of the upper and lower limbs (58,22%), bilateral facial paralysis (12,90%), lack of facial expression (12.09%), and unilateral facial paralysis (6,45%). On the other hand, the most frequent oral manifestations were tongue deformities (78,22%), micrognathia (37,90%), labial incompetence (36,29%), cleft palate (22,87%), gothic palate (16,12%), microstomia (15,32%), anterior open bite (15,32%), dental caries (8,87%), and periodontal disease (8,06%). The majority of MS patients were treated by pediatric dentistry (60,86%), using a surgical approach (56,52%), and orthodontic and orthopedic maxillary (43,47%) followed by restorative (39,13%), and periodontal treatments (21,73%). Conclusions This systematic review demonstrates that patients with MS present a wide variety of oral and extraoral manifestations, for which dental treatments are planned and tailored to each patient in accordance with oral manifestations. These treatments encompass problem resolution and oral health maintenance, incorporating recent techniques in managing and treating patients with MS

Implant-supported prosthetic rehabilitation after Ameloblastomas treatment: a systematic review

Abstract Background Ameloblastoma (AM), the benign counterpart of ameloblastic carcinoma, is a benign odontogenic tumor of epithelial origin, naturally aggressive, with unlimited growth potential and a high tendency to relapse if not adequately removed. Patients with AM treated surgically can benefit from dental implant therapy, promoting oral rehabilitation and improving their quality of life. The present study aimed to determine the survival rate of dental implants placed after surgical treatment of patients affected by AM. In addition, there were two secondary objectives: 1) To evaluate which dental implant loading protocols are most frequently used and 2) To determine the type of prosthetic restoration most commonly used in these patients. Methods The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were followed during the study. Searches were performed in three databases (PubMed/MEDLINE, Scopus, and Google Scholar) until November 2023. Additionally, the electronic search was enriched by an iterative hand search of journals related to oral pathology and medicine, maxillofacial surgery, and oral prosthodontics and implantology. Only reports and case series in English from January 2003 to date were included. The Joanna Briggs Institute tool (JBI-Case Reports/Case Series) was used for the study quality assessment. Results The total number of patients and implants studied were 64 and 271, respectively, all with surgically treated AM. The patient’s ages ranged from 8 to 79 years, with a mean (SD) age of 37.3 ± 16.4. Fifty-three percent were male and 47% were female. The range of follow-up duration was 1 to 22 years. An implant survival/success rate of 98.1% was reported. In addition, most of them were conventionally loaded (38.3%). Hybrid implant-supported fixed dentures were the most commonly used by prosthodontists (53%). Conclusions Oral rehabilitation with dental implants inserted in free flaps for orofacial reconstruction in surgically treated patients with AM can be considered a safe and successful treatment modality

The role of physiotherapy interventions in the management of temporomandibular joint ankylosis: a systematic review and meta-analysis

Abstract Background The main aim of this systematic review and meta-analysis was to identify peer-reviewed scholarly journal articles reporting the significance of physiotherapy interventions in managing TMJ ankylosis. In addition, this study aimed to critically appraise the existing evidence on the prevalence and clinical presentation, physiotherapy intervention approaches, efficacy of physiotherapy interventions, adverse effects, and safety of physiotherapy interventions in TMJ ankylosis management. Methods An all-inclusive literature search was conducted using the PubMed, Google Scholar, and Scopus electronic databases. The researchers screened the potential articles and assessed for eligibility based on the reported inclusion and exclusion criteria. The quality evaluation tool for observational cohort and cross-sectional studies developed by the National Institutes of Health (NIH) and the Cochrane Collaboration's Risk of Bias Tool were used to assess the quality of the included studies. Researchers also comprehensively analyzed the data, reported the results, and discussed them according to the predominant themes. Results The primary electronic database search yielded 409 articles, of which 25 were included in this review. A secondary search was conducted from citations of the included studies, yielding 74 articles, of which six were included in the study. A significantly higher prevalence of bony ankylosis than fibrous ankylosis, with an overall effect size of p < 0.00001. In addition, there were significantly more unilateral than bilateral presentations with an overall effect size of p < 0.00001. Moreover, there were 78 reported complications out of 245 subjects according to five included studies demonstrating a significant effect size with p = 0.001 following the treatment protocols. Conclusion This study highlighted the prevalence of bony ankylosis in temporomandibular joint ankylosis, emphasizing its impact on patients' well-being. On the other hand, the results show that physiotherapy is essential to optimize postoperative outcomes and minimize adverse events such as re-ankylosis. Practitioners and healthcare professionals must monitor postoperative recovery and ensure strict adherence to physiotherapy protocols for optimal outcomes

Additional file 1 of The flexural strength of 3D-printed provisional restorations fabricated with different resins: a systematic review and meta-analysis

Additional file 1:  Appendix 1. List of Items (CONSORT Scale)