Dent. J.2014, 2(3), 85-97; doi:10.3390/dj2030085 - published online 21 July 2014 Show/Hide Abstract
Abstract: This study screened the available evidence for the in vitro antimicrobial efficacy of propolis, a natural herbal resin bee product, against a selection of three bacterial species of relevance to oral diseases. For this purpose, papers dealing with laboratory studies assessing minimum inhibitory concentration (MIC), minimum bactericidal concentrations (MBC) or the agar diffusion method to analyze the antimicrobial properties of propolis on three oral pathogens (S. mutans, P. gingivalis, F. nucleatum) and a yeast (C. albicans) are reviewed. Overall, a positive antimicrobial effect could be shown. However, when compared to the commonly used control substances (e.g., specific antibiotics, antiseptics and antifungals), propolis appeared less effective, depending on the bacterial strain, and required higher concentrations than the control substances, in order to show a measurable effect. Nevertheless, propolis as a natural herbal resin bee product can be considered as a natural antiseptic agent within the range of other herbal products, like sanguinarine. Therefore, it may be a valuable compound of non-synthetic, natural origin for patients seeking complementary agents and alternatives for “hard” chemicals.
Dent. J.2014, 2(3), 78-84; doi:10.3390/dj2030078 - published online 21 July 2014 Show/Hide Abstract
Abstract: The aims of this study were to verify the occurrence of dental injuries in 343 amateur Turkish soccer players in İzmir and the level of knowledge of the teams’ soccer players about mouthguards. The soccer players were interviewed to determine the occurrence of dental trauma during soccer and mouthguard usage level. The data were analyzed with descriptive analysis to determine absolute and relative frequencies of answers for each one of the questions. Only 35 (10.2%) soccer players reported the occurrence of some type of dental injury during soccer practice. Regarding emergency conducts, approximately 84 players (24.48%) answered that replantation could be obtained after teeth avulsion, 23 players (27.38%) answered that successful replantation could be obtained within 2 hours immediately after injury, and 60.71% were not able to answer this question. Regarding mouthguard use, 61.8% of soccer players did not know about mouthguards. It was possible to conclude that dental injuries are common during amateur soccer practice and that there is a lack of information in the soccer players related to the emergency conducts and prevention of dental trauma.
Dent. J.2014, 2(2), 65-77; doi:10.3390/dj2020065 - published online 28 May 2014 Show/Hide Abstract
Abstract: Objective: To investigate whether dental hygienist students through peer-learning can increase their ability to conduct motivational interviewing (MI) compared with students who follow the regular curriculum. The aim was also to get an insight into the process of learning of MI. Materials and Methods: Ten dental hygienist students were randomly selected to either the intervention group (IG) or the control group (CG). Students in the IG performed two MI sessions, which were discussed in a peer group and with a tutor. Thereafter the students performed the third MI sessions, which was evaluated by “Motivational Interviewing Treatment Integrity Code, Version 3.1”. The CG consisted of five students who followed the regular curriculum in the education and they conducted one MI session. A questionnaire was used to study how students reflected before and after these MI sessions. The analysis was performed by using descriptive statistics and for the comparison between groups the Mann-Whitney test was used. Results: The students in the IG used significantly more, simple and complex reflections (p < 0.05) compared to the CG. The IG gave also significantly less information during the counseling, and thereby asked more open-ended questions than the CG (p < 0.05). Both groups planned their MI sessions carefully by preparing questions before they met the patients. Conclusion: Dental hygienist students in the present study increased their skills in motivational interviewing by peer-learning from other students and from a tutor, compared to a control group.
Dent. J.2014, 2(2), 52-64; doi:10.3390/dj2020052 - published online 4 April 2014 Show/Hide Abstract
Abstract: The aim of this study was to evaluate the interfacial microgaps generating between different materials and between materials and dentin after polymerization of the composite restorations, using SEM. Methods: The materials investigated were a composite, an adhesive, a RMGI, and a calcium hydroxide. Thirty third molars were selected and two circular class V cavities (5 mm × 3 mm) for each tooth were made. The teeth were randomly assigned into six groups and restored with a combination of the materials. The specimens were subjected to thermocycling and each tooth was sectioned mesiodistally in two halves. Each half was sectioned along the longitudinal axis through the center of the restorations to obtain a slice of 2 mm. The specimens were examined under SEM. The interfaces between the liners, the liners and dentin, and between the liners and the composite were examined for microgaps. Results: The results showed that there was not any significant difference in the mean width of microgaps in the interfaces between Dycal-dentin and Vitrebond-dentin (p>0.05). However, the width of microgaps in the interfaces between dentin-Clearfil Tri-S Bond was significantly smaller (p<0.05). The use of Clearfil Tri-S Bond reduced the possibility of microgap formation between the bonded interface and the materials tested.
Dent. J.2014, 2(1), 41-51; doi:10.3390/dj2010041 - published online 19 February 2014 Show/Hide Abstract
Abstract: ICDAS (the International Caries Detection and Assessment System) is a new approach to the detection and classification of dental caries, starting with the stage showing the earliest visual changes. Methodology: This article describes the implementation of the ICDAS at the School of Dentistry, International Medical University, and Kuala Lumpur, Malaysia in a step-by-step systematically planned process. Beginning with the setting up of a Task Force in 2011 for the evaluation and preparation of the training resources and the running of exploratory training exercises, it finally culminated in carrying out training workshops for the entire staff and students. After the internal processes had been completed, an international expert (KE) was invited to evaluate the process and conduct another workshop using the resources developed within the University, including a reference set of carious teeth. The overall time taken was one and a half years. Conclusions: The implementation of the ICDAS has been comprehensively set into motion within the context of our local curriculum and oral healthcare delivery arrangements. However, this will be an ongoing process with further quality assurance measures being required clinically together with the continuing training of new staff. Sharing this ‘framework’ of the ICDAS implementation process should considerably ease the path and reduce the time period of future implementations by other dental teaching institutions.
Dent. J.2014, 2(1), 22-40; doi:10.3390/dj2010022 - published online 19 February 2014 Show/Hide Abstract
Abstract: This comprehensive community health intervention aimed to improve the oral health and reduce the incidence of dental caries in Tabuk schoolchildren. The program supports the public health pyramid that provides a framework to improve health and included creating and evaluating a school oral health surveillance system, applying fluoride varnish and dental sealants on high- and medium-caries risk children, and providing treatment for existing diseases. In a pilot phase, 48 children (26 males 22 females; mean age 6.42; dmft 9.33, Decayed, Missing, or Filled Primary and Permanent Teeth (DMFT) 3.27) received the dental services, both treatment and prevention. Three hundred seventy-eight composite resin or resin-modified light-cured glass ionomer restorations were placed. One-hundred and eighteen teeth received pulp therapy (pulpotomy or pulpectomy), ten of which received stainless steel crowns. A total of 72 teeth were extracted due to caries. To understand the effects of dental disease on children, as perceived by parents, an oral health-related quality of life survey was completed and analyzed. Results found an underestimation of the role the teeth play, particularly primary teeth, in the general health and wellbeing of the child. The program’s main evaluation effort focused on the process and outcome objectives, including the number of children received care, number of teeth received restorations and sealants, and number of children received fluoride varnish, etc. Analyzing the effect of the program on oral hygiene revealed an improvement in oral health, as a direct result of oral health educational sessions and one-to-one counseling. There is an urgent need to expand the program to include all primary schools.