Volume 7, Issue 1, June 2024

Jun 04

Rehabilitation of anterior esthetics using CAD-CAM fabricated zirconia Maryland bridge. A case report.

Prachi Jain 1, Manu Rathee 1, Surbhi Mittal 1, Sarthak Singh Tomar 1
1 Post Graduate Institute of Dental Sciences, Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, India

Introduction: Missing anterior teeth have a great impact on the psychological status of an individual due to the unesthetic appearance. These can be restored using removable prostheses, conventional bridges, resin-bonded prostheses, or implants. A resin-bonded fixed prosthesis is a minimally invasive treatment option in such cases to restore function and esthetics.
Case Presentation: This case report describes the CAD-CAM zirconia Maryland bridge as a treatment modality for effective restoration of the missing maxillary central incisor in a 32-year-old female patient who reported the chief complaint of unesthetic appearance. The patient had a history of extraction due to trauma 6 months ago with normal overjet and overbite.
Discussion: One of the types of resin-bonded prosthesis is a Maryland bridge which involves minimal tooth preparation with supragingival margins, thus maintaining periodontal health. Maryland bridges enhance dental esthetics with minimal loss of tooth structure.
Conclusion: CAD-CAM fabricated all-ceramic resin-bonded prosthesis is an efficacious way of replacing missing anterior teeth, restoring function, providing excellent esthetics, and thus boosting patient’s confidence.

DOI: https://doi.org/10.62838/ASMJ.2024.1.06

Keywords: , , , ,
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This entry was posted in Case report, Volume 7, Issue 1, June 2024 on June 4, 2024
Jun 04

Digital workflow in pediatric dentistry. A case report.

Moldovan Marcieana 1, Laios Daria 2, Miches Marina Adriana 3, Muntean Alexandrina 3
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 County Hospital Cluj
3 Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania

Introduction. This study aims to discuss the diagnosis, treatment plan, and results from the esthetic point of view and the patient’s adaptability and acceptability of prosthetic and orthodontic restorations performed using CAD-CAM technology on the mandibular arch of a child patient.
Case presentation. A 6-year-old patient presented to our dental clinic, subjectively asymptomatic but desiring to improve her esthetic appearance and achieve oral health. She was diagnosed with caries of various sizes, simple as well as complicated, some teeth being therapeutically irrecoverable, others requiring endodontic treatments and extensive crown restorations. Thus, treating the mandibular arch teeth using esthetic materials and CAD-CAM technology was decided.
Conclusions. At the 6 months evaluation after cementing the prosthetic crown on tooth number 7.4 and 3 months after cementing the space maintainer on tooth number 8.5, the digitized fabricated pieces have increased esthetics, no cracks or other physical/mechanical damage appeared, and the patient, accepting them from the first day, is happy with their presence in the oral cavity.

DOI: https://doi.org/10.62838/ASMJ.2024.1.05

Keywords: , , ,
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This entry was posted in Case report, Volume 7, Issue 1, June 2024 on June 4, 2024
Jun 04

Comparative study on the degree of dental anxiety among adolescents/young adults versus middle-aged/senior adults.

Horodincă Claudia-Iulia-Beatrice 1, Tohati Adrian 2
1 Emergency County Hospital Târgu Mureș, Romania
2 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania

Introduction: Dental anxiety is one of the most common diseases present in the global population. It induces aversion to dental procedures by causing a psychological response which misinterprets a dental stimulus as imminent danger. The purpose of this study was to analyze the degree of dental anxiety based on age groups, gender, background, but also on previous experiences, through a questionnaire distributed in different areas of Romania.
Materials and methods: A series of 14 questions relevant to the subjects was compiled in a questionnaire which was distributed to subjects of varying backgrounds. The questionnaire was formatted to allow the relevant drawing of conclusions from the collected data.
Results: 413 people responded to the questionnaire, of which 126 were women, 287 were men, 165 were from rural areas, and 248 were from urban areas. The age groups were divided in the following way: <35years, included adolescents/young adults, and >=35 years, included middle-aged adults/seniors.
Conclusions: It has been found that adolescents and young adults are more anxious than middle-aged adults and seniors, and that previous unpleasant experiences have left their mark on the patients’ anxiety levels before the visit to the dentist.

DOI: https://doi.org/10.62838/ASMJ.2024.1.04

Keywords: , ,
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This entry was posted in Original paper, Volume 7, Issue 1, June 2024 on June 4, 2024
Jun 04

Comparison of the effectiveness of sodium hypochlorite, citric acid, and diode laser in disinfection of the root canal system.

Andrea-Csinszka Kovács-Ivácson 1, Alexandra-Mihaela Stoica 1, Örs Bodó 2, Timea Dakó 1, Monica Monea 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 Oral and Maxillofacial Surgery Clinic, County Emergency Clinical Hospital of Târgu Mureș, Romania

Introduction: To achieve a proper disinfection of the root canal system, besides many irrigant solutions, laser has become increasingly popular in recent years. Bacteria that penetrate deep in the dentine can be destroyed by laser up to 1150 μm. The aim of the study is to investigate and to compare the efficiency of conventional chemical disinfection using cleaning solutions – sodium hypochlorite (2%), citric acid (20%) – and the physical disinfection using a diode laser (940 nm, 1 W) in vitro using extracted teeth. Material and Methods: 23 intact, single rooted teeth were prepared and inoculated with Enterococcus Faecalis. Afterwards samples were taken from each group and placed on solid mediums. The following were applied to members of each group prior to sampling: 2% sodium hypochlorite, 20% citric acid and diode laser (940 nm, 1W). To evaluate the results, so that the bacterial strains on the medium could be counted, quenches were performed from 1/10 and 1/100 dilutions. Statistical analysis was performed using Kruskall-Wallis and unpaired T-test with a value of p>0.05. Results: Statistical analysis on the 3 groups (NaOCl, citric acid, and diode laser) showed significant differences between the counted remaining colonies after disinfection. Conclusions: The diode laser used for disinfection under the used settings is not effective enough, but as an adjuvant, associated with conventional irrigation effective disinfection can be obtained.

DOI: https://doi.org/10.62838/ASMJ.2024.1.03

Keywords: , , , ,
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This entry was posted in Original paper, Volume 7, Issue 1, June 2024 on June 4, 2024
Jun 04

Assessment of lingula and foramen mandibulae morphology and their implications for inferior alveolar nerve block: a comparative study of contemporary and medieval individuals.

Veress Szidonia Krisztina 1, Péter Előd Attila 1, Bojin Helga 1, Száva Dániel Tamás 1, Bögözi Bálint Botond 1, Gál Szilárd Sándor 2, Muresan Mircea Gabriel 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Târgu-Mureș, Romania
2 Mures County Museum, Târgu Mureș, Romania

In this study, we conducted a detailed morphological analysis of the lingula and foramen mandibulae, aiming to examine their anatomical characteristics and relationships within contemporary and medieval individuals.
Our primary objective was to provide valuable insights to assist clinicians in minimizing potential intraoperative complications during anesthesia procedures targeting the inferior alveolar nerve.
To accomplish this, we examined the mandibular structures of 22 adults, 11 children aged 6-12 from archaeological findings in the Târgu Mureș area, and 14 contemporary adults. Our observations encompassed the size, shape, and spatial relationships of the lingula and foramen mandibulae concerning various points along the ascending branch of the mandible.
The study revealed a distinct order of lingula shapes among medieval children and adults, with the triangle, trapezoid, nodular, and assimilated shapes being most prevalent. In modern adults, the order of nodular and assimilated shapes was reversed. Additionally, oval foramina were more common in adults, while round foramina predominated in children. Notably, there was no statistically significant difference between children and adults in the distance from the most prominent point of the lingula to the anterior edge of the ascending branch.
Our findings imply that the depth at which the inferior alveolar nerve can be accessed remains relatively consistent between children and adults. Furthermore, we identified a correlation between the relationship of the shape of the lingula and the position of the mandibular foramen, providing valuable insights for clinical practice.

DOI: https://doi.org/10.62838/ASMJ.2024.1.02

Keywords: , , ,
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This entry was posted in Original paper, Volume 7, Issue 1, June 2024 on June 4, 2024
Jun 04