Volume 4 Issue 2, December 2021

Jan 10

Nanostructured surface dental implants, a modern solution for the treatment of patients with chronic systemic diseases

Mircea Suciu 1, Dragoș Vladimir Budei 2, Florentin Daniel Berneanu 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 Polytechnic University of Bucharest, Romania

Introduction. In modern dentistry the oral rehabilitation of patients with the help of dental implants has a very high success rate. However, the problem is the situation of patients with serious chronic diseases in which the insertion of dental implants is problematic or dental procedures can complicate or aggravate the patients’ disease.
Case report. We presented the case of a patient with associated chronic diseases who benefited from the insertion of implants with a nanostructured surface. The nanotube surface of the dental implant has been loaded with anti-inflammatory drugs to promote healing and stimulate the process of osteogenesis.
Conclusions. Within the limitations of this study, we consider the therapy with avant-garde nanostructured dental implants to represent a viable treatment option for patients with a medical history with complicated chronic diseases.

DOI: https://doi.org/10.2478/asmj-2021-0012

Keywords: , , , ,
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This entry was posted in Case report, Volume 4 Issue 2, December 2021 on January 10, 2022
Jan 10

Endodontic anatomy of lower premolars in a subpopulation from the Mureș county

Timea Dakó 1, Ramona-Elena Vlad 1, Alexandra-Mihaela Stoica 1, Andrea-Csinszka Kovàcs-Ivàcson 1, Monica Monea 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Background/Aim: Thorough knowledge of the endodontic anatomy and comprehensive understanding of root canal morphological variations are mandatory to ensure the successful outcome of the endodontic treatment. The purpose of this study was to compare the number of root canals of first and second lower premolars in a selected population to the root canal pattern reported by endodontic literature and to analyze the gender distribution.
Material and methods: A total of 376 preoperative periapical radiographs were obtained from patients living in the Mureș County of Romania. The X-rays were analyzed by 3 endodontists into determining whether the mandibular premolars had one, two or three root canals. The difference between male and female gender distribution was also examined. Endodontic treatment was then performed using the operating microscope to confirm the root canal configuration of the radiographic analysis. The results were compared to common knowledge of the endodontic literature.
Results: In this study, by using the radiographic method combined with direct observation aided by the operating microscope, 31.3% of first premolars and 14.6% of second premolars were found to have two root canals. A higher percentage of two root canals were found in females for both first (60.97%) and second premolars (76.9%).
Conclusion: In the Mureș County region, mandibular premolars with two root canals have a significantly higher rate than the literature reports. Female patients have a higher prevalence than male patients. This should concern clinicians from this area to be aware of these facts as it can unquestionably influence the tooth’s long-term prognosis.

DOI: https://doi.org/10.2478/asmj-2021-0011

Keywords: , , ,
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This entry was posted in Original paper, Volume 4 Issue 2, December 2021 on January 10, 2022
Jan 10

Dento-facial aesthetics in the eyes of adolescent patients during the Covid-19 pandemic

Jessica Olivia Cherecheș 1, Abel Emanuel Moca 1, Luminița Ligia Vaida 1, Marius Bembea 2
1 University of Oradea, Department of Dentistry, Faculty of Medicine and Pharmacy, Romania.
2 University of Oradea, Department of Preclinical Disciplines, Faculty of Medicine and Pharmacy, Romania.

Introduction: Dental malocclusions are considered a major issue in adolescence, and are often the main reason for which patients go to the dentist. Adolescents´ option to start an orthodontic treatment is questioned in the light of the restrictions imposed in the context of the Covid-19 pandemic.
Aim of the study: The aim of this study was to assess adolescents’ perceptions of facial aesthetics and the impact of the Covid-19 pandemic on the decision to start an orthodontic treatment during this time, when a number of restrictions, such as face mask wearing, were imposed.
Material and methods: A 15 items questionnaire was applied in the city of Oradea, Romania and distributed to orthodontic adolescent patients, with a previously diagnosed malocclusion, with ages between 12 and 17.9 years. The questionnaires were correctly filled in by 76 participants.
Results: Patients tend to be affected by the aspect of their teeth (50%), and most patients considered that the aspect of their teeth forces them to socialize less (44.8%), and to avoid smiling (44.8%). 39.4% of the respondents considered that wearing a face mask is useful because it covers all dental malocclusions, and 31.6% of the respondents were not bothered that they had to wear a face mask.
Conclusions: Patients declared that they were affected by the aspect of their teeth, and have a generally positive attitude regarding face masks.

DOI: https://doi.org/10.2478/asmj-2021-0010

Keywords: , , ,
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This entry was posted in Original paper, Volume 4 Issue 2, December 2021 on January 10, 2022
Jan 10

Prevalence of nonsyndromic hypodontia in a south-east Transylvanian region

Ilinca Elena Suciu 1, Alexandru Zalana 1, Marius Hack 1, Mariana Păcurar 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction. Clinicians claim that the prevalence of hypodontia has skyrocketed in recent years. However, there is no clear evidence whether it is really a change in dentition in Homo Sapiens or a purely hypothetical observation, due to the advanced modern technology used in the diagnosis of dento-maxillary anomalies.
The aim of this study was to establish the prevalence and distribution of nonsyndromic hypodontia in young patients from the South-East Transylvanian region of Romania.
Material and methods. A number of 325 dental charts were selected. The patients who needed orthodontic treatment were treated in the Pedodontics Department and Orthodontic Department of UMFST “George Emil Palade“ Targu Mures and two private dental offices during 2017-2019. The age of the patients was between 12 and 25 at the moment when the clinical and paraclinical examination were performed.
Results. From a total number of 275 cases investigated, 78 patients were diagnosed with hypodontia in permanent dentition, not taking into consideration the third molars. Hypodontia’s prevalence is 6.47% for patients which seek orthodontic treatment, without taking into consideration the third molars. This value is found in the range of 2.8%-11.3% reported in studies in the literature. The present study showed that hypodontia affects a greater proportion of females (6.83%) than males (5.74%), without statistically significant differences.
Conclusions. The prevalence of non-syndromic hypodontia in permanent dentition, compared to the total number of patients who requested orthodontic treatment, is 6.47%, being higher than the data reported in the literature of our country, but falls within the range reported in the international literature in general.

DOI: https://doi.org/10.2478/asmj-2021-0009

Keywords: , ,
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This entry was posted in Original paper, Volume 4 Issue 2, December 2021 on January 10, 2022
Jan 10

Changes in head posture after rapid palatal expansion in mouth-breathing children

Silvia Izabella Pop 1, Martha Krisztina 1, Laura Roxana Contac 1, Sandor Henrietta 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction. It is well known that previously has been demonstrated a correlation between respiratory function and the harmonious craniofacial development and head posture respectively.
Aim of the study. The purpose of this study was to investigate the correlation between rapid maxillary expansion (RME) and the change in natural head position (NHP) resulting from the consequent change in airway resistance and to elucidate how RME influences NHP in terms of cephalometric angles in children with nasal obstruction.
Material and methods. The study included 12 girls and 8 boys who had a history of mouth breathing, as confirmed by the parents and ORL specialist and due to this fact, they underwent RME as part of orthodontic treatment. Dental casts, clinical photographs and lateral skull radiographs exposed in natural head position were obtained at the first visit (T1) and 8-10 months (T2) later for all subjects. In order to evaluate the patient’s lateral skull radiographs, I used AudaxCeph software, within which I created a new type of analysis. Student T test and Pearson correlation test were used to statistically analyze the results.
Results. Our findings demonstrate that no significant changes in any of the variables are observed in patients treated with rapid maxillary expansion, however a positive correlation was observed in the variables measured before and after the treatment, respectively between the anomaly and the measured values. Positivity can also be detected when examining the correlation between the patient’s gender and the measured values.
Conclusions. Based on the obtained results, we cannot state that there is a correlation between rapid maxillary expansion and cervical posture.

DOI: https://doi.org/10.2478/asmj-2021-0008

Keywords: , , , ,
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This entry was posted in Original paper, Volume 4 Issue 2, December 2021 on January 10, 2022
Jan 10