Background and Objectives: There is evidence that melatonin could improve the periodontal status and also glycemic control of patients with diabetes mellitus. Therefore, the aim of this study was to assess the effects of scaling and root planing plus adjunctive systemic treatment with melatonin on periodontal parameters and glycemic control in patients with type 2 diabetes and chronic periodontitis. Materials and Methods: The study was conducted on 54 subjects with periodontitis and diabetes mellitus randomly assigned to the study group (n = 27, subjects with scaling and root planing + melatonin) or control group (n = 27, subjects with scaling and root planing + placebo). Periodontal parameters (probing depth—PD; clinical attachment loss—CAL; bleeding on probing—BOP; and hygiene level) and glycated hemoglobin (HbA1c) were assessed at baseline and 8 weeks after. Results: At baseline, there were no significant differences between groups, but at the second evaluation 8 weeks later the association of melatonin with the non-surgical periodontal therapy exerted statistically significant improvements, both in periodontal parameters, with a significant decrease in periodontal disease severity, and glycated hemoglobin when compared to the control subjects. Conclusions: In our study, combined non-surgical periodontal treatment and systemic treatment with melatonin provided additional improvements to severe periodontal condition and the glycemic control of patients with diabetes type 2 when compared to non-surgical periodontal treatment alone.

In this paper several aspects of profound modifications caused by high energy exposures are presented as possible candidates for the efficient adjusting processing of polymer materials. The class of hybrid composites receives special attention due to the large spectrum of formulations, where the interphase interaction decisively influences the material properties. They represent potential start points for the intimate uniformity of hybrid morphologies. Their radiation processing turns composites onto hybrid morphology with expected features, because the transferred energy is spent for the modification of components and for their compatibility. The essential changes achieved in radiation processed composites explain the new material behavior and durability based on the peculiar restructuring of polymer molecules that occurred in the polymer phase. During high energy irradiation, the interaction between intermediates born in the constitutive phases may convert the primary composites into hybrids, integrating them into large applicability spheres. During the radiation exposure, the resulting hybrids gain a continuous dispersion by means of new chemical bonds. This type of compounds achieves some specific structural modifications in the polymer phase, becoming stable hybrid composites. The functional properties of hybrids definitely influence the material behavior due to the molecular changes based on the structural reasons. The radiolysis of the vulnerable component becomes an appropriate opportunity for the creation of new material with improved stability. The radiation treatment is a proper conversion procedure by which common mixtures may become continuously reorganized. This review presents several examples for the radiation modifications induced by radiation exposure that allow the compatibilization and binding of components as well as the creation of new structures with improved properties. This approach provides the reference patterns for the extension of radiation processing over the well-conducted adjustments of polymer composites, when certain material features are compulsorily required. From this review, several solutions for the adjustment of regular polymer composites into hybrid systems may become conceivable by the extended radiation processing.

The present paper proposes a reliable alternative for the increasing stability of polypropylene (PP) by modified polyhedral oligomeric silsesquioxanes (POSS). The chemiluminescence measurements and FTIR records point complementarily out the determinant influence of substituents on the progress of oxidation during the accelerated degradation caused by γ-irradiation. The main kinetic approach of oxidation acting in radiation-induced aging recommends some of the studied structures of modified POSS as appropriate compounds for improving stability of polypropylene at low additive concentration. The analysis of the present results is based on the implication of substituted POSS, whose contribution to the limitation of oxidation is conditioned by the influence of substituents. The delay of the oxidative degradation in studied γ-irradiated polypropylene is the consequence of the interaction between molecular PP fragments and the silanol moieties generated during radiolysis, which are the most vulnerable points of POSS structure.

Background/Objectives: The purpose of this study was to assess the microbial composition and density of subgingival plaque samples for periodontal pathogens while correlating the values with glycemic control levels via glycated hemoglobin (HbA1c), a type of hemoglobin that has chemically linked glucose, in type I diabetes individuals who will undergo complex oral rehabilitation through orthodontic treatment and implant surgery. Methods: A cohort of 42 adults with type I diabetes were included in this study. The subjects sustained a comprehensive periodontal clinical examination as well as microbiological assessments of their subgingival plaque samples through quantitative real-time PCR. The samples were collected from the two deepest pockets of each subject. Results: The highest number of periodontopathogenic bacteria was observed in the pockets of 5–7 mm. T. forsythia showed the highest prevalence (20.48%), with decreasing numbers as follows: T. denticola (13.31%), P. gingivalis (11.26%), A. actinomycetemcomitans (7%), and P. intermedia (4.9%). T. denticola and T. forsythia were significantly more commonly observed in individuals with elevated HbA1c serum levels. No correlation was observed between P. gingivalis, A. actinomycetemcomitans, P. intermedia presence, and the HbA1c value. Conclusions: Periodontopathogenic agents’ presence in subgingival biofilm samples varied in accordance with the pocket probing depth and metabolic control of the diabetic individuals. In our study, the appearance of these periodontopathogenic agents was linked to lowered metabolic control in patients with type I diabetes mellitus.

Background and Objectives: Corticotomy-facilitated orthodontics is an approach that can be useful in treating complex orthodontic cases and that could enhance the rate of tooth movement. The aim of this study was to evaluate the changes that occurred in the buccal cortical bone and at the root level after an orthodontic treatment when corticotomy was used, in Romanian patients. Materials and Methods: After dividing the subjects into two groups (maxillary and mandibular corticotomy), based on CBCT, measurements were made of the thickness of the cortical buccal bone at the cervical, median and apical level, and of the root length at T0 (before corticotomy) and T1 (6 months after surgery). Several tests were used for statistical analysis of the data. Results: In the maxillary arch, the bone thickness measured after corticotomy in males was 0.64 mm at the cervical level, 0.53 mm at the medial level and 0.30 mm in the apical area. In females, the values were 0.46 mm (cervical), 0.37 mm (medial) and 0.36 mm (apical). In the lower arch, the values obtained for these three regions were 0.37 mm, 0.30 mm and 0.37 mm for males and 0.58 mm, 0.32 mm and 0.43 mm for female subjects. All values were statistically significant. The root length for the lower teeth at T0 was 11.98 ± 2.24 mm at T0 and 11.97 ± 2.24 mm at T1. For the upper teeth, the root length at T0 was 13.83 ± 2.28 mm and 13.81 ± 2.28 mm. Conclusions: Comparing the measurements, it was observed that the biggest changes in the cortical bone were at the cervical level. In the maxillary arch, the most significant modifications were registered at the canines and the level of the first premolars, and in the lower arch at the incisors level. The measured root resorption of the teeth was considered to be statistically insignificant.

The stability of polymer materials is essentially determined by the molecular structure and the presence of additives and impurities. When a polymer substrate is subjected to vigorous damage by an energetic treatment, the molecular scission generates fragments, which may be oxidized by the diffused oxygen. The traces of oxide catalysts that may be accidentally incorporated into the polymer materials initiate a faster oxidation that influences the material durability. This study presents the behavior of poly (ε-caprolactone) (PCL) loaded with 2 wt% PbZrO₃ previously doped with foreign atoms (Cr, Nd, Mg, Mn, Ti) at the concentration of 0.1 mol%. The investigation procedure, chemiluminescence, reveals the acceleration of the degradation of PCL. The contribution of the metallic traces existing in the structure of PbTiO₃ powder is characterized by the activation energies (Ea) involved in the propagation of oxidation. The free radicals are involved in a faster oxidation, when the polymer substrate is heated at superior rates. The comparison of the oxidation levels at the extended period of heating and irradiation indicates the sustained activities of metallic traces acting in oxide powder fillers, especially at temperatures exceeding 150 °C. The essential considerations on material strength against oxidation are presented.