Background and Objectives: Alveolar ridge augmentation in the complex bone defect is a popular topic in implantology. Guided bone regeneration (GBR) is one of the most commonly applied methods to reconstruct alveolar bone. The application of a membrane is the fundamental principle of GBR. There are many membrane types used in oral surgery, but the advantage of the titanium mesh is the rigidity which provides space maintenance and prevents contour collapse. The smooth surface also reduces bacterial contamination. Using computer-aided design (CAD) and computer-aided manufacturing (CAM) in dentistry allows us to obtain the perfect architecture form of the mesh, which covers and protects the bone reconstruction. Case presentation: We present a surgical case of a 27-year-old female patient with severe aesthetic bone atrophy after a deficient odontectomy. Based on the GBR clinical applications, the technique consists of bone reconstruction and a customized titanium mesh application. Using mesh titanium in this case presentation was a reliable alternative to perform a lateral alveolar bone augmentation and reconstruct ridge deformities before reaching an ideal implant placement. Conclusions: According to our case report, the customized titanium mesh could be a valuable option for guided bone regeneration in aesthetic maxillary defects.
Background/Objectives: Within public health and preventive nutrition, food labeling plays a critical role in supporting healthier dietary behaviors. This study aimed to evaluate the behaviors, perceptions, and nutritional literacy of young adults from Iași, Romania, regarding simple carbohydrates (SCHO) consumption and food label-reading habits. Materials and Methods: A cross-sectional survey was conducted between May–June 2023 using 20-item Likert-scale questionnaire completed by 150 participants aged 18–30 years. Statistical analysis included descriptive metrics, Chi-square tests, and Pearson’s correlation, with significance set at p ≤ 0.05. Results: The cohort consisted of 72% females (N = 108) and 28% males (N = 42), with 42.7% (N = 64) holding university degrees. Although 22% (N = 33) considered SCHO consumption highly important, only 13.3% (N = 20) frequently read nutrition labels (p ≤ 0.05). Dietary patterns showed that 27.3% primarily consumed sweets, while others combined sweets with carbonated beverages, dairy products, or whole grains; overall, 44% (N = 66) reported frequent sweet consumption. Label reading was highest for sweets (40.7%), lower for dairy products (19.3%) and soft drinks (9.3%). Additionally, 30.7% (N = 46) checked only expiration dates, whereas just 11.3% (N = 17) reviewed nutritional content. Trust in label accuracy was low: 48% (N = 72) expressed neutrality and 14% (N = 21) disagreed. Although 77.3% (N = 116) recognized the link between sugar intake and dental caries, only 23.3% (N = 35) felt well informed about oral health risks. Taste dominated food selection (68.7%), while nutritional value was cited by 16.7% (N = 25). Conclusions: Young adults from Iași demonstrated notable gaps in nutritional literacy and suboptimal dietary behaviors, emphasizing the need for structured educational strategies to improve preventive practices relevant to systemic and oral health.
29 December 2025 in Romanian Journal of Oral Rehabilitation
Aim of the study The aim of this study was to evaluate knowledge, attitudes, perceived risks, and preventive practices related to topical fluoride use among young adults. Materials and methods A cross-sectional questionnaire-based study was conducted on a sample of 87 young adults. The questionnaire assessed self-perceived oral health, oral hygiene habits, use of fluoride-containing products (toothpaste, mouthwash, dental floss, additional fluoride products), professional fluoride application, and perceptions regarding fluoride benefits, concentration, and potential toxicity. Descriptive statistics and chi-square tests were applied, with the level of statistical significance set at p 0.05. Results Most participants reported good self-perceived oral health (85.1%), while nearly half (49.4%) reported no new carious lesions during the previous year. Fluoride toothpaste use was common (77.0%); however, professional recommendation played a limited role in product selection. Knowledge regarding fluoride type and concentration was limited, and preventive behaviors were frequently guided by personal preference or brand choice. Adjunctive fluoride measures and professionally applied topical fluoride were underutilized. No statistically significant differences were observed according to sex (p > 0.05), and the null hypothesis was not rejected. Conclusions Although fluoride toothpaste use was widespread, gaps in knowledge and suboptimal preventive practices persist among young adults. Targeted educational interventions and increased professional guidance are necessary to optimize caries prevention strategies in this population.
Background/Objectives: The management of severe anterior dental trauma in growing patients remains a clinical challenge. This case report describes the treatment of a 10-year-old boy presenting with traumatic loss of maxillary anterior teeth following a road traffic accident, including avulsion of two permanent incisors and a primary canine, associated with luxation and intrusion of the contralateral central incisor. Methods: A multidisciplinary approach involving paediatric dentistry, orthodontics, oral surgery, and restorative dentistry was implemented. Treatment aimed to preserve the traumatised incisor and restore the anterior maxillary region through a biological approach combining mandibular first premolar autotransplantation and orthodontic space management. Results: The transplanted first mandibular premolar demonstrated favourable healing, with continued root development and a satisfactory crown-to-root ratio. After orthodontic treatment, the tooth was restored with a composite veneer, achieving good aesthetic and functional outcomes, maintained at the 5-year follow-up. Conclusions: This case highlights that autotransplantation combined with orthodontic space management may represent a viable treatment option in carefully selected growing patients, allowing preservation of alveolar bone, function, and aesthetics. Appropriate surgical, orthodontic, and restorative planning was crucial to the treatment’s success.
Patient-specific Ti–6Al–4V fixation systems are increasingly used to stabilise the maxilla following segmental Le Fort I osteotomy; however, the biomechanical responses of complete locking and non-locking patient-specific fixation configurations remain insufficiently characterised. In this study, two patient-specific plate designs (a standard design and a reduced, minimally invasive design) were analysed by linear-elastic finite element analysis, each with locking and non-locking screws. Because they were developed for different indications and evaluated in distinct patient-specific anatomical models, between-model comparisons were considered descriptive. Vertical forces of 97.6, 206.9, and 257.0 N were applied bilaterally to the incisor and premolar regions, and the equivalent von Mises stress and total displacement were evaluated in the bone, plates, and screws. All results scaled linearly with load. Within the standard model, the locking configuration exhibited slightly greater bone, plate, and screw displacement than the corresponding non-locking configuration. Within the reduced model, it exhibited lower maximum bone, plate, and screw displacement by 16.4%, 19.2%, and 16.3%, respectively. Solver-reported local stress maxima were concentrated at the screw-head/plate-hole transition; because these isolated peaks were contact- and mesh-sensitive, they were not used to quantify relative screw loading or predict yielding. The modelled locking and non-locking fixation configurations therefore exhibited different, model-dependent displacement patterns. Further controlled simulations and experimental validation are required to determine the clinical relevance of these findings.
29 December 2025 in Romanian Journal of Oral Rehabilitation
Aim of the study Periodontal disease is a chronic inflammatory condition frequently encountered in young individuals and often underestimated in its early stages. Adequate oral hygiene, regular dental visits, and awareness of periodontal risk factors are essential for prevention. This study aimed to evaluate knowledge, attitudes, and preventive behaviors related to periodontal disease among young adults and to analyze their association with individual periodontal risk factors. Materials and methods: A cross-sectional study was conducted between March and June 2023 on 145 participants aged 18–22 years. Data were collected using a structured questionnaire comprising 26 closed-ended questions addressing oral hygiene practices, dental attendance, recognition of periodontal disease signs, and awareness of behavioral and systemic risk factors. Statistical analysis included descriptive statistics and Pearson’s chi-square test (p ≤ 0.05). Results: Regular dental visits were considered very important by 65.5% of participants, although only 10.3% reported very frequent attendance. Toothbrushing was regarded as extremely important by 72.0% of respondents, while 69.7% used adjunctive oral hygiene aids, but only 20.7% did so consistently. Signs of periodontal disease were very well known by 33.1% of participants. Smoking was identified as a major periodontal risk factor by 66.2%, although 32.4% were smokers. Significant associations were found between smoking and tooth mobility (p = 0.046) and between preventive behaviors and dental attendance (p 0.001). Conclusions: Despite generally positive attitudes, notable gaps persist in preventive behaviors and risk awareness, underscoring the need for targeted periodontal education among young adults.