High quality oral health – an FDI World Dental Federation objective

An important aspect of the work of our federation is to produce and publish information and guidelines on all aspects of oral health care and the actions of dentists worldwide. We do this with the FDI Policy Statements, which sum up our thoughts and views on a wide variety of issues and topics related to our profession, its practice and oral health[…]

Michael Frank

(read pdf)

Dr. Frank_Bild Georgios Tsiogas

Ways to increase the probability of acceptance of a manuscript

Dear Authors,
You may think writing a scientific manuscript is difficult. Providing you had a well-designed experiment based on a well-thought through question, it is quite simple, since it is a standard procedure. How to get it through the review process is a vital question for you, the author. The answer is very simple: please the editor and the reviewers. There is nothing more boring for editors and reviewers to make the same corrections again and again […]

Jean-François Roulet, Nicoleta Ilie

(read pdf)


The thorny road of acknowledgement

Following Prof. J-F Roulet’s constant encouragement to motivate the authors, but also our army of editors, we registered the Stomatology Edu Journal for evaluation in as many databases as possible. To provide visibility, the Stomatology Edu Journal was registered with Crossref, each article starting with the first 2014 issue received a Digital Object Identifier (DOI) and is found on Google Scholar. Also, as of 2017 the journal has been accepted by the Directory of Open Access Journals (DOAJ)…On June 13, 2018 the Stomatology Edu Journal was registered for evaluation at Clarivate Analytics…[…]

Marian-Vladimir Constantinescu

(read pdf)



Laudatio in Celebration of Professor Zrinka Tarle on her 50th birthday

Her field of special expertise focuses on the properties and improvements of materials and procedures in restorative dental medicine. In spite of her comparatively young age she has already achieved quite valuable scientific experimental and clinical results in her academic career so far […]

Vjekoslav Jerolimov
(read pdf)




Impact of periodontitis on the ECG dispersion mapping of the myocardial tissues

According to the epidemiological studies published by WHO, gingivitis and periodontitis can be classified as presenting epidemic traits, even in highly developed countries – severe chronic periodontitis affects about 35% of the US population and it is forecast that by 2030, the number of individuals with chronic periodontitis in the US will reach 71 million (1 in 5 individuals)[…]

Valeriu Fala, Victor Lăcustă, Sergiu Ciobanu, Gheorghe Bordeniuc

(abstract)Introduction: The periodontal disease is considered to have an epidemic reach in the general population. The impact of the periodontal disease on the general health is studied from the perspective of the existence of complex interrelationships, especially with respect to the cardiovascular system. The aim of the study was the assessment of the correlation between the clinical signs of the chronic periodontitis and the changes in the ECG dispersion of the myocardial tissues and the analysis of the efficiency of the masticatory test and full mouth disinfection procedure for recording these signs in patients with chronic periodontitis.
Methodology: 92 patients with chronic periodontitis without the clinical manifestations of the cardiovascular disease and pathological signs on standard ECG were included in the study. Periodontitis was diagnosed based on the clinical and radiological exams.The ECG dispersion mapping technology was used to identify changes in the myocardial tissues, under various conditions.
Results: The pathological system of periodontitis-target organ (heart), its elements and the pathways of interaction were described. The research outlined the diagnostic value of the masticatory test and of the full mouth disinfection procedure in the process of identifying the changes in ECG dispersion of the myocardial tissues in patients with chronic periodontitis. It also proposed an algorithm for the interdisciplinary management of patients with chronic periodontitis, based upon the periodontitis-target organ (heart) concept.
Conclusion: The periodontitis-target organ (heart) concept represents a cumulative synthesis of the available data from literature and of our investigations, and it may prove as a step towards an integrative medicine approach in periodontology.
Keywords: Interdisciplinary management; Index myocardium; Periodontal index; Periodontics; Target organ.
 | (read pdf) |


Studying dentine caries in the first permanent molars in children

Caries formation is a dynamic process of imbalances in the oral environment that lead to the development of carious lesions, on predisposed surfaces in the primary and permanent teeth in children. The progression of the carious lesion may be influenced in its early stages of development by modeling the oral environment and remineralization […]

Nadezhda Georgieva Mitova, Nikolay Ishkitiev


(abstract)Introduction: Caries in permanent teeth most often start from the occlusal surfaces of the first molars, soon after eruption at the age of six. At that point the occlusal surfaces are at risk due to the presence of many retentive areas.
Aim – To study the spread and characteristics of cavitated dentine caries in the first permanent molars after eruption.
Methodology: 351 children, distributed into two groups were subjected to the study: the first group – 6 to 9-year olds, and the second group – 10 to 12-year olds. The registration of the oral status was carried out with an epidemiological card for oral health assessment – brief bio, dental status and description of the cavitated carious lesions in the dentine. The clinical description of the D3 carious lesions present was determined according to the localization of the carious lesions (occlusal, approximal, cervical), the color and the consistency of the carious dentine, via the Bjørndal et al scale.
Results: The results of this study show that children aged 6 to 12 have on average three to four carious teeth. Dentine carious lesions D3 with occlusal localization in the first permanent molars are plausibly more numerous than the carious lesions with approximal and cervical localization. In the first permanent molars, the dentine carious lesions with occlusal localization are characterized by darker colors of carious dentine and a relatively hard consistency.
Conclusions: In the first permanent molars the more slowly progressing carious lesions are predominant.
Keywords: Caries; Dental decay; Dentine; Occlusal surfaces; Permanent first molar.
| (read pdf) |




Alternative methods for accelerating the rate of orthodontic tooth movement: literature review

Recently, it has been mentioned in literature many methods for accelerating the rate of orthodontic tooth movement. The rate of orthodontic tooth movement depends on the forces used in order to cause orthodontic tooth movement and the individual response (the biological response) of the body to these forces […]

Maria-Dumitrela Ciur, Raluca-Maria Vieriu , Nicolae Daniel Olteanu, Liviu Zetu, Irina Nicoleta Zetu


(abstract)Background: The rate of orthodontic tooth movement depends on two general factors: the forces used in order to cause orthodontic tooth movement and respectively the individual (biological) response of the body to these forces.
Objective: The aim of this review is to offer an overview of the factors that has been mentioned in literature to accelerate the biologic response to orthodontic forces.
Data Sources: PubMed, Google Scholar and Scopus databases were used.
Study selection: We included in our study controlled clinical trials, but also randomized controlled trials and even cases series with more than 5 subjects that aimed to evaluate alternatives methods in accelerating the rate of orthodontic tooth movement. Publications published until April 2018 were included.
Data Extraction: All the factors that had been mentioned in literature to have a positive influence on the rate of orthodontic tooth movement were synthesized and described as a review. These methods are the followings: physical, surgical and chemical agents. Physical factors are easy to apply, surgical factors are invasive and the pharmacological agents we described in this article are: prostaglandin E2 (PGE2) and vitamin D3.
Data Synthesis: The alternatives methods that accelerate the rate of orthodontic tooth movement modulate the biologic response of the periodontal ligament to the mechanical forces. Vitamin D3 was mentioned as the most biopotent agent in accelerating the rate of orthodontic treatment. Although it has biomodulator effect on bone tissue, supplementary studies are needed in order to clarify what is the exact reduction of orthodontic treatment period.
Keywords: Accelerated orthodontic tooth movement; Rate of orthodontic tooth movement; Orthodontic treatment; Biologic response.
| (read pdf) |


Three dimensional planning of orthognathic surgery: a narrative review of the Leuven protocol

Surgical virtual planning is currently possible due to the recent developments in maxillofacial radiology with the introduction of low dose cone beam computer tomography (CBCT) especially with CBCT systems scanning the full skull[…]

Eman Shaheen, Constantinus Politis


(abstract)Background & Objective: The aim of this paper was to present the virtual surgical planning (VSP) protocol for orthognathic surgery used in daily practice in the department of Oral and Maxillofacial surgery, University Hospitals of Leuven, Leuven, Belgium.
Data Sources: The different steps are presented in details explaining the protocol and showing an example of a bimaxillary case.
Data Synthesis: A variety of aspects have been discussed including the different possibilities with respect to the software used and their limitations. The pros and cons of that software compared to other commercial software tools have been highlighted.
Keywords: 3D planning; Orthognathic surgery; Virtual planning; Surgical planning; Virtual surgical planning (VSP).
| (read pdf) |

fig 1-Leuven



Aggressive dentigerous cyst in a 9-year child: a case report and review of literature

Dentigerous cyst (DC) is the most common developmental odontogenic cyst that invariably occurs between the second and third decade and its incidence is second to the radicular cyst [1,2]. The incidence of the DC in young individual is quite low; less than 10% within the first 10 years of life[…]

Juma Omran Al Khabuli, Sally Mohamed, Huda Abutayyem, Said A. Abdelnabi


(abstract)Aim: To report a case of aggressive dentigerous cyst associated with unerupted mandibular 2nd premolar.
Summary: Dentigerous cyst (DC) is a developmental odontogenic cyst, commonly occurs between the 2nd and 3rd decade and is associated with the crown of unerupted tooth. Unless infected, these cysts usually remain asymptomatic. However, they may develop as a result of apical spread of inflammation from primary teeth causing pain, swelling and bone destruction.
A 9-year-old child presented to the pediatric clinic with pain and swelling for
3 weeks. Clinical examination revealed endodontically treated lower left primary 2nd molar with slight mobility. Also, there was an obvious expansion of the buccal plate. The radiographs and CBCT revealed large cystic lesion around the crown of unerupted mandibular left 2nd premolar causing massive destruction of the buccal and lingual plates. The cystic lesion was treated by enucleation and removal of the unerupted 2nd premolar tooth. The histopathology confirmed a diagnosis of dentigerous cyst. The follow-up demonstrated uneventful healing and good prognosis.
Key learning points:
– It is crucial to follow-up any pulpally treated primary teeth.
– There is a potential Infection spread from infected primary roots to the follicular tissues of permanent teeth that could instigate unexpected pathology.
Keywords: Dentigerous Cyst; Enucleation; Marsupialization; Unerupted premolars
| (read pdf) |

fig 3-alk

Downgrading advanced stage Medication Related Osteonecrosis of Jaw (MRONJ) using pedicled flap – Technical review with case report

Medication related osteonecrosis of the jaw (MRONJ) is defined as exposed or probable bone in the maxillofacial region without resolution in 8-12 weeks in persons with a history of treatment with an antiresorptive or antiangiogenic therapy who have not received radiation therapy to the jaws […]

Srinivasa Rama Chandra, Holley Tyler J, Ruxandra-Gabriela Coropciuc,
Constantinus Politis


(abstract)Introduction: Medication related osteonecrosis of the jaw (MRONJ) is a locally destructive, and potentially devastating disease process that occurs in patients with a history of antiresorptive or antiangiogenic therapy. A widely accepted practice of surgical intervention in the management of advanced stage MRONJ involves segmental resection of the affected bone.
Aim: We propose to downgrade the stage with pedicled flaps for eradication of biofilm and vascular coverage with load sharing or load bearing constructs of the skeleton. As patients that receive antiresorptive or antiangiogenic therapy often have multiple medical comorbidities, this limits their surgical options and precludes them from being able to undergo expansive segmental resections or microvascular free tissue transfers and are left with palliative measures, thus compromising their care.
Summary: Either concept of MRONJ progression- bone metabolism or vascular breakdown is treated with immediate advancement of a pedicled local tissue flap and is performed for soft tissue coverage, thus providing a new vascular envelope and decreasing soft tissue toxicity to halt furtherance of the disease. Submental island flaps, nasolabial flaps, pedicled buccal fat pad flaps, and facial artery musculomucosal flaps have demonstrated success for longer than two years. This technique addresses downgrading MRONJ stage II and III in the mandible as a possible long-term treatment. This unreported innovative approach consists of marginal resection of the involved alveolar bone, while preserving the affected basal bone and subsequently provides reinforcement with a titanium bone plate, decreasing the chance of pathologic fracture.
Keywords: MRONJ; Flap; Pedicled flap; Medication related osteonecrosis of the jaw; Bisphosphonate related osteonecrosis of the jaw.
| (read pdf) |



The gold standard of removable dental appliances care – Dr. Mark’s HyGenie® ergonomic oral hygiene device

This spring, while attending the 38th International Dental Exhibition (IDS), Cologne, Germany, I came across Dr. Mark’s HyGenie® ergonomic oral hygiene device as a first innovation. Despite innovations dedicated to mobile dental devices, their care has remained unchanged.[…]

Florin-Eugen Constantinescu
| (read pdf) |