Root Remnants Research Articles

Morphometric Tomographic Analysis of the Head of the Tridactyl Humanoid Specimen from Nasca-Peru

Objective: To report the tomographic and morphometric analysis of the head of the tridactyl humanoid specimen from Nazca, Peru. Method: A qualitative case study approach. RadiAnt DICOM Viewer software version 4.2.1 was used to analyze lengths, diameters, and volume in tomographic images of the head. The morphological biometric analysis applied anthropometric methods using some craniometric points and cephalometric angles. Results and Discussion: As a result, it is reported that there are atypical, strange, and exceptional morphometric imaging features in the cephalic segment of specimen M01. The cephalometric analysis based on the ANB angle revealed a class II skeletal pattern, and according to the Bjorl-Jarabak analysis, it has a convex facial profile with hypodivergent growth (brachyfacial). The patient also has maxillary biprotrusion, severe protrusion of upper and lower incisors, loss of teeth, presence of root remnants, severe dental abrasion, non-assessable canine class, absence of three third molars and ocular protrusion. Based on craniometric points, the SNA angle (Sella, Nasion and Point A) and the SNB angle (Sella, Nasion and Point B) maxillary protrusion and mandibular protrusion were diagnosed. Implications of the research: It is concluded that the combination of uncommon morpho-anatomical features in the maxillofacial and cranial massif do not correspond to a human craniofacial biotype, but could be considered as suggestive findings of morpho-anatomical features typical of a hominid species similar to humans. Originality/Value: The expansion of biometric and morphoanatomical data of the head reinforces the hypothesis that morphologically it would be a non-human hybrid species.

Dentitions of Long-Term Care Residents: Tooth Types, Roles in Occlusion and Association with Dementia.

Background/Objectives: Many older adults living in long-term care (LTC) environments have varying numbers of retained natural teeth. The objective of this study was to assess the disease findings based on tooth type and estimate the role of tooth types in occlusion. Methods: We conducted clinical oral examinations of 276 LTC residents. The disease findings were analyzed for each tooth type and to determine their associations with dementia. Results: In total, 67.8% of the participants had molar teeth. Premolars/canines were often present as residual roots and had caries. Deepened periodontal pockets and higher plaque index (PI) values for molars had odds ratios of 2.5 (95% confidence interval [CI] of 1.59-3.91) and 1.61 (95% CI of 1.29-2.02), respectively. Participants with dementia were more likely to have incisors and premolars/canines in the form of root remnants and higher PI scores for all tooth types (p ≤ 0.01), as well as more deepened periodontal pockets in all teeth (p = 0.029), than those without dementia. The median number of remaining molars per participant was 3 out of a maximum of 12 (95% CI 3.4-4.0); thus, they often lacked occlusal contact. Conclusions: The LTC residents' molars were more prone to periodontal problems, whereas their premolars/canines often had caries or were present in the form of root remnants, especially in the participants with dementia. People's teeth should be treated in an easy-to-maintain way before they move into LTC to enable daily oral hygiene measures and maintain oral health.

Modified Surgical Guide for Root Sectioning in the Socket Shield Technique-In Vitro Study.

This in vitro study aimed to evaluate the effectiveness of a printed surgical guide for root sectioning in the socket-shield technique. A typodont model of the maxilla with augmented filler was used for the upper right central incisor, and CBCT images were obtained. Two types of vertical root sectioning guides were tested: one with a buccal sleeve (Group A, n = 10) and another with a buccal orientation slit (Group B, n = 10). Control group (n = 10) performed freehand cuts on printed models. After crown cutting with diamond burs, root sectioning was conducted using an ultrasonic tip with the guides. Mean and standard deviation were calculated for the remaining root length, width, and volume. Data were analyzed using the Kruskal-Wallis test and Dunn's post hoc test. Statistical analysis showed significant differences in root width between the control group (2.0 mm) and both Groups A (2.655 mm; p < 0.0001) and B (2.460 mm; p < 0.0001). Group B (5.585 mm) also showed a significant difference in root remnant compared with the control (13.880 mm; p < 0.0043). Groups A and B did not differ significantly from each other. The socket shield technique is safe and effective, this study aimed to add improvements through the introduction of surgical guides, facilitating the root section, which is the critical phase so that the parameters that are requisite for success are achieved in terms of width, length, and volume of the root remnant. Both guided techniques effectively facilitated root sectioning, maintaining satisfactory root thickness and length. Sectioning the root is challenging for the correct angulation to remove the palatal portion in the socket shield technique. Therefore, modifying this technique with the use of the presented guides, it is possible to prevent damage to the soft tissues and to plan the surgery with the help of cone beam computed tomography (CBCT) scans to remove the root apex and maintain the root remnant with a thickness greater than 1.5 mm, making the socket-shield technique more predictable.

SURGICAL REMOVAL OF SUPERNUMERARY TOOTH IN A PEDIATRIC PATIENT: Case report in Mato Verde - MG

Supernumerary dental elements represent a condition in which there is the presence of excess dental elements in relation to the normal number in the arches, which can manifest itself both in childhood and in adult life. The objective of this study was to report a clinical case of surgical removal of a supernumerary tooth in a four-year-old patient. This is research with a qualitative approach and exploratory/descriptive objectives, using clinical case study procedures. The research was carried out in the municipality of Mato Verde-MG at Faculdade Verde Norte (FAVENORTE). The person responsible for the four-year-old female patient came to the Favenorte school clinic with the following main complaint: “Removal of a supernumerary tooth”. The patient's guardian reported that she had previously sought another professional, who had given the diagnosis. On clinical examination, the presence of a supernumerary tooth was observed in the anterior region between the primary central incisors in the palate region. Teeth 51, 52, 61 and 62 had their coronal portions destroyed and did not present the possibility of rehabilitation, due to the quality of the root remnants. Radiographic examination can confirm the presence of a supernumerary tooth. After removing the root residue, surgery was planned to remove the supernumerary tooth, with the aim of preventing future dental problems. It is essential that professionals are aware of the characteristics of this anomaly and that this treatment is as conservative as possible, thus enabling a satisfactory postoperative period for the patient.

Periodontal changes induced by fixed orthodontic therapy.

Orthodontic therapy is a complex process involving a series of specialists in the dental field: the oral-maxillo-facial surgeon, the periodontologist, sometimes even the prosthetist, implantologist, or general practitioners. The injuries of the oral mucosa induced by orthodontic therapy include gingival overgrowths, traumatic lesions of the oral mucosa, different degrees of periodontal damage manifested by gingival retraction, alveolar bone resorption. From a total of 327 subjects who came to the Dental Clinic in Craiova 74 subjects were selected, who presented with gingival overgrowth associated with fixed orthodontic therapy. Subjects' age ranged from 14 to 56 years and experienced bleeding and gingival discomfort as well as alterations in physiognomic function. None of the patients included in the study have systemic diseases and are not under medical treatment. The clinical and statistical study took place between May 2022 and December 2023. Each patient was given a personal record containing personal data as well as oral and systemic health status. The examination of the periodontal status aimed at the evaluation of the following indices: assessment of oral hygiene using the OHI-S index and the O'Leary plaque index, assessment of superficial periodontal status using the Löe/Silness gingival inflammation index, periodontometry was performed in order to determine the depth of periodontal pockets, the level of gingival insertion, and the McGaw gingival overgrowth index. OHI-S index comprises two elements: the Debris Index and the Calculus Index. The purpose of our study is to present the incidence of cases of gingival overgrowth induced by fixed orthodontic therapy and to highlight how certain irritating factors can exacerbate the symptoms of gingival overgrowth of orthodontic etiology. The majority of patients were female, aged between 30 and 55 years. Most clinically examined patients have presented with Grade II gingival hyperplasia. Factors that have exacerbated the symptoms of orthodontically induced gingival overgrowth include: incorrectly adapted prosthetic restorations, unpolished massive coronal fillings, root remnants, bacterial plaque, and tartar. Clinical examination of the oral cavity revealed the presence of gingival inflammation (localized or generalized), simple or complicated, treated and untreated odontal lesions, and coronal fillings made of light-curing composite material of significant size, being unfinished and unpolished, sometimes with sharp edges directly injuring the adjacent gingival mucosa, marginally incorrectly adapted prosthetic works. In the case of child and adolescent patients, significant amounts of bacterial plaque and tartar buildup were observed. In most of the cases examined, it was observed that the gingival overgrowth had a firm consistency, pinkish-reddish colour and gingival bleeding was evident during probing. Gingival overgrowth caused by orthodontics induces a number of important periodontal changes. It is worth noting that gingival overgrowth induced by fixed orthodontic therapy, in most of the cases examined, co-exists with favouring factors that amplify its severity. In our study, the favouring factors were bacterial plaque and calculus accumulation, sharp-edged odontal lesions, marginally ill-fitting prosthetic restorations or massive unfinished crown fillings. Therefore, removing the contributing factors can help improve the symptoms but also to reverse the inflammatory phenomena.

Socket-shield Technique and immediate implant placement for ridge preservation in the aesthetic region: a 1-year clinical and tomographic follow-up

Objective: To describe the clinical, radiographic and tomographic aspects, as well as complications, success, aesthetic and functional results of an implant placed using the “socket shield” technique. Case Details: Represents a 46-year-old patient, with increased mobility of the crown in the bucco-palatal direction, with indication for extraction replaced by immediate implant. Atraumatic extraction, socket preservation technique and immediate implant placement were performed. The socket-shield technique was designed for placing implants to protect the oral bone and achieve adequate aesthetics. The buccal fragment of the tooth was kept fixed and the implant was placed in contact with the tooth fragment. Cone Bean computed tomography showed bone formation in the buccal aspect 1 year later, and demonstrated stability of the peri-implant bone tissue and replacement of the root remnant by bone. The clinical appearance demonstrated maintenance of peri-implant soft tissues and good aesthetics without gingival retraction. Final considerations: One-year follow-up shows adequate healing and healthy peri-implant tissue, suggesting that the socket-shield technique with immediate implant placement can be an excellent alternative for preserving the vestibular cortex and implant placement, especially in the aesthetic area.

Transtibial Lateral Meniscal Root Repair Technique to Appose Remnant Root With Torn Body: The Double Compression Knot

Anterior cruciate ligament reconstructions are often performed with associated procedures, most commonly for associated meniscal tears. The lateral meniscal root tear is a commonly associated injury, which increases rotational instability and results in altered tibiofemoral biomechanics. Lateral meniscectomy results in poorer functional and long-term outcomes, making repair vital. The position of the lateral root tear makes its repair technique complicated. Because of the proximity to vessels posteriorly, the all-inside technique is considered potentially unsafe, and current transtibial repair techniques fail to appose the body with the root remnant. In the lineage of Laprade, who proclaimed the use of a transtibial suture for radial tears elsewhere in the knee in order to reduce the shear force, we describe a transtibial technique that optimizes meniscal apposition, theoretically improving the repair biomechanics and is technically easier to perform in comparison to suture hook techniques with one tunnel and one suture.

Особливості ураження трійчастого нерва при стоматологічних захворюваннях: надання невідкладної допомоги

Summary. Usually, the clinical basis of neurostomatological diseases is the lesion of various parts of the nervous system that provide innervation of the oral cavity and face. The main nerves whose damage leads to the development of neurostomatological diseases are the trigeminal, facial, intermediate, lingual, vagus and hyoid nerves. Among them, the trigeminal nerve system is most often affected. The causes can be odontogenic diseases such as pathological processes of the dentition and ineffective or incorrect methods of their treatment (traumatic complex tooth extraction, including the presence of bone fragments, root remnants in the socket, pulpitis and periodontitis, galvanisation phenomena when using various methods for filling and prosthetics, poorly made dentures, gingivitis, etc.) In the lecture, we tried to highlight the lesions of the trigeminal nerve system in dental diseases, emergency care, treatment and rehabilitation. Key words: trigeminal neuralgia, dental diseases, emergency care.

Caries experience and risk indicators of having decayed teeth among 65-year-olds in Oslo, Norway: a cross-sectional study

BackgroundMeeting the oral health needs of the increasing population of older adults presents a major challenge in dental care. Knowledge about the oral health status in the young-elderly age group is essential for the planning of future oral health education and prevention programs. The aims of the present study were therefore to investigate the caries experience among 65-year-olds in Oslo, Norway, and to explore associations between having decayed teeth and sociodemographic, behavioural, and biological factors.MethodsA random sample of 65‑year‑olds in Oslo answered a questionnaire and underwent clinical and radiographic examinations (n = 457, 52% men and 48% women) at the Research Clinic, Faculty of Dentistry, University of Oslo, between February and December 2019. Primary- and secondary coronal and root caries lesions, root remnants, and missing and restored teeth were recorded. Decayed teeth (DT) were defined as teeth with coronal- and root caries lesions that had progressed into dentine and root remnants, and the DMFT/S scores were calculated.ResultsThe mean number of teeth was 25 (SD: 4) and the mean DMFT was 19.4 (SD: 4.7). Thirty seven percent of the individuals had at least one decayed tooth (DT > 0), and the mean number of filled teeth (FT) was 16.1 (SD: 5.4). Multivariable logistic regression analysis showed that male gender (OR: 1.8, 95% CI: 1.2–2.8), basic level of education (OR: 1.9, 95% CI: 1.2–2.9), irregular dental attendance (OR: 2.2, 95% CI: 1.0-4.8), and hyposalivation (OR: 2.1, 95% CI: 1.0-4.4) were significant risk indicators for having decayed teeth (DT > 0) (p < 0.05).ConclusionsIn conclusion, 65-year-olds in Oslo had a low average number of decayed and missing teeth, and a high number of restored teeth. Irregular dental attendance and hyposalivation were the strongest risk indicators for having decayed teeth. Based on the present results, it will be important to ensure access to regular dental care and to increase the emphasis on caries preventive measures for individuals with hyposalivation in this age group.

Necessity of Antibiotic usage after Simple Tooth Extraction in Patient with Healthy Systemic Condition in Herat, Afghanistan

Background/Purpose: Over-intake of antibiotics like amoxicillin, penicillin, ceftriaxone, gentamycin, ampiclox, metronidazole and last but not least, tetracycline is a practical hazard in aid-supported settings such as Afghanistan where not only one can get access to them easily, but also they are generously being prescribed without consideration for necessity or side effects. Prescribing antibiotics after simple tooth extraction has remained a questionable topic in dental academia, especially in the third world countries. Among dental procedures, extraction is the most common procedure for the prescription of antibiotics. This study is aimed to determine the necessity of using antibiotics after simple tooth extraction in people with a normal systemic condition and establish its role in reducing pain and discomfort, swelling, and dry socket. Materials and Methods: This double-blinded RCT study was performed in two dental surgeries; Erfan Specialized Dental Clinic and Mena Oral and Dental Care Centre. In all 237 patients, selected systematically, randomized, tooth extraction was performed following the same protocols and materials before and after tooth extraction. Two types of prescriptions (one with antibiotics and one without antibiotics) were prepared in a box. After tooth extraction participants were asked to pick one prescription by chance. All data were collected and analyzed with the SPSS-25 program. Results: Among all participants 76.37% were female and 23.63% were male. Regarding reasons that led to tooth extraction, 43.04% of teeth were extracted due to profound caries, making it the most common reason followed by periodontitis 14.77% and root remnants 10.55%. Pain and discomfort peaked in the first 10 hours after extraction and gradually decreased up to 48 hours after extraction. Swelling was observed 2.53% more in antibiotic users than 0.42% in those that didn’t take them and the p-value was significant &lt;0.05. There is no obvious difference between antibiotic usage and dry socket formation, and the p-value was not significant (&gt;0.05). Conclusion: Antibiotics are not necessary after simple tooth extractions in patients with a normal systemic condition, even in countries like Afghanistan where patients overuse antibiotics, nor do they have any role in reducing pain, swelling, and dry socket after simple extractions.

Effect of Enterococcus faecalis Biofilm on Corrosion Kinetics in Titanium Grade 4 Alloys with Different Surface Treatments.

E. faecalis has been associated with bacteremia, sepsis, and bacterial endocarditis and peri-implantitis. This microorganism can remain in the alveolus even after extraction of the root remnant. This study aimed to evaluate the corrosion on different surfaces of commercially pure titanium (Ti) grade 4 (Ticp-G4) as a function of the bacterial biofilm effect of Enterococcus faecalis. A total of 57 discs were randomly divided according to their surface finish (n = 19). For microbiological analysis (n = 9), the discs were placed in 12-well plates containing E. faecalis culture and incubated at 37 °C for 7 days. The results show that for the intergroup analysis, considering the "electrolyte" factor, there was a difference between the groups. There was greater biofilm formation for the D.A.Zir group, with greater electrochemical exchange for Biofilm, and the presence of biofilm favored greater electrochemical exchange with the medium.

Dental status and its correlation with polypharmacy and multimorbidity in a Swiss nursing home population: a cross-sectional study

ObjectiveTo assess the correlation between oral health status in terms of present teeth, implants, removable prostheses, and polypharmacy and/or multimorbidity in three Swiss nursing homes with affiliated or integrated dental care.MethodsA cross-sectional study was conducted in three Swiss geriatric nursing homes with integrated dental care. Dental information consisted of the number of teeth, root remnants, implants, and presence of removable dental prostheses. Furthermore, the medical history was assessed in terms of diagnosed medical conditions and prescribed medication. Age, dental status, polypharmacy, and multimorbidity were compared and correlated using t-tests and Pearson correlation coefficients.ResultsOne hundred eighty patients with a mean age of 85.5 ± 7.4 years were included of which a portion of 62% presented with multimorbidity and 92% with polypharmacy. The mean number of remaining teeth and remnant roots were 14.1 ± 9.9 and 1.0 ± 3.1, respectively. Edentulous individuals comprised 14%, and over 75% of the population did not have implants. Over 50% of the included patients wore removable dental prostheses. A negative correlation with statistical significance (p = 0.001) between age and tooth loss (r = − 0.27) was observed. Finally, there was a non-statistically correlation between a higher number of remnant roots and specific medications linked to salivary dysfunction; specifically antihypertensive medication and central nervous system stimulants.ConclusionThe presence of a poor oral health status was associated with polypharmacy and multimorbidity among the study population.Clinical relevanceIdentifying elderly patients in need of oral healthcare in nursing homes is a challenge. In Switzerland, the collaboration of dentists and nursing staff is still improvable, but is urgently needed due to the demographic changes and raising treatment demand of the oldest portion of the population.

Local radiographic risk factors for MRONJ in osteoporotic patients undergoing tooth extraction.

To identify local radiographic risk factors for Medication-Related Osteonecrosis of the Jaws (MRONJ) in osteoporotic patients treated with antiresorptive drugs (ARD) and undergoing tooth extraction. Patients were included in this retrospective, longitudinal, case-control study, if having at least one administration of ARD, underwent tooth extraction(s), and had pre- and post-operative panoramic radiographs. Additionally, a matched control group was selected. Three calibrated, blinded, and independent observers assessed each tooth extraction site. Statistical analysis compared control against study group, and within the latter, sites MRONJ+ and MRONJ-. In total, 120 patients (99 females/21 males) with 354 tooth extractions were included, from which nine patients (7.5%) and eleven tooth extraction sites (3.1%) developed MRONJ. When comparing control with study group, the latter showed significantly more thickened lamina dura, persistence of the alveolar socket, heterogeneous bone patterns, and sequestrum formation. In the study group, MRONJ developed significantly more in males (19%, p= 0.049), smokers (25%, p= 0.008), in the mandible (82%, p= 0.027), when identifying a radiolucent or sclerotic trabecular pattern (p= 0.004) or when extracting teeth with furcation involvement (p< 0.001), root remnants (p= 0.017), or unrestored caries lesions (p= 0.005). Tooth extraction sites showing radiographic signs of chronic dental infection are prone to MRONJ.

Management and Follow-up of Orthodontic Forced Extrusion: A Case Report. [English translation-Original in Spanish

This clinical case focuses on the diagnosis and treatment of forced eruption in a patient with dental trauma. Objective To propose a multidisciplinary treatment alternative which allows to increase dental structure through forced extrusion and subsequently rehabilitate it in function and aesthetics. Methods: The case of a 78-year-old male adult patient, healthy and without pathological history, attended the clinic of the Orthodontics and Dentomaxillofacial Orthopedics Specialty, referred by an Endodontics specialist, is described due to canine crown-radicular fracture. upper right, fixed bridge abutment with three units. In the intraoral examination, he presented a cervical fracture of the crown of the upper right canine. As a first step, endodontic treatment was performed on the tooth and placement of an intracanal support abutment (emptied endopost), in order to improve orthodontic traction. This adjunct consisted of a cast post with perforations. We proceed to place fixed appliances in the upper arch with the MBT technique (slot 0.022), from the right molar to the left canine with indirect and passive cementation (with the slots of the brackets aligned). Immediately afterwards, a 0.019 x 0.025 stainless steel rectangular archwire was placed with an extrusion bend at the level of the upper right canine. In the same fold, a helix-type loop was adapted that functioned as a support to place the passive ligature (lace back). Results: The treatment carried out on this patient is satisfactory, contributing to his general state of health, improving his self-esteem. Conclusion: Here, all the advantages offered by forced orthodontic extrusion were taken advantage of, even in an elderly patient, achieving a traction of four millimeters, which was achieved thanks to the use of light and controlled extrusive forces on the affected dental organ. With the described treatment modality, crown lengthening can be achieved without the need for bone resection, which allows for correct prosthetic rehabilitation, restoring function and aesthetics to the injured tooth and providing comprehensive benefit to the patient.

Whether or not to remove root remnants in frail older adults?

Many frail older adults have a poor oral health: unrestorable broken teeth and root remnants with open root canals, commonly associated with periapical and periodontal inflammation, are often seen. Improving oral health in this growing group of frail older adults is a considerable challenge for dental care professionals. Dentists are often uncertain how to deal with root remnants and unrestorable broken teeth in psychogeriatric and/or medically compromised frail older adults. Decisions about the extraction or retention of root remnants should not only be made on the basis of preventing pain and inflammation, but also on the course of disease, life expectancy, cooperation, laws and regulations and other factors that are an issue in geriatric patients but not in regular (healthy) patients. To help oral health care professionals in their treatment choice for this complex patient group, a decision tree was developed in which both root and patient-related factors were included.

Convolutional neural networks for automated tooth numbering on panoramic radiographs: A scoping review.

The objective of this scoping review was to investigate the applicability and performance of various convolutional neural network (CNN) models in tooth numbering on panoramic radiographs, achieved through classification, detection, and segmentation tasks. An online search was performed of the PubMed, Science Direct, and Scopus databases. Based on the selection process, 12 studies were included in this review. Eleven studies utilized a CNN model for detection tasks, 5 for classification tasks, and 3 for segmentation tasks in the context of tooth numbering on panoramic radiographs. Most of these studies revealed high performance of various CNN models in automating tooth numbering. However, several studies also highlighted limitations of CNNs, such as the presence of false positives and false negatives in identifying decayed teeth, teeth with crown prosthetics, teeth adjacent to edentulous areas, dental implants, root remnants, wisdom teeth, and root canal-treated teeth. These limitations can be overcome by ensuring both the quality and quantity of datasets, as well as optimizing the CNN architecture. CNNs have demonstrated high performance in automated tooth numbering on panoramic radiographs. Future development of CNN-based models for this purpose should also consider different stages of dentition, such as the primary and mixed dentition stages, as well as the presence of various tooth conditions. Ultimately, an optimized CNN architecture can serve as the foundation for an automated tooth numbering system and for further artificial intelligence research on panoramic radiographs for a variety of purposes.

Evaluation of Panoramic Radiographs of Totally Edentulous Jaws: A Retrospective Study

Aim: This retrospective study aimed to determine the incidence of random findings in digital panoramic images acquired from edentulous patients presenting for conventional prosthetic rehabilitations or implant-supported dentures. Materials and Methods: In this retrospective study, of the patients aged 16 years and older, 950 of 1100 panoramic films were evaluated by two maxillofacial radiologists (MA and IBY) in ambient light on an LCD monitor. The final classification and radiographic status of each finding were recorded after inter-observer consensus. Radiographs with low image quality and artifacts that did not include the demographic information of the patients were not included in the study. In the present study; impacted teeth, root remnants, radiolucent (RL) lesions, radiopaque (RO) lesions (including idiopathic osteosclerosis), foreign bodies, crest atrophies, soft tissue calcifications, maxillary sinus opacities, and Stafne bone defects were examined. Lesions affecting the alveolar region were divided into three regions as anterior (incisors and canines region), premolars and molars region. Results: Tonsillitis was observed in a total of 55 individuals, 26 men and 29 women. Sialolith was seen in a total of 3 patients, 2 male and 1 female, but phleboliths were not found in any of them. Styloid ligament ossification(SLO) was seen in a total of 125 patients, 69 of these cases were female and 56 were male, however calcified atherosclerotic plaque is the most common calcification with 156 individuals and a rate of 16.4% among calcifications. Laryngeal cartilage calcification, which is seen in 36 female and 23 male individuals. Conclusion: The outcome of this study indicated that the ratio of advantageous findings fixed in digital panoramic images of totally edentulous patients was highly rated. There are indispensable for patients with total edentulism such as routine use and careful examination of panoramic images.

Frailty index and ten oral conditions in the Coyoacan cohort study: A cross-sectional analysis.

To analyse the relationship between the Frailty Index and 10 oral conditions controlling for nutritional status among Mexican community-dwelling older people. Studies suggest that the association between frailty and oral conditions are mediated by nutrition. This cross-sectional analysis includes 487 community-dwelling men and women aged ≥70 years old. Interview and clinical examinations were performed at participants' homes. Objective (number of natural teeth, root remnants, dental condition, utilisation and functionality of removable dental prostheses and periodontitis) and subjective (utilisation of dental services, self-rated oral health, chewing difficulties and xerostomia) oral variables were collected by trained personnel. The Frailty Index was calculated considering 35 deficits. Nutritional status measured with the Mini-Nutritional assessment (MNA), age, sex, education, and marital status were included as covariates. We fitted 11 multivariate generalised linear models (one for each oral condition), assuming gamma distribution for Frailty Index as the outcome. Participants average age was 78.1 years, 52.1% were women. We observed a higher Frailty Index among those rating their oral health as worse than others their age (5.1%), reporting chewing difficulties often (4.9%) and fairly and very often (7.0%), and xerostomia (4.8%). Age, gender and MNA were consistently associated with the Frailty Index. Subjective oral conditions are compatible with the Frailty Index after controlling for older people's nutritional status and covariates.

Conventional surgical excision for the treatment of Peripheral Cemento-Ossifying Fibroma Posterior Maxilla: Case report

Background: Peripheral Cemento-Ossifying Fibroma (PCOF) usually presents as epulis, represents 3.1% of all oral tumors and 9.6% of gingival lesions, is difficult to distinguish clinically and radiographically, requires anatomic histopathological confirmation, peaking in the 2nd and 3rd decades, high recurrence 8-20%. Objective: To report the case management of Peripheral Cemento-Ossifying Fibroma in posterior maxilla with conventional surgery excision surgery, curettage, extraction, and ostectomy. Case: A 42-year-old woman came to the Oral Surgery Clinic at RSUD Haji East Java Province Hospital, complaining of a lump in left maxillary gingiva since 2 years ago, with discomfort, often bitten, initially small, gradually enlarged and never shrinking, does not bleed easily, no lumps elsewhere, with sharp remnants of roots, loose teeth, and a history of vertigo. Discussion: The results of FNAB is Fibromatous Epulis, panoramic radiographic view of the loose periodontal ligament of tooth 27, radiolucent mixed radiopaque clearly demarcated in the distal portion of 27, no visible image of tooth 28. Calculus was cleaned before surgery. Treatments with conventional surgery were excision using a scalpel, curettage, ostectomy, and tooth extraction 27, 38. Histopathological results of postoperative anatomy showed bone trabeculae and “cementum like” tissue in accordance with cemento-ossifying fibroma. The patient was evaluated within 6 months, with no recurrence. Results: Treatment of peripheral cemento-ossifying fibroma with conventional surgery with excision, curettage, ostectomy, and extraction of the causative tooth was successful.

Oral health and oral health-related quality of life among older adults receiving home health care services: A scoping review.

To map the literature on subjective and objective oral health indicators and oral health-related quality of life (OHRQoL) in older adults receiving home health care services (HHCS). The proportion of older adults in need of HHCS will increase in the coming years. Previous studies indicate that frail and dependent older adults are at increased risk for oral diseases, due to challenges with daily oral hygiene and regular access to dental services. Four databases were searched in November 2020 for relevant literature. Search terms included a comprehensive list of terms for adults 65 years or older receiving HHCS, clinical and subjective oral health indicators, and OHRQoL. The literature was reviewed based on inclusion and exclusion criteria. Of the 3114 sources identified, 18 were included. Data on oral diseases and symptoms among older adults receiving HHCS were limited and heterogeneous. Overall, older adults often lacked some of their natural teeth and often had removable dentures that needed repair. In addition, plaque, caries, xerostomia, and chewing and swallowing problems were common among the population group. Data on OHRQoL were scarce and indicated a positive association with a higher number of present teeth, while decayed teeth, root remnants, and dry mouth had substantial negative impacts on the daily activities of older adults receiving HHCS. This scoping review show that older adults above 65 years receiving HHCS generally have poor oral health status and that there is a knowledge gap regarding their OHRQoL.