Increasing numbers of patients who recover from COVID-19 report lasting symptoms, such as fatigue, muscle weakness, dementia, and insomnia, known collectively as post-acute COVID syndrome or long COVID. These lasting symptoms have been examined in different studies and found to influence multiple organs, sometimes resulting in life-threating conditions. In this review, these symptoms are discussed in connection to the COVID-19 and long-COVID-19 immune changes, highlighting oral and psychiatric health, as this work focuses on the gut microbiota’s link to long-COVID-19 manifestations in the liver, heart, kidney, brain, and spleen. A model of this is presented to show the biological and clinical implications of gut microbiota in SARS-CoV-2 infection and how they could possibly affect the therapeutic aspects of the disease. Probiotics can support the body’s systems in fighting viral infections. This review focuses on current knowledge about the use of probiotics as adjuvant therapies for COVID-19 patients that might help to prevent long-COVID-19 complications.

This study aimed to evaluate the effect of silver nanoparticles (AgNPs) alone or in combination with calcium hydroxide (Ca(OH)₂) on the proliferation, viability, attachment, migration, and osteogenic differentiation of human mesenchymal stem cells (hMSCs). Different concentrations of AgNPs alone or mixed with Ca(OH)₂ were prepared. Cell proliferation was measured using AlamarBlue, and hMSCs attachment to dentin disks was evaluated using scanning electron microscopy. Live–dead imaging was performed to assess apoptosis. Wound healing ability was determined using the scratch-migration assay. To evaluate osteogenic differentiation, the expression of Runt-related transcription factor (RUNX2), Transforming growth factor beta-1 (TGF-β1), Alkaline Phosphatase (ALP), and Osteocalcin (OCN) were measured using real-time reverse transcriptase polymerase chain reaction. ALP staining and activity were also performed as indicators of osteogenic differentiation. AgNPs alone seemed to favor cell attachment. Lower concentrations of AgNPs enhanced cell proliferation. AgNP groups showed markedly less apoptosis. None of the medicaments had adverse effects on wound closure. The expression of TGF-β1 was significantly upregulated in all groups, and OCN was highly expressed in the AgNP groups. AgNPs 0.06% showed the most enhanced ALP gene expression levels, activity, and marked cytochemical staining. In conclusion, AgNPs positively affect hMSCs, making them a potential biomaterial for various clinical applications.

The current study evaluated the biogenic synthesis of nickel oxide nanoparticles (SP-NiONPs) from the root extract of (Salvadora persica) S. persica and their biological properties. The nanoparticles were characterized using spectroscopic and microscopic techniques and then evaluated for their antimicrobial properties against 10 oral pathogens. The ultraviolet-visible (UV–Vis) spectra exhibited a distinctive resonance spectrum at 334 nm for the SP-NiONPs produced from S. persica. The fourier transform infrared (FTIR) analysis revealed the presence of functional groups of biomolecules of S. persica that served as reducing and capping agents of the SP-NiONPs. The scanning electron microscope (SEM) and transmission electron microscopy (TEM) analyses showed that the nanoparticles were spherical-shaped, tightly packed, and ranged in size from 18.20 nm to 45.12 nm. The energy dispersive x-ray (EDX) analysis confirmed 69.9% of the nickel (Ni) content by weight, and the X-ray diffraction (XRD) results showed the face-centered cubic (FCC) crystalline structure of the formed SP-NiONPs. The antioxidant activity of the SP-NiONPs exhibited a dose-dependent profile with an IC50 value of 51.45 ± 0.65 and a 54.13 ± 0.98 DPPH^• and ABTS^•+ radical scavenging activity, respectively. The SP-NiONPs showed an antibacterial activity against all the test strains; however, E. cloacae was found to be the most sensitive strain, with an inhibition zone of 31 ± 0.50 mm. The SEM image of the E. cloacae cells treated with SP-NiONPs showed irregular shapes and ruptured, destroyed cell membranes. Our findings revealed that SP-NiONPs could be used as excellent antibacterial agents against oral pathogens.

Objectives. The aim of this study was to investigate the influence of exposure to additional preclinical endodontic training on undergraduate students’ technical quality of root canal treatment and overall confidence levels in endodontics. Methods. Technical quality of root canal treatment performed clinically by fifth-year undergraduate students was evaluated and divided into two groups: Group 1, teeth treated by students who had attended both a preclinical endodontic block course and an elective preclinical course. Group 2: teeth treated by students who had not attended the elective preclinical course. All students were also invited to participate in a survey to rate their undergraduate endodontic training and confidence levels performing endodontic treatment. Statistical analysis of data was performed using Person chi-square test, Fisher Freeman Halton exact test, and t-test. A -value <0.05 was considered statistically significant. Results. There was no significant difference between the two groups in overall obturation quality ( ). However, more teeth treated by attendees were of adequate obturation length ( ) and lacked procedural errors ( ). Significantly more elective course attendees rated their undergraduate endodontic training as adequate ( ), but there was no significant difference in the level of confidence between the attendees and the non-attendees. Conclusion. Within the limitations of this study, additional preclinical training showed minimal effect on overall quality of root canal treatment performed clinically by undergraduate students and did not enhance their confidence levels; however, it was associated with more satisfaction with their undergraduate endodontic education.

Objective: The aim of this study was to compare the prevalence and size of periapical lesions among smokers and non-smokers using cone-beam computed tomography (CBCT). Materials and methods Retrievable CBCT datasets for 46 male patients ≥18 years during a consecutive period from 2008 to 2016 were examined. The medical, smoking history and other clinical findings (signs of previous dental trauma; Decayed Missing Filled Teeth (DMFT) scores; the percentage of root filled teeth; and oral hygiene status) were obtained. Periapical status of all included teeth was assessed by CBCT images. Statistical analysis was conducted using t-test, Pearson correlation and multiple regression. Results: The prevalence of apical periodontitis was 13.93% in smokers and 14.26% in non-smokers with no significant difference (p = 0.936). The mean of the average size of lesions between the two groups were almost comparable, 3.50 mm in smokers and 2.89 mm in non-smokers (p = 0.567). Pearson correlation and multiple regression analysis showed that the percentage of lesion present and the average lesion size were not correlated to any independent variable. Conclusions: While smoking is considered a risk factor for marginal periodontitis, there was no difference between smokers and non-smokers in terms of apical periodontitis.