bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors that can determine children’s oral health behaviour
Authors: Jumanca D. , Galuscan A. , Matichescu L.M. , Matichescu A. , Dragoș B. , Bratu D.C.
Published: November 2024

The purpose of our article is to highlight the factors that determine a higher frequency of brushing teeth among children in grades 1-4. In this sense, a questionnaire was applied on a number of 1014 of pupils from Timiș County studying in urban and rural schools. To analyse the incidence of the factors on the frequency of teeth brushing in children, we performed the linear regression analysis constructed in a progressive manner. Based on a sample of more than 1000 interviewed children, our study makes an important contribution to the development of literature in the field. Based on our results we can say that girls they are much more likely than boys to have a sanogenic behaviour in relation to oral hygiene. At the same time, once again our research highlights the importance of information and prevention.
The CBCT evaluation of the resorption caused by impacted canines
Authors: Pop S.I. , Moldovan D. , Ghiman A. , Suciu V. , Contac L.R. , Pop R.V. , Popa G. , Bratu D.C.
Published: November 2024

Cone-beam computed tomography (CBCT) provides precise information regarding the position of the impacted canines, the presence and the degree of root resorption in adjacent teeth. This information is extremely important for surgeons and orthodontists in order to determine the correct diagnosis and the optimal interdisciplinary treatment plan. The main goal of this study was the tridimensional evaluation of the position of impacted canines, as well as the frequency of the implicated factors in the root resorption of adjacent teeth. Using CBCTs, 20 impacted canines were diagnosed in 16 subjects. For the statistical analysis we used the Spearman rank correlation. In these patients, 10 canines had a palatal position (50%), 2 had a labial position (10%) and 8 had a medial position (40%). Root resorption was found in 11 lateral incisors (55%), 5 central incisors (25%), 1 first premolar (5%). Most statistically significant correlations were found in the central incisor resorption, dependent on the transversal position (-0.651 negative correlation, p=0.002). The second statistically significant correlation was found between the status of the deciduous canine and the central incisor resorption (0.457 positive correlation, p=0.043); the greater the lack of resorption of the deciduous canine, the higher the risk of resorption in the central incisor.
G Tongue In Adults And Children
Authors: Părlătescu I. , Custură Crăciun D. , Nicolae C.
Published: November 2024

Geographic tongue is a benign oral condition with a migratory pattern of the dorsal tongue. Aim and objectives: This paper aims to emphasize the etiology, epidemiology, pathogenesis and associated factors of geographic tongue, in an effort to improve the means of misdiagnosed and overtreated cases in adults and children. The variable clinical features of this condition are described. Moreover, geographic tongue can be an oral manifestation of psoriasis, thus further investigations are necessary. Recent data on oral microbiota, salivary changes and treatment strategy are also presented.
Review: Is air pollution involved in theepidemiological manifestation of viralinfections with respiratory tropism?
Authors: Ștefan I.M. , Bădițoiu L.M. , Popovici E.D. , Pavel R. , Anghel M. , Anghel A.
Published: November 2024

The article is a synthesis of current information from the literature regarding the link between chemical atmospheric pollutants and their impact on respiratory tract infections. The viruses most frequently involved in respiratory pathology are represented by: respiratory syncytial virus, adenoviruses, influenza virus, parainfluenza, rhino - and enteroviruses, after the SARS epidemic, MERS and COVID-19 pandemic, coronaviruses are etiological factors with significant fatality. The most common air pollutants are: PM10, PM2.5, NO, NO2, SO2, and soil level O3. Increased levels of these pollutants influence the incidence and fatality of viral respiratory infections. Unlike PM10, which remains confined to the upper respiratory tract, PM2.5 penetrates deep into the respiratory tree, causing local inflammatory reactions and impaired defense mechanisms. Also, the increase in susceptibility to respiratory infections is correlated with long-term exposure to high concentrations of: NO, NO2, SO2 and O3.
Influence of food pigments on restorations
Authors: Buzatu R. , Craciunescu E.L. , Szuhanek C. , Manoni N. , Valceanu A.S.
Published: November 2024

Aim and objectives: to observe the influence of food pigments on composite diacrylic resin restorations and to evaluate the chromatic stability of the aesthetic materials that we used. Material and methods: discs of a single type of DRC shade A2 and A3 were used. Initially, pre-immersion color measurements of the composite samples were performed. The composite samples were immersed in various pigmented solutions (tea, coffee, distilled water) for 24 hours and 7 days, the evaluation and observation of the degree of discoloration of the restorative materials being done every 24 hours and 7 days Results: According to the results, it was found that the largest color change on the surfaces of the composite material was recorded for tea and coffee after immersion for 7 days. Tea and coffee significantly affected the color of the composite samples used in the study. Conclusions: The effect of pigmented solutions (tea, coffee) that caused discoloration in the composite diacrylic resin was closely related to both the established immersion time (24 hours and 7 days) and the shade of the material used (A2 and A3).
Anamnestic evaluation of the patient treated with bisphosphonated: A questionnaire based survey
Authors: Bălean O.I. , Jumanca D. , Podariu A. C. , Alexa V. T. , Perdiou A. , Sava-Rosianua R. , Hajdu A. I. , Chioran D. , Găluscan A.
Published: November 2024

The management of patients undergoing bisphosphonate treatment in the dental office has become a challenge for doctors since the discovery of the side effects of these substances in the oral cavity.The aim of the study was to evaluate the way in which the patient's anamnesis is performed in the dental office, in direct connection with the diseases treated with bisphosphonates (osteoporosis, Paget Disease and oncological pathology). The present study was conducted by applying a questionnaire (which included 11 closed questions) that assesses the importance given to the patient with these conditions and to estimate the level of information of the dentists about the management of these patients.Although the literature is rich in information abouy bisphosphonates and their side effects, the results obtained by applying the questionnaire showed that: 63.36% of dentists do not ask questions about osteoporosis during anamnesis, and 85% of them voluntarily discontinue the bisphosphonates treatment without consulting a specialist.
The role of scaling in dento-periodontal health
Authors: Matichescu A. , Jumanca D. , Galuscan A. , Sava-Rosianu R. , Alexa V. , Oancea R. , Balean O.
Published: November 2024

Periodontopathy is an infectious disease, most of the pathogens have already been identified. Prophylactic measures are based on the finding that continuous accumulation and successive changes in the composition of the supra and subgingival plaque is correlated with the transformation of gingivitis into periodontitis. Prophylaxis of gingivitis is based on plaque control. Prophylaxis of periodontitis is based on the treatment of gingivitis and prophylaxis of relapses. The aim of this paper is to highlight the importance of scaling and proper oral-dental Hygiene in periodontal health. Measures of primary or secondary prophylaxis of periodontal disease, correlated with methods of oral hygiene education contribute to the promotion, maintenance, and restoration of periodontal health. Periodontal prophylaxis and oral-dental prophylaxis generally play a particularly important role in the prevention of caries and periodontal diseases, with periodic control and scaling at the dentist being particularly useful.
Pilot study on antibiotic resistance of conjuctival bacteria - RAGS study
Authors: Popa-Cherecheanu M. , Ionescu D. , Grigore R. , Munteanu G.S. , Simion-Antonie C.B. , Bejenaru P.L.1,Berteșteanu Ș.V. , Ionescu T.P. , Deleanu D.G. , Popa-Cherecheanu A.
Published: November 2024

The main purpose of this study is to compare the resistance profile of bacteria isolated from conjunctival secretions in our center with that of bacteria isolated in the ARMOR 2013 study. A total of 1591 samples were analyzed, successively collected for 5 years. Of these, 53.5% had a positive result, 37.6% were negative, and 8.9% were contaminated with saprophytic flora, the latter not being included in the statistics. The resistance of Staphylococcus aureus MRSA / MSSA to clindamycin, chloramphenicol and ciprofloxacin obtained in the RAGS study is higher than that recorded in the ARMOR study. The resistance of coagulase-negative staphylococci (MR CoNS / MS CoNS) to tobramycin obtained in our study is higher than that recorded in the ARMOR study, the same being true for chloramphenicol. The resistance of Pseudomonas aeruginosa to tobramycin obtained in the RAGS study is also higher than that recorded in the ARMOR study.
How to perform the stamp technique
Authors: Buzatu R. , Delvecchio A. , Bolos O.C. , Valceanu A.S. , Craciunescu E. L.
Published: November 2024

Aim and objectives: The role of choosing a direct technique in the posterior side as a stamp or layered has not been widely reported. The intent of the thesis is to gain an understanding of when to perform one technique or another in different classes by looking at the advantages and disadvantages to compare the predictability of the aesthetics results and the biomimetics of the restoration. Material si methods: The patient, a 23-year-old girl, presented at the private praxis with blackish staining on the teeth in the posterior side and no complaints of discomfort. She needs odontotherapy treatment on the mandible in multiple teeth on the posterior side by using two different techniques stamp and layered. Results: Precision is needed for the clinical step and high importance must be given to materials that become highly sensitive during handling. Conclusions: The decision of choosing a technique that have been used depends on the desired aesthetic patients complaint, the time available for the operative steps, and the clinician’s experiences with the technique and materials, or even depending on each clinical case, if it is involved just the enamel or enamel/ dentine.
Laser diode applications in pre-prosthetic periodontal treatment – clinical case
Authors: Todor L. , Popovici R.A. , Iurcov R. , Todor S.A. , Cricovean-Pfau M. , Micula-Cociuban C.L.
Published: November 2024

Aim and objectives: The purpose of pre-prosthetic periodontal treatment using laser diode is to stop the inflammatory process by reducing microorganisms. In this study, we aimed to evaluate the effect of diode laser treatment on a patient with gingivitis. Materials and methods: Clinical case presented is of a female patient who addressed the dental service for a total prosthetic rehabilitation. At the upper jaw, the patient had generalized gingivitis at the abutment teeth. After SRP, non-surgical periodontal instrumentation was applied, with the adjuvant use of diode laser, with a wavelength of 980 nm. Results: Two weeks after starting the treatment, the gingival index (GI) was evaluated, and it was decided that the prosthetic treatment itself could be started, the gingival inflammatory phenomena being remitted. Conclusions: The 980 nm laser diode can be used as an adjunctive therapy to cure gingivitis.
Silent bone epidemic - osteoporosis
Authors: Moga T.D. , Costas L.M. , Rahotă D. , Todor L. , Todor P.C. , Moga I.
Published: November 2024

According to the U.S. International Osteoporosis Association, more than 44 million people have osteoporosis or face the threat of developing osteoporosis due to low bone density results. Estimates place osteoporosis by the end of 2021 around 60 million.. Every three seconds in the world a fracture happens due to the decrease in bone density, causing almost 10 million fractures just because of the pressure on the bones affected by osteoporosis. In general, osteoporosis is associated with a weakened, sarcopenic muscular system so there is no strong support for the degenerated bone.
The prevalence of frontal teeth discoloration among thai pacients
Authors: Buzatu R. , Bolos O.C. , Valceanu A.S. , Craciunescu E.L. , Szuhanek C.A. , Magda L.
Published: November 2024

Aim and ojectives: A smile has an important role in our beauty and attractiveness. When it comes to dental problem, it always diminished self-confident and affects the mental health of the patient Material and methods: The study present in this paper uses the data from a web - based survey or a survey administration software called Google form. A cross-sectional study was conducted between 2 February and 30 May, 2021 including 333 participants, aged 18 – 50 years old Thai people. Results: Most of Thai participants have moderate or neutral feeling toward their anterior tooth shade and only few participants are truly satisfied with the anterior teeth shade. Conclusions: No matter how much satisfaction people have with their anterior teeth’s shade, having white teeth is esthetic and it is what most of people want.
The internet-effective educational instruments in health education
Authors: Tănase A.D. , Cosoroabă R.M. , Todor S.A. , Popovici R.A. , Serafin A.C. , Marian R. , Todor L.
Published: November 2024

The aim of this study is to demonstrate the innovative use of technology in medical education and bring awareness of current and future trends in the use of technology to enhance teaching and learning. Also, the purpose of this study is to reveal patterns in the use of health information on the Internet. Material and method: 1028 people responded to the telephone survey and that was conducted between October 2020 to December 2020. 865 out of 1028 completed the survey and 678 of them, used the Internet to obtain health information in the last year. Results: The determining factors in the use of the Internet for the selection of the hospital were represented by the area of residence, age and health status and the recommendations received on the social platforms. Discussions: There are several ways in which the Internet has been used for health education. The first involves professional development and the second and most important is the use of the Internet as a channel of intervention. Conclusions: The implementation of "learning engineering" as an emerging technology can help in the teaching and learning process. Training of more educators who can continue their further training in the effective use of technology to improve teaching and learning.
Image analysis of tumor infiltrating lymphocytes components of EGIST microenvironment
Authors: Moldovan V.T. , Sajin M. , Ginghina O. , Eftimie L. , Ali Leila.
Published: November 2024

Extra gastrointestinal stromal tumor (EGIST) are sarcomas originating from Cajal like cells. They are prone to events triggering inflammation. Aimes and Objectives: To describe into a retrospective study, the intratumoral lymphocytes in a series of EGIST and correlate their density with the proliferation index and morphology. Methods: Using antibodies against CD5, CD20, CD45, we demonstrated lymphoid cells and structures by using immunohistochemical methods. Slides were analyzed using QuPath for tumor-infiltrating lymphocyte (TIL) density. Tertiary lymphoid structures (TLS) were reported per sample. Statistical analysis was done using the Kruskal-Wallis corrected test and the Pearson coefficient. Results: We selected 22 cases with an average age of 51 years. Histologically, the batch was composed of fusiform, epithelioid, and mixed EGIST (63%; 14% and 23%). Numerical analysis of immunohistochemical stains showed an average Ki67 of 19%. The average TIL density of T and B cells was 1.6*103 cells/mm2 and 263 cells/mm2. The TLS have an average of 2.41 households/sample. The correlation between T and B cell density and between TIL with Ki67 shows p > 0.05 in our EGIST series. The correlation between EGIST histological variants with TIL type density resumed a p>0.05. Conclusion: TIL cell densities are independent histological parameters for EGIST. The TIL arrangement is inhomogeneous in EGISTs; T cells predominate.
Custom ocular prosthesis - experience of an anaplastology laboratory in western Romania
Authors: Pricop M.O. , Talpoş Ș. , Urechescu H. , Cosoroabă R.M. , Popovici R.A. , Todor L.
Published: November 2024

The oldest ocular prosthesis was discovered in Iran, made for a woman who lived between 2900-2800 BC. Over time, techniques for making ocular prosthesis have improved and new materials have emerged to perfect the look. Today, the techniques for making an ocular prosthesis are sophisticated and the physiognomic results can achieve perfection. This is a case report of a patient with left eye loss and details the stages of making an ocular prosthesis in an anaplastology laboratory in Timisoara. The technique describes the fabrication of an ocular prosthesis with materials that are inexpensive, readily available and regularly used in maxillofacial prosthetics. The prosthesis, although non-functional, provides good integration into the patients’ physiognomy and the aesthetic effect is high. Ocular prosthesis restores patients’ self-confidence and prevents social embarrassment.
Applications of basil extracts on diseases of the oral cavity
Authors: Faur A. , Dinu S.C. , Todor L. , Porumb A. , Todor S.A. , Cosoroabă R.M. , Popovici R.A. , Raica M.
Published: November 2024

Nature offers us a great organic wealth, various types of plants growing in different parts of the world. Medicinal plants are cultivated or spontaneously grown plant species that, due to their chemical composition, have pharmaceutical properties, being used to alleviate various diseases. The holy basil, Ocimum sanctum Linn or Tulsi, has been used since ancient times to treat various ailments. In this article we will talk about the use of Tulsi in oral diseases, , such as caries, gingivitis, periodontitis, oral cancer, oral candidiasis.
Dentists’ involvement in oral health promotion and prevention in their daily practice
Authors: Cărămidă M. , Dumitrache M.A. , Pasca I.G. , Oancea R. , Sfeatcu R. , Tribus L.
Published: November 2024

Oral diseases like caries and periodontal disease are highly preventable and the involvement of dental practitioners in preventive and educational measures in their daily practice play an important role. Aim: assessment of Romanian dental practitioners’ interest and involvement in oral health promotion and dental prevention in their daily practice. Material and method: a cross-sectional pilot study was conducted in 2021 on a sample of 66 dentists, with a mean age of 37.59 ± 9.66 years, using an on-line self-assessment questionnaire. Results: 62.12% of dentists declared they include oral health promotion and prevention to a very large extent in their daily practice, 93.94% assessing and counselling their patients at the first appointment regarding risk factors. However, only oral hygiene is monitored during the dental treatment and less during the maintenance phase, while eating habits and smoking are seldom approached by the dentists. Professional dental cleaning based on regular notification of the patients is performed by 89.39% of dentists. Conclusion: Most of the dentists declare a high interest in integrating oral health promotion and prevention in daily practice, but focus mostly in the control of dental plaque.
Applications of thyme extracts on diseases of the oral cavity
Authors: Faur A. , Todor L. , Dinu S. , Porumb A. , Todor S.A. , Talpos-Niculescu I.C. , Cosoroabă R.M. , Popovici R.A. , Olariu I.
Published: November 2024

For hundreds of years, herbal medicines have been used to treat various diseases of the oral cavity or to maintain oral hygiene. Currently, the growing resistance of microorganisms to the antimicrobials used, in combination with the emergence of emerging diseases, requires the urgent development of new, more effective drugs. Plants are a unique and renewable source for the discovery of new antimicrobial, antiinflammatory, antifungal, anticancer, etc. compounds. The purpose of this article is to present the use of thyme extracts in diseases of the oral cavity, such as caries, gingivitis, periodontitis, oral cancer, oral candidiasis.
Digital workflow of immediate CAD / CAM restoration with hybrid ceramic resins, an aesthetic treatment approach for pediatric patients
Authors: Rotar R.N. , Luca M.M. , Papastefanou M. , Dragoș B. , Popa M. , Nikolajevic-Stoican N. , Buzatu R. , Jivanescu A.
Published: November 2024

Preserving primary teeth is crucial for ensuring the right circumstances for the eruption of their permanent successors. Prosthetic treatment can be the only option for restoring the function, aesthetics and longevity of endodontically treated primary teeth as well as, fractured teeth, multi surface caries or extensive wear. The case report below presents the complete digital workflow and clinical use of a CAD/CAM resin nano ceramic restoration of two endodontically treated primary second molars on a six-year-old patient.
Antibiotic therapy in pedodontic practice-antibiotic administration guide
Authors: Popa M. , Miulescu M.M. , Martin A.Ș. , Palermo Rossetti A.
Published: November 2024

Aim and objects: The main idea of this article is to establish a guideline for the administration of antibiotics. Methods: In our methodology we used studies on antibiotic therapy in pedodontic practice and compared the guidelines found with their use nowadays. The selection criterion was by the keywords used "antibiotics, pedodontic therapy, guide to the use of antibiotics", Results: The type of condition and the need to administer antibiotics as well as the daily administration dosage were presented. Conclusions: Appropriate and correct use of antibiotics is essential to ensure effective and safe treatment. Practices that may increase microbial resistance should be avoided. To improve standards of treatment, dentists need to be up-to-date in their knowledge of pharmacology.
Bacterial colonization of removable orthodontic appliances
Authors: Luca M.M. , Nikolajevic-Stoican N. , Dinu Ș. , Buzatu R. , Dance F. , Popa M.
Published: November 2024

Currently, orthodontic treatment represents an interest in biological and microbiological changes at the level of orthodontic devices. This paper presents a synthesis of an investigation into the existence of scientific evidence supporting the hypothesis that the presence of orthodontic appliances influences the oral microflora. The study was carried out in the Paediatric Dentistry Department of the Victor Babeș Timișoara University of Medicine and Pharmacy in the time interval 01.09.2021-01.03.2022, the patients being users of removable orthodontic appliances. Orthodontic appliances significantly influence the oral microflora, independent of the type of appliance, although removable appliances have been shown to have a lower impact on bacteria compared to fixed appliances. Orthodontic appliances are currently considered niches with bacteria, which determine the difficulty of performing oral hygiene, having a direct impact on the development of oral microflora at the level of saliva and supragingival dental plaque
An analysis of how plaque-induced gingivitis can be measured in epidemiological studies
Authors: Funieru C. , Oancea R. , Cărămidă M. , Sfeatcu R.
Published: November 2024

Aim and objectives: The study shows an analysis of how gingivitis can be measured in epidemiological studies, especially when prevalence is the main target; Material and methods: 1595 pupils from Bucharest schools were clinical investigated in order to find the oral health status. The schoolchildren were randomly selected and grouped into clusters. The gingivitis was measured using Silness and Löe gingival index (GI) and bleeding on probing – BOP, respectively; Results: %BOP > 0 was 37% and had a higher percent for the maxillary arch; Conclusions: BOP has more obvious clinical criteria but GI can lead to a prevalence of gingivitis closer to reality.
Informed consent in dental medicine
Authors: Tănase A.D. , Crăciunescu E.L. , Miok K. , Negruţiu M.L. , Pop D.M.
Published: November 2024

The medical act requires the patient's consent, and the foundation of this condition imposed under the legal provisions is the respect for the physical integrity, freedom and self-determination of each person. In order to carry out this study on the legal and practical implications of informed consent in dentistry, a questionnaire was drawn up consisting of 15 closed questions, which had the role of highlighting the legal consequences produced by the expression of informed consent by the patient regarding dental interventions performed. After completing the completion period, the questionnaires were centralized and analysed statistically. The main conclusion resulting from this study takes into account the need to carry out various campaigns in the future regarding the legal education in the medical field of the staff working in dental offices, and patients in order to offer them increased protection regarding in the relationship with patients.
The dark side of mast cells and their role in oral pathology
Authors: Cosoroaba R.M. , Popovici R.A. , Olariu I. , Gaje P.N. , Ceaușu A.R. , Matichescu A.M. , Ghircau Radu R. , Todor L.
Published: November 2024

Mast cells (MC) were discovered over 130 years ago, and their function was almost exclusively related to allergic diseases. It is now well known that MC possesses a wide variety of roles in both physiological and pathological conditions. These cells play a key role in inflammatory processes in the oral sphere (dental pulp, periapical tissue and gums). In oral tissues, MC release various proinflammatory cytokines and tumor necrosis factor-alpha that promote leukocyte infiltration in various inflammatory conditions of the oral cavity. The number of mast cells has been found to be altered in various premalignant and malignant conditions developed in the oral sphere. The present review aims to describe the role of mast cells in the initiation and progression of inflammatory processes, but also in premalignant and malignant lesions of the oral cavity.
Patients’ perception regarding the effects of smoking on periodontal health
Authors: Cărămidă M. , Dumitrache M.A. , Dumitrascu L.C. , Keburovic N. , Funieru C. , Oancea R. , Sfeatcu R.
Published: November 2024

R Smoking is one of the major risk factors for periodontal health, leading to higher progression rate of periodontitis and less predictable response to periodontal therapy. The aim of the present study was the assessment of patients’ perception and level of knowledge regarding the effects of cigarette smoking over periodontal health. Material and method: the cross-sectional study was conducted in 2022 on a sample of 100 smokers using an on-line self-administered questionnaire. Results showed that 52% of participants were heavy smokers and only 57% would consider quitting if they were diagnosed with periodontitis. Signs and symptoms of periodontitis in smokers of which there were most frequently aware are halitosis (75%) and gingival recession (43%) rather than masked gingival bleeding (20%), tooth mobility (31%), bone resorption (20%) or periodontal abscess (23%). Regarding the risks for periodontal treatments in smokers, only reduced percentages of subjects were aware of impaired periodontal healing (24%), infection as complication (32%) and relapse (31%). Conclusion: Participants in the present showed a reduced level of awareness regarding the periodontitis signs and symptoms, a low level of knowledge regarding the potential risks of smoking over periodontal treatment and a low interest in quitting smoking because of periodontal issues.
An insight into the effect of ultraviolet radiation: from promotion of skin malignancies to use in dentistry
Authors: Gag O. , Rivis M. , Dinu S. , Chioran D. , Stana H.A. , Popovici R.A.
Published: November 2024

Exposure to ultraviolet radiation (UV) can occur either naturally - through exposure to solar radiation, or synthetically - through exposure to various devices that emit ultraviolet radiation. As far as the oral cavity is concerned, the oral cells meet solar ultraviolet radiation once the mouth is opened or with ultraviolet radiation applied with the help of devices used for diagnostic or treatment purposes in dental procedures. Ultraviolet radiation is on the list of recognized carcinogens (WHO, 2009) and specialist studies have highlighted the fact that oral cells are much more sensitive to these radiations than skin cells. Considering these premises, the current study proposes to highlight the effects produced by ultraviolet radiation, through the prism of its use for diagnostic and therapeutic purposes in the field of dental medicine, but without neglecting the negative effects produced on the skin, the first defense barrier of the human body against harmful factors in the environment. At the same time, the connection between the damage of oral tissues due to exposure to environmental ultraviolet radiation and the state of knowledge in the field regarding the effectiveness of the use of UV in the newest techniques in dentistry is analyzed.
Application of Chitosan in Dentistry
Authors: Matichescu A. , Jumanca D. , Galuscan A. , Sava-Rosianu R. , Oancea R. , Alexa V. , Negru D. , Balean O. , Dumitrescu R.
Published: November 2024

Natural polymers such as chitosan, have been shown to be optimal materials for drug delivery due to their intrinsic biocompatibility. Chitosan has been extensively studied in the development of controlled release drug delivery systems because it facilitates the transmucosal absorption of drugs because the electrostatic interaction with the negatively charged mucosal surface is due to its positive charges. The present review aims to describe the role of chitosan in different fields of dentistry such as endodontics, periodontology, prevention, and surgery.
Prevalence of Dental Caries in Relation to Determinants of Oral Health Status among 11-14-Year-Old Schoolchildren in Western Region of Romania
Authors: Bolchis V. , Dumitrescu R. , Jumanca D. , Negru D. , Bălean O. , Oancea R. , Gălușcan A. , Sava-Rosianu R.
Published: November 2024

Aim and objectives: The present study, part of the first national oral health survey for children in Romania, aimed to determine the correlation between the prevalence of dental caries and the impact of dietary factors on oral health status in 11-14-year-old schoolchildren from the western region of Romania. Material and methods: Data was collected from a representative sample of 133 schoolchildren (72 boys and 61 girls), average age of 12.26± 0.6, and then examined by calibrated dentists. The University ethics committee approved the study. ICDAS criteria were used to classify visual caries lesion severity. Statistical analyses of the data were performed by SPSS 23, Spearman’s rank correlation and the Pearson correlation was used. Results: The DMFT index determined for the sample was 2.93±2.70. The results showed a significant positive correlation among boys who consume fresh fruits (0.17**), cookies, biscuits, cream, sweet pies, sweet rolls (0.27**), jam/honey (0.14**), sugar-sweetened chewing gum (0.38**). Statistically significant positive relationship was highlighted among girls who consume cookies, cakes, cream, sweet pies, sweet rolls (0.33**), sugar-sweetened chewing gum (0.35**). There is a statistically significant positive relationship between the consumption of sweetened beverages (0.24**), candies/sweets (0.18*), sweetened tea (0.24**), and DMFT. Conclusions: The prevalence and severity of dental caries in 11-14-year-old Romanian children from the western region of the country are strongly influenced by their socio-economic environment, as well as their specific consumption behaviors, such as the consumption of carbonated beverages, milk, sweets, tea, and cocoa.
Behçet disease in dentistry
Authors: Roi C.I. , Rusu L.C. , Maghet E. , Roi A. , Muntean I. , Mihai L.L. , Jarrous J.J. , Rivis M.
Published: November 2024

The present study aimed to explore the clinical manifestations of Behçet's disease in six patients using the criteria of the International Study Group for Behçet's Disease. The primary objectives were to determine the prevalence of oral aphthosis and assess potential ocular and vascular complications. For a retrospective analysis of six diagnosed Behçet's disease patients, a comprehensive clinical examination, Pathergy tests, and various biological assessments were performed. Additionally, eye examinations, slit lamp studies, and radiological investigations were carried out to evaluate ocular and vascular involvement. The results of the study reveal that oral aphthosis was present in all patients. Some individuals exhibited ocular and vascular involvement, providing insights into the diverse manifestations of the disease. The conclusions outline the importance of the early diagnosis and comprehensive assessments, that are crucial in identifying potential organ involvement in Behçet's disease, contributing to better management and improved patient outcomes.
The role of fluoride in the prevention of tooth decay
Authors: Ilyes I. , Lile I.E. , Berari A. , Marian D. , Freiman P.C. , Olariu I. , Stana O.L. , Stana A. , Flueras R. , Hosszu T.
Published: November 2024

Aim and objectives; This study aims to demonstrate the need for fluoridation at an early age, in order to reduce the risk of tooth decay. Local fluoridation, associated with oral hygiene and general fluoridation, combined with a rational diet, scientifically designed in the spirit of non-karyogenesis, systematically applied in preschool and school children, has allowed a significant reduction in frequency and intensity indices of dental carie, in European populations with high economic and health standards. Systematic oral hygiene, generalized in school children through educational methods has led to a reduction in the rates of marginal gingivitis. Material and methods; 50 children aged 6-12 years were selected and randomly divided into two groups (n = 50): (1) control: no preventive intervention oral hygiene instructions; (2) oral hygiene instructions and fluoride varnish at baseline and 6 months later. At baseline and 6 and 12 months after the intervention, caries risk reduction was the primary outcome. Results; A total of 43 completed the study. There was no significant difference between groups. Oral Hygiene Instructions alone or associated with the use of fluoride varnish reduced the caries incidence in young children. Conclusions; The incidence of dental caries in young children was decreased by oral hygiene instructions either by themselves or in conjunction with fluoride varnish use.
Pit and fissure sealants. Prevention by sealing
Authors: Olariu I. , Lile I.E. , Vaida L. , Flueras R. , Popovici R.A. , Pitic (Cot) D.E. , Freiman P.C. , Ilyes I. , Stana O.L. , Stana A. , Hosszu T.
Published: November 2024

Aim and objectives; This study aimed to assess the caries-prevention benefit and to demonstrate the effectiveness of pit and fissure sealants in preventing caries and the management of early carious lesions. Material and methods; the selection factors for performing the sealing procedure consisted in: the patient's ability to cooperate, age, dental status, depth of grooves and fosses, eating habits but also fluoride prophylaxis in the past and present. Results; The glass ionomer sealant was less retentive when compared to resin sealants. The caries incidence between the glass ionomer and resin-based sealants was not statistically significant. Conclusions; Pit and fissure sealant is an effective means of preventing pit and fissure caries in primary and permanent teeth.
The applications of propolis in oro-dental health
Authors: Pitic (Cot) D.E. , Trusculescu L. , Lile I.E. , Popovici R.A. , Todor S.A. , Popa M. , Dinu S. , Flueras R. , Stana O.L. , Olariu I.
Published: November 2024

Propolis is ranked among the few natural remedies that has still maintained its popularity over time due to its wide range of applications in both dentistry and medicine. Its extensive and wide variety of properties such as anti-inflammatory, antibacterial, antiviral, and antifungal have kept the attention and attention of many researchers. Most of the works on propolis are in vitro or animal studies. There is a clear need for human clinical studies to obtain the best benefits from this natural ingredient and to outline algorithms for its use in dentistry and other medical fields. Propolis has demonstrated potential therapeutic effects on various oro-dental diseases due to its antimicrobial, anti-inflammatory, antioxidant, and immuno-modulatory properties. The present research aims to highlight the potential role of propolis in the treatment of dental caries, gingivitis and periodontal diseases, oral candidiasis, mouth ulcers, oral mucositis, or halitosis.
Oral hygiene compliance in orthodontic patients
Authors: Popa M. , Lile I.E. , Vaida L. , Dinu S. , Freiman P.C. , Marian D. , Cojocaru C. , Ilyes I. , Stana O.L. , Stana A. , Hosszu T.
Published: November 2024

Aim and objectives; The aim of this study was to highlight the importance and conscientiousness of proper hygiene with the help of prophylactic means in fixed and mobile oro-dental therapy, as just wearing the orthodontic appliance is not enough without being accompanied by proper oral hygiene. Material and methods; the orthodontic appliance itself along with its components represent retention areas and additional obstacles to achieving proper hygiene. The accumulation of food debris and bacterial plaque creates an environment conducive to the multiplication of bacteria, leading to carious lesions, gingival inflammation and the appearance of halena. In order to prevent this we followed 3 steps oral hygiene lessons. Precisely for this reason, on the occasion of this research, the following objectives will be pursued: knowledge and correct use of methods for cleaning fixed and mobile braces; correct understanding and occupation of all ways to sanitize the oral cavity; knowledge of the food influence on the success of orthodontic therapy. Patients should understand that without proper hygiene associated with orthodontic therapy, which involves the use of oral aids and orthodontic appliances, the desired results cannot be achieved. Results; In a percentage of 19% of the wearers of fixed dental appliances, the bacterial plaque of grade 3 was noticed, in a percentage of 31% of grade 2, in a percentage of 38% of grade 1 and in a percentage of 12% of grade 0, fact resulting in patients wearing fixed orthodontic appliances having more difficult oral hygiene Conclusions; The study suggests that participants who received a post-treatment communication reported higher level of oral hygiene compliance than participants in the control group.
A rare case of osteoid osteoma of mandible. Case report
Authors: Precup A.I. , Bumbu B.A. , Costea C.P. , Daina M.D. , Moldovan I. , Todor L.
Published: November 2024

Osteomas are benign, slow-growing osteogenic tumors rarely occurring in the craniofacial bones. Osteoid osteoma is a benign tumor of the bone which has seldom been described in the jaws. It was first described as a distinct clinical entity by Jaffe in 1935. Lichtenstein defined osteoid osteoma as a "small, oval or roundish tumor like nidus which is composed of osteoid and trabeculae of newly formed bone deposited within a substratum of highly vascularized osteogenic connective tissue." The most interesting clinical feature of osteoid osteoma is the exquisite pain produced by a very small lesion, never greater than one centimeter in diameter. It accounts for 3% of all primary bone tumors, and about 10% of benign bone tumors. About 80% of cases of osteoid osteoma occur in long bones, while less than 1% occur in jaws. Here, a case of osteoid osteoma of the mandible in a 47-year-old female patient is presented with a literature review.
The impact of good oral habits
Authors: Stana A. , Lile I.E. , Dancea V. , Vaida L. , Stana O.L. , Fluieras R. , Popovici R.A. , Marian D. , Ilyes I. , Berari A. , Hosszu T.
Published: November 2024

At the present time worldwide, although attempts are being made to reduce the number of smokers through various methods, they still exist smoking not only the traditional cigarette but also opting for various other forms of cigarettes such as electronic cigarettes or vaping. The present study investigates the relationship between different types of cigarettes and their effect on periodontal tissues that may lead to periodontal disease. The study included a number of 120 patients diagnosed with periodontal disease and tries to highlight or explore the correlation between smoking habits and the degree of periodontal damage according to smoking habits. Research results show that there is a significant link between conventional or electronic smoking and periodontal disease that is aggravated by the frequency and duration of cigarette smoking. The study also shows the importance of completely giving up both electronic and traditional smoking.
The impact of a rehabilitation program on static, locomotion, and balance impairments in COPD patients
Authors: Carunta V. , Almajan B. , Crisan A.F. , Pescaru C.C. , Galuscan A. , Jumanca D.E.
Published: November 2024

Aim and Objectives: Investigating balance impairments and developing a structured rehabilitation plan can significantly improve the safety and reduce the risk of falls in COPD patients. Material and methods: The study included ten patients with severe to very severe COPD who comprised the intervention group, and ten mild COPD patients who comprised the control group, with similar demographic data. Tests were used to assess balance and gait. Results: The intervention group was associated with worse outcomes in the initial evaluation of the balance tests, consisting of SLS, TUG, and 6MWT. However, at the end of the rehabilitation program, the intervention group registered an increase in SLS time and 6MWT distance and a decrease in TUG test time. Conclusions: Following a 3-week rehabilitation program, patients with severe to very severe COPD decreased the risk of falls and showed a higher independence rate.
Success rates of dental implant restorations and alveolar bone reconstruction: a clinical-statistical study
Authors: Micula Cociuban C. L. , Maghiar T. T. , Marian D. , Vasca E. M. , Berari A. R. , Pasca C. , Flueras R. , Olariu I.
Published: November 2024

The aim of the study was to determine the clinical and statistical success rates for implant-prosthetic rehabilitation and alveolar bone crest reconstruction in edentulous patients, evaluating the overall state of patients, identify potential risk factors during implant-prosthetic therapy, track the evolution of the patients' subsequent prognosis over time, and assess the ultimate results of implant-prosthetic treatment. The research approach was a retrospective and prospective longitudinal study, which was conducted over a period of seven years (2016-2023).
Cemented vs. screw-retained restorations on dental implants
Authors: Tareq H. , Petrie A. , Talpos S. , Sinescu C. , Rominu M. , Titihazan F. , Negrutiu M. L. , Novac C. A. , Stoia A. , Petrescu E. L. , Pop M. D.
Published: November 2024

Aim and objectives: Implants represent a growing business all over the world. As more and more dentists tend to treat patients using this kind of treatments, the complications are also much more common as time goes by. The prosthetic solutions are various, they include single/multi-unit restorations, cemented or screw-retained on a variety of abutments and ti-bases. The aim of this study is to compare the two choices - cemented vs screw-retained and follow up the tissue response after replacing an old cemented restoration with a screw-retained one. Materials and methods: A patient with cement-related peri-implantitis was treated and followed over a period of time. Tissue response was analysed as healing and bio-integration of the new restoration occurred. Results: Tissue healing and maturation progressed very well after the irritation caused by the cement was removed. Conclusions: Cemented implant restoration pose a higher threat of peri-implantitis compared to the screw-retained ones due to the risk of cement overpass into the peri-implant space.
Repair of fractured lithium disilicate restorations with partial feldspathic ceramic veneers
Authors: Bratu D. C. , Dinu S. , Jantea A. , Porojan L. , Mitariu L. , Mitariu M. , Lolos D. , Popa D. , Dehelean C. A. , Chioibaș D. R. , Lolos B. A. , Oancea R. , Mihali S. G.
Published: November 2024

The purpose of this case report is to describe the use of partial feldspathic ceramic veneers to restore a fractured lithium disilicate ceramic restoration. Feldspathic ceramics have almost the aesthetic property of enamel, and they have good light transmission property, but its mechanical properties particularly when used over reduced dentin has been the subject of controversy. This case report presents the restoration of a distal fracture on the incisal margin of a layered lithium disilicate restoration, where only the feldspathic ceramic layer was damaged, and was repaired using a partial feldspathic veneer. Although the veneer was successfully adapted to incisal plane, there is a remarkable discrepancy in terms of esthetic finish in that there is a clear line of separation between the newly placed veneer and the existing restoration. The failure of lithium disilicate restoration under three months of service shows that the choice of materials and an evaluation before repair is critical. This case shows direction of feldspathic ceramics to the multifaceted restorative tasks, focusing on the necessity of the complex bonding and material science approaches for improved both performance and esthetic characteristics. The study indicates that feldspathic veneers may be useful to rehabilitate feldspathic ceramic restorations however; it is not easy always to completely achieve an aesthetic success.
A simplified approach of anterior direct restorations
Authors: Bolos O. C. , Bolos A. , Galuscan A. , Jumanca D. E. , Savencu C. , Bratu D. C. , Buzatu R. , Leretter M. T.
Published: November 2024

Direct anterior restorations can be time consuming and challenging in terms of dental aesthetics. The aim of the paper was to approach a simplified technique for the anterior direct restorations, without jeopardizing the aesthetic part. One used a composite resin material, that is based on the technology of color matching with the surrounding dental structures (Smart Chromatic Technology)- Omnichroma (Tokuyama Dental). The results were evaluated immediately after treatment and after one week. The resin material had good aesthetic result in small cavities. In case of deeper cavities, one need to modify the layering protocol, in order to obtain high aesthetic direct restorations.
Oral rehabilitation by superstructures on dental implants
Authors: Vască E. M. , Ghircău Radu R. , Olariu I. , Pitic (Coț) D. E. , Ilyeș I. , Berari A.R. , Flueraș R. , Pașca C.
Published: November 2024

Dental implants are today an indispensable part of clinical dentistry. The market is estimated to reach approximately USD 7.8 billion by 2030, with a compound annual growth rate (CAGR) of approximately 6-7% during 2023-2030 [1]. Recent studies indicate that dental implants have a survival rate of approximately 90-95% over a 10-year period. Some studies even report survival rates of 95-98% over a 5-year period [2]. The main concern is related to the aging of the population. Diabetes, osteoporosis, obesity, and medication use are all medical conditions that can prevent bone healing around dental implants. With this in mind, research to develop better methods to improve implant osseointegration needs to be continued, especially in the presence of compromised bone status. Current changes and their future outlook are discussed in this paper.