Journal of Baghdad College of Dentistry

Background: Demineralization and white spot lesions are the most common complications in fixed orthodontic treatment. It is useful to enhance the remineralization properties of the orthodontic primer by the addition of remineralizing agents. Fluoride and calcium are regarded as the main component of enamel fluorohydroxyapatite crystals. This pilot study compared three mixing methods of calcium fluoride nanoparticles (nCaF2) with conventional orthodontic primer (Transbond XTTM) to develop a primer with enamel remineralization properties. Materials and methods: The nanoparticles were added to Transbond XTTM primer to form 20% (w/w) of the final solution. Three dark plastic bottles were prepared and stored until mixing. The first sample was mixed by a Vortex machine, the second was mixed with an electric agitator, and the third one was mixed with a customized plastic spatula adapted to a dental engine and a straight handpiece. Cured blocks of the developed primer were prepared and were examined for homogeneity, cracks, and agglomeration of the nanoparticles within the primer using Field Emission Scanning Electron Microscopy (FESM). Results: The third Sample showed a continuous distribution of nanoparticles with no apparent cracks or agglomeration of nanoparticles. In contrast, a higher agglomeration was seen in the first sample than in the other two. Conclusion: Mixing of nCaF2 with Transbond XTTM orthodontic primer was best achieved by the customized plastic spatula adapted to a dental engine compared to Vortex and electric agitator machines.

Background: periodontitis is a multifactorial oral inflammatory disease characterized by the gradual loss of bone and eventual tooth loss. It starts with microbes and is then influenced by the environment. A diverse family of host defense major compounds known as antimicrobial peptides react quickly to combat microbial invasion and challenge. These little cationic peptides are crucial for the development of innate immunity. The goal of this study was to evaluate the blood levels of healthy individuals and patients with periodontitis for catheli-cidins and human beta-defensin-1. In this case-control study, 35 healthy volunteers (matched exactly by age and sex to the patients) and 50 periodontitis patients (aged 20 to 59) partici-pated. In this investigation, periodontal parameters such as plaque index, gingival index bleeding on probing, probing pocket depth, and clinical attachment loss were employed. The levels of cathelicidins and human beta-defensin-1 in patients and controls were estimated using ELISA after blood samples from all individuals were taken. The current findings showed that the mean levels of cathelicidin and human beta defensin-1 were significantly higher (P˂0.01) in the patient group compared to the control group, and that there was no significant correlation with all clinical periodontal parameters. These findings support the notion that antimicrobial peptides play a crucial role in periodontitis' inflammatory process.

Background: Recurrent aphthous stomatitis remains the most common ulcerative disease of the oral mucosa that exists as painfull round shallow ulcers with a well-defined erythematous margin and a yellowish grey pseudomembranous centre. Salivary irisin is an identified adipomyokine and research has revealed that it has an anti-inflammatory effect and is a novel myokine; it is synthesized in skeletal muscle and adipose tissue. The aim of the present study was to evaluate the relation of salivary irisin to recurrent aphthous ulcers and weight status in Diyala City / Iraq. Materials and methods: A cross-sectional comparative study was carried out during the period from the end of December (2021) until the end of March (2022). The total sample size composed of all patients attending a specialised dental center in Ba’aquba / Diyala governorate with recurrent aphthous ulcers of both gender and ages ranged from 20-30 years (100 patients consider the study group) assessed according to the directions suggested by the WHO (1997) and compared to the control group free from this lesion (100 patients consider the control group) matching in age and sex. The weight status was assessed using the digital weight scale. The sub samples of 45 from each study and the control group were selected to analyse salivary irisin. The description of data, presentation, and analysis process is carried out through the use of the SPSS package (SPSS version 22, Chicago, Illinois, USA). For the quantitative variable mean, the standard deviation (SD) was used. Frequency and percentage are used for the qualitative variable. The independent sample T test was used for the difference between the two groups. Pearson’s correlation was used for the linear correlation between two quantitative variables. Results: The highest percentage of recurrent aphthous ulcer was found in the lower lip. The mean value of irisin was higher among the study group than in the control group. The mean value of the body mass index among the control group was higher than that of the study group. When correlating the body mass index with salivary irisin, it is a positive weak not significant correlation. Conclusions: This study concluded that there is an elevated level of irisin among recurrent aphthous ulcers, in addition to that, the recurrent aphthous ulcer decreases the body mass index.

Background: Odontogenic tumors are a diverse group of lesions with a variety of clinical behavior and histopathologic subtypes, from hamartomatous and benign to malignant. The study aimed to examine the clinical and pathological features of odontogenic tumors in Baghdad over the last 11 years (2011–2021). Materials and Methods: The present retrospective study analyzed all formalin-fixed, paraffin-embedded tissue blocks of patients diagnosed with an odontogenic tumor that were retrieved from archives at a teaching hospital/College of Dentistry in Baghdad University, Iraq, between 2011 and 2021. The diagnosis of each case was confirmed by examining the hematoxylin and eosin stained sections by two expert pathologists. Data from patients' case sheets were collected, including age, gender, location, and histopathological information. The type of lesions was evaluated based on the World Health Organization's most recent classification (March 2022). Results: There were 151 odontogenic tumor during this period. The most common type (39.1%) was Solid ameloblastoma. The mandibular tumors (76.8%) were more than the maxillary tumors (23.2%). The female to male ratio was 1.1:1. The most cases are found between the 2nd and 5th decades of life. Conclusions: Solid ameloblastoma was the most common odontogenic tumor, while primordial odontogenic tumor was the rarest, Odontogenic tumors were slightly more common in females than in males, the most common cases occur in the mandible., the outcome of the study gives valuable information regarding the patients' profile and type of odontogenic tumors over 11 years, which could aid in the early diagnosis and enhance the intervention.

Background: Alveolar ridge expansion is proposed when the alveolar crest thickness is ≤5 mm. The screw expansion technique has been utilized for many years to expand narrow al-veolar ridges. Recently, the osseodensification technique has been suggested as a reliable technique to expand narrow alveolar ridges with effective width gain and as little surgical operating time as possible. The current study aimed to compare osseodensification and screw expansion in terms of clinical width gain and operating time. Materials and methods: Forty implant osteotomies were performed in deficient horizontal alveolar ridges (3–5 mm). A total of 19 patients aged 21–59 years were randomized into two groups: the screw expansion group, which involved 20 osteotomies performed by screw expander drills, and osseodensi-fication group, which comprised 20 osteotomies achieved by osseodensification drilling technique. One millimetre below the alveolar bone crest was measured with a bone caliper at two intervals (before implant osteotomy and after implant osteotomy), and operating time was assessed. Results: Before expansion, the mean alveolar ridge width was 4.20 ± 0.71 mm in the osseodensification group and 4.52 ± 0.53 mm in the screw-expansion group. No statis-tically significant difference in alveolar bone width before expansion was found between the groups (P > 0.05). After the expansion of the alveolar ridge with osseodensification or screw expansion techniques, the average ridge width was 5.48 ± 0.57 mm in the osseodensification group and 5.71 ± 0.53 mm in the screw-expansion group. Difference in width gain postoper-atively between the groups was 0.09 mm, which was not statistically significant (P > 0.05). According to operating time, osseodensification consumed 6.21 ± 0.55 minutes, and screw expansion required 16.32 ± 0.60 minutes for a single implant with a significant difference between the groups (P < 0.0001). Conclusion: Alveolar bone expansion by osseodensification showed comparable width gain and less surgical operating time compared with expansion by screw expansion technique.

Background: The mechanical properties of 3D-printed denture base resins are crucial factors for determining the quality and performance of dentures inside a patient’s mouth. Tensile strength and diametral compressive strength are two properties that could play significant roles in assessing the suitability of a material. Although they measure different aspects of material behavior, a conceptual link exists between them in terms of overall material strength and resilience. Aim: This study aims to investigate the correlation between tensile strength and diametral compressive strength after incorporating 2% ZrO2 nanoparticles (NPs) by weight into 3D-printed denture base resin. Methods: A total of 40 specimens (20 dumbbell-shaped and 20 disc-shaped) were produced via 3D printing and divided into two groups (n = 10): (1) 3D-printed denture base resin without NPs and (2) the resin was strengthened with 2% by weight ZrO2 NPs. Tensile strength and diametral compressive strength were assessed using a universal testing machine. Results: A detrimental relationship was observed between the tensile strength and diametral compressive strength of 3D-printed denture base resin after the addition of NPs. Conclusion: The enhancement of one property does not necessarily mean the enhancement of another. Caution should be taken to not endanger the quality of a material.

The purpose of endodontic treatment is to eliminate all germs, microbial by-products, and vital tissues from the root canal system. Root canals can be mechanically and chemically used for this purpose. The needs and details of the irrigation solutions are described in this article. Because of its wide range of antibacterial activities and its ability to dissolve organic tissues, sodium hypochlorite is suggested as the main irrigation. On the contrary, chelation solutions are recommended as supplemental treatments to either eliminate the smear layer or prevent it from forming on the dentin surface. Data: Only articles that were published electronically were searched within the review. Sources: ‘Google Scholar’ and "Pub-med" websites were used to search data, The most papers related to the topic were chosen, specifically original articles , including only articles from 1999 to 2023.Journal papers that weren't published in a highly regarded publication, irrelevant studies, editorials, personal viewpoints, and social media sources were all disqualified from consideration. 98 articles were retained after the filtering procedure. In conclusion, this article reviews many types of new irrigations that may be used in endodontic practice in the future.

Green tea is regarded as a healthy beverage due to the biological action of polyphenols, specifically catechins. Researchers investigated the inhibitory effects of green tea (Camellia sinensis) plant on both Gram- positive and Gram-negative bacteria. Periodontitis is mainly initiated when dysbiosis of the subgingival microbiome takes place. Porphyromonas gingivalis is one of the key pathogens involved in the initiation and progression of periodontitis when its levels in subgingival biofilm overwhelm the host's immune system. It is the main pathogen that is significantly linked to severe periodontal disease. In this study, details about P. gingivalis including information about its structure, virulence factors were provided. Next, Important points related to green tea, including its active ingredients and antibacterial activity, have been clarified. Finally, the objective of this study was to demonstrate how green tea has antibacterial effects on P. gingivalis