rss_2.0Acta Stomatologica Marisiensis Journal FeedSciendo RSS Feed for Acta Stomatologica Marisiensis Journal Stomatologica Marisiensis Journal 's Cover technology to enhance compliance and oral health. of different instruments used for composite filling polishing.<abstract> <title style='display:none'>Abstract</title> <p>Introduction: Improper finishing and polishing of fillings leads to surface roughness of the restoration which leads to excessive plaque accumulation, gingival irritation, increased surface staining and poor aesthetics of restored teeth. Therefore, it is essential to use polishing instruments and pastes as a final step of simple caries treatment in order to achieve optimal long-time results. The aim of this study is to evaluate the efficiency of 4 different finishing and polishing instruments used for surface smoothening of aesthetic restorative materials in vitro. Materials and methods: 40 composite (Reality X) samples were prepared in vitro. Their surface irregularities were measured along 3 diagonals before and after polishing. Sof-Lex discs (3M Espe), rubber cones (Kenda), Arkansas stone (Fino) and polishing paste and a professional toothbrush (Kerr) were used for polishing. Each sample was polished under 5N pressure for 30 seconds at 3000 rpm. The surface roughness was than measured using a profilometer. Statistic analysis was performed using ANOVA and unpaired T-tests, the significance level was set at a value of p&lt;0.05. Results: Based on the mean values, the smallest roughness was found in the control group- 0.11, while the highest in the rubber polishers and Arkansas stone group- 0.47 and 0.48. The values for the Sof-Lex disc group and the polishing paste-toothbrush group were 0.40 and 0.39. Statistical analysis showed no significant differences between the four groups. Conclusion: It is mandatory to use polishing tools in order to obtain a smooth surface of the restoration and avoid the unwanted long-term complications. Polishing using brush and abrasive paste produced the smoothest surface of the composite.</p> </abstract>ARTICLE2021-06-12T00:00:00.000+00:00The assessment of two-way relationship between periodontal diseases and diabetes mellitus.<abstract> <title style='display:none'>Abstract</title> <p>Periodontal disease and diabetes mellitus have been said to have a two-way relationship, with diabetes leading to oral disease and periodontitis exacerbating hyperglycemia. The universal biologic mechanisms and demographic and behavioral risk drivers, underlying these associations in both directions, are also described.</p> <p>Both the diseases are chronic and they are affecting large population worldwide. Periodontitis is also recognized as the sixth major complication of diabetes, while diabetes mellitus is a metabolic disorder which has an impact on the global health and plays a crucial role in the pathogenesis of periodontitis.</p> <p>The aim of this article is to illustrate a systematic and comprehensive analysis of the literature, on the mutual relationship between diabetes mellitus and periodontal diseases, trying to identify if the prevalence of periodontitis is higher in diabetics or if the incidence of diabetes is greater in patients with periodontal disease. Moreover, our intention is to increase the level of awareness of diabetologists and dentists about the interaction between this two pathologies.</p> <p>Oral and periodontal health should be promoted as integral components of diabetes management. Dental professionals can detect unrecognized potential dysglycemia and refer for medical examination. Furthermore, the control of periodontal disease may enhance glycemic control which contributes to a better control of periodontal disease.</p> </abstract>ARTICLE2021-06-12T00:00:00.000+00:00Fear and dental anxiety in children: a study of the contributing factors.<abstract> <title style='display:none'>Abstract</title> <p>Introduction: Dental fear and anxiety are an important issue affecting children’s oral health and clinical management, and also an insufficiently studied subject in dentistry.</p> <p>Aim of the study: The aim of this study was to better understand the child patient - dentist versus dentist - child patient relationship and study the dental fear and anxiety of children in order to improve the dental office practice. Material and methods: In this study a personalized questionnaire was created and applied on a number of 333 children, in 4 schools from Mures county, Romania, on girls and boys between the ages of 8 and 13. The questionnaires used emoticons alongside words in order to better determine the state of anxiety created by the dental appointment and everything that it entails. All data and results obtained were analyzed using Excel and Graph Pad Prism 5.0 software.</p> <p>Results: Out of 333 patients, 133 subjects (40%) were 8-10-year-old, 143 subjects (42.9%) 11 - 13 years and 57 subjects (17.1%) were over 14 years. 175 girls (52.6%) and 158 boys (47.4%) demonstrated their courage and desire in participating in our study. It was determined that fear of dental appointments was caused in children over 14 years of age. The state of relaxation is generally enjoyed by urban children (45%) and those aged 11-13 years (37.1%); the percentage of boys in this category is an interesting aspect (40.5%).</p> <p>Conclusion: Dental anxiety is multifactorial and is far more complex than can be explained by a single contributing factor. The direct involvement of the child from the perspective of maintaining dental health, leads to the elimination of the state of fear and anxiety. Regular visits to the dental office, on the initiative of the child patient itself can reduce the anguish.</p> </abstract>ARTICLE2021-06-12T00:00:00.000+00:00Contribution to the study of improving the aesthetics of the smile by repairing and reshaping the incisors with composite materials.<abstract> <title style='display:none'>Abstract</title> <p>Introduction. Dental aesthetics, although it seems something relative and difficult to evaluate, it is governed by a series of laws and rules that connect the dental disciplines, creating a unitary whole. It is structured by rules, perfected by artistic sense and by the inclination towards beauty of all specialists in dento-facial cosmetics.</p> <p>The aim of the study is to highlight an overview of aesthetic factors to consider when restoring anterior teeth with direct composite materials.</p> <p>Material and methods. A total of 25 patients were included in the study where the anterior teeth were restored using Gradia Direct Anterior (from GC) and Filtek Z550 (from3M-ESPE) composite kits, in perfect isolation using rubber damn, with a separate appointment after 24 hours for the polishing step, for which Rainbow Kit Technic and polishing Platina Hi-Gloss (from Prevest) paste were used. While the replacement of the tooth defect, we ensured that the composite increment, which we used should not be more than 2mm in thickness, and light cured for 20 seconds as the producer recommends. In none of all tooth shape modification (elongation in incisal zone) we did not modify the occlusion, by eliminating all premature contacts. All patients included in the study have signed the informed consent and agreed to participate in this research.</p> <p>Results. From a total of 25 patients, we repaired 20 central incisors with the mesial (18 cases) or distal (2 cases) angles fractured, in different accidents, 5 cases with diastema by small shape of the crown or malposition of one of the central incisors.</p> <p>Conclusions. Restoring the incisal angle or the incisal edge and refining a natural and improved smile of the patient is e very frequent dental intervention, especially nowadays when aesthetics plays an important role in the social society.</p> </abstract>ARTICLE2021-06-12T00:00:00.000+00:00Compendium of current ceramic materials used for the CAD/CAM dentistry.<abstract> <title style='display:none'>Abstract</title> <p>Nowadays, patients require the highest quality of treatment, but generally prefer to spend as little time as possible in the dental chair. Therefore, there is significant benefit for using new technologies such as CAD/CAM (computer aided design/computer aided manufacturing), which provides both quality and speed. There is an increase in ceramic materials and ceramic blocks/discs available, with varying properties. This has resulted in some confusion and difficulty in making an informed decision about which material is best for a specific clinical situation. The objective of this review is to provide an overview and comparison of basic mechanical properties of currently used CAD/CAM ceramic materials based on a review of the currently available literature.</p> </abstract>ARTICLE2021-06-12T00:00:00.000+00:00Prevalence of primary and secondary dental dystrophies on a group of preschool and school-age children from Tîrgu-Mureş<abstract><title style='display:none'>Abstract</title><p>Introduction: Pediatric Dentistry offers a completely different approach compared to that of adults especially in terms of patient cooperation, problems with growth and development and problems related to dental restoration in the context of a developing dentition.</p><p>Aim of the study: The purpose of this study was to assess the prevalence of primary and secondary dental dystrophies among preschool and school-age children.</p><p>Material and Methods: The group of 113 subjects with ages between 3 and 11 years was selected from two primary and preschool education establishments from Târgu-Mures. Simultaneously with the clinical examination of dental surfaces, 150 questionnaires were distributed to the parents of the subjects. The dystrophies determined clinically were arranged in a certain category of number, form, volume and structure and were correlated with the answers to the questionnaires.</p><p>Results: According to the data most cases of dental dystrophies are represented by dental fluorosis followed by severe early childhood caries S-ECC, and in equal percentages are present dyschromia, imperfect amelogenesis, MIH hypomineralization, dental fusion, macrodontia and hyperdontia.</p><p>Conclusions: There are significant correlations between the primary dental dystrophies and factors that intervened during pregnancy and in the post-natal period, both critical periods for dental formation and development.</p></abstract>ARTICLE2020-07-16T00:00:00.000+00:00Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)<abstract><title style='display:none'>Abstract</title><p>Introduction</p><p>The craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy.</p><p>Aim of the study</p><p>The aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD).</p><p>Material and methods</p><p>In order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position.</p><p>Results</p><p>This finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology.</p><p>Conclusions</p><p>Craniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS.</p><p>Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.</p></abstract>ARTICLE2020-07-16T00:00:00.000+00:00Are lasers justified in everyday clinical dental practice? and interest of north-central Romanian mothers regarding children oral health prevention - A questionnaire based study<abstract><title style='display:none'>Abstract</title><p>Introduction: The development and eruption of teeth should be followed by the dentist, which is why periodic check ups are required.</p><p>Aims of the study: This study aims to evaluate the knowledge of the mothers regarding the dental hygiene of the children and the importance of presenting them in the dental office, as well as the knowledge related to the prevention of dental caries.</p><p>Material and Methods: A questionnaire comprising 15 questions was developed and handed to 290 mothers in Tirgu Mures. The questions targeted the knowledge related to the dental hygiene of the child, and decay prevention.</p><p>The data obtained were processed electronically. 51.7% of the mothers stated that the visit to the dental office should be done every 6 months, and 58.6% opted for a first contact with the dentist at the age of 3 years. 98.2% of mothers consider dental prevention to be important or very important. 75% consider that the child’s hygiene must be done twice daily, and 89% said that they use the toothbrush in the child’s hygiene process. 68% of the mothers know the term of dental sealing, but only 20% resorted to this method of treatment.</p><p>Conclussions: The study demonstrates the urgent need to take the lack of interest and information of parents seriously and to develop programs primarily to inform and raise awareness of the population and then to apply different preventive methods.</p></abstract>ARTICLE2020-07-16T00:00:00.000+00:00Statistical study on the degree of satisfaction of patients with fixed prosthetic dentures<abstract><title style='display:none'>Abstract</title><p>Introduction: Edentation is a major emergency and has an echo over the entire stomatognathic system. The treatment of partial edentation has undergone major changes in the last decades for multiple causes, including increasing the level of dental, medical education, introducing new techniques, methods, and materials, increasing the duration of retention of teeth on the arch.</p><p>Aim of the study: The aim of this study is to determine the degree of satisfaction of patients with a fixed prosthetic denture, to highlight the importance of communication between doctor and patient with repercussions on the results of prosthetic treatment, and evaluate the degree of awareness of oral health and oral hygiene practices.</p><p>Material and Method: For this study it was used a self-designed questionnaire, which explored both clinical and non-clinical dental services. The questionnaire consisted of three parts: first part (A) includes socio-demographic indices, part two (B) includes questions related to the doctor-patient relationship, and in the third part (C) the questionnaire asks questions regarding the general satisfaction of the patients with reference to the prosthetic tratament. The questionnaire also includes the material (s) from which the prosthetic denture is performed and the area of the edentation.</p><p>Results: The present study was performed on a batch of 117 people, 48 female, and 69 males between the ages of 21 and 60. Our results show that the majority of patients present metallic-ceramic dentures, located in most cases in the lateral area, and the majority of patients are satisfied with the prosthetic tratament. There were no patients complaining about the result of the tratament. Pacients are delighted by their relationship with medical staff.</p><p>Conclusions: The most important finding of this study states that a large proportion of patients showed a lack of knowledge regarding oral hygiene measures and the importance of maintaining a fixed prosthetic denture using a dental abutment. Also, the majority of the doctors did not pay attention to the post-treatment instructions regarding the maintenance of a fixed prosthetic denture.</p></abstract>ARTICLE2020-07-16T00:00:00.000+00:00Assessment of oral mucositis degree due to cytostatic treatment in patients with malignant lymphomas<abstract><title style='display:none'>Abstract</title><p>Introduction: Oral mucositis characterized by inflammation of the oral mucosa, ulcers, angular cheilitis, accompanied by pain in the maxillary facial area are symptoms of patients who have undergone cytostatic treatment, affecting over 75% of high-risk patients.</p><p>Material and methods: From the total of 182 patients with hematological malignancies, we selected 59 patients, diagnosed with malignant lymphomas and treated at the Hematology Department of the Medical Clinic 1 in Tîrgu Mureș, between July 2013 and June 2016, analyzing the data in the data observation sheets. The study is a retrospective one.</p><p>Results: In the group of patients studied, who were treated based on the aforementioned cytostatic plans, we found that the CVP + Rituximab plan frequently causes 1st and 2nd class stomatitis, with no patients with 3rd and 4th class stomatitis. The CHOP + Rituximab therapy plan in a total of 80 applications had complications of 1st and 2nd class stomatitis, much more frequent 1st class without stomatitis of 2nd and 4th degree. Grade III stomatitis occurs in two cases in the CHOP-Bleo belts. Introducing dental medicine in the context of medical multidisciplinarity in oncology hematology is a real necessity because the oral complications of chemotherapy treatments by their severity can lead to compromise of the treatment protocol by reducing the doses or even stopping the treatment</p><p>Conclusions: Malignant hemopathies represent a significant percentage in dental disorders, and among them, the maximum severity belongs to the non-Hodgkin and Hodgkin malignant lymphomas. Stomatitis, also called gingivotoxic stomatitis caused by medication, is an acute oral complication, with erythema and edema of the entire oral cavity. The role of the dentist in the diagnosis, prevention and treatment of oral lesions, following the cytostatic therapy, is extremely important.</p></abstract>ARTICLE2020-07-16T00:00:00.000+00:00Occlusal sequalae of the loss of first permanent molars among children and adolescents.<p>Objective: The purpose of the present study is to evaluate the disintegration of the contact point system, the occlusal changes, and the masticatory force following the loss of the first permanent molars (FPM).</p>ARTICLE2020-12-14T00:00:00.000+00:00Assessment of dental anxiety and the prevalence of dental caries in a group of 6-9 years old children.<p>Children`s dental anxiety is responsible for increasing dental health problems, as patients avoid seeking treatment. The aim of our study was to evaluate the level of dental anxiety and its correlation with dental health status in a group of children aged between 6-9 years.</p>ARTICLE2020-12-14T00:00:00.000+00:00Contributions to the study of common artifacts and errors in conventional and three-dimensional radio-imaging used in the evaluation of odontal, endodontic and periodontal pathology.<p>Introduction: X-ray radio imaging is commonly used because most diseases in the oral area can only be diagnosed by using this method. Proper identification of elements on a radiological image may also be difficult due to errors that may occur before, during or after the X-ray. These errors are called artifacts.</p>ARTICLE2020-12-14T00:00:00.000+00:00The use of occlusal splints in temporomandibular disorders - an overview.<p>Temporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.</p>ARTICLE2020-12-14T00:00:00.000+00:00Anxiety in the dental office during the COVID-19 pandemic. about mechano-chemical gingival displacement with single-cord technique.<p>Introduction: Besides abutment preparation, the impression is essential in order to achieve an esthetical and functional prosthetic restoration. Proper gingival displacement and abutment finish line exposure is crucial for the proper impression technique.</p>ARTICLE2020-12-14T00:00:00.000+00:002020 The year of your choice between digital and conventional dentistry multidisciplinary approach of a patient with Sjögrenś Syndrome in the dental office - case report<p>Introduction: Oral rehabilitation is based on establishing a correct diagnosis and designing a plan to give appropriate treatment to each clinical case. Patients’ aesthetic requirements show an increasing trend in current practice. Sjögren’s syndrome and obesity can have a negative impact on a person’s quality of life, and it is therefore imperative to identify and reduce these significant barriers to paving the way for better oral health and the overall well-being of the individual. Hypertension NYHA II type patients may present oral manifestations like ageusia, burning sensation, xerostomia, lichenoid reactions or gingival hyperplasia. Case presentation: This time, at our clinic, a 71-year-old man requested a complex oral rehabilitation. He presented partial edentulism at both arches. We are talking about a non-smoking patient, with chronical medication treatment for the mentioned pathology. Conclusions: A well-controlled hypertensive patient is not a risk in clinical practice. When choosing an implant based therapy, the old age of the patient can be considered a negative factor for successful results, but it is not a strict contraindication. This case report shows the most suitable treatment solution, regarding all the advantages and disadvantages of other treatment options, represented by implant supported fixed prosthetic restaurations.</p>ARTICLE2020-07-16T00:00:00.000+00:00en-us-1