Search Results (40)

Background and Clinical Significance: Traumatic dental injuries, particularly complicated crown fractures of permanent incisors, are common in adolescents, with maxillary central incisors most frequently affected due to their prominent position. These injuries, often resulting from sports or accidents, require prompt management to prevent complications such as pulp necrosis or infection, which can compromise long-term prognosis. Fragment reattachment offers a conservative, esthetically favorable approach when the fractured segment is intact, with outcomes comparable to composite restorations. This case report underscores the importance of timely intervention and advanced restorative techniques in pediatric dentistry. Case Presentation: A 16-year-old male presented with a complicated crown fracture of the upper left central incisor sustained during a soccer game. The fracture extended subgingivally with pulp exposure. The patient preserved the fragment in saline. Treatment involved fragment reattachment using a dentin bonding agent and flowable composite resin, followed by single-visit root canal therapy due to delayed presentation (48 h). A glass fiber post was placed to reinforce the restoration due to significant coronal loss. Three years of follow-up visits (1, 3, 6, 12, 24, and 36 months) revealed no clinical or radiographic complications, with the tooth remaining asymptomatic and functional. Conclusions: This case underscores the effectiveness of fragment reattachment when combined with meticulous technique and long-term monitoring. Full article

The impact of acidic beverages on dental restorative materials, such as composites and glass ionomers, is critical in conservative dentistry. Exposure to an acidic environment can lead to the degradation of these materials, affecting their durability and clinical effectiveness. We aimed to examine the effect of sports drink exposure on the surface roughness of composite and glass ionomer materials. This systematic review was conducted based on the records published from 1 January 2005 to 31 December 2024, according to PRISMA statement guidelines, using the databases PubMed, Scopus, Web of Science, and Embase. Following the inclusion and exclusion criteria, 10 studies were included in this review and 6 in the meta-analysis. Meta-analysis demonstrated a statistically significant increase in surface roughness (Ra parameter) for glass ionomer materials after immersion in sports drinks for one week and one month. No such significant differences were observed for composite materials. Despite the systematic review, the degree of material degradation presented by in vitro studies cannot be directly extrapolated to oral conditions due to factors such as the buffering capacity of saliva or irregular exposure times to sports drinks. Full article

Background: Research in dental science reveals a need for enhanced oral healthcare among elite athletes due to the stress generated by excessive exercise. Consideration of the inherent biological distinctions between men and women is crucial in sports dentistry. Objectives: Thus, this study aims to analyse the differences in oral health status among elite athletes based on gender. A total of 186 elite athletes (150 men and 36 women) recognised in the region of Aragon (Spain) participated in this study (mean age 24.99 ± 9.34), all of whom practise individual sports. Methods: Oral health status analysis included: periodontal, malocclusion and tooth status measured using the restoration index (RI) and the decayed, missing and filled teeth (DMFT) index. Results: Women had fewer teeth, a lower restoration index (p < 0.05) and lower DMFT index values (p < 0.001); furthermore, this group showed a greater number of missing teeth (p < 0.001) and decayed teeth (p < 0.05). There were no statistical differences in malocclusion, plaque, gingival bleeding, dental erosion or bruxism values between the genders. Mouthguard usage was low (men = 9.4% vs. women = 14.3%; p = 0.57). Conclusions: This study highlights the need for a multidisciplinary approach to address the high prevalence of oral health issues among elite athletes, despite the differences in health status between men and women. Full article

Background/Objectives: Lately, there has been a greater focus on the function of the dento-mandibular apparatus, specifically on the location of the jaw and occlusion. Given the new potential insights, the current study aimed to comprehensively analyze the published literature on the use of occlusal splints and their effects on exercise performance. Methods: A search was conducted on PubMed, Scopus, and Web of Science for papers published between 2014 and 2024. Starting from the 128 identified records, 28 were finally included for review. Results: The extensive literature review revealed significant diversity in the experimental conditions, suggesting that the occlusal splints may enhance exercise performance and support dental health. Conclusions: The present study highlights the growing interest in occlusal splints research and its impact on sport and exercise science. Mouthguards or occlusal splints should continue to be worn in sports with a considerable risk of orofacial injury. Regardless of how they affect performance, mouthguards or occlusal splints are crucial for athletes in many sports to prevent oral and dental injuries. Full article

Background: Physical activity improves quality of life, but competitive sports emphasize performance, leading to intense training and restrictive diets that increase injury risk. This affects the stomatognathic system, underscoring the role of sports dentistry in preventing injuries and orofacial functional changes. This observational study analyzed the stomatognathic system’s functionality in male high-intensity athletes (n = 18) compared to a sedentary group (n = 18). Methods: Functional parameters were analyzed: electromyographic activity during mandibular tasks, masseter and temporal muscles thickness, and molar bite force. Results: Student’s t-test was used for analysis. At mandibular rest, male high-performance athletes showed lower electromyographic activity in the right and left masseter muscles, suggesting adaptation to training. During maximum voluntary contraction, activity was higher in the temporal and masseter muscles, especially in the left masseter, indicating hypertrophy. Electromyographic activity increased during protrusion and lateral movements, particularly in the masseter and temporal muscles, demonstrating a greater functional efficiency group of athletes. They also exhibited greater masseter muscle thickness and thinner temporal muscle thickness, with a significant difference in the right masseter muscle at rest. The group of athletes showed greater molar bite force, with significant differences, indicating greater muscle capacity. Conclusions: Sports practice promotes adaptations in the stomatognathic system, improving its functionality. Full article

Background/Objectives: this study aimed to study the association of dental caries and erosion in athletes with dietary and oral health habits. Methods: An observational cross-sectional study was conducted at the Sports Dentistry department of a university clinic. Intraoral examination included the International Caries Detection and Assessment System (ICDAS II) index and the Basic Erosive Wear Examination (BEWE). A questionnaire was completed with sociodemographic data, and dietary and oral hygiene habits. An inferential and multivariable regression analysis was performed to study the association of dental caries and erosion with confounding variables. Results: A total of 80 athletes were included. The prevalence of dental caries and erosion was 50.0% and 40%, respectively. Significant associations were observed between self-perceived oral health and caries lesions, with “Good” (−5.01, p < 0.001) and “Very good” (−5.46, p < 0.001) perceptions linked to fewer lesions. BEWE scores revealed significant associations with meal frequency uncertainty (−12.56, p = 0.014) and uncertainty about the last dental visit (8.82, p = 0.014). Self-perceived oral health as “Good” or “Very good” was associated with lower dental erosion (p < 0.010). Other demographic and behavioral factors were not significantly associated with caries or erosion. Conclusions: this cohort of athletes exhibited a high prevalence of dental caries and erosion, with associated dietary and oral hygiene habits. These results highlight the need for targeted dietary counseling and oral health education for athletes, whose nutritional needs may lead to increased consumption of sugar-rich diets. Full article

Background/Objective: Conventional techniques for evaluating hydration status include the analysis of blood, urine, and body weight. Recently, advancements in dentistry have introduced capacitance sensor-based oral epithelial moisture meters as promising avenues for assessment. This study aimed to examine the correlation between oral mucosal moisture content, as determined using a capacitance sensor, and exercise-induced dehydration. Methods: A total of 21 participants engaged in a 120 min slow distance exercise session. A series of measurements were taken before and after the exercise session, including body weight, sweat rate, secretory immunoglobulin A (s-IgA) concentration in saliva samples, saliva flow rate, and oral mucosal moisture content, which were assessed using a capacitance sensor. The relationship between physical dehydration and oral mucosal moisture content was investigated using statistical analysis. Receiver operating characteristic curves were constructed to ascertain whether variations in oral mucosal moisture content could discern body mass losses (BMLs) of 1.5% and 2%. Results: A significant correlation was observed between the sweat rate during exercise and the change in oral mucosal moisture content before and after exercise (Spearman’s rank correlation coefficient: ρ = −0.58, p < 0.001). The salivary flow and s-IgA secretion rates were lower after the exercise period than before, whereas the s-IgA concentration was higher. Oral mucosal moisture decreased during the exercise period. Receiver operating characteristic curve analysis revealed that differences in oral mucosal moisture content exhibited discriminative capabilities, with area under the curve values of 0.79 at 1.5% BML and 0.72 at 2% BML. Conclusions: The measurement of oral mucosal moisture using capacitance sensors represents a promising noninvasive approach for the assessment of exercise-induced dehydration. Full article

Background: Dental trauma very commonly comprises lesions that affect the teeth and their supporting structures. In pediatric ages, the main reasons for dental trauma are falls and accidents at school and while practicing recreative activities and sports. Fortunately, dental avulsions are not common; however, they are key factors in the loss of teeth if the issue is not adequately treated in a quick way, so is very important for parents, teachers, or any person that is present with a child during the accident to have knowledge about dental trauma, specifically regarding avulsed teeth, since the best treatment is reimplantation. Methods: In this case of dentoalveolar trauma, concerning two avulsed teeth, it was very interesting that the tooth that was reimplanted more quickly (40 min) had a worse prognosis than the tooth that was reimplanted 2 h later, since the tooth that was reimplanted more quickly was transported in a personal wallet, which was a highly contaminated area, unlike the tooth that was reimplanted later, which was transported in a solution as an alternative means of transport. Conclusions: So, it is very important that this type of trauma is adequately managed in an interdisciplinary way across multiple dentistry specialties. Full article

Background: Lasers from the erbium family have been investigated to activate irrigation with sodium hypochlorite (NaOCl), improving the disinfection depth of the dentinal tubules of the root canal walls during root canal treatment. However, the possibility of laser-activated irrigation (LAI) in retro-cavity preparation has not been investigated to the date. The aim of our experimental study is to evaluate the efficacy of NaOCl gel penetration inside the dentinal tubules when activated during retro-cavity preparation, comparing passive ultrasonic activation (PUI) and Er,Cr:YSGG LAI. Materials and Methods: Fifty extracted mature single-root human teeth were divided into four groups (control, PUI, and two LAI groups with different NaOCl concentrations). After conventional endodontic treatment and root end resection, NaOCl gel (impregnated with rhodamine dye for confocal laser scanning microscopy (CLSM) analysis) was applied and activated according to the study group. The penetration index and mean penetration length were measured using computer software. Results: Both penetration index and mean penetration length were found to have increased in the PUI group compared to the control samples. However, LAI had a better penetration that was statistically significant compared to both the PUI and control groups. The difference in NaOCl concentration in the laser groups did not affect the penetration values. Conclusions: Within the limitations of our in vitro study using NaOCl gel activation in the retro-cavity after apicectomy, Er,Cr:YSGG LAI significantly enhanced NaOCl gel penetration capacity compared to PUI, regardless of its concentration. LAI can enhance its penetration in a safe way, avoiding its extrusion to the surrounding periapical tissues. Full article

Background/Objectives:Porphyromonas gingivalis infection has been associated with various systemic diseases and may cause delayed healing of muscle injury. However, the relationship between muscle injury healing and P. gingivalis infection remains unclear. Our hypothesis was that P. gingivalis infection delays the healing of muscle injuries. Methods: Fifty-six 8-week-old male Wistar rats were randomly divided into two groups: sonicated P. gingivalis was intraperitoneally administered in one group (PG group), whereas saline was administered in the other group (CO group). Skeletal muscle injury was induced via cardiotoxin injections in all animals. The cross-sectional area of regenerating muscle cells was evaluated by haematoxylin–eosin staining, and the degree of muscle fibrosis was evaluated by Masson’s trichrome staining. The expression of paired box protein (Pax7) and myoblast determination protein (MyoD) and the identified stages of myocyte regeneration were analysed by immunohistochemical staining. Motion analysis was performed during walking. Results: The cross-sectional area of muscle cells was significantly smaller in the PG group on days 7 and 14 post-injury than in the CO group. The Pax7+/MyoD− ratio was significantly lower in the PG group on day 1 post-injury than in the CO group. Motion analysis of treadmill walking showed that the PG group had a lower minimum calcaneal height on days 3 and 7 post-injury than the CO group. Conclusions: This study suggests that administration of sonicated P. gingivalis in rats can delay the healing process of muscle injury. Further research is needed to understand this mechanism of delay of P. gingivalis. Full article

This study investigates the differences in mechanical properties between acrylonitrile butadiene styrene (ABS) samples produced using fused deposition modeling (FDM) and stereolithography (SLA) using ABS filaments and ABS-like resin, respectively. The central question is to determine how these distinct printing techniques affect the properties of ABS and ABS-like resin and which method delivers superior performance for specific applications, particularly in dental treatments. The evaluation methods used in this study included Shore D hardness, accelerated aging, tensile testing, Izod impact testing, flexural resistance measured by a 3-point bending test, and compression testing. Poisson’s ratio was also assessed, along with microstructure characterization, density measurement, confocal microscopy, dilatometry, wettability, Fourier-transform infrared spectroscopy (FTIR), and nanoindentation. It was concluded that ABS has the same hardness in both manufacturing methods; however, the FDM process results in significantly superior mechanical properties compared to SLA. Microscopy demonstrates a more accurate sample geometry when fabricated with SLA. It is also concluded that printable ABS is suitable for applications in dentistry to fabricate models and surgical guides using the SLA and FDM methods, as well as facial protectors for sports using the FDM method. Full article

Denture fractures are a common problem in dental practice, and their repair is considered a first option to restore their functional properties. However, the inter-material resistance may become compromised. Typically, the bond between these materials weakens. Therefore, various surface treatment methods may be considered to enhance their mechanical properties. Poly(methyl methacrylate) (PMMA) heat-polymerized resin (HPR) was used as the repaired material, cold-polymerized material (CPR) for the repairs, and different variants of alumina abrasive blasting (AB), methyl methacrylate (M), ethyl acetate (EA), methylene chloride (CH), and isopropyl alcohol (IA) treatments were applied. Finally, combined surface treatments were chosen and analyzed. Surface morphologies after treatments were observed by scanning electron microscopy and the flexural, shear, and impact strengths were tested. AB and chemical treatment with CH, M, and EA was used to improve all mechanical properties, and further improvement of the properties could be achieved by combining both types of treatments. Varied changes in surface morphologies were observed. Treatment with IA yielded less favorable results due to the low impact strength. The best results were achieved for the combination of AB and CH, but during the application of CH it was necessary to strictly control the exposure time. Full article

Sports activities can increase participants’ risk of orofacial trauma. Therefore, it is crucial to have a comprehensive understanding of various types of sports mouthguards. This study aims to present a narrative literature review on ergonomic mouthguards, including their indications for use, classifications, materials, manufacturing methods, and the current status of additive manufacturing in their production. Research of the existing literature was performed in the Google Scholar, MEDLINE/PubMed, Web of Science, and ScienceDirect databases to identify the currently available publications on the topic of sports mouthguards from January 1951 to August 2023. The terms used were “sports mouthguard”, “mouthguards and orofacial traumas”, and “mouthguards and additive manufacturing”. A total of 920 articles were found, and 39 articles were selected and included in this review. While consensus exists regarding the significance of using sports mouthguards with optimal attributes, there is a need for standardization in the methodology for manufacturing custom-made mouthguards. These can be fashioned with conventional ethylene vinyl acetate (EVA) copolymer reinforcements. Such standardization would ensure uniform stress distribution and guarantee ample protection for oral tissues, allowing for universal reproducibility among dental practitioners. Additive manufacturing stands as an innovative method for fabricating mouthguards, displaying promising benefits. However, the materials and methodologies employed in this workflow still require refinement and characterization for a safe clinical integration. Full article

The benefits of physical activities conducted systematically on the harmonious development, intellectual performance, and general health of children are unanimously accepted. This study’s aim is to determine whether differences in oral health between young athletes and children not engaged in competitive sports are present. A total of 173 children aged between 6 and 17 years, 58 hockey players, 55 football players, and 60 in the control group were divided into groups according to their activity, age, and biological sex and examined for oral hygiene and dental and periodontal health, using clinically determined indices. Statistical analysis showed significant differences between the groups, with lower (better) values for athletes, regardless of age, sex, or activity. Oral hygiene showed the most relevant differences for males aged 14 to 17, as did the index for dental health. Periodontal health, on the other hand, was significantly better for females aged 6 to 13. Based on this data, the beneficial influence of regular physical activity also has an impact on oral health. Identifying the mechanisms behind this needs to be explored in depth and may be a topic for further research. Full article

This in vitro study aimed to evaluate the hardness and color change of an ethylene-vinyl-acetate copolymer (EVA) material for mouthguards after exposition to different cleaning agent solutions and isotonic drinks. Four hundred samples were prepared and divided into four equinumerous groups (n = 100), in which there were 25 samples from each color of EVA (red, green, blue and white). The hardness, using the digital durometer, and the color coordinates (CIE L*a*b*), using the digital colorimeter, were measured before the first exposition and after 3 months of exposition to spray disinfection and incubation in the oral cavity temperature, or immersion in isotonic drinks. The values of Shore A hardness (HA) and color change (ΔE—calculated by Euclidean distance) were statistically analyzed using the Kolmogorov–Smirnov test, multiple comparison ANOVA/Kruskal–Wallis and appropriate post-hoc tests. Statistically significant changes in color and hardness between the tested groups were demonstrated after the use of agents predestined for disinfecting the surface of mouthguards on the tested samples. There were no statistically significant differences in color and hardness between the groups immersed in isotonic sport drinks potentially consumed by competitors practicing combat sports using mouthguards. Despite the changes in color and hardness after the use of disinfectants, the deviations were minor and limited to specific colors of the EVA plates. The intake of isotonic drinks practically did not change either the color or the hardness of the samples, regardless of the tested color of the EVA plates. Full article