Volume 5 Issue 1, June 2022

Jun 21

The power of ICON infiltration in an adolescent patient. Case report.

Marcieana Oniga 1, Irina Lupșe 1, Alexandrina Muntean 1, Cristina Ioana Bica 2
1 University of Medicine and Pharmacy Iuliu Hațieganu, Cluj-Napoca, Cluj, Romania.
2 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction. White spot lesions are early signs of demineralization, which may or may not lead to the development of caries. An inactive white spot lesion might act as an arrested dental caries and affect the esthetic appearance by displaying a milky white color. These lesions need a non-invasive or a minimally invasive treatment. One of the materials taken into consideration in treating these lesions is ICON, a biomimetic material that infiltrates the white spots and can reestablish the esthetic function. The aim of the current study was to evaluate the esthetic efficacy of a minimally invasive technique and a relatively new product on the dental market, ICON, in the treatment of different non-cavitated carious lesions. Case presentation. A 14-year-old patient presented to the dental clinic with asymptomatic, non-cavitating lesions on the cervical aspect of all permanent teeth. The lesions were diagnosed as incipient caries on the buccal, occlusal, and palatal surfaces of the teeth, and the proposed treatment to arrest their progression and improve the esthetic appearance was the use of the ICON infiltration technique. Conclusion. The ICON resin infiltration treatment increased esthetics, visibly diminishing the appearance of non-cavitating carious lesions.

DOI: https://doi.org/10.2478/asmj-2022-0006

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This entry was posted in Case report, Volume 5 Issue 1, June 2022 on June 21, 2022
Jun 21

The impact of covid-19 on a patient with a severely compromised permanent maxillary central incisor.

Zsuzsanna Bardocz-Veres 1, Mircea Suciu 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

The SARS-CoV-2 pandemic situation led to public health measures that forced patients to remain isolated and take steps to prevent the dissemination of the virus. Many of these patients were unable to attend to the dental services or delayed seeking dental care due to a lack of private services and concerns about the SARS-CoV-2 outbreak, which in many cases complicated their situation.
This case report describes the long-term clinical outcome of an endo-periodontal periapical lesion with associated bone defect of a maxillary central incisor in an esthetically demanding, systemically healthy patient, who neglected dental treatment during the pandemic outbreak. Treatment procedures included primary endodontic treatment of the periapical lesion and cause-related therapy aimed to control the infection in the rest of the mouth. Clinical examination at the 1-year recall revealed clinical attachment gain with shallow residual probing pocket depths and a slight increase in gingival recession. The esthetic appearance of the treated tooth was improved via a zirconia-ceramic crown. The present case report suggests that successful periodontal and esthetic results can be accomplished and maintained for at least 2

DOI: https://doi.org/10.2478/asmj-2022-0005

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This entry was posted in Case report, Volume 5 Issue 1, June 2022 on June 21, 2022
Jun 21

The behavior of aesthetic restoration materials under extreme conditions: in vitro study.

Alessandra-Aniela Cerghedi 1, Székely Melinda 1, Molnar-Varlam Cristina 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction: Aesthetic materials for direct restorations can suffer changes in the oral cavity due to multiple factors acting at this level. The aim of the study was to demonstrate that aesthetic materials undergo structural changes in texture and chemicals, depending on the nature of the extrinsic factor, concentration, and exposure time. Material and methods: We used 3 types of composites, a self-polymerizing composite, two photo-polymerizing composites, and a glass ionomer. 210 teeth were initially immersed in artificial saliva as a control solution and afterwards immersed into artificial gastric juice, ethyl alcohol, energy drink, and distilled water. With the help of a pH meter, we determined the pH of the substances both before and after immersing the teeth in solutions. The teeth were monitored for 24-48 hours in a thermostat bath at 37 degrees Celsius, after which they were analyzed with the help of a rough meter that measures the smallest surface changes. Results: Significant changes in pH occurred in alcohol, where a considerable decrease was observed after 48h. Also, the alcohol produced the most aggressive changes of texture in the composites, and the smallest changes occured in the composite with nanofiller. The glass ionomer was the most affected of all the materials due to the exposure to both alcohol and artificial gastric juice, respectively energy drinks so that the surface analysis could not be performed. Conclusions: The results of the in vitro study are clinically important because the glass ionomer is much too rotten in these extreme situations. Thus, its use is not recommended both in patients with gastroesophageal reflux as well as in alcoholics and persons consuming energy drinks.

DOI: https://doi.org/10.2478/asmj-2022-0004

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This entry was posted in Original paper, Volume 5 Issue 1, June 2022 on June 21, 2022
Jun 21

Use of different matrix systems in the treatment of simple caries.

Andrea-Csinszka Kovács-Ivácson 1, Alexandra Mihaela Stoica 1, Mihai Pop 1, Timea Dakó 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Dental matrix systems are instruments used in the treatment of simple caries which replace the missing wall of the tooth during restoration. The aim of the study is to evaluate, using a questionnaire-based survey, the most used matrix systems among dentists and dentistry students. Materials and methods: Two hundred and fifty questionnaires containing 8 questions were distributed in electronic and printed format to dentists in Mureș and Harghita countries and dentistry students from 4th to 6th year of study at George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureș. The obtained data were then analyzed using Microsoft Excel and SSPS 20.0.0. Statistical analysis was performed using the one tailed ANOVA and Tukey/ Kramer test. Significance level was set at a value of p<0.05. Results: Of the persons who completed the questionnaire 97.78% consider it important to use a matrix system during tooth restoration, 98.25 % use it when restoring class II Black cavities. Sectional matrixes are used most commonly during class II Black cavity restoration, for MOD cavities the circular matrix systems are the preferred ones. During class V Black cavity restoration only 5.45% of the doctors and students use a matrix system. Wooden wedge is used most frequently in combination with a matrix system. Only 3.3% always ask for a control X-ray after a tooth restoration. Conclusion: The use of matrix systems is considered to be very important by both dental students and dentists in the restoration of simple caries lesions and are most commonly used for a Black class II, III, IV, and MOD cavity. More importance should be given to follow-up X-rays after tooth restoration.

DOI: https://doi.org/10.2478/asmj-2022-0003

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This entry was posted in Original paper, Volume 5 Issue 1, June 2022 on June 21, 2022
Jun 21

The influence of smoking on the periodontal biome. A review.

Luminița Lazăr 1, Timea Dakó 1, Andreea Cozma 2, Ana-Petra Lazăr 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 County Emergency Clinical Hospital Târgu Mureș, Romania

Periodontal disease is believed to be an opportunistic infection due to the interaction of bacterial plaque and the patient’s response that may be influenced by environmental, genetic, and other risk factors. In addition to the fact that smoking is considered a risk factor in many systemic diseases, it has also been associated with the initiation of periodontal disease. Smoking is one of the modifiable risk factors and has a significant influence on the development, progress, and results of the treatment of periodontal disease. The current state in the field of study suggests that smoking aids the colonization of periodontal microorganisms, accelerating the onset of periodontal disease. Biological modifications in pathogens, such as Porphyromonas gingivalis, along with poor immune response, influence the variations of subgingival flora in smoking patients. Only with an individual approach can the risk factors of each patient be identified and satisfactory results obtained. The aim of this paper is to present a comprehensive review of the influence of smoking on periodontal microbiome and the importance of adopting the appropriate treatment method according to the influence of this risk factor on healing.

DOI: https://doi.org/10.2478/asmj-2022-0002

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This entry was posted in Review, Volume 5 Issue 1, June 2022 on June 21, 2022
Jun 21