bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of Minimally Invasive Surgery in Managing Ovarian Cysts A Study of Postoperative Recovery
Authors: Borna Nishat Anam
Published: November 2024

Background: Ovarian cysts are a prevalent condition among women, and minimally invasive surgery (MIS) has been increasingly adopted due to its benefits in recovery and outcomes. Objective: This study evaluates the postoperative recovery of patients undergoing MIS for ovarian cyst management in tertiary hospitals in Bangladesh. Method: A cohort of 104 patients from a multicenter tertiary hospital in Bangladesh, treated between January 2023 and December 2023, underwent laparoscopic surgery for ovarian cysts. Data on postoperative recovery, pain levels, complication rates, and return to daily activities were collected over a 6-month follow-up period. Statistical analysis was used to calculate the mean, percentages, and recovery trends. Results: The mean postoperative pain score was 2.1 on the Visual Analog Scale (VAS), with 87% of patients reporting mild pain (VAS 1–3) within 24 hours post-surgery. The average time to return to daily activities was 9.6 days, and 92% of patients resumed normal routines within 10 days. The mean hospital stay was 2.4 days (range: 1–4 days), with 96% of patients discharged within 3 days. Only 4.8% of patients experienced minor postoperative complications, such as wound infections. There were no reported cases of major complications, such as organ injury. Cosmetic outcomes were rated highly, with 94% of patients satisfied with the minimal scarring from the procedure. Conclusions: Minimally invasive surgery is highly effective in managing ovarian cysts, with short recovery times, minimal complications, and high patient satisfaction. These results support MIS as a first-line treatment for ovarian cysts.
Myoepithelial cells of the lacrimal gland
Authors: Bâră R.I. , Petrea C.E. , Jianu A.M. , Oancea R. , Rusu M.C.
Published: November 2024

Myoepithelial cells (MECs) are found in different exocrine glands, which include the lacrimal gland. However, although the MECs are functionally relevant for the function of this gland, few studies characterised them by means of immunohistochemistry. We therefore aimed at checking the molecular phenotype of the MECs in the lacrimal gland. For this study were used archived paraffin-embedded samples of lacrimal glands. Primary antibodies were applied: D2-40, alpha-smooth muscle actin (α-SMA), Ki67, the smooth muscle myosin heavy chain (SMM), cytokeratin 5 (CK5), and CD117/c-kit. MECs of the lacrimal gland expressed D2-40 (podoplanin), α-SMA, SMM, CK5 and, scarcely, c-kit. Ki67, the proliferative marker, and c-kit, were scarcely expressed in basal cells of the secretory units. Therefore, podoplanin should be added to the specific panel of markers specifically identifying the MECs of the lacrimal gland.
Characteristics of the technical steps required to obtain a ceramic restoration in the frontal and posterior area
Authors: Baciu S. , Burde A. V. , Grecu A. G. , Manole M.
Published: November 2024

Aesthetics is one of the main factors of success for a dental restorations. Nowadays patients claim more and more -besides longevity – to receive esthetic restorations that blend harmoniously with the surrounding teeth and tissues. The successful application of different all-ceramic materials is dependent upon clinicians’ ability to match the ceramic materials to the manufacturing techniques and cementation or bonding procedures. The aim of our study was to present the technical steps for a special clinical case due to bruxism, for which the choice of restoration was metallic post-cores in order to insure optimal mechanical properties and with milled zirconia crowns.
Biomimetic restoration of dental trauma in the frontal area
Authors: Buzatu R. , Szuhanek C.A. , Bolos O.C. , Valceanu A.S. , Buduru S.
Published: November 2024

Aim and objectives: Dental trauma to the anterior teeth may involve only enamel or enamel and dentin, and in more severe cases may be found pulpal involvement which complicates the initial treatment. In these situations the affected teeth require an extended period of regular monitoring Material and methods: A 12-year-old patient presented to the dental office with coronary fracture class II Ellis at the level of the left upper central incisor. The relevant history of the etiology of the injury was accidental fall during recreational activities. Taking into account the fact that the patient was a 12-year-old child and the fractured coronary fragment was recovered, it was decided as a treatment solution to reattach the fractured fragment to the remaining coronary tooth. Results: The technique of reattaching the recovered dental fragment respects the principles of biomimicry and allows obtaining a natural result, in terms of the optical characteristics of the future restoration Conclusions: In the recall session, after a week, it was found that the restoration fits perfectly in the remaining dental tissues, requiring only minimal finishing touches in order to individualize the relief and surface texture, in accordance with those of the intact analog tooth and application of polishing operations
Associated Protein Rich Plasma (PRP) technique in traumatic meniscus tear and cartilage lesion
Authors: Cojocaru D.G. , Hogea B.G. , Florescu S. , Patrascu Jr. J.M. , Patrascu R. , Patrascu J.M.
Published: November 2024

The most common acute knee disorders in the emergency department are cartilage and meniscus injuries, anterior cruciate ligament tears and MCL elongations. But even more important is that most of these lesions occur in the active population, both physically and socially, therefore the socio-economic impact of these diseases is huge. Beside the classic treatment methods, lately a new adjuvant procedure brings favorable results: Protein Rich Plasma. PRP is a relatively new technique, introduced around 2000 in orthopedics and traumatology practice, but generally accepted after 2010. It is based on the ability to repair of thr growth factors stored in blood platelets. We will analyze the follow-up patients with meniscal and cartilaginous lesions, the treatment options and their association, as well as the evolution with or without treatment.
Negative pressure wound therapy in orthopaedic surgery
Authors: Hogea B.G. , Voiculescu M.A. , Sandesc M.A. , Misca L.C. , Patrascu J.M. , Patrascu R. , Ilie C.A.  , Patrascu Jr. J. M.
Published: November 2024

Negative wound pressure therapy (NPWT) is a popular method used for the management of acute and chronic wounds. Its use is widespread in surgical specialties that use NPWT to varying degrees as part of their arsenal against high-risk wound injuries. The use of this method in orthopedics is diverse and includes: management of acute traumatic wounds, wounds resulting from surgical therapy, management of bedsores, management of infected or dehiscent wounds. This paper is based on a retrospective study in order to provide current information related to the use of negative pressure therapy in orthopedic pathology, to report the effectiveness of this method of treatment depending on the duration of wound healing, the success rate of surgery and reducing complications.
Fluoride prophylaxis through nutrition
Authors: Cuc A. , Porumb A. , Sava-Rosianu R.
Published: November 2024

The large-scale incidence of tooth decay, the onset of dental cavities from early age, the increase of the disease rate, the multiplication of cases with multiple and galloping tooth decay, the failure of therapeutic procedures to achieve a significant reduction of morbidity, all of the aforementioned make tooth decay prophylaxis an issue of public health concern. This involves the onset of complex primary and secondary prophylaxis programmes, both at collective and individual level. The lack of a sufficient intake of natural fluoride has led to the need to supplementing with fluoride from natural sources to an effective dose, by fluoridation of water, table salt, and fluoridation of various foods.
Visual acuity improvement in patients diagnosed with noninfectious intermediate uveitis treated with intraocular triamcinolone acetonide
Authors: Suta M.C. , Munteanu M. , Salavat M.-C. , Boruga M.V.
Published: November 2024

The aim of the study was to determine the effectiveness of intravitreal triamcinolone acetonide in improving the visual acuity, three months after treatment. The objectives of the study were to perform a baseline evaluation of the patients enrolled in the study, to perform intraocular injections with triamcinolone acetonide and to evaluate the best corrected visual acuity three months after the treatment. Fifty patients diagnosed with noninfectious intermediate uveitis were treated with intravitreal injection of four mg triamcinolone acetonide. The patients were divided into two study arms, twenty-three patients were subjected to intraocular injection with Triamcinolone acetonide, the rest, twenty-seven were subjected to intraocular injection with Triamcinolone acetonide and general cortisone administration. Best corrected visual acuity was determined three months after treatment. Globally, for all fifty patients, the mean ±SD visual acuity gain was 0.29 ±0.27 LogMAR. This study proves that intraocular cortisone administration has a positive effect on visual acuity that lasts for at least three months period.
Neonatal auditory screening – essential public health measure
Authors: Ionescu D. , Berteșteanu V.G.Ș. , Grigore R. , Munteanu G.S. , Buruiana L. , Vuzitas A. , Soreanu C. , Hera C.
Published: November 2024

Aim and objective: Our Hospital is part of the National Program VI.1.5 “Prevention of hearing impairments through neonatal screening” from 2019. This study aims to present a statistic obtained on the group of children tested by auditory screening in the period 2019-2020 in our institution. Materials and methods: Between January 2019 and October 2020, 753 children aged between 0 months and 18 months were tested in our clinic. The testing consisted in determining the presence or absence of acoustic otoemissions (TOAE) with the SERA-Interacoustics equipment. The children were examined before testing according to a standard protocol. Only children with normal otoscopy and physiological tympanogram (type A curve) were selected for further testing. The test was performed respecting the conditions of environmental quiet, the children being in natural sleep. Results: Testing the 753 children with acoustic otoemissions, we identified 20 children with profound neurosensory hearing loss, 2 children with moderate neurosensory hearing loss and 2 children with severe neurosensory hearing loss (these children did not have a diagnosis of genetic syndrome). These last 4 children received an indication for a hearing aid, while the rest (20) received an indication for a cochlear implant. Conclusions: Auditory screening is essential in the early detection of hearing loss in the newborn. The diagnosis of hearing loss made in the first year of life allows the effective rehabilitation of the child. In this way the child manages to acquire the language, to integrate in the community and to develop harmoniously from both auditory and psychoemotional point of view.
Metal-ceramic restauration with an SLM achieved framework
Authors: Tigmeanu C. , Balean O.I. , Anghel-Lorinti A.E. , Antonie S. , Rivis M.
Published: November 2024

Laser Melting (SLM), a complex technique because of it requires close monitoring of the procedure. It combines modern CAD / CAM technology with the classic application of layer-by-layer ceramics, the material used allowing the selection from a wide range of colours, and thus giving the possibility of customization, aesthetic reproduction and at the same time a functional prosthetic restoration. Materials may include copper, aluminium, stainless steel, steel for tools, chromium cobalt, titanium and tungsten. The equipment used to obtain the metal frame by the SLM process is Mlab cusing 200R. Laser beam scanning is an essential task because these parameters happen to be the most influential on the characteristics.
Evaluation of different education methods used in oral health education for adolescents
Authors: Adomnicai M. F. , Podariu A. C. , Sava-Rosianu R. , Mihalcioiu C. V. , Matichescu A. M. , Cosoroaba R. M. , Tanase A. D.
Published: November 2024

Background: Oral diseases are one of the most prevalent conditions in the world and are largely preventable. In recent years, attention has been drawn toward assessing the effectiveness of oral health education programs. The aim of study is to investigate the most effective method used in oral health education according to the Adolescents perception. Material and methods: In the prospective cohort study the initial sample of 832 students was subdivided into 4 subgroups, each group being implemented an educational program Results: At the initial evaluation, for each study group, the following average value of the toothbrush frequency score was found: 1.54 students in group I, 1.59 for students in group II, 1.59 for students in group III and 1.50 for students in group IV, control. The average value of the initial score of the frequency of tooth brushing does not show statistically significant differences in the four study groups (p = 0.615). On reassessment, the average value of the toothbrush frequency score was as follows: 1.66 for students in group I, 1.65 for students in group II, 1.76 for students in group II and 1.55 for students in group IV, Control. The average value of the final toothbrush frequency score has a significant upward trend (p = 0.001) Conclusion: Educational methods influence the knowledge about oral health, with individual demonstration proving to be the most effective method for acquiring knowledge. In the adolescents' view, the participatory activity was the preferred method.
Treatment of maxillary odontogenic cysts by the method of marsupialization – review
Authors: Domocoș D. , Cuc E. A. , Todor P. C. , Cuc G. D. , Todor S. A.
Published: November 2024

Odontogenic cysts are the most frequent osseous destructive lesions of the jaws. As the volume increases, they cause significant bone resorption, cortical expansion and tooth displacement. Depending on the size, location of the cyst and the age of the patients, several treatment options are available: curettage, enucleation, radical treatment and marsupialization. The marsupialization (Partsch I) is a conservative technique used as curative treatment for the odontogenic cyst. Despite its disadvantages and controversies, remains an interesting therapeutic choice in the case of large cysts, or in old or very young patients.
Incidence of carious pathology of the permanent primary molar
Authors: Brisc R. C. , Veltean-Corneschi R. L. , Tudor A. , Bianca D. , Luca M.³ , Stoican Nikolajevic N.¹ , Jumanca D. , Popa M.³
Published: November 2024

From a dental point of view, the man carries out his masticatory activity during all types of dentition: temporary, mixed and permanent. Temporary dentition fulfills multiple important roles for the period in which it is present in the oral cavity: biological, psycho-social, general somatic and psychic development of the child, conservation of space for the normal eruption of permanent teeth. Also, due to the exercise of the functions of the temporary teeth, a lot of stimuls are produced that lead to the modeling and development of the structures of the dento-maxillary apparatus.
Fixed prosthetic treatment of patients with periodontitis – case report
Authors: Todor L. , Domocoș D. , Todor P.C. , Todor S.A.
Published: November 2024

Oral health as an integral part of general health. Prosthetic rehabilitation of patients with periodontal disease is often challenging and difficult. Restoring periodontal health is essential for successful prosthodontic rehabilitation. Patients present to the dentist's office at different stages of periodontal disease: gingival retractions, periodontal abscesses, dental mobility. The relationship between the patient's periodontal situation and prosthetic treatment should be correlated with oral hygiene [1]. Treatment objectives for periodontal disease include control of infections, stopping disease progression, replacing missing teeth, correcting anatomic defects and maintaining periodontal health. Advances in technology and biomaterials have expanded the possibilities for aesthetic optimization in restorative dentistry. A correct diagnosis and an appropriate treatment plan are key factors in prosthetic treatment in patients with periodontal disease.
Artificial Intelligence in Paediatric Dentistry
Authors: Popa M. , Nikolajevic-Stoican A.N. , Luca M. , Dinu Ș. , Brăilă E.B. , Dragoș B. , Indricean I. , Matichescu A.M. , Talpoș-Niculescu Ș.
Published: November 2024

Currently, new digital technologies for investigation, analysis or design and manufacturing are being implemented in more and more dental offices and clinics around the world. The purpose of this study is to show how the use of these digital technologies influences paedodontic practice, what are the advantages or disadvantages and what are the indications for their use. The motivation for choosing this research topic is that the medical act in this field requires a well-trained medical team and to increase its quality, new technologies put the premise of therapeutic procedures with a shorter duration, increased comfort and numerous other benefits. With the help of artificial intelligence-assisted diagnostic software, dentists want to not only make it easier to read and report a large number of medical imaging investigations, but also to improve work efficiency and achieve more accurate results and the final diagnosis of various pathologies.
Minimally invasive treatment of dental dyschromia
Authors: Bolos O.C. , Bolos A. , Buzatu R. , Valceanu A.S. , Bratu D.C.
Published: November 2024

Dental dyschromia is one of the main reasons why patients request treatment in the dental office. Dental dyschromia represent the alteration of the physiological color of teeth. This paper shows 2 minimally invasive treatment alternatives for dental discoloration – external and internal bleaching. The main purpose of bleaching techniques is to restore the esthetic aspect of teeth. Good knowledge of external and internal bleaching techniques protocol and materials are necessary, in order to obtain a good result.
Non – invasive therapeutic approach in dental dysplasia – Molar Incisor Hypomineralisation Syndrome
Authors: Brăilă E.B. , Dinu Ș. , Jumanca D. , Horhat R.M. , Cîrdei M.V. , Păcurar M. , Crăciunescu E.L. , Popa M.
Published: November 2024

Aim and objectives: Dental dysplasia is a structural or developmental defect that can be classified into two types based on the etiology: environmental and genetic. Environmental dysplasia can affect the enamel and dentine and can occur before or after birth. They are the result of several environmental conditions that emerge before or during the development of the dental structures, prior to the eruption of the teeth, from a chronological aspect. Materials and Methods: The research focuses on the descriptive approach of MIH Syndrome clinical treatment cases (A-F). Non-invasive treatment involving CPP-ACP and Varnish was used to treat the patient. Results: The contemporary treatment strategy to treating these defects is based on the collection of a series of data, beginning with determining the etiological causes for an early diagnosis and minimizing the scope of carious lesions as much as feasible. After 6 months we observe an improvement of the oral hygiene. Conclusions: The approach of a non-invasive treatment idea, resulting in keeping the dental tissues as healthy as possible and free of cavities, is the key to success in correcting any structural defect.
Luting space assessment of metal free fixed partial prostheses. A qualitative study.
Authors: Pop D.M. , Sinescu C. , Craciunescu E.L. , Cojocariu A.C. , Gabor A.G. , Negrutiu M.L. , Rominu M.
Published: November 2024

The aim of this ex vivo study is to assess with digital microscopy the thickness of luting space of metal free FPP made with technologies: selective laser sintering, milling and pressing. Twelve metal free FPP were designed after two technological protocols. The first group was made with pressed ceramic (IPS E.max Ceram). The veneering was made with feldspalthic ceramic IPS (E.max Ceram). The second group of samples was made with CAD/CAM subtractive technology. The metal free infrastructures were digitally designed for milling in zirconium oxide discs (IPS E.max ZirCAD). The prostheses adaptation was measured and checked with dedicated silicone. The evaluation of internal adaptation with optical microscope is more accurate. The silicone has a resilient characteristic and may influence the results. The measurement made with digital microscope are accurately higher.
Anatomo-clinical correlations between canines edentation and their impact on protein metabolism
Authors: Gavra A.S. , Todor L. , Galea-Holhoş L.B. , Moga I. , Todor S.A. , Moga T.D.
Published: November 2024

Proteins are a group of organic substances, that play multiple roles in the body. The body procures amino acids, indispensable for the biosynthesis of its own proteins. Edentation is a pathological condition characterized by the absence of one or more teeth on the dental arch. This pathological condition occurs due to tooth loss. Patients suffering from impaired masticatory function, through edentulousness, can adapt the consistency of food to their dental status, or rely on the digestive system, to compensate for the lack of oral preparation of food. The lack of one or more teeth can lead to poor chewing, because larger pieces of food are swallowed, leading to digestive disorders. These circumstances lead to a poor intake of nutrients by decreasing intestinal absorption, or increase the likelihood of digestive diseases. Thus, dysfunction of masticatory efficiency may be detrimental to general health.
Digital vs. Conventional Wax-Up
Authors: Buduru S. , Mițariu L. , Ifrim C. , Tăut M. , Buzatu R.
Published: November 2024

Case presentation: This article aims at presenting a case of an esthetic previsualization using both digital and conventional wax-up technique in order to compare their results in terms of functional and esthetic outcome, workflow, time and costs. Material and methods: For the digital method, the Smile Cloud application was used for Digital Smile Design, afterwards the project was imported into 3Shape Dental Designer software for designing the digital wax-up and a printed model was produced for the clinical mock-up. For the conventional method, alginate impressions and a facial bow registration were taken and the models mounted in a semi adjustable articulator were used to transfer the data provided by the dentist in order to design the analog wax-up. Discussion/Conclusion: The digital wax-up has the advantages of a better macro and micro texture on the future restorations, it is less time consuming in terms of design and additional changes, but also being a more expensive option due to extensive equipment needed.
General anxiety level assessment of dentists in the context of the COVID-19 pandemic
Authors: Bojoga (Mocuta) D.E. , Miron M.I. , Grecea R. , Luca M.M. , Buzatu R.
Published: November 2024

Since 2020, since the beginning of the pandemic, in Romania, dentistry has been one of the most affected fields of activity, dentists being one of the risk categories, when we refer to general anxiety, in the context of the COVID-19 pandemic. The aim of this study is represented by the evaluation of the anxiety level of dentists, in the context of the COVID-19 pandemic, using a questionnaire. In this study were used 88 dentists who carry out their professional activity with a frequency of at least 5 days/week, in Timiș County and are between 24 and 65 years old. The study found that female dentists (25%) have a higher level of general anxiety than men (20%) in the context of the COVID-19 pandemic. Consequently, the level of general anxiety is high in 2 out of 5 female dentists, while only 1 in 5 male dentists has a high level of general anxiety in the context of the COVID-19 pandemic.
Clinical study of analysis of deviation from the mean of Bennett angles using electronic condylography measurement
Authors: Drăguș A.-C. , Augustin M. , Tănase G. , Mițariu M.
Published: November 2024

The study was carried out on a group of 140 Romanian patients to analyze the deviation from the average (15°) of the Bennett angles in order to identify some potential common aspects. Based on the exact values of the Bennett angles sent to the dental laboratory, customized prosthetic works will be carried out later. The measurements were made by condylography, a method of recording mandibular dynamics and all the functions of the craniomandibular system: breathing, speech, swallowing, mastication, aesthetics, stress-management. An ARCUSDigma condylograph from KaVo Dental GmbH was used for diagnostic condylography, and biacrylic composite, fixed with Temp-Bond NE temporary cement from Kerr Dental, was used to create the clutch. After the study we found that 25% of the patients had a Bennett angle of at least 4° and another 9% had values close to 4°, which demonstrates the existence of repetitive common aspects.
A detailed study on the antitumor effects of consecrated drugs - digoxin and labetalol
Authors: Rednic R. , Semenescu A.D. , Bociort F. , Grosu C. , Kiș A. , Tomescu M.C.
Published: November 2024

Cardiotonic glycosides and beta-blockers are drug classes intensely known for their benefits in cardiovascular diseases, having therapeutic utility in certain conditions and in pregnant women. Due to their established actions, in recent years attention has been directed towards the antitumor effect of cardiotonic glycosides and non-selective beta-blockers. Thus, the aim of the present study was to highlight the anticancer activity of digoxin and labetalol, both in vitro and in vivo, to continue evaluating their effects and to study in more detail their mechanisms of antitumor action. Analyzing the data, it can be say that digoxin, but also non-selective beta-blockers, including labetalol, are promising anticancer agents.
Enameloplasty in interdisciplinary treatment of dental injuries – case report
Authors: Berechet D. , Scrobotă I. , Moca A. , Matei R.I. , Dima R. , Rotaru D.I.
Published: November 2024

Case presentation: Traumatic lesions of the upper incisor group can target only one of the dental topographical areas, being represented by crown fractures with or without affecting the pulp chamber, crown-root or root fractures or they can also involve the alveolar process. Another category of dental trauma can be represented by complete or incomplete dental dislocations, as well as traumatic tooth avulsion. Material and method: In this study we presented the case of the 12-year-old patient with traumatic avulsion of the two upper central incisors. The interdisciplinary treatment performed was orthodontic and direct restorative. We used Herculite dental composites system from Kerr, Germany. Discussions/Conclusions: The direct restorative composites are able to perform as an intermediate solution during the complex treatment when morphological dental transformations are required and to facilitate the objectives of the orthodontic treatment in frontal traumatic injuries.
Anticoagulant therapy in patients with dental treatment needs. A literature study
Authors: Titihazan F. , Romînu M. , Găluşcan A. , Jumanca D. E.
Published: November 2024

Aim and objectives: The aim of this literature study was to review relevant articles regarding the specificity of dental treatments, especially oral surgery and implantation in anticoagulated patients. Material and methods: Using relevant MeSH terms, a search in PubMed database was performed in order to find publications about the particularities of dental treatments in patients who are anticoagulated, particularly with non-vitamin K antagonist oral anticoagulants (NOACs). Results: The practitioners must act taking into account the bleeding risk and the extent of the surgical procedure. Conclusions: The main conclusion is that the non-vitamin K antagonist oral anticoagulant (NOAC) therapy does not represent a contraindication for surgical dental procedures.
A comparative clinical study of the treatment of hypertrophic scars with intralesional steroid and silicone gel sheeting in different types of incision lines in caesarean sections
Authors: Major K.M. , Bodog F.D. , Pop O.L.
Published: November 2024

Caesarean section is one of the most common interventions in obstetrics and gynecology today. Complications of scar healing and also the aesthetics of the scar is usually very important for patients. 96 patients were selected to participate in this study after giving birth by caesarean section. Each group included 24 patients, who underwent a Pfannenstiel section or a transverse laparotomy incision. The patients were treated with either intralesional steroid or silicone gel sheeting. The aim of this study was to compare and determine the roles of these two commonly used treatment options of hypertrophic scars and to compare the therapeutic options in different incisions in case of caesarean sections. Both methods were significantly efficient, however intralesional steroid therapy had a more rapid and long-lasting effect than silicone gel sheeting in both types of incisions of caesarean sections. These results confirmed the role of these two treatment modalities in the protocols. Our data suggest that silicone gel sheeting could be the first line therapy in both types of incisions of caesarean sections, while intralesional steroid is the second line treatment for primary linear hypertrophy of scars. Also, in recurrent linear hypertrophic scars, intralesional steroid therapy is recommended in first line in both types of incisions, because silicone gel sheeting was largely ineffective. Regarding the type of caesarean sections, in lower transverse laparotomy both types of treatment proved to be more effective, thus this could be an argument for the surgeon to choose this type of incision detrimental to the lower median laparotomy. Prospective randomized clinical trials should be needed to clarify their role further in the treatment protocols.
Patients’ attitude toward the use of secondary products for oral hygiene
Authors: Cărămidă M. , Dumitrache M.A. , Dumitrașcu L.C. , Ivan C.F. , Oancea R. , Sfeatcu R.
Published: November 2024

The proper oral hygiene routine includes, besides toothbrushing, secondary oral hygiene products like interdental cleaning products and mouthrinses. The aim of the present study was the assessment of patients’ attitude toward secondary oral hygiene products. Material and method: the cross-sectional study was conducted in 2022 on a sample of 223 Romanian adults and the assessment was performed using an on-line self-assessment questionnaire. The results showed the frequency of users at least 1 time/day as follows: 33.63% dental floss, 15.69% interdental brushes, 19.73% oral irrigator, 44.39% mouthrinses. Regarding the motivation for the use of interdental cleaning products, prevention of oral conditions was mentioned as follows: 27.80% for dental floss, 9.87% for interdental brushes users and 16.59% for oral irrigator. For justifying the use of mouthrinses for preventive reasons, 17.04% mentioned prevention of caries and 56.05% of gingival inflammation. Among the reasons for not using these products in daily routine, neglect and the lack of comprehension of their role as well as the lack of perceived need were most frequently met statements. Conclusion: In the present study, adults declared a low rate of use of secondary oral hygiene products and the barriers mentioned were mostly related to insufficient knowledge and interest regarding the impact they have on prevention of dental caries and periodontal inflammation.
Testing the efficiency and versatility of Helbo photodynamic therapy in periodontal disease
Authors: Roi A. , Rusu L.C. , Muntean I. , Grecu A. , Busu F. , Roi C.I. , Soanca A. , Rivis M.
Published: November 2024

Helbo photodynamic therapy is a treatment method that combines light and photosensitizers to eliminate specific cells. This therapy has gained interest as a possible treatment for various medical conditions, such as cancer, infections, and periodontal diseases. This study aims to demonstrate the effectiveness of Helbo photodynamic therapy in treating and reducing periodontal pockets, after the scaling and root planing procedure, if there is a noticeable difference in comparison to periodontal pockets treated solely by scaling and root planing.
Obtaining the bicomponent tissue adhesive from blood collected preoperatively
Authors: Riviș M. , Todor L. , Todor S.A. , Popovici R.A. , Olariu I. , Vasca E.
Published: November 2024

The difference between primary and secondary hemostasis is that primary hemostasis is defined by the formation of the primary platelet plug whereas secondary hemostasis (coagulation) is defined by the formation of insoluble, cross-linked fibrin. Activated platelets are responsible for primary hemostasis and activated clotting factors are responsible for secondary hemostasis. Platelets play a crucial role in hemostasis and wound healing, with platelet-derived growth factors as a source of healing cytokines. Platelet concentrates for surgical use are innovative tools of regenerative medicine and have also been tested in oral and maxillofacial surgery. These products are extracts of the blood tissue, they are tissues themselves, and not pharmaceutical preparations. Fibrin tissue adhesive has applications in several fields of medicine, can be prepared by various methods.
Evaluation of the relation of the apex of the posterior teeth to the mucosa of the maxillary sinus
Authors: Riviș M. , Roi A. , Velescu S. , Mihai L.L. , Nicoară A. , Roi C.
Published: November 2024

Aim and objectives: The study aims to determine the risk of maxillary sinus membrane perforations in dental treatments on CBCT investigation. The factors that have been taken in consideration were the relation of the upper molars position with the maxillary sinus as well as the frequency of a certain type of risk. Material and methods: This observational study analyses the statistical data obtain from 50 patients that presented for the extraction of the upper molars. The criterion for quantifying the position of the upper teeth was created after a standardized position of an implant in relation to the maxillary sinus. Another desired was a special attention to the teeth that have an intimate contact with the membrane of the maxillary sinus observed on the radiographic images. Conclusions: Following this study, we can affirm that with proper imagistic investigation we can perform a classification of upper teeth position with the maxillary sinus. Additionally, we can assess a specific risk of oro-antral communication and the doctor has the possibility of choosing or adapting a therapeutic protocol according to the risk category in which these teeth are found.
Effects of physical therapy and CO₂ treatment in patients with hypertension and lumbar pathology in Buziaș resort
Authors: Gheorghe L. , Apostol A. , Vătăman (Tălîngă) A.A. , Codreanu A.M. , Mederle A.L. , Suciu O. , Onofrei R.R. , Borza C.
Published: November 2024

One of the key benefits of carbon dioxide water bath treatment in Buzias resort is the arterial vasodilatation which will have the effect of lowering blood pressure, relieving the feeling of joint stiffness and promoting muscle relaxation. Cardiac rehabilitation carried out in the Spa Medical Centre of the Parc Hotel Complex aims at restoring the patient's functional capacity, damaged by diseases as well as developing compensatory mechanisms that improve and maintain the quality of life.
The influence of Entropy in general consumption of anesthetics regarding sex and age
Authors: Timar C. , Negrău M. , Pantiș C. , Juncar M.
Published: November 2024

The study that we conducted highlights the role of entropy monitoring in general anesthesia, with a focus on its potential benefits for both patients and hospitals. The study aimed to investigate how entropy monitoring during general anesthesia can reduce the need for sevoflurane, as well as hypnotic and opioid medications. The study was conducted over half a year in 2019 and involved 30 patients who required general anesthesia within institution. The 30 patients were divided into three groups: Group1: Patients with metabolic disorders; Group2: Patients without metabolic disorders; Group3: Control group. The study found that entropy monitoring resulted in a nearly 20% reduction in the need for intrasurgical anesthetics in patients with metabolic disorders (Group 1) compared to the control group (Group 3). This reduction could lead to faster postoperative awakening and potentially fewer complications related to anesthesia. The study also examined sevoflurane consumption patterns based on age and gender.
Prevention of malpractice in dentistry
Authors: Tănase A. , Timar B. , Bojoga D.E. , Negruţiu M.L. , Miok K. , Crăciunescu E.L. , Pop D.M.
Published: November 2024

Aim and objectives; Prevention of medical malpractice is a current topic for both doctors and lawyers. Considering the consequences, proof of errors in medical practice becomes an issue that need to be considered in daily practice. Material and method; Regarding the malpractice prevention in dental medicine, a 10 questions questionnaire was drawn up and had the role to highlight the dentist’s legal knowledge and legal framework of their profession. After completing the questionnaires the answers were centralized and analyzed statistically. Results; Dentist’s from urban environment are more aware about malpractice and legal framework. Conclusions; The main conclusion resulting from this study takes into account the importance of dentists knowing the legal consequences to which they are exposed when they are found to have committed malpractice. By adopting a diligent and prudent behavior in their relationship with patients, dentists are preventing a series of complaints that require specialized assistance.
Submandibular lodge abscess. Case presentation
Authors: Domocoș D. , Bumbu B.A. , Tripe S. , Indries C.F. , Torsin R. , Precup A.I.
Published: November 2024

The submandibular lodge abscess represents a limited purulent collection of the primary mandibular space, the most frequently involved causative factor being the dento-periodontal damage of the lower molars, especially the third molar. The article presents the case of a 27-year-old patient with a marked swelling of the right hemiface, a swelling placed submandibular, which extends anteriorly under the chin and posteriorly to the level of the anterior border of the sterno-cleido-mastoid muscle, accompanied by marked trismus and pain.
Chronic mechanical trauma and oral squamous cell carcinoma. Case report
Authors: Bumbu B.A. , Precup A.I. , Costea C.P. , Daina M.D. , Moldovan I. , Iurcov R.
Published: November 2024

Oral squamous cell carcinoma (OSCC) occurs in approximately 95% of people older than 40 years; usually, it is diagnosed at the age of 60 years. These types of carcinomas represent 90% of the neoplasms of the oral cavity, the tongue, lips, floor of the mouth. The etiology of OSCC is multifactorial. Chronic mechanical trauma due to sharp teeth has also been suggested as an etiology of oral squamous of the tongue together with alcoholism, smoking, gene pool, human papilloma virus, poor oral hygiene. Base of the tongue is a distinct entity with different implications regarding treatment, prognosis and monitoring.
Evaluation of behaviors and attitudes regarding oral health among students
Authors: Sgîea E. D. , Mihai C. , Sava-Rosianu R. , Nicolae C. , Sfeatcu R.
Published: November 2024

The purpose of this study is to evaluate behaviors and attitudes towards oral health among first-year students at the Faculty of Dentistry at the “Carol Davila” University of Medicine and Pharmacy in Bucharest, and among first-year students at the Faculty of Management in Pitești, specializing in Educational Management at the master's level, and to compare the results between the two groups. The study is a descriptive cross-sectional one and includes a total of 256 students, 156 from the Faculty of Dentistry (Group I) and 100 from the Faculty of Educational Management (Group II). The sociological survey method based on a questionnaire was used. The questionnaires used were anonymous, and the same questionnaire was used in both groups, allowing for comparative evaluation. Students provided demographic information regarding gender and age, and the data were processed using Microsoft Excel. According to the respondents, dental and gingival health is generally good, with a percentage of 51.9% for students at the Faculty of Dentistry (Group I) and 66% for students in Group II. The assessment with an excellent rating was only 3% in both groups participating in the study. Behavior can be changed either through individual efforts, educators promoting health, opinion leaders, or as a result of changes in the economic, political, social, technological, and environmental fields.
Colorectal cancer: Population aspects in Bihor County, Romania
Authors: Abrudan R. , Abrudan L. , Cămărășan A. , Cămărășan O. , Pop O.
Published: November 2024

Aim and objectives: The main purpose of our study is to establish prevalence and distribution of colorectal malignancies among people of Bihor County, Romania and to identify the survival according to TNM classification; Material and methods: We included 100 patientes collected in a time interval between January 1st 2022 and July 1st 2024 who presented in the County Clinical Emergency Hospital Bihor, who had histopathologic evidence of colorectal cancer. Results: From the total number of 100 patients included in the study 57 were males and 43 were females and the the mean age at diagnosis of colorectal cancer was between 61-70 years old (41%). Conclusions: This study aims to provide valuable insights into how sex, age, environment, the histopathological result, TNM classification and survival interact to influence colorectal cancer characteristics and outcomes in Bihor County, Romania.
Expanding the limits: Successful anterior rehabilitation with feldspathic veneers beyond conventional guidelines
Authors: Jantea A. , Lolos D. , Dinu S. , Porojan L. , Mitariu L. , Mitariu M. , Bratu D. C. , Popa D. , Dehelean C. A. , Chioibaș D. R. , Lolos B. A. , Oancea R. , Mihali S. G.
Published: November 2024

This case report aims to detail our experience in regards to the management of the options for anterior dental rehabilitation using feldspathic ceramic veneers when preparation extends beyond guideline recommendations. Porcelain laminates are translucent, shade-matched to resemble enamel more than any other dental material, but there has always been equivocation about their mechanical integrity, particularly when applied over a severely reduced dentin. This work presents a clinical case where feldspathic veneers have been applied on all the anterior teeth, both centrals, laterals and canines, with veneer being made 0.5m thick, more than the recommended guidelines for such veneers. Despite the invasive preparation which extended beyond the 2mm of unsupported dental hard tissue infiltration the veneers showed that they were long term physiological stable. Some of the reasons that have put into practice are very rigid bonding procedures and good understanding of the properties of feldspathic ceramics. The case also debunks the concept that feldspathic veneers are not suitable in cases which require massive amounts of tooth reduction and indicates that this material will also do well especially if the technique that is implemented does not call for ideal conditions. Consistent with the latter statement, the present study emphasizes the effectiveness of feldspathic ceramics for remaining dental thickness and call for further investigation into more challenging clinical applications.
New methods in cavity detection
Authors: Leretter M. , Ardelean A. , Petrescu E. L. , Slautynskyy V. , Novac A. C. , Pop D. M. , Sinescu C. , Negruțiu M. L. , Buzatu R.
Published: November 2024

Introduction: Currently, there is significant interest in the early detection and treatment of cavities. Dental caries, the primary cause of tooth decay, ranks among the most prevalent chronic oral diseases globally. Caries develops due to multiple cycles of demineralization and remineralization, which are natural processes occurring within the oral cavity. Aim of the Study: The present study aims to observe the effectiveness of the Vista Cam IX device (Durr Dental, Bietigheim-Bissingen, Germany) in detecting incipient caries on the occlusal surfaces of posterior teeth and in the non-invasive conservative treatment of non-cavitated on posterior teeth. Material and Methods: For this study, 5 clinical cases (young adults aged 18-30 years) were examined using intraoral images and the fluorescent camera Vista Cam iX. Inclusion criteria were 5 first lower molars with occlusal carious lesions coded 1, 2, and 3 according to the ICDAS-II classification. Exclusion criteria were surfaces with restorations, extensive lesions, or enamel defects. Before commencing the procedure, the dentist underwent training according to the manufacturer's specifications. Measurements using the Vista Cam iX were performed at the tooth level, with isolation and drying using cotton rolls. The measured values, ranging from 0-3, corresponded to the severity of the lesion. Measurements were repeated on the same teeth one year after completion of non-invasive treatment. Results and Discussions: Out of the total number of surfaces examined, 60% were male patients and 40% were female, all of whom presented carious lesions in pits and fissures with an ICDAS-II score ranging from 1-3. Upon reevaluation after 1 year, 22 carious sites were detected. According to the results of this study, it can be stated that the Vista Cam iX, alongside the intraoral camera with high magnification, demonstrated a good ability to detect even the smallest lesions in pits and fissures. For one year, only preventive treatments were performed, and upon evaluation after one year, no progression of caries depth was observed in patients who adhered to oral hygiene recommendations. However, for those who did not follow the recommendations, an increase in lesion diameter was observed. Conclusions: The present study concludes that a combination of various detection methods, including the ICDAS-II classification, the intraoral camera with high magnification, and the fluorescent camera Vista Cam iX, is the key to achieving increased clinical efficiency and providing clinicians with precise data about the current status of the lesion. This aids in selecting the ideal treatment for the case
Coronary reconstruction after endodontic treatment
Authors: Marian D. , Ilieș I. , Olariu I. , Olariu T. , Berari A. R. , Flueraș R. , Pașca C. , Vască E. M.
Published: November 2024

Endodontic treatments, known as root canals, are essential for saving teeth severely damaged by deep decay or infection by removing infected pulp and cleaning the root canal system. This process prevents the spread of infection and eliminates pain, allowing the natural tooth to be preserved. After root canal treatment is completed, the tooth becomes more fragile and vulnerable to fracture, making crown reconstruction crucial. A simple endodontic treatment, which only involves cleaning and sealing the root canals without subsequent coronal reconstruction, has a success rate of about 85-93% over a period of 2-3 years. Coronal reconstruction involves restoring the structure of the tooth using materials such as dental crowns, which cover and protect the tooth, restoring its functionality and aesthetics. Together, endodontic treatments and crown reconstruction provide a complete solution for preserving the health and integrity of affected teeth.