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Language Journal of Clinical and Experimental Dentistry. 2009. Vol. 1, no. 1
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- Comparison of the remineralizing effect of a sodium fluoride mouthrinse versus a sodium monofluorophosphate and calcium mouthrinse: an in vitro study(2009) Puig i Silla, Miriam; Montiel Company, José María; Almerich Silla, José ManuelObjectives The aim of this in vitro study was to compare the remineralizing effect of three rinses: (A) 0.17% sodium monofluorphosphate and 0.05% calcium glycerophosphate (220 ppm fluoride), (B) 0.05% sodium fluoride (220 ppm fluoride) and (C) control mouthrinse (without fluoride or calcium). Method and Materials Demineralized areas were created in 90 pieces of bovine enamel by submerging them in an acid solution (pH 4.4) for 48 hours. Part of the surface was painted with nail varnish to preserve the demineralized area and the specimens were assigned at random to three groups. The specimens were stored in artificial saliva at pH 7 and 37ºC for 30 days. Twice daily they were immersed for 60 seconds in the respective mouthrinse. Following the experimental period, the specimens were bisected and examined by scanning electron microscopy. Results The mean percentage of remineralization produced by the mouthrinses was as follows: (A) 54.08 (95% CI 46.37- 61.78), (B) 38.43 (95% CI 30.89-45.98) and (C) 30.18 (95% CI 25.56-34.80). The differences between the three groups were statistically significant. Conclusion The results show that the fluoride and calcium mouthrinse has a significantly greater remineralizing capacity than the fluoride mouthrinse with the same fluoride ion concentration under the in vitro conditions of this study.
- Bone resorption processes in patients wearing overdentures: a 6-years retrospective study(2009) López Roldán, Andrés; Santolaya Abad, Diego; Gregori Bertomeu, Isabel; Gómez Castillo, Emma; Selva Otaolaurruchi, Eduardo J.Objectives: 1. – To measure the alveolar resorption processes that occur in patients wearing mandibular overdentures on 2 implants and fully-removable maxillary dentures, and to evaluate the same process on patients wearing fully- removable dentures on both arches. 2.- To verify whether Kelly’s Combination Syndrome occurs in the group of patients wearing overdentures. Method and Material: Forty patients were evaluated, of which a “cases” group was formed by 25 patients wearing mandibular overdentures on 2 lower jaw implants and fully-removable dentures on the opposite arch. The other 15 patients formed a control group that wore fully-removable dentures on both arches. Each one of the patients underwent orthopantograms from the moment the dentures were inserted until an average of 6 years later, which were assessed based on the Xie et al. method to estimate vertical bone loss. Once the data was collected, it was subjected to statistical analysis. Results: In terms of the maxillary midline, we observed a greater loss in patients wearing overdentures, which was statistically significant, as it registered 0.32 mm/year. Mandibular bone loss was 2.5 times less in patients in the cases group. The rest of the clinical criteria for Kelly’s Combination Syndrome were not observed. Conclusions: Kelly’s Combination Syndrome did not occur in the patients in the cases group. In spite of the greater bone loss on a premaxillary level in this group, the placing of the overdenture on the implants significantly reduced mandibular bone resorption.
- Curing effectiveness of resin composites at different exposure times using LED and halogen units(2009) Ceballos, Laura; Fuentes, María V.; Tafalla Pastor, Héctor; Martínez, Álvaro; Flores, Josefa; Rodríguez, JesúsObjective: To compare the polymerization effectiveness of two resin composites cured with a quartz tungsten halogen (QTH) lamp or a light emitting diodes (LED) unit. Study design: Filtek Z250 (3M ESPE) and Spectrum TPH (Dentsply DeTrey) resin composites were placed in 9 mm deep and 4 mm wide metallic molds and cured using the QTH light Hilux 200 (Benlioglu) or the LED unit Smartlite IQ (Dentsply DeTrey) for 20 or 40 s (three specimens per group). Measurement of depth of cure was carried out by means of a scraping technique, according to ISO 4049. The microhardness measurements were performed using a calibrated Vickers indenter (100 g load, 30 s) at depths of 0.5, 1.5, 2.5, 3.5, 4.5 and 5.5 mm from the top of the composite in the same specimens. Results were analyzed by ANOVA, Student ́s t and Student-Newman-Keuls tests (p<0.05). Results: Filtek Z250 exhibited higher depth of cure and Vickers microhardness values than Spectrum TPH under each experimental condition evaluated. Depth of cure and microhardness were not affected by the curing light used. However, hardness values were influenced by the interaction between curing light and exposure time. Specimens irradiated for 20 s exhibited higher microhardness values when the LED curing light was used. Exposure time had no influence on the microhardness values for depths from 0.5 to 2.5 mm. At higher depths, irradiation for 40 s produced greater microhardness values. Conclusions: Curing effectiveness of resin composite is not only dependent on the curing light unit. Results vary greatly with composite brand, thickness of the resin composite and the duration of the exposure.
- Dental fluorosis: exposure, prevention and management(2009) Abanto, Jenny; Rezende, Karla Mayra P. C.; Salazar Marocho, Susana María; Bucholdz Teixeira Alves, Fabiana; Celiberti, Paula; Ciamponi, Ana L.Dental fluorosis is a developmental disturbance of dental enamel, caused by successive exposures to high concentrations of fluoride during tooth development, leading to enamel with lower mineral content and increased porosity. The severity of dental fluorosis depends on when and for how long the overexposure to fluoride occurs, the individual response, weight, degree of physical activity, nutritional factors and bone growth. The risk period for esthetic changes in permanent teeth is between 20 and 30 months of age. The recommended level for daily fluoride intake is 0.05 - 0.07 mg F/Kg/day, which is considered of great help in preventing dental caries, acting in remineralization. A daily intake above this safe level leads to an increased risk of dental fluorosis. Currently recommended procedures for diagnosis of fluorosis should discriminate between symmetrical and asymmetrical and/or discrete patterns of opaque defects. Fluorosis can be prevented by having an adequate knowledge of the fluoride sources, knowing how to manage this issue and therefore, avoid overexposure.
- Modification of the working length after rotary instrumentation: a comparative study of four systems(2009) Martín Micó, Milagros; Forner Navarro, Leopoldo; Almenar García, Amelia del PilarObjective: To determine variation in post-instrumentation working length and root area in the following rotary systems: ProTaper, RaCe, Mtwo and K3. Study design: A sample of 40 resin blocks with double curvature (at 14 and 16 mm) and a 33º angle was used. Working length was verified with a digital measure using a number 10 K file. The specific sequence for each rotary system was followed. The canal was measured between each file, and the variation noted to determine which file showed the greatest variation within a same system and the different systems were compared. 1.5 X pre and post-instrumentation microscopic photographs were taken and measurements of the area were taken with an image analysis programme. Results: The area was found to increase by the following amounts: ProTaper: 21.85 mm²; Mtwo: 20.16 mm²; K3: 17.24 mm² and RaCe: 16.09 mm² The differences in variation of the working length were: ProTaper: 0.81 mm; Mtwo: 1.07 mm; K3: 0.31 mm and RaCe: 0.81 mm Conclusions: The values for the variation in working length are clinically not very significant. All the rotary systems analysed showed a tendency to straighten the canal and eliminate the apical curvature, and the ProTaper system was found to produce the greatest modification to the canal area and structure.
- Validation the Oral Health Impact Profile (OHIP-14sp) for adults in Spain(2009) Montero Martín, Javier; Bravo Pérez, Manuel; Albaladejo Martínez, Alberto; Hernández Martín, Luis Antonio; Rosel Gallardo, EvaObjectives: The oral health-related quality of life indicators are increasingly used to measure the impact of oral conditions on quality of life to complement clinical data in cross-sectional and longitudinal studies. One of the most internationally spread indi- cators is the Oral Health Impact Profile (OHIP-14), but it has still never been applied in Spain. The aim of this study was to validate the OHIP-14 for use among adults in Spain. Study design: A cross-sectional study was performed in Granada (Spain). A consecutive sample (n=270) of the Regional Government staff visiting the Employment Risk Prevention Centre for a routine medical check-up participated in this study. All participants self-completed the piloted OHIP-14sp and were examined according to World Health Organization methodology for caries, periodontal disease and prosthesis. Reliability analyses and validity tests were carried out to evaluate the psychometric properties of the OHIP-14sp by using two different methods of total scoring (i.e. the Additive and the Simple Count). Results: The reliability coefficient (Cronbach ́s alpha) of the OHIP-14sp was above the recommended 0.7 threshold and considered excellent (alpha: 0.89). Some subjective factors (perceived dental treatment need, complaints about mouth and self-rated oral satisfaction) were strongly associated with both total scoring methods of the OHIP-14sp, supporting the criterion, construct and convergent validity. Moreover the impact levels were mainly influenced by caries data, e.g., number of teeth requiring extraction (r = 0.21; p<0.01) and number of decayed visible teeth (between premolars) (r = 0.17; p<0.01). The prevalence of impacts was 80.7% using the occasional or more frequently threshold. The most prevalently affected OHIP domains were “psychological discomfort” (53.7%), “functional limitation” (51.1%) and “physical pain” (42.2%). Conclusions: The OHIP-14sp is a precise, valid and reliable instrument for assessing oral health-related quality of life among adult population in Spain.
