Subjects -> MEDICAL SCIENCES (Total: 8212 journals)
    - ANAESTHESIOLOGY (122 journals)
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    - SURGERY (388 journals)

DENTISTRY (266 journals)                  1 2 | Last

Showing 1 - 200 of 256 Journals sorted alphabetically
Ação Odonto     Open Access  
Acta Odontologica Scandinavica     Hybrid Journal   (Followers: 5)
Acta Odontologica Turcica     Open Access  
Acta Stomatologica Marisiensis Journal     Open Access  
Actas Odontológicas     Open Access  
Advances in Dental Research     Hybrid Journal   (Followers: 5)
Advances in Oral and Maxillofacial Surgery     Open Access  
AJO-DO Clinical Companion : An International Journal Dedicated to Excellence in Clinical Orthodontics     Hybrid Journal   (Followers: 1)
Aktuel Nordisk Odontologi     Full-text available via subscription  
Al-Rafidain Dental Journal     Open Access  
Annals of Periodontology     Full-text available via subscription   (Followers: 4)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 3)
APOS Trends in Orthodontics     Open Access  
Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi     Open Access  
Australasian Orthodontic Journal     Open Access   (Followers: 1)
Australian Dental Journal     Hybrid Journal   (Followers: 5)
Australian Endodontic Journal     Hybrid Journal   (Followers: 1)
Avances en Odontoestomatologia     Open Access  
Avances en Periodoncia e Implantología Oral     Open Access   (Followers: 1)
Avicenna Journal of Dental Research     Open Access   (Followers: 1)
Balkan Journal of Dental Medicine     Open Access  
Bangladesh Journal of Orthodontics and Dentofacial Orthopedics     Open Access   (Followers: 3)
BDJ Open     Open Access   (Followers: 3)
Biomaterial Investigations in Dentistry     Open Access  
Brazilian Journal of Oral Sciences     Open Access   (Followers: 1)
British Dental Journal     Hybrid Journal   (Followers: 14)
Caries Research     Full-text available via subscription   (Followers: 3)
Case Reports in Dentistry     Open Access   (Followers: 6)
Caspian Journal of Dental Sciences     Open Access  
CES Odontología     Open Access  
Chiang Mai Dental Journal     Open Access  
Ciencia Odontológica     Open Access  
City Dental College Journal     Open Access   (Followers: 3)
Cleft Palate-Craniofacial Journal     Hybrid Journal   (Followers: 8)
Clinical Advances in Periodontics     Full-text available via subscription   (Followers: 4)
Clinical and Experimental Dental Research     Open Access   (Followers: 4)
Clinical and Laboratorial Research in Dentistry     Open Access   (Followers: 1)
Clinical Dentistry     Open Access   (Followers: 2)
Clinical Dentistry Reviewed     Hybrid Journal  
Clinical Implant Dentistry and Related Research     Hybrid Journal   (Followers: 5)
Clinical Oral Implants Research     Hybrid Journal   (Followers: 8)
Clinical Oral Investigations     Hybrid Journal   (Followers: 4)
Clinical, Cosmetic and Investigational Dentistry     Open Access   (Followers: 2)
Community Dentistry and Oral Epidemiology     Hybrid Journal   (Followers: 5)
Contemporary Clinical Dentistry     Open Access   (Followers: 3)
Critical Reviews in Oral Biology Medicine     Hybrid Journal   (Followers: 2)
Cumhuriyet Dental Journal     Open Access   (Followers: 1)
Current Oral Health Reports     Hybrid Journal   (Followers: 2)
Current Research in Dentistry     Open Access   (Followers: 7)
Dental Abstracts     Full-text available via subscription   (Followers: 6)
Dental Clinics of North America     Full-text available via subscription   (Followers: 7)
Dental Forum     Open Access   (Followers: 1)
Dental Hypotheses     Open Access   (Followers: 5)
Dental Journal (Majalah Kedokteran Gigi)     Open Access   (Followers: 1)
Dental Journal of Advance Studies     Open Access   (Followers: 1)
Dental Materials     Full-text available via subscription   (Followers: 9)
Dental Research Journal     Open Access   (Followers: 10)
Dental Traumatology     Hybrid Journal   (Followers: 7)
Dental Update     Full-text available via subscription   (Followers: 2)
Dentistry     Open Access   (Followers: 1)
Dentistry 3000     Open Access   (Followers: 1)
Dentistry and Medical Research     Open Access  
Dentistry Journal     Open Access   (Followers: 6)
Dentistry Review     Open Access   (Followers: 5)
Dentomaxillofacial Radiology     Hybrid Journal   (Followers: 3)
Der Freie Zahnarzt     Hybrid Journal  
der junge zahnarzt     Hybrid Journal  
Die Quintessenz     Full-text available via subscription   (Followers: 1)
Disease-a-Month     Full-text available via subscription   (Followers: 3)
ENDO     Full-text available via subscription   (Followers: 5)
Endodontic Topics     Hybrid Journal   (Followers: 1)
Endodontie     Full-text available via subscription  
Endodontology     Open Access  
European Archives of Paediatric Dentistry     Hybrid Journal   (Followers: 2)
European Dental Research and Biomaterials Journal     Hybrid Journal   (Followers: 3)
European Journal of Dental Education     Hybrid Journal   (Followers: 3)
European Journal of Dentistry     Open Access   (Followers: 5)
European Journal of Dentistry and Medicine     Open Access   (Followers: 3)
European Journal of Esthetic Dentistry     Full-text available via subscription   (Followers: 4)
European Journal of General Dentistry     Open Access   (Followers: 1)
European Journal of Oral Implantology     Full-text available via subscription   (Followers: 6)
European Journal of Oral Sciences     Hybrid Journal   (Followers: 3)
European Journal of Orthodontics     Hybrid Journal   (Followers: 6)
European Journal of Research in Dentistry     Open Access  
Evidence-Based Dentistry     Full-text available via subscription   (Followers: 6)
Faculty Dental Journal     Full-text available via subscription   (Followers: 2)
Future Dental Journal     Open Access   (Followers: 3)
Giornale Italiano di Endodonzia     Open Access  
Implantologie     Full-text available via subscription   (Followers: 2)
Indian Journal of Dental Research     Open Access   (Followers: 3)
Indian Journal of Dental Sciences     Open Access  
Indian Journal of Dentistry     Open Access   (Followers: 1)
Indian Journal of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian Journal of Oral Health and Research     Open Access  
Informationen aus Orthodontie & Kieferorthopädie     Hybrid Journal  
Insisiva Dental Journal     Open Access  
International Dental Journal     Hybrid Journal   (Followers: 3)
International Endodontic Journal     Hybrid Journal   (Followers: 2)
International Journal of Community Dentistry     Open Access  
International Journal of Computerized Dentistry     Full-text available via subscription   (Followers: 3)
International Journal of Contemporary Dental and Medical Reviews     Open Access   (Followers: 3)
International Journal of Dental Hygiene     Hybrid Journal   (Followers: 3)
International Journal of Dental Materials     Open Access   (Followers: 1)
International Journal of Dental Research     Open Access   (Followers: 6)
International Journal of Dental Sciences and Research     Open Access   (Followers: 1)
International Journal of Dentistry     Open Access   (Followers: 4)
International Journal of Forensic Odontology     Open Access  
International Journal of Growth Factors and Stem Cells in Dentistry     Open Access  
International Journal of Implant Dentistry     Open Access   (Followers: 2)
International Journal of Medical and Dental Sciences     Full-text available via subscription  
International Journal of Odontostomatology     Open Access   (Followers: 1)
International Journal of Oral & Maxillofacial Implants     Full-text available via subscription   (Followers: 9)
International Journal of Oral Care and Research     Open Access   (Followers: 3)
International Journal of Oral Health Sciences     Open Access   (Followers: 3)
International Journal of Oral Science     Open Access   (Followers: 4)
International Journal of Orofacial Biology     Open Access   (Followers: 1)
International Journal of Orofacial Research     Open Access   (Followers: 2)
International Journal of Orthodontic Rehabilitation     Open Access   (Followers: 1)
International Journal of Paediatric Dentistry     Hybrid Journal   (Followers: 5)
International Journal of Pedodontic Rehabilitation     Open Access  
International Journal of Periodontics & Restorative Dentistry     Full-text available via subscription   (Followers: 5)
International Journal of Preventive and Clinical Dental Research     Open Access   (Followers: 4)
International Journal of Prosthodontics     Full-text available via subscription   (Followers: 7)
International Journal of Stomatological Research     Open Access  
International Orthodontics     Full-text available via subscription   (Followers: 3)
Japanese Dental Science Review     Open Access   (Followers: 1)
JDR Clinical & Translational Research     Hybrid Journal  
Journal of Academy of Dental Education     Hybrid Journal   (Followers: 3)
Journal of Adhesive Dentistry     Full-text available via subscription   (Followers: 2)
Journal of Advanced Oral Research     Hybrid Journal  
Journal of Applied Oral Science     Open Access  
Journal of Baghdad College of Dentistry     Open Access  
Journal of Clinical Periodontology     Hybrid Journal   (Followers: 5)
Journal of Conservative Dentistry     Open Access   (Followers: 2)
Journal of Craniomandibular Function     Full-text available via subscription  
Journal of Dental and Allied Sciences     Open Access   (Followers: 1)
Journal of Dental Implants     Open Access   (Followers: 6)
Journal of Dental Lasers     Open Access   (Followers: 1)
Journal of Dental Medicine     Open Access   (Followers: 2)
Journal of Dental Problems and Solutions     Open Access  
Journal of Dental Research     Hybrid Journal   (Followers: 6)
Journal of Dental Research and Review     Open Access  
Journal of Dental Sciences     Open Access   (Followers: 1)
Journal of Dentistry     Hybrid Journal   (Followers: 4)
Journal of Dentistry Defense Section     Open Access   (Followers: 3)
Journal of Dentistry for Children     Full-text available via subscription   (Followers: 1)
Journal of Dentistry Indonesia     Open Access  
Journal of Dentistry of Tehran University of Medical Sciences     Open Access  
Journal of Dentofacial Anomalies and Orthodontics     Full-text available via subscription   (Followers: 2)
Journal of Dentomaxillofacial Science     Open Access   (Followers: 1)
Journal of Education and Ethics in Dentistry     Open Access   (Followers: 4)
Journal of Endodontics     Full-text available via subscription   (Followers: 5)
Journal of Esthetic and Restorative Dentistry     Hybrid Journal   (Followers: 5)
Journal of Evidence Based Dental Practice     Full-text available via subscription   (Followers: 3)
Journal of Forensic Dental Sciences     Open Access   (Followers: 4)
Journal of Indian Academy of Dental Specialist Researchers     Open Access  
Journal of Indian Academy of Oral Medicine and Radiology     Open Access   (Followers: 3)
Journal of Indian Association of Public Health Dentistry     Open Access   (Followers: 1)
Journal of Indian Orthodontic Society     Open Access   (Followers: 1)
Journal of Indian Prosthodontic Society     Open Access   (Followers: 3)
Journal of Indian Society of Periodontology     Open Access  
Journal of Interdisciplinary Dentistry     Open Access   (Followers: 3)
Journal Of International Dental And Medical Research     Open Access  
Journal of International Oral Health     Open Access   (Followers: 1)
Journal of International Society of Preventive and Community Dentistry     Open Access   (Followers: 1)
Journal of Investigative and Clinical Dentistry     Hybrid Journal   (Followers: 2)
Journal of Nepalese Association of Pediatric Dentistry     Open Access   (Followers: 1)
Journal of Nepalese Prosthodontic Society (JNPS)     Open Access  
Journal of Nepalese Society of Periodontology and Oral Implantology     Open Access  
Journal of Oral & Facial Pain and Headache     Full-text available via subscription   (Followers: 3)
Journal of Oral and Maxillofacial Radiology     Open Access   (Followers: 1)
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology     Full-text available via subscription   (Followers: 5)
Journal of Oral Biology     Open Access  
Journal of Oral Biosciences     Hybrid Journal   (Followers: 3)
Journal of Oral Microbiology     Open Access   (Followers: 2)
Journal of Oral Research     Open Access   (Followers: 1)
Journal of Oral Research and Review     Open Access  
Journal of Orthodontic Science     Open Access   (Followers: 2)
Journal of Orthodontics     Hybrid Journal   (Followers: 4)
Journal of Periodontology     Full-text available via subscription   (Followers: 5)
Journal of Pierre Fauchard Academy (India Section)     Full-text available via subscription  
Journal of Primary Care Dentistry and Oral Health     Open Access   (Followers: 3)
Journal of Prosthetic Dentistry     Hybrid Journal   (Followers: 4)
Journal of Public Health Dentistry     Hybrid Journal   (Followers: 1)
Journal of Research in Dentistry     Open Access   (Followers: 1)
Journal of Restorative Dentistry     Open Access   (Followers: 2)
Journal of Stomatology, Oral and Maxillofacial Surgery     Hybrid Journal  
Journal Of Syiah Kuala Dentistry Society     Open Access  
Journal of the American Dental Association     Full-text available via subscription   (Followers: 7)
Journal of the Canadian Dental Association     Full-text available via subscription   (Followers: 3)
Journal of the International Clinical Dental Research Organization     Open Access  
Journal of the World Federation of Orthodontists     Full-text available via subscription  
Journal of Veterinary Dentistry     Full-text available via subscription   (Followers: 1)
Jurnal Kesehatan Gigi     Open Access  
Kieferorthopädie     Full-text available via subscription  
Kiru : Revista de la Facultad de Odontología - Universidad de San Martín de Porres     Open Access  
Lasers in Dental Science     Hybrid Journal  
Majalah Kedokteran Gigi Indonesia     Open Access  
Médecine Buccale Chirurgie Buccale     Open Access   (Followers: 1)
Medicina Oral, patología oral y cirugía bucal     Open Access  

        1 2 | Last

Similar Journals
Journal Cover
Dental Forum
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1732-0801 - ISSN (Online) 2300-6099
Published by Poznań University of Medical Sciences Homepage  [1 journal]
  • Color stability of dental temporary composite materials assessed in vitro

    • Authors: Ryszard Koczorowski, Kamila Linkowska-Świdzińska, Teodor Świdziński, Igor Khmelinskii, Marek Sikorski
      Pages: 11 - 18
      Abstract: Aim of the study. The purpose of this study was to evaluate color stability of temporary prosthetic materials to staining drinks, including tea, coffee and blackcurrant juice, and distilled water. Material and methods. Color was assessed using a reflection spectrophotometer according to the CIELAB color scale, using two illuminants: D65 (daylight) and A (incandescent bulb). Results. Luxatemp, Dentalon plus, Structur 2 SC, Protemp II, and Zhermacryl STC exhibited poor color stability, becoming generally darker (∆L < 0) and yellowier (∆b* > 0), with Luxatemp and Dentalon plus being less prone to discoloration than the others. Conclusions. Temporary prosthetic materials may suffer strong discoloration (∆E > 6.0) upon prolonged exposure to potentially staining beverages, and some of them even upon soaking in distilled water.
      PubDate: 2016-01-21
      Issue No: Vol. 43, No. 2 (2016)
  • A Report of the 12th Congress of Polish Odontologists

    • Authors: Karolina Gerreth
      Pages: 113 - 115
      PubDate: 2016-01-23
      Issue No: Vol. 43, No. 2 (2016)
  • The effect of Dentofresh® on yeast‑like fungi

    • Authors: Marlena Dudek‑Makuch, Krzysztof Makuch, Ryszard Koczorowski, Anna Kędzia, Anna Michalak
      Pages: 11 - 15
      Abstract: Introduction. The mouthwash Dentofresh® produced by Phytopharm Kleka SA, intended for adults and children over the age of 6, is a prophylactic preparation. Using the mouthwash after having brushed the teeth has a preventive and healing influence on the hard tissues of teeth and gingiva. The mouthwash contains: eucalyptus, mint, thyme and sage oils, which show anti‑inflammatory and antimicrobial activity. Aim. The aim of the study was to evaluate the effectiveness of Dentofresh® against strains of yeast‑like fungi from the genus Candida. Material and methods. The study was conducted on 15 strains of yeast‑like fungi from the genus Candida isolated from infections, and five reference strains. The fungicidal activity of the preparation (MFC – Minimal Fungicidal Concentration) against the strains of yeast‑like fungi at the concentration recommended by its producer was evaluated. Results. Dentofresh® exhibited great fungicidal activity at the concentration recommended by the producer as quickly as 15 minutes after it was applied (against 87% of the strains), while after 30 minutes, all the tested strains of yeast‑like fungi were destroyed. Conclusions. The preparation was effective against the genera of yeast‑like fungi which are usually resistant to common antifungal medicines.
      PubDate: 2015-08-19
      Issue No: Vol. 43, No. 2 (2015)
  • The use of alginate impression material for the controlled release of
           sodium fusidate

    • Authors: Beata Czarnecka, John W. Nicholson
      Pages: 11 - 14
      Abstract: Introduction. Alginate impression material has the potential to act as a controlled release material, either for transmucosal drug delivery, or for use as a self-disinfecting impression material in clinical dentistry. Aim of the study. To study whether sodium fusidate could be released from alginate impression material and, if so, to determine the release kinetics. Material and methods. Sodium fusidate was incorporated into alginate impression material at the mixing stage (2% by mass). The mixed material was pressed into a sheet and, once cured, discs (6 mm diameter x 2 mm thick) were cut out, and stored in water, one disc in a 5 ml volume. Small samples (20 μl) were withdrawn at time intervals of 1, 2, 3, 4, 5, 24 h, 1, 2 and 3 weeks and analysed by HPLC. Results. Sodium fusidate was released from the impression material in a process that was shown to be diffusion based for the first 5 hours or so. The diffusion coefficient was 2.25 x 10–5 cm2 s-1, and the release corresponded to 36.0 ± 1.0% of the total loading. The system thus shows promise for clinical application.
      PubDate: 2015-02-05
      Issue No: Vol. 43, No. 2 (2015)
  • Compobond – composite or bond' Proprietary clinical observation
           of Vertise Flow material

    • Authors: Renata Chałas, Katarzyna Kamińska-Pikiewicz, Joanna Zubrzycka-Wróbel, Agnieszka Sochaczewska-Dolecka, Teresa Bachanek
      Pages: 11 - 15
      Abstract: Introduction. The development of modern dentistry and the introduction of new technologies have led to the creation of Vertise Flow, a self-adhering, light-curable, semi-liquid composite belonging to a new class of materials – "compobonds". Aim. The paper aims at an evaluation of functional characteristics as well as a clinical assessment of restorations made with the self-adhering, light-curable Vertise Flow composite immediately after placement. Material and methods. Sixty-seven restorations made of Vertise Flow (KerrHawe) were placed in 42 subjects of both sexes aged 16–70 years. The restorations were evaluated for functional characteristics such as ease-of-placement into the cavity, adaptation to the cavity walls, polishing properties and aesthetics, as well as the time to work with the material. Clinical evaluations of restorations immediately after placement were made using the four-category Ryge’s scale taking into account: surface structure, anatomic form and marginal adaptation. In addition, the patient's subjective feelings about the smoothness of the surface, aesthetics and the presence of any postoperative sensitivity to temperature changes were taken into account. Results. A very good rating of 100% was obtained in terms of aesthetics and polishing properties as well as working time with the material. In assessing the restorations using Ryge’s scale, it was found that immediately after placement, all of them were rated very well in the analyzed categories. Based on the subjective assessment of patients, it was found that the vast majority of restorations met the expectations in terms of aesthetics and smoothness – more than 95% receiving very good ratings. Conclusions. Working with the self-adhering, semi-liquid Vertise Flow composite produces a satisfactory aesthetic effect in the perception of the physician and the patient. The fast placement technique of the material significantly reduces the operating time. Preliminary clinical evaluations of the material are positive.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • A comparison of force-deflection relationships in half-round dental
           clasps, in vitro, fabricated by two casting methods

    • Authors: Krzysztof Andruch
      Pages: 13 - 20
      Abstract: Introduction. From a clinical stand point it is important to know if the different casting techniques, using the same alloy, may change the stiffness of the cast denture clasp. Although rotary and vacuum-pressure casting methods have the same induction melting means, any similarity ends at this point. In the rotary method, the melting and casting process is carried out in air but for the vacuum-pressure method, melting is conducted in the vacuum and casting is done in forming gas. Aim of the study. The aim of this study was to compare the influence of two casting methods: a rotary-centrifugal method and a vacuum-pressure method on the deflection force of a straight clasp profile in vitro and disclose any differences in microstructure of cobalt chromium alloy cast profiles caused by using different casting technology. Material and Methods. A commercial cobalt-chromium alloy (Wironit® extrahard BEGO, Bremen, Germany) was used. The tested material were the straight clasp profiles of a half-round section, cast in standard wax patterns (BEGO, Bremen, Germany), by the use of two inductive casting devices: a vacuum-pressure microprocessor assisted method (VP) (in device Nautilus®-BEGO, Bremen, Germany) and a rotary (R) manually operated method (in device Fornax®-BEGO, Bremen, Germany). Thirteen castings were fabricated by each of the respective methods. The custom made measuring instrument consisted of a micrometer screw and an force into voltage extensometer converter was applied. After deflection force measurement chosen profiles undergone metallographic examination to reveal internal grain arrangements in them. Results. On the level of significance p = 0.05 the observed difference between the means was proved to be statistically significant with better results for vacuum-pressure method. The microstructure varied, and these differences correlated with differences in deflection force measurement with greater deflection force for bigger grains. The grains size of the samples was of different size from small to large.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • In vitro analysis of the proliferation potential and colony forming
           efficiency of stem cells isolated from dental pulp (DPSC) and apical
           papilla (SCAP), cultured in standard and pro-mineralizing conditions

    • Authors: Ewa Chomik, Paulina Bautembach-Koberda, Katarzyna Schütz, Tadeusz Pawełczyk, Izabela Maciejewska
      Pages: 15 - 24
      Abstract: Introduction. Recent data point to unerupted third molars as a promising source of stem cells (SC). Tooth derived SC are clonogenic and present a capacity for self-renewal and colony formation. Additionally, an environmental stimulation induces an in vitro differentiation of SC into multiple lineages, including odontoblasts. Aim of the study. The aim of the study was to evaluate the in vitro potential for proliferation and colony formation by stem cells derived from both dental pulp and apical papilla cultured in both standard medium (control and primary group) and medium modified with ingredients that stimulate mineralization (experimental group). Material and methods. Right after odontectomy the dental pulp and apical papilla were digested with dispase and collagenase type I. DPSCs and SCAPs were sorted using anti STRO-1, CD146, CD34, CD45 antibodies by means of the MACS method. Thereafter, the cells from the initial and control groups were cultured in a standard medium. The medium of the experimental group was additionally modified with ingredients that stimulated mineralization. To assess the cells commitment, the rate of proliferation and colony formation were examined. Results. The analysis showed that SCAPs from all the examined groups proliferated faster and formed more numerous and larger colonies compared to DPSCs. Environmental stimulation reduced proliferation and the ability to form colonies in both the DPSCs and SCAPs lineages. Conclusion. Faster proliferation and a higher ability to form colonies indicates the lower commitment of SCAPs compared to DPSCs. Additionally, the slower proliferation of stem cells from the experimental group suggests their more advanced commitment and differentiation. Although the SCAPs and DPSCs present different degrees of maturation, both cell lineages seem to be promising sources of stem cells.
      PubDate: 2015-02-05
      Issue No: Vol. 43, No. 2 (2015)
  • In situ analysis of usefulness of strontium‑fluoride toothpaste for
           enamel remineralization

    • Authors: Anna Surdacka, Bogdan Stachecki, Elżbieta Kaczmarek
      Pages: 17 - 22
      Abstract: Aim. The aim of the study was to investigate the usefulness of an experimental fluoride toothpaste supplemented with Sr2+ for enamel remineralization. Material and methods. Two experimental groups comprised volunteers aged 20–30 years who had all the oral cavity sanation procedures carried out and all the primary and secondary caries lesions filled before undergoing investigations. The material included twenty healthy premolar teeth extracted for orthodontic reasons due to their abnormal position in the arch or to teeth crowding in 12–14 year old children. The teeth were sectioned into blocks and artificially demineralized. The samples were placed in the oral cavity on the buccal surfaces of the first molar teeth of volunteers who used toothpaste supplemented with Ca2+, P043-, F- (group I), toothpaste supplemented with Ca2+, P043-, F-, Sr2+ (group II) and control toothpaste supplemented with Ca2+, P043- (Hydroxyapatite‑HAP). The content of calcium and phosphorus was analyzed on the lateral walls of the enamel lesions, at preselected depths of 15 μm and 100 μm, by using EDS microanalysis. Results. After three months, the content of calcium in both studied groups was significantly lower at 15 μm and 100 μm of enamel depth than at the baseline (immediately after enamel demineralization). After six months, the content of calcium was lower only at 15 μm in both groups. At 100 μm of depth the calcium content was significantly higher in group II and the reference group (HAP). After three months the phosphorus content was significantly lower in group II at 15 μm. After six months the content of phosphorous was significantly higher in group II at 15 μm and 100 μm of enamel depth. Conclusion. The results suggest that supplementation of fluoride toothpaste with strontium improved the effect of enamel remineralization.
      PubDate: 2015-08-19
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of temporomandibular joints after orthognathic surgery – the
           anamnestic and clinical index according to Helkimo

    • Authors: Artur Matthews-Brzozowski, Anna Böhm, Elżbieta Kaczmarek
      Pages: 17 - 22
      Abstract: Introduction. Skeletal disorders require orthodontic preparation as part of the process of combined surgical and orthodontic treatment planning. The displacement of condylar head to glenoid fossa or to the articulating disc as well as changes in the muscular function can occur as a result of the treatment of morphological disorders. Such displacements and rotations of the condylar long axis can lead to temporomandibular dysfunction. Aim. The purpose of the study was to assess the influence of orthognathic surgery on the temporomandibular function on the basis of the anamnestic and clinical dysfunction index according to Helkimo performed before and after surgical treatment of mandibular prognathism. Material and methods. The material included 20 patients with diagnosed skeletal class III malocclusion. The following examinations were conducted in all patients prior to and 3–6 months after the orthognathic surgery: a subjective examination – anamnesis including the anamnestic index according to Helkimo (Ai); and an objective examination – examination chart and clinical dysfunction index according to Helkimo (Di). Results. The number of individuals without subjective masticatory dysfunction symptoms (anamnestic index according to Helkimo) significantly increased to 14 after the surgery. However, the evaluation of moderate and severe subjective symptoms in the studied group showed no statistically significant changes before and after the operation. Mild symptoms (Di‑I) of the clinical dysfunction index according to Helkimo were the most frequent in patients before and after surgical treatment. The number of patients with moderate symptoms (Di‑II) decreased after the operation. Conclusions. The clinical dysfunction index according to Helkimo cannot be assessed on the basis of the anamnestic index.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of the oral cavity state and Candida occurence in generally
           healthy Polish and foreign dental students

    • Authors: Ewa Krawiecka, Mariusz Jankowski, Joanna Kryś, Małgorzata Radecka, Marta Smoczyńska-Marczak, Izabela Piotrowska, Elżbieta Szponar
      Pages: 21 - 25
      Abstract: Aim of the study. This study aimed at comparing the oral cavity condition and Candida prevalence in generally healthy Polish and foreign dentistry students and evaluating the relationship between Candida occurrence and the oral cavity condition. Material and methods. 79 dentistry students with no systemic diseases, aged 20–25 (mean 23.5), were examined in the present study. Two groups of examined subjects were specified: 43 Polish students (group I) and 36 foreign students (group II). Group II has been divided into subgroups: IIa – students from Taiwan and IIb – students from Europe and USA. Occurence of oral mucosa lesions, periodontal treatment needs (CPITN), caries prevalence (DMFT) and oral hygiene (OHIs) were investigated. Evaluation of Candida occurrence on the oral mucosa was included in the study. Results. Comparison of the oral cavity condition in Polish and foreign students showed no significant difference, with the exception of the number of teeth with active caries, that was significantly higher in foreign students (D 1,2) than in Polish students (D 0.4). Mean indices rates in the group I were: CPITN 0.9; PUWz 8.7; OHI-s 0.4 in the group II 1.0; 7.0; 0,5, respectively. The most commonly observed oral mucosa lesions, in both groups, were white coated tongue and buccal white line. Candida was found in 38,0% of the subjects, its prevalence was similar in both groups (I – 34.9%, II – 41.7%). No correlation between Candida occurence and oral cavity state was detected. Higher frequency of active caries in Candida carriers was the exception.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of the radiopacity of the materials used for sealing root
           canals with a wide apical gap

    • Authors: Joanna Możyńska, Kinga Kaczor, Marcin Metlerski, Alicja Nowicka
      Pages: 23 - 28
      Abstract: Introduction. Optimal canal filling in the apical region poses a challenge for the dentist and determines therapeutic success. The choice of an appropriate material whose physico-chemical properties enable X-ray visualization of the quality of the filling is of great importance. The higher the density of the material, the better the contrast and thus the possibility of correct assessment of the filling. Aim. This study was undertaken to assess radiopacity of materials currently used in endodontics for sealing root canals with a wide apical gap. Material and methods. MTA+ (Cerkamed), Biodentine (Septodont), and gutta-percha with AH Plus paste were used for sealing 27 single-root human teeth. The canals were cleaned with K files to achieve ISO size 40. Next, Gates-Glidden drills size 2 were inserted up to their full working length to enlarge the apex. Each material was used to seal nine canals. X-ray images were taken with the X-Mind DC (Satelec) generator and were recorded, scanned, and analyzed with the Digora digital radiography system. Radiopacity of the image was evaluated on the basis of color change using the 256 levels grayscale. Radiographs of the same roots with a glass plate imitating cheek tissues with a bone fragment were obtained for comparison. Results. The lowest optical density was found for Biodentine. This material demonstrated the smallest X-ray contrast as compared with dentin. The best radiographic visibility was found for gutta-percha with AH Plus paste. In spite of the slightly greater optical density values of MTA+ in comparison with Biodentine, the contrast and radiographic visibility of both materials was poor. Optical density of the materials was reduced in the presence of the glass plate imitating cheek tissues with a bone fragment. Conclusions. MTA+ and Biodentine are characterized by lower optical densities than gutta-percha with AH Plus paste.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of bruxism intensity in patients with shortened dental arch

    • Authors: Piotr Napadłek, Halina Panek, Włodzimierz Więckiewicz
      Pages: 23 - 26
      Abstract: Aim. The aim of the study was to analyze the intensity of bruxism in patients with different amounts of dental arch reduction in relationship with prosthetic treatment needs. Material and methods. The study group included 120 individuals of both genders, aged 41–65, selected from patients admitted to The Department of Prosthodontics, Wrocław Medical University in the years 2007–2010. Patients were divided into two study groups depending on the amount of dental arch reduction and a control group including individuals with complete natural dentition. All patients underwent a routine interview and general oral cavity examination. The assessment of bruxism intensity was carried out on the basis of the Bruxism Intensity Index by Panek. The data obtained underwent statistical analysis. Results. The results of this study on parafunctions indicate a higher intensity of bruxism (B3, B4) together with a reduction in dental arch. The prevalence of bruxism was similar in both study groups and only a little higher than in the control group. Conclusions. 1) There is only a minor correlation between a reduction of dentition and the prevalence of bruxism. 2) Individuals with extremely shortened dental arches revealed a higher intensity of bruxism, thus this group of patients has the highest treatment needs and prosthetic rehabilitation in this group is inevitable.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Oral hygiene levels and oral cavity pro-health behaviours of patients with
           cardiovascular diseases

    • Authors: Mariusz Bochniak, Aida Kusiak, Andrzej Rynkiewicz
      Pages: 25 - 32
      Abstract: Introduction. Studies in the relationships between periodontal diseases and cardiovascular diseases are one of the main research areas in contemporary periodontology. The data published in recent years indicate periodontitis as one of the potential risk factors for coronary heart disease (CHD) and myocardial infarction (MI). Thus the population with cardiovascular diseases is recommended as a target for dental prophylaxis and pro-health educational programmes. Aim of the study. The aim of this study was the assessment of oral hygiene levels and dental pro-health behaviours among patients with CHD and MI. Material and methods. The study encompassed 86 individuals with MI (group 1), and 84 persons with stable CHD (group 2). The control group comprised 50 persons without cardiovascular diseases. Clinical examinations of oral hygiene level using API, gingivitis level using mSBI, and an individual questionnaire regarding dental pro-health behaviours and oral hygiene maintenance methods were performed. Results. Low oral hygiene levels were observed in the examined groups (mean API value: 68.72%, 68.44%, and 60% respectively). Data from the questionnaires revealed a lack of proper periodontal prophylaxis. Gum bleeding was not considered as a pathological symptom, about 60% of patients never participated in oral hygiene training, and the frequency of dental control check-ups and professional hygiene procedures was too low. Only a few percent of patients cleaned interdental spaces. Conclusions. The results obtained indicate a low level of dental pro-health behaviours and could support recommendations regarding the necessity of educational, prophylactic and treatment programmes for patients with CHD / MI – performed by dentists / periodontologists and cardiologists together
      PubDate: 2015-02-05
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of clinical efficacy of Dentofresh® Mouthrinse

    • Authors: Tomasz Konopka, Dariusz Chrzęszczyk, Łukasz Zawada
      Pages: 27 - 32
      Abstract: Introduction. The role of antiseptics used today in chemical supragingival plaque control is inhibiting its formation and an independent anti-inflammatory effect. Aim of the study. Clinical evaluation of Dentofresh® mouthwash used as a supplement to tooth cleaning during the treatment of gingivitis in adults. Material and methods. The study included 76 patients with gingivitis aged 18 to 50. Patients were divided at random into 3 groups: Group one – 26 people who had oral hygiene instruction performed and were recommended to brush two times a day with the triclosan toothpaste and rinse two times a day for 1 min each time with Dentofresh mouthwash for a period of 4 weeks; Group two – 25 people who had oral hygiene instruction performed and were recommended to brush three times a day with the triclosan toothpaste; Group three (control) – 25 people during conservative treatment: no change of behavior in the oral hygiene (brushing frequency was recorded and the type of paste). This study evaluated: the effectiveness of tooth brushing using PCR by O'Leary index, interdental cleaning efficiency using the API index by Lange et al., the extent of gingival inflammation with BoP index by Ainamo and Bay, the intensity of gingival inflammation by means of PBI index by Saxera and Mühlemanna, presence of plaque using an index CI by Ennevera, breadth and intensity of teeth staining using the DI index by Loebena and all side effects of therapy. The survey was conducted four times: survey 0 – before the randomization of patients into three groups, survey 1–2 weeks after the implementation of preventive and therapeutic action in group I and II, survey 2–4 weeks after the implementation of preventive and therapeutic action in group I and II – the day of termination of antiseptic rinsing in group I, survey 3–8 weeks after randomization. Conclusions. As the Dentofresh mouthrinse meets the requirements set for plaque inhibitors and has an anti-inflammatory effect, it can be used as a supplement to gingival inflammation therapy. In specific clinical situations it may also broaden the preventive and therapeutic scope of proper brushing and interdental cleaning. After four weeks of using Dentofresh no local adverse effects were recorded.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • The use of the CO2 laser in treatment of lipomas

    • Authors: Piotr Osica, Anna Janas
      Pages: 27 - 32
      Abstract: Introduction. Lipomas are the most common benign soft tissue tumors, but their occurrence in the oral cavity is rarely recorded. They are generally asymptomatic and painless, very rarely giving recurrence. Microscopically cells resemble mature adipocytes, divided by connective tissue. Aim. Review of the CO2 laser treatment of lipomas. Material and methods. 43 patients were treated because of lipomas in 2011–2012, in the Department of Oral Surgery, Medical University of Lodz. This group consisted of 11 (25.6%) women and 32 (74.4%) men, whose age ranged from 45 to 68 years. The presence of lesions appearing as insolated, mobile, non-tender, subcutaneous or submucous masses measuring 1–3.5 cm in diameter, were found within: skin above buccal muscle – 4 (9.3%) cases, the forehead – 6 (13.95%) patients, lower lip – 11 (25, 6%), floor of the mouth – 8 (18.6%), the duct of parotid gland – 8 (18.6%), tongue – 4 (9.3%) and in the alveolar part of the mandible – the premolars and molars area – 2 (4.65%) cases. In local infliltration anaesthesia with 0,3 ml of 2% Lidocaine, the focused continuous laser beam of 3 W was used. The mucosa was incised and subsequently prepared. Afterwards the tumor was enucleated alongside the surrounding fibrous capsule. The material was sent for histopathological evaluation. Results. The results of histopathological examination confirmed the initial diagnosis of lipoma in 15 (34.9%) cases, whereas in 13 (30.2%) patients – fibrolipoma, in 10 (23.3%) – cutaneous lipoma, and in 5 (11.6%) cases angiolipoma. The follow up examination after 14 days showed that healing was uneventful, and after 12 and 24 months no signs or symptoms of recurrence developed. The functional and esthetical result was satisfactory.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Influence of angulation of lower third molar on its ability to erupt
           – preliminary report

    • Authors: Barbara Szkarłat, Anna Wojtaszek‑Słomińska, Dorota Renkielska
      Pages: 29 - 33
      Abstract: Aim. The aim of this study was to compare a degree of the third lower molar state of eruption or retention according to its angulation. There was a group of adolescent patients studied, who needed an orthodontic treatment and sought help in Orthodontic Ward of the Medical University of Gdańsk. Material and methods. Panoramic pictures of 50 patients (36 women and 14 men) were qualified to be measured for the amount of the third lower molars and their angulation, which was described as an external angle between a long axis of the tooth according to a bite line. Results. The amount of third lower molars was defined and revealed that 30 women (83%) had both lower molars, 14 men (100%) had left third lower molar while only 11 men (79%) had a right wisdom tooth. The angulation was determined for both women and men – the angle of the erupted lower third molar oscillated between 31° and 88° (on average 56° +/- 12°) whereas for the retained: from 3° to 90° (average 52° +/- 26°). An observation was made that the lower third molars were usually erupted when their angulation was in the 40° to 70° range. Conclusions. 1. Angulation of the lower third molar has an influence on its ability to erupt. 2. Too big, as well as too small angle of angulation may have a negative influence on the ability of the tooth to erupt. 3. The sex does not have an influence on the state of the tooth eruption.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • The state of dentition in 6-year-old children from the Zachodniopomorskie

    • Authors: Monika Szmidt, Justyna Pol, Katarzyna Barczak, Jadwiga Buczkowska-Radlińska
      Pages: 33 - 36
      Abstract: Introduction. Dental caries in deciduous teeth is a big problem in pedodontics because of its considerable frequency and the very low age of patients. The health status of children’s oral cavity is related to a number of different factors and it is also connected with prophylaxis and pro-health education. Aim of the study. The aim of this study was to evaluate the health status of dentition in 6-year-old children from the city of Szczecin and the Zachodniopomorskie province. Material and methods. 60 children of both sexes were examined from the city of Szczecin, 30 children from a town in the above province and 30 from a village. Results. The results showed a very high prevalence of caries and high values for the DMF/dmf indices in children from the town and village. The children coming from the town and village need more encouragement in pro-health habits and better access to dental care than children of the same age from the city. Conclusion. The results show a decidedly worse status of dentition in children from the small town and the village than in their peers from the city. Thus it is necessary to implement preventive and treatment measures as well as improving oral health awareness among the parents and guardians, particularly in small towns and country areas.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Effectiveness of laser therapy in the elimination of prosthetic stomatitis
           symptoms in a group of female patients with osteoporosis and unfavourable
           prosthetic foundation conditions

    • Authors: Kamila Wróbel, Krzysztof Majchrzak, Elżbieta Mierzwińska-Nastalska, Krystyna Rusiniak-Kubik
      Pages: 33 - 38
      Abstract: Introduction. Irreversible changes in bone mass and structure of the masticatory system occurring in patients with osteoporosis affect the results of prosthetic treatment and many patients suffer due to stomatopathy symptoms. Laser therapy has an anti-inflammatory, analgetic, and anti-edematous effect. Aim of the study. The aim of the study is to evaluate the effectiveness of laser therapy in the elimination of prosthetic stomatitis symptoms in a group of female patients with osteoporosis and unfavourable prosthetic foundation conditions. Material and methods. The study concerned two groups of patients (20 women); one with osteoporosis or osteopenia and the other healthy group with an unfavourable state of prosthetic foundation. Prosthetic treatments were performed. Patients were asked to assess the presence of pain. A clinical assessment of the state of the prosthetic foundation was performed. As an additional comprehensive treatment biostymulation laser therapy was performed using a Doris CLT-1106 laser. Results. The study revealed a reduction of pain and prosthetic stomatitis symptoms in both groups. A regeneration of tissues in the prosthetic foundation was observed. The questionnaire study confirmed the positive effects of laser therapy. The functional aspects of prosthetic appliances in patients with osteoporosis were rated as satisfactory
      PubDate: 2015-02-06
      Issue No: Vol. 43, No. 2 (2015)
  • Symptoms of ectodermal dysplasia according to Freire‑Maia and

    • Authors: Małgorzata Zadurska, Konrad Perkowski, Magdalena Marczyńska-Stolarek, Agnieszka Osmólska-Bogucka, Adrianna Rakowska, Lidia Rudnicka
      Pages: 33 - 38
      Abstract: Ectodermal dysplasia (ED) is a congenital syndrome of developmental disorders in tissues derived from the ectoderm. The inheritance of ED may be autosomal dominant or recessive. The distinctive features of this syndrome involve the skin and appendages, dentition, eye, ear, adrenal glands, nervous system and facial part of the skull. Over 200 forms of this disease are described, about 120 include symptoms located in the oral cavity and dentition. One of the several classifications, by Freire‑Maia and Pinheiro, is based on the presence of four leading clinical symptoms: hair disorders, dental anomalies, nail disorders and dyshidrosis. ED needs multidisciplinary treatment because of the multitude and variety of its symptoms.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Kelly’s combination syndrome as a clinical reconstructive problem

    • Authors: Ryszard Koczorowski, Jolanta Sielska
      Pages: 35 - 40
      Abstract: The paper describes the clinical symptoms found in various types of Kelly’s combination syndrome and discusses restorative problems connected with the complexity of anatomical changes. A general classification of the symptoms according to the location of natural teeth in relation to edentulous residual ridge structures is presented. Due to the difficulty of effective prosthetic restoration of dental arches with the use of conventional methods, implant prosthetic procedures are recommended as a more beneficial solution that prevents further destruction of the masticatory system. The direct support of removable dentures provided by intraosseous implants located in the bone structures of the alveolar ridge promotes the stability and good retention of the prostheses, ensuring long‑term comfort of use.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • The influence of physical effort during a progressive test on calcium
           concentration in resting mixed saliva

    • Authors: Zbigniew Kozłowski, Małgorzata Radwan-Oczko
      Pages: 37 - 41
      Abstract: Introduction. Calcium is the most common macro-element in the human body. In addition to its building function it is also involved in a number of other processes, such as homeostasis, contractility of smooth and skeletal muscles or the regulation of blood pH and enzymes. Physical exercise causes a dynamic change in the deposition of calcium in bone. Calcium is present in the oral cavity, the hard tissues of teeth, dental plaque, gingival fluid and saliva. Aim of the study. An assessment of the influence of physical exercise during a progressive test with a measurable work value on the concentration of calcium in resting mixed saliva in athletes. A comparison of calcium concentration in the saliva of athletes before and after exercise with the concentration of calcium in the saliva of people not practising sport. Material and Methods. The study examined 117 men aged 18–26 years (av. 21.2), including 74 athletes (cyclists and students of Physical Education in Wroclaw before and after a progressive exercise test) and 43 men who are not professional sportsmen and who have not performed a progressive test. A marked resting rate of secretion of mixed saliva supernatant was used to determine the calcium concentration of resting mixed saliva. Photometric analysis was performed, using the diagnostic kit Alpha Diagnostic at a wavelength of 630 nm. In statistical analysis the Student’s t-test and Pearson's correlation analysis were used with a P value < 0.05. Results. The mean concentration of calcium before exercise was 3.65 ± 2.51 mg/dl and after exercise 6.20 ± 11.85 mg/dl (difference not significant). The concentration of calcium in the control group had a value of 3.84 ± 2.73 mg/dl and was also not significantly different compared to the athletes. There was a significant decrease in salivary flow rate caused by physical effort from approximately 0.33 ml/min to 0.29 ml/min (p < 0.01). The correlation analysis showed no significant interdependence between the time and the work performed and the concentration of calcium. Conclusions. 1. Exercise induces a slight increase in the calcium concentration in saliva. 2. Physical activity decreases salivary flow rate.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Clinical and laboratory procedures in occlusal stabilization splint

    • Authors: Mieszko Więckiewicz
      Pages: 39 - 42
      Abstract: Occlusal splints are often used in the treatment of patients with occlusal parafunctions, dysfunctions of the masticatory organ motion system, muscular disorders, orofacial pain, mallocclusions, snoring, sleep apnea syndrome as well as mouthguards for athletes. Usually they are removable appliances made of acrylic, thermoformable materials or resins, moulded to the upper or lower teeth arch, sometimes bimaxillary, working therapeutically or prophylactically on the stomatognathic system. A common occlusal appliance is the stabilization occlusal splint. It has numerous applications. The aim of the paper is to present a modified method for acrylic occlusal stabilization splint fabrication.
      PubDate: 2015-02-06
      Issue No: Vol. 43, No. 2 (2015)
  • Geographic tongue – a review of contemporary literature and a case

    • Authors: Monika Nastaj, Aleksandra Jagnicka, Ewelina Szyszkowska-Kniaź, Joanna Wysokińska-Miszczuk
      Pages: 39 - 42
      Abstract: Benign migratory glossitis (BMG) is a disorder defined under various names such as geographic tongue or glossitis areata exfoliativa. It is a condition which primarily affects the dorsal part of the tongue. The disease has a tendency towards remissions and relapses, which may occur in the same or different areas. The clinical presentation of the condition resembles a map. The aim of this paper is to describe the clinical presentation of geographic tongue, as well as presenting the current view on the aetiology of the condition on the basis of contemporary literature and a case study.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Multiple periosteal osteomas

    • Authors: Anna Janas, Piotr Osica
      Pages: 41 - 44
      Abstract: Introduction. Osteoma is a tumor composed of osseous tissue, but one whose structure is different from the surrounding normal tissue. Endosteal osteomas are situated deeply in the bone and develop from the bone marrow, while periosteal osteomas develop under the periosteum and on the surface of the bone. They occur mainly in adults as single or multiple lesions and grow slowly for many years, deforming the bone. The histological structure includes parts of bone tissues which produce the tumor. Aim. The aim of the study was to perform a retrospective analysis of patients with periosteal osteomas who underwent outpatient treatment. Material and methods. A 15-year clinical observation included 13 patients (5 females and 8 males) treated for multiple periosteal osteomas in the Department of Dental Surgery, Medical University of Lodz. Results. Multiple tumors were situated in the maxilla, on the alveolar process, in 9 patients, and in the internal surface of the body of the mandible in 4 cases. The consistency of the osteomas was compact; they were well separated from the surrounding tissues and connected with the bone. Only 2 of all the treated patients complained of painful symptoms characterized as neuralgic pain. Four periosteal osteomas, 1–1.5 cm in diameter, were observed in 6 patients in the studied material. Three osteomas were found in 5 patients. Two osteomas, which caused painful, neuralgic symptoms were removed in 2 patients.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • Comparative studies of a traditional dental surgical treatment and a CO2
           laser technique with regard to the subjective feelings of patients

    • Authors: Dobrochna Zeńczak-Więckiewicz, Iwona Bednarz, Konstanty Sławecki, Paweł Kubasiewicz
      Pages: 43 - 48
      Abstract: On the basis of the accomplished observations of 113 patients treated in the Department of Oral Surgery in Wroclaw’s Medical University in the years 2009–2011, the authors stated that the use of CO2 laser as cutting instrument is a good method due to the clinical features as well as a positive feeling of patients. Surgical laser operations in patients opinion are painless. The post procedural period is also painless. According to the patients the short time of the surgical procedure is an advantage of this method. The level of fear before treatment is not associated with the surgical treatment method but rather with extent of the procedure. Patients treated by CO2 laser declared that before another such operation they would feel less afraid.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Orthodontic and orthodontic-surgical management of impacted canines
           – a literature review

    • Authors: Anna Paradowska-Stolarz, Małgorzata Rzepecka-Skupień, Szymon Chojnowski, Konstanty Sławecki, Beata Kawala
      Pages: 43 - 50
      Abstract: The phenomenon of impacted canines is observed in about 0.8–4.9% of patients treated orthodontically. In 85% of cases it is observed unilaterally. Besides the third molars, canines are the largest group of impacted teeth. The impacted tooth diagnosis includes clinical and radiological examination. In this particular case, the screening test is a pantomographic X-ray. The full picture of the location of an impacted tooth and adjacent structures can be obtained only through the use of computed tomography. Only a full diagnosis allows a decision to be made as to the treatment of impacted canines and permits an evaluation of the possibility of treatment success. In the case of impacted teeth, the procedures may be varied. Mostly, the tooth is either left in the bone or tracked orthodontically. Rarely is it extracted. In some cases, the surgical procedure includes the autotransplantation of the impacted tooth.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Analysis of predisposing factors for complications after surgical removal
           of mandibular wisdom teeth

    • Authors: Patryk Szubert, Michał Jankowski, Mateusz Krajecki, Anna Jankowska‑Wika, Jerzy Sokalski
      Pages: 45 - 50
      Abstract: Thrid molar extractions are very common and difficult procedures in oral surgery. Mandibular wisdom are removed for therapeutic or prophylactic reasons. Aim. The aim of the study was to assess the incidence of complications after surgical extraction of mandibular third molars, such as alveolitis, sensation disorders, lockjaw, abscesses, prolonged bleeding and intensified swelling sustained for over 7 days. Material and methods. Data was obtained from patient records from the Department and Clinic of Oral Surgery, Poznan University of Medical Sciences in 2004–2008. Results. Complications occurred in 51 patients (17,5%) with 291 third molar extraction in the mandible. The most common were alveolitis, sensation disorders and intensified swelling. Postoperative complications were observed more frequently in the women. Conclusions. 1. Early extraction of the third molar in the mandible reduces the risk and extent of the treatment and the procedure is better tolerated by the patient. 2. Extraction of third molars in the mandible in eldery patients undergoing periodic clinical and radiological examination should only be carried out when absolutely necessary. 3. Postoperative complications in women are generally more often reported.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • Ergonomics in the professional work of the dentist – a questionnaire

    • Authors: Grzegorz Hille, Anna Seget, Jolanta Pytko-Polończyk
      Pages: 45 - 52
      Abstract: Aim of the study. The objective of the present study was to assess the occurrence of pain, ergonomic skills in the dental workplace and the frequency of health-promoting behaviour among dentists. Material and methods. The survey was based on an anonymous questionnaire. The group comprised 223 dentists (172 women and 51 men). The respondents gave answers to 3 groups of questions covering demographic data, working methods, experience of pain and the methods dentists used to treat such pain. Results. The survey confirmed that the occurrence of pain in the musculoskeletal system is a universal problem. The cause lies in the failure of dentists to observe the basic rules of ergonomics as well as poor work organisation. 81.86% of dentists and 19.13% of graduate dentists reported musculoskeletal pain over the course of the previous 12 months. Chronic pain affected 30.09% of the respondents. Pain was most frequently located in the lumbosacral region (35.91%). The study revealed a correlation between years of working experience and the percentage of dentists reporting pain. 71.82% of the respondents had undergone treatment for pain, 34% of whom sought the assistance of a doctor. Treatment helped improve the problem in 90.96% of cases. Conclusion. The study showed that dentists already require instruction in ergonomics during their undergraduate
      training and they should observe these rules during their professional careers. Regular relaxation exercise reduces or eliminates pain in the musculoskeletal system.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Selected methods for the early diagnostics of oral malignant lesions
           – a literature review

    • Authors: Piotr Wesołowski, Katarzyna Mańka-Malara, Izabela Strużycka, Andrzej Wojtowicz
      Pages: 49 - 52
      Abstract: Early diagnostics of oral cancerous lesions plays a crucial role in the process of treatment and evaluation of the patient's chances for recovery. The article presents new techniques of identifying and detecting abnormal lesions within oral mucosa, such as oral lumenoscopy (ViziLite), TBlue (toluidine blue marking system), VELscope screening system, OralCDx and the brush biopsy. Their application does not allow a definite diagnosis, nor does it replace biopsy or histopathologic assessment, but it permits a more accurate examination of the oral cavity, as well as oral lesion detection at the early stage of progression.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Clinical and diagnostic implications of the location of the mental foramen
           and the course of the mental neurovascular bundle

    • Authors: Marcin Bartczyszyn, Włodzimierz Więckiewicz
      Pages: 51 - 54
      Abstract: Identification of the mental foramen and the mental neurovascular bundle is a matter of great importance in diagnostics preceeding dental implant treatment. The objective of the research is the analysis of the methods of mental foramen localization. Its results indicate variations and anomalies in its location as well as in the mental nerve course. Cone‑Beam Computer Tomography seems to be the most reliable method, however false positive and false negative results are observed in some cases.
      PubDate: 2015-08-20
      Issue No: Vol. 43, No. 2 (2015)
  • Osteoperception in patients with implant-supported dental prostheses
           – a literature review

    • Authors: Małgorzata Bielińska, Ryszard Koczorowski
      Pages: 51 - 56
      Abstract: The aim of this paper is a review of the literature on the perception of mechanical stimuli and perceptive transmission in patients after restorations of the masticatory organ with implant-supported dental prostheses. The difference between the perception of external stimuli in the oral cavity with natural teeth and that which occurs in the presence of intraosseous implants results from different neuronal structures and the manner of transmitting those stimuli. The reactions of patients with dental implants to mechanical stimuli and their effect on the motor activity of the stomatognathic system are discussed. Osteoperception is an important yet not completely explained form of response to the loading and movements of the mandible linked to type I, II and III receptors, which continues to interest researchers and practitioners. Sensory and motor control in patients with intraosseous implants enables the natural function of the stomatognathic system due to its physiological and psychophysical intergration with the body.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Comparative analysis of individual cast dowel crowns and prefabricated
           glassfiber reinforced composite posts – a literature review

    • Authors: Michał Biały, Tomasz Dąbrowa, Włodzimierz Więckiewicz
      Pages: 53 - 56
      Abstract: Properties and use of castdowels and glassfiber reinforced composite posts are presented on the basis of the literature. Comparison of castdowels and glassfiber reinforced composite posts. Basing on the literature different authors’ results of modulus of elasticity, aesthetics, durability, types of luting cements and possibilities of castdowels and glassfiber reinforced composite posts removing in reendo cases were presented. Strength and durability of tooth containing post depend on post’s length, width, length of the walls of the root, post connection with dentine, load of the tooth, supragingival structure of the tooth and type of material used for making the post. If the post is properly cemented, there is no risk of breakage during physiological loads regardless of material it was made.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Oral appliances for the treatment of obstructive sleep apnea and snoring
           – a literature review

    • Authors: Kamil Wojciechowski, Jakub Błachowiak, Mieszko Więckiewicz
      Pages: 53 - 56
      Abstract: According to the American Academy of Sleep Medicine, obstructive sleep apnea (OSA) is a sleep-related breathing disorder that involves a decrease or complete halt in the airflow of the upper airways despite an ongoing effort to breathe. Treatments for obstructive sleep apnea may include therapies with Continuous Positive Airway Pressure (CPAP), Oral Appliances (OA) or surgeries. OA are best suited for mild to moderate Obstructive Sleep Apnea, but are also an alternative for severe cases when a patient cannot tolerate Continuous Positive Airway Pressure (CPAP) treatment. They are also suitable for situations when there is no power for a CPAP machine such as camping and travelling. The appliances modify the upper airway by changing the posture of the mandible and tongue. The study was undertaken to review the available types of oral devices. The article also discusses the side effects, complications from appliance therapies and comparison with CPAP therapies or surgeries.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Progress in studies on application of probiotics in dentistry

    • Authors: Anna K. Szkaradkiewicz
      Pages: 55 - 60
      Abstract: The favourable effects of probiotics on human health have already been well documented. Their application in prophylaxis and therapy, especially of inflammatory diseases of alimentary tract (including antibiotic-associated diarrhoea) is not questioned any more. This study presents current data on the knowledge of the suitability of probiotic strains of the Lactobacillus genus for application in dentistry in adults with dental caries or chronic periodontitis. In the light of recent in vitro and in vivo studies, antagonistic effects of lactobacilli producing hydrogen peroxide toward cariopathogens and periopathogens were reviewed. The potential was analysed for using probiotic Lactobacillus strains in dentistry, pointing to their significance in prophylaxis and therapy of caries and chronic periodontitis.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • The manual treatment of Myofascial Pain Syndrome due to bruxism

    • Authors: Daria Czajkowska, Przemysław Lisiński, Włodzimierz Samborski
      Pages: 57 - 64
      Abstract: Bruxism is thought to be the most often occured parafunctions what means harmful motor reactions of mandible. This dysfunction relies on gnashing and clenching teeth with much force. Many patients don’t realize of presence of this affection because of doing it subconsciously. Non-treated, fixed bruxism becomes the cause of serious disturbances in stomatognathic system. The aim of this article is to present regularity physiotherapeutic methods application in bruxism treatment. In this cause the most important names connected with bruxism for example myofascial pain syndrome or trigger points in muscles of stomatognatic system were described. In next part of this article variety of manual therapy methods were analized due to author’s experiences. In last few decades there was achieved a development of knowledge about bruxism and its followed disorders. Data from the literature indicate that there is a possibility of effective, physiotherapeutic treatment of mentioned active disturbances.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Obesity and its exponents in the oral cavity – a literature review

    • Authors: Anna Lehmann-Kalata, Anna Surdacka, Edyta Ciężka-Hsiao
      Pages: 57 - 61
      Abstract: Obesity has reached pandemic proportions, according to the World Health Organization over the last years. Not only adults suffer from the disease but more often children and young people. One of the main causes of overweight and obesity is excessive food intake, particularly highly processed carbohydrates. This type of food, taken in large quantities, without observing the gaps between meals leads to negative changes also in the mouth. Among researchers, there is a discussion of the relationship of obesity with dental caries, periodontal disease and xerostomia. More and more scientific reports draw attention to the changes in the microflora of the oral cavity in the course of obesity. The paper presents the latest views on the diagnosis of obesity, the impact of the disease on the state of the hard and soft tissues of the oral cavity and its exponents found in saliva, as an excellent diagnostic material.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Anthropogenic sources of fluorine – the impact on the environment and
           human health – a literature review

    • Authors: Anna Stogiera, Jadwiga Buczkowska-Radlińska
      Pages: 57 - 62
      Abstract: Fluorine is an extremely chemically active element, which has a considerable impact on the entire ecosystem. Its influence may be both beneficial and harmful. This paper describes the biological significance of fluorine. It points out the sources of fluorine in the environment, paying particular attention to the part played by chemical plants producing phosphoric acid and phosphate fertilizers. The article contains the results of selected research, carried out on the area of impact of Zakłady Chemiczne "Police" S.A, concerning the following items: the monitoring of air and rainwater pollution by fluorine compounds, as well as the impact of fluorine and its compounds on plants, animals and human beings. The article also presents the effects posed by excess supply of this element.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Breastfeeding and dental caries in infants and toddlers – a
           literature review

    • Authors: Agnieszka Lewicka-Rabska, Anna Felińczak, Karolina Gerreth
      Pages: 61 - 64
      Abstract: Natural feeding has a number of benefits for general health of the child due to, inter alia, presence of immune factors and antibacterial, anti‑inflammatory and immunomodulatory effect. In addition, breastfeeding stimulates the muscles responsible for normal development of the stomatognathic system and consequently also the articulation. However, the literature data indicates various opinions of the authors concerning the relationship between natural feeding and the occurrence of early childhood caries. The aim of the paper was to provide information on the impact of mother's milk to the child's dentition. Cited authors emphasize that guidelines concerning feeding of infants and young children do not show a clear and optimal deadline for completion of breastfeeding. There is a lack of unanimity on the effects of prolonged breastfeeding as a key factor to promote the development of caries due to considerable complexity of the situation related to the expansion of the diet and individual features.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Overview of occlusal splints used in the treatment of temporomandibular
           disorders – a literature review

    • Authors: Małgorzata Chruściel-Nogalska, Dominika Polak-Majcher, Bartosz Dalewski, Bogumiła Frączak
      Pages: 63 - 68
      Abstract: Temporomandibular joint (TMJ) disorders concern 12–90% of the human population and the number of patients is constantly rising [1]. The most common symptoms indicating disorders in TMJ functions are mandible movement disturbances, acoustic symptoms and pain. The last one – the most unpleasant – is the most common reason for patients' visits to dental surgeries. Splint therapy is an effective method for these abnormalities. Nowadays, there is a great variety of occlusal splints; however, the therapeutic values of some of them are often underestimated. The correct diagnosis of temporomandibular dysfunction enables the selection of appropriate occlusal splints for every patient. The aim of this article is to harmonize classification and present short descriptions of the most commonly used occlusal splints.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Children as victims of domestic violence

    • Authors: Marta Mozol-Jursza, Elżbieta Paszyńska, Agata Osińska, Andrzej Rajewski, Agnieszka Słopień
      Pages: 63 - 68
      Abstract: The article presents the physical and emotional effects of domestic violence on children, with particular emphasis on the dental context. Specific definitions of violence and violence in the family as well as possible types and forms of violence against children are given. The epidemiology of the phenomenon of abuse in Poland is presented. Based on the literature analyzed and our own observations, the characteristic damage that result from the use of violence against children is described. In addition, the article includes a description of guardian abuser attitudes to an abused child, which can be observed in a medical office. The article specifies the emotional consequences of abuse both in childhood and in the later life of victims of violence. The diagnostic criteria for psychological and psychopathological consequences of maltreatment are included. The specificity of dental work in the context of the ability to detect abuse was characterized. We have shown how injuries should be described in medical records if there is a suspicion that they arose as a result of violence. Situations in which the doctor and the dentist are required to submit a notice to a prosecutor's office on suspicion of violence against a young patient are defined.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Obstructive sleep apnea syndrome – the basics of diagnosis and

    • Authors: Małgorzata Chruściel‑Nogalska, Małgorzata Kozak, Halina Ey‑Chmielewska
      Pages: 65 - 69
      Abstract: Obstructive sleep apnea syndrome (OSAS) is one of the most common respiratory disorders in humans. It is characterized by repetitive episodes of pharyngeal collapse with increased airflow resistance during sleep and is often accompanied by extensive snoring. Hypoxia and sleep fragmentation, which accompany the disease, cause a number of serious consequences such as excessive daytime sleepiness, arterial hypertension and pulmonary hypertension, arrhythmia and ischemic heart disease. The gold standard diagnostic investigation for OSAS is polysomnography. Oral appliances have occupied an important place among all conservative methods of therapy. They should be considered in patients with mild‑to‑moderate OSAS or in those unable to tolerate continuous positive airways pressure, CPAP.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Bacterial adhesion to dental materials – a literature review

    • Authors: Urszula Merta, Grażyna Wiśniewska
      Pages: 65 - 67
      Abstract: Dental plaque formation on teeth and restorative materials plays an important role in the pathogenesis of oral diseases. Newly developed dental materials have been tested for their susceptibility to adhere bacteria causing caries and periodontitis. Numerous factors have been identified to influence oral biofilm formation such as surface roughness, surface free energy and surface chemical composition. Both an increase in surface roughness above the Ra treshold above 0,2 μm and/or of the surface free energy facilitates biofilm formation on restorative materials. Various affinities of oral bacteria adhesion have been reported for different materials such as titanium, resin composites and dental ceramic materials. Several in vitro and in vivo studies have investigated the bacterial adhesion on ceramics in comparison to other dental materials, such as gold alloy, titanium, composite. Almost all of these investigations found lower bacterial adhesion and biofilm formation on ceramics compared to other materials. Biofilm formation on various types of dental ceramics differs significantly. Zirconia, in particular, exhibits low plaque accumulation. In addition to its high strenght, it makes zirconia a promising material for various indications (including implant abutments and telescopic crowns).
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • The significance of selected anatomical details of maxillary sinuses in
           dental treatment planning – a literature review

    • Authors: Katarzyna Marszał
      Pages: 69 - 74
      Abstract: This review paper describes research found in published literature on selected anatomical details of maxillary sinuses with a major focus on alveolar recess and its implications in current medical practice. It ilustrates possible complications of dental procedures, both surgical and endodontal, and focuses the reader’s attention on the latest capabilities in imaging the maxillary periodontal region and sinus. The aim of this paper was to demonstrate how differing views on the structure of the maxillary sinus emerged over the years as a result of new diagnostic and imagining modalities, which allow for more precice treatment planning. Article utilizes the PubMed database and The Polish Medical Bibliography using the following key words: maxillary sinus anatomy, septae, volume, imagining, CBCT, complications, sex, age. Out of several thousand queries a few dozen were selected basen on statistical significance research in the period from 1993–2011. The results demonstrate considerable progress of knowledge in the area of maxillary sinus anatomy as a result of new imaging modalities and underscore the importance of certain details in light of dental implant treatment developments as well as possible complications of untreated or improperly treated infected dentition.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Galvanoforming as an alternative to composite restorations

    • Authors: Michał Biały, Tomasz Dąbrowa, Włodzimierz Więckiewicz
      Pages: 69 - 71
      Abstract: The properties and use of galvanoforming are presented on the basis of the literature. Evaluating the possibilities of applying galvanoforming technology for making accurate restorations. Restorations performed by galvanoforming are characterised by very good marginal tightness, biocompatibility, low weight and ensure smaller plaque deposition. Homogeneous gold with a purity of 99.99% eliminates the risk of corrosion or allergy associated with traditional dental alloys. Galvanoforming technology provides considerable opportunities for precision retention elements, and increases the mechanical strength and resistance to deformation of final restorations.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Diagnostics for upper impacted canines – based on the literature

    • Authors: Anna Paradowska-Stolarz, Małgorzata Rzepecka-Skupień, Janina Szeląg
      Pages: 69 - 75
      Abstract: Impacted canines are the second most common (after the third molars) impacted teeth. Good diagnostics for impacted canines is possible at approx. 10 years of age, when the incorrect angulation of the crown of the tooth can be seen on the panoramic X-ray. The initial assessment of impacted canines includes a basic dental examination (presence of persistent deciduous teeth, lack of erupted permanent canines in the dental arch after the end of tooth eruption) and a palpative examination of alveolar bone in the vestibulum. The diagnostics is based mainly on X-rays: mainly panoramic images, tooth X-rays and occlusal plate pictures. The new tool in the diagnostics of impacted teeth is computed tomography, especially CBCT. The study collates diagnostic methods based primarily on panoramic X-ray images for the assessment and prediction of the spontaneous eruption chances of maxillary canines.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Hemifacial microsomia – a literature review

    • Authors: Renata Turska‑Malinska, Dorota Cudziło
      Pages: 71 - 74
      Abstract: Hemifacial microsomia is a congenital syndrome of the I and II branchial arches caracterized by asymmetrical hypoplasia of the facial skeleton (mandible, maxilla, temporomandibular joint, zygoma, temporal bone), external and middle ear and facial soft tissues. The phenotype may be variable, including additional craniofacial and general anomalies. The treatment in most cases is long‑lasting and interdisciplinary.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • The etiology of open bite

    • Authors: Agnieszka Sieja, Katarzyna Potoczek, Michał Sarul, Beata Kawala
      Pages: 73 - 77
      Abstract: Open bite is a malocclusion in which there is no contact between upper and lower anterior or posterior teeth or between all the teeth at the same time. The complexity of this malocclusion is caused by a combination of skeletal, dentoalveolar and functional factors. The aim of this study was to review both Polish and international literature concerning the above mentioned factors. The etiology of open bite is a combination of genetic and environmental factors. Usually permanent habits such as thumb and dummy sucking and nose obturation have an unfavourable influence on the development of the dentoalveolar complex and disturb physiological tooth eruption. Some important factors of skeletal open bite malocclusions are a genetic component, traumas, condylar degeneration and masticatory muscle malfunctions. Accurate diagnosis of the causes of open bite is a very important criterion in the correct planning and choice of treatment.
      PubDate: 2015-02-07
      Issue No: Vol. 43, No. 2 (2015)
  • Methods of assessing periodontal tissues healing after periodontal therapy

    • Authors: Katarzyna Suckiel‑Papiór, Małgorzata Radwan‑Oczko
      Pages: 75 - 81
      Abstract: The start of periodontal wound healing is the aim of periodontal therapy. There are two ways of periodontal healing: regeneration and reparation. Regeneration is defined as the reconstruction of the lost or injured tissues in such a way that their morphology and function are completely restored. In the regeneration of periodontal tissue structural restoration occurs of the gingiva, connective tissue attachment, epithelium junction, root cementum and alveolar bone. Such processes can begin after advanced surgical regenerative periodontal therapy. Nonsurgical treatment leads only to reparation of the tissue without restoration of tooth attachment with the formation of a long junctional epithelium. The easiest and most achievable method for every clinician is to evaluate signs of periodontal inflammation during a periodontal examination. This study aims to present the methods of clinical, radiographic, histological and cytological examination in the assessment of periodontal tissue healing after periodontal therapy. To ensure an effective therapy it is necessary for the clinician to have a good understanding of healing processes after different methods of treatment.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Titanium – its properties and application in prosthetic dentistry

    • Authors: Bożena Jedynak, Elżbieta Mierzwińska-Nastalska
      Pages: 75 - 78
      Abstract: This paper presents the advantageous properties of titanium and its alloys as biomaterials for use in dentistry. The article emphasises that the most important features of titanium, i.e. biocompatibility and corrosion resistance, make it the best building metal material for endosteal implants. Favourable physicochemical and mechanical properties make it possible to use titanium and its alloys in conventional prosthetics and implant prosthetics (especially for the construction of mesostructures and suprastructures). The advantages which characterize titanium prostheses have been enumerated, such as their mechanical strength, hardness, and durability. The factor which restricts the use of titanium on a large-scale in the manufacturing of dental restorations in modern prosthetics is the still complicated and expensive technology in processing it.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Precision attachments – a literature review

    • Authors: Natalia Brusiłowicz, Włodzimierz Więckiewicz
      Pages: 77 - 80
      Abstract: Precision attachments such as dental clips improve the retention of removable partial dentures, chewing efficiency and also the correct appearance of the patient. This article describes the different kinds of precision attachments and the possibility of using them in dental practice.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Prevalence of Helicobacter pylori in the oral cavity – a literature

    • Authors: Magdalena Kazanowska-Dygdała, Małgorzata Radwan-Oczko
      Pages: 79 - 82
      Abstract: Helicobacter pylori is a Gram-negative spiral bacterium found in the stomach. The bacterium colonizes the lining of the stomach and duodenum causing chronic inflammation, plus peptic ulcer disease as well as contributing to the development of stomach cancer. Chronic infection with H. pylori is found in approximately 50 per cent of the global population. H. pylori was first isolated about 30 years ago. However, the mechanisms of infection, reinfection, and its transmission routes are still not fully understood. Ambiguous results have also been obtained in studies on the presence of these bacteria in the oral cavity in patients with gastric H. pylori infections. Moreover, there is conflicting information on whether or not the oral cavity may be a significant reservoir of H. pylori. Studies on the prevalence of the bacteria in patients with various oral cavity diseases have also been conducted. No clear views have been articulated in this case, either. The objective of this paper is to present current literature reports concerning the presence of H. pylori in the oral cavity.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Bisphosphonate-related osteonecrosis of the jaw. A review of the

    • Authors: Szymon Frank, Katarzyna Fiołna, Andrzej Wojtowicz
      Pages: 79 - 82
      Abstract: Osteonecrosis generally occurs due to cardiac insufficiency which leads to an interruption of the nutrient supply. Recently, osteonecrosis affecting only the jaw bones has been described as a unique complication connected to bisphosphonate therapy: Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ). There are still a lot of unknown factors involved in the management and treatment of patients taking bisphosphonates. Since 2003 reports of BRONJ were associated with intravenous and oral BP therapy for Paget’s disease and osteoporosis. BRONJ can occur spontaneously, due to dental disease or as a consequence of dental therapy. Old age, periodontitis, chronic corticosteroid therapy, prolonged use of bisphosphonates, smoking, and diabetes mellitus all may increase the risk of osteonecrosis. Expert panel recommendations for clinical decision making should also be balanced with the practitioner’s professional judgement and the individual patient’s needs.
      PubDate: 2015-02-08
      Issue No: Vol. 43, No. 2 (2015)
  • Fetal alcohol syndrome case report and description based on the literature

    • Authors: Bożena Szymoniak, Anna Jankowska-Wika
      Pages: 81 - 84
      Abstract: Fetal Alcohol Syndrome (FAS) is a pattern of mental and physical defects that can be expressed as mental retardation, mainly craniofacial anomalies, as well as psychological disorders in children whose mothers consumed alcohol during pregnancy. The article presents the most characteristic clinical features occurring in patients who were under irreversible prenatal exposure to alcohol, which crosses the placental barrier very easily. Ethyl alcohol and its main metabolite acetalaldehyde are teratogens which may cause various fetal disorders depending on the amount of alcohol consumed and the stage of pregnancy. The article describes the case of a seven-year-old patient who came for an orthodontic consultation at an out-patient clinic. The patient’s behaviour, facial features, malloclusion and positive medical history with frequent alcohol exposure during fetal development prompted the authors to focus on the problem of FAS.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Contemporary views on the treatment of recurrent aphthous stomatitis
           – a literature review

    • Authors: Izabela Tyszkiewicz, Zbigniew Kozłowski
      Pages: 83 - 88
      Abstract: Recurrent aphthous stomatitis (RAS) is a common disease of the oral mucosa. This problem affects about 5–20% of the population. The etiopathogenesis of the disease is multifactorial and still not fully understood. The related changes cause pain that hinders food intake, speech and swallowing. The treatment is mainly symptomatic. Its aim is to relieve pain and accelerate healing. It can be divided into local and systemic. The paper describes contemporary views on RAS treatment depending on the severity of the symptoms. Local terapeutic agents available in Polish pharmacies which can be applied in treating the diseases are discussed. Their composition and dosage are analyzed. The topic of systemic and laser therapy is also presented.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Problems of conservative treatment in geriatric patients

    • Authors: Joanna Kunert, Stefania Brauman-Furmanek
      Pages: 83 - 89
      Abstract: Today’s developments in medicine as well as widely practiced preventative methods contribute to the fact that patients in advanced age constitute a growing number of people requiring dental assistance. Wishing to retain their natural set of teeth, they require complicated dental treatment. In this research, selected, difficult clinical cases in elderly patients are presented and also a suggestion of preventive and therapeutic methods as a preparation for prosthetic rehabilitation of the stomatognathic system. Taking into consideration the following clinical cases, patients were divided into several groups: 1) numerous and extensive non-carious lesions; 2) pathological attrition of teeth combined with occlusion malfunction; 3) pathological attrition complicated by changes in periodontal tissue; 4) non-carious lesions and root caries co-existing with prosthetic crowns and bridges. After analysis of the presented clinical cases it might be claimed that the elderly patients, due to complex changes in the dental system, constitute a challenge for the dentist and the preparation of the treatment plan must be depend not only on clinical indications but also on their health and financial circumstances.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • The role of the dentist in disaster victim identification – INTERPOL
           standards and forms

    • Authors: Dorota Lorkiewicz-Muszyńska, Mariusz Glapiński, Agnieszka Przystańska
      Pages: 83 - 88
      Abstract: Disaster Victim Identification (DVI) is a series of coordinated and multidisciplinary procedures used to recover and identify all the victims of a mass fatality incident. The identification by dental means is a quick and easy method that requires the comparison of antemortem data obtained from the general dental practitioner with the postmortem data completed at the place of the disaster. The comparative analysis of the dental status is effective enough to be recognised by INTERPOL as one of three primary identification methods (together with fingerprints and DNA analysis). Disaster victim identification at the place of an incident is the responsibility of the forensic odontologists among the DVI team members. However, every single dental practitioner can be asked to help in the identification of victims. The main responsibility of the dental practitioner is then to deliver the most reliable and complete dental records, ideally by means of the Interpol AM form available on its website. The article presents the basic information on how to use the pink and yellow INTERPOL F2 forms.
      PubDate: 2015-02-08
      Issue No: Vol. 43, No. 2 (2015)
  • Tinnitus, diagnosis and therapy based on selected literature –
           preliminary report

    • Authors: Małgorzata Kozak, Małgorzata Chruściel-Nogalska, Halina Ey-Chmielewska
      Pages: 85 - 88
      Abstract: The paper presents the definition, diagnosis and therapy of tinnitus on the basis of selected and current literature. Tinnitus involves the inconvenient sound impressions received by the patient in one or both ears in the absence of an acoustic stimulus in the environment. They may coexist with various disease processes that threaten the sufferer's physical health and well-being, often adversely affecting the quality of life not only of the patient but also the family. This paper presents the problem of tinnitus, the probability of which increases with age. This is a complex, multidimensional process which is related to a variety of factors. The article describes the etiological factors that may affect tinnitus. It also presents the relationship between tinnitus and disorders of the temporomandibular joint on the basis of the literature. The increase in muscle tension results in a significant increase in the burden on the temporomandibular joint, thereby overloading numerous tissues and muscles. In the final part of this article, attention has been paid to modern methods of treatment.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Non‑carious tooth loss in terms of erosion – a literature

    • Authors: Anna Walerczyk, Elżbieta Paszyńska, Anna Surdacka
      Pages: 89 - 96
      Abstract: The loss of tooth structure caused by the process of chemical dissolution and mechanical abrasion is becoming a great problem in modern dentistry. Patient awareness as well as diagnostic alertness of a dentist are crucial for proper prevention and treatment. Late diagnosis and treatment of extensive loss of tooth structure caused by erosion, abrasion or abfraction poses many difficulties for clinicians. Chronically progressive loss of tooth structure can cause loss of vertical dimension of the bite, secondary orthodontic complications and also aesthetic and functional problems. The treatment is often associated with long‑term diagnosis and interdisciplinary, expensive rehabilitation of the entire stomatognathic system. The aim of this study was to review current publications on the prevalence of tooth wear in developmental age, with focus on etiology, risk factors, prevention and treatment methods.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Laser treatment of sialolithiasis

    • Authors: Bartłomiej Szpyrka, Grażyna Grzesiak-Janas
      Pages: 89 - 92
      Abstract: Salivary stones are one of the common diseases of major salivary glands. Males are affected more often than female patients. It usually occurs unilaterally. Salivary stone sizes range from 3 to 7 mm, they occur as single or multiple stones of various shapes. In this condition, the recommended and favoured therapy method is the laser technique. The goal of this paper is to compare the results of salivary stone treatments performed by means of conventional surgical procedures and laser techniques.
      PubDate: 2015-02-08
      Issue No: Vol. 43, No. 2 (2015)
  • The Self Adjusting File – a review. New system, a new look into the
           root canal space'

    • Authors: Hubert Gołąbek, Katarzyna Brus-Sawczuk, Izabela Strużycka
      Pages: 89 - 94
      Abstract: The Self Adjusting File (SAF) is the only representative among endodontic files which enables preparation of the surface of a tooth with irrigation. Nickel‑titanium alloy in the form of a grid allows to adjust the flexible file to the canal wall and expand according to its three‑dimensional anatomy. Simultaneous rinsing increases the efficacy of cleaning. Unlike most of the available systems endodontic rotary motion was replaced by movement in the vertical axis. The cutting blade characteristic for conical cores turned into an abrasive surface. The combination of in and out movements with the abrasive surface resembles the effect of sandpaper. The first part of the paper takes into account the description of The Self Adjusting File and its the manner of operation while the second is a description of its characteristics in the clinical aspect.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Extensive orbital damage as a result of maxillary sinus surgery – a case
           report and literature review

    • Authors: Krzysztof Osmola, Marian T. Nowaczyk, Doni M. Allecou
      Pages: 91 - 94
      Abstract: Classic and FESS (Functional Endoscopic Sinus Surgery) surgery of the sinuses are connected with the possibility of surgical complications involving the orbital structures and the eyeball. Most frequently these involve bleeding from the vessels of the orbit and the nasal cavity. A rare and certainly the most serious complication is blindness resulting from damage to the optic nerve. This paper presents a case of postoperative blindness as a result of maxillary sinus surgery complicated by damage to the orbital floor and its inadequate reconstruction.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Early prosthetic rehabilitation of a juvenile patient with hereditary
           ectodermal dysplasia – a case report

    • Authors: Jakub Hadzik, Agnieszka Wasik, Barbara Bruziewicz-Mikłaszewska
      Pages: 93 - 97
      Abstract: Ectodermal dysplasia is the term used to describe a large and heterogenic group of congenital disorders. Ectodermal dysplasia affects at least two ectoderm-derived structures. The dental abnormalities associated with ectodermal dysplasia are hipodontia, oligodontia and even anodontia. Aim of the study. The authors describe a clinical case of 5-yearold boy with hereditary hidrotic ectodermal dysplasia. Materials and methods. The first stage in the clinical treatment of a young patient affected by ectodermal dysplasia is presented. Complete dentures were made. Conclusion. Early prosthetic rehabilitation of juvenile patients with ectodermal dysplasia is a very complex problem. Early rehabilitation and an interdisciplinary approach are essential for successful treatment.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • A diagnostics point of view on impacted maxillary canines – a
           literature review

    • Authors: Maciej Koczorowski, Agata Tuczyńska
      Pages: 95 - 99
      Abstract: Disorders of eruption in the anterior maxilla is associated with permanent canines which is believed to be caused by: the premature loss or impaired resorption of deciduous teeth. Treatment of retained maxillary canines depends on their location in the bone, the amount of space in the dental arch, the patient's age, type of braces used. The aim of this paper is to diagnose the possibility of retained maxillary canines in terms of clinical and radiological threats. Based on the analysis of literature from the years 1990–2012 made its review of the 3 databases (Pub Med., Medline, Polish Base) using as keywords: retained tooth, permanent teeth of the jaw, diagnosis. Due to the size of a thematic issue of detainees about retained canines, analyzed the literature only for the diagnosis of the location of these teeth in the bone. Reviewed publication indicates that the correct diagnosis of retained canines should be performed on the basis of clinical examination and radiological (teeth radiograph, panoramie X-Ray, computer tomography, occlusal radiograph). Recent diagnostic techniques such as volumetric imaging – to a three-dimensional assessment of the position of teeth in the bone, therefore, is one of the most accurate methods to assess the position of retained canines in the jawbone. Comprehensive analysis of the exact teeth allows for precise determination of their location in relation to neighboring structures in the jaw bone as well as the proper development plan of orthodontic treatment.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Difficulties in the diagnosis of Biermer's disease – a case

    • Authors: Barbara Molęda-Ciszewska, Aida Kusiak, Lech Marciszyn
      Pages: 95 - 98
      Abstract: Biermer’s disease (pernicious anemia PA), is an autoimmune disease inducing vitamin B12 deficiency by malabsorption. The clinical presentation of Biermer’s disease (pernicious anemia), is often insidious because the onset is difficult to establish and progression is very slow. It rarely occurs before the age of 30, the mean age at which it is diagnosed being about 60. Patients may seek medical advice due to non-specific symptoms such as weakness, decreased mental concentration, and headaches. Biermer’s disease may be accompanied by other autoimmune diseases. Longstanding Helicobacter pylori infection probably plays a role in many patients with PA. In this case report a 22-year old woman with Biermer’s disease coexisting with Hashimoto thyroiditis and a Helicobacter pylori infection has been described. This case indicates the important role of dentists in the early diagnosis of this disease, especially in respect of later neurological complications.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • The effect of the presence of malocclusions, orthodontic treatment and
           occlusion disorders on temporomandibular joints dysfunctions – a
           literature review

    • Authors: Arleta Głowacka, Zina Nutheer Mustafa, Ewa Żak, Paulina Lewicka, Katarzyna Mehr
      Pages: 97 - 102
      Abstract: Temporomandibular disorders represent a significant percentage of craniofacial disorders. Mainly they can be caused by abnormal occlusion, which has a important impact on the whole stomatognathic system. This is a difficult issue both in terms of diagnosis and treatment, which is an impulse to discussion of many researchers and clinicians. The aim of this study was to assess the impact of the presence of malocclusions, orthodontic treatment and occlusion disorders on temporomandibular joints dysfunctions based on the literature of the past 20 years. It is not possible to determine which malocclusions have a direct impact on the temporomandibular joint disorder, because results of examinations carried out so far, are ambiguous. It is also difficult to assess the impact of the orthodontic and orthognathic treatment on the temporomandibular joints. The problem described is noteworthy due to the complex etiology of these diseases and requires an interdisciplinary approach and the cooperation of many specialists.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Rare case of a huge odontogenic cyst of the mandible

    • Authors: Katarzyna Błochowiak, Joanna Pluskota, Stanisław Grajewski, Jerzy Sokalski
      Pages: 99 - 102
      Abstract: Dentigerous cysts are one of the most common odontogenic cysts of the jaws, being associated with the crowns of permanent teeth, especially unerupted mandibular third molars. Bilateral and multiple cysts are usually found in connection with a number of syndromes that include cleidocranial dysplasia and Gorlin syndrome. In the absence of these syndromes, multiple dentigerous cysts are rare. Dentigerous cysts are the second most common odontogenic cysts after radicular ones, accounting for approximately 24% of all true cysts of the jaws. This paper presents an unusual case of a huge odontogenic cyst in a 49-year-old man associated with mandibular impacted premolars. During the last 30 years a similar case was observed in our material only once. They are randomly diagnosed in routine dental radiographs. The patients do not usually report pain or discomfort. Clinical examination reveals a missing tooth or teeth, facial asymmetry and a lesion of the bone which predisposes to pathologic fracture.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Pierre Robin sequence: a case report

    • Authors: Joanna Krokos, Paulina Puacz-Matuszek
      Pages: 99 - 101
      Abstract: Introduction. Pierre Robin Sequence (PRS) is a congenital abnormality associated with the first brachial arch malformation. The etiology of PRS is not fully known, though both genetic and environmental factors are taken into account. PRS symptoms (micrognathia, glossoptosis and cleft palate) have a significant influence on the proper development of a child. The severity of the disease determines the treatment plan and its results. Aim. The aim of this report is to present the case of a five-year old boy diagnosed with PRS. Material and methods. A clinical examination of the oral cavity was performed, an orthopantomogram was taken. Results. Visible changes in facial features, bird face appearance, scar after surgical reconstruction of soft palate, dental caries. Conclusions. The course of treatment and PRS patient care demand long-term monitoring as well as a multidisciplinary team approach.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • A dentist as a member of forensic medical team

    • Authors: Dorota Lorkiewicz-Muszyńska, Agnieszka Przystańska, Mariusz Glapiński, Marzena Łabęcka
      Pages: 101 - 104
      Abstract: In the Polish medico-legal system, the participation of dental practitioner in forensic medical teams is incidental and limited mostly to acting as experts in particular cases. Unlike many other countries, there are no professional forensic odontologists in Poland. Therefore the dentist, usually selected from university staff or an another company cooperating with forensic medicine department or another expert and is not always experienced enough to be involved in activities of medico-legal team. Furthermore, the dentist’s engagement is often the result of non-clinical interests. Among the tasks of a dentist working as a member of forensic medical team are opinions in civil and criminal cases, identification of human remains and victims of disasters by dental means, bite marks analysis, and dental age estimation. As concluded from our previous experience, the dentist is also necessary for reading and interpreting the dental records used in medico-legal practice.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Orthodontic and surgical treatment of a patient with mandibular
           prognathism – a case report

    • Authors: Arleta Glowacka, Agata Tuczynska, Maciej Koczorowski
      Pages: 103 - 106
      Abstract: This study describes the course of interdisciplinary treatment for mandibular prognathism in an adult patient with a severe Class III malocclusion and a reverse overjet of 9 mm that involved an orthodontic and surgical orthognathic treatment. The orthodontic treatment involved attaching a fixed appliance to the upper and lower dental arches to prepare the patient for the mandibular surgery. Following the orthodontic treatment, there was performed a bilateral sagittal split ramus osteotomy (BSSRO) in order to reduce the length of the mandible and to reposition the mandibular anterior segment posteriorly. The treatment turned out to be successful. The mandible was shortened and the profile was corrected. The orthognathic surgery was followed by the second step of the the orthodontic treatment of the mandible and maxilla. Now, following three years of treatment and observation, the patient shows a good face profile and occlusion as well as the acceptance of the facial aesthetics.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Difficulty in a complete lower denture adaptation – a case report

    • Authors: Agnieszka Nowakowska, Tomasz Dąbrowa
      Pages: 103 - 106
      Abstract: A case of prosthetic treatment was presented of the female patient with full upper arch fixed restorations form 16 to 26 opposing edentulous mandible. The patient experienced long-term adaptation difficulties of the complete lower denture and was not able to adjust to incorrectly designed previous dentures due to lack of their stabilization on the prosthetic field and consequent speech difficulties. The treatment consisted of the initial correction of the currently used lower denture followed by manufacturing of a new prosthesis according to Wrocław method of edentulous patient rehabilitation. Thorough examination and appropriate treatment method selection led to a positive therapeutic outcome.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Urgent analgo-sedation of a patient with polytrauma done by a basic
           medical emergency team in prehospital care

    • Authors: Marcin Zieliński
      Pages: 103 - 106
      Abstract: Medical Rescue Teams during their daily work often face the need to analgo-sedate patients, the victims of road accidents. This is especially important in patients with cranial and brain trauma and is designed to prevent secondary damage to the brain. This procedure should begin as early as the prehospital phase at the scene or during transport to a Hospital Emergency Department. In the light of the Law on State Emergency Medical Teams, basic crews themselves cannot give drugs to provide urgent analgo-sedation and brain protection. The case describes a 65-year-old patient, a participant in a traffic accident, in whom the initial examination showed multiple traumatic injuries, of which injury to the chest and head trauma proved to be the most dangerous. During pre-hospital activities, due to a significant deterioration of the patient and the emergence of life-threatening symptoms, it was necessary to implement emergency rescue procedures. There was a pneumothorax, possible to decompress by members of the basic Medical Rescue Team, as well as increasing psychomotor agitation with indications for urgent analgo-sedation requiring the consent of a coordinating physician at the Crisis Management Centre. The coordinating doctor consented to the administration of Mannitol and Thiopental to protect the central nervous system (CNS) of the casualty. Neither drug is on the list of drugs that may be administered by paramedics alone. They must be authorised by a doctor, whose decision, in this case, undoubtedly contributed to increasing the chances of the patient's survival, safe delivery to a Hospital Emergency Department, transfer to the Department of Intensive Care Medicine, and the Department of Trauma Surgery.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Hydrodynamic maxillary sinus lift technique with immediate implant
           placement: a review of new techniques and a presentation of clinical cases

    • Authors: Edyta Jaworska, Marek Rybicki, Bartłomiej Szczodry, Michał Jonasz, Danuta Samolczyk-Wanyura
      Pages: 105 - 111
      Abstract: There are many ways to litf the maxillary sinus mucosa in order to obtain adequate bony conditions prior to implantation. Among these "sinus graft" and "sinus lift", are the methods of raising the sinus’ mucous membrane practiced for 25 years. But with increasing demands from both patients and surgeons research into new treatment techniques is in progress. Due to the fact that the sinus lifting procedure in a traditional way is unpleasant for the patient, less invasive techniques to improve the conditions of the bone before the prosthetic treatment are being researched. In this paper sinus physiolift and crestal approach sinus kit methods are presented as an alternative, atraumatic hydrodynamic techniques of sinus lift. The aim of the study is to present the hydrodynamic technique of sinus lift on basis of available literature and our own observations. Among the 24 patients qualified for sinus lift, the procedure was performed by means of hydrodynamic technique. The use of closed hydrodynamic methods of sinus lift has improved the bone conditions within the maxillary alveolar process and permitted planned simultaneous implantation.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Crouzon syndrome – a case report

    • Authors: Anna Janas, Piotr Osica, Rafał Stelmach, Jolanta Białkowska‑Głowacka
      Pages: 107 - 110
      Abstract: Crouzon syndrome is a genetic disorder, autosomal dominant, characterized by the premature fusion of certain skull bones, which affects the shape of the head and face. It is caused by mutations in the FGFR2 gene, which in turn provides instructions for producing fibroblast growth factor receptor 2. The article presents a case of Crouzon’s syndrome in a female patient aged 40.
      PubDate: 2015-08-21
      Issue No: Vol. 43, No. 2 (2015)
  • Treatment of single tooth scissors-bite. Presentation of two cases with a
           2.5 year post treatment observation period

    • Authors: Beata Rucińska-Grygiel
      Pages: 107 - 114
      Abstract: This study reports the treatment of two patients with single tooth scissors bite. The first patient had a scissors bite which affected the two first premolars. The second patient had buccal crossbite in the second left molar. The cause of this malocclusion was the buccal tipping of the upper teeth. Modification of the palatal arch was used in the treatment therapy. This modification allowed for the palatal movement and intrusion of the affected teeth. Changes in certain dental arch parameters were observed during both the active and post treatment period. Premolars were correctly positioned within 1.5 months and 2 months. The molar was well positioned within 2.5 months. Correct intercuspidation of the opposing teeth was the only form of retention. During the 2.5 years of the observation period there was no recurrence of the malocclusion.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Chronic Ulcerative Stomatitis. A Case Report

    • Authors: Izabela Molenda, Zbigniew Kozłowski
      Pages: 107 - 112
      Abstract: The paper describes the case of a rare autoimmune disease. Chronic ulcerative stomatitis, also called in English CUS (chronic ulcerative stomatitis) was isolated for the first time by Jaremko in 1990. It is characterized by a chronic progression with periods of remission and relapse. This disease occurs in 90% of cases among mature women in the fifth or sixth decade of life. It is characterized by ulcerations and erosions of the mucous membrane of the mouth, most frequently of the tongue and cheek. The patient's general condition is good. The lesions cause pain that hinders speech, food intake, and the use of dentures. In order to perform a diagnosis, clinical and immunopathological examinations are required. In direct immunofluorescence (DIF) of lesion samples, and in indirect immunofluorescence (IIF) of the patients' serum, antinuclear antibodies of IgG called SES-ANA are detected. The treatment of choice for chronic ulcerative stomatitis are antimalarials or antimalarial drugs associated with corticosteroids.
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • 12-year clinical observation of telescopic anchors applied in removable
           dentures – case reports

    • Authors: Tomasz Dąbrowa, Włodzimierz Więckiewicz
      Pages: 113 - 117
      Abstract: The study presents a clinical evaluation of the conical telescopic anchors applied in order to enhance the stability of the lower partial removable denture. Main clinical and labolatory stages in performance of the removable denture were described and the method of evaluation of the denture’s retention was presented. The telescopic anchors were applied as the attachments for the removable dentures, the framework of the denture was made from chromium-cobaltmolibdenium alloy, and the external telescopic crowns were veneered with composite resin. After a 12-year clinical observation it was concluded, that this system has many advantages which make it highly recommendable in elderly patients with reduced vision and motion abilities. The characteristic features of this system include: satisfying retention and stability of dentures during mastication, splinting effect, accessibility for oral hygiene maintenance, ease of repair and durability. It was also underlined that this system demands follow-up examinations and visits preventing the abutments from occlusal overload.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Traumatic occlusion treatment through canine guidance reconstruction with
           the use of T-Scan III diagnosis – a case report

    • Authors: Mariusz Bołzan, Elżbieta Dembowska
      Pages: 115 - 120
      Abstract: This study describes the treatment of a patient with traumatic occlusion and pain syndrome of the left temporo-mandibular joint. Traumatic occlusion was diagnosed by clinical examination, i.a. due to the lack of mutual canine guidance. Diagnosis was enhanced with the use of a T-Scan III System. Selective teeth grinding and rebuilding the canines with composite material were done during treatment. After 3 and 6 months the effects of treatment were evaluated. Pain does not occur any more and the reconstructed occlusal conditions remain normal.
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • Report on the meeting of members of Pierre Fauchard Academy – Polish

    • Authors: Zbigniew Klimek
      Pages: 117 - 118
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • Complications during the surgical removal of a wisdom tooth – a case

    • Authors: Ewa Czechowska, Małgorzata Rydzewska-Lipińska, Patryk Szubert, Jerzy Sokalski
      Pages: 119 - 122
      Abstract: Wisdom teeth eruption or malposition may cause many pathological conditions such as recurrent pericoronitis, abscesses, osteomyelitis, radiating spontaneous pains, cysts, and others. The disorders mentioned above are indications for third molar removal. The degree of difficulty of the procedure is connected with the impaction stage of the tooth. Mesioangular and distoangular impactions are the least favourable positions. The surgical procedure may involve many complications such as excessive bleeding, alveolitis, nerve paresis, bone fracture, damage, luxation, or unintentional adjacent tooth removal. A displacement of the whole or of fractured fragments of the tooth to the adjacent fascial spaces, though rarely described in the literature, is a very serious complication. The success of the operation depends not only on the surgeon’s knowledge and experience but also on effective complications management. In this paper the authors present the case of a patient who after the surgical removal of a wisdom tooth was treated for second molar subluxation with ligature immobilization and endodontic treatment.
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Conference report – Dubrovnik 2014

    • Authors: Anna Surdacka
      Pages: 119 - 121
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • 8th International PSI/ICOI/DGOI Congress in Kracow – a report

    • Authors: Krzysztof Makuch
      Pages: 121 - 122
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • 20th anniversary of Second Medical Faculty Karol Marcinkowski University
           of Medical Sciences, Poznan

    • Authors: Maciej Koralewski
      Pages: 123 - 124
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Polish Section of Pierre-Fauchard Academy meeting

    • Authors: Editorial Paper
      First page: 123
      PubDate: 2015-05-08
      Issue No: Vol. 43, No. 2 (2015)
  • The unveiling of a commemorative plaque to mark the 10th anniversary of
           the death of Prof. Stefan Flieger

    • Authors: Krzysztof Osmola
      First page: 123
      PubDate: 2015-01-23
      Issue No: Vol. 43, No. 2 (2015)
  • First Polish Tennis Championship for Dentists Poznań – Kortowo

    • Authors: Rafał Brożek
      Pages: 125 - 126
      PubDate: 2015-05-22
      Issue No: Vol. 43, No. 2 (2015)
  • Evaluation of shear bond strength of various orthodontic brackets bonded
           to bovine enamel with use of Grengloo adhesive. An in vitro study

    • Authors: Tomasz Ogiński, Agnieszka Szust, Beata Kawala
      Pages: 33 - 35
      Abstract: Introduction. Durability of the bond strength between the orthodontic bracket and the enamel is crucial to perform successful treatment with fixed appliance. Contemporary, apart from wide-spread and well-known metallic brackets, ceramic brackets become more popular in orthodontic practice. Aim of the study. The purpose of the current study was to calculate shear bond strength of metal, polycrystalline and monocrystalline orthodontic brackets bonded to bovine enamel with composite resin. Material and methods. Sixty bovine incisors with intact buccal surfaces were used in this study. The teeth were randomly divided into three equal groups. In group 1 stainless steel Victory Series (3M Unitek) brackets were bonded to the enamel. In group 2 polycrystalline Clarity (3M Unitek) brackets were used and in group 3 monocrystalline Radiance (American Orthodontics) brackets were used. Shear bond test was performed 24 hours after polymerization of Grengloo (Ormco) orthodontic adhesive. Results. The highest shear bond strength was found in Victory Series group (mean 10.65 MPa ± 5.2), followed by Clarity group (mean 9.15 MPa ± 1.91) and Radiance group (mean 6.65 MPa ± 1.71). Statistical analysis revealed significantly higher shear bond strength of Victory Series brackets and Clarity brackets in comparison with Radiance brackets. The difference between Victory Series brackets and Clarity brackets was not significant.
      PubDate: 2014-01-22
      Issue No: Vol. 43, No. 2 (2014)
  • Evaluation of occlusal contacts in patients with single tooth loss –
           preliminary report

    • Authors: Andrzej Gala, Małgorzata Pihut, Grażyna Wiśniewska, Szymon Majewski
      Pages: 37 - 41
      Abstract: Aim of the study. The aim of the study was to evaluate the distribution of the occlusal contacts in patients with single tooth loss in one or both tooth arches as compared to healthy patients with full dentition. Material and methods. The study was performed in a group of 30 patients aged 24–40, both male and female, who needed prosthetic treatment because of single tooth loss in one or both tooth arches. The control group consisted of 30 healthy patients, aged 21–37, with complete dentition. In both groups temporomandibular disorders were excluded. The evaluation of occlusal contacts distribution was carried out on the basis of the study of occlusion in the centric intercuspation position by means of T-scan II device (Tekscan Inc). Two functions of the relevant software were used: the first being the percentage distribution of the occlusal contacts on the left and right side of tooth arches. The second parameter under analysis was the model function of the tooth arch in 3D, which was used to evaluate the level of occlusal forces in relation to the colour coded scale calibrated for a specific software. The study results were statistically analysed by means of â€oStatistica” software package. Results. The mean difference quantities in group I (with single tooth loss) were 2.5 times higher than those in the control group. The above results differ in a statistically significant way as the analysis with the use of U Mann Whitney Test pointed out that â€op” is smaller than 0.05. The comparison of the two mean quantities indicates a meaningful influence of single tooth loss or clinical crowns damages on the stability and symmetry loss of the occlusal contacts balance. The analysis of the dental arch function (occlusal forces) indicates much higher values of the occlusal contacts marked in red for group I as compared with group II (the control group), which on the basis of the colour scale is to be interpreted as maximal occlusal forces. Conclusion. Single tooth loss has a significant impact on the disbalance distribution of occlusal contacts as well as on the value of masticatory forces.
      PubDate: 2014-01-22
      Issue No: Vol. 43, No. 2 (2014)
  • Evaluation of interdental spacing in patients with shortened dental arch
           in relationship with prosthetic treatment needs

    • Authors: Piotr Napadłek, Halina Panek, Włodzimierz Więckiewicz
      Pages: 43 - 48
      Abstract: Aim of the study. The aim of the study was to analyze the interdental spacing in patients with different amount of dental arch reduction in relationship with prosthetic treatment needs. Material and methods. The study group included 120 individuals of both gender, aged 41–65, selected from the patients admitted to The Department of Prosthodontics, Wrocław Medical University and Academic Dental Policlinic, Krakowska Street 26, Wrocław, in years 2007–2009. Patients were divided into two study groups depending on amount of dental arch reduction and control group including individuals with complete natural dentition. All patients underwent interview and general oral cavity examination according to the protocol worked out in The Department of Prosthodontics, Wrocław Medical University. Assessment of interdental spacing was carried out with metal gauges by Pol-Intech, 0,05 milimeters thickness. The obtained data underwent statistic analysis. Results. The results of study on interdental spacing revealed more spacing with reduction of dental arch. Conclusions. Individuals with extremely shortened dental arches revealed the largest loss of dental arch integrity, thus this group of patients has the highest treatment needs.
      PubDate: 2014-01-22
      Issue No: Vol. 43, No. 2 (2014)
  • Implant based versus endodontic treatment concepts for anterior teeth

    • Authors: Andrzej Szwarczyński
      Pages: 57 - 64
      Abstract: Introduction. Patients expect not only a fully functional restoration, but also an aesthetically pleasing and a long-lasting solution. Especially in the anterior region, aesthetics plays a vital role in treatment. Therefore, a practitioner needs to make a considerate choice between any treatment modality. Aim of the study. The aim of this paper is to present and compare methods of treating the anterior teeth in the aesthetic area, especially to compare root canal treatment (RCT) as opposed to implant-supported crowns (ISC) as far as their effectiveness, longevity and possible complications are concerned. Material and methods. PubMed and Medline were queried for all studies that compared non surgical root canal therapy and restoration with the extraction of teeth and placement of a dental implant. The full text of 58 articles related to the studied subject were analysed. Results. The effectiveness of implant and endodontic therapy is similar only in the first 6 years after treatment is completed. Over time a significant decrease in survival rates is observed for endodontically treated teeth, while for implants this fall is markedly lower. Conclusions. 1. A dentist should present to a patient both methods, their advantages, disadvantages and risks. 2. If RCT is risky due to root canal anatomy, especially in multi-rooted teeth, the implant option should be considered. The expected aesthetic effects should be considered, especially in the anterior area. Implant insertion does not always give a favourable and expected aesthetic result if this is not preceded by gingival and bony tissue preparation. The bony and soft tissue quality should be considered. Any bone density abnormalities or bone deficits seen on radiograms should help a dentist decide on RCT procedures or bone augmentation. 3. Properly done implanto-prosthetics preceded by a detailed analysis of the underlying tissues, of radiograms, and of diagnostic models should result in restoring the anatomical and physiological function of the lost tooth. 4. The decision on RCT or implant treatment should be taken following consultation from specialists in both these modalities and an assessment of the restoration survival time for both methods.
      PubDate: 2014-01-22
      Issue No: Vol. 43, No. 2 (2014)
  • Efficacy of povidone-iodine (PVP-I) in treatment of early childhood caries
           – a systematic literature review

    • Authors: Michał Gefrerer, Jadwiga Janicha, Dorota Olczak-Kowalczyk
      Pages: 65 - 70
      Abstract: Caries management in paediatric patients has consisted so far mainly of treating consequences of caries instead of its main reason – the cariogenic bacteria. Literature reports on the benefits of using antibacterial agents such as povidone-iodine are increasing. It is specifically recommended in young patients and mentally disabled people treated under general anaesthesia. The aim is to present methods of using povidone-iodine in caries prevention and treatment in children, as well as its clinical and antibacterial efficacy. A literature review was performed on the use of povidone-iodine in treatment of primary dentition caries, basing on the available data bases – PubMed/MEDLINE and EMBASE. The mode of action, methods of use and the effect on cariogenic bacteria count and increase in caries of povidone-iodine were described. In most subjects, increase in caries was assessed. In all reviewed cases, reduction of caries increase in study groups vs. control groups was observed. Povidone-iodine is recommended specifically in high caries risk children because of its rapid and long-lasting antibacterial effect.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Legal and medical considerations of consequences of extracting the wrong

    • Authors: Paweł Świderski, Agnieszka Przystańska, Mariusz Glapiński, Dorota Lorkiewicz-Muszyńska
      Pages: 71 - 74
      Abstract: This paper presents the conclusions of a forensic medical team in a dental negligence case involving both medical civil liability and civil proceedings.The defendant dentist removed the wrong tooth from a patient (second premolar instead of the upper right second molar). The insurance company paid out compensation on medical civil liability grounds and the patient sought further redress through civil proceedings for personal infringement and prosthetic treatment costs.The analysis of the act, apparently clear matter in the ground lay a medical problem, took surprising turn. Although dental negligence involving the unreliable conduct of medical records and commit his mistake of removing the wrong tooth, the key for medico-legal opinion was a medical records from another study, in which the patient is treated in several days earlier. From her records showed that there were absolute indications for extraction of two teeth. The opinion found that only the order of a physician turned tooth extraction, resulting in medical malpractice proved to be a neglience causing no injury for the patient. The discussion covers the importance of properly maintained medical records and medico-legal issues relevant to the case.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • The use of electromyography in orthodontics – a systematic study

    • Authors: Krzysztof Woźniak, Dagmara Piątkowska
      Pages: 75 - 82
      Abstract: Electromyography (EMG) is the most objective technique for evaluating muscle function and efficiency by detecting and analyzing their electrical activity. Due to the method of recording EMG signals stand out an intramuscular electromyography in which needle electrodes are inserted through the skin and surface electromyography (sEMG) which uses surface electrodes. The aim of this study was to review the possibility of EMG uses in orthodontics. The material were researches published in 2000–2011 in the National Center for Biotechnology Information (NCBI) – MEDLINE – PubMed database. Analysis of the stomatognathic system by the use of EMG expands our knowledge about the anatomy, physiology and pathology of the stomatognathic system, allow for the identification patients with temporomandibular disorders and allow for objective orthodontic treatment monitoring.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Etiology and diagnosis of dentine hypersensitivity – a literature

    • Authors: Joanna Zielińska-Zborowska, Paulina Buczkowska-Puślecka, Anna Wędrychowicz-Welman, Marta Mrall-Wechta
      Pages: 83 - 86
      Abstract: Along with caries dentine hypersensitivity is a frequent ailment, which makes patients see the dentist. They are forced to do it because of sharp, shooting pain of mild or moderate intensity, which appears as a result of thermal, chemical, dehydrative, osmotic or mechanical stimuli. The study is based on the latest literature and it presents the causes and diagnostics of dentine hypersensitivity. The ailment has a multi-factor aetiology. Patients suffering from periodontal diseases are particularly predisposed to dentine hypersensitivity. The diagnostics of the ailment uses both the patient’s subjective feelings in response to stimuli and clinical examination with the application of objective methods. In order to develop a full therapy plan it is necessary to make an appropriate diagnosis and specify aetiological factors.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Oral surgery application of Er:YAG laser

    • Authors: Krzysztof Sidorowicz, Katarzyna Błochowiak, Jerzy Sokalski
      Pages: 87 - 92
      Abstract: The laser beam is an alternative technique to traditional surgery applicable in many oral surgery cases. It enables to avoid suturing and thanks to decontamination features promotes healing process. The authors presented advantages and disadvantages of laser Er:Yag Kavo KEY 3, establishing the indications as well as working parameters in specific ceses. The conclusion of the research is that histopathologic evaluation is possible only in tissue probe larger than 3 squere mm. The photographs of 12 different cases shows the variety of possible laser Er:Yag application.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Scissors bite – epidemiology, etiology and methods of treatment

    • Authors: Beata Rucińska-Grygiel
      Pages: 93 - 98
      Abstract: The study presents the literature review of the epidemiology, etiology and methods of treatment of the scissors bite. This maloocclusion is recognized when there is no contact between the occlusal surfaces of the posterior teeth in occlusion and when palatal surfaces of the upper teeth contact with buccal surfaces of the lower teeth. The frequency of this malocclusion ranges from 1,8% to 19% and it depends on the study population. The cause of such a malocclusion is a discrepancy between the width of the maxilla and mandible and axial malpositioning of the lateral teeth. This malocclusion is usually accompanied with elongation of the teeth in scissors bite, buccal tipping of the upper teeth and lingual tipping of the lower teeth. In the treatment methods which allow to balance the discrepancy between the width of the bony bases and dental arches and obtain both correct axis and intrusion of the elongated teeth are used. Removable functional appliances, palatal and lingual arches, miniscrews, dragon helix spring, modified orthodontic crown, corticotomy, osteodistraction and appropriate surgery methods are used. The choice of the treatment methods depend on the range and severity of the defects, age, cooperation with the patient and possibile side effects.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Periodontal status and chronic obstructive pulmonary disease (COPD)
           – review of literature

    • Authors: Barbara Molęda-Ciszewska, Aida Kusiak
      Pages: 99 - 101
      Abstract: Introduction. recently important associations between status of oral cavity and systemic diseases, one of which is chronic obstructive pulmonary disease, have been shown. Aim of the study. presentation of oral cavity status especially periodontal status in chronic obstructive pulmonary disease patients. Conclusions. chronic obstructive pulmonary disease patients indicate huge stomatological treatment needs.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Use of fractal analysis for bone assessment

    • Authors: Joanna Kąkolewska, Marek Kuras, Jerzy Sokalski, Tomasz Kulczyk
      Pages: 103 - 106
      Abstract: Since Mandelbrot announced the concept of the fractal geometry, fractal analysis has been used in the description of various structures found in nature and biosignals. It has been used to interpret biological phenomena such as nervous tissue, vascular system, the electrical conductivity of the heart and EEG. In dentistry, there have been many attempts to analyze the structure of jaw bones to assess periodontal disease and osteoporosis. Many authors indicate that bone tissue has a fractal structure, and that the fractal analysis can be inexpensive and convenient screening instrument in the diagnosis of systemic diseases that cause changes in the image of bones. This article is a review of applications of fractal analysis in bone evaluation.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Aspergillosis of a maxillary sinus – a case study

    • Authors: Tomasz Pełczyński, Samir Rahma, Marian T. Nowaczyk, Marcin Marcinkowski
      Pages: 107 - 109
      Abstract: The symptoms of fungal infections of the nasal sinuses aren't typical, and often are confused with bacterial infections. The aim of study is to present the case of fungal infection in the maxillary sinus as a complication of endodontic treatment in upper second left premolar. The factors and mechanism which have influence on development of fungal infection in the maxillary sinus was presented in the discussion.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • Dental implant system design and it’s potential impact on the
           establishing and sustainability of aesthetics

    • Authors: Richard J. Lazzara
      Pages: 111 - 118
      Abstract: There is a growing appreciation of the importance of establishing and sustaining the aesthetics of implant restorations. Four of the most important factors for achieving this goal are: implant primary stability, implant surface, implantabutmentjunction geometry, and implant-abutment connection. This article reviews each of these factors as they relate to the design of the BIOMET 3i T3™ Tapered Implant System and discusses the potential impact these factors can have on long-term aesthetics.
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
  • X European Congress of Aesthetic Medicine in Moscow – a report

    • Authors: Tomasz Stanglewicz
      Pages: 119 - 120
      PubDate: 2014-01-23
      Issue No: Vol. 43, No. 2 (2014)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Tel: +00 44 (0)131 4513762

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