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Topic Review
Bulk-Fill Resins versus Conventional Resins
Composite resins have become the material of choice for the restoration of posterior teeth. Although bulk-fill resins represent a tempting alternative due to their lower complexity and faster use, some dentists are reluctant to use this material. 
  • 808
  • 25 Jun 2023
Topic Review
Secretome Derived from SHED in Tissue Regeneration
Stem cells from human exfoliated deciduous teeth (SHED) have emerged as an alternative stem cell source for cell therapy and regenerative medicine because they are readily available, pose fewer ethical concerns, and have low immunogenicity and tumourigenicity. SHED offer a number of advantages over other dental stem cells, including a high proliferation rate with the potential to differentiate into multiple developmental lineages. The therapeutic effects of SHED are mediated by multiple mechanisms, including immunomodulation, angiogenesis, neurogenesis, osteogenesis, and adipogenesis. Since SHED are more potentially useful source of stem cells than BM-MSCs and DPSCs in cell therapy, therefore it could be suggested that the secretome derived from SHED could enhance tissue regeneration and repair and hence, considered as a suitable candidate for a cell-free approach in regenerative medicine and dentistry.
  • 808
  • 21 Aug 2023
Topic Review
Association between Periodontitis and Peri-Implantitis
Dental implants to replace lost teeth are a common dentistry practice nowadays. Titanium dental implants display a high success rate and improved safety profile. Nevertheless, there is an increasing peri-implantitis (PI), an inflammatory disease associated with polymicrobial infection that adversely affects the hard and soft tissues around the implant. Studies have demonstrated that oral microbiota (microorganisms residing in the oral cavity collectively known as oral microbiota) associated with periodontitis (PE) is involved in the infections related to PI, indicating a common link between PE and PI.
  • 803
  • 16 Jan 2023
Topic Review
Liquid Biopsy and Oral Cancer Management
Mouth cancer often results in poor outcomes and requires the use of state-of-the-art medical approaches to make its detection easy, individualized, and early. Liquid biopsy is a new and important medical approach to disease detection. This approach has been successfully used for mouth cancer detection and monitoring of treatment progress in many countries. Liquid biopsy is an attractive option for mouth cancer detection because it does not involve any invasive procedure and can be used on easily accessible body fluids, such as saliva and blood. 
  • 803
  • 11 Mar 2022
Topic Review
Molecular, Cellular and Genetic Aspects of Peri-Implantitis
Peri-implantitis is a multi-factorial disease with an inflammatory background that occurs in both soft and hard tissues surrounding implants. A wide array of cells stands behind peri-implantitis, as well as cytokines and their genetic variations that take part in the process. Recently, growing interest in this topic has led to the introduction of specific new diagnostic tools to enable a better understanding of patients’ responses to treatment and, in turn, to even enable prediction of the risk of developing peri-implant disease.
  • 791
  • 21 Jul 2023
Topic Review
Marine Biopolymer Alginate in Endodontics
Alginate is a natural marine biopolymer that has been widely used in biomedical applications, but research on its use as an endodontic material is still sparse in the literature. Alginate or salt of alginic acid is one of the most abundant biopolymeric hydrocolloids derived primarily from seaweeds. In dentistry, hydrocolloid alginate has been commonly employed as a dental impression material to make gypsum casts for various treatment purposes, including provisional crowns and bridges, orthodontic study models, mouth guards, bleaching trays, and removable dental prostheses.
  • 789
  • 31 Aug 2022
Topic Review
Complication of Maxillary Sinusitis
Maxillary sinusitis a common complication, there is an absence of precise and shared guidelines on the diagnosis, post-operative follow-up and treatment of maxillary sinusitis following zygomatic implantology. To date there are no shared protocols for maxillary sinusitis treatment. According to the literature in the presence of risk factors such as age, comorbidities, smoking, nasal septal deviation or other anatomical variants, functional endoscopic sinus surgery (FESS) is suggested to perform at the same time as placement of zygomatic implants.
  • 789
  • 25 Mar 2022
Topic Review
Automatic Segmentation for Inferior Alveolar Canal Localization
Artificial Intelligence could allow a global uniformity of the dental report and assist dentists in their efforts, saving their time but keeping the quality for better outcomes. 
  • 784
  • 12 Jan 2022
Topic Review
Effects of Wearing Bite-Aligning Mouthguards
The purpose of the present entry was to determine the acute effects of wearing bite-aligning mouthguards on muscle strength, power, agility and quickness in athletes. A search of the current literature was performed using the electronic databases (until 1 May 2021) Web of Science, Scopus and Medline. The inclusion criteria were: (1) descriptive design studies; (2) with randomized clinical trials; (3) examining the within-subject acute effects of wearing mouthguards on functional and neuromuscular performance parameters; (4) in physical active, recreational or highstandard athletes. Twenty-seven studies met the inclusion criteria. Sixteen reported positive effects in some of the variables assessed, two reported negative effects and the rest found no significant differences. Overall, the main findings described in the literature are inconclusive concerning the neuromuscular advantages of using mouthguards in muscle strength, power, agility and quickness. These discrepancies might be related to several factors such as differences in testing protocols, poor control of the jaw magnitude and improper mouthguard designs. Despite these differences, after conducting the present systematic review, the authors speculate that jaw clenching while wearing custom-made, bite-aligning oral devices might promote beneficial effects in lower limb power actions, especially in jump ability and knee extension movements. Thus, athletes might consider the use of mouthguards, not only for their protective role but also for the potential ergogenic effects in specific actions, mainly those for which lower limb muscular power are required.
  • 781
  • 21 Jul 2021
Topic Review
No-pain Removal of HPV Lesions in Oral Cavity
Human Papilloma Virus (HPV) infection: verruca vulgaris (VV), squamous cell papilloma (SP), condyloma acuminatum (CA), and multifocal epithelial hyperplasia (MFEH), all of them are a benign hyperplastic exophytic proliferation of the oral epithelium, caused by different HPV genotypes. Subtypes 6 and 11, with a low-oncogenic risk, are the most commonly found and cause CA in both the oral cavity and in the anogenital region. Labial mucosa, soft palate and lingual frenum are the most common locations of CA and koilocytes can be observed in histopathologic sections. All HPV-related oral lesions present clinical similarities, and therefore, a biopsy is necessary for a precise diagnosis.
  • 780
  • 19 Oct 2021
Topic Review
Periodontitis in Systemic Sclerosis
Systemic sclerosis (SSc) is a chronic, autoimmune, multisystemic disease characterized by aberrant extracellular matrix protein deposition and extreme progressive microvasculopathy. These processes lead to damage within the skin, lungs, or gastrointestinal tract, but also to facial changes with physiognomic and functional alterations, and dental and periodontal lesions. Orofacial manifestations are common in SSc but are frequently overshadowed by systemic complications. In clinical practice, oral manifestations of SSc are suboptimally addressed, while their management is not included in the general treatment recommendations. Periodontitis is associated with autoimmune-mediated systemic diseases, including systemic sclerosis. In periodontitis, the microbial subgingival biofilm induces host-mediated inflammation with subsequent tissue damage, periodontal attachment, and bone loss. When these diseases coexist, patients experience additive damage, increasing malnutrition, and morbidity. 
  • 779
  • 09 Mar 2023
Topic Review
Temporomandibular Joint Related Diseases
With rapid advances in technology, computer-based studies and Artificial Intelligence (AI) approaches are finding their place in every field, especially in the medical sector, where they attract great attention. The Temporomandibular Joint (TMJ) stands as the most intricate joint within the human body, and diseases related to this joint are quite common.
  • 779
  • 30 Aug 2023
Topic Review
Clinical Applications of the Microbiome in Oral Mucositis
Oral mucositis (OM) is a common and impactful toxicity of standard cancer therapy, affecting up to 80% of patients. Its aetiology centres on the initial destruction of epithelial cells and the increase in inflammatory signals. These changes in the oral mucosa create a hostile environment for resident microbes, with oral infections co-occurring with OM, especially at sites of ulceration. However, increasing evidence suggests that oral microbiome changes occur beyond opportunistic infection, with a growing appreciation for the potential role of the microbiome in OM development and severity.
  • 777
  • 19 May 2023
Topic Review
Plant-Based Antimicrobials against Periodontitis
eriodontal diseases and dental caries are the most common infectious oral diseases impacting oral health globally. Oral cavity health is crucial for enhancing life quality since it serves as the entranceway to general health. The oral microbiome and oral infectious diseases are strongly correlated. Gram-negative anaerobic bacteria have been associated with periodontal diseases. Due to the shortcomings of several antimicrobial medications frequently applied in dentistry, the lack of resources in developing countries, the prevalence of oral inflammatory conditions, and the rise in bacterial antibiotic resistance, there is a need for reliable, efficient, and affordable alternative solutions for the prevention and treatment of periodontal diseases. Several accessible chemical agents can alter the oral microbiota, although these substances also have unfavorable symptoms such as vomiting, diarrhea, and tooth discoloration. Natural phytochemicals generated from plants that have historically been used as medicines are categorized as prospective alternatives due to the ongoing quest for substitute products.
  • 776
  • 07 Jun 2023
Topic Review
Short-Chain Fatty Acids and Oral Diseases
The human oral microbiome has emerged as a focal point of research due to its profound implications for human health. The involvement of short-chain fatty acids in oral microbiome composition, oral health, and chronic inflammation is gaining increasing attention.  Locally, SCFAs are a part of normal oral microbiota metabolism, but the increased formation of SCFAs usually attribute to dysbiosis; excess SCFAs participate in the development of local oral diseases and in oral biota gut colonization and dysbiosis. On the other hand, a number of studies have established the positive impact of SCFAs on human health as a whole, including the reduction of chronic systemic inflammation, improvement of metabolic processes, and decrease of some types of cancer incidence. Thus, a complex and sophisticated approach with consideration of origin and localization for SCFA function assessment is demanded.
  • 773
  • 19 Oct 2023
Topic Review
Chronic Kidney Disease, Periodontitis, Red Complex Bacteria, TNF-α
Periodontitis, referred to as gum disease, is a serious bacterial infection that damages the surrounding structures of the teeth, including the supporting bones, lastly without prompt treatment resulting in tooth loss.
  • 769
  • 23 Mar 2022
Topic Review
Velopharyngeal Insufficiency Treatment in Cleft Palate Patients
Cleft lip and palate (CLP) are one of the most common congenital anomalies with a global prevalence of 1:700. Velopharyngeal insufficiency may occur as a result of an anatomical or structural defect and may be present in patients with cleft lip and palate. The treatment options presented in the literature are varied, covering invasive and non-invasive methods.
  • 769
  • 09 Sep 2022
Topic Review
Role of Oral Microbiome on Oral Cancer
Oral cancer (OC) is the most common neoplasm in the head and neck region. OCs are defined as cancers of the tongue, the floor of the oral cavity, the lining of the cheeks, the roof of the oral cavity, the gums, and the lips but do not include laryngeal and pharyngeal cancers. The majority of OCs comprise oral squamous cell carcinomas (OSCCs). The oral microbiome hosts more than 750 common oral species. A healthy microbiome usually consists of Streptococci, Staphylococci, Neisseria species, and about 50 other aerobes. The consensus is that a normal mouth microbiome consists mainly of aerobes, while the percentage of anaerobes increases with OC (and other pathological oral conditions). The connection that exists between microbes and carcinoma is complex and influenced by a number of factors, such as the vulnerability and genetic makeup of the host, as well as environmental conditions, including the host’s dietary regime, oral hygiene, and tobacco and alcohol use.
  • 767
  • 19 May 2023
Topic Review
Primary Care for Oral Health
The International Dental Federation (IDF) defines oral health as “multi-faceted and included the ability to speak, smile, smell, taste, touch, chew, swallow and convey a range of emotions through facial expressions with confidence and without pain, discomfort, and craniofacial complex diseases”. The IDF definition integrates oral health with general health, demonstrating that it affects overall health and well-being. Therefore, increasing awareness about the different dimensions of oral health and how they change over time empowers people by recognizing that values, perceptions, and expectations influence its outcomes.
  • 765
  • 09 Jun 2023
Topic Review
Systemic Diseases and Biological Dental Implant Complications
The relationship between periodontitis and such systemic disorders as diabetes, cardiovascular disease and obesity has been extensively investigated. There is less scientific evidence available, however, regarding the influence of systemic diseases on the risk of late failure of dental implant rehabilitation due to peri-implantitis. Most of the literature concludes for no association between diabetes, cardiovascular disease, hypertension or osteoporosis and the risk of peri-implantitis. On the other hand, almost all the studies that investigated obesity as a risk factor for implant rehabilitation found a positive association between the two.
  • 764
  • 12 Jan 2023
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