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Driving stress is a multifaceted phenomenon, and the experience of driving invokes stress. Driving causes the activation of stress-response mechanisms, leading to short-term and long-term stress responses resulting in physiological and behavioral changes. The aim of this study was to evaluate driving stress-initiated effects on orofacial functions and health behaviors in the Riyadh population. A cross-sectional survey was conducted in Riyadh using a pre-validated set of questionnaires for habitual information, a driving stress assessment using a driving-behavior inventory, and an assessment of parafunctional habits and effects on orofacial functions. The results indicate that nearly 50% of the sample spends more than two hours commuting, and more than 50% of the sample has inadequate sleep and insufficient exercise. Oral parafunctional habits like nail biting (p = 0.039) and lip or object biting (p = 0.029) had a significant correlation with aggressive driving behaviors, whereas the grinding of teeth (p = 0.011), the clenching of jaws (p = 0.048), lip or object biting (p = 0.018), and pain in mastication (p = 0.036) had a positive correlation with driving dislikes. Driving stress can be detrimental to one's health and not only impacts health behaviors but also induces oral parafunctional habits and adversely affects orofacial regions and functions. Acute driving stress responses may be transient. However, prolonged driving stress can be maladaptive and can increase the risk of chronic diseases including chronic temporomandibular joint disorders and parafunctional habit-related changes in the oral cavity. [ABSTRACT FROM AUTHOR]

BACKGROUND: Commercially available oral rinses contain active ingredients with concentration that is claimed by manufacturers to be effective as antiplaque agent. To date there has been no mention of the effect of oral rinse on the adherence of early plaque colonizers in plaque formation and the concentration to be used before/after meals. OBJECTIVE: The chief aim of the study was to evaluate microbial retention on the salivary pellicle on treatment with oral rinses (CHX & EO)/PS (mimicking after meals use of mouth wash/PS). METHODS: Noordini's Artifical Mouth model was used for developing the single species biofilm with early microbial colonizers of oral biofilm (A. viscosus, Strep. mitis and Strep. sanguinis respectively). The microbial retention on use of oral rinses comprising of CHX and EO as an active ingredients respectively was compared with Curcumin PS. For evaluating the microbial retention, the pellicle with microbial inoculation was developed on the glass beads in the mouth model. Subsequently the respective single specie biofilm was exposed to the mouth wash and PS after inoculation. It mimicked as use of mouth wash/PS after meals. The bacterial count in the dental biofilm was evaluated on serial dilution (CFU/ml). Sterile deionized water was used as a negative control. For qualitative analysis, Scanning electron microscope (SEM) was used to evaluate the microbial count. RESULTS: From the data it was observed that for the treatment of single species experimental biofilm with commercially available mouth rinses (CHX & EO) and PS (curcumin), there was significant retention for S.mitis, S.sanguinis and A.viscosus. There was no significant difference observed between PS and CHX treated single species biofilm. Whereas a significant difference was observed between EO treated biofilms and CHX/PS treated biofilms (p ⩽ 0.05). CONCLUSION: It can be concluded from the results that curcumin PS and CHX should not be used after meals whereas EO containing mouth rinse can be used to maintain the oral mocroflora. [ABSTRACT FROM AUTHOR]

The anatomical position of the nasopalatine canal in the anterior maxilla makes it one of the most important vital structures in the region. Surgical and implant procedures in this area require local anesthesia to be administered. It is, therefore, important to morphologically assess the length and shape of the nasopalatine canal for performing surgical procedures with more accuracy in this area. Cone-Beam Computed tomography scans were scrutinized using inclusion criteria of age 18 years and above, absence of any pathological lesions/fracture/surgery in the nasopalatine area, absence of orthodontic treatment or maxillary jaw correction surgeries, and exclusion criteria including CBCT scans with artifacts or error s in the area of interest, anterior implants, absence of bone diseases, trauma, surgeries, and impactions in the area of interest. A total of 360 scans were analyzed for the length and shape of the nasopalatine canals. The results of the study showed that the mean nasopalatine canal length was 12.51 mm. The hourglass shape of the canal was most common and had the highest representation in both genders, with male 80.62% and female 87.01%. A statistically significant difference (p < 0.001) was noted in nasopalatine canal length between males and females. The study provides insight into the significant association of gender with the canal's shape and length of the canal. The length of the canal does not influence with age. These parameters are helpful for surgical planning and interventions in the anterior maxillary region. [ABSTRACT FROM AUTHOR]

Anterior loop in the mental foramen region is a critical region in the mandible. The non detection of anterior loop leads to inadvertent complications during the surgical procedures in this region. This study aimed to evaluate the morphological assessment of the mental foramen's anterior loop (AL) using (CBCT) cone-beam computed tomography. CBCT data was retrieved from January 2018 to December 2022 and screened for eligibility. Images were viewed using panoramic reconstructed views for initial screening. Further multiplanar reformatted view in axial, coronal and sagittal planes were examined. When anterior loop was detected, the path of inferior alveolar canal was traced and the anterior loop was analyzed. Statistical analysis was carried out on the data. Cross-tabulation was done to associate gender and age with the achieved findings (heights and diameters) using the Chi-square test. In this analysis 519 cases were included and examined for presence of anterior loop. 22 cases were included in the study, out of which 10(45.5%) males and 12(54.5%) females. The prevalence of AL is high among females. AL was found higher on the right side in 14 (68.2%) cases compared to the left side with 7 (31.8%) cases. The mean diameter of AL on the right side was 2.5 mm, and on the left side diameter was 1.96 mm. The prevalence of anterior loop in the region of mental foramen in Saudi Population was found to be 4.24%. Careful evaluation for the anterior loop can prevent hemorrhagic episodes during surgical intervention or implant procedures in the mandibular premolar region. [ABSTRACT FROM AUTHOR]

The oral mucosa plays a crucial protective role as a natural barrier to exogenous substances and pathogens. Tobacco in any form, either smoked or smokeless, can cause a broad spectrum of oral mucosal alterations, ranging from harmless to more serious dysplastic and carcinomatous lesions. This study aimed to investigate the prevalence of oral mucosal lesions (OMLs) in adult patients who do and do not use tobacco, their habits, and the relative risk of developing oral lesions associated with these habits. [ABSTRACT FROM AUTHOR]

Effective diagnosis of salivary gland lesions and tumors requires a comprehensive understanding of the intricate composition of these glands. Salivary glands consist of diverse cell types, including epithelial, mesenchymal, ductal, and myoepithelial cells. The complex cellular architecture poses challenges in accurately diagnosing lesions or tumors. Furthermore, external factors such as infections, viruses, and genetic abnormalities that contribute to alterations can influence salivary gland pathophysiology. Therefore, it is crucial to thoroughly grasp the latest World Health Organization classification of salivary gland neoplasms for precise diagnosis and appropriate management. This study focuses on recent advancements in diagnostic methods to establish a practical approach for identifying salivary gland diseases. The researchers found that the best results were achieved when combining multiple salivary biomarkers. The screening protocol demonstrated high accuracy in diagnosing early oral squamous cell carcinoma by utilizing a combination of salivary biomarkers. In conclusion, the use of salivary biomarkers shows excellent promise in the early diagnosis of oral squamous cell carcinoma. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this study is to determine the prevalence and morphological characteristics of the bifid mandibular canal in a Saudi Arabian subpopulation, to aid in preventing surgical complications near the mandibular canal. Patients and Methods: Using CBCT images obtained from the Radiology unit database in a University Hospital Clinics. A total of 488 CBCT images were investigated (244 Female – 178 Male). In the present study, the Naitoh classification was used to categorize the bifid mandibular canal into the following types: 1) Retromolar canal; 2) Dental canal; 3) Forward canal (with or without confluence); and 4) Buccolingual canal. Additional variation (Trifid canal) was included. All CBCTs were assessed in coronal, sagittal, axial, as well as panoramic views using specialized software. Results: The prevalence of BMC was 28.7% (95% CI, 24.5 to 33.2), Gender (p = 0.404) and age (p = 0.654) had no statistical significances, laterality of BMC, patients with unilateral BMC were significantly older than those with bilateral BMC (mean ± SD ages of 40.5 ± 13.5 and 32.9 ± 13.8, respectively, p = 0.009). About two-thirds (67.5%) of the investigated BMC cases were found unilateral. The most common reported type of BMC was retromolar canal. Conclusion: The incidence of bifid mandibular canal using CBCT is considered relatively high in Saudi Arabian subpopulation, with the most common type was the retro-molar canal. [ABSTRACT FROM AUTHOR]

The arena of research is at an expanding pace. Due to the rise in number of researches, the acceptance rate for publication has been decreasing. This creates a lot of manuscript rejections and the researchers tends to submit their work in less known journals or publishers who offer quick publishing with a nominal publication cost. Such publishers may be predatory and can lead to loss of the research in a scientific cloud black hole, where the research is not acknowledged or identified and hence deemed to be of null value. It is therefore indispensable that every researcher, academician and educator to be aware of and be vigilant of such journals/publishers for individual work publication, peer publications or supervised publications or faculty promotions. The present review highlights important points for identification of predatory journals/publishers, guidance to avoid publishing in such journals and how to get research published in a good journal. [ABSTRACT FROM AUTHOR]

The article discusses the potential impact of Saudi Vision 2030 on educational reforms and progress in dentistry in Saudi Arabia. The Vision aims to diversify the economy and empower citizens through comprehensive educational reform. The reforms may include a focus on science and technology, enhanced practical training, attracting international expertise, and a stronger emphasis on preventative care. However, implementing these reforms effectively will require investment in infrastructure, equipment, and faculty training. Overall, the reforms have the potential to produce highly skilled dentists who can meet the evolving needs of the Saudi population. [Extracted from the article]

Introduction: Atherosclerosis of the external division of the carotid artery contributes to approximately 20% among all the reasons leading to stroke. The strategies for the prevention of stroke remain underutilized despite the advancements in healthcare. Dentists can contribute in the prevention of stroke by identifying patients at risk from the details revealed in radiographic imaging. Aim: The aim of this study is to determine the prevalence of carotid artery calcifications (CACs) detected on digital panoramic radiographs in Riyadh and its relationship with cardiovascular disorders. Methodology: A retrospective cross-sectional study was conducted in Riyadh Elm University using digital panoramic radiographs. A total of 158 panoramic radiographs were analyzed with patients aged ≥18 years. The presence of CAC was determined and confirmed by an oral radiologist. Medical records were retrieved and collected from the digital data base after ethical approval. Chi-square test of independence was performed to examine the relationship between variables (age, gender, and medical problems) and the presence of calcification. Results and Discussion: From the data scrutinized, 158 panoramic radiographs were included for the study. 111 radiographs did not have any calcifications. 47 radiographs depicted the presence of soft tissue calcification, out of which 20 radiographs were of CAC and the remaining contributed to other soft tissue calcifications seen in the neck region. There was significant correlation between age and calcification, P = 0.003 with the highest prevalence in 40–69 years. Correlation between gender, CAC, and medically compromised conditions associated with cardiovascular systems was not significant. Conclusion: The prevalence of CAC in the Riyadh population was 1.12%. CAC comprised of 12.66% among all the soft tissue calcifications of the neck in this study. Patients are not aware of the underlying cardiovascular risk that CAC can pose. Dentists' diagnostic efficiency in analyzing CAC, which is a risk factor for cardiovascular events, can reduce further morbidities or mortality rates enhancing the quality of life and life span. [ABSTRACT FROM AUTHOR]

Facial swellings are commonly encountered in the dental office, the cause of which could range from a congenital etiology to an acquired one or it may even be a manifestation of an underlying systemic disease. The clinician must have a thorough knowledge of the various clinical and imaging manifestations and the sites of occurrence of the various conditions to arrive at the appropriate diagnosis. Facial swellings can be classified into different groups which include acute swellings with inflammation, nonprogressive swellings, and slowly or rapidly progressive swellings. The various imaging modalities like CT and MRI are useful for assessing the extent of the swelling as well as evaluating the soft tissue and osseous involvement of the swelling. Multiple myeloma represents clonal proliferation of plasma cells and is a condition in which a facial swelling might be present, though not common. This paper reports a case of a patient with a unilateral facial swelling, which on investigation led to a diagnosis of multiple myeloma. [ABSTRACT FROM AUTHOR]

Pindborg tumor, the eponymous counterpart of calcifying epithelial odontogenic tumor (CEOT), is a rare benign odontogenic neoplasm that was first described by a Dutch pathologist Jens Jorgen Pindborg in 1955 and accounts for approximately 1% of all odontogenic tumors. Its origin as well as its malignant potential is controversial. This neoplasm is possibly of stratum intermedium origin and occurring predominantly in the mandible of adults. We hereby report a case of Pindborg tumor arising in the premaxilla which is seldom (9 out of 200 cases) documented in the scientific literature. [ABSTRACT FROM AUTHOR]

Objective: To study the root and root canal morphology of mandibular premolars in a Kuwaiti subpopulation using cone-beam computed tomography (CBCT)., Methods: 152 CBCT images were obtained from the radiology department archives of four dental centers in Kuwait. A total of 476 mandibular premolar teeth were analyzed by two observers. The number of roots, root canal configuration types and canal curvature measurements were examined. The relationship between sex, tooth position, and incidence of an additional canal were compared using the chi-square test, and the level of significance was set at 0.05 (P=0.05)., Results: The number of roots in mandibular first premolars was one in 73.9%, two in 24.9%, three and four in 1.2%. On the other hand, the number of roots in mandibular second premolars was one in 79.2% and two in 20.8%. Based on Vertucci's classification system, 18.7% of the teeth were type II followed by type VI (14.3%). The majority of the examined teeth were straight (74.8%) and the incidence of distal root angulation was about 21%. Canal configurations not included in the Vertucci classification were reported in 102 teeth (21.4%). Variability was significantly higher in the second premolars compared to first premolar (P<0.05)., Conclusion: The Kuwaiti population has complex root canal morphology in mandibular premolar teeth.