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  • ISSN: 2333-7133
    Current Issue
    Volume 8, Issue 2
    Review Article
    Michel Goldberg*
    Systemic and topical infections using irrigants are efficiently treated by antibiotics. Periapical lesions as well as microorganisms associated to the smear layer constitute the target of these therapies. In addition to dental and Peridontal infections, intracanalar medicaments, such as ledermix, septomycine, tetracyclines, and the triple antibiotic paste including metronidazole, ciprofloxacin and minocycline, has been reported to be effective in the cleaning and bacterial inactivation of the root canal system. Topical antimicrobial and root canal irrigants may be used after the degradation of the dental pulp. These irrigants include calcium hydroxide, sodium hypochlorite and chlorhexidine. Others root medication such as EDTA, MTAD, triclosan, metronidazol, and phenol derivative are also efficient in this context. All these irrigants are functioning in close association with water, viscous or oil based vehicles. Root canal disinfection is a need before filling of root lumen with a stable paste and a tight seal of the coronal part of the tooth. Eliminating the bacterial smear layer constitute a crucial step which is a prerequisite leading to the regeneration of the radicular pulp, that plays a major role of restorative endodontic treatment allowing apexification.
    Michel Goldberg*
    ART is a therapy that contributes to heal and prevent the increase of carious diseases. Previous studies have identified two parts in dentin carious lesion, the superficial infected part, and the inner affected portion. In the infected part, bacteria are numerous, located beneath the dentino-enamel junction. The mantle dentin is destroyed, and also peritubular dentin. Intertubular dentin is demineralized, and the decay is diffusing through enlarged tubules filled by bacteria releasing proteases. This soft part of the lesion may be removed manually using excavators. In the deep part, the affected dentin, peritubular dentin reappears gradually. The mineralization of the intertubular dentin is rising up to the level of the sound dentin. Some tubules are occluded by intraluminal mineralized structures, contributing to the formation of a sclerotic zone. Chemo-mechanical strategies aimed to keep the deep part of the lesion, susceptible to be a scaffold for re-mineralization. The sclerotic dentin layer provides a firm surface where dental surgeons are susceptible to glue adhesive biomaterials such as glass ionomers. ART strategies aim to eliminate the soft carious layer and preserve the affected layer which may heal and remineralize. This constitutes the basis for Minimal Intervention Dentistry (MID) and/or Atraumatic Restorative Treatment (ART). ART constitute nowadays a good substitute to the Blacks classical cavities. It prevents cariogenic spreading and the increase of carious lesions.
    Research Article
    Luis Perez-Melean*, Lidia Guerrero Rodriguez, and Jaime Catro-Nuez
    Purpose: A myriad of benign and malignant conditions may affect the mandibular condyle. Often, such conditions remain undiagnosed until they become symptomatic or incidentally discovered on diagnostic images. Radiologic findings in some of these lesions may be unspecific, therefore it is paramount to understand the clinical, radiologic, and histological presentation of such pathologies in order to provide an adequate diagnosis and a treatment plan. The purpose of this paper is to perform a non-systematic review of the literature of both benign and malignant lesions that can affect the mandibular condyle.
    Materials and Methods: A review of the English literature was done looking for benign and malignant lesions that can affect the mandibular condyle.
    Results: A myriad of benign and malignant conditions can affect the mandibular condyle. Treatment for these conditions is usually surgical.
    Conclusion: The mandibular condyle can be affected by a plethora of benign and malignant conditions, which require a proper understanding by the surgical team in order to diagnose and treat them properly.
    Davi Neto de Araujo Silva, Amanda Felix Goncalves Tomaz, Natalia Teixeira da Silva, Cristiane Lorena Maia Pinheiro, Marcela Leticia da Silva Azevedo, Angelica Kercya, and Pereira de Mendonca
    The dentist performance within public health represents an important advance in the complete and interdisciplinary plan for the prevention, promotion and health recovery, whether in public or private networks.
    Objective: This study aims to reflect and discuss the real dentist importance for the public health within this professional activity field, understanding that dental care goes beyond what is realized in the mouth. In addition, to analyze these professionals roles and their actions impacts on the health quality of those who receive their care.
    Methods: A literature search was performed in electronic databases PubMed and Cochrane Library, including articles published in scientific journals. Two researchers performed a critical analysis about the articles selected for inclusion.
    Results: 11 publications were selected. In both references consulted, there was a consensus regarding the indispensable dentist presence in the prevention and health promotion process. In addition, the dentist inclusion in the public health network, via government health strategies, only reinforces the need for valuing these professionals.
    Conclusion: The collectively dental services provision not only promotes oral health, but also enables the health quality improvement in an integral way.
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