Assessing the Risk of Developing Carious Lesions in Root Surfaces

Relevance. The high prevalence of dysplastic disorders involving connective tissue, and its negative effecton the development of dentoalveolar anomalies, carious and non-carious lesions of the teeth, periodontopathy, temporomandibular joint issues in the child population, lay the basis for improving diagnostics algorithms. Enhancing the already available standards is of greatest importance for children at the initial stages of diagnostics when evaluating the external signs of dysplastic disorders.Purpose – improving diagnostics algorithms for connective tissue dysplasia (CTD) in children in primary dental care facilities based on the evaluation of external phenotype signs and maxillofacial morphological features.Materials and methods. Depending on the external phenotype manifestations severity, as well as on laboratory, clinical and instrumental signs, the 92 children with CTD were divided into groups with mild, moderate and severe degrees of undifferentiated dysplasia. Gnathometric and biometric examinations of the maxillofacial area were performed through traditional methods, whereas the diagnosis was set following the generally accepted classifications. The diagnosis confirmation implied evaluation through cone beam computed imaging.Results. The nature and the intensity of morphofunctional disorders in the craniofacial structures (“small” stigmas) depend on the severity of connective tissue dysplastic disorders.Conclusions. The change direction vector in the facial and brain parts of cranium in children with CTD is aimed at increasing hypoplastic tendencies and dolichocephalia, proof to that being the following constitutional and morphological features: the prevalence of the vertical type of face skeleton growth over the horizontal and neutral ones; a convex face profile with a disproportionate general heights of the face skeleton; reduction of latitudinal with an increase in altitude facial parameters; a narrow short branch of the lower jaw; the upper jaw displaced downwards and forward; a decrease in the size of the apical basis of the lower dentition, the lower jaw body, as well as the height and width of the lower jaw branches.

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Laser Therapy Evaluation in Complications of Restorations by Total-Etch Technique

Revista de Chimie ◽

10.37358/rc.18.4.6228 ◽

2018 ◽

Vol 69 (4) ◽

pp. 921-925

Author(s):

Cristina Angela Ghiorghe ◽

Andra Claudia Gamen ◽

Tiberiu Tirca ◽

Sorin Andrian ◽

Anca Melian ◽

...

Keyword(s):

Laser Treatment ◽

Laser Therapy ◽

Hybrid Composite ◽

Study Groups ◽

Composite Resins ◽

Single Bond ◽

Class Iii ◽

Anterior Teeth ◽

Carious Lesions ◽

Etch And Rinse

The aim of this study was to evaluate the efficiency of laser therapy in post-operative sensitivity by Visual Analogue Scale (VAS) to the 57 patients after restoration with two different resins composite. In the first group (28 patients, 30 teeth) it was restored the cavity class I Black with micro-hybrid composite Filtek Z250 - Adper Single Bond (3M/ESPE). In the second group (29 patients, 30 teeth) it was restored the cavity class III Black with nano-hybrid composite Ceram X One Sphere Tec-Prime and Bond One (Etch&Rinse) (Dentsply). The restorative treatments were performed by the same practitioner on posterior and anterior teeth diagnosed with mid-sized chronic carious lesions. Total etch (etch and rinse) strategy of adhesion was used for both composite resins. The laser treatment was performed in 2 sessions at 48 hours and after 7 days, for both study groups using laser Whitening Lase II (DMC Dental). Mean scores for VAS indices decreased significantly at 48 hours and 7 days, following laser treatment for all the investigated parameters (materials, sex, age) (p [ 0.05).

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Individuals Who Brush Their Teeth Infrequently May Be at Greater Risk for New Carious Lesions

Journal of Evidence Based Dental Practice ◽

10.1016/j.jebdp.2017.01.010 ◽

2017 ◽

Vol 17 (1) ◽

pp. 51-52 ◽

Cited By ~ 2

Author(s):

Norman Tinanoff

Keyword(s):

Carious Lesions

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Reversal of Root Caries with Casein Phosphopeptide-Amorphous Calcium Phosphate and Fluoride Varnish in Xerostomia

Caries Research ◽

10.1159/000516176 ◽

2021 ◽

pp. 1-10

Author(s):

Ahmed Sleibi ◽

Anwar R. Tappuni ◽

Aylin Baysan

Keyword(s):

Calcium Phosphate ◽

Amorphous Calcium Phosphate ◽

Primary Root ◽

Severity Index ◽

Salivary Flow ◽

Root Caries ◽

Carious Lesions ◽

Group 2 ◽

Casein Phosphopeptide ◽

Group 1

Different formulas of topical fluoride have been used to manage root carious lesions. This clinical trial aimed to investigate the efficacy of a dental varnish containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and fluoride compared with fluoride alone in reversing/arresting root caries in xerostomic patients over 1 year. A total of 80 patients (age range 45–92 years) with primary root caries (n = 184 root carious lesions) and unstimulated salivary flow rate of <0.2 mL/min were randomly allocated to receive either dental varnish containing CPP-ACP and 5% fluoride (group 1: MI varnish; GC, Japan) (n = 41, 83 lesions), or dental varnish with 5% fluoride alone (group 2: NUPRO White; Dentsply, USA) (n = 39, 101 lesions). Clinical assessments with Severity Index (SI) for root caries, DIAGNOdent measurements, and varnish application were carried out at baseline, 3, 6, and 12 months. Standard oral hygiene instructions with 1,450 ppm fluoride toothpastes were provided for both groups. After 3 months, 63.9% (n = 46) of root caries in group 1 became hard (SI: 0) compared with 39.3% (n = 35) in group 2 (p < 0.01). After 6 and 12 months, the differences in SI were insignificant (group 1, n = 60, 83.3%) (group 2, n = 66, 74.2%) (p = 0.36), and (group 1, n = 60, 89.6%) (group 2, n = 67, 81.7%, n = 1 soft, 1.2%) (p = 0.29), respectively. In both groups, noncavitated leathery lesions were more likely to become hard when compared to the cavitated root caries. A significant decrease in plaque index, surface roughness, lesion dimension, and DIAGNOdent readings with a significant increase in lesion distance from the gingival margin was reported in both groups (p < 0.05). This study has provided evidence that fluoride dental varnish either with or without calcium and phosphate has the potential to arrest/reverse root caries, especially noncavitated lesions for patients with xerostomia.

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Root and Shoot Response to Nickel in Hyperaccumulator and Non-Hyperaccumulator Species

Plants ◽

10.3390/plants10030508 ◽

2021 ◽

Vol 10 (3) ◽

pp. 508

Author(s):

Stefano Rosatto ◽

Mauro Mariotti ◽

Sara Romeo ◽

Enrica Roccotiello

Keyword(s):

Plant Development ◽

Root Surface ◽

Metal Stress ◽

Physiological Conditions ◽

Thlaspi Arvense ◽

Noccaea Caerulescens ◽

Spiked Soil ◽

Ecophysiological Response ◽

Fluorescence Of Chlorophyll A ◽

Root Surfaces

The soil–root interface is the micro-ecosystem where roots uptake metals. However, less than 10% of hyperaccumulators’ rhizosphere has been examined. The present study evaluated the root and shoot response to nickel in hyperaccumulator and non-hyperaccumulator species, through the analysis of root surface and biomass and the ecophysiological response of the related aboveground biomass. Ni-hyperaccumulators Alyssoides utriculata (L.) Medik. and Noccaea caerulescens (J. Presl and C. Presl) F.K. Mey. and non-hyperaccumulators Alyssum montanum L. and Thlaspi arvense L. were grown in pot on Ni-spiked soil (0–1000 mg Ni kg−1, total). Development of root surfaces was analysed with ImageJ; fresh and dry root biomass was determined. Photosynthetic efficiency was performed by analysing the fluorescence of chlorophyll a to estimate the plants’ physiological conditions at the end of the treatment. Hyperaccumulators did not show a Ni-dependent decrease in root surfaces and biomass (except Ni 1000 mg kg−1 for N. caerulescens). The non-hyperaccumulator A. montanum suffers metal stress which threatens plant development, while the excluder T. arvense exhibits a positive ecophysiological response to Ni. The analysis of the root system, as a component of the rhizosphere, help to clarify the response to soil nickel and plant development under metal stress for bioremediation purposes.

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sCD14 Level in Saliva of Children and Adolescents with and without Dental Caries, a Hurdle Model

Children ◽

10.3390/children8080679 ◽

2021 ◽

Vol 8 (8) ◽

pp. 679

Author(s):

Gaia Pellegrini ◽

Marcello Maddalone ◽

Matteo Malvezzi ◽

Marilisa Toma ◽

Massimo Del Fabbro ◽

...

Keyword(s):

Dental Caries ◽

Innate Immune ◽

Hurdle Model ◽

Soluble Cd14 ◽

Clear Cut ◽

Carious Lesions ◽

Decayed Tooth ◽

Group A ◽

The Relationship ◽

Control Study

Objective: Soluble CD14 (sCD14) plays an important role in the innate immune response of the oral cavity. The investigation of this biomarker for detection of carious lesions is an even more actual procedure due to its non-invasiveness and the ease of withdrawal. The purpose of the present observational case-control study was to evaluate whether the quantification of sCD14 in children and adolescent’s saliva can discriminate healthy subjects from those suffering from tooth decay. Materials and Methods: 164 subjects (6 to 17 years) were selected and divided into 2 groups: those with at least 1 decayed tooth were assigned to group Decayed (n = 82) and those free from dental caries to group Healthy (n = 82). The amount of salivary soluble CD14 was quantified. Results: Mean salivary soluble CD14 was 28.3 ± 10.8 μg/mL in the Healthy group and 22 ± 9.6 μg/mL in the Decayed group. A hurdle model was applied to the data to estimate both the probability of having carious lesions and their number in relation to sCD14 levels. sCD14 was strongly associated (p < 0.01) with an inverse relation to both the probability of having caries and their number (falling rate of 5% per unit CD14 μg/mL). Conclusions: This data confirms the relationship between sCD14 and the presence of dental caries. However, there is no clear cut off level between healthy and unhealthy subjects, so it is currently not possible to use sCD14 as a biomarker to determine the risk of decays.

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