Retrospective Analysis of the Correlation between TMD, Headache and Bruxism

Aims: To evaluate the association between bruxism, headaches, and temporomandibular disorder (TMD). Methods: A keyword search of the clinical notes of patients’ charts in AxiUmTM was performed using the search terms “TMD”, “headache”, and “sleep bruxism” to identify these patients. The inclusion criteria were patients with partial of full dentition, aged 18 to 65 years old who attended the UNLV School of Dental Medicine clinics between January 2014 and September 2018. Patients with incomplete records and those who were completely edentulous formed the exclusion criteria. Data were analyzed using the Pearson Correlation Coefficient. Results: The final sample was made up of 529 patients. The highest percentage of study subjects were in the age range of 29 - 34 (17.9%), with a statistically significant correlation to pain on opening (P = 0.0403). Females showed a statistically significant correlation to TMJ clicking (P = 0.0033). Caucasians also had a statistically significant correlation to TMJ clicking (P = 0.0001). In addition, a statistically significant correlation between pain on opening or chewing and headaches was also observed (P = 0.0081). Conclusion: Within the limitations of the present study, Caucasians, and females presented with more TMJ clicking than the other study subjects. Young adults, in particular, experienced more pain on opening or chewing.

Shear Bond Strength of Different Types of Cement Used for Bonding Band and Loop Space Maintainer

Purpose: The present study aimed to evaluate the effects of thermal aging on the shear bond strength of three different types of cement used to retain band and loop space maintainers cemented on extracted human permanent molar teeth. Methods: A total of 66 newly extracted permanent molars were used in this study. Eighteen teeth were used as a control and did not undergo thermal aging (six per group). All sample teeth were randomly divided into three groups: KetacCem, RelyX Luting Plus, and RelyX Unicem 2. After bonding procedures, all experimental groups undergo thermal aging. The shear bond strength of all samples was conducted using the Ultratester machine. Findings were statistically analyzed using the ANOVA and Turkey’s post hoc tests. Results: Among the examined groups, Ketac Cem presented with the highest recorded shear bond (11.4 MPa), while RelyX Luting Plus showed the lowest (3.2 MPa). The control groups recorded the highest shear bond strength compared to all examined groups;Ketac Cem showed the highest shear bond strength (12.8 Mpa), and RelyX Luting Plus had the least recorded reading (5.4 Mpa). Conclusion: Within the limitation of the present study, there was a statistically significant difference between the examined groups;Ketac Cem showed a higher shear bond cement than RelyX luting Plus and RelyX Unicem.

Retrospective Analysis of the Association of Non-Carious Cervical Lesions with Bruxism

Recently, bruxism became the center of attention for the etiological research of non-carious cervical lesions (NCCLs). The present study aims to investigate the presence and types of NCCLs associated with bruxism. Retrospective keywords search of the clinical notes of all patient charts in axiUmTM was performed using the terms “bruxism”, “attrition”, “abrasion”, “erosion”, and “abfraction”. All bruxer patients 18 years and older who presented to the UNLV School of Dental Medicine (01/01/2014 to 09/30/2018) with the complete record were included. To determine the statistical analysis implications, the chi-square test was used. Commonest types of NCCL associated with bruxism were attrition and abfraction. Five hundred seventeen cases had multifactorial lesions. Anterior maxillary teeth followed by mandibular anterior were the most affected teeth. Abfraction lesions were mainly sighted in maxillary premolars, followed by maxillary canines. Within the limitation of the present investigation, it was concluded that attrition and abfraction were highly associated with bruxism.

Evaluation of Propolis as Intracanal Medicament against <i>Enterococcus faecalis</i>

The present study aimed to comparatively evaluate Propolis, Calcium hydroxide Ca(OH)2, Chlorhexidine gel 2% (CHX) intracanal medicaments, and a mixture of Propolis with Ca(OH)2 and CHX against Enterococcus faecalis. Material and methods: One hundred and eight single-rooted extracted human teeth were used;all teeth were cut 14 mm away from the apex and prepared until size 25 master apical file. Samples were sterilized and dipped in Brain Heart Infusion Broth (BHI) contaminated with E. faecalis for 21 days at 37°C. Samples removed, divided into six groups, injected with different medicaments as following: group A: Propolis;group B: Ca(OH)2;group C: CHX;group D: Propolis + Ca(OH)2;group E: Propolis + CHX, group F: control group with no medicament, teeth sealed with filling material and nail varnish for three times periods 2, 7 and 10 days. After each time period, samples were opened and irrigated with normal saline. H-file applied to the full length to obtain dentine chips, the files collected into test tubes containing sterile BHI and stored for 48 hours under anaerobic conditions. Samples were then removed and culture in Mueller-Hinton agar, then samples incubated for one week at 37°C after which colony forming units counted using colony counter, statistical analysis was done with ANOVA and post hoc use LSD. Results: Propolis, 2% Chlorhexidine gel, and a mixture of Propolis with Calcium hydroxide were effective against E. faecalis, Calcium hydroxide, and a mixture of Propolis Chlorhexidine was not effective against it. Conclusions: Propolis showed a promising role as an intracanal medicament.

Dietary Habits and Oral Hygiene Practice amongst Dental Students at the College of Dentistry, Princess Nourah University

The aim of the present study was to assess the dietary habits and oral hygiene practice of dental students in a new dental school. A self-administered structured closed-ended questionnaire on demographic characteristics, medical history, oral hygiene and dietary habits was distributed to dental students. Results showed that One third of students indicated that they don’t consume low pH beverages (soft drinks) at all, while 48.9% drink a soft drink or two a day. Students took varying amount of time to consume their drinks. The majority of participants consumed citric juices, fruits and/or pickles at least once a day. 91.3% of students use either soft (41.8%) or medium (49.5%) toothbrush. Only a fifth (16.9%) of the students brush their teeth after drinking soft drinks and 58.2% brush their teeth after vomiting. In conclusion, young adults need to be aware about their dietary habits & oral hygiene, and also a proper dental health program needs to be applied.

Performance of Different Orthodontic Brackets after Exposure to Dietary Components: An <i>in Vitro</i>Pilot Study

Introduction: The aim of this study was to determine whether there was a significant difference in shear bond strength between metal and ceramic brackets when exposed to acidic dietary components (beverages) and to observe the chromogenic potential of each in vitro. Methods: Metal and clear orthodontic brackets were placed on extracted maxillary second premolars and exposed to select beverages three times daily for four weeks. Shade was taken using a colorimeter device at seven intervals and the shear bond strength of each bracket was recorded. Results: There was a variable change in tooth shade with respect to the various beverages in which they were submerged. Coffee and Dr. Pepper had the most pronounced change, whereas Red Bull and water produced little to none, respectively. Compared to controls, brackets submerged in coffee had the greatest reduction in shear bond strength, followed by Dr. Pepper, then Red Bull. Overall, clear brackets showed higher shear bond strength than metal brackets. Conclusion: Acidic dietary components have a negative effect on the shear bond strength of orthodontic brackets, and more pigmented beverages have a higher chromogenic staining potential.