Crown: Journal of Dentistry and Health Research

Comparison of the Efficacy and Safety of Composite Dental Filling Materials (Nano-Hybrid and Microhybrid): A Double Randomized Clinical Study in Ulan Bator Hospital, Mongolia

Daava Byamba — 2024-04-19

Introduction: Composite dental filling materials are widely used for dental restoration because of their aesthetic properties and durability. However, the choice of appropriate filling material is still a matter of debate. The aim of this study was to compare the effectiveness and safety of nano-hybrid and microhybrid composite dental filling materials in a double-blind randomized clinical study at Ulan Bator Hospital, Mongolia.

Methods: A total of 60 patients with posterior dental caries were recruited and randomly assigned to receive nano-hybrid or microhybrid composite dental fillings. Patients were clinically evaluated at 6 months, 12 months, and 24 months after patching to assess patch retention, color change, sensitivity, and other complaints.

Results: The patch retention rates in the two groups were not significantly different (p>0.05). The color change in the nano-hybrid group was less than that in the microhybrid group (p<0.05). Tooth sensitivity in the two groups was not significantly different (p>0.05). No other complaints were reported by the patient.

Conclusion: Nano-hybrid and microhybrid composite dental filling materials have equivalent effectiveness and safety within a period of 24 months. However, nano-hybrid showed less color change compared to microhybrid.

Formulation and Evaluation of Toothpaste Combining Clove Flower Extract (Syzygium aromaticum L.) and Chamomile Flower Essential Oil (Matricaria chamomilla)

Elmaria — 2024-07-16

Introduction: Herbal remedies like clove and chamomile have been traditionally used for their potential oral health benefits. This study aimed to formulate and evaluate a toothpaste combining clove flower extract (Syzygium aromaticum L.) and chamomile flower essential oil (Matricaria chamomilla) for its efficacy in promoting oral hygiene.

Methods: Clove flower extract was obtained through ethanol extraction, while chamomile essential oil was procured commercially. Various toothpaste formulations (F1-F3) were prepared with varying concentrations of the herbal extracts, alongside a control formulation (F0) without the extracts. The formulations underwent comprehensive evaluation, including organoleptic assessment, pH determination, homogeneity testing, and foam height analysis. Additionally, antimicrobial activity against common oral pathogens (Streptococcus mutans and Staphylococcus aureus) was assessed using the agar well diffusion method.

Results: All formulations (F0-F3) exhibited acceptable organoleptic properties, pH levels within the safe range for oral use, and homogeneity. However, foam height varied among formulations, with F1-F3 showing lower foam compared to the control (F0). Notably, F2 and F3 demonstrated significant antimicrobial activity against both S. mutans and S. aureus, suggesting their potential in combating oral pathogens.

Conclusion: The combination of clove flower extract and chamomile essential oil in toothpaste formulations holds promise for enhancing oral hygiene due to their antimicrobial properties. Further research is warranted to optimize foam height and explore the long-term clinical effects of this herbal toothpaste.

Successful Management of Dry Socket with Alveogyl Following Posterior Mandibular Tooth Root Extraction: A Case Report

Arsheilla Ika Maulida — 2024-09-04

Introduction: Dry socket, or alveolar osteitis (AO), is a prevalent post-extraction complication characterized by intense pain and delayed healing. The etiology is multifactorial, often linked to trauma, infection, and lifestyle factors. Alveogyl, a medicated dressing containing iodoform, butamben, and eugenol, is commonly employed in dry socket management due to its analgesic, antiseptic, and healing properties. This case report presents the successful treatment of dry socket with Alveogyl following the extraction of retained mandibular third molar roots.

Case presentation: A 22-year-old female patient presented with severe, radiating pain four days after the extraction of retained mandibular third molar roots. Clinical examination revealed an open socket with exposed bone and localized inflammation, indicative of dry socket. The patient's medical history was unremarkable, and she denied any contributing factors such as smoking or oral contraceptive use. The socket was irrigated with saline, and Alveogyl dressing was applied.

Conclusion: The patient reported complete pain resolution and demonstrated significant healing at the one-week follow-up. This case underscores the efficacy of Alveogyl in managing dry socket, providing pain relief, and promoting healing. The prompt diagnosis and treatment of dry socket are crucial in mitigating patient discomfort and ensuring optimal healing outcomes. The use of Alveogyl as part of a comprehensive treatment approach can contribute to successful dry socket management.