Publications by authors named "Rainer Haak"

Purpose: The aim of this study was to investigate the difference in enamel loss, composite residue, and time during removal of fixed orthodontic retainers using ultraviolet (UV) light compared to standard white light.

Methods: A nickel-chromium retainer was bonded to 4 bovine teeth using a fluorescence-modified composite (Aligner Flow Composite, Voco, Cuxhaven, Germany); 20 models were created. In a split-mouth design, 2 teeth per retainer were removed using standard white light (non-FIT) and 2 teeth using the fluorescence-aided identification technique (FIT) with UV light.

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Objective: This retrospective, monocentric, questionnaire-based cross-sectional study investigated self-reported symptoms of temporomandibular disorders (TMDs) and oral splint use among elite German athletes.

Materials And Methods: Elite athletes (all sports except disability sports, 18–35 years old) who completed a questionnaire on oral health in sports between May 2020 and April 2021 were included. The assessed parameters included anamnestic TMD symptoms (3Q/TMD), oral splint use (presence, reason, wearing habits), current stress levels (scale 1–10), current training load (hours/week), and oral health-related quality of life (OHRQoL; OHIP-G5).

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The number of dental care centers (ZMVZ) in Germany has been increasing rapidly since 2015. This new form of practice is being discussed critically, especially when run by investors. This study analyzes the opinions and attitudes towards ZMVZ of dentists practicing in Germany, focusing on age and gender differences in dentists' attitudes as well as different aspects of working for a ZMVZ.

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Introduction: This in vitro study evaluated the validity and reliability of spectral-domain optical coherence tomography (SD-OCT) to detect approximal carious lesions compared to bitewing radiography.

Methods: Forty extracted human premolars and molars with fifty-four unrestored approximal surfaces (ICDAS ll score 0-3) were mounted in a patient-equivalent simulator and imaged by digital radiography (DR) and the prototype of an intraoral OCT probe. The lesion status of the tooth surfaces was validated histologically and by microtomography (µCT).

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Article Synopsis
  • This study evaluated the incidence of orofacial injuries and the use of sports mouthguards among German elite athletes aged 18-35.
  • Data was collected through questionnaires at the Institute of Applied Training Science in Leipzig, focusing on athletes’ experiences between May 2020 and April 2021.
  • Results showed that high-risk sports athletes had a significant rate of orofacial injuries (55%) and dental injuries (30%), while mouthguard use was very low across all risk categories, highlighting an urgent need for improved injury prevention strategies.
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Background: Aim of this questionnaire-based cross-sectional study was to compare self-efficacy, social support, oral hygiene-related self-efficacy (OHRSE) and oral health-related quality of life (OHRQoL) between patients under chronic hemodialysis (HD) and patients after kidney transplantation (KTx) as well as a healthy comparison group (HC).

Methods: Patients under HD were recruited during their routine outpatient dialysis therapy, KTx patients during their maintenance appointment and HC patients during their regular dental check-up in the dental clinic. General self-efficacy, the OHRSE, social support (F-SozU-K14) and the OHRQoL (OHIP-G5) were assessed by specific validated questionnaires.

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Objective: In vitro evaluation of the morphology of the enamel surface before bonding metal tubes and after debonding using spectral domain optical coherence tomography (SD-OCT) and light microscopy.

Methods: In all, 40 extracted caries-free human molars without defects were selected and cleaned. The tooth surfaces were imaged by light microscopy and SD-OCT prior to the placement of metal tubes (Titanium Orthos; Ormco, Brea, CA, USA).

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: This study aimed to evaluate the diagnostic value of pre-existing computed tomography (CT) examinations for the detection of dental pathologies compared with clinical dental examination in patients with end-stage heart failure. : For this purpose, 59 patients with end-stage heart failure and pre-existing non-dental CT images of the craniofacial region were included. Virtual orthopantomograms (vOPG) were reconstructed.

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Purpose: Part 2 of this German S3 clinical practice guideline provides recommendations for the process of manufacturing composite restorations. It covers key aspects like caries removal, field isolation, matrix and adhesive techniques, as well as light curing and polishing. The outcomes of interest include survival rates and restoration quality.

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Article Synopsis
  • This guideline from Germany gives advice on using special materials called composites to fix teeth that have cavities.
  • They looked at different studies to find out how well these materials work and what techniques are best for using them.
  • The results showed that composites are good for many types of tooth repairs and should be used instead of other methods in most cases, but more studies are needed to see how they hold up over time.
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Introduction: Visual imaging of subsurface caries lesions is of vital interest in dentistry, which can be obtained by invasive radiography technique as well as by available non-destructive imaging approaches. Thus, as a first step toward the development of a new innovative approach, Spectral-domain optical coherence tomography (SD-OCT) was applied to detect the lesion depth in comparison to the established reference technique (transverse microradiography [TMR]).

Methods: Bovine enamel specimens were demineralized for 5 days, following previous studies.

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Background: Self-assessment and self-reflection of competencies are crucial skills for undergraduate students. This monocentric cross-sectional study aims to assess the self-perceived knowledge, skills and interests in conservative dentistry and periodontology of third-, fourth-, and fifth-year dental students by the Pictorial Representation of Illness and Self-measure (PRISM).

Methods: Seventy-five undergraduate dental students (n = 25 of each year) who studied between 2021 and 2022 at the Department of Cariology, Endodontology and Periodontology at the University of Leipzig, Germany, were included.

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Article Synopsis
  • The study aimed to assess how adding a layer of universal adhesive affects the formation of gaps between tooth enamel/dentin and composite material, using advanced imaging techniques like SD-OCT and SEM.
  • It involved restoring cavities in premolars with different adhesives and application methods, measuring interfacial gaps at various stages post-restoration.
  • Results showed that the adhesive type, application mode, and number of adhesive layers significantly impacted gap formation, with specific findings indicating that double application of Scotchbond Universal resulted in more gaps compared to other methods.
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Purpose: The oral cavity and, in particular, potential oral foci might pose a risk of periprosthetic joint infection (PJI). The aim of this cohort study was to determine whether practical preoperative dental screening would reduce the prevalence of early PJI in the first month after surgery.

Methods: Patients attending a specialized endoprosthesis implantation clinic between 2018 and 2022 were recruited.

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  • The study evaluated the oral health-related quality of life (OHRQoL) in patients with depression and ADHD compared to mentally healthy individuals, using the Oral Health Impact Profile G14 (OHIP G14).
  • Results showed that psychiatric patients had significantly higher OHIP G14 scores (indicating poorer oral health quality) than the healthy control group, with no significant difference between those with depression and ADHD.
  • The study found associations between poor oral health behaviors and higher OHIP scores, suggesting that patients with mental health issues may perceive their oral health differently; thus, better collaboration between psychiatric and dental professionals is recommended.
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Objectives: Aim of this retrospective cohort study was to evaluate whether oral health parameters would be associated with infection-related parameters and overall survival of patients with severe heart failure (HF).

Methods: Patients with severe HF, heart transplantation (HTx) and left-ventricular assist device (LVAD), which underwent a full oral examination between 2017 and 2018 were included. Infection-related and survival data were assessed from the patient´s medical records.

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The effectiveness of a universal adhesive applied in three application modes for the preparation of Class V composite restorations was evaluated both clinically and by quantitative marginal analysis (QMA) over 36 months. In 50 patients, three ( = 21) or four ( = 29) non-carious cervical lesions (NCCL) were restored with Venus Diamond Flow (Kulzer GmbH, Hanau, Germany). The adhesive iBond Universal (iBU, Kulzer, Germany) was used in self-etch (SE), etch-and-rinse (ER), or selective-enamel-etch mode (SEE).

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Background: Aim of the current study was the assessment of risk classes according to a previously established system to classify the anamnesis-related risk of complications and of oral diseases in a cohort of patients attending the dental student course for dental preventive measures.

Methods: Patients attending the student course between April 2020 and December 2021 were included. To assess the medical history, a specific anamnesis tool was used, which included the classification of different potential anamneis-related risks originating from general diseases, medications or lifestyle factors into a low, moderate or high risk of complications and/or risk of oral diseases.

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The aim of this study was to assess, whether patients prior to endoprosthesis (EP) visit their dentist for need-oriented therapy and whether this would be associated with the occurrence of complications. Based on a cohort of patients, which was orally investigated prior to EP surgery between 04/2020 and 12/2021, a telephone interview was performed at least six months after EP implantation. Patients were classified into either low-risk (LR), moderate-risk (MR), or high-risk (HR) groups.

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Article Synopsis
  • * A thorough search of databases yielded 336 studies, but only 16 met the strict criteria for inclusion, with sample sizes ranging from 13 to 1337 participants; 12 studies included a healthy control group.
  • * Results showed that 8 out of 12 studies found a significant increase in dental caries among RA patients compared to controls, highlighting the need for further research and better dental care strategies for RA patients.
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Purpose: There is a long history of research dealing with the embryology of the testicular descent. However, important aspects like the role of the gubernaculum and the development of the processus vaginalis peritonei are not understood. Micro-computed tomography (µCT) is an established tool for anatomical studies in rodents.

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Patients under renal replacement therapy (RRT) often show oral problems, including dry mouth, periodontal and dental diseases. This systematic review aimed to evaluate the caries burden in patients on RRT. Therefore, a systematic literature search based on the databases PubMed, Web of Science and Scopus was performed by two independent individuals in August 2022.

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Objectives: This cross-sectional survey aimed to evaluate the oral health behaviour of patients prior to endoprosthesis (EP), as well as the handling of oral health topics by German orthopaedic surgeons.

Materials And Methods: Consecutive patients prior to EP answered a questionnaire regarding oral health behaviour, oral hygiene, oral complaints and information on the relationship between EP and oral health. Another questionnaire was digitally mailed to orthopaedic centres throughout Germany.

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Recently, there has been intense discussion about sports dentistry and potential interactions between oral health and athletes' performance. This narrative review aims to provide a comprehensive overview of the available literature about oral inflammation in sports. For this purpose, it presents the most common types of oral inflammation (gingivitis, periodontitis, pericoronitis, apical periodontitis), and their prevalence in athletes.

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Background: This in vitro study was designed to compare the assessment of carious root surfaces using laser fluorescence or visual assessment and µCT.

Methods: A total of 107 extracted human teeth were included in the study. For the subsequent assessment, a clinical evaluation according to Ekstrand and Nyvad criteria, laser fluorescence measurements (DIAGNOdent-Pen©), and µCT imaging (Bruker Skyscan 1172) of the included root surfaces were performed.

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