Volume 5 Issue 2 , December 2022

Dec 20

Dental photography: Why? What? How? Part 1 Why? The role of dental photography in daily practice

Oprea Bogdan 1
1 University Lucian Blaga Sibiu, Faculty of Medicine and Pharmacy, Sibiu, Romania

Digital Dental Photography (DDP) represents a must-have instrument for all dentists in their daily activities. Nowadays, DDP represents a tool that is no longer reserved for a select small number of dentists but is accessible to every practitioner. Although the number of dentists who use DDP daily is increasing, there is much hesitance, many questions, and resistance regarding the introduction of dental photography in daily practice.
This series of articles aims to demystify all the misconceptions related to the DDP and offer readers a transparent image of how DDP can become the most powerful tool for their offices. All the “mysterious” terms related to the DDP will be explained, and simple protocols that can be easily incorporated in any dental office in daily practice will be presented.
This article is the first in a five-part series dedicated to DDP.
Part 1 defines the role of DDP in daily practice covering the four significant indications: documentation, communication, education, and marketing.

DOI: https://doi.org/10.2478/asmj-2022-0012

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This entry was posted in State of the art article, Volume 5 Issue 2 , December 2022 on December 20, 2022
Dec 20

The hematogenous marrow tolerance when being in direct contact with the titanium implant

Mihai Pantor 1, Cristian Adrian Rațiu 1, Gabriela Ciavoi 1, Ioana Adela Rațiu 1, Laura Maghiar 1, Adrian Marius Maghiar 1
1 University of Oradea, Faculty of Medicine and Pharmacy, Oradea, Romania

Introduction: The titanium implant represents a foreign body for the organism in which it is inserted, and it will never be accepted as an intrinsic structure. However, research has shown that it is very well supported both by soft and hard tissues, including here the limitrophe implant tissues. Aim of the study: The aim of this study was to test the tolerability towards the titanium implant inserted in direct contact with the hematogenous marrow. Material and methods: Titanium implants with the length of 10 mm and the diameter of 2 mm were inserted in the diaphysis of the femora bone of 10 male rabbits with the age of 10 months. At these particular dimensions, the implant exceeded the depth of the bone wall with more than half its length, taking direct contact with the hematogenous marrow from the marrow channel. Results: Seven days after the implants insertion, the histologic examination revealed the fact that the hematogenous marrow had a very good lenience towards the titanium implant, meaning that it did not lead to any immunological rejection reactions, nor to pathological processes or the tendency of proliferation of unwanted tissues like conjunctive fibrous tissue. In these conditions, the pre-implantation reparatory processes fully benefited of the hematogenous marrow support, which, not being altered in any way, offered cells and stimulant factors, of the same intensity, throughout the entire experimental period. Conclusions: The high tolerance of the hematogenous marrow to the titanium implant assures special conditions for the peri-implantation reparatory processes which take place at a speed that cannot be competed against by other stimulant modalities. This stimulant modality of reparatory processes cannot be applied in all situations, but only when working on healthy bones that contain hematogenous marrow, therefore the practical applicability relates especially to the dental interventions of implant prosthesis.

DOI: https://doi.org/10.2478/asmj-2022-0011

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This entry was posted in Original paper, Volume 5 Issue 2 , December 2022 on December 20, 2022
Dec 20

Cephalometric evaluation of adenoids and upper airway

Réka Soós 1, Henrietta Hilda Kallós 2, Aurița Albu 1, Júlia Szabó 1, Krisztina Mártha 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 PhD candidate, Doctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu Mureş, Romania

Cephalometric analysis performed on lateral X-ray allow orthodontists to evaluate soft tissues as well. Enlargement of adenoids, changes of the position of the tongue can be diagnosed parallel with skeletal assessment.
Our purpose was to investigate the skeletal growth direction and the posterior airway depth in mouth breather patients and to underline the importance of a complex cephalometric analysis prior orthodontic treatment.
30 mouth breather patients were selected from our database (17 boys and 13 girls, age 10.8±1.2), in every case ENT examination confirmed the hypertrophy of adenoids. From the same database 30 patients with normal breathing pattern (17 boys and 13 girls, age 11.1±0.9) for the control group. For every patient, the size of the adenoids, the depth of the palate and the position of the tongue. After filtering out the outliers in GraphPad-InStat system, standard deviation (±SD) was calculated, descriptive analytical statistics were performed.
Statistically significant differences were recorded regarding: 1.) the distance between adenoid vegetation and the palate (p=0.014, mouth breathers mean 9.76 ± SD 3.04; control group mean 14.38 ± SD 4.41), 2.) the distance between Sella and the adenoids (p=0.186, study group mean 33.39 ± SD 4.39; control group mean 28.38 ± SD 8.91), 3.) adenoidal-nasopharyngeal ratio (p = 0.05).
Cephalometric evaluation of adenoids revealed considerable enlargement of this in mouth-breather children, meanwhile upper airway constriction will appear in the same group. Depth of the palatum will increase when breathing pattern is modified.

DOI: https://doi.org/10.2478/asmj-2022-0010

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This entry was posted in Original paper, Volume 5 Issue 2 , December 2022 on December 20, 2022
Dec 20

Clinical outcomes of predoctoral implant dentistry education: A Systematic Review

Disha Nagpal 1, Carlos Flores-Mir 1, Usama Nassar 1, Liran Levin 1
1 University of Alberta, Canada

Objectives: To systematically synthesize the status of predoctoral implant dental education in terms of clinical outcomes including implant success and survival of them when placed by predoctoral students.
Materials and methods: A thorough search was carried out up to February 2019 using Medline (OVID), EMBASE, ERIC, and Web of Science electronic databases. In addition to this, bibliographies of the potentially eligible articles were searched manually. Abstracts that seemed to satisfy the initial selection criteria were selected for the recovery of the full text. The full-text risk of bias assessment was then done, in line with the selection criteria by two reviewers. The selected articles were evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal tools. The GRADE approach was adapted, but not validated, for observational studies to assess the certainty of evidence.
Results: Overall, 15 articles were included. Most of the reported implants were used to support mandibular overdentures or single unit implants and their survival rates were found to be generally favorable. Only a few studies also used patient satisfaction surveys which displayed overall satisfaction, suggesting that the dental implant treatment may be adequately provided in school settings.
Clinical significance: The success and survival of the implant’s type done in an undergraduate classroom setting is indicative of the undergraduate dental implant curriculum. Based on this work, it can be concluded that the success and survival of such implants appear to be reasonable and most of the patients getting an implant at the school were satisfied.

DOI: https://doi.org/10.2478/asmj-2022-0009

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This entry was posted in Review, Volume 5 Issue 2 , December 2022 on December 20, 2022
Dec 20

Current status of predoctoral implant dentistry education – student’s didactic performance and self-assessment: A Systematic Review

Disha Nagpal 1, Carlos Flores-Mir 1, Usama Nassar 1, Liran Levin 1
1 University of Alberta, Canada

Objectives: To describe the current state of predoctoral dental implant education in terms of educational outcomes and the student’s perception of the associated curriculum. Methods: A database search was conducted using Medline (OVID), EMBASE, ERIC (Education Resources and Information Centre) and Web of Science electronic sources. Two reviewers thoroughly reviewed the papers in accordance with the specific selection criteria after carefully choosing the abstracts that seemed to meet the initial selection criterion for full article retrieval. Results: 15 articles were included, which were divided into two distinct groups: those that addressed educational outcomes and those that addressed students’ perceptions. Knowledge was assessed by questionnaire surveys, and it was found that most of the students were poorly to moderately well informed. There was a positive increase in student perception after taking the implant courses. Clinical significance: Although predoctoral education in most dental schools across the world now includes implant dentistry as a core component, the degree of integration varies greatly. To increase the proficiency of predoctoral students around the world in performing implant treatments, it is necessary, according to this systematic review, to create a uniform, well-structured predoctoral implant curriculum and guidelines that include didactic, laboratory, preclinical, and clinical components.

DOI: https://doi.org/10.2478/asmj-2022-0008

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This entry was posted in Review, Volume 5 Issue 2 , December 2022 on December 20, 2022
Dec 20