ABSTRACT
BACKGROUND: The evidence in the literature suggests that some skeletal or dental malocclusions are involved with dental development, resulting in advanced or delayed dental age (DA). The purpose of this systematic review was to investigate the association between DA and different types of malocclusions. METHODS: The search was carried out on PubMed, Scopus, Web of Science, Virtual Health Library, and in the gray literature. Observational studies that evaluated the association between DA and sagittal, vertical, or transversal malocclusions were included. The quality assessment was performed using the Newcastle-Ottawa Scale (NOS). The data from primary studies were narratively synthesized. The certainty of evidence was evaluated using the GRADE approach. The study was conducted from August 2023 to October 2023. RESULTS: One Thousand Nine Hundred Ninety-One records were identified in the initial search. Twenty (n = 20) studies were included. Most of the studies (n=15) presented a moderate quality according to NOS. Twelve studies evaluated the association between DA and sagittal discrepancies; eight studies evaluated vertical discrepancies, and only one study analyzed a transversal discrepancy. Demirjian's method for DA assessment was the most used among the studies. The primary studies observed that patients of both sexes presenting a vertical growth pattern and males with skeletal Class III malocclusion tend to have advanced DA. The study that investigated transversal malocclusion found that unilateral posterior cross-bite is associated with delayed DA. The certainty of evidence was very low for all outcomes evaluated. CONCLUSION: DA may be associated with the type of malocclusion. It is suggested that DA can be used as an initial diagnostic tool in orthodontics. Future well-designed studies should be performed in order to investigate the association between DA and different types of malocclusions in more detail. TRIAL REGISTRATION: This study was registered in the PROSPERO database (CRD42023454207).
Subject(s)
Malocclusion, Angle Class III , Malocclusion , Tooth , Male , Female , Humans , Malocclusion/complicationsABSTRACT
AIM: Indirect restorations are increasingly used in dentistry, and the cementation interface is possibly the most critical region of the work. The objective of the present work was to evaluate the influence of exposure to a culture medium containing S. mutans on the hardness and solubility of four different cementing agents (zinc phosphate, glass ionomer, glass ionomer modified with resin and resin cement). MATERIALS AND METHODS: Test specimens composed of these cements were exposed for 30 days in a culture medium containing S. mutans. After leaching, the test materials were assessed in terms of their solubility (loss of mass) and Knoop (KHN) microhardness. Changes in surface morphology were identified using scanning electron microscopy (SEM). RESULTS: The resin cement showed no significant solubility and its hardness increased following exposure and leaching, while the zinc phosphate cement was the most soluble and its hardness decreased after exposure to the culture medium. SEM analyses identified morphological alterations on the surfaces of the test materials that were compatible with the solubility results. CONCLUSION: It is concluded that resinous cements perform better than water-based cements when exposed to acidic conditions. CLINICAL SIGNIFICANCE: The effects of acids from Streptococcus mutans can interfere with the efficiency and properties of some cements used for fixation of indirect restorations, exposed to the buccal environment.
