POLYETHYLENE FIBER-REINFORCED STRESS-REDUCED COMPOSITE RESIN RESTORATION ON EXTENSIVE CARIOUS LESION: A CASE REPORT

The purpose of this article about the use of polyethylene fibers and resin composite to treat large carious tooth providing a high strength restoration within one appointment. Polyethylene fibers decrease the polymerisation shrinkage and increase the fracture resistance of the teeth. The polyethylene fibers, besides offering the proper strength to the mastication forces, as well reduce the risk of fractures, voids and micro-filtration.

Clinical management of the split tooth in a diabetic patient

Split tooth is the type of crack or break in tooth, that has split vertically into two separate parts or in other words, with clinical features like pain, sensitivity, etc. although there are multiple causes for the split tooth but here in this case presentation, we are going to discuss about the split tooth in a diabetic patient due to carious tooth. Also, patient has many dental problems but here we are going to emphasize on the management of split tooth only and its restoration.

Does Dental Fear in Children Predict Untreated Dental Caries? An Analytical Cross-Sectional Study

Despite free health care services in Saudi Arabia, the prevalence of caries in children is substantially greater in comparison to other high-income countries. Dental fear in children may be an important issue that needs attention. Therefore, the aim was to investigate the role of dental fear in predicting untreated dental caries in schoolchildren. This analytical cross-sectional study included children aged 8–10 years residing in Saudi Arabia. Dental status via oral examinations was surveyed with the WHO standardized chart and the Children Fear Survey Schedule—Dental Subscale was used to score dental fear. Descriptive, binary, and multivariable logistic regression analyses were performed to report the findings at 5% statistical significance. Overall, there were 798 schoolchildren with an average fear score of 36. Nearly 70.4% reported fear of someone examining their mouth. About 76.9% had at least one carious tooth in their oral cavity. Children with dental fear were 1.8 times (OR = 1.80; 95%CI = 1.26, 2.56) more likely to have at least one untreated carious tooth in their oral cavity than those who did not express fear during oral examinations and dental procedures. Thus, the current study concludes that fear of dentists and dental treatment procedures successfully predicts untreated carious teeth in schoolchildren.

Is there a role for casein phosphopeptide–amorphous calcium phosphate (cpp-acp) in paediatric dentistry?

In the age of minimally invasive dentistry, products with the ability to prevent and reverse common dental diseases are becoming increasingly popular. Casein phosphopeptide–amorphous calcium phosphate (CPP–ACP) contains the compounds casein, phosphate and calcium, which all have the ability to remineralize enamel. Dental caries, visible demineralization following removal of orthodontic appliances, non-carious tooth surface loss and dentine hypersensitivity due to structural anomalies are frequently seen in children and young people. The evidence for CPP–ACP and fluoride-containing CPP–ACP is positive for managing dental caries and non-carious tooth surface loss, specifically erosion, but is less clear in the management of visible demineralization following orthodontic appliance removal and dentine hypersensitivity owing to structural anomalies. When recommending CPP–ACP-containing products, dental practitioners should be aware of medical and social contra-indications that preclude its use. CPD/Clinical Relevance: CPP–ACP may have a role in the management of common paediatric dental conditions.

Social, nutritional, and behavioral aspects associated with erosive tooth wear - considerations and preventive aspects

Erosive tooth wear is a multifactorial condition resulting from the loss of mineralized dental structure by chemical, physical and / or mechanical processes, in the absence of microorganisms (biofilm), being modulated by biological, behavioral and occupational factors. The increase in the prevalence of non-carious tooth wear is mainly related to changes in eating habits, lifestyle and behavior in the last three decades, which has been cause for concern by the dental community. Due to the increase in life expectancy, especially in more developed countries, maintaining oral health is essential to improve quality of life and prevent comorbidities, increase self-esteem, in addition to improving chewing, speech and social life. Currently, the diagnosis of erosive tooth wear is based on clinical aspects of the lesions, however, knowing the factors associated with nutrition, occupation and lifestyle are essential to define the risk and the susceptibility of the patient to the development of lesions and indication of preventive measures and control. In view of the increase in its incidence and prevalence in young adults, the dental surgeon must know about its etiology, prevention, and treatment. Still, public policies focused on this issue need to be created and adopted. Thus, this study describes the main etiological, nutritional, behavioral, and social aspects associated with non-carious tooth wear, offering important information regarding treatment and mainly prevention.

Randomized Clinical Trial on Sodium Fluoride with Tricalcium Phosphate

This 24-mo randomized controlled trial was based on a double-blind parallel design, and it compared the effectiveness of 2 fluoride application protocols in arresting dentine caries in primary teeth. Three-year-old children with active dentine caries were recruited and randomly allocated to 2 treatment groups. Children in group A received a semiannual application of a 25% silver nitrate (AgNO3) solution followed by a commercially available varnish with 5% sodium fluoride (NaF) on the carious tooth surfaces. Children in group B received a semiannual application of a 25% AgNO3 solution followed by another commercially available varnish with 5% NaF containing functionalized tricalcium phosphate (fTCP). Carious tooth surfaces that were hard when probing were classified as arrested. Intention-to-treat analysis and a hierarchical generalized linear model were undertaken. A total of 408 children with 1,831 tooth surfaces with active dentine caries were recruited at baseline, and 356 children (87%) with 1,607 tooth surfaces (88%) were assessed after 24 mo. At the 24-mo evaluation, the mean (SD) number of arrested carious tooth surfaces per child were 1.8 (2.2) and 2.6 (3.3) for group A (without fTCP) and group B (with fTCP), respectively ( P = 0.003). The arrest rates at the tooth surface level were 42% for group A and 57% for group B ( P < 0.001). Results of the hierarchical generalized linear model indicated that protocol B (with fTCP) had a higher predicted probability (PP = 0.656) in arresting dentine caries than protocol A (without fTCP; PP = 0.500) when the carious lesions were on buccal/lingual surfaces, were on anterior teeth, had dental plaque coverage, and were in children from low-income families ( P = 0.046). In conclusion, protocol B, which applied a 25% AgNO3 solution followed by a commercially available 5% NaF varnish with fTCP semiannually, is more effective in arresting dentine caries in primary teeth as compared with protocol A, which applied a 25% AgNO3 solution followed by another commercially available 5% NaF varnish without fTCP semiannually (ClinicalTrials.gov NCT03423797).

NON-CARIOUS DENTAL LESIONS IN TYPE 2 DIABETES

The article presents an analysis of the results of a study of the incidence of non-carious tooth lesions in adults with type 2 diabetes, including when they were under dynamic observation by a dentist for 2.5-3 years. It was found that in patients with type 2 diabetes mellitus non-carious lesions of the teeth (49.51%) were significantly more likely to occur than in people in the control group (29.13%). At the same time, it has been shown that in people with type 2 diabetes, a significant improvement in dental health can be achieved due to their being under dynamic supervision by a dentist with a 2-time visit during the year. This allows to reduce the incidence of non-carious tooth damage in type 2 diabetes mellitus by 17.7%, mainly due to the constantly implemented secondary and tertiary dental prophylaxis, rational and competent use of individual oral care products by patients, and also due to dental orthopedic treatment.