Satisfaction and attitudes of the student population about dental aesthetics

Introduction: Perceptions of the esthetic appearance of teeth vary in different individuals and can affect satisfaction with the dental appearance, attitudes, and the need for appropriate dental treatment. The research aims to examine the factors influencing the satisfaction with the appearance of the dentition and the attitude toward treatments which improve dental esthetics among students of the faculty of dentistry in comparison to the attitudes of students of non-dental faculties.Methods: The research included a total of 358 students of the Faculty of Dentistry and Faculty of Architecture in Sarajevo who voluntarily filled out a questionnaire created for this research. The questionnaire contained questions related to satisfaction with the appearance of teeth in general, tooth color, tooth position, questions related to the previous, and future desired esthetic restorations and treatments.Results: Female subjects expressed statistically significantly greater dissatisfaction with the appearance of the dentition and did or plan to do treatments that could improve dental esthetics compared to male subjects. Students of the Faculty of Dentistry at final years were significantly more satisfied with the general appearance of teeth and tooth color compared to freshmen students of the Faculty of Dentistry and students of the Faculty of Architecture.Conclusion: Satisfaction with dental appearance is a subjective experience that is influenced by various factors, level, and type of education is among them.

The Hazardous Effects of Dental Amalgam Fillings in Human Body: A Systematic Review

The Dental amalgam used in the dental fillings is basically an alloy of mercury (Hg). The amalgam is one of the most commonly used and versatile restorative material. Since more than 150 years this alloy of mercury, that is amalgam is used for it been economical, easy to use, durable, high strength and bacterio-static characteristics. Due to environmental pollution, detrimental health its use is decreasing in recent times. Also its not so appealing like the other materials used that resemble the tooth color. The tooth coloured restorative materials are recommended by both the doctor and the patient. Many researchers suggested that over the period of time the mercury from the filling might leach into the mouth. Thus in this study a detailed review of all the literature available online is done to understand the hazardous effects of dental amalgam fillings in the human body. The systematic literature search using Scopus, PubMed, EMBASE and Web of Science electronic databases was done using PRISMA. The experiments conducted in Sheep and monkey suggested the penetration of amalgam into the jaw bone of the patient with dental restorations. Constant exposure of mercury at lower levels can also lead to multiple sclerosis, rheumatoid arthritis and systemic lupus erythematosus. Most commonly reported renal dysfunction due to the dental amalgams are Tubular and Glomerular damage of the kidneys.

Digital restoration of maxillary central incisors after trauma using an intraoral scanner and a CAD/CAM system in an 11-year-old

Background: Most dental trauma in children and adolescents involve anterior tooth fractures. Advancements in ceramics technology and in computer-aided design/computer-aided manufacturing (CAD/CAM) systems, have led to the technological abilities to produce single all-ceramic crowns with high biocompatibility, esthetics, and optimal mechanical properties. However, there is no information regarding the use of this technique in children. Case report:Treatment of extensive crown fractures on an 11 years old patient using a chairside CAD/CAM technology. The teeth were scanned and the restorations were fabricated using the manufacturing unit of the CAD/CAM system and glazed to the appropriate tooth color. At a follow up visits the restorations kept their strength and esthetic appearance (one year follow up). Conclusion: The digital restoration treatment is especially suitable for treating children with dental trauma. It has the advantage of better esthetic, functional and durable results compering to conventional restorations, and it often requires only a single session.

Turner’s Tooth: A Rare Case with Review of Literature

Turner’s tooth is a form of enamel hypoplasia. Periapical pathology of the primary tooth is the main culprit behind the enamel deficiency in the permanent tooth. The altered tooth is called a Turner’s tooth. Color of the affected tooth varies from focal areas of white, yellow, or brown discoloration to extensive hypoplasia which can involve the entire crown. The crown of the permanent teeth develops mainly from six months and extends upto fifteen years. The part of the crown which gets damaged is directly related to the location of the ameloblastic activity at the time of damage. Therefore, we are here discussing the case of a seven year old boy which was reported to be the case of turner’s tooth hypoplasia.

A simple microabrasion technique as aesthetic approach on fluorosis of anterior teeth

ABSTRACT Dentistry treatment is not only focused on restoring the function of mastication but also onthe aesthetic problem. Fluorosis is one of the aesthetic problems caused by excessive fluoride intakeduring email formation and produced color changes on the surface of the email. Fluorosis was notaffected by the aesthetics but also influenced the confidence of the patient. The Microabrasion techniqueis an option for fluorosis because it is conservative treatment with good results. A 20-year-old womanwho came to the Dental Conservation clinic complained that she wants to remove the brown color andwhite spots seen on the front teeth, which significantly interfere with her appearance. Based on clinicalexamination, many cavities were found in the back teeth of the upper and lower jaw. The results of thehistory and clinical study revealed that the patient had fluorosis in her teeth. Microabrasion was carriedout using Opalustre (ultradent). This material was applied to the tooth surface and rubbed using anapplicator (opal bristle) for 60 seconds. Then applied fluoride gel paste with finishing cup opal.Treatment results showed changes in tooth color, brown and white patches disappeared. Microabrasionis the first choice for aesthetic treatment in fluorosis and has shown satisfying results to restore thepatient's aesthetics problem. KEYWORDS: Fluorosis, microabrasion technique

Uji Efektivitas Pasta Gigi Pemutih terhadap Perubahan Warna Gigi Ekstrinsik

Physical appearance has a major influence in determining the quality of individual social interaction, especially in terms of non-verbal interactions. Tooth color is one of the things that affect physical appearance. Various efforts to improve the aesthetics of tooth color should be studied further, including the use of whitening toothpaste. This study was aimed to determine the effectiveness of whitening toothpaste on extrinsic tooth discoloration. This was a true experimen-tal study in the form of laboratory test. Coffee was used as a discoloring agent for teeth. Twenty-six premolar teeth were immersed in coffee solution for 14 days. Then the samples were divided into four groups based on the toothpaste used. Initial measurements used the CIEL *a*b* digital dental photo technique. Brushing was carried out for 14 days, after which the tooth color was measured again. The paired sample t-test and the Wilcoxon test showed a significant change in * L values in the group receiving 7% perlite, hydrated silica, and sodium bicarbonate (p=0.01; p=0.001; p=0.012). The Wilcoxon test showed no change in *a and *b values in all whitening toothpaste groups (p>0.05). There was no significant change in the *L *a *b toothpaste (p>0.05). In conclusion, whitening toothpaste is effective against extrinsic tooth discoloration.Keywords: extrinsic tooth discoloration; whitening toothpaste; tooth colorAbstrak: Penampilan fisik memiliki pengaruh besar dalam menentukan kualitas interaksi sosial individu, terutama dalam hal interaksi non-verbal. Salah satu hal yang memengaruhi penampilan fisik individu ialah warna gigi. Berbagai upaya untuk meningkatkan estetika warna gigi harus dikaji lebih lanjut, termasuk penggunaan pasta gigi pemutih. Penelitian ini bertujuan untuk mengetahui efektivitas pasta gigi pemutih terhadap perubahan warna gigi ekstrinsik. Jenis penelitian ialah eksperimental murni (true experimental design) berupa uji laboratorik. Kopi digunakan sebagai bahan diskolorasi untuk gigi. Sebanyak 26 gigi premolar direndam dalam larutan kopi selama 14 hari. Sampel dibagi ke dalam empat kelompok berdasarkan pasta gigi yang digunakan. Pengukuran awal menggunakan teknik digital dental photo CIEL*a*b*. Penyikatan dilakukan selama 14 hari, setelah itu warna gigi diukur kembali. Hasil uji paired sample t-test dan Wilcoxon menunjukkan terdapat perubahan nilai *L yang bermakna pada kelompok yang mendapatkan perlite 7%, silica hydrated, dan sodium bicarbonate (p=0,01; p=0,001; p=0,012). Uji Wilcoxon menunjukkan tidak terdapat perubahan nilai *a dan nilai *b pada semua kelompok pasta gigi pemutih (p>0,05). Pada pasta gigi tanpa pemutih tidak didapatkan perubahan nilai *L*a*b yang bermakna (p>0,05). Simpulan penelitian ini ialah pasta gigi pemutih efektif terhadap perubahan warna gigi ekstrinsik.Kata kunci: perubahan warna gigi ekstrinsik; pasta gigi pemutih; warna gigi

TOOTH SHADE & ITS CORRELATION WITH SKIN COLOR – ITS PERCEPTION ON SMILE ATTRACTIVENESS

Introduction: Shade selection is a crucial step in providing patients with a cosmetic restoration that blends in seamlessly with their dentition. Natural teeth are known to possess different shades. Many factors affect the color of natural teeth. One of the most critical variables and most often ignored is light. Another aspect that can affect the colors of natural teeth is the color imparted by different skin complexions. The objective of this study was to determine if skin tone and tooth color had the same inuence on smile attractiveness. Materials And Methods: A photograph of a woman's smile was digitally modied to obtain 16 images. Using the MAC color code as a reference, the skin tone was changed to four different tones (NW25: light, NC42:light medium, NW43:medium dark, NW50:dark), and the tooth shade was changed to four different tones (A1, A2, A3, A4) using the VITAPAN Classical shade guide. A total of 94 people completed a Google form questionnaire in which they scored each picture on the Visual Analog Scale for attractiveness. Results: Images NW25A1 and NW43A4 obtained the highest and lowest visual analog scale values, respectively. Conclusion: The overall results suggest that, regardless of the skin color, a lighter tooth shade has a major impact on smile attractiveness.

A meta-analysis of ozone effect on tooth bleaching

This systematic review assessed the effectiveness of ozone (O3) in the color change of in-office tooth bleaching in vital teeth (TB) and the sensitivity control. Only randomized controlled clinical trials were included. Seven databases were used as primary search sources, and three additional sources were searched to capture the "grey literature" partially. The JBI tool was used to assess the risk of bias. TB was assessed using the ΔELab color change metric comparing tooth color pre- and post-bleaching. We meta-analyzed the ΔELab estimates per method and calculated the absolute standardized mean difference using random-effect models. The GRADE approach assessed the certainty of the evidence. The ΔELab estimates ranged from 1.28 when the O3 was used alone to 6.93 when combined with hydrogen peroxide (HP). Two studies compared O3 and HP alone, but their TB was similar (SMD = − 0.02; 95%CI: − 0.54; 0.49). The bleaching effectiveness for the combination of O3 + HP compared to HP was similar (SMD = 0.38; 95%CI: − 0.04; 0.81). Thus, based on the available literature, our findings suggest that O3 is not superior to the conventional technique using HP on the change of tooth color. The O3 did not present sensitivity when used alone. When O3 was used in combination with HP, patients reported hypersensitivity only when O3 was applied before HP, i.e., no sensitivity was perceived when O3 was applied after HP.