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Cureus Apr 2024One of the most prevalent types of odontogenic cysts is a dentigerous cyst, which is usually connected to the crown of an immature tooth. We report the case of an...
One of the most prevalent types of odontogenic cysts is a dentigerous cyst, which is usually connected to the crown of an immature tooth. We report the case of an 11-year-old boy, who had a swelling over his left cheek, which was determined to be a dentigerous cyst by radiological imaging and clinical examination. Over the course of two months, the peanut-sized mass grew to 3x2 cm. A massive, well-defined cystic lesion connected to an unerupted premolar tooth was found on a CT scan of the left maxillary alveolar arch and sinus floor. Under general anesthesia, the patient had a Caldwell-Luc surgery to remove the cyst. In order to avoid difficulties related to cyst formation, which can invade surrounding tissues and even result in cancer if left untreated, early detection using radiological imaging is essential. Complete excision of the cyst is the treatment, particularly for big lesions, in order to limit morbidity and lower the likelihood of aggressive behavior. This case emphasizes the necessity of thorough examination and surgical intervention when necessary, underscoring the significance of early identification and adequate therapy to minimize potential problems related to dentigerous cysts. In cases of dentigerous cysts, early intervention, and appropriate surgical procedures are critical to reducing morbidity and improving patient outcomes.
PubMed: 38807792
DOI: 10.7759/cureus.59223 -
International Journal of Surgery Case... May 2024The soft tissue volume and its stability around dental implants are important for the final aesthetic outcome.
INTRODUCTION AND IMPORTANCE
The soft tissue volume and its stability around dental implants are important for the final aesthetic outcome.
CASE PRESENTATION
A 39-year-old female was referred for dental implant placement for her missing tooth. Following attachment of the cover screw VCMX was used to simultaneously augment buccal ridge defect. Patient was seen 2 weeks after surgery for follow up where sutures were removed. After 3 months, patient received her final crown and been on follow up for 9 months where a successful well-functioning restoration with clinically healthy soft tissue and optimal profilometric outcome were maintained.
CLINICAL DISCUSSION
This approach is relatively simple, less invasive and time saving as it eliminates the need for another surgical donor site to manage the defect.
CONCLUSIONS
The present report showed that VCMX was effective in soft tissue augmentation at implant sites in aesthetic zone.
CLINICAL RELEVANCE
Within the limits of this study, the positive results suggest that the volume stable collagen matrix (VCMX) may be a reliable option in treatment of siebert class I ridge defects. VCMX was associated with less amount of pain or discomfort and reduced patient morbidity.
PubMed: 38805839
DOI: 10.1016/j.ijscr.2024.109792 -
Korean Journal of Orthodontics May 2024This study aimed to determine the maxillary and mandibular basal bone regions and explore the three-dimensional positional relationship between the dentition and basal...
Three-dimensional analysis of the positional relationship between the dentition and basal bone region in patients with skeletal Class I and Class II malocclusion with mandibular retrusion.
OBJECTIVE
This study aimed to determine the maxillary and mandibular basal bone regions and explore the three-dimensional positional relationship between the dentition and basal bone regions in patients with skeletal Class I and Class II malocclusions with mandibular retrusion.
METHODS
Eighty patients (40 each with Class I and Class II malocclusion) were enrolled. Maxillary and mandibular basal bone regions were determined using cone-beam computed tomography images. To measure the relationship between the dentition and basal bone region, the root position and root inclination were calculated using the coordinates of specific fixed points by a computer program written in Python.
RESULTS
In the Class II group, the mandibular anterior teeth inclined more labially ( < 0.05), with their apices positioned closer to the external boundary. The apex of the maxillary anterior root was positioned closer to the external boundary in both groups. Considering the molar region, the maxillary first molars tended to be more lingually inclined in females ( = 0.037), whereas the mandibular first molars were significantly more labially inclined in the Class II group ( < 0.05).
CONCLUSIONS
Mandibular anterior teeth in Class II malocclusion exhibit a compensatory labial inclination trend with the crown and apex relative to the basal bone region when mandibular retrusion occurs. Moreover, as the root apices of the maxillary anterior teeth are much closer to the labial side in Class I and Class II malocclusion, the range of movement at the root apex should be limited to avoid extensive labial movement.
PubMed: 38800862
DOI: 10.4041/kjod23.262 -
Cureus Apr 2024In edentulous arches, alveolar ridge atrophy after tooth extraction is a common problem that affects patient comfort and quality of life. Implant-supported fixed...
In edentulous arches, alveolar ridge atrophy after tooth extraction is a common problem that affects patient comfort and quality of life. Implant-supported fixed restorations are a well-proven treatment option for edentulism. The concepts of implant dentistry have developed over time to produce better aesthetics and functional results. To reduce cantilever length and enable prostheses with 12 teeth, the all-on-four technique entails inserting two anterior implants axially and distally orienting two posterior implants. Compared to conventional loading, immediate loading offers various benefits without compromising quality. An instantaneous fixed provisional allows patients immediate function and preserves their quality of life while also promoting a high degree of patient satisfaction in terms of aesthetics, phonetics, mastication, and psychological comfort.
PubMed: 38800271
DOI: 10.7759/cureus.58919 -
Bioengineering (Basel, Switzerland) May 2024Effective oral care is important for maintaining a high quality of life. Therefore, plaque control can prevent the development and recurrence of periodontitis. Brushing...
Effective oral care is important for maintaining a high quality of life. Therefore, plaque control can prevent the development and recurrence of periodontitis. Brushing with a toothbrush and toothpaste is a common way to remove plaque; however, excessive brushing or brushing with abrasive toothpaste can cause wear and tear on the dental crown. Hence, we aimed to quantitatively compare the plaque-removal efficiency and tooth wear of toothbrushes using the bioelectric effect (BE) with those of electric-mechanical toothbrushes. To generate the BE signal, an electronic circuit was developed and embedded in a toothbrush. Further, typodonts were coated with cultured artificial plaques and placed in a brushing simulator. A toothpaste slurry was applied, and the typodonts were eluted with tap water after brushing. The plaques of the typodonts were captured, and the images were quantified. For the tooth wear experiment, polymethyl methacrylate disk resin blocks were brushed twice a day, and the thickness of the samples was measured. Subsequently, statistical differences between the experimental toothbrushes and typical toothbrushes were analyzed. The BE toothbrush had a higher plaque-removal efficiency and could minimize tooth wear. This study suggests that the application of BE may be a new solution for oral care.
PubMed: 38790341
DOI: 10.3390/bioengineering11050474 -
Ethiopian Journal of Health Sciences Sep 2023The extraction of impacted third molars (M3) is a common surgical procedure in dentistry and oral surgery. Various complications, including inferior alveolar nerve (IAN)...
BACKGROUND
The extraction of impacted third molars (M3) is a common surgical procedure in dentistry and oral surgery. Various complications, including inferior alveolar nerve (IAN) damage, may occur during and after extraction of this tooth. Radiographic examination should provide information about the M3 itself, but also about the surrounding bony structure and the relationship of the roots to the IAN and the adjacent second molar, which is often traumatized during this extraction. The aim of our study was to evaluate the depth and angulation of impacted mandibular third molars (M3) from panoramic radiographs, according to the classifications proposed by Winter and Pell & Gregory.
METHODS
Radiographic signs present on the orthopantomogram showing M3 depth, and retromandibular available space according to the Pell & Gregory classification were evaluated. Evaluation of the M3 angulation relative to the M2 according to Winter's classification was also done. Student's t test was used to determine the association between side or sex and different variables.
RESULTS
The depth of impaction of the M3 crown was level A accounting for 54.4% (n=260) of the PR while level B constituted 35.7% (n=171) of the images. Regarding the availability of retromandibular space, Class I constituted 36.8% (n=176). The Class II accounted for 55.9% (n=267) of PR.
CONCLUSION
Our study showed that 54.4% of M3 were located at the same level as the occlusal plane of the second molar, while in 56% of PR the space between the second molar and the ramus of the mandible is less than the mesiodistal diameter of the third molar. This research showed that 23.1% of M3 had a level of vertical angulation, a level that allows for less painful luxation of the impacted molars. These results seem to show a relatively high level of difficulty in mobilizing and extracting M3 from Cameroonian patients.
Topics: Humans; Molar, Third; Female; Male; Tooth, Impacted; Mandible; Radiography, Panoramic; Adult; Young Adult; Adolescent; Cameroon; Tooth Extraction; Middle Aged; Cross-Sectional Studies
PubMed: 38784512
DOI: 10.4314/ejhs.v33i5.15 -
European Journal of Paediatric Dentistry May 2024Prosthetic rehabilitation of deciduous teeth in paediatric age using pre-formed crowns has been considered one of the best methods of dental restoration since their...
AIM
Prosthetic rehabilitation of deciduous teeth in paediatric age using pre-formed crowns has been considered one of the best methods of dental restoration since their introduction. Their main advantages are related to durability, longevity and a low rate of recurrent cavities. Since stainless steel crowns do not coincide with aesthetic needs of parents and patients, preformed paedodontic crowns made of zirconia and nano-hybrid composite was introduced. The aim of the study is to evaluate the degree of wear on the enamel and on themselves of the different paedodontic crowns.
MATERIALS
Nine bovine teeth and nine paedodontic crowns for deciduous molars were selected for the study, three of which in zirconia, three in nano-hybrid composite and three in stainless steel. Wear test was carried out on the Rtech™ Instruments tribometer applying a force of 50 N. After that, both the bovine teeth and the paedodontic crowns were observed using a stereo microscope (Zeiss Stemi C-500) and a scanning electron microscope (SEM, Cambridge Stereoscan 440). The areas of wear were calculated with a software [ImageJ, version 1x, Wayne Rasband, Maryland, USA].
CONCLUSION
Pre-formed paediatric crowns in zirconia, nano-hybrid composite and stainless steel are a valid aid for the restoration of deciduous teeth and do not compromise the physiological wear characteristic of the phases of the dental exchange. The stainless steel crown is preferable for the restorations in the posterior sectors as its behaviour is the most similar to that of a natural tooth. Zirconia and nano-hybrid composite crowns showed an inversely proportional behaviour between their wear volume and that of the opposing tooth.
Topics: Tooth, Deciduous; Crowns; Cattle; Zirconium; Stainless Steel; Animals; Humans; Composite Resins; Microscopy, Electron, Scanning; Dental Restoration Wear; Dental Materials; Dental Enamel; Tooth Wear; Child
PubMed: 38775099
DOI: 10.23804/ejpd.2024.2013 -
International Journal of Dentistry 2024Odontometry and body height are distinctive biological traits, making their relationship relevant in the identification of individuals. The objective of this study was...
INTRODUCTION
Odontometry and body height are distinctive biological traits, making their relationship relevant in the identification of individuals. The objective of this study was to estimate body height according to the height of the crown of deciduous teeth in Peruvian preschool children.
MATERIALS AND METHODS
This analytical study was applied to a calculated sample of 204 preschoolers between 3 and 5 years of age (34 per sex/age group) with fully erupted upper anterior deciduous teeth (from #53 to #63). Measurements included body height with a stadiometer (106 ± 6.56 cm; 94-123 cm) and crown height from canine to canine (3.06 mm in #62 to 8.13 mm in #53) in models with digital vernier (intraclass correlation coefficient ≥ 0.781). Linear regression models included calculation of the regression coefficient () to predict height based on crown height for each deciduous tooth at a significance level of < 0.05.
RESULTS
There was no correlation between body height and crown height by tooth type in the total sample ( ≥ 0.05), but there was in a 3-year-old female in #52 ( = 0.4: moderate) and a 5-year-old female in #53 and #63 ( = 0.36-0.38: low) ( < 0.05). Body height prediction equations are shown according to crown height per tooth and sex/age groups. The regressions were significant, explaining 13%-18% of 3-year-old females in #53 and #52 (1.85-1.86 cm error) and 5-year-old females in #53, #51, and #63 (4.61 at 4.63 cm error) ( < 0.05).
CONCLUSIONS
The odontology method using crown height of the upper anterior deciduous teeth estimated body height in Peruvian girls of 3 and 5 years of age. The teeth are resistant to traumatic forces so these could be used as a body height estimation parameter for forensic human identification.
PubMed: 38774442
DOI: 10.1155/2024/3664231 -
Lasers in Medical Science May 2024Tooth discoloration is a common concern in antimicrobial photodynamic therapy (aPDT) using various photosensitizers (PS). Toluidine Blue (TB), Methylene Blue (MB),...
BACKGROUND
Tooth discoloration is a common concern in antimicrobial photodynamic therapy (aPDT) using various photosensitizers (PS). Toluidine Blue (TB), Methylene Blue (MB), Phthalocyanine (Pc), and 2-mercaptopyridine-substituted zinc phthalocyanine (TM-ZnPc) are among those studied, but their relative impacts on tooth discoloration remain unclear.
AIM
This study aimed to compare the effects of TB, MB, Pc, and TM-ZnPc in aPDT on tooth discoloration, utilizing a controlled experimental setup.
MATERIALS AND METHODS
The study comprised seventy-five single-rooted incisors with root canals. Following meticulous preparation, a standardized area on the crown surface was designated for examination, and precise measurements of the initial tooth colors were recorded. Samples were randomly divided into five groups: Negative control, MB, TM, Pc, and TM-ZnPc. Photoactivation was performed using LED light, and color measurements were taken at multiple time points up to 90 days. Data were converted to Lab* color values of the CIE Lab* color system (International Commission on Illumination, Vienna, Austria), and ΔE values were calculated. Statistical analysis was performed using Two-way ANOVA and Post-Hoc Tukey tests (p < 0.05).
RESULTS
At day 7 and 30, TM-ZnPc and Pc caused less discoloration compared to MB and TB. TM-ZnPc caused more tooth discoloration compared to Pc (p < 0.05). Compared to baseline, MB and TM-ZnPc caused more tooth discoloration at 30 days and TB caused more tooth discoloration at 90 days (p < 0.05). No significant difference was observed in terms of tooth discoloration at all periods evaluated after Pc application (p > 0.05). All photosensitizers tested in the study caused tooth coloration.
CONCLUSION
All PS induced clinically detectable tooth discoloration, with TB and MB causing more significant discoloration compared to Pc and TM-ZnPc at certain time points. TM-ZnPc and Pc demonstrated more stable coloration levels over time, suggesting their potential reliability in aPDT applications. This study highlights the importance of selecting appropriate PS to minimize tooth discoloration in aPDT, with Pc showing promise in this regard.
Topics: Photochemotherapy; Photosensitizing Agents; Humans; Tooth Discoloration; Tolonium Chloride; Methylene Blue; Spectrophotometry; Isoindoles; Zinc Compounds; Indoles; Organometallic Compounds
PubMed: 38771549
DOI: 10.1007/s10103-024-04085-0 -
Cureus Apr 2024Identification is an important aspect of forensic medicine. Identification plays an imperative role, especially in highly decomposed bodies, mutilated bodies, and...
INTRODUCTION
Identification is an important aspect of forensic medicine. Identification plays an imperative role, especially in highly decomposed bodies, mutilated bodies, and undisclosed and fragmentary human remains. The estimation of sex is an essential parameter of human identification. In forensic anthropometry, sex determination is related to morphometric characteristics of skeletal bones, such as the skull and mandible, clavicle, sternum, scapula, humerus, pelvic bone, sternum, and femur. Since teeth are decay-resistant, conscientious analysis of teeth can accredit reliable sex estimation of an individual, especially when other determinants are fragmented or destroyed.
AIM
The aim of the study was to explore the association between sex and buccolingual crown dimensions of teeth.
MATERIALS AND METHODS
The study sample consists of 100 volunteer subjects (50 male subjects and 50 female subjects) aged between 20 and 35 years. Alginate was used to take impressions of the teeth and the cast was prepared using pouring by dental stone. Measurements of buccolingual parameters of all the teeth (except the third molars) of both jaws were done on dental casts by using a digital caliper.
RESULTS
Collected data were analyzed using SPSS software (IBM Corp., Armonk, NY) and were outlined as mean and standard deviation (SD). The male and female groups were compared using an independent Student's t-test or unpaired test. The results of this study revealed that 16 out of 28 odontometric parameters (except third molar) of the two groups (male and female) were higher in the male group as compared to the female group (p < 0.05).
CONCLUSION
Buccolingual odontometric parameters can be used for sex estimation in the North Indian population.
PubMed: 38765404
DOI: 10.7759/cureus.58495