Musculoskeletal disorders and risk indicators for pain chronification among German dentists: A cross-sectional questionnaire-based study.

Objectives: The aim of this study was to determine the prevalence of musculoskeletal (MS) disorders in practicing German dentists and identify risk factors for pain chronification.

Methods: This was a cross-sectional, quantitative, questionnaire-based study in which the validated German version of the Örebro Musculoskeletal Pain Questionnaire was sent out to practicing German dentists.

Results: Of the 8,072 questionnaires sent out, 576 dentists responded (60.

Biomimetic Enamel Regeneration Using Self-Assembling Peptide P-4.

The recent understanding of the etiology and pathology of dental caries has shifted its treatment from invasive drill and fill conventional strategies to noninvasive and/or minimally invasive approaches. Guided tissue regeneration (GTR) is a well-established therapeutic approach in medicine and periodontal and oral surgery. Recently, the concept of biomimetic regeneration has been further expanded to treat the loss of hard dental tissues.

Treatment success of carious primary molars with marginal breakdown: comparison of three treatment approaches in a real-world clinical setting (using decision tree analysis).

Objectives: Treatment of carious primary molars is always indicated, especially on young children; however, there are no clear guidelines that precisely explain the best treatment approach for Class II carious molars with marginal breakdown (International Caries Detection and Assessment System [ICDAS] 5). The objective of this prospective observational clinical study was to assess the efficacy of three restorative techniques in treating ICDAS 5 Class II lesions in primary molars: compomer fillings (CF), preformed metal crowns (PMC), and pulpotomy and conventional preformed metal crowns (PMC+P). The secondary goal was to evaluate the impact of some cofactors on the course of treatment.

Multicenter RCT on intensive caries prevention for children undergoing dental general anaesthesia: Intensive caries prevention for children undergoing dental general anesthesia.

Objectives: Early childhood caries is a persistent problem often leading to dental treatment under general anesthesia (GA). Thus, this study investigated the effect of two additional individual caries prevention appointments before and after GA.

Materials And Methods: In this multi-center, 2-arm randomized, controlled clinical trial, 408 children (age 2-5 years, mean 4.

Dental status and prosthetic treatment needs among adult refugees in Germany.

Objective: Due to the current global situation of refugees, Europe has experienced increased migration from African, Middle Eastern, and Eastern European countries. The objective of this study was to explore oral health, especially prosthetic status and treatment needs, in adult refugees, and to compare these findings with German cohorts.

Method And Materials: This representative, multicenter, cross-sectional survey on oral health and treatment needs among refugees was carried out in 10 registration centers for asylum seekers aged 18 to 75 years across Germany in 2016 to 2017.

RCT on the effectiveness of the intraligamentary anesthesia and inferior alveolar nerve block on pain during dental treatment.

Objective: To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth.

Materials And Methods: In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes.

National oral health survey on refugees in Germany 2016/2017: caries and subsequent complications.

Objectives: To assess oral health, caries prevalence, and subsequent complications among recently arrived refugees in Germany and to compare these findings with the German resident population.

Methods: This multicenter cross-sectional study recruited 544 refugees aged 3-75+ years; they were examined at ten registration institutions in four federal states in Germany by two calibrated dentists. The refugees were screened for caries (dmft/DMFT) and its complications (pufa/PUFA); this data was compared to the resident population via the representative national oral health surveys).

Choosing a paediatric dentist: Factors influencing parents' decision.

Aim: Choosing a paediatric dentist is an important decision for parents. The mechanisms of this selection have hardly been studied. This study assesses the factors influencing parents' decision choosing a specialised paediatric dentist for their child.

Improving Toothbrushing with a Smartphone App: Results of a Randomized Controlled Trial.

Objectives: Performing proper toothbrushing is a complicated process for children. Therefore, the aim of this study was to investigate the effect of a smartphone app for improving manual toothbrushing via a gravitation sensor.

Methods: In this prospective, controlled, single-blinded, randomized clinical trial, 49 children (mean age 5.

Parental acceptance of advanced behaviour management techniques in normal treatment and in emergency situations used in paediatric dentistry.

Background: Behaviour management techniques (BMT) in children are essential to achieve a successful dental treatment, but parents are not equally accepting BMT.

Aim: To investigate the parental acceptance of advanced behaviour management techniques used in paediatric dentistry in normal and in emergency situations in Germany.

Methods: Parents bringing their children for dental care answered a questionnaire on the acceptance of four advanced BMT: passive restraint, active restraint, nitrous oxide sedation and general analgesia.

School-based oral health education increases caries inequalities.

Objective: To evaluate the effect of one and half years of an oral health promotion program in primary schools.

Design: A cluster-randomized controlled trial.

Participants: 740 students aged 9-12 years (48% female) recruited from the fifth grade of 18 different primary schools in West Pomerania, Germany.

Use of stainless steel crowns to restore primary molars in Germany: Questionnaire-based cross-sectional analysis.

Background: Stainless steel crowns (SSCs) have shown substantial clinical success and are the restoration of choice to treat multisurface carious primary molars.

Aim: To evaluate the use of and views on SSCs for treating primary molars in Germany.

Methods: This is a questionnaire-based cross-sectional study, which assessed the views of dentists and dental schools on the use of SSCs (conventional and the Hall Technique [HT]) in Germany.

Obliteration after recurrent dental trauma in a 7-year-old patient: 4-year follow-up.

Traumatic dental injuries are reported to have a high prevalence regardless of the region or the age group. Concussion injuries are considered as moderate, but very frequent injuries. They are associated with a wide spectrum of pulpal reactions.

Treatment of Carious Lesions Using Self-Assembling Peptides.

Modern approaches in caries treatment involve lesion management without tissue removal. Regenerative medicine focuses on replacing damaged tissues with biologically similar tissues. This article discusses the scientific evidence and clinical results for self-assembling peptides in modern caries management.

Alternative Caries Management Options for Primary Molars: 2.5-Year Outcomes of a Randomised Clinical Trial.

Less invasive caries management techniques for treating cavitated carious primary teeth, which involve the concept of caries control by managing the activity of the biofilm, are becoming common. This study aimed to compare the clinical efficacy (minor/major failures) and survival rates (successful cases without any failures) of 3 carious lesion treatment approaches, the Hall Technique (HT), non-restorative caries treatment (NRCT), and conventional restorations (CR), for the management of occlusoproximal caries lesions (ICDAS 3-5) in primary molars. Results at 2.

Self-assembling Peptide P-4 and Fluoride for Regenerating Enamel.

Regenerative medicine-based approaches for caries treatment focus on biomimetic remineralization of initial carious lesions as a minimal invasive therapy. In vitro, self-assembling peptide P-4 enhances remineralization of early carious lesions. To investigate the safety and clinical efficacy of P-4 for treatment of initial caries, a randomized controlled single-blind study was conducted on children aged >5 y with visible active early caries on erupting permanent molars.

Socio-behavioural aspects in the prevention and control of dental caries and periodontal diseases at an individual and population level.

Aim: Aim was to systematically review behavioural aspects in the prevention and control of dental caries and periodontal diseases at individual and population level.

Material & Methods: With regard to caries, MEDLINE/PubMed was searched on three subheadings focusing on early childhood, proximal and root caries. For periodontal diseases, a meta-review on systematic reviews was performed; thus, the search strategy included specific interventions to change behaviour in order to perform a meta-review on systematic reviews.

Referral patterns and general anesthesia in a specialized paediatric dental service.

Objectives: The caries patterns of child populations in Germany have changed during the last 20 years. This affects the referrals and provision of specialist dental care for children. This study has two aims: first, to investigate referrals received by a specialized pediatric dental institution in 1995 and 2008, and second, to assess the treatments performed during full oral rehabilitations under general anesthesia in this institution from 2007 to 2008.

Overweight and dental caries: the association among German children.

Objectives: The aim of this study was to determine the relationship between iso-body mass index (iso-BMI) and both dental caries status and caries increment among German school children.

Methods: Six hundred and ninety-four students (age range 9-12 years, mean 10.34 ± 0.

Clinical safety, quality and effect of resin infiltration for proximal caries.

Aim: Resin infiltration of proximal lesions is a new approach to stop caries progression. The aim of this clinical trial was to assess its safety and quality, as well as the therapeutic effect.

Materials And Methods: In 47 children, adolescents and young adults, ten dentists applied the infiltration material ICON (DMG, Germany) on initial proximal lesions according to the manufacturer's instruction.

Acceptability of different caries management methods for primary molars in a RCT.

Background: More conservative techniques for managing dental caries including 'partial' and 'no caries removal' have been increasingly of interest.

Aim: To compare children's behaviour and pain perception, also technique acceptability (parents and dentists), when approximal dentinal lesions (ICDAS 3-5) in primary molars (3-8-year-olds) were managed with three treatment strategies; conventional restorations (CR), hall technique (HT), and non-restorative caries treatment (NRCT).

Design: Secondary care-based, three-arm parallel-group, randomised controlled trial, with 169 participants treated by 12 dentists.

A randomized clinical trial on the use of medical Portland cement, MTA and calcium hydroxide in indirect pulp treatment.

Objectives: Studies on indirect pulp treatment (IPT) show varying success rates of 73 to 97 %. The necessity of re-opening the cavity and the question of the optimal capping material is still under debate. The aim of this prospective in vivo study was to compare the clinical and microbiological outcomes of mineral trioxide aggregate (MTA), medical Portland cement, and calcium hydroxide on the dentin-pulp complex of permanent and primary teeth treated with two-step IPT.

Clinical applicability of resin infiltration for proximal caries.

Objective: Resin infiltration is a new microinvasive treatment to arrest the progress of proximal initial caries lesions. This study evaluated the clinical applicability of proximal caries infiltration.

Method And Materials: In the study population of 50 children, adolescents, and young adults (mean age, 17.

Efficacy of semiannual topical fluoride application in schoolchildren.

Objective: Fluoride is the most important factor in the decline of caries in children and adolescents. The aim of this observational study, begun in 2000, was to assess the effect of semiannual topical fluoride application in schoolchildren.

Method And Materials: Due to limited resources, only 334 of all first and second grade schoolchildren (6 to 8 years of age, 0.

Sealing proximal surfaces with polyurethane tape: three-year evaluation.

The purpose of this investigation was to test the safety and clinical effect of a new material for the treatment of proximal caries. In 50 patients with two proximal initial lesions, one of the lesions was randomly chosen and sealed with a thin polyurethane-dimethacrylate foil using bonding. The other lesion received oral home care and was left as the control.