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Which Whitening Mouthwash With Different Ingredients Is More Effective on Color and Bond Strength of Enamel? 不同成分的美白漱口水对珐琅质的颜色和粘合强度更有效?
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-24 DOI: 10.1111/jerd.13349
Elif Varli Tekingur, Fatih Bedir, Muhammet Karadas, Rahime Zeynep Erdem

Objective: To examine the effects of six whitening mouthwashes on tooth color and immediate bond strength to the enamel.

Materials and methods: Human incisors were divided into seven groups (n = 10) according to mouthwashes (R.O.C.S Black Edition White, Splat White Plus, Colgate Plax White Charcoal, Signal White Now, Listerine Advanced White, Colgate Optic White, and distilled water). After the initial color measurements, the teeth were exposed to mouthwash for 4 weeks. Then, the color measurements were repeated. Then, cylindrical composite resin blocks were immediately applied to the enamel surfaces and subjected to shear bond strength tests. Data were analyzed using Kruskal-Wallis and Bonferroni tests (α = 0.05).

Results: Δ𝑏, Δ𝐿, and ΔE00 values did not present significant differences among the groups. Significant differences among the groups were determined for Δ𝑎 and ΔWID values (p < 0.05). R.O.C.S Black Edition White and Splat White Plus produced clinically acceptable color changes. Signal White Now, Splat White Plus, and Listerine Advanced White created acceptable whiteness changes. The mouthwashes did not statistically affect the bond strength compared to the distilled water (p > 0.05).

Conclusions: Whitening mouthwash containing blue covarine revealed more acceptable color and whitening changes. Mouthwash containing charcoal led to the lowest enamel bond strength values.

Clinical significance: The content of whitening mouthwashes affected the degree of tooth whitening and shear bond strength to enamel.

目的:研究六种美白漱口水对牙齿颜色和釉质即时粘接强度的影响:材料和方法:根据漱口水(R.O.C.S Black Edition White、Splat White Plus、Colgate Plax White Charcoal、Signal White Now、Listerine Advanced White、Colgate Optic White 和蒸馏水)的不同,将人类门牙分为七组(n = 10)。初次颜色测量后,牙齿在漱口水中暴露 4 周。然后,再次进行颜色测量。然后,立即在珐琅质表面涂上圆柱形复合树脂块,并进行剪切粘接强度测试。数据分析采用 Kruskal-Wallis 和 Bonferroni 检验(α = 0.05)。结果:Δ𝑏、Δ𝐿 和 ΔE00 值在各组间无显著差异。Δ𝑎和ΔWID值在各组间存在显著差异(P 0.05):结论:含蓝花楹的美白漱口水显示出更容易接受的颜色和美白变化。结论:含有蓝花楹的美白漱口水显示出更可接受的颜色和美白变化,而含有木炭的漱口水则导致最低的牙釉质粘结强度值:临床意义:美白漱口水的成分会影响牙齿的美白程度和与珐琅质的剪切粘合强度。
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引用次数: 0
Nonthermal Atmospheric Plasma Promotes Bonding Between Adhesive Monomers and Zirconia. 非热大气等离子体可促进粘合剂单体与氧化锆之间的粘合。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-23 DOI: 10.1111/jerd.13338
Xiaolan Chen, Chengcheng Yu, Lei Hua, Qi Liu

Objective: To investigate whether nonthermal atmospheric plasma (NTAP) can promote bonding between commonly used adhesive monomers and zirconia.

Materials and methods: The zirconia surface and monomers (HEMA, BisGMA, TEGDMA, and MDP) were treated with different NTAP approaches (10 w, 30 s), and the surface characteristics and chemical structures between the zirconia surface and monomers were verified by the contact angle, scanning electron microscopy (SEM), attenuated total reflectance Fourier transform infrared (ATR/FT-IR) spectroscopy, and x-ray photoelectron spectroscopy (XPS). Scotchbond Universal adhesive with two different resin cements, RelyX Ultimate and RelyX Unicem 2, was applied, followed by NTAP-aided clinical procedures, and then microtensile bond strength test (μTBS) and failure mode evaluation were tested for preliminary mechanical properties assessment. One-way ANOVA was employed for the statistical analysis.

Results: The contact angle analysis, SEM, and ATR-FTIR confirmed that NTAP can promote the polymerization of BisGMA, TEGDMA, and MDP on the zirconia surface, while XPS confirmed that NTAP can induce a chemical reaction between MDP and zirconia.

Conclusions: Nonthermal atmospheric plasma can increase the affinity between selected monomers and zirconia and promote the chemical bonding strength between phosphate monomers and zirconia; besides, it can enhance the bonding strength of two different adhesive systems.

Clinical significance: The mechanism of how NTAP improved common adhesive monomers interacting with zirconia surfaces was revealed in this study. NTAP, as a relatively high energy-boosting method, could not only improve the surface affinity of zirconia and chemical bonding in-between monomers and zirconia but also enhance the polymerization of different monomers onto zirconia, resulting in improved bonding properties. Thus, further exploration of versatile bonding materials and/or onto different dental substrates could take this into account.

目的:研究非热大气等离子体(NTAP)能否促进常用粘合单体与氧化锆之间的粘合:研究非热大气等离子体(NTAP)能否促进常用粘合剂单体与氧化锆之间的粘合:用不同的 NTAP 方法(10 w,30 s)处理氧化锆表面和单体(HEMA、BisGMA、TEGDMA 和 MDP),并通过接触角、扫描电子显微镜(SEM)、衰减全反射傅立叶变换红外光谱(ATR/FT-IR)和 X 射线光电子能谱(XPS)验证氧化锆表面和单体之间的表面特征和化学结构。使用带有两种不同树脂胶合剂(RelyX Ultimate 和 RelyX Unicem 2)的 Scotchbond 通用粘合剂,然后进行 NTAP 辅助临床程序,然后进行微拉伸粘接强度测试(μTBS)和失效模式评估,以初步评估机械性能。统计分析采用单因素方差分析:接触角分析、扫描电镜和 ATR-FTIR 证实,NTAP 可促进氧化锆表面的 BisGMA、TEGDMA 和 MDP 的聚合,而 XPS 证实,NTAP 可诱导 MDP 与氧化锆发生化学反应:结论:非热大气等离子体能增加选定单体与氧化锆之间的亲和力,促进磷酸单体与氧化锆之间的化学键合强度;此外,它还能增强两种不同粘合剂体系的粘合强度:本研究揭示了 NTAP 如何改善普通粘合剂单体与氧化锆表面相互作用的机理。NTAP作为一种相对较高的增能方法,不仅能改善氧化锆的表面亲和性以及单体与氧化锆之间的化学键,还能增强不同单体在氧化锆上的聚合,从而改善粘接性能。因此,在进一步探索多功能粘合材料和/或不同牙科基质时,应考虑到这一点。
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引用次数: 0
Evolution of the Guided Direct Composite Resin Technique in Restorative Dentistry: A Systematic Review. 牙科修复中引导式直接复合树脂技术的演变:系统回顾
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-23 DOI: 10.1111/jerd.13329
Taina Tolotti, Newton Sesma, Eduardo Mukai

Objective: This systematic review aims to understand the limitations and benefits of the guided direct restorative technique, to optimize the final outcomes, considering the evolution from analog to digital, including planning, the diversification of guides, and the different resins employed.

Methodology: A search was conducted in the electronic databases PubMed, Cochrane, and through manual searches, initiated in May 2023 and updated in April 2024. The following search strategy was used: ((injectable composite resin) OR (direct pressed composite)) OR (3D-guided), utilizing the PICO framework.

Results: Initially, 739 articles were retrieved. After applying inclusion and exclusion criteria, 33 studies were considered suitable for data extraction, including 12 in vitro studies and 21 case reports or technique descriptions. The articles focused on comparisons of techniques, flowable, heated, and conventional resins, as well as various technique reports with variations in guides, materials, and planning, potentially aiding clinicians in more effective and safer execution of this restorative technique.

Conclusion: The utilization of digital workflows presents greater solutions to the challenges of the guided direct restorative technique. Understanding the properties of the resins used is crucial for the results and should be chosen according to the patient's needs.

Clinical significance: A guided direct restorative procedure can deliver previously planned dental treatment based on individualized planning. This method ensures greater reproducibility in aesthetics and occlusion, resulting in superior quality work for the patient.

目的:本系统综述旨在了解引导式直接修复技术的局限性和优点,以优化最终结果,同时考虑到从模拟到数字的演变,包括规划、引导器的多样化以及所使用的不同树脂:在PubMed、Cochrane等电子数据库中进行检索,并通过人工检索,检索始于2023年5月,更新于2024年4月。采用的检索策略如下(可注射复合树脂)或(直接压制复合树脂)。或(三维引导),采用 PICO 框架:初步检索到 739 篇文章。采用纳入和排除标准后,有 33 项研究被认为适合提取数据,其中包括 12 项体外研究和 21 项病例报告或技术描述。这些文章侧重于技术、可流动树脂、加热树脂和传统树脂的比较,以及各种技术报告,包括导板、材料和规划的变化,可能有助于临床医生更有效、更安全地实施这种修复技术:结论:数字化工作流程的使用为引导式直接修复技术所面临的挑战提供了更多的解决方案。临床意义:临床意义:引导式直接修复术可根据个性化规划提供先前计划好的牙科治疗。这种方法可以确保美学和咬合方面更高的可重复性,从而为患者带来更高质量的作品。
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引用次数: 0
Dimensions of Posterior Implant Restorations Related to Intra-Coronal Cantilever and Occlusal Forces: An In Vitro Study. 后种植体修复体的尺寸与冠内悬臂和咬合力的关系:体外研究。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-19 DOI: 10.1111/jerd.13343
Panagoula Tzanetou, Stefanos Kourtis, Dimokritos Papalexopoulos, Nikitas Sykaras

Objective: The aim of the present study was to investigate the relation of the implant position to the implant crown and analyze the location and magnitude of bite force.

Materials and methods: The dimensions of 49 posterior implant-supported restorations were recorded in terms of: 1. implant diameter, 2. crown length, 3. crown width, 4. crown height, 5. occlusal surface of the restoration. The crown/implant height was measured and the distance between the implant center and the restoration center revealed the size of intra-coronal cantilevers. The occlusal force analysis determined the point and magnitude of loading. Correlation coefficient r was used for the statistical process and statistical control was carried out with the aid of t-test with minimum level of significance p < 0.05.

Results: - The mean crown-to-implant ratio was 0.9 and in short implants (< 10mm) the ratio was 1.28. - Intra-coronal cantilever extensions ranged from 2.1 mm to 6.35 mm depending on crown size. - Occlusal loading was identified in cantilever areas of the crown.

Conclusions: - Implant center deviates from crown center in 71%-82% of the cases depending on site location. - Implants with non-ideal position may support a functionally occluding crown.

Clinical significance: Intra-coronal cantilevers are a critical factor to avoid clinical complications and should be taken under consideration both in the planning and fabrication phase of implant restorations.

研究目的本研究旨在调查种植体位置与种植体牙冠的关系,分析咬合力的位置和大小:记录 49 个后种植体支持修复体的尺寸,包括:1:1.种植体直径;2.牙冠长度;3.牙冠宽度;4.牙冠高度;5.修复体的咬合面。测量了牙冠/种植体高度,种植体中心与修复体中心之间的距离显示了冠内悬臂的大小。咬合力分析确定了加载点和加载幅度。统计过程采用相关系数 r,统计控制采用 t 检验,最小显著性水平为 p 结果:- 牙冠与种植体的平均比值为 0.9,短种植体的比值为 0.9(结论:种植体中心偏离牙冠中心的比值为 0.9):- 种植体中心偏离牙冠中心的比例为 71%-82%,具体取决于种植部位的位置。- 非理想位置的种植体可能会支撑功能性咬合的牙冠:临床意义:冠内悬臂是避免临床并发症的关键因素,在种植修复的规划和制作阶段都应加以考虑。
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引用次数: 0
Use of Advanced Platelet-Rich Fibrin for the Treatment of Multiple Adjacent Mucogingival Recessions: A Technical Report of the Fibrin-Assisted Soft-Tissue Promotion Protocol. 使用高级富血小板纤维蛋白治疗多发性相邻黏膜龈凹:纤维蛋白辅助软组织促进方案技术报告》。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-19 DOI: 10.1111/jerd.13341
Alexandre-Amir Aalam, Alina Krivitsky Aalam, Nader Yermian, Joseph Choukroun

Objectives: Platelet-rich fibrin (PRF) has had a marked impact on regenerative medicine due to its widespread ability to promote angiogenesis to defective tissues. Particularly in the dental field, evidence from randomized clinical trials has further shown that PRF facilitates greater soft-tissue regeneration when compared with hard tissues.

Clinical considerations: Recently, the fibrin-assisted soft-tissue promotion (FASTP) technique has been developed as a means to promote soft-tissue regeneration of mucogingival recessions utilizing PRF. Within the present case report, a 28-year-old male presented with multiple adjacent mucogingival recessions in the maxilla ranging in probing depths (1-3 mm) and gingival recessions (1-5 mm). For optimal regenerative outcomes, the use of advanced PRF (A-PRF; 1300 RPM for 8 min) has been utilized to enhance regenerative outcomes by fully taking advantage of the low-speed centrifugation concept (LSCC).

Conclusions: This case report highlights the latest surgical concepts, centrifugation protocols, and use of the LSCC to regenerate multiple adjacent mucogingival recessions in the esthetic zone.

目的:富血小板纤维蛋白(PRF)具有促进血管生成至缺损组织的广泛能力,因此对再生医学产生了显著影响。特别是在牙科领域,随机临床试验的证据进一步表明,与硬组织相比,富血小板纤维蛋白能促进更多的软组织再生:最近,纤维蛋白辅助软组织促进(FASTP)技术得到了发展,这是一种利用 PRF 促进粘龈凹陷处软组织再生的方法。在本病例报告中,一名 28 岁的男性上颌出现多处相邻的粘膜牙龈凹陷,探诊深度(1-3 毫米)和牙龈凹陷深度(1-5 毫米)不等。为了达到最佳的再生效果,我们采用了先进的 PRF(A-PRF;1300 RPM,8 分钟),充分利用低速离心概念(LSCC)来提高再生效果:本病例报告重点介绍了最新的手术理念、离心方案以及 LSCC 在美容区多个相邻粘牙龈凹陷再生中的应用。
{"title":"Use of Advanced Platelet-Rich Fibrin for the Treatment of Multiple Adjacent Mucogingival Recessions: A Technical Report of the Fibrin-Assisted Soft-Tissue Promotion Protocol.","authors":"Alexandre-Amir Aalam, Alina Krivitsky Aalam, Nader Yermian, Joseph Choukroun","doi":"10.1111/jerd.13341","DOIUrl":"https://doi.org/10.1111/jerd.13341","url":null,"abstract":"<p><strong>Objectives: </strong>Platelet-rich fibrin (PRF) has had a marked impact on regenerative medicine due to its widespread ability to promote angiogenesis to defective tissues. Particularly in the dental field, evidence from randomized clinical trials has further shown that PRF facilitates greater soft-tissue regeneration when compared with hard tissues.</p><p><strong>Clinical considerations: </strong>Recently, the fibrin-assisted soft-tissue promotion (FASTP) technique has been developed as a means to promote soft-tissue regeneration of mucogingival recessions utilizing PRF. Within the present case report, a 28-year-old male presented with multiple adjacent mucogingival recessions in the maxilla ranging in probing depths (1-3 mm) and gingival recessions (1-5 mm). For optimal regenerative outcomes, the use of advanced PRF (A-PRF; 1300 RPM for 8 min) has been utilized to enhance regenerative outcomes by fully taking advantage of the low-speed centrifugation concept (LSCC).</p><p><strong>Conclusions: </strong>This case report highlights the latest surgical concepts, centrifugation protocols, and use of the LSCC to regenerate multiple adjacent mucogingival recessions in the esthetic zone.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Soft Tissue Contours at Pontic Sites With or Without Soft Tissue Grafting-A 15-Year Follow-Up of a Controlled Clinical Study. 进行或不进行软组织移植的牙本质部位软组织轮廓--一项对照临床研究的 15 年随访。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-19 DOI: 10.1111/jerd.13326
Stefan P Bienz, Edwin Ruales-Carrera, Leonardo Mancini, Marc Balmer, Ronald E Jung, Daniel S Thoma

Objectives: To report on soft tissue contour changes at pontic sites with or without soft tissue grafting over an observation period of 15 years.

Methods: Fourteen patients received a fixed dental prosthesis (FDP) in the posterior zone in a controlled clinical study and were available at the 15-year follow-up. Eight patients received a subepithelial connective tissue graft in the pontic area (test) while six received the FDP without soft tissue grafting (control). Impressions were taken after FDP cementation and at 15 years. Casts were digitized and a profilometric analysis was performed (mean distance) and the pontic height (PH) and ridge width (RW) were analyzed at the mid-buccal area. A descriptive analysis and Wilcoxon-Mann-Whitney test was performed (level of significance: 5%).

Results: Profilometric changes (mean distance) from baseline to 15 years amounted to -0.68 mm (test) and to -0.33 mm (control) (p = 0.208), 95% CI for group difference (0.290; -0.750). PH measured -0.47 mm (test) and 0.0 mm (control) (p = 0.079) and RW amounted to -1.05 mm (test) and -0.38 mm (control) (p = 0.138).

Conclusion: Remodeling of the soft tissue contour at pontic sites of FDPs was evident in both groups, but slightly more accentuated following soft tissue grafting.

Clinical significance: This study is the first to report on soft tissue changes at pontic sites over more than 10 years. It investigates whether tissue contour changes with and without soft tissue grafting before the insertion of FDPs. Remodeling of the soft tissue contour at pontic sites was observed over 15 years, with more pronounced changes when soft tissues were augmented with SCTGs before FDP insertion. The volume loss at the augmented site must be considered in relation to the overall tissue changes over long periods. Connective tissue grafts reliably improve shape and esthetics around the pontic unit. Further long-term studies with more patients are needed to evaluate the initial gains and long-term performance of these augmentations.

目的报告在 15 年的观察期内进行或不进行软组织移植的牙本质部位的软组织轮廓变化:在一项临床对照研究中,14 名患者在后区接受了固定义齿修复(FDP),并接受了 15 年的随访。八名患者在牙本质区域接受了上皮下结缔组织移植(试验),六名患者在接受 FDP 时未进行软组织移植(对照)。在 FDP 固位后和 15 年时取模。对铸模进行了数字化处理,并进行了轮廓分析(平均距离),还分析了颊中区的基台高度(PH)和牙脊宽度(RW)。进行了描述性分析和 Wilcoxon-Mann-Whitney 检验(显著性水平:5%):从基线到 15 年的轮廓测量变化(平均距离)为-0.68 毫米(测试组)和-0.33 毫米(对照组)(P = 0.208),95% CI 为组间差异(0.290;-0.750)。PH值为-0.47毫米(试验组)和0.0毫米(对照组)(p = 0.079),RW值为-1.05毫米(试验组)和-0.38毫米(对照组)(p = 0.138):结论:两组患者FDP牙本质部位的软组织轮廓重塑都很明显,但软组织移植后的重塑效果略微突出:本研究首次报告了超过 10 年的牙本质软组织变化。临床意义:这项研究首次报告了牙本质部位软组织在 10 多年时间里的变化情况,研究了在植入 FDPs 之前进行和不进行软组织移植的情况下,组织轮廓是否会发生变化。在 15 年的时间里,我们观察到了牙本质部位软组织轮廓的重塑,如果在植入 FDP 前用 SCTGs 增强软组织,变化会更明显。增量部位的体积损失必须与长期的整体组织变化联系起来考虑。结缔组织移植可以可靠地改善牙冠周围的形态和美观。需要对更多的患者进行进一步的长期研究,以评估这些增量的初期效果和长期表现。
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引用次数: 0
Treatment Modalities of Uncomplicated Crown Fracture in Anterior Maxillary Permanent Teeth: A Systematic Review. 上颌前恒牙无并发症牙冠折断的治疗方法:系统综述。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-17 DOI: 10.1111/jerd.13340
Paulina, Pankaj Dhawan, Neha Jain

Aim: Several treatment modalities have been used to restore crown fractures in case of uncomplicated crown fractures. Although many treatment modalities have been reported, there is no consensus on which one has the best results in terms of success and durability. This systematic review of treatment modalities in uncomplicated crown fractures aims to provide the most common and successful treatment modality for each patient's unique needs, balancing conservation, aesthetics, and long-term durability.

Materials and methods: Three electronic databases (PubMed, Scopus, and Google Scholar) were searched for articles regarding treatment modalities in uncomplicated crown fractures in anterior maxillary teeth.

Results: Following the application of the inclusion and exclusion criteria, 10 case reports, four case series, and two retrospective studies were selected for the review. These studies reported on fragment reattachment, direct composite resin, and veneers for the management of uncomplicated crown fractures. Fragment reattachment was the most preferred treatment modality, with milk, water, or sterile saline used as storage mediums. Direct composite restoration was preferred for missing or bad-shaped fragments or longevity. Veneers were given for aesthetic consideration and fracture resistance when the crown structure was majorly affected by the fracture. Fragment reattachment was favored in 63% of the articles included in the review followed by direct composite restoration in 26% of the articles. Venners were used in about 11% of the articles. Composites depicted a higher survival rate and a better outcome than fragment reattachment. Follow-up periods ranged from 1 week to 4 years, and all articles successfully re-established function and aesthetics, except for one tooth that required root canal treatment.

Conclusion: Fragment reattachment, direct composite restoration, and veneers are successful treatment modalities in uncomplicated crown fractures of anterior teeth. The choice of treatment depends on various factors like availability of fragments, age, and financial condition of the patient.

Trial registration: PROSPERO Registration ID: CRD42020153091.

目的:对于无并发症的牙冠骨折,有几种治疗方法可用于修复牙冠骨折。虽然已有许多治疗方法的报道,但对于哪种方法在成功率和耐久性方面效果最好,还没有达成共识。这篇关于无并发症牙冠骨折治疗方法的系统性综述旨在为每位患者的独特需求提供最常见、最成功的治疗方法,同时兼顾保护、美观和长期耐久性:在三个电子数据库(PubMed、Scopus 和 Google Scholar)中搜索有关上颌前牙无并发症牙冠折裂治疗方法的文章:根据纳入和排除标准,共筛选出 10 篇病例报告、4 篇系列病例和 2 篇回顾性研究。这些研究报告了治疗无并发症牙冠折裂的残片再接、直接复合树脂和贴面。碎片再接是最受欢迎的治疗方式,使用牛奶、水或无菌生理盐水作为保存介质。对于缺失或形状不佳的牙片或寿命较长的牙片,直接复合树脂修复是首选。如果牙冠结构主要受到骨折的影响,则会考虑美观和抗折性而进行贴面修复。63%的综述文章倾向于碎片再接,26%的文章倾向于直接复合修复。约有 11% 的文章使用了 Venners。复合材料的存活率较高,效果也优于牙片再接。随访时间从 1 周到 4 年不等,除了一颗牙齿需要进行根管治疗外,所有文章都成功地恢复了牙齿的功能和美观:结论:对于不复杂的前牙牙冠折断,碎片再接、直接复合树脂修复和贴面都是成功的治疗方法。治疗方法的选择取决于各种因素,如是否有残片、患者的年龄和经济条件等:试验注册:PROSPERO 注册编号:CRD42020153091CRD42020153091。
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引用次数: 0
Editorial EADD Special Issue 编辑 EADD 特刊。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-17 DOI: 10.1111/jerd.13325
Rui Falacho
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引用次数: 0
Innovative Approach to Severe Esthetic Zone Trauma: Integrating Root Submergence With Guided Bone Regeneration. 治疗严重美容区创伤的创新方法:根浸没与引导骨再生相结合。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-16 DOI: 10.1111/jerd.13337
Bach Le, Naoki Hayashi, Urie Lee

Objective: Acute traumatic defects in the esthetic zone pose a significant challenge in dental implant rehabilitation, requiring innovative techniques to achieve optimal functional and esthetic outcomes. This article investigates the use of a novel combination of root submergence and guided bone regeneration (GBR) to address these defects. The goal is to evaluate the potential of this integrated approach for achieving predictable bone regeneration and long-term tissue stability.

Clinical considerations: Studies have shown significant improvements in soft-tissue contour, papilla preservation, and emergence profile when root submergence is employed. Despite these benefits, the integration of root submergence with GBR remains underexplored in the literature. This combination shows considerable potential for achieving predictable bone regeneration and sustaining tissue stability in the esthetic zone.

Conclusions: The integration of root submergence with GBR offers a promising solution for managing traumatic defects in the esthetic zone by enhancing soft-tissue contours and facilitating predictable bone regeneration. However, additional clinical studies are needed to support the long-term success of this innovative approach in dental implant rehabilitation.

Clinical significance: The combined use of root submergence and GBR for treating acute traumatic defects in the esthetic zone represents a notable advancement in dental implant rehabilitation. This article presents a detailed analysis of the rationale, technique, and clinical outcomes of this approach, underscoring its importance in achieving optimal esthetic and functional outcomes for patients with complex clinical needs.

目的:美观区的急性创伤性缺损是牙科种植修复中的一个重大挑战,需要采用创新技术来实现最佳的功能和美观效果。本文研究了牙根浸没和引导骨再生(GBR)的新组合,以解决这些缺陷。目的是评估这种综合方法在实现可预测的骨再生和长期组织稳定性方面的潜力:临床考虑因素:研究表明,采用牙根潜行治疗时,软组织轮廓、乳头保护和萌出轮廓都有明显改善。尽管有这些优点,但文献中对牙根浸润与 GBR 的结合仍未充分探讨。这种组合在实现可预测的骨再生和维持美学区组织稳定性方面具有相当大的潜力:通过增强软组织轮廓和促进可预测的骨再生,牙根浸润与 GBR 的结合为处理美学区的创伤性缺损提供了一种很有前景的解决方案。然而,还需要更多的临床研究来支持这种创新方法在牙科种植修复中的长期成功:临床意义:牙根浸没和 GBR 联合用于治疗美学区的急性创伤性缺损,是牙科种植修复领域的一个显著进步。本文详细分析了这一方法的原理、技术和临床效果,强调了其在为临床需求复杂的患者实现最佳美学和功能效果方面的重要性。
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引用次数: 0
Importance of an Evaluation Phase When Increasing the Occlusal Vertical Dimension: A Systematic Review. 增加咬合垂直度时评估阶段的重要性:系统回顾。
IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-10-15 DOI: 10.1111/jerd.13331
Jennifer Chantler, Malin Strasding, Franz Strauss, Alexis Ioannidis, Nadja Naenni

Objective: To assess whether an evaluation period is necessary for patient and clinical success when increasing the occlusal vertical dimension (OVD) for a full mouth rehabilitation.

Materials and methods: A systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: "In dentate adults requiring an increase in occlusal vertical dimension (OVD) (P), is an evaluation period of the new OVD (I) superior to no evaluation period (C) in terms of success (O)?" Study characteristics, survival, and success rates were extracted from each article. No language restrictions were applied. Study quality was appraised using Cochrane's Risk of Bias 2 tool and Newcastle-Ottawa Scale (NOS) according to the study design.

Results: The electronic search yielded 1188 titles after duplicates were removed. One RCT and 103 non-comparative articles were found relevant to the search question. Out of the 103 articles, 80 had an evaluation phase and 23 did not. The included RCT revealed that removable devices tended to cause chewing difficulties, unclear speech, and esthetic discomfort. Therefore, the use of a removable appliance to functionally or esthetically evaluate OVD was not indicated prior to the definitive treatment. Esthetics was the highest reported parameter preoperatively for the non-comparative studies, at 85% with an evaluation and 86% without.

Conclusion: At present, there is lack of evidence that an evaluation period improves clinical and patient-reported outcomes when increasing OVD for full mouth rehabilitations. Thus, an increase in OVD can be successful with or without an evaluation phase.

Clinical significance: The evaluation phase helps the clinician manage patient expectations and assist with the treatment sequencing. This phase is most effective with fixed restoration, such as temporary crowns or adhesive restorations. However, there is limited evidence that this phase improves clinical or patient-reported outcomes.

摘要评估在增加全口修复的咬合垂直度(OVD)时,评估期对于患者和临床成功是否必要:在六个数据库中进行了系统搜索:材料: 在六个数据库中进行了系统检索:MEDLINE、Web of Science、Scopus、CENTRAL、VHL 和 EMBASE。本系统性综述的资格标准采用 PICO 框架来解决以下研究问题:"对于需要增加咬合垂直度(OVD)(P)的有牙成年人,就成功率(O)而言,新的咬合垂直度(OVD)评估期(I)是否优于无评估期(C)?从每篇文章中提取了研究特征、存活率和成功率。无语言限制。根据研究设计,使用 Cochrane 的 Risk of Bias 2 工具和纽卡斯尔-渥太华量表(NOS)对研究质量进行评估:电子检索在去除重复内容后共获得 1188 个标题。其中有 1 篇 RCT 和 103 篇非对比性文章与搜索问题相关。在 103 篇文章中,80 篇有评估阶段,23 篇没有。收录的研究性试验显示,活动义齿往往会导致咀嚼困难、言语不清晰和美观不适。因此,在最终治疗前,不建议使用活动矫治器对 OVD 进行功能或美学评估。在非比较性研究中,美观是术前报告的最高参数,85%的患者进行了评估,86%的患者未进行评估:目前,还没有证据表明在增加全口修复的 OVD 时,评估期会改善临床和患者报告的结果。因此,无论是否有评估阶段,OVD 的增加都是成功的:临床意义:评估阶段有助于临床医生管理患者的期望值,并协助治疗排序。该阶段对固定修复(如临时牙冠或粘接修复体)最为有效。但是,关于该阶段能改善临床或患者报告结果的证据有限。
{"title":"Importance of an Evaluation Phase When Increasing the Occlusal Vertical Dimension: A Systematic Review.","authors":"Jennifer Chantler, Malin Strasding, Franz Strauss, Alexis Ioannidis, Nadja Naenni","doi":"10.1111/jerd.13331","DOIUrl":"https://doi.org/10.1111/jerd.13331","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether an evaluation period is necessary for patient and clinical success when increasing the occlusal vertical dimension (OVD) for a full mouth rehabilitation.</p><p><strong>Materials and methods: </strong>A systematic search was conducted in six databases: MEDLINE, Web of Science, Scopus, CENTRAL, VHL, and EMBASE. The eligibility criteria of this systematic review used the PICO framework to address the following research question: \"In dentate adults requiring an increase in occlusal vertical dimension (OVD) (P), is an evaluation period of the new OVD (I) superior to no evaluation period (C) in terms of success (O)?\" Study characteristics, survival, and success rates were extracted from each article. No language restrictions were applied. Study quality was appraised using Cochrane's Risk of Bias 2 tool and Newcastle-Ottawa Scale (NOS) according to the study design.</p><p><strong>Results: </strong>The electronic search yielded 1188 titles after duplicates were removed. One RCT and 103 non-comparative articles were found relevant to the search question. Out of the 103 articles, 80 had an evaluation phase and 23 did not. The included RCT revealed that removable devices tended to cause chewing difficulties, unclear speech, and esthetic discomfort. Therefore, the use of a removable appliance to functionally or esthetically evaluate OVD was not indicated prior to the definitive treatment. Esthetics was the highest reported parameter preoperatively for the non-comparative studies, at 85% with an evaluation and 86% without.</p><p><strong>Conclusion: </strong>At present, there is lack of evidence that an evaluation period improves clinical and patient-reported outcomes when increasing OVD for full mouth rehabilitations. Thus, an increase in OVD can be successful with or without an evaluation phase.</p><p><strong>Clinical significance: </strong>The evaluation phase helps the clinician manage patient expectations and assist with the treatment sequencing. This phase is most effective with fixed restoration, such as temporary crowns or adhesive restorations. However, there is limited evidence that this phase improves clinical or patient-reported outcomes.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Esthetic and Restorative Dentistry
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