Objectives: The aim of our study was to highlight the advantages of using Cone Beam Computed Tomography in the study of the extent of the alveolar bone loss, compared to the conventional intraoral radiography and to prove the boon of the CBCT scans for establishing the correct periodontal diagnosis. Material and methods: A total of 16 patients with age between 35-55 years old, and a minimum of 8 teeth per dental arcade, presenting peridontal clinical symptomatology were selected. We used a custom periodontal chart that included the measuring of the gingival recession and the pocket depth in 6 points for 16 teeth, 8 maxillary teeth and 8 mandibulary teeth in all cases. For the radiographic evaluation we used CBCT imaging and intraoral radiography. Results: CBCT scans offers the possibilities of measuring with accuracy the alveolar bone loss on mesial, distal vestibular and oral sides. It provides images with the exact position of the bone and also the expediency to assess the correct diagnosis. Retroalveolar radiography offers just a hint of the possible position of the alveaolar bone in all cases the anatomical details were offered by CBCT. Conclusions: A correct periodontal diagnosis using conventional radiography is not possible because of the superimposition of the anatomical structures. The importance of CBCT imaging is no longer disputed, at the present time it is the best radiographic investigation available.
Current data report that high levels of dental anxiety in children have a negative impact on oral health. The aim of this study was to measure dental anxiety, based on the Abeer Children Dental Anxiety Scale (ACDAS) used as a self-reported measure and to correlate its values with the salivary cortisol levels. The study was conducted in 2019 and included 389 children aged 6–9 years old; evaluation of dental anxiety and saliva sampling were performed. The influence of gender on the presence of dental anxiety was analyzed using Fisher’s exact test, the salivary cortisol level was compared between anxious and non-anxious children and was further correlated with the ACDAS score (p < 0.05). Girls had higher odds of experiencing dental anxiety (odds ratio: 1.533, p = 0.041). Salivary cortisol levels were higher in anxious compared to non-anxious children (median 1.251 vs. 1.091 ng/mL, p < 0.001) and showed a positive moderate correlation with the ACDAS score (r = 0.411, p < 0.001). Children aged 6–9 years have a high prevalence of dental anxiety, with girls being more susceptible to this condition. Salivary cortisol levels are higher in anxious children and correlate positively with the ACDAS score, proving that ACDAS can be used for the detection of dental anxiety.
Dental practitioners should be able to evaluate the anxiety in their young patients, as the quality of dental care is negatively affected by this condition. The aim of this review is to present the most used self-report scales available to assess the children’s dental fear or anxiety. We analysed the subjective and objective measures commonly used in the evaluation of children’s anxiety in clinical settings, in order to present the way in which dental anxiety is developed, knowing that these behavioural disturbances are maintained over time and could intensify during adulthood. Based on the evidence that established a correlation between dental anxiety and poor oral health, the early identification of dental anxiety and its prevalence was considered important, in order to reduce its impact and to develop better preventive measures. Furthermore, our findings could inform dentists and epidemiologists about the choice of self-report dental anxiety measures applicable in children.
Aim of our study. To evaluate the difference between sensory detection threshold reactions of teeth under orthodontic treatment with fixed appliances, determined by electrical and thermal pulp testing. Material and methods. After a selection based on inclusion and exclusion criteria, 51 patients with a mean age of 19,3+/- 3,6 years old who presented to the Center for Integrated Dental Medicine of the Faculty of Dental Medicine from Târgu Mureș for orthodontic treatment had been included in this study. The reactions to thermal and electrical pulp testing were measured at baseline, after 8 weeks of treatment and during the contention period. Results. The application of orthodontic force immediately increased the response threshold which peaked after 8 weeks. Conclusions. Based on these results we conclude that dental specialists should interpret with caution the results of electric pulp testing in teeth under orthodontic treatment with fixed appliances as the cold tests with ethyl chloride are more reliable.
Background: Desquamative gingivitis (DG) is a non-plaque-induced, blistering and painful condition occurring most frequently on the labial aspect of the attached gingiva of anterior teeth. The incidence of DG is highest around 50 years of age, and usually indicates the presence of oral or systemic diseases. The purpose of our study was to determine the impact of DG on periodontal health by recording the plaque index, gingival index and gingival bleeding index in a group of patients with DG, compared to healthy controls. Materials and methods: Recordings of specific indices were performed in a group of 26 patients with DG and compared with 24 healthy individuals. These were followed by radiographic examinations in order to assess the loss of marginal alveolar bone. Results: The results showed that patients with DG had a statistically significant increase in periodontal indices, with more gingival inflammation and plaque retention compared to the control group (p <0.05). The highest scores for gingival inflammation were recorded in patients with DG, but on radiographic evaluation the difference was related only to gender, men being more affected by alveolar bone loss in both groups (p <0.05). Conclusions: The incidence and severity of gingival inflammation proved to be higher in patients with DG, which calls for better preventive and maintenance treatment protocols in this group of patients. Early diagnosis and initial-phase periodontal treatment are very important in preventing further tissue breakdown.
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