Background/objectives: Oral lichen planus (OLP) is a chronic autoimmune disorder affecting various age groups and is associated with multiple factors. Conventional therapies often encounter complications from opportunistic infections, particularly oral candidiasis. This study examines the relationships between Candida colonization and oral microbiome composition in OLP patients. Through meta-analysis, we clarify these interactions and their implications for OLP progression. Methods: The PICOS is a systematic research strategy, following PRISMA 2020 and MeSH descriptors: oral lichen planus, oral microbiome, oral fungal, and non-Candida oral fungal. Results: A search of CINAHL, EMBASE, PubMed, Science Direct, and Web of Science identified 313 studies. Twelve studies were suitable for a systematic review, with four appropriate for meta-analysis. Findings showed a significant association between OLP and oral microbiota, with an OR of 4.155 (95% CI: 1.278–13.511, p = 0.024). Although analyses of C. albicans and non-albicans species lacked significance, particular non-albicans species were noted. The subgroup analysis of oral microbiota approached significance, indicated by an OR of 11.739 (95% CI: 0.654–210.713, p = 0.059). Conclusions: This study highlights the roles of Candida species and the oral microbiota in OLP, revealing a complex interaction between Candida colonization and the oral microbiome.

Restoring anterior teeth requiring angulation correction remains clinically challenging. Polyethylene fiber posts have been introduced, offering superior adaptability within the root canal and improved aesthetics. However, the effect of varying degrees of post angulation on the fracture resistance of restored teeth has not been thoroughly investigated. This study aimed to evaluate the fracture resistance of maxillary incisors restored using polyethylene fiber posts at varying angulations. Thirty-two extracted incisors were selected according to the study criteria. Root canal treatment and gutta-percha removal were performed to prepare for polyethylene fiber posts. All study samples were subsequently divided into four groups of angulations: P1 (5°), P2 (10°), P3 (15°), and a control group (0°). Fracture resistance was tested, and the data were analyzed using one-way ANOVA followed by Post-Hoc comparison with the least significant difference (LSD) statistical tests. A statistically significant difference in fracture resistance was observed among the groups, with group P1 demonstrating the highest fracture resistance (281.29 ± 84.97 N) and the control group exhibiting the lowest (164.75 ± 41.75 N). There was a difference in the fracture resistance of the maxillary incisors when using polyethylene fiber posts at angulation degrees of 5° and 0°, and angulation degrees of 5° and 15°. Therefore, anterior tooth restoration with angulation correction of 5°–10° can utilize polyethylene fiber posts.

Teledentistry has emerged as a promising alternative to conventional care. This systematic review aims to assess the effectiveness of teledentistry in diagnosing and managing oral soft tissue diseases compared to traditional consultations, explores clinical outcomes, technological challenges, and implications for future research and policy, and digitally advanced countries. A review registered in Prospero with CRD42024626432 used CINAHL, Embase, ProQuest, and ScienceDirect databases following PRISMA 2020 guidelines. Eligibility was based on population, intervention, comparison, outcome, and study design (PICOS) with inclusion and exclusion criteria, focusing on rural populations, teledentistry interventions for oral soft tissue conditions, comparative models, and clinical outcomes. Bias risk was assessed using the Risk of Bias Tool for Nonrandomized Studies. Fourteen eligible studies were included. Most demonstrated improved diagnostic accuracy of oral soft tissue lesions, patient satisfaction, and follow-up compliance in teledentistry-supported care. Modern platform diagnostics were commonly used. The comparative analyses showed that teledentistry was at least equivalent to traditional consultations. Teledentistry shows strong potential as a cost-effective, accessible solution for managing oral soft tissue conditions. Its integration into mainstream healthcare could bridge disparities in oral health service delivery in underserved regions.

Introduction: The incidence of anterior dental trauma in young adults is high. The impact of this has been previously reported that pulp necrosis occurs in 50% of young fixed anterior teeth so that the process of apex formation is disrupted and in some cases can cause a blunderbuss shape at the tooth root apex. Root canal treatment of blunderbuss teeth accompanied by dens invaginatus poses a challenge for a dentist. Aims of this case report to explain successful root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application using MTA followed by esthetic rehabilitation. Case report: A 25-year-old female presented to RSKGM with a complaint of pain and swelling of the gingiva. History of trauma at the age of the patient was 10 years old without treatment. Clinical examination revealed a complete crown with dens invaginatus. Radiographic examination showed a periapical lesion and an open apex blunderbuss shape. Treatment performed was treatment with an apical plug using MTA and restoration using a peg crown. Shape root canal with a blunderbuss is an open apex root canal with the root apex diameter greater than the coronal diameter, hence requiring adequate material to form a cap over the root apex (apical plug). It has been reported that MTA is an apical plug material that has good sealing ability, biocompatibility, bacteriostatic activity and the ability to regenerate periradicular tissues. Conclusion: Root canal treatment of a blunderbuss canal in the maxillary lateral incisor with dens invaginatus with apical plug application of MTA material as apical plug is an effective method.Keywordapical plug, blunderbuss canal, dens invaginatus, mineral trioxide aggregatePerawatan saluran akar blunderbuss gigi insicivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug: laporan kasusABSTRAKPendahuluan: Insidensi trauma gigi anterior pada pasien usia dewasa muda cukup tinggi. Dampak dari hal ini telah dilaporkan sebelumnya bahwa terjadi nekrosis pulpa pada 50% gigi anterior tetap muda sehingga proses pembentukan apeks terganggu dan pada beberapa kasus dapat menyebabkan bentuk blunderbuss pada apeks akar gigi. Perawatan saluran akar gigi blunderbuss yang disertai dengan dens invaginatus menimbulkan tantangan tersendiri bagi seorang dokter gigi. Tujuan laporan kasus ini melaporkan keberhasilan perawatan saluran akar gigi blunderbuss pada gigi insisivus lateral rahang atas dengan dens invaginatus dengan aplikasi apical plug menggunakan MTA yang dilanjutkan dengan rehabilitasi estetik. Laporan kasus: Seorang perempuan, 25 tahun datang ke RSKGM dengan keluhan nyeri dan pembengkakan pada gingiva. Riwayat trauma pada saat usia pasien 10 tahun tanpa dilakukan perawatan. Pada pemeriksaan klinis terlihat mahkota lengkap dengan dens invaginatus. Pemeriksaan radiografi menunjukkan lesi periapikal dan apeks terbuka berbentuk blunderbuss. Perawatan yang dilakukan adalah perawatan dengan apical plug menggunakan MTA dan restorasi menggunakan mahkota pasak. Bentuk saluran akar dengan blunderbuss adalah saluran akar apeks terbuka dengan diameter apeks akar lebih besar dari diameter koronal, oleh karena itu membutuhkan bahan yang adekuat untuk membentuk menutup ujung apeks akar (apical plug). Telah dilaporkan bahwa MTA adalah bahan apikal plug yang memiliki kemampuan sealing yang baik, biokompatibel, aktivitas bakteriostatik dan kemampuan meregenerasi jaringan periradikular. Simpulan: Perawatan saluran akar blunderbuss pada gigi insisivus lateral rahang atas dengan dens invaginatus dengan pengaplikasian apical plug bahan MTA sebagai apical plug merupakan metode yang efektif.Kata kunciapical plug, blunderbuss canal, dens invaginatus, mineral trioxide agregat