1,721,132 research outputs found
Evaluation of DMFT in paediatric patients with social vulnerability conditions
AIM:
The aim of this study was to analyse the dmft/DMFT index in paediatric patients belonging to families with low income, in conditions of social vulnerability and absolute poverty and to compare it with a control group with a good socioeconomic status.
MATERIALSN AND METHODS:
The study analysed a total sample of 160 patients with average age of 8.6±2.5. The sample was divided into two groups based on the Equivalent Economic Situation Indicator (ISEE). Group 1 consists of 80 patients with an ISEE value less than €6.000 and was examined at the "Solidarietà Vincenziana" Dental Centre - Rome (Italy), which is a centre dedicated to people with minimum income, destitute, elderly without resources, immigrant children; Group 2 consists of 80 patients with an ISEE value of more than €20.000 and was examined at the Pediatric Dentistry Unit, University of Rome Tor Vergata.
STATISTICS:
Statistical analysis was performed using SPSS for Windows version 21 (IBM SPSS Inc., Chicago, IL, USA). The statistical analysis included a descriptive evaluation of the results in a bivariate analysis. The association between the presence of caries and the background variables was evaluated with the chi-squared association or Fisher test. The minimum level of significance was fixed at P-value?0.05.
RESULTS:
Analysing the number of caries-free subjects and subjects with caries in reference to the age group between 5 and 12 years and the ISEE value, without distinction of sex, there is a statistically significant difference between Group 1 and Group 2, both in relation to the dmft (p=0.038, Chi-squared Test=4.28) and to the DMFT (p=0.001, Chi-squared Test=19.23). Subjects aged between 5 and 12 years had an average DMFT of 1.88 ± 0.83 (Group 1) and 0.95 ±0.54 (Group 2).
CONCLUSIONS:
The study highlights a positive relationship between ISEE value, of poor socio-economic situations (condition of absolute poverty, low economic income) and increase in the DMFT index. The oral health status is an indicator of poverty. For this reason it would be advisable to plan early preventive interventions, providing the possibility of appropriate and effective access for children in economic and social needs, whose quality of life can be further negatively affected by oral diseases
Comparison of single tooth anaesthesia by computer-controlled local anaesthetic delivery system (C-CLADS) with a supraperiosteal traditional syringe injection in paediatric dentistry
Indice di carie, somministrazione di fluoro per via sistemica e igiene orale. Analisi statistica in un campione di soggetti pediatrici.
The physical-mechanical properties and biocompatibility of BiodentineTM: A review
Aim Biodentine is a calcium-silicate based material that has been studied in recent years for a wide range of clinical applications in both Endodontics (pulp capping, pulpotomy, apexification, retrograde root end filling, repairing of root perforations and resorptions) and in Restorative Dentistry as a dentin substitute. The aim of this study was to review the physical-mechanical properties (porosity, setting time, compressive strength, bond strength/push-out bond strength, sealing ability, marginal adaptation, radiopacity, solubility, color stability) and biological properties (antimicrobial activity, biocompatibility, bioactivity) of Biodentine (TM) (BD).Materials and methods BD has been analysed in its various physico-chemical aspects and mechanical and biological properties.Results Regarding biocompatibility, bioactivity, antibacterial properties, versatility, stability, sealing properties, compressive and flexural strength, BD fulfils the requirements. Its relatively easy handling, low cost and faster setting are the major advantages of this material when compared to previous calcium silicate cements.Conclusion Clinical studies of long term efficiency and high evidence are still lacking. BD has great potential to revolutionise the management in Restorative Dentistry and Endodontics, but also in Paediatric Dentistry, both for primary and permanent dentition
Caries index, systemic fluoride supplementation and oral hygiene: Statistical analysis in a sample of pediatric subjects.
Aim This study is a statistical retrospective analysis on the correlation between intake
of systemic fluoride, oral hygiene conditions and frequency of dental caries in primary and permanent dentitions in a sample of pediatric subjects. The aim of our study was
to evaluate in a sample of patients how the caries index (dmft and DMFT) could vary according to the assumption of systemic fluoride supplements, the oral hygiene condition (measured with the Oral Hygiene Index - OHI-S) and the age of the first pediatric dentistry visit.
Materials and methods The study is based on the analysis of a sample of 1000 subjects (500 males and 500 females), aged between 3 and 14 years old (mean 9.3) conducted in the division of Pediatric Dentistry at the University of Rome Tor Vergata.
Results Caries frequency in primary teeth is not significantly influenced by patient gender, fluoride intake and duration of fluoride intake; it is significantly influenced by the age of the first pediatric dentistry visit (p<0.001) and Oral Hygiene Index (p<0.001). Caries frequency in permanent teeth is not significantly influenced by patient gender (p>0.1), duration of fluoride intake (p>0.1), it is significantly influenced by age of the first pediatric dentistry visit (p<0.001) and Oral Hygiene Index (p<0.001). We found a positive correlation between number of deciduous teeth decayed and permanent teeth decayed (p<0.0001). Conclusion This study does not support the hypothesis that systemic fluoride intake may reduce the prevalence of caries in deciduous and permanent teeth. A high Oral Hygiene Index and early age of the first pediatric dental examination seem to have a positive effect on reducing the prevalence of tooth decay
Decision making in periodontal plastic surgery
Preserving periodontal soft tissues (ST) is crucial to ensure long-term stability
of dental health. Gingival recession (GR) can lead to both functional and
aesthetic challenges, often necessitating surgical solutions. Techniques such
as the coronally advanced flap (CAF), either alone or combined with grafts, have
been documented as practical approaches. However, a significant drawback of
autogenous grafts is the harvesting process, which extends the healing time at
the donor site and increases patient discomfort. This study aims to evaluate the
most reliable methods for addressing graft rejection (GR) using cellular allografts
(CAF) along with a novel xenogeneic acellular dermal matrix (xeno-ADM),
providing insight and guidance for clinicians in their decision-making process.
A literature review was conducted from March to June 2020, using PubMed, the
Cochrane Library, and manual searches of key journals, including the Journal of
Periodontology, International Journal of Periodontics and Restorative Dentistry,
Journal of Clinical Periodontology, and Journal of Periodontal Research. The
investigation explored GR classification systems, surgical flap designs for root
coverage procedures (RCP), and the graft types used in these interventions. All
reviewed RCP techniques demonstrated reductions in recession depth (RD) and
gains in clinical attachment level (CAL), making them viable for clinical use. Both
CAF and tunnelling techniques are skill-intensive and require practice to achieve
full root coverage. Xeno-ADM (NovoMatrix) emerges as a promising substitute
for subepithelial connective tissue grafts (SCTG), offering ease of use, unlimited
availability, reduced postoperative morbidity, rapid vascularization, and excellent
tissue integration. However, additional research is warranted to assess its longterm
stability at least one year after surgery
- …
