Research trends on maxillary sinus septa in 2019-2021: a scoping review with scientometric analysis.

PURPOSE: This study aimed to conduct a bibliometric analysis of trends in the description items within the literature published from 2019 to 2021 with "maxillary sinus septum" in the title or subtitle. METHODS: Electronic data from PubMed (MEDLINE), Google Scholar, and ScienceDirect were searched from 2019 to 2021. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) to select 21 of 243 articles and examined their studies. Statistical calculations from data recorded by the authors were performed using the Chi-square, Mann-Whitney, and independent tests. Significance was set at P < 0.05. RESULTS: The number of articles decreased annually. The highest number of publications was from Asia (64.3%), accounting for 71.4% of publications. The features of the septum were described for eight items, with one septum (70.14%) mentioned significantly more frequently, followed by on one side (65.89%) or the right side (62.22%). Location was mentioned significantly more frequently in the middle (55.22%) and for those aged 45 years and older (50.38%). No significant differences were observed in prevalence, age, height, or width between sexes; the patients' ages ranged from 18 to 90 years. Septa were significantly more prevalent in dentulous (45.38%) and partially edentulous (48.58%) patients, with significantly more patients exhibiting buccopalatal orientation (82.39%). CONCLUSIONS: This study focused primarily on anatomical features using CBCT examination, and analyses of male-female differences and the origin of the sinus septum are necessary for the future.

The bactericidal effects of an acidified sodium chlorite-containing oral moisturizing gel: a pilot study.

The aim of this study was to examine the bactericidal effects and bactericidal time of an acidified sodium chlorite compound gel (ASC-Gel) on bacteria isolated from the peri-implant sulci of 10 patients who received implants 3-27 years previously, and the depth of each peri-implant sulcus was 5 mm or less. Porphyromonas gingivalis (ATCC33277) was used as the control bacterium. Five ASC-Gel preparations were created by adding 3.3%, 5.0%, 7.0%, 9.0%, and 11.0% citric acid (CA) (condition a, b, c, d, and e, respectively) into an oral moisturizing gel containing sodium chlorite. The concentrations of chlorine dioxide (ClO2) generated in ASC-Gel under conditions (a) to (e) were 12.1, 14.1, 17.2, 21.2, and 39.3 ppm, respectively. We examined the bactericidal effects of the 5 ASC-Gel preparations at volumes of 0.5, 1.0, and 2.0 mL, and measured the bactericidal time when 2.0 mL of ASC-Gel was used under condition (e). The bactericidal effects of ASC-Gel became significantly greater with increased concentrations of CA and ClO2 and with increased usage (0.5-2.0 mL) of the gel. All bacteria were killed by using 2.0 mL of ASC-Gel under condition (e). ASC-Gel also needed between 45 and 90 minutes to kill all microbes under condition (e). Within the limits of the present investigation, these results suggest that ASC-Gel is useful as a chemical disinfectant against bacteria in the peri-implant sulcus. Further studies are also required to protect teeth, the surface of hydroxyapatite-coated implants, and the surrounding soft tissues from effects of chemical dissolution such as acid erosion due to the low pH of ASC-Gel.

Relationships between the gonial angle and mandibular ramus morphology in dentate subjects: a panoramic radiophotometric study.

Analysis of dental panoramic radiographs (DPRs) is an indispensable diagnostic tool for dental implants both pre and post operation. Many studies on linear and angular morphometry of the mandibular body have been conducted, but those on the mandibular ramus have not yet been reported. The purpose of this study was to investigate the differences in the morphometric parameters of the mandibular ramus between high and low gonial angles (GAs) on DPRs as well as between genders, and to determine the relationships between GA and variables of the mandibular ramus morphometry. The DPRs of 156 dentate subjects (78 for each gender) with more than 15 teeth present, a mean age of 49.54 years, and a mean number of teeth of 26.20 were examined. The films were divided into the following 2 groups of GA: less than 120° (low gonial angle, LGA) and more than 125° (high gonial angle, HGA) in both the right and left sides. The parameters for Ar'-Go, MaF-Go, RW, and RD in the LGA group were significantly larger than those in the HGA group in both men and women, but that for the ramus angle (RA) was significantly smaller in the LGA group than in the HGA group. Significant gender differences in the 2 GA groups were recognized with respect to the Ar'-Go, MaF-Go, RW, and RD parameters. Significant negative low and moderate correlations were found between GA and the Ar'-Go, MaF-Go, RW, and RD variables, whereas significant positive low correlation was found between GA and the RA variable. Within the limits of this study, the analysis of the mandibular ramus morphometry on DPRs in terms of GA size and gender was found to be useful for devising a highly predictive and strategic plan for implant-supported oral rehabilitation.

Environmental monitoring and bactericidal efficacy of chlorine dioxide gas in a dental office.

We monitored the quantity of airborne microorganisms at 11 points (points A to K) in a dental office on a routine day of use, and tested the bactericidal efficacy of chlorine dioxide (ClO2) gas in the dental operatory after consulting hours. Fallen airborne microorganisms were collected under air-conditioning (AC) in the dental office, and under four conditions in the operatory. Specimens of the microbes were cultivated on nutrient and Sabouraud agar media (NAM and SAM). Many colonies were observed at the entrance hall and on the cabinet in a disinfection room in the NAM and SAM tests, respectively, while no colony was observed at the foot position of the operating table and treatment bed, and above the head position of the operating room in the NAM and SAM tests, respectively. In the bactericidal efficacy test using ClO2 gas, the dental operatory could be kept clean by the use of 4 mg/L-ClO2 gas in addition to the use of an AC with a plasma filter and the HEPA filter.

Association of gonial angle with morphology and bone mineral content of the body of the adult human mandible with complete permanent dentition.

We investigated the differences between 2 gonial angle (GA) size groups with respect to the morphometry and quantitative bone mineral content (QBMC) of mandibles with all teeth erupted and normal occlusion. We used 19 dried mandibles that were obtained from an Indian population and stored in our department. These mandibles were at Hellman's developmental dental stage VA and were divided into low gonial angle (LGA) (GA ≤ 120°; 8 specimens; 16 sides) and high gonial angle (HGA) (GA ≥ 125°; 11 specimens; 22 sides) groups. After lateral radiography of the mandibles using a titanium step wedge, linear measurements and the QBMC were determined, on hard copies and digital images, respectively. The age and sex of the cadavers to which the specimens belonged were unknown. The mandibular cortical width (MCW) and the antegonial notch depth of the LGA group were significantly larger than those of the HGA group. No significant difference was found in the distribution of the 3 categories of mandibular cortical index (MCI) or in cortical and trabecular bone mineral contents (CBMC and TBMC). The GA size was negatively and moderately associated with the MCW and the mandibular cortical width on the point AG (MCWAG), but was not significantly associated with either variable for CBMC and TBMC. These results suggested that the GA size of these stage-VA mandibles influenced changes in the width of inferior cortex and morphology of antegonial notch. The GA size did not influence QBMC under the mental foramen of the mandible and had negative associations with the MCW and MCWAG.

Growth changes of the mandibular body with eruption of mandibular third molars: analysis of anatomical morphometry and quantitative bone mineral content by using radiography.

This study aimed to analyze growth changes in mandibular body morphology and quantitative bone mineral content (QBMC) with eruption of mandibular third molars (M3s) and the relationship between those variables and posterior mandibular body length. Linear and angular measurements were conducted using standard lateral radiographs of 37 dried mandibles in Hellman's dental developmental stages IVA (14 specimens) to VA (23 specimens). Cortical and trabecular basal bone mineral contents (CBMC and TBMC) in the mandible were expressed in millimeter titanium equivalent values using a titanium step wedge. The largest significant change in the mandibular body morphology was an increase in the horizontal dimension (M2DP'-Go': 7.59mm), followed by vertical dimension - total height of the mandibular body (THOMB: 4.96mm) and mandibular cortical width (MCW: 1.22mm). The gonial angle (GA) decreased significantly by 6.72° between stages IVA and VA. The mandibular cortical index (MCI) was classified only as C1 or C2 in each stage. Among 4 types of line profile, types 1 and 2 were most commonly observed in both stages. Mean values for CBMC and TBMC increased significantly between stages IVA and VA. Posterior mandibular body length (MeF'-Go') correlated positively with M2DP'-Go', THOM, MCW, and CBMC (r=0.816, 0.698, 0.595, and 0.507), respectively and negatively with GA (r=-0.582). These results demonstrated that the morphological changes in the posterior mandibular body and the QBMC increased significantly with M3 eruption, while the GA became significantly smaller. The posterior mandibular body length had a linear correlation with these variables.

Differences in 5 anatomic parameters of mandibular body morphology by gonial angle size in dentulous Japanese subjects.

This study aimed to determine the differences in 5 anatomical parameters of the mandibular body on dental panoramic radiographs (DPRs) of 234 dentulous Japanese subjects (21-78years; mean, 25.76; median, 27 teeth) according to gender and gonial angle (GA) size, and to analyse the correlations between GA size and each variable by gender. The subjects were divided into low (LGA≤120°) and high gonial angle (HGA≥125°) groups. Linear, angular, and morphological measurements were obtained using the DPRs. Statically significant differences were determined using the Mann-Whitney U and χ(2) tests and simple regression analysis. Mandibular cortical width - MCW, antegonial notch depth - AD and angle - AA, and panoramic mandibular index - PMI in the LGA group were significantly larger than those of the HGA group. In men, a significant difference was observed in the distribution of the 3 mandibular cortical index categories between both GAs. Sexual dimorphism for MCW and AD was significantly greater in men than in women. There were significantly negative low correlations between the GA and variables of the MCW, AD, and PMI. These results suggest that the MCW and AD can show significantly different morphology according to gender and GA size.