Objective: The aim of this study was to evaluate the prevalence of condylar and coronoid process anomalies, their types, and their relationship to sex. Method: Cone-beam computed tomography (CBCT) images were retrospectively analyzed for the presence and types of abnormalities in the condylar and coronoid processes. Statistical analysis of measurement data was performed using SPSS version 22. Medical histories of the individuals were obtained from their digital dental records. Results: CBCT images of 400 individuals were included in the study. Condylar anomalies were observed in 9.5% of cases, while coronoid anomalies were found in 7.5%. All condylar anomalies were more common in women and on the left side. Hypoplasia was the most common condylar anomaly, whereas hyperplasia was the most prevalent coronoid anomaly (6.8%). Coronoid anomalies were more frequent in males and were predominantly bilateral. Conclusion: Examining all subtypes of condylar and coronoid process anomalies in a large population without age or sex limitations will enhance dentists’ understanding of the prevalence and distribution of these anomalies in the region, aiding in better diagnosis and treatment planning.

Objective: Artificial intelligence’s (AI) potential to analyze medical data and improve patient outcomes is driving its rapid integration into healthcare systems. This study addresses the knowledge gap regarding Kazakhstani dental students’ attitudes toward AI in dentistry. Methods: A survey with 213 participants assessed dental students’ views on AI in dentistry at two Kazakhstani universities. A self-administered questionnaire (22 items) via Google Forms was used to gather data on demographics, baseline knowledge (information sources, understanding of AI principles, and familiarity with dental AI applications), and attitudes/perceptions. Frequency analyses and chi-square tests (p < 0.05) explored the responses. Results: The survey included 213 dental students (mean age: 21.79 ± 1.82 years). Two-thirds of participants reported basic knowledge of AI principles; however, the rate of dental AI application awareness was lower (40.9%). Friends and family (65.7%) were the primary sources of information, followed by lectures (14.1%) and social media (13.6%). The year of study and sex did not significantly impact AI knowledge or attitudes (p > 0.05). Conclusion: This study in Kazakhstan reveals dental students’ limited awareness of dental AI applications despite possessing basic AI knowledge. This study recommends taking AI-related dental courses and participating in AI workshops to equip students for the future of dentistry and empower them to contribute to and potentially lead Kazakh-specific dental AI advancements.

Objective: Mouthwash is widely used to maintain oral health by reducing the prevalence of pathogenic microbiomes. Nonetheless, chlorhexidine, a common active ingredient, is associated with side effects including teeth staining, mucosal peeling, mouth and tongue numbness. This has prompted interest in natural alternatives. This study aimed to identify the cytotoxicity and anti-inflammatory properties of 1’S-1’-acetoxychavicol acetate (ACA) isolated from Alpinia conchigera rhizome against human primary gingival fibroblast and keratinocyte (HPGF and HPGK). Methods: Cytotoxicity of ACA (1.57 mg/mL) against HPGF and HPGK was assessed using the MTT assay. Meanwhile, the anti-inflammatory property of ACA was analyzed based on the concentration of interleukin-6 (IL-6) and lactate dehydrogenase (LDH) synthesized by HPGF and HPGK in response to injury stimulation by lipopolysaccharide (LPS). Results: Treatment with ACA was non-cytotoxic to HPGF and HPGK, with cell viability maintained above 80% after 24 hours. In addition, ACA showed anti-inflammatory activity by reducing the concentration of IL-6 and LDH produced by HPGF and HPGK in response to LPS, reflecting the ACA possibly protecting the cells from inflammation. Conclusion: ACA isolated from A. conchigera rhizome demonstrated non-cytotoxic and anti-inflammatory properties in oral epithelial cells, suggesting its potential to be incorporated in the mouthwash.

Objective: The study aims to demonstrate the efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and caries progression inhibition in primary and permanent teeth. Methods: PubMed, Cochrane library, Wiley Online Library, and Google Scholar databases were searched from 2018 to 2022 and only randomized controlled clinical trials (RCT’s) were included. The studies were analyzed regarding the clinical efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and inhibition of caries progression. Results: Of the 14 articles identified, 5 RCTs were included. The quality of the studies was assessed to be high concerning allocation and outcomes. All the included studies showed significant differences in caries progression, masking, and color stability between test and control groups. Conclusion: The use of resin filtration significantly improved clinical outcomes in controlling proximal caries lesions and masking and color stability of enamel defects on smooth surfaces, compared to other non-invasive approaches.

Patient-reported outcomes about peri-implantitis are lacking among the Asian population, impacting decision-making in dental implant therapy. Objectives: This study aimed to assess the prevalence of peri-implantitis among Malaysian adults, and its impact on oral health-related quality of life (OHRQoL). Methods: Randomly selected 105 participants (adults aged 18 and above) having 265 implants were examined and diagnosed as with or without peri-implantitis (PI). Clinical examinations, including peri-implant probing depth, bleeding, and suppuration on probing with radiographic bone loss, were used to determine peri-implant status. OHRQoL of all participants were recorded using the short version of the Malaysian Oral Health Impact Profile [S-OHIP(M)] and reported as prevalence and severity of impact scores. Results: Prevalence of PI was 20.95% (95%CI 13.17-28.74) at the patient level and 11.7% (95%CI 7.83-15.57) at the implant level. Participants with PI had significantly greater percentages (p < 0.05) reporting impacts ‘fairly often’ or ‘very often’ in the dimensions ‘functional limitation’ and ‘handicap’ with their respective sub-items ‘difficulty chewing’ and ‘spending money.’ Both groups showed no significant difference in impact severity across items and domains. Although total S-OHIP(M) scores were higher in the PI group, the difference was not significant (p = 0.105). Conclusion: Peri-implantitis is relatively prevalent at 20%, but its impact on OHRQoL is minimal.

Objective: Selecting and arranging acrylic resin teeth for dentures is essential to achieve a natural appearance; however, limited understanding and older adults’ aesthetic expectations may result in inconsistencies and increased patient visits. This study aimed to explore the methods and factors dental students prefer when selecting artificial teeth for dentures for older adults. Method: A validated questionnaire, including consent, demographics, and six domains of the methods with related factors for selecting acrylic teeth, was distributed to dental students of the Universiti Teknologi MARA (UiTM). The participants responded using a five-point Likert scale and closed-ended questions. Result: 161 dental students participated in the study (115 females, 71.4% and 46 males, 28.6%), divided into no-experience (n = 80, 49.7%) and experienced (n = 81, 50.3%) in treating older denture patients. Both groups preferred the visual shade selection method, with no-experience students' mean score is 3.88 ± 1.03 and experienced students' score is 4.11 ± 0.77 (p > 0.05). The digital shade selection method was the least preferred by no-experience students (2.98 ± 1.28) and experienced students (2.51 ± 1.33) (p < 0.05). The factors most influencing the selection were experience, light source, and characteristics of the tooth. Conclusions: Dental students preferred the visual shade selection method for choosing acrylic teeth in denture fabrication for older adults and were influenced by experience, light source, and natural tooth characteristics.

Patients who report to the dental outpatient department following maxillofacial trauma often exhibit suboptimal oral hygiene, which is frequently attributed to challenges in sustaining oral care stemming from pain and restricted mouth opening after the injury. This case report aims to provide an individualized protocol of oral care and pain management for patients with maxillofacial trauma. Case report: A treatment protocol combining the Tailored Brushing Method (TBM), a personalized approach for at-home oral hygiene, and photobiomodulation using low-level laser was performed on a 24-year-old patient with maxillofacial trauma and poor oral hygiene. Results: The TBM is successful in achieving good patient adherence to at-home oral hygiene protocols. The results showed that the application of low-level laser soon after the trauma helped in pain control and augmented the patient’s compliance with the necessary procedures. This application was also shown to be effective in healing intraoral soft tissues. Conclusion: This case report highlights the TBM’s success in improving patient compliance and the effect of photobiomodulation in managing pain and enhancing the healing of soft tissues. In the precision periodontics era, this personalized oral care approach will offer significant therapeutic advantages in the management of patients with maxillofacial trauma.

Papillon–Lefèvre syndrome (PLS) is a rare genetic disorder caused by mutations in the cathepsin C gene and inherited in an autosomal recessive pattern. The risk of its occurrence is heightened by consanguineous marriages. PLS affects both genders and presents with hyperkeratotic patches on the hands and feet and precocious aggressive periodontitis. Although teeth initially erupt normally, rapid resorption in periodontal tissues leads to swift tooth loss, and prosthetic rehabilitation is complicated due to aggressive alveolar bone resorption. Case report: In 2021, a brother and sister sought dental treatment at Gazi University’s Faculty of Dentistry. After thorough examinations, the brother underwent total teeth extraction and subsequently received prosthetic treatment, while the sister opted for a removable prosthesis post-extraction. Two years later, the brother’s prosthesis showed no issues, justifying its continued use. However, the sister required a total prosthesis after total teeth extraction. Regular check-ups are essential for both patients, as they are candidates for dental implants after growth and development completion. Conclusion: It is important to note that PLS is a rare condition; therefore, vigilant dental diagnosis and effective management are crucial.

Objectives: It is challenging to achieve satisfactory outcomes in a complete denture for patients with resorbed residual ridges. Utilization of neutral zone techniques to guide posterior denture tooth arrangement and denture base contouring has been considered for many decades. However, the evidence is still not enough to revise protocols. This study aimed to compare patient satisfaction and stability of neutral zone denture with conventional denture. Methods: A crossover clinical trial was conducted among patients with resorbed mandibular ridges. Each participant received two sets of dentures: one fabricated using the neutral zone technique and one using the conventional method, in a randomized sequence. Denture stability was assessed clinically at the time of insertion. Patient satisfaction was recorded after three weeks of wearing each denture using a structured questionnaire. Data were analyzed using paired t-tests for within-subject comparisons, and carryover effects were evaluated using pre-test. Results: The carry-over effect was not statistically significant for both satisfaction (p = 0.099) and stability (p = 0.316). The stability of neutral zone denture was significantly higher than conventional denture (p = 0.043). Conclusion: Dentures prepared using neutral zone technique have been found to be more stable when compared to ones prepared using conventional methods.

Objective: This study aimed to evaluate the oral health practices, status, and treatment requirements of adolescents with special healthcare needs attending special education schools in Selangor, Malaysia. The adolescents’ parents perceived challenges to oral healthcare were also established. Methods: The current study employed a cross-sectional approach involving 131 adolescents with varying special needs. The participants were between 13 and 18 years old and fulfilled the pre-determined inclusion criteria. The participants’ parents supplied information on sociodemographic, oral health practices, and possible obstacles to dental care through an online survey form. The oral examination on decay, missing, and filled teeth (DMFT), simplified oral hygiene index (OHI-S), and treatment requirements were performed in the school with teachers in attendance. The chi-square test was then conducted during statistical analyses. Results: Most adolescents examined in this study demonstrated good oral hygiene, recording 0.79 ± 1.49 and 0.73 ± 0.4 mean DMFT and OHI-S scores, respectively. A majority of the participants also reported brushing their teeth more than once daily, while approximately 93.9% employed fluoridated toothpaste. A majority of the participants required oral prophylaxis and restorative treatment. Nevertheless, the most significant barriers perceived by the parents or caregivers were time constraints to bring their child to dental clinics and the child's dental anxiety. The present study found no association between barriers to dental care and dental treatment requirements. Conclusion: The results indicated no correlation between barriers to dental care and dental treatment requirements. The findings might be due to this study being conducted in an urban area in Malaysia. Consequently, a multi-centre study with a bigger sample size is recommended.