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Arami Sakineh , Aghasadeghi Mohamadreza , Tabatabaie Masome Hasani , Darvishpour Hojat , Sheikhzadeh Sedigheh ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: Hepatitis B is an important infection route in dentistry requiring different disinfectants to prevent its transmission. The aim of this study was to compare the effects of chemical disinfectants (FD366, ISORAPID and 5% sodium hypochlorite 2/100) to remove Hepatitis B infections from the dental surfaces.

  Materials and Methods: In this experimental laboratory trial, serum of 10 HBV patients was poured into microtubes, FD366, ISORAPID and hypochlorite disinfectants were added to them. PCR experiments with viral diagnostic kits were used to diagnose the virus genome. Real time PCR was used to evaluate after incubation with the disinfectants. The reductions occurred in the viral load of Hepatitis B were statistically analyzed using Kruskal-wallis and Mann-Whitney U tests .

  Results: No significant antiviral efficacy was noted following the application of FD366 and ISORAPID disinfectants (P=0/07). However, hypochlorite showed the most efficacy to disinfect Hepatitis B and a significant difference was found among them (P<0.0001).

  Conclusion: Under the study limitations, FD366 and ISORAPID disinfectants did not show adequate efficacy to remove Hepatitis B virus. Hypochlorite was the most effective disinfectant.


Dastnaei Peimaneh Hosseini , Dastgurdi Maziar Ebrahimi ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: In case of nonsurgical endodontic re-treatment or replacing a restoration, one of the best methods for removing post from the canal is using an ultrasonic vibration. The aim of this study was to evaluate the effect of ultrasonic vibration time on the retention of post luted with zinc phosphate or glass ionmer cements.

  Materials and Methods: 96 sound extracted lower premolars were selected. The coronal section of specimen was removed and the roots were endodontically treated. A 9-mm post space was prepared in each specimens and a stainless steel Parapost XP was cemented into the post space. Half of the specimens were cemented with the Zinc phosphate cement and the other by g lass ionomer cement. After 7 days of storage, both groups were equally divided into 4 subgroups of 12 teeth. Control group did not receive any treatment. The other subgroups subjected to ultrasonic vibration for 4, 8 or 12 minutes. The retention of all specimens was evaluated and data were analyzed using ANOVA and Tukey tests.

  Results: In control (no ultrasonic) group and 4 minute ultrasonic group, the retention of posts luted with Zinc phosphate cement were not significantly differen t from those luted with g lass ionomer cement. (P=0.372). On the other hand , applying of ultrasonic vibration for 8 and 12 minutes in zinc phosphate and 12 minutes in g lass ionomer caused a significant reduction in the retention of posts (P=0.01).

  Conclusion: Although, the initial retention of two cements was not different, the ultrasonic vibration had more catastrophic effect on zinc phosphate in comparison to glass ionomer.


Goudarzipoor Dariush , Sowdagar Ahmad , Romoozi Elham , Xiavi Hesam Mikaili , Faal Behzad Sheykh ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: In the panoramic images, palatoglossal space error develops when the patient is unable to put the tongue against the mouth roof. In the case of this error, the radiographic diagnosis of the area is made with some difficulties or ever the image may lose its diagnostic ability. The aim of the present study was to investigate the relationship between the palatoglossal space error of the panoramic images and skeletal relationship.

  Materials and Methods: In this descriptive cross-sectional trial, 494 panoramic images were selected at the orthodontic department of Tehran dental school archive and the existence of the palatoglossal space was determined. The palatoglossal space error was statistically analyzed using chi-square test regarding the patients’ gender, age and skeletal relationships.

  Results: Of total panoramic images, 346 (70.0%) cases showed palatoglossal space error while 148 (30.0%) images were free from this error. Furthermore, 74.1% of male images and 66.9% of female images showed palatoglossal space error. In Cl I (1˂ANB≤3), Cl II and Cl III patients 65.6%, 73.1% and 67.4% of the images demonstrated the error, respectively. The incidence of palatoglossal space error in 5-14 and 15 years old age or higher patients were 72.2% and 58.8%, respectively.

  Conclusion: It was concluded that n o significant difference w as noted between the incidences of the palatoglossal space error regarding the patients’ gender or their skeletal relationships . T he error frequency was significantly decreased with age .


Haghgoo Roza , Haghgou Hamid Reza , Abbasi Farid , Tavakkoli Mohammad ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: The main cause of erosion is acid exposure . Side effects of erosion necessitate therapeutic agents’ uses. The aim of this study was to investigate the effects of nano- hydroxy apatite in tooth remineralization following exposure to soft beer.

  Materials and Methods: This in vitro experimental study was conducted on 18 human impacted third molars that had been surgically extracted. The microhardness of specimens was measured. Then teeth were exposed to soft beer and their secondary microhardness was measured. The teeth were divided into 2 groups (water and nano-hydroxy apatite solution) and were placed on 9 orthodontics appliances and delivered to 9 volunteers. These volunteers placed the tooth on one side in water for 5 minutes and the tooth in opposite side in nano-hydroxyapatite solution. This application was repeated 6 times a day for 10 days. The microhardness of teeth was measured again. Data were analyzed using Paired T-test.

  Results: The tooth enamel microhardness reduced after exposure to soft beer significantly (P=0.04). The microhardness of 9 teeth after being in water showed significant changes (P=0.012). The microhardness of 9 teeth significantly changed after exposure to nano -hydroxyapatite solution (P=0.001) .

  Conclusion: Based on the results of this study, 10% solution of nano- hydroxy appatite could restore the erosive lesions .


Sahebi Majid , Hajizadeh Moslem ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: Temporomandibular joint disorders are common problems among patients referring to dental schools and clinics. However appropriate treatment modalities are performed for the TMD patients in dental school, the results and success rate of these treatments are not studied distinctly. The aims of this study was to determine the treatment performed for temporomandibular patients at the TMJ department of Tehran University dental school in 2010-11 .

  Materials and Methods: In a descriptive cross-sectional trial, 85 TMD patients treated at the TMJ department of Tehran University dental school were examined at least 3 months after the treatments. The patients demographic data ,TMD signs and symptoms and the improvements occurred in TMD disorder were determined (complete, partial and no improvement). The patients satisfaction regarding the treatment results were investigated and data were analyzed regarding the presence of different TMD signs and symptoms before and after the treatment using Mann-Whitney U test .

  Results: TMJ pain (35 cases, 42.2%), click (33 cases, 39.8%) and muscle tenderness (26 cases, 31.3%) were the most prevalent obtained signs and symptoms. The mean age of the patients were 32.3 years old while females were the predominant group (72 cases vs.11 one). 44 individuals (53.0%) were treated by splint, 11 ones (13.3%) with anterior repositioning splint and 17 individuals (92.5%) were managed by physiotherapy plus splint. 65 patients (87.3%) were satisfied with the results and 16 ones (19.3%) were not. After the treatment, patients with TMJ pain (P<0.001) and muscle tenderness (P<0.001) showed significantly lower satisfaction than that of patients with no signs. No other significant differences were noted between patients satisfaction regarding the presence of TMD signs and symptoms (P>0.05) .

  Conclusion: The results showed that the treatments presented for the TMD patients at Tehran University dental school were successful and most patients received satisfactory treatment.


Motlagh Mehdi Ghandehari , Pourhashemi Seyyed Jalal , Ghadimi Sara , Baghae Farideh ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: Dental environment is a stressful place for children. In many cases, parents transmit their anxiety to their children in the first dental visit. Mothers as the closest person to the children may have important influence on their children’s behavior in dentistry. The purpose of this study was to evaluate the effectiveness of an educational pamphlet for mothers on children’s behavior in the first dental visit.

  Materials and Methods: This study was conducted on 238 mothers who had 3-7 years old children undergoing dental treatment for the first time. The participants were divided into interventional and control group randomly. Behavior of children was assessed by questionnaire according to 4 point scale of Frankle. The questionnaire contained 5 parts: separation of child from the mother, entering the dental room, opening the mouth, communicating with dentist, getting the prize. Data were analyzed using Chi-square test.

  Results: The educational pamphlet was effective on the separation of child from the mother, the cooperation of children in interventional group was better than the control group (P=0.006). In interventional group 96.2% of and in the control group 90.8% of children had good and very good behavior but the difference was not significant (P=0.11).

  Conclusion: Although the educational pamphlet was effective on the separation of child from mother. No significant difference in behavior of 3-7 year-old children between interventional and control group was found.


Akbari Majid , Makarem Abbas , Fazel Akbar ,
Volume 27, Issue 4 (1-2015)
Abstract

  Background and Aims: The importance of quality in medical education makes the need for better standards in educational systems in the center of interest as the basis for certification. Standards needed to be evaluated by program administrators before the implementation phase. The purpose of this study was to evaluate the general dentistry standards program in Islamic republic of Iran from dental schools view point.

  Materials and Methods: This descriptive study was performed during the year 2011 and 2012. A list of 16 faculties was introduced by the dental secretariat of the Ministry of Health and Medical Education. A check list was conducted based on the basic standards of undergraduate dental program that consisted of the importance and feasibility of each standard. The checklist was evaluated by sixteen dental schools representatives and asked their faculty members and reported back to the dental secretariat of the Ministry of Health. Results were reported in descriptive statistics manner.

  Results: Data were collected from 14 dental schools. (Response rate=87%). All of the criteria were essential with more than 85% agreement of the faculties. There were more than 70% of criteria that were not feasible in less than one year.

  Conclusion: The dental standard program was widely accepted by the faculties over the country. However, it seemed that by the faculties it would fail if used as accreditation base line.


Shirazi Mohsen , Darvishpour Hojat , Nateghi Reza , Mirhashemi Amir Hosein , Salari Behzad ,
Volume 28, Issue 1 (5-2015)
Abstract

  Tehran University of Medical Sciences, Tehran, Iran ( mirahashemi@tums.ac.ir )

  Background and Aims: Nowadays patients refer to orthodontist for issue such as dental crowding and other aesthetic problems. The aims of this study were to evaluate the relationship between some of mandibular anatomical landmarks and dental crowding in the patient with skeletal Cl II due to mandibular deficiency.

  Materials and Methods: 108 cases have been randomly selected out of patients with mandibular related Cl II problem associated with lower incisor crowding, out of orthodontic patient department of Tehran university of medical sciences. ANB, SNB, mandibular discrepancy, gonial angle, Sn-Go-Gn and IMPA was evaluated out of the data. Lateral cephalograms were used for this matter. The correlation between variables was evaluated by correlation test and after reviewing the data was analyzed using Normality test, the Pearson correlation coefficient was used for normally distributed variables.

  Results: Corpus-ramus length ratio had a significant relationship with dental crowding (P≤0.05) but there was no meaningful and significant relationship between other facial landmarks ( P = 0.26 ).

  Conclusion: there seems to be a slight relationship between facial landmarks and dental crowding in lower incisors. But further case control and clinical studies may be helpful in achieving more reliable data.


Mirhashemi Amirhossein , Geramy Allahyar , Sodagar Ahmad , Baghaeian Pedram ,
Volume 28, Issue 1 (5-2015)
Abstract

  The aim of this review article was to define the mechanism of action and effects of commonly used medications on the tissue remodeling and Orthodontic Tooth Movement (OTM). A review on the effects of medications and dietary supplements on the rate of experimental tooth movement was performed using Cochrane library, Embase and medline (1980-2013). 63 articles were included in this review. 34 of them were related to the effects of hormones and analgesics, were evaluated in this article but their interpretation was hindered by the variability in experimental design, magnitude of force applied during tooth movement and medication regimens. Non Steroidal Anti-Inflammatory Drugs (NSAIDs) reduced the rate of tooth movement while non-NSAIDs such as acetaminophen had no effect on the rate of OTM. Corticosteroids, parathyroid hormone and thyroxin increased the rate of tooth movement. Sturgeons might slow OTM, but experimental studies are lacking. Medications might have an important influence on the rate of tooth movement and information on their consumption is necessary to adequately discuss treatment planning with patients.


Sharareh Mousavi Zahed, Kamal Amini, Jahromi Maryam Zare ,
Volume 28, Issue 1 (5-2015)
Abstract

  Background and Aims: To ensure root canal treatment success, endodontic microbiota should be efficiently reduced. Several irrigation devices have been recently introduced with the main objective of improving root canal disinfection.The purpose of this study was to evaluate the rinsing effect of RinsEndo system in reduction of enterococcus faecalis in comparison with conventional hand syringe in infected root canals.

  Materials and Methods: 60 extracted single canal anterior teeth were infected with enterococcus faecalis and divided into 3 groups: RinsEndo system, conventional hand syringe and control group. The enterococcus faecalis colonies were counted in each group before and after rinsing. Data were analyzed using Variance and Kruskal Wallis test.

  Results: The mean of enterococcus faecalis growth after rinsing was 3.50×103 in group with conventional syring rinsing, 2.04×103 in group with RinsEndo washing and 6.11×103 in control group. Reduction of enterococcus faecalis after rinsing was statistically significant in each group (P<0.001). The amount of reduction in number of colonies with RinsEndo and conventional syringe rinsing was higher in comparison with control group and this difference was significant (P<0.001). RinsEndo rinsing effect was statistically significantly higher in comparison to conventional syringe as well (P<0.001).

  Conclusion: Rinsing with RinsEndo system was significantly more efficient in reduction of enterococcus faecalis from root canal in comparison with hand syringe washing.


Sara Ghadimi, Mohammad Reza Khami, Samaneh Razeghi,
Volume 28, Issue 1 (5-2015)
Abstract

Background and Aims: Despite significant decline in dental caries in recent decades, the disease remains a public health problem especially in developing countries. In recent years combined application of laser and fluoride has been introduced as a new caries-preventive measure. The purpose of the present study was to review the literature on the preventive effect of combined application of laser and fluoride on the dental caries. Materials and Methods: PubMed, Google Scholar and EMBASE databases were searched for articles published from 1990 to November 30, 2013. Various combinations of the following keywords were used: Dental caries, Laser, Fluoride, Fluoride therapy, Prevention and Enamel. The inclusion criteria included all levels of available evidence. Articles published only in english language were evaluated, and unpublished data were not sought. Results: Several studies evaluating the effect of laser alone or combined with topical fluoride to prevent dental enamel demineralization were found. Studies assessing the combined effect were more frequently done on permanent teeth and just a few studies were done on primary teeth. In total, most of the studies confirmed that combined application of laser and topical fluoride has a remarkable effect in prevention of enamel demineralization compared to application of each of them alone. Conclusion: Laser irradiation combined with topical fluoride application seems to provide the best prevention effect on the dental caries initiation and progression in enamel of permanent teeth. However, more experimental and clinical studies are necessary to be done on the primary teeth in this area.
Mahmod Kazemi, Alireza Pornasrollah, Somayeh Allahyari, Hamid Jalali,
Volume 28, Issue 2 (7-2015)
Abstract

  Background and Aims: Adequate retention has significant importance in the prognosis of implant supported cemented the restorations. Limited literature had evaluated the effect of direct wax up or use of plastic coping on the retention of these restorations. This aims of this study was to compare the retention of castings fabricated by the plastic coping and direct wax up for single crown and bridge in three implant systems.

  Materials and Methods: 28 specimens of each implant systems were randomly divided into 4 groups. Groups included wax patterns for single crowns and bridges that were made from plastic coping or direct wax up. All the wax patterns were invested and casted with base metal alloy, in similar conditions. After castings were cemented to the related abutments, the specimens were subjected to a pull out force in a universal testing machine at a cross head speed of 0.5 mm/min. The load required to decement each casting was recorded and the mean values for each group were calculated. Data were analyzed using three-way ANOVA.

  Results: Comparing the between systems in crowns fabricated from plastic coping, there was no significant difference between Replace and Implantium (P=0.124), but ITI had significantly lower values than that of other systems (P<0.001 Comparing the systems in crowns fabricated from direct wax up, Implantium had the greatest retention and ITI had the lowest retention (P<0/001). Comparing the bridges with both method, Replace had the greatest retention and ITI had the lowest retention.

  Conclusion: Implantium and Replace system exhibited the highest retention for fabricating crowns, and bridges, respectively.


Baharan Ranjbar Omidi, Ladan Madani, Aida Mirnejad Joybari, Ensyeh Rashvand, Sonia Oveisi,
Volume 28, Issue 2 (7-2015)
Abstract

  Background and Aims: Microleakage is an important problem with direct restorations and familiarity with contributing factors is of utmost importance. The aim of this study was to evaluate the microleakage of three glass ionomer restorations in class V cavities.

  Materials and Methods: In this in vitro study, class V cavity preparations were made on the buccal and lingual/ palatal surfaces of 30 human premolars (60 cavities). The specimens were divided into three group (n=10, 20 cavities). Restored as follows: group1: with Fuji IX (HVGI) ionomer/G coat plus, group 2: Ionofil molar (HVGI)/ G coat plus, and group 3: Fuji II LC (RMGI) / G coat plus. All specimens were finished and polished immediately and were thermocycled (2000 cycles, 5-50°C) . In each group half of the teeth were load cycled (50000 cycles). Finally, the teeth were immersed in 0.15% basic fushine dye for 24 hours at room temperature and then sectioned and observed under stereomicroscope. Data were analyzed using Kruskal-Wallis, Man- Whitney test and a comparison between incisal and gingival microleakage was made using Wilcoxon analysis.

  Results: It was shown that the mechanical load cycling and filling material did not cause a statistically significant increase in the incisal and gingival microleakage in any of groups (P>0.05).

  Conclusion: It was concluded that the extent microleakage of Fuji II LC was similar to that of the highly viscous glass ionomers (Ionofil molar, Fuji IX) and load cycling did not increase the microleakage.


Amirhossein Mirhashemi, Allahyar Geramy, Ahmad Sodagar, Pedram Baghaeian, Yasamin Jalali,
Volume 28, Issue 2 (7-2015)
Abstract

  Molecules produced in various diseased tissues or drugs and nutrients consumed regularly by patients, can reach the mechanically stressed paradental tissues through the circulation and interact with local target cells. The combined effect of mechanical forces and one or more of these agents may be inhibitory, additive or synergistic. The aim of this review was to outline the mechanisms of action and effects of some commonly used drugs on tissue remodeling and Orthodontic Tooth Movement (OTM). A review on the effects of medications and dietary supplements on the rate of experimental tooth movement was performed using Cochrane library, Embase and Medline (1980-2013). 63 articles were included in the review. 34 of them related to the effects of hormones and analgesics were evaluated in the first part of this review. The rest of them (29 articles) were evaluated in the current review, but their interpretation was hindered by the variability in experimental design, magnitude of force applied during tooth movement and medication regimens. Vitamin D3 might enhance the pace of tooth movement, but dietary calcium and fluorides appear to reduce the rate of OTM. Bisphosphonates (BPNs) are considered to have marked inhibitory effects on the rate of tooth movement. Nicotine and nitric oxide might effectively increase the speed of OTM. All drugs reviewed had therapeutic effects, as well as side effects, that may influence the cells targeted by orthodontic forces. Therefore, it is imperative that the orthodontist pays close attention to the drug consumption history of each and every patient, before and during the course of orthodontic treatment. When the use of drugs is revealed, their effects and side effects on tissue systems should be explored to determine their potential influence on the outcome of mechanotherapy.


Esa Mohamadi Zeidi, Amir Pakpor Pakpour Haji Agha, Asghar Karbord, Banafshe Mohamadi Zeidi,
Volume 28, Issue 2 (7-2015)
Abstract

  Background and Aims: Constant contact with dentists, the ability to diagnose early effects of tobacco use on oral health and general health has made the dental clinics to the appropriate place to provide smoking cessation counseling. The aim of this study was to determine the effectiveness of an educational intervention using Trans Theoretical Model (TTM) on the smoking cessation in patients attending dental clinics.

  Materials and Methods: This study was a quasi-experimental study conducted in 2013. 40 patients in the experimental and control groups were completed self-administered questionnaire including general and demographic questions, change questionnaire stages, change scale processes, smoking cessation self-efficacy scale, decisional balance scale before and 6 after months educational program. The experimental group received two training sessions through group discussion for 60 minutes. Data were analyzed using Chi-square tests, independent T-test, Mann-Whitney and Wilcoxon tests.

  Results: In terms of the patients distribution in the change stages (pre-contemplation, contemplation and preparation), there was no significant difference between the experimental (22.5, 35, 42.5%) and control groups (27.5, 35, 37.5%) before intervention (P = 0.55). However, 10 and 20 percent of patients in the experimental group was reported action and maintenance stage regarding smoking cessation after intervention (P<0.001). Results showed a significant increase in the mean score of experimental process of change, behavioral process of change, proc and self efficacy (P<0.001). Also, the mean score of cons constructs decreased significantly after education in the experimental group (P<0.001).

  Conclusion: Results indicated that the educational intervention using the TTM to increase the patients' smoking cessation rate was effective. Therefore, it is recommended that dentists have to become more familiar with TTM frameworks for smoking cessation.


Ezatollah Jalalian, Fatemeh Rajaei, Marzieh Bavaisi, Niloofar Moghaddam, Fereshte Keykha, Rezvaneh Cheraghi,
Volume 28, Issue 2 (7-2015)
Abstract

  Background and Aims: Tooth crowning often leads to changes in periodontal index through changes in emergence profile zone. The purpose of this study was to compare the effect of metal-ceramic with that of
All-Ceramic restorations on the plaque a accumulation.

  Materials and Methods: In this clinical trial, we used 102 teeth covered with metal-ceramic and all-ceramic restorations. Before and after crowning, plaque index (PI) and gingival indexes (MGl) were measured. Data were analyzed using covariance (ANCOVA) test.

  Results: Measured PI and MGI (Mean±SD) in PFM Group prior to crowning were (1.96±0.38) and (1.45±0.48), respectively. In metal-ceramic restorations group, six months after crowning, measured PI and MGI (Mean±SD) were (1.22±0.49) and (1.82±0.61), respectively. Measured PI and MGI (Mean±SD) in All-Ceramic Group prior to crowning were (1.22±0.52) and (1.25±0.29), respectively. In All-Ceramic, six months after crowning, measured PI and MGI (Mean±SD) were (0.88±0.51) and (1.43±0.50), respectively. ANOVA test showed statistical significance difference between metal-ceramic and All-Ceramic Groups in Indexes (P<0.001).

  Conclusion: Metal-ceramic and All-Ceramic crowns were associated with inflammatory changes in gingival. Metal-ceramic restorations were associated with higher inflammatory indexes compared with All-Ceramic crowns.


Fatemeh Mokhtari, Marzyeh Mirzaei,
Volume 28, Issue 3 (10-2015)
Abstract

Background and Aims: Inadequate root canal obstruction has been suggested as major factor in endodontic treatment failure. On the other hand, the most common way to assess leakage is dye penetration method. In assessing the possible effect of cutting direction on the leakage, the present study was performed to investigate dye penetration in two root cutting directions.

Materials and Methods: Forty human teeth with a single root canal were used in this experimental study. Endodontic treatment was performed on the specimens and then stained with 2% methylene blue solution. The specimens were divided into two groups. Specimens in the first group were sectioned in the buccolingual dimension and the second group in the mesiodistal to evaluate the microleakage. The amount of dye penetration was measured under the stereomicroscope with a magnification of 40%. Data were statistically analyzed using Kolmogorov-Smirnov (KS) and Mann- Whitney tests.

Results: The average amount of leakage in the buccolingual and mesiodistal dimension were, 3.78±2.08 and 2.43±1.55 mm, respectively. There was statistically significant difference between the mean leakage of two dimensions (P=0.03).

Conclusion: Since the leakages in the buccolingual and mesiodistal dimensions were different, it was concluded that cutting direction could be an effective factor on the result of microleakage assessment.


Allahyar Geramy, Amir Hossein Mirhashemi, Sahar Rafiei Chokami, Ahmadreza Shamshiri,
Volume 28, Issue 3 (10-2015)
Abstract

Background and Aims: Cl II malocclusion is one of the most common abnormalities in human societies and using a simple, affordable and accessible treatment that can be provided by general practitioners or specialists, to prevent future malocclusion complications is vital. Cl II malocclusion treatment using functional appliances such as twin block and anterior inclined bite plan have less cost, side effects and complications compared to fixed orthodontic or orthosurgery. Until now, the dentoskeletal changes resulting from the application of twin block and anterior inclined bite plan in patients with Class II malocclusion has not been evaluated. The objective of the present study was to assess the dentoskeletal changes following the use of twin-block functional appliance and inclined anterior bite plan in the patients with class II malocclusion div 1 during mixed dentition.

Materials and Methods: In this retrospective cohort trial, 60 patients with the definitive diagnosis of Class II div. 1 malocclusion having ANB>2 and FMA angel between 20 and 30 and without any previous treatment or syndrome who were treated with twin-block or inclined anterior bite plan appliance were selected and their lateral cephalometries were traced before and after treatment. Selected distance and angular landmarks were measured on the cephalograms with the good reliability (ICC=0.953) and the changes occurred in the landmarks were statistically analyzed using Student t test.

Results: Due to the increased mandibular growth, most of the landmarks experienced significant changes following the treatment with twin-block and inclined bite plan (P<0.05). The appliances corrected Class II malocclusion through improvement of mandibular length and position, maxillary and mandibular skeletal and dental relationships (decreased ANB angle and overjet) and stability of mandibular plan inclination. No significant differences were found between the devices regarding most landmarks changes (P>0.05), however, SNA (P=0.04), overjet (P=0.007) and wits appraisal (P=0.004) changed differently after using the appliances.

Conclusion: Despite with most similarities of both twin-block and anterior inclined bite plan to correct class II div. 1 malocclusion, Due to the advantages of anterior inclined bite plan such as less size, good patient cooperation and simple laboratory preparations the appliance can be used as substitute for complex functional appliances to correct class II div. 1 malocclusion before the growth spurt.


Pouyan Amini Shakib, Taraneh Movahhed, Hooman Keshavarz,
Volume 28, Issue 3 (10-2015)
Abstract

Background and Aims: Choosing an appropriate style of teaching-learning by educators is a way to reach high quality education. The objective of this study conducted in Babol Dental School was to compare dental students, satisfaction of teaching theoretical general pathology course by means of a combination of lecture and work in small groups with their satisfaction of teaching the course by means of only lecture.

Materials and Methods: This study was performed in the second semester of school year 2011-12 and 2012-13. In 2012 (intervention group, response rate=92%), the teaching of theoretical general pathology course was implemented by means of a combination of lecture and work in small groups, but in 2013 (control group, response rate=81%) by means of only lecture. An anonymous self-administered questionnaire was used to assess students, satisfaction of the teaching methods. To compare the mean total score of satisfaction (ranging from 18 through 90) between the two groups, T-test was used.

Results: Comparing the mean total scores between the two groups revealed that students, satisfaction of the combined teaching method was significantly higher (P<0.001). The difference of satisfaction between genders (separately for each group) was not significant in combination group and lecture group (P=0.63 and P=0.87,   respectively).

Conclusion: Regarding learning, combining lecture with other teaching methods such as work in small groups may increase health sciences students' satisfaction. In regard to teaching theoretical general pathology course, our findings could confirm this hypothesis.


Mansore Mirzaie, Esmaiel Yasini, Ladan Ranjbar Omrani, Morteza Rokni, Hojat Darvishpour ,
Volume 28, Issue 4 (1-2016)
Abstract

Background and Aims: Microleakage is a criterion proposed for assessing the success of any restorative material. Complete seal is difficult especially for dentin margins compared to enamel margins. The aim of this study was to assess the microleakage at the enamel and dentin margins of class V cavities restored by two GIs and two self-etch adhesive systems.

Materials and Methods: This study was done on forty third molars. Class V cavities (3×2×2mm) were prepared on the buccal and lingual surfaces of teeth using high speed handpiece with 0.8 mm diamond fissure burr. The occlusal margins of the cavities in the enamel and gingival margins were placed 1 mm below the CEJ. The teeth were divided into 4 groups and the bondings were cured for 20 sec and the teeth were restored. The specimens were kept in distilled water at the temperature of 37°C for 24 hrs. The teeth were thermo cycled and cut in buccolingual direction using diamond disc under water. The dye penetration was evaluated using a stereomicroscope and the leakage was scored. The scores were compared using Kruskal-Wallis test while the paired comparisons were done using Bonferroni correction. P≤0.05 was regarded as significant results.

Results: Microleakage scores were similar at the occlusal and gingival walls of all test groups. At the gingival walls, the least microleakage scores were observed. “Fuji IX + SE bond” group showed significant differences with the “Fuji IX + G bond” and “Nanoglass + G bond” groups (P≤0.05). At the occlusal walls, the least scores were observed in the “Fuji IX+SE bond” specimens which were significantly different from the other groups (P≤0.05).

Conclusion: Self-Cure glass ionomers yielded less microleakage scores compared to the different types of light-cures due to the less polymerization shrinkage.



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