Hamzeh Ekran, Amin Ghanbarnejad, Masomeh Afsa,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: Recognizing the position of the Mental Foramen (MF) is essential in numerous cases, such as anesthesia injection and periapical surgeries in the anterior region of the mandible. Furthermore, the diversity in the location and position of MF can develop problems during surgery in this region.
Methods & Materials: The present study examined anatomical landmarks based on panoramic radiographic images obtained in Bandar Abbas City, Iran. In total, 450 panoramic radiographic images of men and women were assessed. All explored images were converted to JPEG format and entered in real size in Auto CAD software (2014). The collected data were analyzed in SPSS by one-way Analysis of Variance (ANOVA), Student’s t-test, and Chi-squared test.
Ethical Considerations: This study was approved by the Ethics Committee of Hormozgan University of Medical Sciences (Code: IR.HUMS.REC.1394.189).
Results: The obtained data revealed that the mean distance from the MF to the lower edge of the mandible on the right and left was 10.53 mm and 10.51 mm, respectively. The mean distance from the MF to the posterior side of the mandible equaled 49.36 mm on the right and 48.72 mm on the left. Moreover, the mean distance of MF to the midline of the lower jaw on the right and left was calculated as 27.16 and 26.27 mm, respectively. Furthermore, in most cases, the anterior-posterior position of MF was symmetrical concerning anatomical landmarks. The anterior-posterior distance of MF to mandibular midline was significantly different between the explored males and females (P<0.001). There was no significant gender-wise difference in the shape of the MF (P=0.89).
Conclusion: The present research results signified that the most frequent anterior-posterior position of the MF is between the apex of the first and second premolars. Furthermore, the most prevalent shape of MF is oval per panoramic images.
Rahil Mirzaei, Mehdi Javad Chavosh, Mehdi Rajabnia, Valiollah Arash, Ali Bijiani, Maysam Mirzaie, Mohamad Mehdi Naghibi Sistani,
Volume 24, Issue 1 (3-2021)
Abstract
Background and Aim: There exists increased demineralization risk of enamel adjacent to fixed orthodontic attachments by cariogenic bacterias (e.g., Streptpcoccus mutans, Streptpcoccus sobrinus) and inadequate data about commonly used orthodontic cements. Thus, we evaluated the antibacterial effects of three common domestic and foreign orthodontic cements (Glass ionomer, Zinc phosphate, & polycarboxylate) on two cariogenic pathogens (S. mutans & S. sobrinus).
Methods & Materials: In this laboratory study, after culturing two standard strains of Streptococcus mutans and Subrinus bacteria and concentrating and diluting them, a direct contact test was used to evaluate the antibacterial properties of types of cement. The study groups (n=5) included the following: three types of glass ionomer resilience cement, Hoffman’s zinc phosphate and Hoffman’s polycarboxylate, and three glass ionomer cement, zinc phosphate, and carboxylate from Aria Dent factory in Iran. The acquired data were analyzed using SPSS v. 17.
Ethical Considerations: The present study was approved by Babol University of Medical Sciences (Code: MUBABOL.REC.1391.7).Results: In both types of culture media, containing Streptococcus mutans and Streptococcus subrinus bacteria, there was a significant difference between culture media containing 3 groups of cements respecting bacterial growth inhibition zone (P<0.001). In general, The mean diameter of the inhibition zone was greater in Iranian polycarboxylate, compared to its foreign counterpart (P<0.001).
Results: Regarding to zone of inhibition, there was statistically significant difference between three tested cements in both S.mutans and S.sobrinus culturing media (P<0.001). The mean diameter of inhibition zone was greater for Iranian polycarboxylate compared to its foreign counterpart (P<0.001).
Conclusion: Glass ionomer cement demonstrated better antibacterial effect compared to zinc phosphate and polycarboxylate cements. There was also greater antibacterial effect of three tested cements on S.sobrinus than S.mutans. Iranian polycarboxylate showed stronger inhibition on both mentioned bacterias compared to the foreign one.
Puran Azadi, Hamid Sarlak, Shima Nourmohammadi,
Volume 24, Issue 2 (5-2021)
Abstract
Background and Aim: For decades, using fluoride has been introduced to prevent the development and progression of primary carious lesions. Increased surface microhardness of primary caries is among the essential factors in preventing lesion progression and cavity formation. The present study aimed to compare the microhardness changes of primary caries treated with 3 products, containing fluoride (varnish, toothpaste, & mouthwash) in dental teeth.
Methods & Materials: In this study, 45 extracted human deciduous molars were used. Using a diamond-winning disc, enamel blocks with a dimension of 1 x 4 x 4 mm were prepared from the buccal surface of the teeth, i.e., healthy and without structural defects; they were mounted in acrylic self-adhesive. Initial microhardness test (Vicker’s test) with a force of 300 gr and Dwell time for 15 seconds was applied on samples. Next, artificial caries with the standard solution were created in all samples and the microhardness of samples was recorded at this stage. The study samples were randomly divided into 3 groups of 15, treated with fluoride varnish, mouthwash, and toothpaste. Then, the microhardness of samples was re-measured. The mean surface microhardness was compared between the study groups by Independent Samples t-test and Bonferroni test. All analyses were performed using SPSS at the significance level of P<0.05.
Ethical Considerations: This study was approved by the Ethics Committee of the Arak University of Medical Science (Code: IR.ARAKMU.REC.1397.264).
Results: Increase in surface microhardness of primary caries in fluoride varnish group was statistically significant; in GC MI paste plus toothpaste and Oral B mouthwash was non-significant. The research samples treated by fluoride varnish had a higher surface microhardness, compared to toothpaste and mouthwash.
Conclusion: According to the present research results, fluoride varnish was superior to fluoride mouthwash and toothpaste in improving the microhardness of primary dental caries.
Seyyed Mehrzad Shaddel, Masoud Bayat, Mojtaba Bayani, Vahideh Nazari,
Volume 24, Issue 2 (5-2021)
Abstract
Background and Aim: Considering the increasing use of dental implants in replacing lost teeth, the odds of failure over time in this treatment are inevitable, as with other dental treatments; thus, it requires careful and regular follow-up. Accordingly, the present study aimed to evaluate the awareness and attitude of general dentists about the follow-up of the dental implants to create baseline information to schedule future workshops concerning dental implants.
Methods & Materials: In this analytic cross-sectional study, 98 general dentists of Arak City, Iran were evaluated. Questionnaires were designed in 3 sections, as follows: demographic, awareness, and attitude. After checking the validity and reliability of the questionnaires, they were distributed among the research participants. The obtained data were analyzed using descriptive analysis, Chi-squared test, and Independent Samples t-tests. The significance level was considered 0.05.
Ethical Considerations: This article was approved by the Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.283).
Results: The average score of awareness of the questionnaires was equal to 10.8 (based on the score of 0-19); the mean score of attitude was measured as 12.8 (based on the score of 7-21). Fifty-Three of the explored dentists had performed implant treatment, whose awareness and attitude toward implants follow-up were significantly higher than those of the dentists who did not perform such treatment (P=0.0001). Work experience presented no significant effect on the examined dentists’ awareness and attitude (P>0.05).
Conclusion: General dentists have low awareness and attitude about implant follow-up. Follow-up plays an important role in the long-term success of implant therapy; therefore, dental education/retraining programs should be reviewed in this field.
Mohammad Bakhtavar, Seyed Mehrzad Shaddel, Ehsan Mmomeni, Vahideh Nazari,
Volume 24, Issue 3 (8-2021)
Abstract
Background and Aim: Needlestick injury (NSJ) is a common occupational health problem among dental healthcare workers, putting them at significant risk for blood-borne infections. This study aimed to investigate occupational exposure to NSJ and the psychological factors associated with it among dentistry students.
Methods & Materials: This descriptive cross-sectional study was carried out on students in the Arak school of dentistry training curriculum in the last three years in 2018. The questionnaires included questions about students’ awareness of NSJ conditions, the frequency of vaccinations, and antibody titration tests. The SCL-90 (Symptom checklist-90) questionnaire assessed psychological factors after NSJ in four dimensions of anxiety, phobia, self-morbidity, and depression. Data analysis was performed using descriptive statistical methods and a chi-square test.
Ethical Considerations: The study was approved by the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.269).
Results: Of the eighty students surveyed, 59 students had experienced NSJ at least once. However, only 25.4% of students had reported the NSJ occurrence. The highest incidence rate of NSJ was reported in the endodontics section. In addition, 80% of students had received hepatitis B vaccinations. Based on the SCL-90 test, the anxiety dimension was more affected by NSJ than the other dimensions.
Conclusion: Despite the high prevalence of NSJ in dental students, the rate of reporting after the accident is very low. Also, due to the lack of attention to vaccination in some students, there is a need for more infection control training. Based on the SCL-90 test, the occurrence of NS is effective in causing psychological problems.
Forough Khodadadnejad, Majid Akbari, Fateme Abdolalian, Mahboube Daneshvar, Behzad Ahmadi, Zahra Zahraei,
Volume 24, Issue 3 (8-2021)
Abstract
Background and Aim: The success of endodontic treatment depends on the complete elimination of pathogenic bacteria inside the root canal. Enterococcus faecalis, a gram-positive, pathogenic, and anaerobic cocci, are the primary etiology of root canal infection in treated and untreated teeth and are highly associated with endodontic treatment failure. This study aimed to compare the antimicrobial activity of Sodium hypochlorite 2.5%, microemulsion of Myrtus 10%, and microemulsion of Thyme 0.6% on the E. faecalis after root canal filling.
Methods & Materials: In this experimental study, 25 extracted single canal human anterior teeth were collected, and their crowns were cut. Then after washing and cleaning, and filling, the sterilization was done using an autoclave. Then, except 5 teeth (negative control group), the teeth were smeared with E. faecalis and then divided into 5 groups randomly represented the irrigation by Sodium hypochlorite 2.5%, microemulsion of Myrtus 10%, and microemulsion of Thyme 0.6%, with a positive control group and negative control group. The teeth were filled with gutta-percha and then incubated in an incubator for 90 days at a temperature of 37°C. Finally, the comparison of CFU in the groups due to abnormal data distribution was performed using the Kruskal-Wallis test.
Ethical Considerations: The Ethics Committee of Arak University of Medical Sciences approved this study (Code: IR.ARAKMU.REC.1398.297).
Results: According to the results of this study, the correlation between the groups of cultured teeth was not significant(P>0.05). The specimens washed with microemulsion of the Thyme 0.6% had the highest positive number of cultures; the specimens washed by Sodium hypochlorite 2.5% had the lowest number of cultures.
Conclusion: This study showed that no statistically significant difference exists in their antimicrobial activity after root canal therapy after the use of different wash solutions.
Anis Moradi, Pouya Ramin,
Volume 24, Issue 5 (11-2021)
Abstract
Background and Aim: The research results show tobacco use increases cardiovascular and lung disorders or the probability of periodontitis in humans, while no definitive relations were yet confirmed. This study evaluates the relationship between periodontitis and tobacco use by panoramic radiography in Bandar Abbas City.
Methods & Materials: A total of 198 panoramic radiographs were classified into periapical healthy (n=99) and patient (n=99) groups. Radiologists assessed radiographs for periodontitis via Total Teeth Numbers (TTN), the quality and length of Root Filling Treatment (RFT), the number (NoRFT), and inadequate root filling treatment (RFTin), age, gender, the cigarette and hookah use, and dental debris. Data were analyzed by Chi-Square, t-test, and logistic regression.
Ethical Considerations: Due to the lack of therapeutic intervention and the preservation of patients’ characteristics, ethical considerations are not included in this study (Code: IR.HUMS.REC.1399.384)
Results: Tobacco, hookah use, TTN, and RFTin were different (P<0.01) in groups, but cigarette smoking, debris, RFT, NoRFT, and age were not. Women in the periodontitis group showed high (P<0.01) in tobacco, hookah use, and RFTin, while no gender differences were observed in other parameters. The logistic regression results showed that based on the Odd Ratio NoRFT (39.7), RFTin (36.8), `hookah (8.1), tobacco (6.57), debris (3.62), smoking (3.59), RFT (1.4) and TTN (0.89) were the highest (P<0.01). At the same time, age and gender did not affect periapical tissues.
Conclusion: Hokka, tobacco, and cigarette use negatively affected the periapical tissues, respectively. The decrease in TTN and increase in debris and RFT were probably the effects of tobacco smoking on the periapical tissues. Age and gender were not related to the periapical lesions.
Doctor Vahideh Nazari, Octor Mojtaba Didehdar, Octor Fateme Golestanipour,
Volume 24, Issue 6 (1-2022)
Abstract
Background and Aim: A common infection in complete or partial denture wearers is denture stomatitis. One of the most important factors in the adhesion of Candida albicans is the surface and chemical properties of the denture base materials. The aim of this study was to investigate the surface roughness and adhesion of Candida albicans to two different types of acrylic materials.
Materials and Methods: In this experimental study, 16 samples were prepared from each of Vertex and Ivoclar acrylic resin. The surface roughness of the samples was measured by a profilometer. The samples were then placed in a cell suspension of Candida albicans. After incubation and staining with acridine orange, the yeast cells attached to the acrylic samples were counted using a fluorescent microscope. Data were statistically analyzed by T-test.
Ethical considerations: This article is approved by the ethics committee of Arak University of Medical Sciences with the ethics code: IR.ARAKMU.REC.1398.301.
Findings: There was no statistically significant difference in the mean of surface roughness between the two study groups (P = 0.311). However, Candida albicans colonization in ivoclar acrylic was significantly lower than vertex acrylic. (P = 0.000).
Conclusion: Differences in surface topography and physical and chemical properties of Vertex and Ivoclar acrylic resin affect the adhesion of Candida albicans.
Seyyed Amir Abbas Noorbakhsh, Mahsa Kimiaiy Talab,
Volume 24, Issue 6 (1-2022)
Abstract
Background and Aim: The most concern about children with head and face trauma is the effects of the trauma and the treatment on their growth considering the possibility that the teeth in different stages of evolution that are adjacent to the fracture line, have different prognosis in growth and deformity. The present study examines the situation of the teeth around fracture lines in order to check the effects of the trauma on the mentioned teeth.
Methods and Materials: Complete information of 28 under 12 years old patients with jaw fracture that were admitted in the Bahonar hospital from 2010 until 2016, was extracted from files and Teeth adjacent to fracture line were clinically evaluated. Panoramic graphs that were taken instantly after the surgery and in the next 6 to 24 months period were inspected. The information examined in the panoramic graphs contained the level of internal and external erosion pathological lesion, and growth rate of teeth adjacent to the fracture line.
Ethical Considerations: This article was ethically approved by ethical committee of Kerman University of Medical Sciences (ethical code: IR.KMU.REC.1396.1398).
Result: 60/7 percent of the fractures were occurred in the lower jaw which in 67/9 percent of the times were treated by internal fixation and 10/7 were treated by Open Fracture Reduction. 89/3 percent of cases were free of pathological lesion. In 78/6 percent of cases change in color and in 71/4 percent of cases dental necrosis was not observed. 82/1 percent of the teeth had reached full growth.
Conclusion: Most of the teeth adjacent to the fracture line had reached full growth and lacked pathological, color change, root deformation and loose teeth problems and there was no Difference in Open Fracture Reduction and internal fixation.
Doctor Monireh Nadeali, Doctor Mojtaba Bayani, Doctor Vahideh Nazari, Doctor Rahmatollah Moradzadeh,
Volume 24, Issue 6 (1-2022)
Abstract
Background and Aim: Different implant angulation, which is unavoidable in clinical situations, can affect the accuracy of impression. The aim of this study was to investigate the effect of fixture position on the accuracy of connecting impression coping to implants with internal hex.
Materials and Methods: A gypsum model with 4 implants with internal hex connection was prepared. The implants were installed in different mesiodistal angles of 0, 15, 25 and 35 degrees to the longitudinal axis in the gypsum model. To simulate the gums, a gingival mask was injected around the implants to a height of 2 mm. After a training session for senior dental students on how to close the impression coping, forty students were asked to close the impression copings on four implants. The correctness of the impression coping was evaluated by an expert prosthodontist. Data were statistically analyzed using Cochran Q test. Significance level was considered 0.05.
Ethical Considerations: this article is approved by ethics committee of Arak University of Medical Sciences.
Findings: The correct performance of students in connecting the impression coping to the implant at angles of 0, 15, 25 and 35 degrees was equal to 85%, 72%, 52%, 35%, respectively. With the exception of 0 and 15 degree groups, a statistically significant difference was observed between different study groups.
Conclusion: The fixture position has a significant effect on the accuracy of connecting impression coping to the implants with the internal hex and by increasing the implant angulation, the accurate connection the impression coping to the implant decreases.
Maryam Jafarpour, Mojtaba Bayani, Leila Hesami-Moghadam, Ali Pooladi,
Volume 25, Issue 1 (3-2022)
Abstract
Background and Aim The use of allograft alone or in combination with other bone materials has significantly improved bone-augmentation procedures. Therefore, this study aimed to evaluate the effect of topical gentamicin solution (80 mg) with allograft on guided bone regeneration in defects in rat skull.
Methods & Materials Twelve Wistar mice were randomly divided into two groups, with 6 in each group. Three defects were created in their skulls, one filled with demineralized freeze-dried bone (DFDBA) allograft alone, the other with allograft with gentamicin 80 mg solution, and the third defect were left empty as a control group. After 4 and 10 weeks, the mice were killed for histological specimens. Histological and histomorphometric evaluations were performed to qualitatively and quantitatively assess bone formation, a new bone type made, new bone vitality, inflammatory response, connective tissue type, and angiogenesis.
Ethical Considerations This study was approved by the ethics committee of Arak University of Medical Sciences (Code: IR.REC.ARAKMU.1397.30).
Results At the end of 4 and 10 weeks after surgery, the average percentage of ossification in the area of defects was higher in the group that received allografts with gentamicin, and during this period, a significant difference was seen between these groups and the control group.
Conclusion According to the present study, the use of gentamicin in combination with DFDBA has a significant effect on bone regeneration in defects in the rat skull.
Shiva Kavousinejad, Mohadese Shokripour, Bahareh Asgartooran, Zahra Cheraghi,
Volume 26, Issue 4 (11-2023)
Abstract
Abstract
Background and Aim: This study aimed to compare the microleakage of an adhesive fissure sealant (AFS), a flowable composite resin (FC), and a resin-modified glass ionomer (RMGI) in permanent teeth.
Materials and Methods: This in vitro, experimental study was conducted on 45 extracted posterior teeth with sound fissures. The teeth were randomly divided into 3 groups (n=15). The occlusal fissures were sealed with Beautisealant AFS without etching and bonding in group 1, with Beautifil FC after 37% phosphoric acid etching in group 2, and with Fuji II LC RMGI in group 3. The teeth underwent 500 thermal cycles (5-55°C), and their apices were sealed with wax. They were then immersed in 2% methylene blue for 24 hours. Next, the teeth were sectioned buccolingually and inspected under a stereomicroscope to measure the dye penetration depth as an indicator of microleakage. Data were analyzed by ANOVA, Chi-square test, and Scheffe test (alpha=0.05).
Ethical consideration: The study was approved by the ethics committee of Hamadan University of Medical Sciences (IR.UMSHA.REC.1399.728).
Findings: The microleakage score of RMGI was significantly higher than that of AFS and FC (P<0.05), while the microleakage scores of FC and AFS were not significantly different (P=0.330).
Conclusion: The AFS showed a sealing ability comparable to that of FC, and can be used as an alternative to FC due to its fewer application steps.
Dr Azadeh Khazaei Zadeh, Dr Afrooz Nakhostin, Dr Mahsa Kianifar,
Volume 26, Issue 5 (12-2023)
Abstract
Introduction: The academic failure of students is one of the major problems of higher education centers in the country, which not only wastes time and running costs of these centers, but also causes mental-psychological, family and social problems for students. The purpose of this study was to investigate and explain the various causes of academic failure in dental students of Arak city.
Methods: The present study was of a descriptive-analytical type, which was conducted with the participation of 120 dental students of Arak Medical Sciences. Sampling was by census method and all students were included in the study. The data collection tool of this study was a questionnaire containing demographic characteristics, questions related to various factors of academic failure in students. Data were analyzed using descriptive and inferential statistical methods (frequency, mean, standard deviation, Pearson correlation coefficient and linear regression) in SPSS software version 22.
Results: The sample consisted of 30 individuals (10 males and 20 females) with generalized anxiety disorder, selected purposefully and randomly assigned to a treatment group based on virtual reality and mindfulness (15 individuals) and a control group (15 individuals). Pre-test, post-test, and follow-up cortisol levels were measured, and the Generalized Anxiety Disorder 7-item scale (GAD-7) was used as the entry criterion. Subsequently, the experimental group received an eight-session, 17-minute weekly treatment based on virtual reality and mindfulness. Participants in this group, while immersed in a virtual environment, watched 360-degree virtual reality videos, "Walking by the Beach" and "Pebbles in the Lake," accompanied by mindfulness audio contemplation, "Being Present and Breathing," and "Wise Mind," using a VR headset and VR-ARBOX. The control group received no treatment.
Conclusions: According to the findings of this research, it was found that factors such as student's individual characteristics, inappropriate educational environment, inappropriate family environment and dealing with non-curricular issues had a significant effect on the event of students' academic decline, so paying attention to these factors in the design and implementation University educational programs can play an effective role in avoiding academic failure.
Dr Zahra Miraki, Dr Masomeh Rostamzadeh, Mr Aras Feizi, Dr Azad Shokri, Dr Mohammad Aziz Rasouli,
Volume 26, Issue 5 (12-2023)
Abstract
Introduction: The dentist's level of knowledge and abilities is one of the determining factors in the correct selection and application of dental cements. This study aimed to investigate the level of knowledge, attitude, and practice of general dentists and specialists about the application of different dental cements.
Methods: This descriptive-analytical study was cross-sectional one which conducted on 150 specialist and general dentists in governmental and private centers in Kurdistan province (2019) who performed fixed prosthetic treatments, was done through census and available sampling. The data collection tool was a questionnaire. To analyze data, T-test and ANOVA tests were used in SPSS-22 software. A significance level was considered less than 0.05. Ethical considerations: This study was conducted after the approval of the protocol in the research ethics committee and receiving the ethical code number IR.MUK.REC.1398.302 and according to the Declaration of Helsinki.
Results: The overall average score of dentists' knowledge was 6.5, which was close to and higher than the average scores and had a significant relationship with the grade and place of employment (P<0.05). The overall average score of attitude was 3.4, which was almost equal to the average scores. There was a significant relationship between grade and gender with attitude score (P<0.05). The overall average score of the dentists' practice was 5, which was higher than the average scores, and the practice score had a significant relationship with gender, place of employment, and grade (P<0.05).
Conclusions: The average score of knowledge, attitude, and practice of dentists was average, and in general, the scores of specialists were higher than general dentists. Women had a higher attitude and practice score. People working in the private sector had a higher knowledge score. To increase the knowledge, attitude, and practice of general dentists, there is a need to hold training courses.
Zohreh Salimi, Hamid Sarlak, Mojtaba Bayani,
Volume 28, Issue 1 (3-2025)
Abstract
Introduction: Pain of anesthesia injection in children is necessary and one of the most painful local anesthetics is palatal infiltration anesthesia. So, the purpose of this study was to compare the effect of needle gauge on pain and anxiety during palatal infiltration anesthesia injection in children 4-8 years.
Methods: This triple-blind cross-over clinical trial study was performed on 60 children 4-8 years candidates for pulpotomy and SSC treatment of both maxillary first molar teeth. Based on the sequence of using 27- and 30-gauge needles, children were treated during 2 sessions. The anxiety level of children during palatal infiltration local anesthesia was measured using pulse rate (PR) and the pain level of patients was measured using SEM and FPR (objective and subjective criteria).
Results: Anxiety during palatal anesthesia injection with gauge 27 was higher than gauge 30 (treatment effect < 0.001). In subjective and objective criteria, the injection pain in the palatal mucosa with a 27-gauge needle was higher than 30-gauge needle (treatment effect < 0.001). There was no significant difference between earlier and later injection of palatal infiltration with different gauges during treatment sessions (P < 0.05) and according to 0.021 for the period effect, it can be said that the period of receiving two needle gauges had an effect on the average heart rate difference.
Conclusions: The pain of injection in the palatal mucosa with a 27-gauge needle is higher than with a 30-gauge needle, and the use of a 30-gauge needle in the palatal injection of children 4-8 years causes less discomfort than a 27-gauge needle.
Mehdi Mikelani Akhoreh Ouliaei, Farnaz Farhad, Hamid Sarlak,
Volume 28, Issue 2 (4-2025)
Abstract
Introduction: Considering parents' preferences and opinions is an important factor in dentists' choice of treatment techniques. Despite the relatively low attitude of parents towards the use of the "parental presence/absence" technique, dentists still use this technique during pediatric dental treatment. The present study was conducted with the aim of simultaneously investigating the dentists' attitudes regarding the "presence/absence of parents" technique during the treatment of 4-10-year-old children and determining the factors affecting this attitude.
Methods: In this cross-sectional study, the attitudes of 83 dentists regarding the "presence/absence of parents" technique were evaluated using an investigator-designed questionnaire. The questionnaire scored dentists' attitudes regarding the above technique and evaluated the background factors affecting the child's attitude. Data were analyzed with a significance level of 0.05.
Results: The mean attitude score of the participants was 60.61±12.99. Also, 55.4% of participants considered this technique "unsuccessful". The factors "type of treatment", "child's age", "child's behavior", "parental behavior" and "implementation of the presence/absence technique", significantly affected the participants' attitudes.
Conclusions: Dentists do not hold a highly positive attitude toward the "presence/absence of parents" technique. According to dentists working in pediatric dentistry, this technique has low success in guiding children’s behavior.
