Anxiety in the dental office during the COVID-19 pandemic.

<abstract xmlns="http://www.w3.org/1999/xhtml">Temporomandibular disorders (TMD) affect the temporomandibular joints, the masticatory muscles, and surrounding tissues. Among symptoms such as jumps, joint noises, reduced mouth opening (closed lock), difficulties in closing the mouth (subluxation or open lock), pain is the most common symptom encountered among patients diagnosed with temporomandibular disorders. As literature on this topic is abundant and sometimes controversial, the authors focus on reviewing the state of art of occlusal splints indications. Therefore, the most common occlusal splints, like Lucia jig, nociceptive trigeminal inhibition (NTI), directive splints, etc., are being described, based on their design and therapeutic indications. Cases of malocclusions associated or not with parafunctions are usually manageable using the splints mentioned in this article. In case of disc displacements, occlusal appliances can be used, but as the etiology is multifactorial, there are some limitations, depending on the complexity of each clinical situation.</abstract>

Iuliu Hatieganu University of Medicine and Pharmacy

George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

The use of occlusal splints in temporomandibular disorders - an overview.

<abstract xmlns="http://www.w3.org/1999/xhtml">Introduction: X-ray radio imaging is commonly used because most diseases in the oral area can only be diagnosed by using this method. Proper identification of elements on a radiological image may also be difficult due to errors that may occur before, during or after the X-ray. These errors are called artifacts.Aim of the study: The aim of our study is to distinguish the artifacts that can occur on two-dimensional and three-dimensional dental X-rays (intraoral or extraoral) from the actual pathology of the investigated area, by performing control X-rays.Material and Methods: In our study we viewed, assessed and compared a number of 80 retroalveolar X-rays, 45 orthopantomographs (OPG) and 35 Cone Beam Computer Tomography (CBCT). In case of artifacts or errors, X-rays were repeated within 5 days or a CBCT was performed. In the case of OPGs, another option was to perform retroalveolar X-rays to establish the final diagnosis.Results: From a total of 80 retroalveolar X-rays, in 13 cases (16.25%) we found artifacts. Of these, in only 4 cases (5%) diagnosis and treatment plan were changed following a clinical examination or a CBCT. In the case of OPGs, out of a total of 45 OPGs, 17 (37.7%) presented artifacts, but only in a percentage of 17.7% (8 cases) they affected the diagnosis. Of the 35 CBCTs, in 10 of them (28.57%) prosthetic works with a metal component or implants were present, with specific artifacts found, but their presence did not influence the diagnosis.Conclusion: It is necessary for doctors to know the anatomy of the oral region, the most fervent appearance of the components and the different types of artifacts that may occur. Control X-ray is a very commonly used possibility, but there are cases where radiation exposure needs to be minimized.</abstract>

Contributions to the study of common artifacts and errors in conventional and three-dimensional radio-imaging used in the evaluation of odontal, endodontic and periodontal pathology.

<abstract xmlns="http://www.w3.org/1999/xhtml">Children`s dental anxiety is responsible for increasing dental health problems, as patients avoid seeking treatment. The aim of our study was to evaluate the level of dental anxiety and its correlation with dental health status in a group of children aged between 6-9 years.Material and Methods. Our study included 56 children: first, they completed a questionnaire and then the decay-missing-filled teeth index was measured (DMFT).Results. From a total of 59 children, 29 children had dental anxiety (51.78%) and the prevalence of caries was 69%. The mean and SD for the DMFT index was 1.76+/- 1.54 (2.04 +/- 1.98 for boys and 1.69 +/- 1.72 for girls, with p= 0.0391, p&lt;0.05).In conclusion, the level of dental anxiety can be reduced by frequent visits to the dental office. A favorable personal experience might help children increasing their confidence for dental treatment. There was a significant negative association between the value of filled teeth and the level of child's anxiety.</abstract>

Assessment of dental anxiety and the prevalence of dental caries in a group of 6-9 years old children.

<abstract xmlns="http://www.w3.org/1999/xhtml">Introduction: Besides abutment preparation, the impression is essential in order to achieve an esthetical and functional prosthetic restoration. Proper gingival displacement and abutment finish line exposure is crucial for the proper impression technique.The study aims are to investigate the vertical gingival displacement and if the free gingival margin returns to its original position after seven days by using a retraction cord impregnated with different chemical substances.Materials and method: Our clinical study evaluated on digital photos the modification of the healthy, free gingival margin position on the labial surface of two upper central incisors in the same female patient during the sulcus enlargement with the mechano-chemical method.Results: Statistically significant differences were obtained by comparing the mean values of vertical gingival displacement obtained using a non-impregnated and an impregnated retraction cord with different chemical at each time of the measurements.Conclusion: The mechano-chemical technique is an efficient method for gingival displacement regardless the impregnating solution used.</abstract>

Study about mechano-chemical gingival displacement with single-cord technique.

<abstract xmlns="http://www.w3.org/1999/xhtml">Objective: The purpose of the present study is to evaluate the disintegration of the contact point system, the occlusal changes, and the masticatory force following the loss of the first permanent molars (FPM).Material and methods: Clinical examinations were performed among 8-18-year-olds following the changes in the contact points and their effects on the dento-maxillary apparatus. The sample comprises 422 individuals, 220 girls and 202 boys. The occlusal masticatory force was measured using the T-Scan in the case of the opening of contact points. For the statistical data analysis, was used correlation and Chi Square Test in the GraphPad InStat program.Results: A very weak reverse dependence was found between the size of the edentulous space and the deflection of the upper and lower interincisal lines (r=-0.02) and between the age and size of the edentulous space (r=-0.05). There is a statistically significant chance of mandibular lateral deviation by dental migration following edentulism (p=0.043). In the case of the opening of contact points, there are 1.42 times higher risks of modified sagital relationship in the molar segment (p=0.016) and 2.7 times greater risks of the tipping of the neighbouring teeth (p=0.021). Following the evaluation of the T-Scan measurements, we found in each case a significant decrease in the masticatory force in the edentulous area and the opening of the interproximal contact points.Conclusion: Based on the obtained results, we can state that the opening of contact points decisively influences the stability of the occlusion and the size of the masticatory force.</abstract>

Doctoral School of George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

Occlusal sequalae of the loss of first permanent molars among children and adolescents.

AHEAD OF PRINT

Volume 6 (2023): Issue 2 (December 2023)

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Acta Stomatologica Marisiensis Journal

 Acta Stomatologica Marisiensis is an official Journal of George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania, and is published twice a year. It is an international journal dedicated to publishing high-quality peer-reviewed articles about all fields of dental medicine. The important topics covered by the journal refer to the complete, complex and interdisciplinary treatment of the patient with dental problems. This involves addressing all branches of dental medicine and does not exclude research in the field of nanomaterials, biotechnology or medical engineering.   By focusing on the publication of new documents and evidence of high quality research, Acta Stomatologica Marisiensis aims to improve the practice of dental medicine both in the clinical and research areas at an international level.   The journal focuses on the publication of quality medical research articles that bring new insights into dental medicine from the perspective of diagnosis and treatment methods and the materials used.   The journal’s emphasis is primarily on original high-quality medical research but also accepts manuscripts relating to the basic sciences, review articles, systemic reviews and meta-analysis, case reports, and observational studies of all types, including randomized control trials, editorial commentary and opinions covering the entire spectrum of research in dental medicine.   The journal has neither article processing charges (APCs) nor article submission charges.   Why subscribe and read?      It is an international double-blind peer-reviewed, open access journal published two times per year, only in the English language.   The Journal is designed to facilitate the exchange of ideas between researchers from different countries all around the world.        The Journal has high standards for its contents. It has good publishing quality in electronic and printed form.   Archiving   Sciendo archives the contents of this journal in Portico - digital long-term preservation service of scholarly books, journals and collections.   Plagiarism Policy   The editorial board is participating in a growing community of Similarity Check System's users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process. 