Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is characterized by variable clinical features, different durations, and several previously unheard-of late complications. Knowledge about this infection is constantly evolving.The aim of the study is to present selected cases of the most common symptoms of long COVID in the oral cavity.Among the 1,256 studied patients, 32% of them had discoloration, ulceration, and hemorrhagic changes on the oral mucosa, 29.69% had mycosis located on the tongue, 25.79% of patients had aphthous-like lesions on the hard palate, and in 12.5% atrophic cheilitis was observed. During the anamnesis, approximately 60% of patients reported salivary secretory disorders in the initial period of infection, which is 6.68% prolonged up to 4 months after systemic symptoms disappeared. In an extreme case, an aphthous-like lesion was located on the hard palate, which persisted for 6 months. Approximately 36% of patients did not agree to the proposed treatment. As a result, they only received recommendations on the use of oral hygiene products and received weekly check-ups. In this group of patients, most pathological changes spontaneously cleared after 3 weeks. The elderly with coexisting diseases, persons with a more severe SARS-CoV-2, and hospitalized patients had more extensive and severe lesions in the oral cavity that persisted for a long time after infection.In patients after the SARS-CoV-2 infection and suspected of this infection, a detailed intraoral examination should be performed, and the patient must be obligatorily monitored for a minimum period of 6 months. Depending on the patient's clinical condition, changes in the oral cavity require observation, basic or specialist treatment. In the case of changes in the cavity without pain symptoms, observation should be made for approximately 4 weeks and wait for the spontaneous regression of the changes. However, when pain occurs, a good solution is to use laser biostimulation. In the case of complex pathological changes occurring in the oral cavity, the patient should be directed for specialist treatment.

This study was conducted to test possibilities of application of 3D printed dental models (DMs) in terms of their accuracy and physical properties. In this work, stone models of mandibles were cast from alginate impressions of 10 patients and scanned in order to obtain 3D printed acrylic replicas. The diagnostic value was tested as matching of model scans on three levels: peak of cusps, occlusal surface, and all teeth surfaces. The mechanical properties of acrylic and stone samples, specifically the impact strength, shore D hardness, and flexural and compressive strength were investigated according to ISO standards. The matching of models’ surfaces was the highest on the level of peaks of cusps (average lack of deviations, 0.21 mm) and the lowest on the level of all teeth surfaces (average lack of deviations, 0.64 mm). Acrylic samples subjected to mechanical testing, as expected, showed higher mechanical properties as compared to the specimens made of dental stone. In the present study we demonstrated that 3D printed acrylic models could be ideal representatives in the case of use as a diagnostic tool and as a part of medical records. The acrylic samples exhibited not only higher mechanical properties, but also showed better accuracy comparing to dental stone.

Numerous types of prosthodontics surgical guides, with and without metallic sleeves, have been found to be useful in clinical studies. The aim of this in vitro research was to compare the time required to complete the surgical procedure with two differently designed surgical prosthetic templates. Ten identical prototype models of mandible based on a CBCT and optical scan of a partially edentulous patient with missing teeth numbers 37, 46, and 47 were prepared and then printed. Five of these models were used for implant site preparation with a surgical guide without metal sleeves and dedicated surgical kit, and the other five models were used for the same procedure performed with a surgical guide with metal sleeves and a dedicated surgical kit. The time of implant site preparation was measured and recorded. Statistical analysis was performed using Student’s t-test for independent samples. Differences between groups were found to be statistically significant (t = −9.94; df = 28; p = 0.0000) with a lower value in favor of the surgical templates without metallic sleeves. Different types of prosthodontics surgical guides, with or without metallic sleeves, seemed to be an important factor which can significantly impact the time of implant site preparation and, therefore, the overall surgical procedure.

Repeatability and precision are major factors which have an influence on final implant treatment results. The aim of this study was to evaluate the repeatability of freehand implant procedures assisted with special plastic sleeves which are placed on the drill to guarantee the proper mesiodistal distance from the landmark’s surface. Patient data required for implant treatment, including images of mandibles from CBCT scans and virtual models of soft tissues and teeth, were used to prepare complete virtual models of patient clinical conditions. The models were saved as STL files and 3D printed in five copies. Drilling procedures were done at positions 37, 46 and 47. Each model was scanned with pins in the osteotomies and compared using digital aligning of the models’ surfaces. The average deviation was −1.38 ± 1.4 mm. Average deviations on guide pins placed at position 37 were −0.46 ± 0.59 mm, at position 46 were −1.46 ± 0.88 mm (landmark’s surface of both: distal tooth’s surface), and at position 47 were the highest: −2.69 ± 1.62 mm (landmark’s surface: surface of plastic sleeve). The following conclusion was drawn: Using universal plastic sleeves could improve implant procedure precision especially in the case of partially edentulous patients.

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ObjectiveTo examine the prophylactic potential of 3 orthodontic bonding adhesives: Fuji Ortho SC, Illuminate, and Resilience.MethodsThirty-six Wistar Wag rats were randomly divided into 4 groups consisting of 9 rats each. One of the groups received no treatment and was used as a control. In the other groups, individual bands coated with one of the 3 adhesives were cemented to the lower incisors. Enamel samples were obtained after 6 and 12 weeks and analyzed using scanning electron microscopy in combination with energy dispersive spectrometry.ResultsSix weeks after band cementation, no fluoride was found in the enamel of the lower incisors. After 12 weeks, there was no fluoride in the enamel of teeth coated with the Resilience composite. However, in the case of the Illuminate composite and the resin-modified glass ionomer Fuji Ortho SC cement, the depth of fluoride penetration reached 2 µm and 4.8 - 5.7 µm, respectively.ConclusionsFluoride ions from orthodontic adhesives can be incorporated into the surface layer of the enamel. Orthodontists may apply orthodontic adhesives, such as the Fuji Ortho SC, to reduce the occurrence of caries during orthodontic treatment with fixed appliances.

Si³a oecinaj¹ca zrywaj¹ca po³¹czenie wybranych polimerów ze szkliwem zêba mlecznego po ekspozycji na ozon Streszczenie -W warunkach dooewiadczalnych porównano wielkooeci si³y oecinaj¹cej, zrywaj¹cej po³¹czenie ze szkliwem zêba, poddanego lub niepoddanego ozonowaniu, polimerowych materia-³ów ³¹cz¹cych (XP Bond i Xeno III), zastosowanych z polimerem wype³niaj¹cym Dyract Extra. W badaniu wykorzystano 90 zêbów trzonowych mlecznych. Po oczyszczeniu powierzchni szkliwa 60 próbek poddano dzia³aniu ozonu (w tym 30 pokryto oerodkiem stymuluj¹cym remineralizacjê, uwalniaj¹cym jony F -), a wybrane polimerowe materia³y ³¹cz¹ce zastosowano zgodnie z instrukcj¹ producenta. Nastêpnie, na tak przygotowan¹ powierzchniê zêba nak³adano polimer wype³niaj¹cy Dyract Extra. Zmierzon¹ si³ê oecinaj¹c¹ przeliczono na powierzchniê kontaktu materia³u polimerowego ze szkliwem wyznaczaj¹c wartooeae si³y adhezji dla ka¿dej próbki. Zaobserwowano, ¿e ozonowanie szkliwa zêba mlecznego mo¿e w znacznym stopniu zwiêkszyae si³ê wi¹zania polimerów do jego powierzchni, natomiast zastosowanie po ozonowaniu oerodka stymuluj¹cego remineralizacjê zmniejsza wartooeae tej si³y. S³owa kluczowe: adhezja, polimery ³¹cz¹ce i wype³niaj¹ce, szkliwo zêba, ozon. SHEARING FORCE BREAKING THE CONNECTION OF SELECTED POLYMERS WITH DECI-DUOUS TOOTH ENAMEL AFTER THE EXPOSURE TO OZONESummary -The aim of this experimental examination was to compare the values of shearing force, which breaks the connection between polymer bonding agents (XP Bond and Xeno III), used with restorative polymer Dyract Extra, and enamel, after and without enamel's exposure to ozone. Ninety deciduous molars extracted for orthodontic reasons were used in the study. After cleaning the enamel surface, sixty samples were subjected to ozone treatment (among them thirty teeth were covered with a remineralisation agent releasing F -) (Fig. 1-3) and selected polymeric bonding agents were used according to the manufacturer's instructions (Table 1). Prepared in this way, enamel was covered with Dyract Extra polymeric restorative material. The measured shearing force was calculated per contact surface of the material and enamel. As a result the value of adhesive strength was calculated for every sample. It was observed that ozonating the deciduous tooth's enamel can significantly increase the adhesion of polymers to its surface, whereas the application of a remineralisation agent after the ozonating decreases the value of the adhesive strength (Table 2).