Author(s): Guneet Kaur Gill, DDS 2024; Gurleen Gill, DDS 2025Mentor(s): Dr. Parvati Iyer, Dr. Aneet Randhawa, Dr. Gary Grill, and Dr. Steve Curtis Personalized Instructional Program Teaching Material Creation Award — 2nd Place

Objectives: Tooth movement is caused by the application of force. In short, applied force strains structures present in the PDL space – cells, ligaments, blood vessels. Cells in the PDL are damaged by extension and by diminished oxygen supply due to compression of blood vessels. Compounds released from damaged or dead cells trigger an innate inflammatory response. One of the biomarkers of that response is increased formation of extracellular fluid (edema), specifically gingival crevicular fluid (GCF). Our goal is to monitor changes of GCF flow during the orthodontic treatment with Invisalign.

Drug-induced gingival hyperplasia (DIGH) is a common side effect of certain medications, resulting in an overgrowth of gingival tissue. This case study presents the use of immediate dentures for oral rehabilitation in a 69-year-old female patient on antihypertensive calcium channel blocker medication. The patient presented with extensive gingival overgrowth, resulting in difficulty eating and speaking, as well as poor esthetics. After a thorough evaluation and treatment planning, staged extraction was performed and and complete maxillary and mandibular immediate dentures were delivered on final extraction day. The dentures provided improved function, esthetics, and comfort for the patient, who reported a high level of satisfaction with the treatment outcome. This case illustrates the potential benefits of immediate dentures for oral rehabilitation in patients with Drug induced gingival hyperplasia, offering a viable treatment option for patients seeking to improve their quality of life.

The lack of access to dental care can lead to serious health issues, particularly for those who are already marginalized. This project aims to improve access to dental care for low-income and unhoused adults in the San Francisco area through a partnership with Project Homeless Connect. By providing high-quality dental care services, this project will help prevent dental diseases and improve systemic health outcomes.

Through a partnership with Project Homeless Connect, we will provide these individuals with access to high-quality dental care. This community-based organization already provides services to those who are unhoused or low-income, so the project can leverage their existing infrastructure to deliver high-quality dental care services.

This project holds immense significance in addressing a critical public health issue prevalent in the San Francisco community. Lack of access to dental care can be detrimental to marginalized individuals, as highlighted by a study conducted by Freitas et al (2019), which found that 54.6% of people experiencing homelessness in the Bay Area reported oral pain in the past 6 months. Additionally, 28.9% reported having oral pain that prevented them from eating, while 20.9% reported having pain that prevented them from sleeping. By providing access to high-quality dental care services, we can make a meaningful contribution to improving the overall health and equity of our community.

We would like to acknowledge the support of Project Homeless Connect and the dental professionals who will be providing care to these individuals. Their dedication and expertise are essential to the success of this project. We would also like to acknowledge the support and mentorship from Dr. Gallagher, whose guidance and encouragement have made it possible to pursue our passion for improving access to dental care throughout the San Francisco community.

The lack of access to dental care can lead to serious health issues, particularly for those who are already marginalized. This project aims to improve access to dental care for low-income and unhoused adults in the San Francisco area through a partnership with Project Homeless Connect. By providing high-quality dental care services, this project will help prevent dental diseases and improve systemic health outcomes.

Through a partnership with Project Homeless Connect, we will provide these individuals with access to high-quality dental care. This community-based organization already provides services to those who are unhoused or low-income, so the project can leverage their existing infrastructure to deliver high-quality dental care services.

This project holds immense significance in addressing a critical public health issue prevalent in the San Francisco community. Lack of access to dental care can be detrimental to marginalized individuals, as highlighted by a study conducted by Freitas et al (2019), which found that 54.6% of people experiencing homelessness in the Bay Area reported oral pain in the past 6 months. Additionally, 28.9% reported having oral pain that prevented them from eating, while 20.9% reported having pain that prevented them from sleeping. By providing access to high-quality dental care services, we can make a meaningful contribution to improving the overall health and equity of our community.

We would like to acknowledge the support of Project Homeless Connect and the dental professionals who will be providing care to these individuals. Their dedication and expertise are essential to the success of this project. We would also like to acknowledge the support and mentorship from Dr. Gallagher, whose guidance and encouragement have made it possible to pursue our passion for improving access to dental care throughout the San Francisco community.

Objectives: The purpose of this study is to compare the shear-bond strength of a chemically-cured bulk composite and a light-cured bulk composite. The chemically-cured bulk composite was delivered at room temperature. The light-cured composite was delivered at room temperature and at 155 degrees Fahrenheit. The null hypothesis is that there is no difference among the three groups.

Methods: 10 freshly extracted third molars were cross sectioned and embedded in resin to fabricate a specimen with a dimension of 2cm in height and 2.5cm in diameter. Group A: 10 specimens were used for shear bond strength measurement with the chemically-cured composite Bulk Easy +(Danville). Group B: 10 specimens were tested with light-cured composite Filtek Bulk One(3M) at room temperature. Group C: 10 specimens were tested with the light-cured composite Filtek Bulk One(3M) at 155-degrees Fahrenheit. The same 10 samples were reused for all groups. Shear bond testing was done with the Unitester(Ultradent) at a crosshead speed of 1 mm/min. Paired Student T-tests were performed to compare Group A with Group B, Group A with Group C and Group B with Group C with a 95% confidence level.

Results: The average results from the shear bond testing were 15.97 MPa for the chemically-cured composite(Group A), 23.07 MPa for the light-cured composite at room temperature(Group B), and 21.76 MPa for the light-cured composite warmed to 155 degrees Fahrenheit(Group C). Paired student T-tests between each group were done with a 95% confidence level. The p-value between Group A and B was 0.008, between Group A and C was 0.037, and between Group B and C was 0.266.

Conclusions: The chemically-cured composite has significantly lower shear-bond strength than both light-cured composite groups. No statistical difference was found between the light-cured groups.

Acknowledgements: We thank 3M, Zest Dental, and Bioclear for the materials used