Journal of Dental Medicine
Year:2017 | Volume:29 | Issue:4 |Papers Count:9

Background and Aims: Despite the reduction of incidence of dental caries in recent years, this disease is common and many efforts were conducted to decrease the prevalence of dental caries. On the other hand secondary caries lesions are the main reason for replacement of direct restorations. Therefore, the aim of the current study was to evaluate suitable methods of preparation and restorative materials to reduce caries recurrence. Materials and Methods: In this experimental study, eighty human teeth were collected and stored in normal saline. The teeth were soft-tissue debrided and cleaned with water/pumice slurry and rubber cups in a low-speed handpiece. Speciments were randomly divided in two main groups. Cavities were prepared with diamond burs or Er: YAG laser (10 Hz, 300 mJ, 3W). Each group was divided into 4 sub-groups, and restored with a glass-ionomer cement (Fuji IX), resin modified glass-ionomer (Fuji II LC), total etch bonding + composite resin or self-etch bonding + composite resin. The specimens were submitted to pH cycling. Speciments were then sectioned, polished and Vickers microhardness measurements were performed on each specimen. Differences among the medians were analyzed using two way ANOVA test at a 95% confidence level and Tukey test. Results: Statistical analysis showed significant difference in the type of substrate (enamel, dentin) in both main groups (P<0. 0001) but no differences in the caries lesion development between the cavities restored with the same material and prepared with diamond burs or Er: YAG laser. Conclusion: The Er: YAG laser used for cavity preparation and different types of restorative materials used did not show the ability to guarantee significantly more acid-resistance tooth structure against demineralization.

Background and Aims: Dental caries is the most common infectious diseases. Among the oral bacteria, Streptococcus mutans and Streptococcus sobrinus are considered as the main causes of tooth decay. The aim of this study was to evaluate the production of hyperimmune bovine colostrum containing specific antibodies against cariogenic bacteria and its antimicrobial effects on the growth and adhesion of Streptococcus mutans and Streptococcus sobrinus in the laboratory. Materials and Methods: In this experimental study, three pregnant bovine immunized with killed antigens of strains of Streptococcus mutans, Streptococcus mutans with Streptococcus Sobrinus and Streptococcus sobrinus through intramuscular injections. After delivery, The colostrum samples were collected, and the changes of antistreptococci antibodies titers in colostrum and serum were determined by agglutination. Also, their antimicrobial effects against the growth and adhesion of oral streptococci were surveyed by the microtiter plate method. Data were analysed by One-Wey ANOVA in SPSS software. Results: The results showed that in hyperimmunized bovine, the antibodies titers against injected bacteria were from 1. 1000 to 1. 3000 in sera samples and from 1. 320 to 1. 1280 in whey of colostrum samples. Colostrum of hyperimmune cows reduced the attachment of Streptococcus mutans and Streptococcus Sobrinus about 69 and 43 percents, respectively and also, the low dilutions of it reduced bacterial growth. Conclusion: According to the antibacterial effect immune colostrum on two strains of cariogenic bacteria in vitro, It appears that this material could be useful in the prevention and control of dental caries.

Background and Aims: Acurate measurements of variables are crucial in epidemiological studies. Therefore, even the best design cannot prevent bugs caused due to the lack of reliability and validity measurement in studies. The aim of this study is to determine the validity of teeth-canal measurement. Materials and Methods: This methodological study used available data of patients referred to dental clinics at Hamadan University of Medical Sciences in Hamadan with sample size or 58 cases in 2012. In order to determine the reliability of measuring the length of canals and introduce the most appropriate measure met of the actual data, Bland-Altman plot and intraclass correlation coefficient (ICC) were used and finally compared. Results: In this study, the mean ± SD of channel length in the apex locator Root ZX were 21. 93 ± 2. 28 mm and in X-ray PA were 22. 4 ± 2. 38 mm. ICC between the length of canals by the apex locator and radiographic in all teeth was 0. 989. Bland-Altman plot showed that absolute agreement between the two methods of measurement. Conclusion: The findings of this study ensure dental professionals that measuring the length of channels by PA method is more practical and easier and prove different approaches of the reliability and validity. However, we recommend using ICC and Bland Altman methods due to their informative nature and consideration of absolute agreement instead of consistency.

Background and Aims: The purpose of this study was to evaluate the relationship between the mandible anatomy with age and gender in panoramic radiography of patients. Materials and Methods: In this descriptive-sectional study, 322 panoramic radiography of patients at the age of 25-55 years old were evaluated. The patients were devided in three groups of 25-34, 35-44, 45-55 years old and the radiomorphometric indexes in panoramic radiography of the patients were measured. The collecting data were analyzed using independent two-sample t-test, one-way anova and multiple linear regression using SPSS statistical software (version 18). Results: The average of radiomorphometric indexes don’ t show a meaningfull statistical defference between different age groups. The average of all angles higher in females than that of males and other measured indexes were higher in males than females. Also, the mandibular foramen moved forward with the increase of age. Conclusion: Based on the result of this study which was done on limited numbers, it can be concluded that the measured radiomorphometric indexes in this study didn’ t have a high accuracy to predict Age and Gender.

Background and Aims: Nowadays, oral cancer is considered one of the most important diseases related to oral health. The objective of the present study was to determine the dental students’ knowledge in Isfahan about oral cancer and the comparison of the level of students' knowledge in different years of education. Materials and Methods: The present study was a cross-sectional-analytical one conducted in 2013. The population of study included the dental students of private and state University of Isfahan which 255 students were randomly selected. The data were collected using questionnaire and were then analyzed using SPSS software program and Kruskal-Wallis and Mann-Whitney. Results: From private and public dental schools in Isfahan, 56% and 44% of dental students were involved. Regarding performing routine clinical oral examination, 81% of the participants answered positively, which showed no significant difference among the years of education of the participants (P=0. 116). Regarding the examination of patients with oral lesions, 46% of them answered positively, which the difference between the years of education was highly significant (P≤ 0. 001). Conclusion: The findings of the research indicated that the level of knowledge of dental students of Isfahan city regarding the detection of oral lesions was not sufficient. Although, the students did not perform common examinations for exploring oral cancer, they did not have sufficient knowledge regarding some of the risk factors and oral lesions related to cancer. Therefore, it is necessary that a comprehensive curriculum be developed in this regard for their education.

Background and Aims: Traumatic dental injuries (TDIs) are of the most common dental problems in children and adolescents, which usually occur in the anterior segment and have a significant role in patient’ s physical and psychological health. Immediate intervention for damaged teeth can elevate the success rate of treatment in TDI. Thus, general dentists’ knowledge and their effective intervention in TDI are important factors in prognosis of traumatized teeth. The objective of this study was to assess the general dentists’ knowledge and awareness regarding the diagnosis and management of traumatic dental injuries. Materials and Methods: In this cross-sectional study, the questionnaire data were collected from 130 general dentists, including the demographic data and general dentists’ knowledge about TDIs. The data were analyzed using the Student t-test and Analysis of Variance (ANOVA), Spearman’ s and Pearson’ s correlation coefficient. Results: The mean score of general dentists’ knowledge was 8. 5± 1. 5 (total score: 10) and it was the same between both males and females (P=0. 083). Dentists’ work place does not have any influence in their knowledge (P=0. 133). Also, there was no statically significant relationship between the age, job experience and dentists’ knowledge (P=0. 805). The relationship between the frequency of TDI managed cases and dentists’ knowledge was not significant (P=0. 507). Conclusion: Considering that the overall knowledge of general dentists regarding the management of TDI was sufficient, it could be a good opportunity in treating these injuries. As TDI is a developing science, it is important to motivate general dentists being up to date regarding this matter.

Geriatric is a growing phenomenon which recently rises so fast. With increasing age, the biological and physiological changes occur in different organs. Socioeconomic situation with emerging multiple diseases, disability and changes in oral status can all affect the quality of life of people. The aim of this study was to overview on aging process and consideration on oral changes in particular. This study was carried out by reviewing different scientific sources from Pub Med, Google scholar and Iranian articles (SID) since 2005 to 2016. Oral condition may be according to the systemic diseases or solely. The changes in the hard tissue and soft tissue occur. Each of these changes is the result of damage due to the people’ s situations which sometimes make it difficult to repair. Nevertheless, rising age in global and in Iran have to be considerd. Periodic visits are important because they reduce the risk of some diseases, including cancers in the mouth. Also, the influence of maintaining the oral and periodontal health conditions not only specifically in oral health but more broadly on some systemic diseases such as heart disease, lung disease, diabetes and etc. are quite important.

Masticatory muscle pain is the second most frequent cause of orofacial pain after dental pain. Myofascial pain dysfunction syndrome (MPDS) is the most common form of temporomandibular joint dysfunction. MPDS is a pain that triggers from [sensitive] points in the muscles and fascia and is followed by spasm, tenderness to palpation, restricted movement, fatigue, and sometimes dysfunction. The researchers intended to collect comprehensive information about therapeutic interventions for myofascial pain through the conduction of a critical study based on evidence in the literature. In this review, 51 English articles, published between 1981 and 2013, were extracted from PubMed, Medline, Ovid, and Google Scholar. These articles were then reviewed in detail in two categories, namely pharmaceutical and non-pharmaceutical treatments. MPDS treatment should be first focused on the identification and correction of underlying causes. Thiocolchicoside (TCC), non-steroidal anti-inflammatory drugs (NSAIDs), and Cox-2 inhibitors are among promising pharmaceutical methods. On the other hand, ultrasound and laser therapy are among promising non-pharmaceutical methods. The complex mechanism of MPDS, along with its underlying peripheral and central nervous mechanisms may make MPDS, difficult to treat, especially in its chronic form.