| 1. |
- Abtahi, Jahan, 1965-, et al.
(author)
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Malignant Transformation of Ossifying Fibroma into Parosteal Osteosarcoma with High-grade Component: Presentation of an Unusual Case and Review of the Literature
- 2018
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In: The Open Dentistry Journal. - : Bentham Open. - 1874-2106. ; 12, s. 1059-1068
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Journal article (peer-reviewed)abstract
- Background: Parosteal Osteosarcoma of the Jaw (POSJ) is a rare entity that is associated with a high survival rate. Several case reports and case series of POSJ have been published in the literature, but few authors have described development of this tumor by possible transformation from a fibro-osseous neoplasm. Objective: We present a rare occurrence of parosteal osteosarcoma with involvement of the posterior maxilla, orbit floor, and infra-temporal fossa in a 20-year-old man. Furthermore, we performed a literature review regarding clinical, radiological, and histological features; treatment strategies; and etiology/pathophysiology. Methods: A PubMed search yielded a total of 74 articles and the articles were sorted according to their corresponding key area of focus. Results: This was a case of POSJ with high-grade component in the maxillofacial region of a 20-year old male. Co-expression of MDM2 and CDK4 was confirmed. At 2.5-year follow-up, the patient had died. The literature review revealed 18 articles including 20 cases of POSJ. Four cases represent the possible development of this tumor by transformation from a fibro-osseous neoplasm: Two cases of fibrous dysplasia, one case of cemento-ossifying fibroma, and the case of Ossifying Fibroma (OF) in the present study. Conclusion: In conclusion, we found an unusual case of POSJ of the midface in a patient with a previous diagnosis of OF in the same region. To our knowledge, there have been no previous reports of development of POSJ in OF. Furthermore, this is the first described case of high-grade surface osteosarcoma in the craniofacial region.
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| 2. |
- Abtahi, Jahan, 1965-, et al.
(author)
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Surgical Management of Granular Cell Tumor of the Orbit : Case Report and Literature Review
- 2019
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In: The Open Dentistry Journal. - Sharjah, United Arab Emirates : Bentham Open. - 1874-2106. ; 13, s. 33-40
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Research review (peer-reviewed)abstract
- Introduction: Granular Cell Tumors (GCTs) of the orbit are rare-entity soft-tissue tumors, and few reports have been published in the literature. The treatment of the choice is total excision. Early diagnosis prior to surgery is valuable for the distinction of malignant from benign tumor.Case presentation: We report a case of a 55-year-old woman with a solitary slow-growing mass in the right orbit with the involvement of the rectus inferior muscle, and present a review of the recent literature. The lesion had a diameter of 1 cm and was noticed 2 years before the examination. Excisional biopsy confirmed the diagnosis of GCT. The tumor was resected through a retroseptal transconjunctival approach. The final histological examination revealed findings characteristic of GCT, including positive reaction for protein S-100, SOX10, and calcitonin and negative reaction for desmin, myogenin, Smooth Muscle Antigen (SMA), Melan-A, and HMB-45. There were no signs of malignancy in this sample. Disturbance of motility was not noted by the patient after surgery.Conclusion: GCT should be included in the differential diagnosis of intraorbital lesions, particularly those that involve the orbit muscles. A biopsy is recommended before surgical resection, to exclude malignancy and prevent radical resection.
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| 3. |
- Emami, Nazanin, et al.
(author)
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Young's modulus and degree of conversion of different combination of light-cure dental resins
- 2009
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In: The Open Dentistry Journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 3, s. 202-207
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Journal article (peer-reviewed)abstract
- Objectives: To evaluate Young's modulus and degree of conversion of several combinations of bisGMA,To evaluate Young's modulus and degree of conversion of several combinations of bisGMA, UEDMA, TEGDMA light-cure dental resin.Methods: Young's modulus and DC% were studied for 21 different resin combinations of bisGMA, TEGDMA and Young's modulus and DC% were studied for 21 different resin combinations of bisGMA, TEGDMA and UEDMA. Small universal testing machine and photo-calorimetry were used for the tests. The results were evaluated using ANOVA and Duncan's multiple range tests and regular t-test. Results: Young's modulus varied between 2.37±0.2 GPa (100% TEGDMA) and 4.15±0.2 GPa (100% bisGMA). By adding Young's modulus varied between 2.37±0.2 GPa (100% TEGDMA) and 4.15±0.2 GPa (100% bisGMA). By adding TEGDMA to bisGMA or UEDMA, the Young's modulus decreased significantly (p<0.05). Degree of conversion was significantly (p<0.05) higher when the wt% of TEGDMA was high in the mixtures than for highly concentrated bis-GMA (resin mixtures with TEGDMA in comparison to mixture with bisGMA had higher degree of conversion). DC% was significantly higher (p<0.05) for binary mixtures of UEDMA and TEGDMA, and significantly lower for 100 wt% bis-GMA´(p<0.05). The DC% values were between 53.1%±0.9% (100% bisGMA) and 85.6%±1% (80% UEDMA-20% TEGDMA). The concentration of bisGMA, in the monomer mixture, affected DC% and Young's modulus oppositely. Conclusions: The differences in the values for DC% were mostly justified by the differences in the molecular structures of The differences in the values for DC% were mostly justified by the differences in the molecular structures of the different monomers. It was also revealed that higher DC% does not always result in a higher Young's modulus, because molecular and network structural parameters play major roles in the final physical properties of the mixtures.
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| 4. |
- Forsell, M, et al.
(author)
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Need of assistance with daily oral hygiene measures among nursing home resident elderly versus the actual assistance received from the staff
- 2009
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In: The open dentistry journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 3, s. 241-4
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Journal article (peer-reviewed)abstract
- The aim was to evaluate the need of assistance with daily oral hygiene measures among nursing home resident elderly versus the actual assistance received from the staff. The need of daily oral hygiene assistance was assessed descriptively for nursing home resident elderly who participated in an annual oral health screening in three geographical regions in Sweden, in the year 2008. All individuals of age ≥ 65 years were included (n = 22,453; 6,327 men; 16,126 women). The proportion of individuals in need of assistance with daily oral hygiene measures was 77.5 % (n=22,453), whereas the proportion of individuals receiving assistance with daily oral hygiene measures was 6.9 % in total (n=22,453). The proportions were largely similar in all geographical regions. There seems to be a large discrepancy between the need of assistance with daily oral hygiene measures, and the oral hygiene assistance received, among nursing home resident elderly.
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| 5. |
- Gustafsson, C. H., et al.
(author)
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Experiences from the Merger of Clinics in the Swedish Public Dental Service - the Employee Perspective
- 2017
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In: Open Dentistry Journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 11, s. 503-511
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Journal article (peer-reviewed)abstract
- Objectives: The purpose of this study was to investigate the experiences of employees regarding the merger of clinics within the Public Dental Service (PDS), Vastra Gotaland Region, Sweden. Employees (dentists, dental hygienists, dental nurses) affected by both administrative and geographical mergers of dental clinics answered a web-based survey about experiences and effects of the merger process (n = 99, 47%). The Swedish short-form version of "The Nordic Questionnaire for Psychological and Social Factors at Work" (QPSNordic), the QPSNordic-34+ was used. Chi-squared tests and logistic regression analyses were used. Two thirds of the participants were aged = 50 years. The respondents stated that the reasons for the merger were often made clear (78%). Satisfaction with and involvement in the merger process received lower scores (45%). Work was often perceived as stressful, irrespective of the merger. Job demands and engagement scored positively, but control at work was given a low score (one fifth stated fairly high or high control). Dentists (OR 5.9; 95%, CI 1.1-32.3), but not dental hygienists (OR 2.8; 95%, CI 0.9-9.0), indicated stress significantly more often than dental nurses (reference) (adjusted for age and gender). Employees in the Public Dental Service (PDS) in a Swedish region had mainly positive experiences after the merger of clinics; however, their involvement in the process was low. Work demands were perceived as high. These findings should be considered when planning mergers in dental organizations.
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| 6. |
- Leonhardt, Åsa, 1964, et al.
(author)
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Detection of periodontal markers in chronic periodontitis.
- 2011
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In: The Open Dentistry Journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 5, s. 110-5
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Journal article (peer-reviewed)abstract
- The aim was to compare the detection frequency of periodontopathogens by using the Pado Test 4.5 and checkerboard DNA-DNA hybridization technique in chronic periodontitis patients.Thirty patients with chronic periodontitis were tested cross-sectionally with DNA/RNA oligogenomic probe method (IAI Pado Test 4.5) and DNA/DNA whole genomic probe (checkerboard) method. Samples were taken by two paper points at the deepest site in each of the four quadrants and pooled into one sample for each of the two methods. The samples were sent to the two laboratories (IAI, Zuchwil, Switzerland, and Oral Microbiology Laboratory, University of Gothenburg, Sweden) and were analyzed in a routine setting for the presence and amount of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia and Treponema denticola.While Pado Test 4.5 detected the four periodontal pathogens in 11 (36.7%) of the patients, the checkerboard method showed presence in all patients (100%) using the lower score (Score 1 corresponding to 10(4) bacterial cells) and 16 (53.3%) using a higher treshold (score 3 corresponding to between >10(5) and 10(6) cells).The results of the present study showed low agreement for a positive microbiological outcome using the two diagnostic methods. It was also concluded that microbiological analysis in practice should include a larger number of bacterial species to better serve as markers for a diseased associated flora in chronic periodontitis cases.
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| 7. |
- Rabe, Per, et al.
(author)
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Effect of fluoride and chlorhexidine digluconate mouthrinses on plaque biofilms
- 2015
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In: The Open Dentistry Journal. - : Bentham eBooks. - 1874-2106. ; 9, s. 106-111
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Journal article (peer-reviewed)abstract
- Objective. To develop a model in which to investigate the architecture of plaque biofilms formed on enamel surfaces in vivo and to compare the effects of anti-microbial agents of relevance for caries on biofilm vitality. Materials and Methodology : Enamel discs mounted on healing abutments in the pre-molar region were worn by three subjects for 7 days. Control discs were removed before subjects rinsed with 0.1% chlorhexidine digluconate (CHX) or 0.2% sodium fluoride (NaF) for 1 minute. Biofilms were stained with Baclight Live/Dead and z-stacks of images created using confocal scanning laser micoscopy. The levels of vital and dead/damaged bacteria in the biofilms, assessed as the proportion of green and red pixels respectively, were analysed using ImageTrak(®) software. Results : The subjects showed individual differences in biofilm architecture. The thickness of the biofilms varied from 28-96µm although cell density was always the greatest in the middle layers. In control biofilms, the overall levels of vitality were high (71-98%) especially in the area closest to the enamel interface. Rinsing with either CHX or NaF caused a similar reduction in overall vitality. CHX exerted an effect throughout the biofilm, particularly on the surface of cell clusters whereas NaF caused cell damage/death mainly in the middle to lower biofilm layers. Conclusion : We describe a model that allows the formation of mature, undisturbed oral biofilms on human enamel surfaces in vivo and show that CHX and NaF have a similar effect on overall vitality but differ in their sites of action.
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| 8. |
- Raoufi-Danner, Shiva, et al.
(author)
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Oral Rehabilitation of Patients with Ameloblastoma of the Mandible. Clinical Results in Three Patients with Different Bone Reconstruction Techniques
- 2018
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In: The Open Dentistry Journal. - : BENTHAM SCIENCE PUBL LTD. - 1874-2106. ; 12, s. 1107-1112
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Journal article (peer-reviewed)abstract
- Background: Ameloblastoma is the second most common odontogenic tumor. It shows a locally aggressive behavior, with a high level of recurrence. Wide resection of the jaw is recommended for treatment of ameloblastoma. However, radical surgery causes an abnormal mandibular movement, facial asymmetry, and masticatory dysfunction. Methods: Three cases of different types of ameloblastoma is presented, with different reconstruction techniques including Non-Vascularized Bone Graft (NVBG), Osteocutaneous Fibula Free Flap (OFFF), and Deep Circumflex Iliac Artery flap (DCIA). Results: In all three cases the tumor site was successfully reconstructed to obtain very good esthetic results as well as functional oral rehabilitation with implants and fixed prosthetics for optimal masticatory function. Conclusion: For reconstruction of the mandible, we prefer bone grafts from the iliac crest. The natural curvature and variable bone height offer a very good reconstruction of the defect.
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| 9. |
- Sarmadi, Roxana, et al.
(author)
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A Randomized Controlled Trial Comparing Er: YAG Laser and Rotary Bur in the Excavation of Caries - Patients' Experiences and the Quality of Composite Restoration
- 2018
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In: Open Dentistry Journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 12, s. 443-454
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Journal article (peer-reviewed)abstract
- Objective: The aim of this study was to evaluate patients ' experiences of two excavation methods, Er:YAG laser and rotary bur and time required by the methods as well as objective assessments of quality and durability of restorations over a two-year period. A prospective, single-blind, randomized and controlled investigation was performed. Patients aged 15 to 40 years with at least two primary caries lesions, which had been radiographically assessed as of the same size, were recruited. In each patient, one cavity was excavated using rotary bur and one using Er:YAG laser technique. The time required for excavations and, where applicable, local anaesthesia, was measured during the treatments. Patient experiences were measured using questionnaires. The quality and durability of restorations were assessed over a two-year period in accordance with modified Ryges criteria and radiographs. Twenty-five patients (mean age 22.6 years) participated in the study. In total, 56 cavities were included of which 28 were treated with Er:YAG laser and 28 were treated with a rotary bur. The patients associated the laser method with less discomfort. The mean time for excavation by laser was three times longer than by rotary bur (13.2 min vs. 4.3 min, P<0.0001). Over a two-year period, no statistically significant differences with regard to quality or durability could be seen between the restorations associated with the methods. The Er:YAG laser technique was more time-consuming than the rotary bur. Despite this, the laser technique caused less discomfort and was preferred as an excavation method by patients.
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| 10. |
- Shamani, S, et al.
(author)
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Oral hygiene behaviour change during the nonsurgical periodontal treatment phase
- 2012
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In: The open dentistry journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 6, s. 190-6
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Journal article (peer-reviewed)abstract
- The purpose of the present study was to investigate the frequency of smoking cessation and the use of proximal tooth cleaning routines after a nonsurgical periodontal treatment phase in a Specialist clinic of Periodontology and to evaluate if these behaviour changes had any influence on the periodontal healing results. The investigation was conducted as a retrospective longitudinal study on a randomly selected population of 100 patients referred for periodontal treatment. The variables were registered from the dental records and the radiographs. Forty-six individuals declared that they were smokers at baseline and one individual of those quitted smoking during the nonsurgical treatment period. The percentage of individuals who performed proximal tooth cleaning daily was significantly increased from 56% to 72% during the treatment period. The patients practising proximal tooth cleaning daily had significantly lower Plaque index before as well as after the nonsurgical periodontal treatment phase compared to those without the routine. The subjects who did not perform tooth cleaning daily before the treatment and who did not introduce this routine had significantly deeper periodontal pockets compared to those who performed inter-dental cleaning daily before treatment or who had adopted the routine during the treatment phase. However, there were no significant differences according to number of deepened periodontal pockets after nonsurgical treatment irrespective of proximal cleaning routines. In the future, motivational interviewing may be a more effective method to achieve a behaviour change if an extended education of dental hygienists within this area will be implemented.
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| 11. |
- Zwaan, Jakob, et al.
(author)
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A One-year Follow-up Study of a Tapered Hydrophilic Implant Design Using Various Placement Protocols in the Maxilla.
- 2016
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In: The open dentistry journal. - : Bentham Science Publishers Ltd.. - 1874-2106. ; 10:9, s. 680-691
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Journal article (peer-reviewed)abstract
- To study the clinical/radiographic outcomes and stability of a tapered implant design with a hydrophilic surface when placed in the maxilla using various protocols and followed for one year.Ninety-seven consecutive patients treated as part of daily routine in two clinics with 163 tapered implants in healed sites, in extraction sockets and together with bone augmentation procedures in the maxilla were evaluated after one year in function. Individual healing periods varying from 0 to 6 months had been used. Insertion torque (IT) and resonance frequency analysis (RFA) measurements were made at baseline. Follow-up RFA registrations were made after 6 and 12 months of loading. The marginal bone levels were measured in intraoral radiographs from baseline and after 12 months. A reference group consisting of 163 consecutive straight maxillary implants was used for the comparison of baseline IT and RFA measurements.Five implants failed before loading, giving an implant survival rate of 96.9% and a prosthesis survival rate of 99.4% after one year. The mean marginal bone loss after one year was 0.5 mm (SD 0.4). The mean IT was statistically significantly higher for tapered than for straight reference implants (41.3 ± 12.0 Ncm vs 33.6 ± 12.5 Ncm, p < 0.001). The tapered implants showed a statistically insignificantly higher mean ISQ value than the straight references implants (73.7 ± 6.4 ISQ vs 72.2 ± 8.0 ISQ, p=0.119). There was no correlation between IT and marginal bone loss. There was a correlation between IT and RFA measurements (p < 0.001).The tapered implant showed a high survival rate and minimal marginal bone loss after one year in function when using various protocols for placement. The tapered implant showed significantly higher insertion torque values than straight reference implants.
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