Nanodentistry is an emerging field of nanotechnology in order to improvement dental treatment, care and prevention of oral diseases.
Introduction: Enamel subsurface lesions or white spot lesions (WSLs) are commonly found in orthodontic patients with a prevalence of 5% to 97%. Aim: This systematic review aimed to evaluate the efficacy of casein phosphopeptide amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide amorphous calcium phosphate fluoride (CPP-ACPF) for prevention and remineralization of WSLs in orthodontic patients in human randomized controlled clinical trials (RCTs). Methods: Relevant articles were retrieved by searching the Web of Science, Scopus, PubMed, and Cochrane Library databases up to November 2018 with no language or date restriction. The collected data included examination method, groups included in each study with number of patients in each group, study design, follow-up period and summary of important findings of each study. The risk of bias of each study was assessed according to the guidelines of the Cochrane Collaboration's tool. Results: Of 213 articles retrieved, 13 RCTs were included in this systematic review (none of them were included in the meta-analysis). Three articles showed superior efficacy of CPP-ACP for remineralization of WSLs while four studies reported the superior clinical efficacy of CPP-ACPF for this purpose. Conclusion: Both CPP-ACP and CPP-ACPF can decrease the prevalence and increase the remineralization of WSLs during/after orthodontic treatment.
Interleukin-6 (IL-6) is a cytokine that contributes to the pathogenesis of oral lichen planus (OLP). The aim of this meta-analysis study is the evaluation of IL-6 levels in the serum and saliva of patients with OLP compared with healthy controls. We searched the studies in 5 databases: PubMed/Medline, Scopus, ScienceDirect, Web of Science, and Cochrane Library, from 1983 to Oct 31, 2016. Eleven studies were analysed for the meta-analysis study. The reviewers independently evaluated the quality of each included study using the Newcastle-Ottawa Quality Assessment Scale (NOS). A random-effects meta-analysis, using Comprehensive Meta-Analysis software version 2.0, was used to reflect the variation in studies. Heterogeneity between estimates was evaluated by the Q and I2 statistics and for the Q statistic; heterogeneity was considered for p < 0.1. Eleven studies included 529 OLP patients and 333 healthy controls. The review identified two different biomaterials used for IL-6 assays: saliva and serum. The mean quality score of eleven studies was 7 (high quality). Estimates pooled from 6 studies showed significant high saliva IL-6 levels in OLP patients compared with healthy controls (the standardised difference in means (SDM) = 4.534, 95% CI = 1.915-7.153, p = 0.001). Also, estimates pooled from 7 studies showed significantly high serum IL-6 levels in OLP patients compared with healthy controls (SDM = 1.482, 95% CI = 0.524-2.439, p = 0.002). The higher levels of IL-6 in saliva compared with serum suggest that measurement of this marker in saliva may be more useful than serum for diagnostic and therapeutic aims.
Background: Learning style is a factor influencing academic achievement. There are contradictory results in studies on the relationship between learning styles and academic achievement. The current study aimed at investigating the relationship between learning styles and academic achievement in dental students. Methods: In the current descriptive-analytical study, 184 dental students were selected by simple random sampling. The VARK questionnaire was used as the data collection tool. The grade point average (GPA) of previous semester was used as an indicator of academic achievement, and accordingly, students were divided into two groups of strong (GPA ≥15) and weak (GPA ≤14.99). Results: The most common learning styles in strong students were unimodal (n = 55, 42%) and bimodal (n = 41, 31.3%), while they were unimodal (n = 28, 47.2%) and bimodal (n = 24, 45.3%) in the weak students. There was no significant relationship between learning styles and academic achievement in the two groups of strong and weak students. Conclusion: No significant relationship was found between learning style and academic achievement. Further studies with larger sample sizes are recommended. Further studies with larger sample sizes are recommended.
Background:Due to increasing demands for a full mouth implant reconstructions and the fact that the most failures are associated with biomechanical complications, determining the effect of different occlusal patterns on these complications seems inevitable. The aim of this study is to compare affection of different occlusal designs in full mouth implant reconstructed patients on electromyographic activity of temporal and masseter muscles compared to natural dentition.Methods:Thirty-two patients were included in this study, considering that 16 patients had natural dentition and the other 16 were full mouth implant reconstruction patients. In both groups, the participants were divided into two subgroups: 8 patients had canine guidance occlusal pattern and the other eight had a group function occlusal pattern. Muscle contractions were studied during both maximum intercuspation and lateral excursions to the point of intercanine contact using an electromyography device.Results:The average percentages of masseter muscle contraction in lateral excursions relative to maximum intercuspation were as follows: 72.20% in full mouth implant reconstruction patients with group function occlusion 69.49% in natural dentition with group function occlusion 58.85% in full mouth implant reconstruction patients with canine guidance occlusion 30.91% in natural dentition with canine guidance occlusion. The average percentages of temporal muscle contraction in lateral excursions relative to maximum intercuspation were as follows: 70.87% in full mouth implant reconstruction patients with group function occlusion 78.57% in natural dentition with group function occlusion 51.99% in full mouth implant reconstruction patients with canine guidance occlusion 31.55% in natural dentition with canine guidance occlusion.Conclusion:A canine guidance occlusal pattern in both, natural dentition and full mouth implant-supported FDP, patients resulted in decreased muscle contraction. This decreasing is more significant in natural dentition and it is better to establish a canine guided occlusion in a full mouth reconstruction patient.
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