Salivary pH plays an essential role in maintaining oral health. Stable salivary pH levels can be obtained through a mouthwash that buffers salivary pH. Side effects of conventional mouthwash can affect the oral cavity. The most common side effect reported was teeth staining. Honey has several therapeutic properties, including antibacterial and buffering capacities. This study aimed to measure changes in salivary pH before and after gargling with 10% honey solution from Apis cerana bees. This study was conducted on students of mechanical engineering. The participants were divided into three groups: a treatment group, a positive control group (chlorhexidine 0.1%) and a negative control group (distilled water). pH level of each group was measured before and after rinsing. Data were analyzed using the Wilcoxon . Before the pretest, participants brushed their teeth and rinsed with a sugar solution for one minute to acidify and standardize salivary pH. Saliva was then collected using the spitting method. There were no significant differences in the treatment group (p value = 0.881) and the negative control group (p value =0.084). However, there was a significant difference in the positive control group (p-value = 0.002). The pH level of the treatment group showed no significant difference because the average pH of saliva before gargling with honey solution was still within the normal pH range (6.5-7.5). The acidic pH value of honey does not necessarily cause the pH of saliva to become acidic. This happens because the buffering ability of honey helps maintain the stability of saliva pH, so that it can inhibit the growth of acid-producing bacteria.
A significant proportion of third molars are impacted, with a prevalence ranging from 16.7% to 68.6% within the population. This condition often leads to inflammation of the occlusal surface, known as pericoronitis, which manifests as pain, swelling, and tenderness. In the this case, a 23-year-old woman presented with swelling and pain in the lower right molar region. Clinical examination revealed a Class I, Level A, vertical impaction with disto-occlusal pericoronitis of tooth 48. The proposed treatment plan included an operculectomy, a minimally invasive surgical procedure aimed at removing the operculum tissue from the tooth 48. Postoperative intraoral examination revealed pink gingiva, absence of swelling, and no bleeding upon probing, indicating the absence of postoperative complications. The patient reported no pain, and there was no recurrence of pericoronitis in the tooth 48. These findings suggest that operculectomy is a minimally invasive treatment option for managing symptoms associated with pericoronitis
Malocclusion can significantly impact facial aesthetics, oral function, and quality of life, with cases often involving maxillary constriction treated by rapid palatal expansion (RPE). Treatment success depends on the evaluation of midpalatal suture maturation that is often done through CBCT, whose routine use is limited by concerns related to radiation exposure, cost, and accessibility. This study aims to evaluate the relationship between facial skeletal vertical dimension and palatal length with midpalatal suture maturation as potential noninvasive clinical indicators. An analytical observational study with a cross-sectional design was conducted using cephalography and CBCT images from 47 subjects aged 8–19 years. The facial skeletal vertical dimension was determined using the SN–MP parameter, palatal length was measured by linear cephalometric analysis, and midpalatal suture maturation was assessed using the Angelieri method. Fisher’s exact test and t-test were used for statistical analysis. The results showed no significant relationship between facial skeletal vertical dimension (p=0.197) or palatal length (p=0.477) and midpalatal suture maturation. In conclusion, facial skeletal vertical dimension and palatal length does not have a significant relationship with midpalatal suture maturation and should not be used as predictive clinical parameters.
Recurrent aphthous stomatitis (RAS) is a common oral mucosal disorder characterized by recurrent painful ulcerations that may interfere with mastication, speech, and overall quality of life. The etiology remains unclear and is believed to be multifactorial, involving genetic predisposition, immune dysregulation, nutritional factors, microbiological influences, and psychological stress. This case report describes a female patient presenting with recurrent painful oral ulcers persisting for approximately one week, localized on the left buccal mucosa and right gingiva. The patient reported episodic gastroesophageal reflux, irregular sleep patterns, and high stress levels related to occupational demands, along with a history of childhood trauma. Clinical examination revealed well-defined ulcers with erythematous margins and yellowish bases, measuring approximately 5–7 mm in diameter. Hematological analysis was within normal limits, excluding systemic or hematologic disorders. A clinical diagnosis of recurrent aphthous stomatitis was established based on recurrence pattern, lesion characteristics, and absence of systemic involvement. Management included topical triamcinolone acetonide 0.1%, systemic methylprednisolone, and behavioral counseling focusing on oral hygiene, nutrition, and stress regulation. After one week of treatment, clinical improvement was observed, with complete ulcer resolution and minimal residual erythema. This case highlights the potential contribution of psychological stress and unresolved emotional trauma as aggravating factors in RAS and emphasizes the importance of a multidisciplinary approach, including pharmacological intervention, lifestyle modification, and psychological support in managing recurrent oral ulcers.
Traumatic dental injuries to anterior teeth frequently result in pulpal necrosis and periapical pathology. Root canal treatment (RCT) is required for complicated crown fractures with pulpal exposure in order to eliminate intracanal infection and promote periapical healing. Proper diagnosis and a multidisciplinary treatment approach are required to restore both function and appearance, especially in the anterior region. This case report describes the comprehensive management of an Ellis Class IV fracture in a 47-year-old female patient who had asymptomatic apical periodontitis. A clinical examination revealed extensive crown structure loss in the maxillary left central incisor, as well as a fracture that penetrated the pulp chamber. Pulp vitality testing revealed no response from the tooth. Radiographic examination revealed widening of the periodontal ligament space, indicating apical inflammation. A multi-visit RCT protocol was implemented. Chemomechanical preparation of the root canal system was followed by the administration of calcium hydroxide as an intracanal medicament to improve disinfection. After adequate canal debridement, a hermetic seal was created by obturating with gutta-percha and an endomethasone-based sealant. Post-endodontic rehabilitation involved placement of a fiber-reinforced composite post to improve retention and distribute occlusal forces, followed by composite core build-up. The definitive restoration was achieved with a porcelain-fused-to-metal crown to restore function and esthetics. Clinical follow-up demonstrated absence of symptoms, negative percussion response, and satisfactory functional stability, indicating successful treatment outcome and favorable short-term prognosis.
