Journal of Dental Medicine

In-vitro comparison of sealing ability of gutta-percha and AH26 sealer with cold ceramic through bacterial leakage and electrochemical method

Iman Ramezanian Nik

Background and Aims: The need to use a highly effective sealer in order to create a complete seal along the canal is essential for the basic treatment of tooth roots. Therefore, the aim of this study was to investigate the sealing ability of cold ceramic and gutta-percha with sealer by applying the bacterial leakage and electrochemical method.
Materials and Methods: In this in-vitro experimental study, fifty human single-rooted teeth were selected and their crowns were cut from the cervical region. The canals were prepared and washed with 17% EDTA. Then the teeth were randomly divided into four groups: group 1 gutta-percha with AH26 sealer (Dentsply Detrey, Germany) (n=20), group 2 cold ceramic (Yazd, Iran) (n=20), negative and positive control groups which each consisted of 5 teeth. Samples were kept in an incubator at 37° C for 48 hrs. Two coats of nail polish were used for covering the root, except for the last 2 mm, and microleakage in the fillings was measured by the bacterial leakage and electrochemical methods. The microleakage of the two groups was statistically analyzed in the electrochemical technique by Student's t-test, and in the bacterial leakage method by Fisher's exact test.
Results: In bacterial leakage method, in the first group (gutta-percha) 7 samples (35%) and in the second group (cold ceramic) 3 samples (15%) had bacterial leakage, but no significant difference was observed between the two groups on different days (P>0.05). The mean microleakage based on the electrochemical technique in gutta-percha was significantly higher than that of cold ceramic (P=0.0001).
Conclusion: According to the lower microleakage values in the use of cold ceramic compared to gutta-percha, cold ceramic can be used to fill root canals to reduce microleakage, although further studies are needed.

Evaluation of students' satisfaction with new educational program of restorative dentistry department of Tehran university of medical sciences in 2019-2020

Zohreh Moradi

Background and Aims: Due to the review of general dental courses, it was necessary to assess the students' satisfaction with this curriculum. The aim of this study was the assessment level of students’satisfaction with the new educational curriculum of the Ministry of Health at the department of restorative dentistry of Tehran university of medical sciences in 2019-2020.
Materials and Methods: In this descriptive cross-sectional trial,72 sixth year dental students of Tehran University who passed the restorative dentistry courses based on the new curriculum were studied. A questionnaire was developed and for validity content assessment, it was presented to 5 professors and then revised. For reliability approval of the questionnaire, test-retest approach was used. The questionnaire was given to the 30 students of the main pilot group in one session and two-week later and agreement percentage and Kappa index were calculated. After conducting the "test" process and re-testing, the "questions" were statistically analyzed using STATA software.
Results: The most level of satisfaction regarding to practicality of subjects was found for fundamental of restorative dentistry including principles of amalgam class I cavity preparations and restorations on the dentic (81.94% and 76.39% acceptable respectively) and the principles of amalgam classII cavity restorations on the dentic (72.22%). The least satisfaction levels were obsereved in the first and second theoretical restorative courses including tooth-colored restorations (47.22%), onlays and inlays (47.22%) and tooth-colored classII cavity preparations and restorations (48.61%). The amount (P-value or error of the first type) was reported in all questions>0.001.
Conclusion: Despite the limitation of this study, final-year dental students’ satisfaction of theoretical restorative dentistry courses was medium, while it was high for the fundamental and practical restorative courses of 2017 educational curriculum.

Effect of Er: YAG laser, diamond bur and sandblasting on the microtensile bond strength of the composite to noncarious cervical lesions

Sanaz Abbasi

Background and Aims: Restoration of non-carious cervical lesions (NCCLs) is challenging due to the difficulty of adhesion of dental tissues. The aim of this study was to investigate the effects of three methods of surface treatments using diamond bur, Er: YAG laser and sandblasting on the microtensile bond strength of resin composite to the noncarious dentin in cervical lesions.
Materials and Methods: In this in vitro study, 48 canine and premolar extracted human teeth with NCCLs at the buccal surface were selected and randomly divided into 4 groups of twelve each: control group without any treatment, Er: YAG laser group, diamond bur group and sandblasting group. For all groups, the bonding agent used was Clearfil SE Bond and then the cavities were filled with
the Filtek Z250 resin-composite. After this step, the teeth were cut and then subjected to the microtensile bond strength test. Data were analyzed by the Kruskal Wallis test.
Results: According to the obtained results, the microtensile bond strength, from the highest to the lowest values were in the sandblast group (24.57±10.24 MPa), the diamond bur group (19.19±10.8 MPa), laser group (18.59±9.05 MPa) and the control group (18.56±9.27 MPa), respectively. Although, no statistically significant difference was found between any of the groups (P=0.266).
Conclusion: It seems that in teeth with NCCLs, the sandblasting method had a much better effect on the bond strength, although no statistically difference between surface treatment methods was found.

Investigating the relationship between parenting style and dental anxiety in children aged 7 to 12 years in Tehran

Maryam Bakhtiari

Background and Aims: Studies have shown that dental anxiety may be caused by various factors such as child mood, age, maternal emotional maturity, previous dental anxiety and parenting styles. Therefore, the aim of this study was to investigate the possible relationship between the parenting styles and pediatric dental anxiety and the predictability of this variable through parenting styles.
Materials and Methods: The present study was a cross-sectional correlational study. The study population was children aged 7 to 12 years who had referred to the dental clinics of Tehran in 1400. Sampling from one of the clinics was done randomly. A total of 100 questionnaires of modified child dental anxiety scale and parenting style inventory were given to the children and their parents and 95 of them could have been analyzed. The questionnaires were analyzed using SPSS22 software and Pearson correlation and regression tests.
Results: The results showed that dental anxiety had a negative and significant relationship with authoritative parenting style (r=-0.286, P<0.01) and a positive and significant relationship with authoritarian parenting style (r=0.342, P<0.01). Authoritarian parenting style can be a predictor of dental anxiety.
Conclusion: Knowing the predictors of dental anxiety can help a pediatric dentist analysing who is most prone to dental anxiety. Based on this approach, a relationship based on trust can be established between the dentist and parents to make the necessary recommendations to parents in the office, reduce dental anxiety and improve oral health conditions in children.

Determining the prevalence of peri-implantitis in patients one year after prosthetic loading in Khorramabad in 2021

Samad Darabian

Background and Aims: Although dental implants have become a successful and predictable ong-term treatment for patients, not all implant treatments are necessarily successful and pre-implant diseases are spreading. The aim of this study was to determine the prevalence of peri-implantitis in patients one year after prosthetic loading in Khorramabad in 2021.
Materials and Methods: In this cross-sectional study, 53 patients who had implants and undergone prosthetic loading for one year were studied. In each of the 53 patients, the probing depth (PD) and bleeding during probing (BOP) around the implant and the characteristics of the surrounding soft tissue, including gingival redness and tissue sensitivity were evaluated and recorded. To assess the bone level or possible bone resorption, a P.A. graph was taken from the patient using a parallel technique. Information such as demographic characteristics and specialized information about the disease were collected through a checklist. Data were collected using SPSS22 software. Frequency tables and chi-square and t-tests were used to analyze the data.
Results: The mean age of patients participating in the present study was 46.5±10.63 years. The number of women was 33 (62.3%). The prevalence of peri-implantitis was 17% at the patient level and 9.3% at the implant unit level. There was a significant relationship between the age (P<0.03) and systemic disease (P<0.03) with the prevalence of peri-implantitis. However, there was no statistically significant relationship between the prevalence of peri-implantitis and other demographic variables (P<0.05).
Conclusion: The results of the present study showed that the prevalence of peri-implantitis was higher in people with a higher mean age. In addition, systemic diseases are a protective factor for peri-implantitis.

Comparative study of the prevalence of radicular cysts and periapical granulomas in young and elderly adult patients referred to Isfahan dental school

Saeedeh Khalesi

Background and Aims: Periapical diseases are the end result of untreated pulpitis and necrotic dental pulp. The aim of this study was to determine and compare the prevalence of radicular cysts and periapical granulomas in young adults and old patients referred to Oral Pathology department of Isfahan dental school.
Materials and Methods: In this cross-sectional study, all recorded samples with a diagnosis of radicular cyst and periapical granuloma were considered by the census method in a 14-year period from 2006 to 2019 in the archives of the Oral Pathology Department of Isfahan dental school. The data were extracted including age, gender, location of the lesion and histopathologicaldiagnosis.
The prevalence of cases in terms of age range was classified into two groups of young adults (20-35 years) and older (over 50 years). Then, Chi-square test and t test were done using SPSS24 and P<0.05 was considered significant.
Results: The results showed that 49.4% (430 cases) of lesions were observed in males and 50.5% (439 cases) in females. Of all lesions, 51% (444 samples) were periapical granulomas and 49% (426 samples) were radicular cysts. Chi square test showed a significant difference between the prevalence distribution of the two lesions based on gender. Radicluar cysts were more prevalent in males and periapical granulomas were more prevalent in females (P<0.001). According to t-test, there was no significant difference between the mean age of patients based on gender (P=0.176). The prevalence of lesions in the third and fourth decades of life was higher than in other decades. Also, in the third and eighth decades, the prevalence of periapical granulomas was higher than radicular cysts.
Conclusion: The prevalence of periapical cysts and dental granulomas were higher in young adults than in elderly patients.

Designing a web log book _HIS system for the school of dentistry, Tehran university of medical sciences

Sadat Hasheminasab

Background and Aims: This study aimed to collect reports and HIS in a web-based system due to the problems of paper recording of student activities in practical courses, as well as the lack of computers in the departments for observing graphs and treatment plans.
Materials and Methods: The initial graphic design of the website was done after the assessment of needs and the necessary planning for designing the website. The main template of the website was designed after consulting with the faculty and the designer company. A combination of HTML, CSS, JQuery, and Java script was used for static coding and what the user sees or interacts with. Then, the basic information entered the website and the content designer put the website in the designed layout. In the end, a sample hosting space was prepared and the website was fully provided to the professors and faculty officials to work with as an administrator and a user. They conveyed all their opinions and the corrections were made based on the feedback given.
Results: The use of the internet and software with a central database played a significant role in monitoring and evaluating the long-term information of the student and the evaluation of the entire department, universities, and patients in each region up to macro-national evaluations. This could give the expansion and advancement of science in addition to the central registration of documents and radiographs, as well as their ease to access.
Conclusion: The designed website was well received among the students and the attending staff. Introducing a web based logbook and HIS system can optimize the clinical teaching. These logbooks could help both students and staff saving time and resources, and to facilitate providing better personalized care for patients.

The effect of different concentrations for grapefruit seed extract on proliferation of periodontal ligament cells

Zohre Sadat Hosseinipour

Background and Aims: Survival of periodontal ligament (PDL) cells after avulsion is an important factor in treatment prognosis. Grapefruit Seed Extract (GSE) can be a proper environment for preserving periodontal ligament cells. The objective of this study was to analyze the effect of different concentrations of GSE on the proliferation of fibroblast PDL cells.
Materials and Methods: In this study, the undifferentiated PDL fibroblasts were obtained from two human premolars teeth and cultured in Dulbecco’s modified Eagle’s medium (DMEM). The cultured cells were exposed to different concentrations of GSE. The positive and negative control groups were cultured in fetal bovine serum (FBS) 10% and in a medium without FBS 10%, respectively. The plates were incubated for 1, 6, 12, 24, and 48 hrs. The PDL cell viability was assessed by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. Statistical analysis of data was accomplished using repeated measure ANOVA with Post HOC Tukey, P<0.05 was considered statistically significant.
Results: We found out that among different concentrations of GSE, 1:128 had the most impact on undifferentiated PDL fibroblasts. Although, the cell vitality was higher in the twelfth hour, 1:128 GSE and in the forty-eighth hour, 1:1024 GSE than the positive control group but they were not statistically significant (P>0.05). Furthermore, all the samples were similar to the positive control group in three of the five timeperiods (P>0.05).
Conclusion: GSE was more effective in fewer concentration and longer periods and it had no toxic effect on PDL cells. Therefore, GSE can be considred as a promoting medium in PDL regeneration of avulsed permanent teeth in the future.

Evaluation of the prevalence of type and depth of the canine and premolar impaction in digital panoramic view of patients referred to Rasht dental school

Donya Maleki

Background and Aims: Knowing the depth and type of the teeth impaction with radiographic approaches can guide the clinicians into selecting the most appropriate treatment and prevent surgical complications. Therefore, the purpose of this article was to evaluate the prevalence of canine and premolar impaction in the digital panoramic view of patients referred to Rasht dental school in 2019.
Materials and Methods: This annalistic-descriptive cross-sectional study comprised patients who attended the Faculty of Dentistry, Rasht, Iran in 2019. Dental records and panoramic radiographs of 500 patients were reviewed retrospectively. Demographic information as well as the type and depth of impaction, involved jaw, and also, the associated pathological lesions were recorded. Data were analyzed with SPSS24 version with significant level of P<0.05.
Results: The findings revealed that among 500 individuals (300 (60%) were females and 200 (40%) were males), 35 individuals (7%) had at least one impacted tooth, 80% of impacted teeth were canines and the others were premolars. The most common impaction type, impaction level, and pathological lesion were mesioangular, B, and carries of the adjacent tooth, respectively. A significant relation was not observed between the type and level of impaction with the involved jaw (P=0.15, P=0.99) and also, the relation between the type of pathological lesion and gender was insignificant (P=0.85).
Conclusion: Functional and esthetic complications of impacted tooth can be prevented or declined by on-time radiographic screening.

Assessment of stress, depression and job satisfaction among different dental specialties in Zanjan in 2019

Asie Eftekhari

Background and Aims: The stress, job satisfaction and depression can affect the performance of dental professionals in various fields. The aim of present study was to examin the level of stress, depression and job satisfaction among different specialized fields of dentistry in Zanjan provinc, Iran.
Materials and Methods: In this cross-sectional study, the depression, anxiety and stress scale questionnaire (DASS-21) and the Herzberg questionnaire were used to assess job satisfaction. The questionnaires were completed on the web, and the relevant link was sent to all specialists in different fields of dentistry in Zanjan province. Finally, 33 people participated in the study. Data were analyzed after appropriate code allocation using independent T-test and U-Mann Whitney tests and SPSS16.
Results: The results showed the mean of stress (24.4), depression (17.48) and anxiety (13.28) among specialists. The mean of stress and anxiety among female dentists was higher than male specialists, but there was no significant difference between these two variables between the two sexes (P>0.05). In terms of job satisfaction, 21.2% were dissatisfied with their job. By gender, 26.6% of female specialists and 16.7% of male specialists were dissatisfied with their jobs.
Conclusion: Despite the general perception that work conditions are suitable for dental specialists, these people suffer from the stresses, anxiety and depression and may not be satisfied with their job. As these conditions can affect the performance of these people in the workplace, it would be necessary to take measures, to identify, and to increase mental health and job satisfaction.

Frequency assessment of maxillofacial fractures in trauma patients admitted in maxillofacial surgery ward in Sina and Shariati hospitals’ in 2018 and 2019

Maryam Mohammadi Nodeh

Background and Aims: Fractures of the facial bones and jawbones could cause functional problems along with social and cosmetic problems. Various factors (including road accidents, assault, falling from height, sport injuries, and getting hit by a hard object) could cause these fractures. Collecting and reporting accurate epidemiologic data regarding the facial fractures are major steps toward planning preventive measures. The aim of this study was to collect the epidemiologic data regarding maxillofacial fractures in two referral centers (Shariati and Sina hospitals) in the city of Tehran.
Materials and Methods: The study was a cross-sectional retrospective investigation. All the necessary data were collected from the patients’ files and analyzed using SPSS 25.
Results: The present study pursued data of 454 trauma admitted patients in oral and maxillofacial surgery wards of Shariati and Sina hospitals in 1397 and 1398. These data showed that a number of 374 patients of all patients were men and the other 80 were women. The ratio of male patients to female patients was 4.5:1. In 290 of cases (64%), the fractures occurred as combined fractures and in 164 cases (36%), the fractures occurred as single fracture. These fractures happened mostly in the mandibular bone and in mandibular body, and the least of these fractures happened in Orbit. This study showed that there was a significant relation (with 95% confidence level) between the mandibular body fractures and mandibular angle fractures. This study also showed that there was another significant relation (with 95% confidence level) between the mandibular angle fractures and LeFort 2 fractures. In addition, this study also showed (by using k2 exam) a relation between the etiology of trauma and the number of fractures.
Conclusion: This present study showed that the maxillofacial fractures happened mostly in men much more than women. If we put motorcycle accidents and car accidents in a group together called road accidents, the most common etiology of maxillofacial fractures is road accidents. The results showed that the most fractures happened in the age range of 15-25 year old.

Satisfaction with dental appearance and willingness to improve dental aesthetic among patients attending the dental school of Isfahan university of medical sciences

Bahareh Tahani

Background and Aims: Dental aesthetics has become an important issue in contemporary society. This study was designed to evaluate the patients’ satisfaction with their dental appearance and tendency to improve dental aesthetics.
Materials and Methods: In this descriptive study, a questionnaire with 17 questions was used to collect data from 200 patients referred to the dental school of Isfahan University of Medical Sciences from April-July 2019. A valid and reliable self-administrative questionnaire consisted of questions about the appearance of anterior teeth, receiving cosmetic treatments, and favorite aesthetic dental treatments was designed and used. Data were fed into SPSS22 and analyzed by Mann-Whitney, Kruskal Wallis and Spearman correlation tests (α=0.05).
Results: Among the participants, 27.5% (n=45) were dissatisfied with the appearance of their anterior teeth and the major reason for this dissatisfaction was related to the tooth color (35.8%, n=71). It was also observed that approximately 84% (n=168) of the patients had a history of smile concealment because of their teeth appearance. Among cosmetic dentistry treatments, aesthetic restorations were more commonly used than other treatments (20.5%, n=41). However, the most desired cosmetic treatments were teeth whitening (78.4%, n=156). There was no significant relationship between the satisfaction with the appearance of teeth and interest in the orthodontic treatment with age and education level (P=0.6).
Conclusion: Teeth color was the most important factor determining the degree of satisfaction with the appearance of teeth. Most of subjects desired to receive an aesthetic dental treatment and teeth whitening was the most popular aesthetic dental treatment.

Evaluation of knowledge, attitude and self-reported practice of final year dental students regarding preventive care and caries risk assessment in the comprehensive care clinic

Sholeh Ghabraei

Background and Aims: Supporting the preventive approach is important in training future dentists. The purpose of the present study was to evaluate the knowledge, attitude and practice of senior dental students regarding non-invasive management of dental caries.
Materials and Methods: A cross-sectional study was conducted in 2019 using total sampling method and a valid and reliable questionnaire. Knowledge, attitude and self-reported practice of senior dental students regarding caries risk assessment (CRA) and management of lesions in two paper patients were assessed. The data analysis was performed using SPSS20 and the descriptive and analytical statistics were reported.
Results: In overall, 86 students (response rate=91%) were responded. In the knowledge section, caries history in the previous year, having frequent fermentable carbohydrate, xerostomia, and low socio-economic status were considered by more than half of students as factor for caries risk assessment. More than 90% of students had a positive attitude towards CRA in children. Nearly 50% of students tend to restore enamel lesions in proximal and occlusal surfaces in high-risk scenarios. There was significant association between the OHI instruction and debris index improvement (P=0.04) in the integrated comprehensive care clinic (TUMS). The linear regression analysis showed that there was no significant association between the demographic characteristics, place of education, previous course on the level of knowledge and attitude.
Conclusion: Senior dental students despite their general knowledge and positive attitude toward caries risk assessment, tended to aggressively manage the incipient lesions in the enamel and DEJ. Delivering prevention as integrated in the comprehensive care unit in order to improve oral hygiene status of patients is recommended.

Evaluation of oral health education program on knowledge, attitude and practice among Isfahan primary school’s teachers in 2019

Imaneh Asgari

Background and Aims: School teachers have key role in providing the basic health information for their students, and their knowledge, attitude, and practice affect children's oral health through developing of the healthy behaviors. The goal of this study was to evaluate the effectiveness of an oral health education program for primary school teachers on their knowledge, attitude, and practice fields in the framework of oral health promoting schools.
Materials and Methods: This quasi-experimental pre-post study was conducted among five oral health promoting schools in Isfahan city in 2019. A validated and reliable questionnaire including four sections of demographic data, knowledge, attitude, and practice was applied for data collection. The questionnaire contained 24 knowledge, 9 attitudes, and 5 practice questions. It was distributed among 63 enrolled teachers at base line and two months later after two educational-emotional workshops. Before and after data were analyzed by SPSS21 (α=0.05) by related samples Wilcoxon signed rank test and background variables by Kruskall-wallis test.
Results: After the educational intervention, their knowledge score increased significantly from 14.1±3.8 to 18.5±3.7 (P<0.001). About 34% of teachers had a high level of knowledge proficiency at the beginning of the study which eventually rose to 76%. Teachers’ attitude decreased significantly from 34.6±5 to 31.4±4.6 (P<0.001). At the beginning of the study, 89% of them had a positive attitude towards oral health programs which decreased to 84% at the end of the study. In the performance part, 63.5% of the teachers paid attention to the fluoride in their toothpaste which reached 87.3% after the workshop and the teachers' performance score increased from 3.07 to 3.39 after the intervention (P<0.012).
Conclusion: The package of educational intervention for teachers in oral health-promoting schools improved the level of knowledge and practice, but slightly reduced the level of attitude. However, due to the importance of changing attitudes in teachers and the existence of structural and programmatic barriers to integrate the health issues into school education, other models need to be evaluated and compared.

Comparision of anatomiacal position of the root of third mandibular incisor relative to the alveolar canal in the two methods of panoramic radiograpy and CBCT

Freshteh Osmani

Background and Aims: In impacted third molar surgery, panoramic radiography is a preliminary technique for assessing the consequences associated with inferior alveolar nerve injury. However, this technique cannot provide enough information to determine the true risk in all cases. The aim of this study was to compare the accuracy of panoramic and CBCT radiographs in evaluating the relationship between the mandibular impacted third molars and the inferior alveolar nerve.
Materials and Methods: In this cross-sectional study, the relationship between mandibular third molar and inferior alveolar nerve in 15 patients referred to the oral and maxillofacial radiology department of Birjand dental school including 20 mandibular third molars were evaluated using two panoramic and CBCT radiographs. Data were analyzed using descriptive statistics and chi-square test and sensitivity analysis in SPSS22.
Results: In the evaluation of the teeth using panoramic radiography, the highest frequency was related to root darkening (65%) and root deflection (65%), and the lowest frequency was related to root narrowing (20%) and canal deviation (5%). The highest sensitivity of panoramic criteria was related to the root darkening with 100% sensitivity and the lowest sensitivity was related to the canal deviation with 17% sensitivity. On the other hand, the highest specificity of panoramic criteria between the mandibular third molars with the inferior alveolar nervewas was related to the two criteria of bifid apex and canal deviation with 100% specificity. The lowest specificity was related to the root deflection with 21% of specificity.
Conclusion: According to the results of this study, the probability of observing relationship between the mandibular third molars with the inferior alveolar nerve in CBCT radiography was very high.

Evaluation of knowledge, attitude and practice of dentists about oral health of elderly in 2018

Simin Zahra Mohebbi

Background and Aims: The increase in life expectancy and decrease in birth rate enhances the elderly population in different societies and consequently, the demand from the health system for providing the treatment needs has been elevated. It has been proposed that dentists must improve their attitude, knowledge, and practice to meet these needs. The present study aimed to assess the knowledge, attitude, and practice of general dentists regarding geriatric oral health.
Materials and Methods: In this descriptive-analytic cross-sectional study, 150 general dentists participating in the annual congress of the Iranian Dental Association in 2018 were selected and completed a valid and reliable self-administered questionnaire including 5 parts about knowledge, attitude and practice regarding old age and oral health of elders. SPSS23 and multiple regression were used for data analysis.
Results: The mean age of dentists was 34.3 (SD: 9.1) and 92 (61.3%) of participants were women. The mean knowledge score about the old age was 16.67 (of maximum: 26, SD: 4.31) and the mean knowledge on the geriatric oral health was 11.01 (of maximum: 18, SD: 2.81). The mean general attitude about elderly was 19.1 (of maximum: 30, SD: 4.26), the mean attitude on geriatric oral health was 13.09 (of maximum: 20, SD: 2.65), and the mean practice about geriatric oral health was 6.5 (of maximum: 10, SD:2.96). Age was significantly associated with knowledge regarding the elderly (P<0.034); i.e. with increase in age lower scores in knowledge were gained.
Conclusion: General dentists participating in the congress of the Iranian Dental Association demonstrated a medium level of knowledge, attitude, and practice regarding the oral health of elders. Proper educational programs should be planned in dental schools to improve dental student's knowledge, attitude and practice about geriatric oral health.

Comparative evaluation of antibacterial effect and compressive strength of resin-modified glass-ionomer containing different antibiotics

Zahra Haddadi

Background and Aims: Nowadays, new techniques are used to control dental caries that have the ability to kill cariogenic bacteria. Recently, the addition of antibiotics to glass ionomers has been proposed to reduce the overall number of saliva bacteria. The aim of this study was to compare the antimicrobial effect and compressive strength of resin- modified glass ionomer (RMGI) containing different antibiotics on Streptococcus mutans.
Materials and Methods: A total of 120 specimens were prepared in 3 groups (n=40) including RMGI containing doxycycline with a concentration of 1.5%, RMGI containing a combination of ciprofloxacin, metronidazole and minocycline with a concentration of 1.5%, and RMGI without antibiotics as control group. To measure the antibacterial effect, the disk diffusion method and counting of Streptococcus mutans bacterial colonies were used and then the compressive strength test was performed. Data were collected into SPSS25 and analyzed by ANOVA and Kruskal-Wallis tests and the significance level was considered α=0.05.
Results: The mean number of bacterial colonies in the RMGI group containing doxycycline in all three time intervals 1, 24 hours and 7 days was significantly lower than the specimens in the RMGI group containing the triple antibiotic (P<0.001). The mean compressive strength of the two experimental groups was lower than the control group but was not statistically significant (P=0.326).
Conclusion: The addition of antibiotics at a concentration of 1.5% to RMGI resulted in a favorable antibacterial property with no significantly change in the compressive strength.

Oral health of elderly during the corona virus pandemic: review article

Parastou Safania

Background and Aims: Due to the prevalence of corona virus and restrictions on access to health care in the community, there are clearly many concerns and problems for the lives of people, especially the elderly. Older people are at higher risk for this type of virus than the other ages. The purpose of this study was to investigate the status of dental services for the elderly during the corona outbreak and to provide solutions related to oral health of the elderly during the corona virus pandemic.
Materials and Methods: The present review study was performed and the selected keywords were: coronavirus and dentistry, dentistry and the elderly, corona and the elderly. Articles were selected based on findings and related texts. English language articles were selected using Google Scholar, Science direct, PubMed and Research Gate search engines. Sources were reviewed between January 2019 and October 2020. Based on inclusion and exclusion criteria, 15 articles were reviewed.
Results: Research findings showed that most studies have pointed to the importance of mobile and tele-dentistry. In a coronary pandemic, it is very important to correctly diagnose the patient's problems and determine the best type of treatment for the elderly. In addition, the elderly should be prevented from entering the unnecessary dental treatments.

Conclusion: Many elderly people avoid the treatment of oral diseases during coronavirus pandemic due to fear of coronavirus, high dental costs, lack of access to appropriate services, and this causes irreparable problems in their health. Therefore, it is recommended to provide practical solutions to facilitate the dental treatment of elderly patients.

The analysis of co-citation and word co-occurrence networks of Iranian articles in the field of dentistry

Shima Moradi

Background and Aims: Dentistry is an important profession ensuring the health of body and soul, and has a special place in the scientific productions of medical disciplines. The purpose of this study was to analyze the co-citation and word co-occurrence of Iranian research papers in the field of dentistry based on indexed documents in Web of Science from 2014 to 2018.
Materials and Methods: The present study follows the procedures related to quantitative research with a descriptive approach and a scientometric technique. Co-citation and co-occurrence analysis techniques were used. In this study, 1079 articles were reviewed from the Web of Science. Data analysis was performed Ucinet Software, and VOS viewer.
Results: Iran has the highest level of international cooperation with the United States. The highest number of published articles in the Web of Science Database belongs to Vahid Derakhshani based on the highest degree of centrality, the Eigen centrality, and the Betweenness centrality. Naser AminAbadi ranked first for the Closeness Centrality metric, and Massoud Peirokh with a citation weight of 20 had the highest citation. The field of surgery has received the most attention among dental and endodontics journal had the highest citation in the Iranian Dental Science Citation Network.

Conclusion: The trend of publishing scientific articles in Iran in the field of dentistry has been increasing during the selected period. The keywords oral, dental, and pediatric surgery have the most effective and decisive role in the scientific network of dentistry. These keywords provided strong scientific communication amongst the dental scholars in Iran.

Comparative study of two different implants with hexogonal connection on the amount of bacteria accumulated at the implant platform site: An in-vivo study

Maryam Kalantari Nezhad

Background and Aims: Nowadays, the best choice for replacing missing teeth are dental implants, however, failure is not unexpected. One of the factors that plays an important role in the implant failure is bacterial microleakage which could cause biological complication. The aim of this study was to compare the bacterial microleakage between the two types of implants.
Materials and Methods: In the present interventional study, SPI and Dentis implants were placed bilaterally in the premolar-molar area of the patients' mandible. One day and 14 days after the delivery of the crown, by removing the crown and removing the abutment, sampling was performed using a sterile paper cone from four areas. One day after sample culturing, the number of colonies was counted. All data were entered into SPSS 23 and were analyzed using independent samples t-test and paired t-test with a significance level of 0.05.

Results: The amount of bacteria in implant sulcus was significantly different between the two types of implants (P=0.003). After 14 days, the amount of bacteria in SPI implant sulcus significantly decreased more than Dentis implant sulcus (P=0.001). After 14 days, the amount of bacteria also decreased in all other areas which there were no significant difference between the two types of implants (P>0.05).

Evaluation of anaerobic pathogens in periodontitis patients and its relationship with TGF-1β genomic polymorphism by Tetra Arms-PCR method

Kumarss Amini

Background and Aims: Periodontitis is a common and inflammatory infectious disease that causes damage to the tissues supporting the tooth and consequent tooth loss. Periodontal disease is a multimicrobial and multifactorial disease and important anaerobic bacteria are involved in periodontal infection. TGF-1β is one of the growth factors and anti-inflammatory cytokines that play a crucial role in the repair of periodontal lesions. The aim of this study was to evaluate Tetra Arms-PCR with high sensitivity and specificity, which can be used to evaluate the genomic polymorphism among oral samples and show the relationship between TGF-1β and periodontal disease.
Materials and Methods: The present study was a case-control study in the periodontology department of Kerman Dental School. Sampling was done from 100 samples including 50 healthy individuals and 50 patients with microbial periodontal infection. Genotype was analyzed using DNA extracted from the blood of patients by PCR -ARMs-Tetra to determine the relationship between TGF-1β genomic polymorphism and periodontitis. Statistical analysis was performed with SPSS19 software and one-way ANOVA.
Results: The samples were culture positive, therefore, more than 65% of the isolated bacteria were anaerobic which included: Prevotella, Porphyromonas, Fusobacterium, Peptostreptococcus anaerobic. The results of Tetra PCR ARMs after sequence frequency were genotype CC allele (25%), CT allele (20%), TT allele (5%). Percentage of control group were CC allele (20%), CT allele (24%), and TT allele (6%). The frequency of C and T alleles in the patient group was 70% and 30%, and in the control group 63% and 37%, respectively with no significant difference between two groups (P=0.83).

Conclusion: According to the results of this study and the application of anaerobic conditions, forced anaerobic bacteria can be isolated from clinical specimens of oral infections and by Tetra Arms-PCR no significant relationship between TGF-1β genomic polymorphism and periodontitis was observed. In addition, therer was no significant difference in the frequency of alleles and genotypes between the control and patient groups.

Investigating the relationship between emotional cognitive regulation strategies and job burnout in dentists in Ilam in 2019

Mohammad Nabi Salehi

Background and Aims: There is a lot of burnout and stresses in various ways of people’s lives which could result in psychological pressure, negative emotions, confusion, worry, and anxiety. Therefore, emotion cognitive regulation can play an important role in coping with burnout and adapting to stressful life events. The aim of this study was to investigate the relationship between the emotional cognitive regulation strategies and burnout in dentists in Ilam.
Materials and Methods: The method of the present study was descriptive and correlational. The statistical population included all dentists in Ilam in 2019. By simple random sampling method, 81 dentists in Ilam were selected as sample. The research instruments included the Emotional Cognitive Regulation Questionnaire (CERQ-P) and the Employee Burnout Questionnaire (MBI). Data were analyzed by SPSS 22 software at the level of descriptive statistics by mean and standard deviation indices, and at the inferential level by Pearson correlation coefficient test.
Results: The results showed that there was a significant negative and inverse relationship between the adaptive cognitive emotion regulation strategies and burnout in dentists
(r=-0.862, P<0.000). There was also a significant positive and direct relationship between the maladaptive emotional cognitive regulation strategies and burnout in dentists (r=0.829, P<0.000).

Conclusion: According to the results of this study, it seems that dentists should pay more attention to the components of emotion regulation and emotions in order to prevent and reduce job burnout.

The effect of parenting style and demographic characteristic on simplified oral hygiene index in 6-12 year old children of Behbahan in 2018

Kosar Alinejad

Background and Aims: Promoting children's oral health is the basis for increasing the level of community health and the goal of pediatric dentistry. By recognizing all the factors affecting the health and formation of the child's health habits, a fundamental step can be taken to promote oral health. The aim of this study was to evaluate the effect of parenting styles and demographic characteristic on OHI-S (Simplified Oral Health Index) in 2018.
Materials and Methods: In this cross-sectional study, 244 children aged 6-12 years in Behbahan-Iran with their parents were studied. The demographic questionnaire (variables such as parents 'age, economic status, gender, occupation and parents' education were recorded) and Bumrind questionnaire were used. The oral health status of children was assessed to determine the simplified oral hygiene index. Then, the obtained data were analyzed using SPSS 25 software and regression and Pearson correlation test.
Results: The results showed that the children of parents who used the permissive method had higher score of simplified oral hygiene index (P<0.001) and simplified calculus index (P<0.001). However, in children of parents who used the authoritative parenting style, a decreased simplified oral hygiene index (P<0.001) and simplified debris Index (P<0.001) were observed. However, the method of authoritarian parenting style did not have a significant relationship with the simplified oral hygiene index (P=0.890), simplified calculus index (P=0.404), and simplified debris Index (P=0.721).

Conclusion: Powerful authoritarin and authoritative parenting practices have a clear impact on the oral health status of children. Therefore, parenting paratices can be considered as one of the main factors affecting the oral health of children.

The frequency distribution of factors related to temporomandibular joint disorders in 20-50 year old patients refered to Isfahan dental clinics in 1397

Pedram Daneshkazemi

Background and Aims: Temporomandibular joint disorders (TMDs) are one of the most common causes of the patient's referral to dental clinics. Considering the role of related factors in its creation, the purpose of this study was to investigate the relative frequency of factors related to temporomandibular disorders in patients aged 20 to 50 years referred to dental clinics in Isfahan in 1397.
Materials and Methods: In this descriptive and analytical study, 324 patients referred to Isfahan dental clinics in 1397 were randomly included. Factors related to TMD and demographic factors of patients were recorded with clinical examination by a trained dentist and self-declaration of patients in the data collection form. The frequency and relevance were analysed by SPSS 22 software and chi-square, fisher and logistic regression statistic tests.
Results: At least one of the TMD related factors was present in 40.7% of the subjects, which the most common factors related to TMD was posterior edentulousness (49.7%). History of jaw dislocation was more common in men (P=0.014) and the frequency of posterior edentulousness was more common in in women (P=0.003). As the age increased, the frequency of posterior edentulousness (P=0.000) and earache (P=0.009) increased. The frequency of posterior edentulousness was higher in housekeepers (P=0.000), the frequency of earache was higher in employees (P=0.005) and the history of jaw dislocation was higher in self-employed persons (P=0.047).

Conclusion: The high prevalence of TMD and related factors, such as a history of jaw dislocation, posterior edentulousness, earache, and clenching, requires attention to be identified and treat these problems.

Molecular study of biofilm gene of sulfate reducing bacteria (SRB) isolated from patients with periodontitis and the effect of aloe vera plant extract on its expression by Real time-PCR method

Mansour Bayat

Background and Aims: Due to the increasing problems and side effects of the use of chemical antibacterial agents as well as antibiotic resistance, this study aimed to evaluate the effects of aloe vera gel on biofilm gene expression of sulfate-reducing bacteria (SRB) isolated from patients with periodontal infection by Real time-PCR method.
Materials and Methods: For this study, 100 individuals including 50 patients and 50 healthy individuals were recruited and examined by a periodontist. After identifying sulfate-reducing bacteria by biochemical tests and specific media, the effect of aloe vera extract on them was investigated and the expression of BFR gene against housekeeping gene (16srDNA) was determined by Real time- PCR test via T-test analysis method.
Results: The data showed that 12 strains of sulfate-reducing bacteria were isolated from the samples, 5 of which had BFR gene and their gene expression was significantly reduced by aloe vera gel (P<0.05).

Conclusion: The data of this study in proving the anti-biofilm and antibacterial effects of aloe vera extract showed that the expression of the target gene is reduced. It seems that this substance can be used as an alternative to oral hygiene chemicals.