Background and Objectives: There is evidence that melatonin could improve the periodontal status and also glycemic control of patients with diabetes mellitus. Therefore, the aim of this study was to assess the effects of scaling and root planing plus adjunctive systemic treatment with melatonin on periodontal parameters and glycemic control in patients with type 2 diabetes and chronic periodontitis. Materials and Methods: The study was conducted on 54 subjects with periodontitis and diabetes mellitus randomly assigned to the study group (n = 27, subjects with scaling and root planing + melatonin) or control group (n = 27, subjects with scaling and root planing + placebo). Periodontal parameters (probing depth—PD; clinical attachment loss—CAL; bleeding on probing—BOP; and hygiene level) and glycated hemoglobin (HbA1c) were assessed at baseline and 8 weeks after. Results: At baseline, there were no significant differences between groups, but at the second evaluation 8 weeks later the association of melatonin with the non-surgical periodontal therapy exerted statistically significant improvements, both in periodontal parameters, with a significant decrease in periodontal disease severity, and glycated hemoglobin when compared to the control subjects. Conclusions: In our study, combined non-surgical periodontal treatment and systemic treatment with melatonin provided additional improvements to severe periodontal condition and the glycemic control of patients with diabetes type 2 when compared to non-surgical periodontal treatment alone.

Fixed prosthodontic dental restorations can potentially affect the periodontal tissues and vice versa, the periodontium can influence the longevity and esthetic appearance of dental restorations. We proposed an investigation on total bacterial load, specific periodontal pathogens, and periodontal clinical parameters in patients with dental fixed prosthesis and different degrees of periodontal tissue loss that followed photoactivation therapy (PDT) adjunctive to scaling and root planing. The study was conducted on 160 subjects, which were randomly assigned to scaling and root planing (SRP) alone (52 subjects, 256 sites), SRP and chlorhexidine rinsing (58 subjects, 276 sites), and SRP plus PDT (50 subjects, 318 sites). Periodontal parameters (plaque index, bleeding on probing, probing depth, and clinical attachment loss), followed by total bacterial load and specific periodontal pathogens (Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola) were examined in each patient at baseline, one and six months after. PDT exerted significant improvements both in clinical and microbiological load after one month, and these results were maintained 6 months after when compared to chlorhexidine rinsing or SRP alone, especially in severe periodontitis cases. Photoactivation therapy as an adjunctive periodontal therapeutic method was efficient in offering supplementary periodontal improvements in the clinical and microbiological parameters of patients with fixed dental prosthesis, particularly in severe periodontitis cases.

Orthodontic treatment in patients with no periodontal tissue breakdown vs. horizontal bone loss should be approached with caution even though it can bring significant benefits in terms of periodontal recovery and long-term success. We used the finite element method (FEM) to simulate various clinical scenarios regarding the periodontal involvement: healthy with no horizontal bone loss, moderate periodontal damage (33%) and severe horizontal bone loss (66%). Afterwards, forces of different magnitudes (0.25 N, 1 N, 3 N, and 5 N) were applied in order to observe the behavioral patterns. Through mathematical modeling, we recorded the maximum equivalent stresses (σ ech), the stresses on the direction of force application (σ c) and the displacements produced (f) in the whole tooth–periodontal ligament–alveolar bone complex with various degrees of periodontal damage. The magnitude of lingualization forces in the lower anterior teeth influences primarily the values of equivalent tension, then those of the tensions in the direction in which the force is applied, and lastly those of the displacement of the lower central incisor. However, in the case of the lower lateral incisor, it influences primarily the values of the tensions in the direction in which the force is applied, then those of equivalent tensions, and lastly those of displacement. Anatomical particularities should also be considered since they may contribute to increased periodontal risk in case of lingualization of the LLI compared to that of the LCI, with a potential emergence of the “wedge effect”. To minimize periodontal hazards, the orthodontic force applied on anterior teeth with affected periodontium should not exceed 1 N.

The load-bearing capacity and fracture pattern of direct inlay-retained FRC FDPs with two different cross-sectional designs of the ponticwere tested. The aim of the study was to evaluate a new fibre disposition. Two types of composites, Filtek Bulk Fill Posterior Restorative and Filtek Z250 (3M/ESPE, St. Paul, MN, USA), and one braided polyethylene fibre, Construct (Kerr, USA) were used. The results of the study suggested that the new tested disposition of the fibres prevented in some extend the delamination of the composite on buccal and facial sides of the pontic and increased the load-bearing capacity of the bridges.

The COVID-19 pandemic has forced the transfer of traditional on-site educational activities to the online environment. This study aimed to evaluate the perception and acceptance of remote learning among fixed prosthodontic students attending the Faculty of Dental Medicine of “Grigore T. Popa” University of Medicine and Pharmacy in Iasi, Romania, and to analyze the feedback regarding their experience with the new online methods, the perceived quality thereof and suggestions for improvement. An observational cross-sectional, online study based on 22 questions was conducted with 259 students. The general opinion of online education was good or very good (40.15%); regarding its efficiency, 28.57% found it efficient while 34.36% found it inefficient or very inefficient; regarding the pleasure of learning online, 45.95% of students enjoyed online learning, while 36.64% did not enjoy it. The problem that was most cited by respondents was that of keeping all students motivated and involved (65.6%). Sixty-two percent of the respondents believe that online dental education should not exist, or just to a small extent, a result justified by the practical nature of the profession. The general opinion was that health risks should be managed and mitigated by using a hybrid system that would allow students to do on-site clinical training with direct contact with patients.

The mechanical response of an isolated muscle to an excitant is not accompanied by any oxygen consumption increase; the additional amount of oxygen is not consumed as long as contraction and relaxation have not occurred. Thus, there are two contraction phases, an anaerobic (anoxidative) phase and an aerobic (oxidative) or recovery phase, during which the muscle resumes its previous stage. When the muscle is repeatedly excited in a nitrogen atmosphere, it strongly contracts at the beginning, but it gets quickly exhausted, since between contractions it cannot get the necessary oxygen for its recovery. Lactic acid gathers in the muscle, which becomes stiff. If it gets oxygen at the beginning of its fatigue, the lactic acid disappears and the muscle recovers its initial contraction strength. The lactic acid concentration at which complete skeletal muscle fatigue sets in (i.e. the lactic acid peak) ranges between 0.3 and 06%. In order to release the energy it needs for its contraction, the muscle does not depend on immediate oxidative processes. It continues to contract for a certain amount of time even when it is completely deprived of oxygen.

Inflammation is an elaborate reflex response of the body to the action of harmful agents. This reaction manifests itself in the form of functional and structural changes of vascular tissues. The inflammatory response is the result of the human evolutionary process. It has three main stages, which are closely related to each other and evolve simultaneously: tissue dystrophy (alteration); impairment of blood circulation (transudation of fluid and migration of leukocytes) and multiplication of cellular elements (proliferation). These phenomena express both a disturbance of biological activity in body tissues and the defense mechanisms to restore the damaged areas. There are two interrelated processes which are often inseparable from each other in the inflammatory response. First, there is the pathological process itself, the tissue damage in form of dystrophy, necrobiosis or necrosis. Second, there is the physiological mechanism of defense, the process of recovery or the physiological response against the disease, manifested as exudation, phagocytosis and proliferation. Simultaneity of both processes is characteristic to inflammatory processes.

Biodegradable metallic materials represent a new class of biocompatible materials for medical applications based on numerous advantages. Among them, those based on zinc have a rate of degradation close to the healing period required by many clinical problems, which makes them more suitable than those based on magnesium or iron. The poor mechanical properties of Zn could be significantly improved by the addition of Mg and Y. In this research, we analyze the electro-chemical and mechanical behavior of a new alloy based on Zn3Mg0.7Y compared with pure Zn and Zn3Mg materials. Microstructure and chemical composition were investigated by electron microscopy and energy dispersive spectroscopy. The electrochemical corrosion was analyzed by linear polarization (LP), cyclic polarization (CP) and electrochemical impedance spectroscopy (EIS). For hardness and scratch resistance, a microhardness tester and a scratch module were used. Findings revealed that the mechanical properties of Zn improved through the addition of Mg and Y. Zn, Zn-Mg and Zn-Mg-Y alloys in this study showed highly active behavior in SBF with uniform corrosion. Zinc metals and their alloys with magnesium and yttrium showed a moderate degradation rate and can be considered as promising biodegradable materials for orthopedic application.