- Research Article
- Jan 1, 2025
- Stomatologija
- Maurília Raquel De Souto Medeiros + 6 more
Sialolithiasis is a relatively uncommon alteration of the salivary gland characterized by the presence of calcified structures within the glandular parenchyma or its ductal system, causing swelling and pain. Present a series of six cases of sialolithiasis in the submandibular and parotid glands, the diagnostic process, and the adopted treatment approach. Five reported cases occurred in the submandibular gland, and only one in the parotid gland. Three patients presented with painful symptoms, increased volume, and purulent secretions, while the other three cases were asymptomatic. All sialoliths were diagnosed through radiographic exams. The treatment consisted of sialolith removal via surgical approach and/or salivary flow stimulation via local massage. Sialolithiasis is diagnosed through clinical and imaging evaluation, and conservative treatment approaches preserve the integrity and function of the gland.
- Research Article
- Jan 1, 2025
- Stomatologija
- Karthik Shunmugavelu + 3 more
To present a case where bilateral mandibular tori complicated prosthetic rehabilitation and to discuss the etiology, clinical features and management of this anatomical variant based on a review of current literature. A 45-year-old female presented with gingival bleeding and lower anterior tooth mobility. Clinical and radiographic examination revealed chronic periodontitis, missing teeth (#35, #36, #37, #46) and bilateral, lobulated mandibular tori. The left torus was surgically removed under local anesthesia using a chisel and mallet to facilitate the fabrication of a removable partial denture. Postoperative healing was uneventful, with complete mucosal healing observed at one month. The prosthesis was subsequently delivered successfully. While often asymptomatic, mandibular tori can impede prosthetic treatment. Surgical removal is a predictable procedure when indicated, leading to favorable functional and prosthetic outcomes. This case underscores the importance of interdisciplinary management in oral healthcare.
- Research Article
- Jan 1, 2025
- Stomatologija
- Augustė Brazytė + 5 more
The aim of the present study was to evaluate the difference between bone atrophy, pink esthetic score, and long-term results in socket shield technique compared to traditional immediate implantation. The literature review was carried out according to PRISMA principles and the database search was performed using the following keywords: "Socket shield technique ", "Root membrane ", "Pink esthetic score ", and "Immediate dental implant loading ". This review involved studies with humans that were published in English. The studies were published between 2018 and 2025, and the socket shield technique was compared with traditional immediate implantation. Out of 517 records, 5 randomized controlled trials were selected, reporting 169 patients who received 184 implants (92 socket-shield technique, 92 immediate implant). Meta-analysis of the Pink Esthetic Score outcomes showed that implants placed using the socket-shield technique (intervention group) achieved significantly higher pink esthetic scores than those implants placed immediately (pooled mean difference = 1.29; 95% CI: 0.32-2.26; p=0.0095), demonstrating a statistically significant effect in favor of the intervention group. Our systematic review demonstrates that socket-shield technique provides superior preservation of marginal bone compared with traditional immediate implantation protocols. The socket shield technique allows implant rehabilitation characterized by better aesthetic outcomes and minimal bone loss compared to traditional immediate implantation.
- Research Article
- Jan 1, 2025
- Stomatologija
- Soundarya Sakthivel + 5 more
Cleft lip and palate (CLP) is a common congenital defect where dental anomalies are seen at a higher rate compared to the general population. The study aimed to identify, compare and correlate dental anomalies in non-syndromic cleft lip and palate subjects. A total of 100 patients with cleft lip and palate were evaluated for the presence of dental anomalies. After informed consent, clinical and radiological examination of the patients was performed. Cone beam computed tomography sections were analysed and dental anomalies present were recorded. The observations were tabulated and the data was subjected to statistical analysis. Ninety six percent of the cleft population had at least one dental anomaly. Patients with unilateral cleft lip and palate showed the highest prevalence of dental anomalies. Missing teeth (87%) were the most common dental anomaly followed by ectopic eruption, microdontia, enamel hypoplasia and impacted teeth. Other dental anomalies like odontomes and pulp stones were found at a lower prevalence rate. Patients with CLP are highly susceptible to the occurrence of dental anomalies. Thorough clinical and radiographic examination, careful planning and implementation of specialized services are needed in an effort to provide early diagnosis and comprehensive treatment.
- Research Article
- Jan 1, 2025
- Stomatologija
- Osvaldas Mickevičius + 1 more
There is a lack of evidence of possible implant fracture after implantoplasty due to decreased implant diameter. To compare narrow diameter titanium dental implants fracture resistance after implantoplasty performed by computer numerical control (CNC) lathe machine which helped to standardize study setting. Twelve (n=12) narrow diameter (3.6×11.0 mm) endosteal screw-shaped bone-level dental implants with an internal connection which are made from grade IV titanium were randomly divided into 2 groups containing six (n=6) implants each. The test group was exposed to implantoplasty using a computer numerical control (CNC) lathe-turning machine. Implantoplasty was performed removing 5.5 mm of implant threads from the implant coronal part downwards towards the apical part, which resulted in a 0.2 mm coronal diameter reduction. Implants from both groups were positioned on metal pipes using three-dimensional (3D) printed guides. The space inside the pipe was filled with epoxy resin. Every sample had an individually 3D-printed chrome-cobalt (Cr-Co) alloy crown, which distributed forces during the test. Implants were compressed in a universal testing machine. Statistical analysis was performed using IBM SPSS 29.0 software. Performing implantoplasty with CNC lathe-turning machine was a success, which helped to standardize study settings. The control group showed average resistance to a maximum compressive force of 443.76 N, while the test group showed average resistance to a maximum compressive force of 409.42 N. No statistical significance was found between groups on the compressive force aspect. This in vitro study shows that implantoplasty does not have a significant effect on decreasing fracture resistance of narrow diameter titanium dental implants.
- Research Article
- Jan 1, 2025
- Stomatologija
- Amit S Date + 2 more
Anomalous anatomical relationship of spinal accessory nerve and internal jugular vein can make neck dissection very challenging while removing nodal metastasis in oral cancer. We report here one such situation which was a surprise finding on table. We feel all clinicians encountering internal jugular vein should be aware of this to avoid neurovascular complication.
- Research Article
- Jan 1, 2024
- Stomatologija
- Tulio Bonna Pignaton + 3 more
The present study presents a series of cases of maxillary rhinosinusitis related to dental infection and threated exclusively with the extraction of the compromised teeth. Eight patients were selected from a private practice dental institute presenting a violated Schneiderian membrane due to odontogenic infections, as confirmed by a Cone Beam computed tomography (CBCT) that was performed in all cases for diagnosis. The origin of these infection was due to endodontic of periodontal lesions, and the pulpar vitality tests and periodontal probing were executed in order to confirm that the source of the maxillary rhinosinusitis was due to the odontogenic infections. All the cases of maxillary rhinosinusitis were resolved after the tooth extraction, since the dental implants placement were indicated in all the cases. It is possible to conclude the importance of the diagnosis of infectious lesions of odontogenic origin for the differential diagnosis of rhinosinusitis to determine the treatment appropriated for the resolution of this illness.
- Research Article
- Jan 1, 2024
- Stomatologija
- Marcelo Rodrigues Azenha + 3 more
Oral cancer is one of the diseases with the highest morbidity and mortality worldwide and knowledge of diagnostic techniques, treatment modalities in different populations and preventive measures are extremely important. The use of tobacco and alcoholic beverages increases the risk for development of this neoplasm. This retrospective study was done evaluating the cases of squamous cell carcinoma diagnosed at an oral diagnosis specialized care center (CAEDO) during 2 years. The records of 29 patients diagnosed with oral squamous cell carcinoma were analyzed considering the age, patient´s gender, lesion site in oral cavity, the use of tobacco and alcohol, the characteristics of the lesions and treatment performed. A higher incidence of oral squamous cell carcinoma was observed in males in the proportion of 2:1. The mean age was 64 years and most patients were tobacco and / or alcohol users. Third four lesion sites were detected and the tongue was the most affected site, corresponding to 51.7% of all cases. The dental surgeon must be able to recognize a neoplasm and attention should be made to male patients aged over 40, especially those with tobacco and alcohol use.
- Research Article
- Jan 1, 2024
- Stomatologija
- Kotryna Rumšaitė + 5 more
Dental or skeletal anchoring plays a significant role in the orthodontic treatment of various malocclusions. Miniscrews are now regarded as stable skeletal anchoring. Despite their popularity, miniscrew success rates in studies range from 83.9 to 93.3%. Surface treatment is one of its properties that is now being extensively researched and enhanced. Consequently, the purpose of this systematic review is to ascertain how miniscrew surface treatment affects insertion torque, success rate, and removal torque. The protocol for conducting a systematic literature review followed the PRISMA criteria. The keywords "mini-implant", "mini-screw", "orthodontic mini screws", "survival rate", and "surface treatment" were used to search electronic databases. This systematic review included human studies published in English within the previous five years that compared the success rates of miniscrews with and without changed surfaces. Four included studies assessed the effect of surface modification on the success rate; two of them examined the impact on insertion torque, one the removal torque, and one assesed the periotest value. The rough surface group achieved a higher success rate than the non-modified group, although the difference was not statistically significant. The treated surface group had higher removal torque than the non-treated group, but the difference was not statistically significant. Quantitative and qualitative analysis revealed that surface-treated miniscrews had a greater success rate and insertion torque than non-treated ones, although the difference was not statistically significant.
- Research Article
- Jan 1, 2024
- Stomatologija
- Irene Ann Thomas + 2 more
To assess salivary and serum levels of Human Islet Antigen Insulinoma-Associated-2 Autoantibody (IA-2A) & Zinc Transporter 8 Autoantibody (ZnT8A) in generalized periodontitis patients with and without Type 2 Diabetes mellitus (T2DM) & healthy controls. Our hypothesis was that either/both these chronic, low-grade inflammatory conditions may influence each other and lead to altered salivary and/or serum IA-2A and ZnT8A levels. Periodontally & systemically healthy controls (G-I, n=20), generalized periodontitis without T2DM (G-II, n=20), T2DM without periodontitis (G-III, n=20) & generalized periodontitis with T2DM (G-IV, n=20) patients were enrolled. Periodontal, demographic, anthropometric & laboratory parameters were evaluated & analysed. Salivary and serum IA-2A & ZnT8A were significantly elevated in diabetic as compared to the non-diabetic patients (p<0.001). There was a strong & positive correlation between periodontal clinical parameters, fasting plasma glucose (FPG), glycosylated haemoglobin (HbA1c) & both salivary and serum IA-2A & ZnT8A. Regression analysis results determined both salivary and serum IA-2A and ZnT8A to be independent risk factors for periodontitis (p<0.05). Serum ZnT8A in T2DM patients and salivary IA-2A in non-T2DM patients were the most accurate markers to differentiate periodontitis from health. Autoantibodies to IA-2 & ZnT8 may function as non-invasive markers to screen for periodontitis/or T2DM.