Medical devices in dentistry – the new MDR regulation -

Den 26 maj började det nya direktivet för medicintekniska produkter inom tandvården at gälla fullt ut. Fokus ligger främst på krav på uppdaterad dokumentation och riskanalys samt förbättrad spårbarhet.

Molecular layer deposition of photoactive metal-naphthalene hybrid thin films -

We here report on photoactive organic-inorganic hybrid thin films prepared by the molecular layer deposition (MLD) method. The new series of hybrid films deposited using 2,6-naphthalenedicarboxylic acid (2,6-NDC) and either hafnium chloride (HfCl4), yttrium tetramethylheptanedionate (Y(thd)3) or titanium chloride (TiCl4) were compared with the known zirconium chloride (ZrCl4) based system.

When to intervene in the caries process? An expert Delphi Consensus statement -

This article gives recommendations on when to intervene in the caries process and existing caries lesions by non- or micro-invasive means or invasive/restorative strategies. The activity of the caries lesion, whether there is a cavity, and if it is possible to clean, are main factors to decide intervention level. In-active lesions need no treatment (exception […]

Pre-cementation procedures’ effect on dental zirconias with different yttria content -

Several pre-cementation procedures have been advocated to enhance adhesion between zirconia and resin-based cement. There is, however, limited documentation on how these pre-treatments affect the strength of zirconia crowns as most tests are performed on discs or bars.
The aim was to assess the effect of pre-cementation procedures on fracture mode, fracture strength and cement retention on zirconia.

Characterization and toxicity evaluation of air-borne particles released by grinding from two dental resin composites in vitro -

The project aims to evaluate whether inhalation of particles released upon grinding of dental composites may pose a health hazard to dentists. The main objective of the study was to characterize the dust from polymer-based dental composites ground with different grain sized burs and investigate particle uptake and the potential cytotoxic effects in human bronchial cells.

Genetic Aspects of Dental Erosive Wear and Dental Caries (Review Article) -

The present review aims to give an overview of the literature focusing on novel genetic aspects of dental erosion and dental caries. Once the tooth erupts into the oral cavity, the regenerative capability of enamel is fundamentally limited due to the loss of dental epithelium during eruption. The susceptibility or resistance to dental erosion and caries is presumably a result of environmental, phenotypic, and/or genetic influence. Even though it is evident that individuals frequently exposing their teeth to acid and sugar are at high risk of developing dental erosion and caries, the findings exclusively based on these factors are elusive.

Survival of primary molars with pulpotomy interventions: public oral health practice-based study in Helsinki -

The study concludes: “The estimated survival time of pulpotomized primary molars is affected by dental operator- related factors, which should be considered in management of extensively carious primary molars of paediatric patients, both at the clinical and organizational decision-making levels. An increased focus on the use of SSC is recommended to be in the learning objectives of dental education programs.

Luting cements in a nutshell -

Choosing luting cements can be challenging given the constant development of resin cements and ceramic materials for indirect restorations. This review article gathers the most commonly used luting cements in current dental practice, focusing particularly on these cements’ composition and properties, which have an impact on their clinical indication. The article includes adhesive and non-adhesive […]

The influence of the resin- based cement layer on ceramic-dentin bond strength -

The purpose of the study was to measure the cement thickness obtained when ceramic rods were luted to dentin and to analyze the relation between cement thickness and the previously published tensile bond strength of similar test specimens. In addition, the ISO standard 4049:2019 method was used to determine the film thickness of the used […]

Áhrif þykktar bindilags og yfirborðsmeðferða á viðgerðarstyrk plastblendis -

Að mæla ahrif þykktar bindilags og mismunandi yfirborðsmeðferða a viðgerðarstyrk plastblendis.

Scaffold-Free Engineering of Human Cartilage Implants -

Despite new strategies in tissue engineering, cartilage repair remains a major challenge. Our aim is to treat
patients with focal lesions of articular cartilage with autologous hyaline cartilage implants using a scaffold-free approach. In this article, we describe experiments to optimize production of scaffold-free cartilage discs.

Violet‑blue light exposure of the skin: is there need for protection? -

Advocates of skin protection against blue light express concern about exposure to indoor lighting and electronic screens aswell as natural outdoor exposure. However, the nature of adverse effects in skin is unclear and the doses to induce effectsare unknown. We aimed to reveal whether there is a scientific basis for promoting skin protection against violet-blue […]

Stainless-steel crowns in children: Norwegian and Finnish dentists’ knowledge, practice and challenges -

Stainless-steel crowns (SSCs) are recommended for restorative treatment of young teeth severely affected by caries, fractures or dental developmental disorders (DDDs). However, despite recommendations and clinical evidence, SSCs are not widely used by general dentists, who favour extraction and more conventional restorations. The present study aimed to investigate the views of and use of SSCs among Norwegian and Finnish dentists.

Allergic reaction after treatment with a mandibular advancement device -

Mandibular advancement devices (MADs) are used in the treatment of obstructive sleep apnea. A patient (woman in the 60-ies) was treated with a MAD (SomnoDent Fusion Flex; SomnoMed AG). She experienced reactions in form a burning sensation in the mouth, ulcers on the tongue and gingiva, and swelling of the tongue. Allergy test (patch test) with Dental Screening Series showed a strong positive reaction to methyl methacrylate, and clear reactions to ethylene glycol dimethacrylate (EGDMA) and 2-hydroxyethyl methacrylate (HEMA).

The dream of new teeth -

The dental community has for a long time been fascinated by the thought of growing a third set of teeth. This has increased research interest in the processes of embryonal development of teeth for experimental copying. However, research of this kind cannot be performed on humans for medical and ethical reasons.

Knowledge on and treatment practices of erosive tooth wear among Finnish dentists -

The aim of the study was to investigate Finnish dentists’ knowledge on and means of recording, detecting and
diagnosing erosive tooth wear (ETW). Treatment options and possible differences in treatment decisions
between general and specialized dentists were also evaluated.

Antimicrobial and physicochemical characterization of endodontic sealers after exposure to chlorhexidine digluconate -

The primary aim of root canal treatment of teeth with apical periodontitis is to eliminate the microbial load from the root canal system and promote periapical healing. Meticulous mechanical debridement of the root canal system significantly reduces the bacterial load and is considered important in canal disinfection. However, complete elimination of all microorganisms is challenging, as viable bacteria potentially remain on the dentin walls and inside dentinal tubules, both in planktonic forms and biofilms. About 35% of the root canal area is left untouched when conventional rotary and hand instruments are used. Therefore, disinfection with irrigation solutions during root-canal treatment and thereafter obturation of the root canal are important factors to reduce the amount and growth of residual bacteria.

Hvor mye monomer kan lekke fra en protese? -

Protesematerialer inneholder ureagert monomer som kan lekke ut i munnhulen og gi bivirkninger, men i hvor stor grad skjer dette? Tanntekniske laboratorier fremstilte protesematerialer etter sin vanlige metode og NIOM analyserte mengde ureagert monomer, såkalt restmonomer. Kaldakryl hadde større mengde restmonomer enn kokakryl og derfor et større potensiale for å gi bivirkninger. Ett av produktene […]

Adhesion of Escherichia Coli to Nanostructured Surfaces and the Role of Type 1 Fimbriae -

In this study a method of producing a large number of identical nanostructured surfaces is presented. E. coli wild type and deletion mutants of the type 1 fimbriae monomers FimA or FimH were tested for their ability to adhere to such surfaces with different interpillar distance of 100, 250, and 500 nm, respectively. An increase in interpillar distance (reduced surface coverage) was associated with reduced adhesion of E. coli wild type and the deletion mutants. In addition, the presence of a functional type 1 fimbria decreased adhesion to the nanopatterned surfaces in comparison to deletion mutants, leading us to the conclusion that there is a relationship between presence of a functional fimbriae and adhesion towards tested surfaces. The hypothesis that the presence of fimbriae had an effect on bacterial attachment to nanostructured surfaces was verified. These current results could provide insight into development of new nano-patterned structures with anti-adhesion bacterial properties.

Awareness, knowledge and treatment decisions for erosive tooth wear: A case-based questionnaire among Danish dentists -

This study showed that the majority of Danish dentists taking part of this survey had adopted a minimally invasive approach for the management of erosive tooth wear in young adults. There was however room for improvements in diagnosis, scoring and case documentation

In vitro abrasivity and chemical properties of charcoal-containing dentifrices -

The use of charcoal for oral hygiene purposes has long traditions in several countries. Products containing charcoal are constantly being introduced to the market, advertising various advantageous properties, such as a whitening effect and detoxification.

Aerosols in the dental clinic. Part 2: Precautions for reducing infection -

Aerosols are generated secondary to different treatment procedures and situations in the dental clinic. Aerosols in the dental clinic may be infectious and transfer disease between clinic staff and patients. The authors present and discuss different measures to reduce infection caused by exposure to microbial aerosols. It is unrealistic to expect that close range aerosols […]

Aerosols in the dental clinic. Part 1: Risks of infectious disease transmission -

Aerosol-generating procedures associated with oral care may involve risks for disease transmission between patients and dental staff. Article part I describes characteristics of aerosols and possible influence on health. This paper focuses on microbial aerosols and on situations and procedures that produce microbial aerosols in the dental clinic. Several forms of microbial aerosols are created […]

Effect of silica nano-spheres on adhesion of oral bacteria and human fibroblasts -

This study investigated the effect of surface nano-patterning on adhesion of an oral early commensal colonizer, Streptococcus mitis and the opportunistic pathogen Staphylococcus aureus and human fibroblasts (HDFa) in a laminar flow cell.

Cobalt–chromium alloys fabricated with four different techniques: Ion release, toxicity of released elements and surface roughness -

The aim of the study was to investigate the metal ion release, surface roughness and cytoxicity for Co–Cr alloys produced by different manufacturing techniques before and after heat treatment. In addition, to evaluate if the combination of materials affects the ion release.

Functional, compositional, and regulatory analyses of imported and non‐imported single dental crowns -

The aim of the study were to investigate functional and esthetic properties, the composition of the alloy, and the content of hazardous elements of single dental crowns with metal skeleton and fired porcelain.

Dentin to dentin adhesion using combinations of resin cements and adhesives from different manufacturers – a novel approach -

The aims of this study were to present a novel method to analyse dentin bond strength and to evaluate the bond strength of combining adhesive systems and resin cement from different manufacturers. Based on the results and within the limitations of this laboratory study, it can be concluded that using alternating combinations of resin cement
and adhesives seem possible and that the resin cement were the weakest components in the bonded dentin-adhesive-cement-complex.

Protein Profiles of Individuals with Erosive Tooth Wear -

The present work suggests that protein profiling in saliva may provide a tool for determining differences in risk for erosive tooth wear. This may be of value when determining lifetime risks of loss of dental structure. To identify the risk at an early stage of the disease gives us the opportunity to implement proper individualized prevention

Minimally Invasive Dentistry -

“Minimally Invasive Dentistry” has over the years been well presented in the Nordic countries as well as in all Europe. Nevertheless, it does no harm to remind ourselves about the principles behind this concept. Based on updated knowledge on caries and tooth wear, in combination with new and improved adhesive restoration techniques, there are good […]

In Vitro Effects of Dental Monomer Exposure – Dependence on the Cell Culture Model -

Methacrylate monomers are major components of resin-based biomaterials. The polymerization of these materials is never complete, and methacrylates leaking from cured materials cause exposure of patients. Only some selected methacrylates have thoroughly been tested for possible interaction with living cells. In the current study, we compared the effects of 2-hydroxyethyl-methacrylate (HEMA; a carefully studied methacrylate) […]

Er helserisikoen ved snus undervurdert? -

Hovedbudskap til helsepersonell

Bruk av svensk snus er forbundet med økt risiko for kreft, høyt blodtrykk, økt dødelighet etter kreft og hjerte- og karsykdommer, økt risiko for psykose, overvekt, metabolsk syndrom – og (ved høyt forbruk) økt risiko for diabetes type 2. Snusbrukere som slutter etter
hjerteinfarkt, halverer risikoen for å dø i tiden etter infarktet. Bruk av snus under svangerskapet er skadelig for barnet. Den høye bruken av snus er derfor bekymringsfull.

Obesity and oral health -

Obesity of different degree comprises individuals with a body mass index BMI) of 30 or more and is often combined with cardiovascular and metabolic diseases, whereas overweight below 30 is not. Obesity has a hereditary component combined with environmental factors such as unhealthy food and lack of exercise. In addition, fatty tissue contains inflammatory mediators […]

Ion release from three different dental alloys – effect of dynamic loading and toxicity of released elements -

The aims of this in vitro study were to assess if dynamic loading increases the metal ion release of selected dental alloys and to evaluate the cytotoxicity of the released metal ions

The frequency of enamel and dentin caries lesions among elderly in Tromsø, Norway -

Data on oral health among the elderly in Norway is sparse. The aim of the present study was to describe the distribution of enamel-, dentin-, root- and secondary caries within an elderly population in Northern-Norway. A study population (n=1 173) was divided into four age groups: 65–69, 70–74, 75–79 and 80–94. Seven calibrated examiners registered […]

Estimating molar-incisor-hypomineralization among 8-year-olds based on 15-year public oral health practice-based data -

The study showed that the average prevalence of MIH among children of 8 years in Helsinki was comparable to that reported elsewhere. The number of MIH-affected teeth at early mixed dentition predicts the affection of other permanent teeth over time, mainly that of permanent canines. An irrelevant number of children had MIH-affected second primary molars. Further screening of children with MIH-affected teeth is recommended to improve individually tailored early preventive and restorative dental care. In this way, an early intervention will facilitate management of further clinical dental problems of MIH-affected teeth and improve oral health-related quality of life of children with this condition.

Dental erosion in mice with impaired salivary gland function -

Salivary flow rate exerts an essential impact on the development and progression of dental erosion. In this work, the experimental dental erosion in non-obese diabetic (NOD) mice with reduced salivary flow rate was induced, and the erosive effect of acidic drinks on their dentition was studied.

Restorative material choices for extensive carious lesions and hypomineralisation defects in children: a questionnaire survey among Finnish dentists -

This survey shows that Finnish dentists are rather homogeneous in their treatment decisions when managing primary tooth caries or a severely affected MIH tooth, although some practices vary between general and specialised dentists. Moreover, the disparity in treatment practices between different areas of Finland is evident. The proportion of SSC as a material choice was low. Patient co-operation plays a big role in treatment decisions and may explain why GICs were the most popular choice for restoring extensive primary tooth caries. The emphasis should be on behavioural management as well as on the evidence-based treatment recommendations.

Effect of thermal cycling on temperature changes and bond strength in different test specimens -

There is no generally accepted protocol for resin composites that simulates and accelerates ageing of the materials under oral conditions. Even though thermal cycling is one of the procedures used to seriously try to simulate physiological aging of restorative materials, review of the literature on thermal cycling procedures shows that there is little or no consistency in protocols and variables. This makes it difficult to compare results from the various investigations. Selection of variables like size of specimens, storage time, and dwell times in water baths, transfer time and number of cycles, appear to be selected by investigators mostly based on convenience rather than referenced observations or scientifically founded facts

Aquaporins’ Influence on Different Dental Erosive Wear Phenotypes in Humans. -

Dental erosive wear is a multifactorial condition of high prevalence. Nowadays, there is an emphasis on discovering individual genetic predisposition for the development of this condition. Aquaporins (AQPs) are water channel proteins expressed in salivary glands, as well as during tooth development. They are involved in salivary secretion and composition and linked to physiological protection of the oral cavity.
The aim of this study was to explore the relationship between different dental erosive wear phenotypes, AQP genes, and selected environmental factors.

MOF thin films with bi-aromatic linkers grown by molecular layer deposition -

Thin films of metal–organic frameworks (MOFs) are promising for a wide range of applications including membranes for separations and sensor materials in microelectronics. Growth of such thin films using atomic/molecular layer deposition (ALD/MLD) has recently been demonstrated; however, the range of examples is still narrow. Here, we expand the repertory of gas-phase MOF thin film […]