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With the help of dental implants, an oral rehabilitation can be performed not only very complex, but also very complete of various types of edentulous spaces. After insertion of the dental implants, they can be subsequently prosthetically restored through a wide range of implant-supported prosthetic restorations. In this material, we tried to highlight some particular aspects from the point of view of the laboratory stages of dental technique, which intervene in the technological flow of making implant-supported prosthetic restorations from ceramic masses on Zirconia structure.

Post and core devices are elements that contribute to the complete restoration of the coronary abutment, over which the final prosthetic restoration will be created. Their role is to retain the coronary portion of the restoration and to protect the remaining coronary structures. The retention function is dictated by the major indication of the method, massive coronary destruction that does not provide conditions for coronary aggregation of the restoration. Thus, this material is approaching two unique methods of making post and core devices totally metallic and/or hybrid (metal + totally ceramic component), using both classical technology, modern technologies, but also combinations of them.

Introduction. Titanium and the alloys that contain this element became in the last decade of the twentieth century almost irreplaceable materials in many biomedical fields, including dentistry. Purpose. The purpose of this study is to test and evaluate the cyto- and genotoxicity of Ti4 and Ti-6Al-4V, to obtain biomaterials with antimicrobial properties, compatible with the human body. Material and method. Ti4 and Ti-4Al-6V in powder form were analyzed using cell proliferation analysis and micronucleus test. Two concentrations of 1.5 mg/ml and 3 mg/ml were tested for each type of sample. Results and discussions. For both materials tested in the two concentrations, the presence of micronuclei was observed, but within normal limits. Conclusions. Although the variations are within normal limits, it should be noted that for Ti-6Al-4V the incidence was higher at both concentrations than in the case of Ti4.

The First World War was and is considered the most terrible conflagration of all time. Thus, over 65,000,000 soldiers made up the corps of land armies, naval and air forces, combat armies that participated in the conduct of military operations during the First World War. About 8,500,000 people died and more than 21,000,000 were injured. France was one of the countries most affected by this war, its medical services, including dentistry and oral and maxillofacial surgery, being completely obsolete. Thus, in this material, we tried to describe some important figures of French oral and maxillofacial dentistry and surgery, which were active in French civil and military hospitals during the First World War (1914-1918).

Sedentary behavior, both professional, occupational, and leisure, recreational, is one of the major risk factors for cardio-metabolic health and premature mortality. But we find this sedentary behavior in many of the existing professional activities in 2021, among which are the professional activities with a medical profile in the field of dentistry: specific activities of the dental office (and here we discuss dentists and dental nurses) and activities specific to the dental technique laboratory (in this case, we are talking about dental technicians).

Introduction. An important role in the appearance of acute or chronic infections is played by bacterial biofilms that contain several bacterial species and that develop preferentially on inert surfaces, dead tissues and medical devices. Purpose. In this material we tried to make an interesting study, regarding the adhesion capacity of microbial biofilms characteristic of the oral cavity of human subjects on the surface of materials used for industrial scale manufacturing of dental implants: titanium and zirconium dioxide (Zirconia). Material and methods. For this study were used plates of Ti4 and zirconia, on which adhesion of different bacterial strains belonging to the species Enterobacter cloacae, Klebsiella oxytoca and Klebsiella pneumonia were tested. Results and discussions. A rather high microbial load was observed on both types of materials for all types of bacterial strains studied. For certain types of strains, a lower colonization was noted in the case of zirconium dioxide compared to Ti4 surfaces. Conclusions. Although Zirconia has been reported to have a lower susceptibility to bacterial adhesion, our study contradicts this aspect specified in the literature. Both titanium and zirconium dioxide are promptly colonized by existing bacteria on the teeth left in the oral cavity

Sedentary behavior, both professional, occupational, leisure and recreational, is one of the major risk factors for cardio-metabolic health and premature mortality. But, this type of sedentary behavior can be found in many of the existing professional activities in 2021, among them being the professional activities with a medical profile in the field of dentistry: specific activities in the dentist’s office (and here we discuss about dentists and dental nurses) and activities specific in the dental laboratory (in this case, we are talking about dental technicians).

Introduction. Peri-implantitis is a condition of the tissues adjacent to dental implants, which can occur in patients with implant-prosthetic restorations, following inadequate prophylactic measures. However, these peri-implants, untreated or improperly treated, can lead over time to quite severe complications, which can quickly turn into emergencies of low, medium or increased intensity in the usual dental care. Purpose. Peri-implantitis is not a major dental emergency, but ignoring and/or treating it incorrectly can lead to complications that are considered major in dentistry. That is why we tried through this study to verify the knowledge related to peri-implantitis as well as the complications that may arise from the nontreatment of these diseases, among the practitioners involved in this field. Material and method. The study was conducted with the help of 37 specialists involved in implantprosthetic treatments, aged between 37 and 53 years, using a 7-point questionnaire. Results and discussions. The results show the concern of specialists in the field of oral implantology regarding peri-implantitis, as well as the complications arising from them. Conclusions. Knowing the causes but also the complications arising from peri-implantitis are very important for the creating preventive programs, which with a reduced effort bring the long-term success of implant supported restorations.

Introduction. In order to achieve the goals of oral implantology, it is of great importance to obtain tissue integration (bone and epithelial) of dental implants. Bone integration has the role of rigidly fixing the dental implant at the level of the supporting bone, while ensuring the transfer of masticatory forces to the neighboring bone, while the soft tissues integration has the role of creating a barrier around these medical devices, with the role of protecting the underlying bone and preventing the access of microorganisms. Purpose. In this material we wanted to perform a statistical analysis on the gingival integration and osseointegration of dental implants in the oral cavity. Material and method. The analysis was performed on a number of 21 patients with a total of 97 dental implants, approximately one year after the prosthetic loading of the implants. The analysis was based on bleeding index, gingival index but also on the depth of the peri-implant canal and bone resorption around the implant. Results and discussions. Most of the implants analyzed showed no signs of inflammation. A small number (less than 30%) showed incipient signs of inflammation, falling within the data in the literature. Conclusions. Early detection of tissue changes around the implant and proper treatment will reduce the risk of more serious injuries and implant failure.

When talking about dental assistance we actually refer to the prevention, detection and treatment of diseases of the oral and maxillo-facial region which, in most cases, have as a starting point or interest the dento-maxillary system. In this material, we tried to present a comparative study on the typology and complexity of different stages of dental treatments that can be performed in urban areas, compared to various stages of dental treatments that are performed and / or could be made in rural dental offices from in Romania.

Edward Hartley Angle was an eminent American scientist, dentist, great inventor, being rightly considered to be the father of modern orthodontics. The great American scientist was the author of an impressive number of patents (46) and was the coordinator of 7 editions of some impressive Orthodontic Treatises. Thus, in this material, which we structured in 2 distinct parts, we tried to present as concisely as possible the most important data from the biography of Dr. Edward Hartley Angle.

The Specialization Institute in Dentistry (Dental Clinic), both the one that operated in Colțea Hospital and especially the one that operated in Colentina Hospital, both in Bucharest, the capital of Romania, were the first such higher education units in dentistry from Romania, they are in fact the vanguard of the future faculties of dentistry established in our country according to the Soviet model, in 1948. Thus, in this material we tried to highlight some of the most important moments in the existence of those reference units of dental education, period 1928-1948.

In general, the treatment of dentin hyperesthesia can be performed either at home or in the dentist’s office. The therapeutic approach aims at the use of products, which decrease the excitability of pulp nociceptors or reduce the permeability of the dentin canals. The purpose of this study is to compare the efficiency in the treatment of dentin hyperesthesia of a product containing potassium nitrate, compared to another product using Recaldent™ Technology. The results of this study indicated a significant decrease in pain sensitivity both after application of the product using Recaldent™ Technology and after the product containing potassium nitrate, the results being slightly in favour of the first product.

Introduction. Peri-implantitis is a non-specific inflammation, induced or maintained in the host tissues. Peri-implantitis usually presents a succession of specific symptoms, such as: bleeding on palpation, mobility of the dental implant, pain, increased depth of the pockets located around dental implants. Purpose. Thus, in this material we wanted to carry out a review of the main notions, both theoretical and practical, which characterize the diseases of surrounding tissues of dental implant called peri-implantitis. Material and method. For this study, we used 31 practitioners from Bucharest who frequently perform implant-prosthetic rehabilitation treatments, based on a questionnaire consisting of 6 questions. Results and discussions. The doctors included in the study showed that they have a thorough training in the field of implant-prosthetic restorations and of course in the diagnosis and treatment of peri-implantitis. Conclusions. In-depth knowledge of the notions related to peri-implantitis leads to an early diagnosis, favoring the rapid application of a treatment that prevents the occurrence of subsequent complications.

Introduction. By follow-up care process is meant an individualized curative-prophylactic active medical method, which supervises, at the initiative of the doctor, categories of healthy persons - exposed to risk factors - or categories of sick persons suffering from certain conditions. Purpose. In this study, we will refer to the theoretical and practical aspects regarding the necessity of follow-up care in children patients (preschool children, pupils), adolescents and young people, an operation that must be performed by the doctors with specialization and/or competence in pediatric dentistry, by the doctors with specialization in orthodontics and dentofacial orthopedics, by the school doctors, as well as by the simple dental doctors, who perform very regular pediatric dentistry maneuvers. Material and method. This study was conducted with the help of 23 pedodontists or pediatric dentists in Bucharest. Results and discussions. The answers obtained by applying the questionnaire created a clear image of the follow-up care system currently existing in Bucharest. Conclusions. The follow-up care in pediatric dentistry is the most useful active dental care, and in order to have an increased efficiency it is necessary that it is extremely well organized and controlled.

Introduction. Atherosclerosis represents the process of stiffening of the arterial wall and includes arterial changes secondary to atherosclerosis, as well as physiological changes, reducing vascular elasticity in the elderly. However, the importance of knowing the pathology of atherosclerosis is mandatory among dentists, given the high frequency of patients with atherosclerotic lesions. Purpose. Through this study we tried to familiarize dentists on the therapeutic behavior towards patients with atherosclerosis but also the risks arising from it. Material and method. 87 practitioners from Romania helped to carry out this study between September and November 2018. Results and discussions. A clear picture emerged regarding the changes and manifestations in patients with atherosclerosis by dental practitioners as well as the attitude to be adopted in the case of treatments for such patients. Conclusions. Knowing the pathology of patients at cardiovascular risk as well as the therapy to be applied for them, is a must for dentists given the growing number of patients and the pathology with different stages of evolution.

Introduction. In general, implant-prosthetic restorations, whether they are fixed or mobile, and regardless of their location (maxillary or mandibular), imply slightly different design and conceiving criteria, compared to the conventional prosthetic restorations already known. Purpose. In this material we tried to present some general and particular aspects regarding the design and manufacture of fixed implant-prosthetic restorations. Material and method. The study took place between September and December 2019 with the help of 31 dentists from Bucharest. Results and discussions. Following the application of the questionnaire, we were able to outline some aspects, frequently encountered in practice, by dentists who perform implant-prosthetic restorations related to occlusal balancing and the forces that appear at the level of implant restorations. Conclusions. The correct analysis and evaluation of the occlusal contacts and forces, leads to an increase in the life expectancy of prosthetic work as well as of their support (dental or implant).

ntroduction. Infectious risk in orthodontic practice is a real risk and involves problems both for the medical team of orthodontics and dental-facial orthopedics and for patients. Purpose. In this material we tried to highlight both the microbial load taken from the level of metal breaches Existing in the oral cavity but also the effect of mouthwashes with wide commercial use, on the different categories of germs isolated from these surfaces. Material and method. Microbial harvesting was carried out at different stages of the consultation and periodic examination in order to establish the effect that different substances have on reducing microbial load. Results and discussion. The results obtained for each stage and study group are graphically exemplified for a better understanding of the studied problem. Conclusions. The efficiency of the substances for removing the bacterial load is considerable but the replacement of disinfectants due to their toxicity and aggressiveness must be considered.

Introduction. In the growing process of each individual, there are 4 essential stages that must be very well known by the pediatric dentist, when intervening on these changes: the stage named the age immediately after birth; pre-school age; the stage of mixed dentition and the age period after 12 years. Purpose. Starting from the existence of these 4 stages of the growing process of each individual, in this material we tried a brief presentation of some aspects, both theoretical and practical, regarding the therapeutic approach in the dental pathology of the temporary teeth. Material and method. The study was conducted through the collaboration of 35 dentists from all over the country based on a questionnaire consisting of 6 questions. Result and discussion. Following the application of the questionnaire we were able to create an image of the way in which the dental pathology of the permanent teeth is therapeutically approached by the practitioners included in the study. Conclusion. Dental lesions in the temporary dentition should be evaluated and treated with great care, to prevent the medium and long term complications of permanent dentition.

Introduction. The therapeutic approach of deep carious lesions in the temporary teeth represents an extremely complex problem for pediatric dentists, both in terms of their instrumentation and in terms of collaboration with children in specialized treatment, but also with their parents. Purpose. In this material we tried to present as briefly as possible the role of the pediatric dental specialist in the treatment of deep carious lesions existing in the temporary dentition. Material and method. The study was carried out with the help of 41 dentists in Romania, from September 10 to October 10, 2019. Results and discussions. Centralized responses create a clear picture of how practitioners understand the importance of dental caries treatment in temporary teeth. Conclusions. Maintaining temporary teeth on the arches until the eruption of the definitive counterparts, plays an important role in maintaining the length and shape of the dental arches, as well as in preventing the occurrence of malocclusions.

Introduction. Most patients over 40 years old who present for specific treatments in the dental offices have at least one general condition. Specialized research has shown that atherosclerosis is more common in patients with periodontal disease, which suggests that periodontal and cardiovascular disease may have similar causes. Purpose. Given the close connection between the two conditions, we have tried to draw the attention of patients to the importance of the prophylactic maneuvers performed by him or by specialized personnel and we also want to emphasize the importance of the dental hygienist in this process. Material and method. In order to carry out this study, a questionnaire with predetermined answers was used, applied to 57 patients with ischemic cardiomyopathy and who presented for specialized treatments in dental offices. Results and discussions. The answers really reflect how the patients understood the connection between the two conditions and how they perform the oral and dental hygiene. Conclusions. Given that many of the respondents do not perform the hygiene procedures correctly or incompletely, there is a need for a medical staff to discuss with patients to educate them on the importance and the way of hygiene and to perform the oral and dental hygiene procedures, in short the dental hygienist.

Introduction. Any new class of materials almost always brings with it a new processing technology, regardless of the field in which it is operated. If this technology is not fully respected, all the benefits and performance of the material can be compromised. Purpose. In this material we tried not only a familiarization of the dental technicians, but rather their awareness regarding the polymerization processes, which intervene in various technologies for creating prosthetic restorations of any kind. Material and method. For this study, 53 dental technicians, who have completed various forms of schooling, answered 10 questions related to the different forms of polymerization used in the dental technology. Results and discussions. The answers obtained give us an image regarding the knowledge of the practitioners in this field, but also the way in which the theoretical knowledge is verified in practice by the daily experience of the respondents. Conclusion. There is a variation in the accumulated knowledge, a variation that can be based both on the studies followed by each participant in the study and on how they use the materials discussed in this article in daily practice.

Data on the functional three-dimensional positioning of the future restoration are important for planning a prosthetic guided insertion of the dental implants. Errors can occur in the digital and analogous process of analysis, design and production of the surgical guides, possibilities of minimizing them being vital for obtaining a predictable surgical and prosthetic process.

This age period after 12 years is characterized by an increase in all dimensions of all the anatomical structures of the individuals, under the influence of new factors that interfere with the general tonus of the body. Purpose. Thus, in this paper, we approached certain aspects of both theoretical and practical that may occur in the formation and development of dento-maxillary system in the age period of 12 years (after some authors, up to the age of 21 years). Material and method. The study was conducted between May 12 and June 25 2018 with the help of 55 dental practitioners. Results and discussions. The analysis of the answers provided by the participants in the study was performed by means of specific research methods. The results are eloquent and provide an overview of how dental practitioners manage the eruption of the wisdom tooth in the developmental processes of the dento-maxillary system. Conclusions. The eruption of the wisdom tooth is a certain element of growth, which must be taken into account in the future therapeutic approach of the morpho-functional imbalances of the dento-maxillary system.

The loss of first permanent molars, maxillary and/or mandibular, can lead in time, due to the lack of prosthetic restoration, to a series of complications, some of high gravity, which can cause not only severe difficulties in subsequent prosthetic rehabilitation, but also substantial additional costs for patients. Purpose. Thus, in this material we tried to bring to the attention of dental practitioners the most truthful arguments, for a fixed prosthetic restoration as early and efficient as possible. Material and method. 53 dental practitioners, from different cities of the country, took part in this study conducted between May 2017 and April 2019. Results and discussions. The answers obtained by applying the questionnaire were analyzed statistically and exposed for a better understanding by clear graphical methods. Conclusions. The restoration of this type of single tooth edentation produced by the absence of the 6-yearold molar, regardless of location (maxillary and / or mandibular), is considered by most dental practitioners to be relatively simple, regardless of the therapeutic option selected.

Dental medicine is an extremely complex medical field, comprising several specialties (orthodontics and dentofacial orthopedics, prosthodontics, dental surgery, endodontics etc.), which in most cases also require the assistance of a dental nurse. Purpose. In this paper, we have tried to present a number of very interesting ergonomic aspects in the dental office, which aim at simplifying work at this level. Material and method. This study was conducted between May and July 2018 using a questionaire applied to a number of 69 dental practitioners from Bucharest. Results and discussions. Results obtained in this study give us an image about how current dental practitioners understand ergonomics in daily practice. Conlclusions. All the aspects discussed in this study have an important role in the ergonomy of daily activity of a dental office. More important is that the majority of dentists involved in the stuty understand and apply the ergonomic concepts underlined by this study.

The development of the dento-maxillary system from the very beginning to the age of 12 implies a multitude of changes in the structure of this system. In the age of growth a sequence of deviations from the morphology and function of the dento-maxillary system appear. Purpose. In this paper, we have approached certain aspects of both theoretical and practical aspects that may intervene in the formation and development of dento-maxillary system in preschool age (up to 6 years). Material and methods. 75 dental practitioners from of different specialities from Bucharest were involved in this study between April 15 and May 20, 2018. To carry out a relevant survey a 6 items questionaire was used. Result and discussions. The results obtained were structured for a better understanding and to have a clear view for further study directions. Conlcusions. The dentist have the most important role in detecting disturbances that may have a negative effect on formation and development of dento-maxillary system and also is the one who guide prophylactic actions of preschool age children to avoid negative effect on dento-maxillary system.

Gingival integration, also known as epithelio-conjunctive integration, together with bone integration, is one of the main processes involved in the tissue integration of dental implants. Unfortunately, many practitioners treat this gingival integration with great superficiality, considering it to be an insignificant factor in this highly complex process of tissue integration of dental implants. Purpose. In this study, we intend to define very precisely the concept of "gingival integration" or "epithelial-conjunctive integration" and to introduce it as a specialized term in the basic vocabulary of implantologists. Material and method. A questionnaire based on 5 questions was used to carry out this study. The study group was composed of 64 implantologist (all subjects are holders of a degree after following a competence program in oral implantology in Bucharest). The study was conducted between October 2015 and November 2018. Results and discussions. The responses of the 64 practitioners have been analyzed and structured for a simple understanding, being extremely important for future research directions. Conclusions. Following the analysis of the results of this study we consider that the concept of "gingival integration" of dental implants requires more attention from practitioners, which will be reflected in the long-term success of dental implants.

Implant-prosthetic rehabilitation (both the surgical step of inserting dental implants and also the stage of creating the implant-supported prosthetic restorations) in smokers patients poses particular problems not only for the medical team but also for the patients (and here we refer in particular to the average number of cigarettes smoked daily). Purpose. In this paper we have attempted to present a multitude of factors both theoretical and practical, which can intervene in the implant-prosthetic rehabilitation of heavy smoker patients. Material and method. The study was conducted between April 2018 and November 2018 by applying a questionnaire with 6 questions. The 31 subjects enrolled in the study were aged between 29 to 67years old, specialists and/or primary doctors of general dentistry, dental prosthodontics or dental surgery. Results and discussions. Centralized results have been processed to provide a clearer picture of the current attitude towards heavy smokers for oral rehabilitation with the implant-supported restorations. Conclusions. The insertion of dental implants and subsequent creation of implant-supported restorations are not an interdiction for heavy smokers (up to 60 cigarettes a day) but requires the involvement of both the medical team and especially the patients in the follow-up care period to increase long-term success of dental implants and prosthetic restorations made thereon.

Implant-supported restorations are being used increasingly by dentists to treat maxillary or mandibular total edentulous patients in parallel with the old methods involving acrylic full dentures. Purpose. In this study, we attempted to perform an assessment of satisfaction degree in elderly total edentulous patients who were carriers of acrylic full dentures and were subsequently rehabilitated using cement retained implant-supported restorations. Material and method. The study was conducted using a 5-point questionnaire, applied to a study group of 39 patients aged between 67 and 77 years between April 2014 and June 2018. Results and discussions. The results provide information on how the edentulous condition is perceived, as well as the classical and modern treatment modalities. Conclusions. The treatment of the edentulous condition by fixed implant-supported prosthesis should be regarded as an alternative from the beginning of the treatment.