American Journal of Dentistry 

About: American Journal of Dentistry is an academic journal published by Mosher & Linder, Inc.. The journal publishes majorly in the area(s): Dentin & Bond strength. It has an ISSN identifier of 0894-8275. Over the lifetime, 2349 publications have been published receiving 57900 citations. The journal is also known as: AJD.

The global increase in dental caries. A pending public health crisis.

Abstract: A current review of the available epidemiological data from many countries clearly indicates that there is a marked increase in the prevalence of dental caries. This global increase in dental caries prevalence affects children as well as adults, primary as well as permanent teeth, and coronal as well as root surfaces. This increase in dental caries signals a pending public health crisis. Although there are differences of opinion regarding the cause of this global dental caries increase, the remedy is well known: a return to the public health strategies that were so successful in the past, a renewed campaign for water fluoridation, topical fluoride application, the use of fluoride rinses, a return to school oral health educational programs, an emphasis on proper tooth brushing with a fluoride dentifrice, as well as flossing, a proper diet and regular dental office visits. If these remedies are not initiated, there could be a serious negative impact upon the future oral health (and systemic health) of the global community, as well as a strain on the dental profession along with a major increase in the cost of dental services.

Saliva: an emerging biofluid for early detection of diseases

Abstract: The capability to assess physiological states, detect morbidity initiation and progression, and monitor post-treatment therapeutic outcomes through a noninvasive approach is one of the most desirable goals for healthcare research and delivery. Saliva, a multi-constituent oral fluid, has high potential for the surveillance of general health and disease. To reach the above goal through saliva-based diagnostics, two prerequisites must be fulfilled: (1) discovering biomarker(s) for different diseases among the complicated components of saliva, and (2) advancing sensitivity and specificity of biomarker(s) through persistent development of technologies. Under the support and research blueprint initiated by the National Institute of Dental and Craniofacial Research (NIDCR), salivary diagnostics has not only steadily progressed with respect to accuracy and availability, but has also bridged up-to-date nanotechnology to expand the areas of application. With collective efforts over several years, saliva has been demonstrated to be a promising bodily fluid for early detection of diseases, and salivary diagnostics has exhibited tremendous potential in clinical applications. This review presents an overview of the value of saliva as a credible diagnostic tool, the discovery of salivary biomarkers, and the development of salivary diagnostics now and in the future.

Water treeing--a potential mechanism for degradation of dentin adhesives

Abstract: Purpose To test the hypothesis that water channels are present along the adhesive-dentin interface that can be detected using transmission electron microscopy examination of tracer penetration. Materials and methods Different total-etch adhesives (Single Bond, Excite, and PQ1) and self-etch adhesives (Prompt L-Pop, Reactmer Bond, and an experimental self-etch adhesive) were bonded to dentin and enamel. Bonded resin-tooth slabs were immersed in 50 wt% conventional silver nitrate or 50 wt% basic, ammoniacal silver nitrate for 24 hours, exposed to a photodeveloping solution, and prepared for transmission electron microscopy. Results With both types of silver nitrate, all adhesives exhibited nanoleakage within hybrid layers. In addition, water trees in the form of interconnecting, dendritic silver deposits were seen along the surface of the hybrid layers that extended perpendicularly into the adhesive layers. With ammoniacal silver nitrate, additional isolated, unconnected silver grains were observed within the adhesives.

Clinical evaluation of fiber-reinforced epoxy resin posts and cast post and cores.

Abstract: PURPOSE This retrospective study evaluated treatment outcome of cast post and core and Composipost systems after 4 yrs of clinical service. MATERIALS AND METHODS 200 patients were included in the study. They were divided in two groups of 100 endodontically treated teeth restored with a post. Group 1: Composipost systems were luted into root canal following the manufacturer's instructions. Group 2: Cast post and cores were cemented into root canal preparations with a traditional technique. The patients were recalled after 6 months, 1, 2 and 4 yrs and clinical and radiographic examinations were completed. Endodontic and prosthodontic results were recorded. RESULTS Group 1: 95% of the teeth restored with Composiposts showed clinical success; 3% of these samples were excluded for noncompliance and 2% showed endodontic failure. Group 2: Clinical success was found with 84% of teeth restored with cast post and core. 2% of these samples were excluded for noncompliance, 9% showed root fracture, 2% dislodgment of crown and 3% endodontic failure. Statistical evaluation showed significant differences between Groups 1 and 2 (P < 0.001). The results of this retrospective study indicated that the Composipost system was superior to the conventional cast post and core system after 4 yrs of clinical service.

Bonding to root canal: structural characteristics of the substrate.

Abstract: Purpose To evaluate in vitro the dentin morphology in root canals in terms of tubule orientation, density and increase in surface area after etching. Materials and methods Thirty anterior teeth were divided in 3 groups at random: the samples of Group 1 were used to study tubular morphology in SEM. Groups 2 and 3 samples were etched with 32% phosphoric acid. The teeth in Group 2 were examined by SEM without further treatment. The samples in Group 3 were treated with a bonding system and fiber posts were luted into the canal. These teeth were then processed for evaluation of hybrid layer formation and resin tags in dentin tubules. The observations were made according to location in the root dentin, tubule density was estimated, and the increase in area available for bonding after etching was calculated. Results The observations revealed variability in tubule density and orientation within different areas of any one sample. Statistically significant differences in the density of tubules were found depending on location. The dentin surface area available for bonding increased by 202% after etching in the cervical third, 156% in the middle third, and 113% in the apical third of the root dentin. Group 3 samples showed that the thickness of the hybrid layer depended on the density of tubules. In the sectors with a low density of tubules, the hybrid layer was significantly thinner than in areas with a higher density of tubules. The increase in dentin surface area might be responsible for the enhanced bond strength after acid etching, but not all areas exhibited equal responses to etching.