Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2023.05.012
Pier Paolo Poli DDS, MSc, PhD , Mattia Manfredini DDS, MSc , Nadim Oliva DDS , Sofia Bettini DDS , Giovanni Damiani MD , Riccardo Goldoni BSc, MSc , Lucanos Strambini MSc, PhD , Sara Casati BSc, PhD , Massimo Del Fabbro BSc, MSc, PhD , Gianluca M. Tartaglia DDS, PhD
Statement of problem
Titanium has been considered the standard element in implant manufacturing. Recent studies have evaluated the role of titanium as a biological modulator of oral health. However, evidence regarding the association between the release of metal particles and peri-implantitis is lacking.
Purpose
The purpose of this scoping review was to evaluate the literature regarding the release of metal particles in peri-implant tissues correlated with the methods of detection and the local and systemic implications.
Material and methods
The study was performed in adherence with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was registered with the National Institute for Health Research PROSPERO (Submission No. 275576; ID: CRD42021275576). A systematic search was conducted in the Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE via PubMed, Scopus, and Web of Science bibliographic databases, complemented by a manual evaluation. Only in vivo human studies written in the English language and published between January 2000 and June 2022 were included.
Results
In total, 10 studies were included according to eligibility criteria. Different tissues and analytic techniques were reported: the characterization technique most used was inductively coupled plasma mass spectrometry. All 10 studies analyzed the release of metal particles in patients with dental implants, continuously detecting titanium. None of the studies reported a significant association between metal particles and biological effects.
Conclusions
Titanium is still considered the material of choice in implant dentistry, despite the detection of metal particles in peri-implant tissues. Further studies are necessary to evaluate the association between analytes and local health or inflammatory status.
问题陈述:钛一直被认为是制造种植体的标准元素。最近的研究评估了钛作为口腔健康生物调节剂的作用。目的:本范围综述旨在评估与种植体周围组织中金属微粒释放相关的文献,包括检测方法以及对局部和全身的影响:本研究遵照《系统综述和荟萃分析扩展报告首选项》(Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews,PRISMA-ScR)指南进行,并在美国国家健康研究所(National Institute for Health Research PROSPERO)注册(提交编号:275576;ID:CRD42021275576)。在 Cochrane Central Register of Controlled Trials、EMBASE、MEDLINE via PubMed、Scopus 和 Web of Science 文献数据库中进行了系统检索,并辅以人工评估。仅纳入了 2000 年 1 月至 2022 年 6 月间发表的以英语撰写的活体人体研究:根据资格标准,共纳入了 10 项研究。报告采用了不同的组织和分析技术:最常用的表征技术是电感耦合等离子体质谱法。所有 10 项研究都分析了牙科植入物患者体内金属微粒的释放情况,并持续检测钛。这些研究均未报告金属微粒与生物效应之间存在明显关联:结论:尽管在种植体周围组织中检测到了金属微粒,但钛仍被认为是种植牙的首选材料。有必要开展进一步的研究,以评估分析物与局部健康或炎症状态之间的关联。
{"title":"Detection and sensing of oral xenobiotics in edentulous patients rehabilitated with titanium dental implants: Insights from a scoping review","authors":"Pier Paolo Poli DDS, MSc, PhD , Mattia Manfredini DDS, MSc , Nadim Oliva DDS , Sofia Bettini DDS , Giovanni Damiani MD , Riccardo Goldoni BSc, MSc , Lucanos Strambini MSc, PhD , Sara Casati BSc, PhD , Massimo Del Fabbro BSc, MSc, PhD , Gianluca M. Tartaglia DDS, PhD","doi":"10.1016/j.prosdent.2023.05.012","DOIUrl":"10.1016/j.prosdent.2023.05.012","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Titanium has been considered the standard element in implant manufacturing. Recent studies have evaluated the role of titanium as a biological modulator of oral health. However, evidence regarding the association between the release of metal particles and peri-implantitis is lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this scoping review was to evaluate the literature regarding the release of metal particles in peri-implant tissues correlated with the methods of detection and the local and systemic implications.</div></div><div><h3>Material and methods</h3><div>The study was performed in adherence with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and was registered with the National Institute for Health Research PROSPERO (Submission No. 275576; ID: CRD42021275576). A systematic search was conducted in the Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE via PubMed, Scopus, and Web of Science bibliographic databases, complemented by a manual evaluation. Only in vivo human studies written in the English language and published between January 2000 and June 2022 were included.</div></div><div><h3>Results</h3><div>In total, 10 studies were included according to eligibility criteria. Different tissues and analytic techniques were reported: the characterization technique most used was inductively coupled plasma mass spectrometry. All 10 studies analyzed the release of metal particles in patients with dental implants, continuously detecting titanium. None of the studies reported a significant association between metal particles and biological effects.</div></div><div><h3>Conclusions</h3><div>Titanium is still considered the material of choice in implant dentistry, despite the detection of metal particles in peri-implant tissues. Further studies are necessary to evaluate the association between analytes and local health or inflammatory status.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 913-920"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2022.11.012
Taiseer A. Sulaiman DDS, PhD , Tariq Alsahafi BDS, MS , Shannon M. Wallet PhD , Adalberto Vasconcellos DDS, MS, PhD
Statement of problem
Evaluation of the cutting efficiency and effectiveness, surface roughness, and cleanability of a novel rotary instrument is lacking.
Purpose
The purpose of this in vitro study was to compare the cutting efficiency and effectiveness of a recently introduced diamond rotary instrument containing corundum microspheres with conventional instruments by evaluating the heat generated, surface roughness, and cleanability of each instrument after tooth preparations.
Material and methods
Sound molars (n=225) were used to evaluate cutting efficiency and effectiveness by measuring the heat generated by 3 diamond dental rotary instruments: test instrument (TI), reference instrument (RI), and NTI instrument (NI). Thirty cavity preparations (27 mm3) were prepared, and the thermal change (ΔT) was determined from a thermocouple inserted in the pulp chamber. The surface roughness of the dentin substrate was determined after veneer preparations using scanning white-light interferometry and scanning electron microscope imaging. The cleanability of TI and RI was also determined by comparing the efficacy of 3 conventional disinfection protocols after contaminating the instrument with Gram-positive or Gram-negative oral pathogens. The mean and standard deviation values for thermal change, surface roughness, and colony forming units were calculated at a 95% confidence level, and 1-way ANOVA was used to determine statistical significance (α=.05).
Results
The NI instrument had the lowest mean ΔT (1.47 °C). The TI (1.77 °C) and RI (1.85 °C) groups showed statistically similar means (P>.05). The TI presented the lowest surface roughness (1.68 μm), followed by the RI (1.87 μm) (P<.001). The NI resulted in the highest surface roughness (2.17 μm) (P<.001). The disinfection protocols used were more effective on the TI group than on the RI group regardless of organisms and time exposed to the cleaning solution (P<.001).
Conclusions
The novel diamond instrument demonstrated similar cutting efficiency and effectiveness when compared with conventional diamond instruments. However, the novel instrument produced smoother tooth preparations and was easier to clean than the conventional diamond rotary instruments.
问题陈述:缺乏对新型旋转器械的切割效率和效果、表面粗糙度和可清洁性的评估。目的:本体外研究的目的是通过评估每种器械在备牙后产生的热量、表面粗糙度和可清洁性,比较最近推出的含有刚玉微球的金刚石旋转器械与传统器械的切割效率和效果:通过测量 3 种金刚石牙科旋转器械(测试器械 (TI)、参考器械 (RI) 和 NTI 器械 (NI))产生的热量来评估切割效率和效果。制备了 30 个龋洞制剂(27 立方毫米),并通过插入牙髓腔的热电偶测定了热变化(ΔT)。使用扫描白光干涉仪和扫描电子显微镜成像法测定贴面制备后牙本质基底的表面粗糙度。此外,还通过比较三种常规消毒方案在受到革兰氏阳性或革兰氏阴性口腔病原体污染后的效果来确定 TI 和 RI 的可清洁性。在 95% 的置信水平下计算热变化、表面粗糙度和菌落形成单位的平均值和标准偏差值,并使用单因素方差分析确定统计显著性(α=.05):NI仪器的平均ΔT(1.47 °C)最低。TI 组(1.77 °C)和 RI 组(1.85 °C)的平均值在统计学上相似(P>.05)。TI 组的表面粗糙度最低(1.68 μm),其次是 RI 组(1.87 μm)(PConclusions:新型金刚石仪器与传统金刚石仪器相比,具有相似的切割效率和效果。不过,与传统的金刚石旋转器械相比,新型器械能制作出更光滑的牙体,而且更容易清洁。
{"title":"Performance and efficacy of a recently introduced diamond rotary instrument: Cutting, surface preparation, and cleanability","authors":"Taiseer A. Sulaiman DDS, PhD , Tariq Alsahafi BDS, MS , Shannon M. Wallet PhD , Adalberto Vasconcellos DDS, MS, PhD","doi":"10.1016/j.prosdent.2022.11.012","DOIUrl":"10.1016/j.prosdent.2022.11.012","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Evaluation of the cutting efficiency and effectiveness, surface roughness, and cleanability of a novel rotary instrument is lacking.</div></div><div><h3>Purpose</h3><div><span>The purpose of this in vitro study was to compare the cutting efficiency and effectiveness of a recently introduced diamond rotary instrument containing corundum microspheres with conventional instruments by evaluating the heat generated, surface roughness, and cleanability of each instrument after </span>tooth preparations.</div></div><div><h3>Material and methods</h3><div>Sound molars (n=225) were used to evaluate cutting efficiency and effectiveness by measuring the heat generated by 3 diamond dental rotary instruments: test instrument (TI), reference instrument (RI), and NTI instrument (NI). Thirty cavity preparations (27 mm<sup>3</sup><span><span><span>) were prepared, and the thermal change (ΔT) was determined from a thermocouple inserted in the pulp chamber. The surface roughness of the dentin substrate was determined after veneer preparations using scanning white-light </span>interferometry and </span>scanning electron microscope<span><span><span> imaging. The cleanability of TI and RI was also determined by comparing the efficacy of 3 conventional disinfection protocols after contaminating the instrument with Gram-positive or Gram-negative oral </span>pathogens. The mean and standard deviation values for thermal change, surface roughness, and </span>colony forming units were calculated at a 95% confidence level, and 1-way ANOVA was used to determine statistical significance (α=.05).</span></span></div></div><div><h3>Results</h3><div>The NI instrument had the lowest mean ΔT (1.47 °C). The TI (1.77 °C) and RI (1.85 °C) groups showed statistically similar means (<em>P</em>>.05). The TI presented the lowest surface roughness (1.68 μm), followed by the RI (1.87 μm) (<em>P</em><.001). The NI resulted in the highest surface roughness (2.17 μm) (<em>P</em><.001). The disinfection protocols used were more effective on the TI group than on the RI group regardless of organisms and time exposed to the cleaning solution (<em>P</em><.001).</div></div><div><h3>Conclusions</h3><div>The novel diamond instrument demonstrated similar cutting efficiency and effectiveness when compared with conventional diamond instruments. However, the novel instrument produced smoother tooth preparations and was easier to clean than the conventional diamond rotary instruments.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 983.e1-983.e9"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10368221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2022.11.015
Rhaslla Gonçalves Batista DDS , Daniele Sorgatto Faé DDS , Victor Augusto Alves Bento DDS, MSc , Cléber Davi Del Rey Daltro Rosa DDS, MSc , Victor Eduardo de Souza Batista DDS, MSc, PhD , Eduardo Piza Pellizzer DDS, MSc, PhD , Cleidiel Aparecido Araujo Lemos DDS, MSc, PhD
Statement of problem
The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation.
Purpose
The purpose of this systematic review and meta-analysis was to evaluate the marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).
Material and methods
A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.
Results
Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (P=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (P=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.
Conclusions
No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants.
{"title":"Impact of tilted implants for implant-supported fixed partial dentures: A systematic review with meta-analysis","authors":"Rhaslla Gonçalves Batista DDS , Daniele Sorgatto Faé DDS , Victor Augusto Alves Bento DDS, MSc , Cléber Davi Del Rey Daltro Rosa DDS, MSc , Victor Eduardo de Souza Batista DDS, MSc, PhD , Eduardo Piza Pellizzer DDS, MSc, PhD , Cleidiel Aparecido Araujo Lemos DDS, MSc, PhD","doi":"10.1016/j.prosdent.2022.11.015","DOIUrl":"10.1016/j.prosdent.2022.11.015","url":null,"abstract":"<div><h3>Statement of problem</h3><div>The use of tilted implants has been considered a suitable option for completely edentulous patients. However, consensus on their clinical performance is lacking, specifically for partial rehabilitation.</div></div><div><h3>Purpose</h3><div><span>The purpose of this systematic review and meta-analysis was to evaluate the </span>marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs).</div></div><div><h3>Material and methods</h3><div>A systematic search of the MEDLINE/PubMed, Web of Science, Embase, Cochrane, and ProQuest databases and reference lists for articles published until May 2022 was performed by 2 independent reviewers without language or publication date restrictions. A meta-analysis was performed using the RevMan version 5.4 program. Quality assessments were performed using the Newcastle–Ottawa scale.</div></div><div><h3>Results</h3><div>Nine studies were included, totaling 258 participants and 604 implants (269 tilted implants and 335 axial implants). No significant differences were found between the tilted and axial implants for the implant survival rate (<em>P</em>=.81; risk ratio: 1.14). However, higher marginal bone loss values were observed for tilted implants (<em>P</em>=.001; mean difference: 0.12 mm). No significant heterogeneity was observed in either analysis.</div></div><div><h3>Conclusions</h3><div>No significant relationship was found between tilted and axial implants for ISFPD rehabilitation. However, tilted implants presented greater risks of marginal bone loss than axial implants.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 890-897"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10423288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Choosing the best disinfection agent for removable partial dentures may be challenging since most commercially available disinfection solutions alter the properties of the metal framework.
Purpose
The purpose of this in vitro study was to analyze the changes in the surface topography and elemental composition of a cobalt chromium (Co-Cr) alloy when immersed in a vinegar-hydrogen peroxide mixture.
Material and methods
Disk-shaped specimens (N=50) were fabricated with Co-Cr alloy and randomly distributed into 5 groups (N=10) according to the immersion solutions: distilled water (control) (W); 0.5% sodium hypochlorite (H); 3% hydrogen peroxide and water in a 1:1 ratio (HP); vinegar and water in a 1:1 ratio (V); and vinegar and 3% hydrogen peroxide mixture in a 1:1 ratio (VHP). The immersions simulated 90 uses of 10 minutes each. The surface topography and the elemental composition were analyzed with scanning electron microscopy and energy-dispersive spectroscopy, before (T0) and after (T1) the immersions. The 2-way ANOVA for repeated measures was used for statistical comparisons (α=.05).
Results
The tested mixture (VHP) did not change the metal surface topography or increase the oxygen proportion, indicating that no corrosion occurred. Similarly, groups W, HP, and V had no topographic changes and nonsignificant statistical differences at T1 for elemental composition (P>.05). However, the specimens immersed in sodium hypochlorite (H) showed staining, surface irregularity, composition change, with an appearance of 22.56% more oxygen, 41% less chromium, and 28.77% less cobalt at T1 (P<.05).
Conclusions
The immersion of Co-Cr alloy in a vinegar-hydrogen peroxide mixture did not change the surface structure of the metal.
{"title":"Effects of disinfection with a vinegar-hydrogen peroxide mixture on the surface composition and topography of a cobalt chromium alloy","authors":"Gabriela Silveira Sakis DDS , Myriam Pereira Kapczinski DDS, MSc, PhD , Sara Fraga DDS, MSc, PhD , Cristiane Machado Mengatto DDS, MSc, PhD","doi":"10.1016/j.prosdent.2022.11.011","DOIUrl":"10.1016/j.prosdent.2022.11.011","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Choosing the best disinfection agent for removable partial dentures<span> may be challenging since most commercially available disinfection solutions alter the properties of the metal framework.</span></div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to analyze the changes in the surface topography and elemental composition of a cobalt chromium (Co-Cr) alloy when immersed in a vinegar-hydrogen peroxide mixture.</div></div><div><h3>Material and methods</h3><div><span><span>Disk-shaped specimens (N=50) were fabricated with Co-Cr alloy and randomly distributed into 5 groups (N=10) according to the immersion solutions: distilled water (control) (W); 0.5% sodium<span> hypochlorite (H); 3% hydrogen peroxide and water in a 1:1 ratio (HP); </span></span>vinegar<span> and water in a 1:1 ratio (V); and vinegar and 3% hydrogen peroxide mixture in a 1:1 ratio (VHP). The immersions simulated 90 uses of 10 minutes each. The surface topography and the elemental composition were analyzed with scanning electron microscopy and energy-dispersive spectroscopy, before (T</span></span><sub>0</sub>) and after (T<sub>1</sub>) the immersions. The 2-way ANOVA for repeated measures was used for statistical comparisons (α=.05).</div></div><div><h3>Results</h3><div>The tested mixture (VHP) did not change the metal surface topography or increase the oxygen proportion, indicating that no corrosion occurred. Similarly, groups W, HP, and V had no topographic changes and nonsignificant statistical differences at T<sub>1</sub> for elemental composition (<em>P</em>>.05). However, the specimens immersed in sodium hypochlorite (H) showed staining, surface irregularity, composition change, with an appearance of 22.56% more oxygen, 41% less chromium, and 28.77% less cobalt at T<sub>1</sub> (<em>P</em><.05).</div></div><div><h3>Conclusions</h3><div>The immersion of Co-Cr alloy in a vinegar-hydrogen peroxide mixture did not change the surface structure of the metal.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1061-1065"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10474804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Data on the level of evidence and the characteristics of studies published in peer-reviewed prosthodontic journals are lacking.
Purpose
The purpose of this study was to investigate the characteristics and level of evidence (LOE) scores of studies published in 3 leading peer-reviewed prosthodontic journals.
Material and methods
Clinical studies published in the Journal of Prosthetic Dentistry (JPD), the Journal of Prosthodontics (JP), and the International Journal of Prosthodontics (IJP) in 2013 and 2020 were included in the analysis. Abstracts, letters to the editor, book reviews, and animal and laboratory studies were excluded from the investigation. For each study, design, type and LOE scores (Levels 1 to 5), publication year, impact factor (IF) of the journals, geographic origins of the first and corresponding authors, and funding status were recorded. Level 1 and Level 2 were defined as high evidence (HE), and Level 3, Level 4, and Level 5 were defined as low evidence (LE). Descriptive statistics and logistic regression analysis were performed (α=.05).
Results
Among the 439 studies included in the analysis, the proportion of HE and LE studies was 14.1% and 85.9%, respectively. According to univariate and multivariate analysis results, year of publication (P=.010 and P=.029), geographic origin of the corresponding author (P<.001), and funding status (P<.001 and P=.002) were significantly associated with the LOE of a study. However, the journal IF was not associated with LOE (P=.328).
Conclusions
Although the number of HE studies in 3 leading prosthodontic journals has increased over time, the total number was still limited compared with LE studies. A further improvement in the overall LOE of clinical studies in prosthodontics is needed.
{"title":"Level of evidence and characteristics of clinical studies published in leading prosthodontics journals","authors":"Merve Koseoglu DDS , Berkman Albayrak DDS , Hubban Nasution DDS, MSc , Judy Chia-Chun Yuan DDS, MS, MAS , Foteini Touloumi DDS, MDSc , Jiyeon J. Kim DMD, MS, MBA , Funda Bayindir DDS, PhD , Cortino Sukotjo DDS, PhD, MSc","doi":"10.1016/j.prosdent.2022.12.008","DOIUrl":"10.1016/j.prosdent.2022.12.008","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Data on the level of evidence and the characteristics of studies published in peer-reviewed prosthodontic journals are lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this study was to investigate the characteristics and level of evidence (LOE) scores of studies published in 3 leading peer-reviewed prosthodontic journals.</div></div><div><h3>Material and methods</h3><div>Clinical studies published in the Journal of Prosthetic Dentistry (JPD), the Journal of Prosthodontics (JP), and the International Journal of Prosthodontics (IJP) in 2013 and 2020 were included in the analysis. Abstracts, letters to the editor, book reviews, and animal and laboratory studies were excluded from the investigation. For each study, design, type and LOE scores (Levels 1 to 5), publication year, impact factor (IF) of the journals, geographic origins of the first and corresponding authors, and funding status were recorded. Level 1 and Level 2 were defined as high evidence (HE), and Level 3, Level 4, and Level 5 were defined as low evidence (LE). Descriptive statistics and logistic regression analysis were performed (α=.05).</div></div><div><h3>Results</h3><div><span>Among the 439 studies included in the analysis, the proportion of HE and LE studies was 14.1% and 85.9%, respectively. According to univariate and multivariate analysis results, year of publication (</span><em>P</em>=.010 and <em>P</em>=.029), geographic origin of the corresponding author (<em>P</em><.001), and funding status (<em>P</em><.001 and <em>P</em>=.002) were significantly associated with the LOE of a study. However, the journal IF was not associated with LOE (<em>P</em>=.328).</div></div><div><h3>Conclusions</h3><div>Although the number of HE studies in 3 leading prosthodontic journals has increased over time, the total number was still limited compared with LE studies. A further improvement in the overall LOE of clinical studies in prosthodontics is needed.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 939-946"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10511679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div><h3>Statement of problem</h3><div>Overcoming compromised oral hygiene and susceptibility to opportunistic oropharyngeal candidal infections in patients with a maxillectomy are critical challenges. Tissue conditioners incorporated with lemongrass essential oil has been shown to have promising antifungal properties, but the effects of this incorporation on the mechanical properties of tissue conditioners remain unexplored.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the effects of lemongrass essential oil incorporation at various concentrations on the tensile bond strength (TBS) and Shore A hardness (SAH) of tissue conditioners. The presence of lemongrass essential oil in the tissue conditioner was evaluated by using Raman spectroscopy.</div></div><div><h3>Material and methods</h3><div>Unmodified tissue conditioner served as the control, whereas tissue conditioner incorporated with lemongrass essential oil (final concentrations of 1.77%, 3.56%, and 7.17% [w/w]) and tissue conditioner incorporated with Nystatin served as the experimental groups. The SAH of Coe-Comfort specimens was measured at 2 hours, 24 hours, 7 days, and 30 days for each testing group (n=3/group). The TBS of tissue conditioner to denture base acrylic resin was determined by using a universal testing machine at a crosshead speed of 10 mm/minute (n=10/group). Furthermore, Raman spectra for the control and experimental tissue conditioner groups were obtained at 24 hours and 14 days. The data were analyzed with 2-way repeated measures ANOVA followed by the post hoc Bonferroni multiple comparison test for SAH testing and the 1-way ANOVA followed by the post hoc Tukey HSD multiple comparison test for TBS testing (α=.05).</div></div><div><h3>Results</h3><div>The unmodified tissue conditioner, 1.77% (w/w) lemongrass essential oil incorporated tissue conditioner, and Nystatin incorporated tissue conditioner showed no significant difference in SAH at ≤7 days (<em>P</em>>.05). However, at 30 days, the 1.77% (w/w) lemongrass essential oil and Nystatin groups showed no significant difference in SAH (<em>P</em>=.136), but both groups had significantly lower SAH compared with the control group (<em>P</em>=.016 and <em>P</em><.001, respectively). The incorporation of 1.77% (w/w) lemongrass essential oil in tissue conditioners had no significant effect on TBS compared with the control group (<em>P</em>=.184), although both possessed significantly higher TBS than all remaining groups. In contrast, tissue conditioner incorporated with lemongrass essential oil concentrations ≥3.56% (w/w) and Nystatin showed a statistically significant decrease in TBS (<em>P</em><.001). Raman spectrum analysis confirmed the presence of citral bands in the lemongrass essential oil incorporated specimens at 2 hours and 14 days, verifying its long-lasting presence.</div></div><div><h3>Conclusions</h3><div>Incorporation of lemongrass essential oil in tissue conditio
{"title":"Mechanical properties of dental tissue conditioner containing lemongrass essential oil","authors":"Naphisa Ganokwalai DDS , Natdhanai Chotprasert DDS, PhD , Suwan Choonharuangdej PhD , Binit Shrestha BDS, PhD , Theerathavaj Srithavaj DDS, MS","doi":"10.1016/j.prosdent.2024.07.014","DOIUrl":"10.1016/j.prosdent.2024.07.014","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Overcoming compromised oral hygiene and susceptibility to opportunistic oropharyngeal candidal infections in patients with a maxillectomy are critical challenges. Tissue conditioners incorporated with lemongrass essential oil has been shown to have promising antifungal properties, but the effects of this incorporation on the mechanical properties of tissue conditioners remain unexplored.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the effects of lemongrass essential oil incorporation at various concentrations on the tensile bond strength (TBS) and Shore A hardness (SAH) of tissue conditioners. The presence of lemongrass essential oil in the tissue conditioner was evaluated by using Raman spectroscopy.</div></div><div><h3>Material and methods</h3><div>Unmodified tissue conditioner served as the control, whereas tissue conditioner incorporated with lemongrass essential oil (final concentrations of 1.77%, 3.56%, and 7.17% [w/w]) and tissue conditioner incorporated with Nystatin served as the experimental groups. The SAH of Coe-Comfort specimens was measured at 2 hours, 24 hours, 7 days, and 30 days for each testing group (n=3/group). The TBS of tissue conditioner to denture base acrylic resin was determined by using a universal testing machine at a crosshead speed of 10 mm/minute (n=10/group). Furthermore, Raman spectra for the control and experimental tissue conditioner groups were obtained at 24 hours and 14 days. The data were analyzed with 2-way repeated measures ANOVA followed by the post hoc Bonferroni multiple comparison test for SAH testing and the 1-way ANOVA followed by the post hoc Tukey HSD multiple comparison test for TBS testing (α=.05).</div></div><div><h3>Results</h3><div>The unmodified tissue conditioner, 1.77% (w/w) lemongrass essential oil incorporated tissue conditioner, and Nystatin incorporated tissue conditioner showed no significant difference in SAH at ≤7 days (<em>P</em>>.05). However, at 30 days, the 1.77% (w/w) lemongrass essential oil and Nystatin groups showed no significant difference in SAH (<em>P</em>=.136), but both groups had significantly lower SAH compared with the control group (<em>P</em>=.016 and <em>P</em><.001, respectively). The incorporation of 1.77% (w/w) lemongrass essential oil in tissue conditioners had no significant effect on TBS compared with the control group (<em>P</em>=.184), although both possessed significantly higher TBS than all remaining groups. In contrast, tissue conditioner incorporated with lemongrass essential oil concentrations ≥3.56% (w/w) and Nystatin showed a statistically significant decrease in TBS (<em>P</em><.001). Raman spectrum analysis confirmed the presence of citral bands in the lemongrass essential oil incorporated specimens at 2 hours and 14 days, verifying its long-lasting presence.</div></div><div><h3>Conclusions</h3><div>Incorporation of lemongrass essential oil in tissue conditio","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 1068.e1-1068.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2024.07.015
Yanxi Li DDS , He Fang BDS , Yuwei Yan MDS , Wei Geng DDS
<div><h3>Statement of problem</h3><div>The accuracy of intraoral scanning techniques for complete arch implant-supported prostheses remains unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to evaluate the accuracy of complete arch intraoral scanning using newly modified scan bodies.</div></div><div><h3>Material and methods</h3><div>A definitive cast with 6 parallel dental implants (6–246 subgroup, right first molar, right first premolar, right lateral incisor, left lateral incisor, left first premolar, and left first molar) was fabricated. By masking the implants with artificial gingiva, 2 other distinct definitive casts were obtained for 2 subgroups: the 4–24 subgroup, which included 4 implants (right first premolar, right lateral incisor, left lateral incisor, and left first premolar) and the 4–26 subgroup, which also included 4 implants (right first molar, right lateral incisor, left lateral incisor, and left first molar). Three methods were used to record implant location in these 3 subgroups: conventional impression making using the open-tray splinted technique (group CNV), intraoral scanning with the use of conventional scan bodies (group IOS-C), and intraoral scanning using newly modified scan bodies (group IOS-M). To assess accuracy, the best-fit algorithm was used, and root mean square (RMS) values were calculated. Descriptive statistics, including the median, interquartile range, and minimum and maximum values, were used to summarize the variables. Accuracy among different groups was compared, and the influence of the number of implants and the scan distance on the accuracy of group IOS-M was investigated. Appropriate methods were chosen based on the examination of normal distribution and homogeneity of variance, with 1-way analysis of variance (ANOVA) and the Tukey multiple comparison test for data normally (or log-normally) distributed and having equal variances and the Brown-Forsythe ANOVA test and Dunnett T3 multiple comparisons test for data normally (or log-normally) distributed but having unequal variances (α=.05). For data that did not follow a normal or log-normal distribution, the nonparametric Kruskal-Wallis test and Dunn multiple comparisons test was used.</div></div><div><h3>Results</h3><div>The trueness of group IOS-M ranged from 15.5 to 37.5 µm, with a median (Q1, Q3) of 22.8 (20.3, 25.5) μm, better than that of group IOS-C (<em>P</em><.001), ranging from 10.1 to 110.0 µm, with a median (Q1, Q3) of 32.1 (26.3, 47.6) μm. Although the trueness of group IOS-M was worse than group CNV (<em>P</em><.001), ranging from 6.7 to 22.5 µm, with a median (Q1, Q3) of 14.9 (10.5, 17.8) μm, it was within the threshold deemed acceptable to produce clinically suitable complete arch restorations (<59 to 72 µm). The precision of group IOS-M, ranging from 7.2 to 40.8 µm, with a median (Q1, Q3) of 19.5 (16.4, 23.0) μm, was better than that of group IOS-C (<em>P</em><.001), ranging from 9.8 to 86.
{"title":"Accuracy of intraoral scanning using modified scan bodies for complete arch implant-supported fixed prostheses","authors":"Yanxi Li DDS , He Fang BDS , Yuwei Yan MDS , Wei Geng DDS","doi":"10.1016/j.prosdent.2024.07.015","DOIUrl":"10.1016/j.prosdent.2024.07.015","url":null,"abstract":"<div><h3>Statement of problem</h3><div>The accuracy of intraoral scanning techniques for complete arch implant-supported prostheses remains unclear.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to evaluate the accuracy of complete arch intraoral scanning using newly modified scan bodies.</div></div><div><h3>Material and methods</h3><div>A definitive cast with 6 parallel dental implants (6–246 subgroup, right first molar, right first premolar, right lateral incisor, left lateral incisor, left first premolar, and left first molar) was fabricated. By masking the implants with artificial gingiva, 2 other distinct definitive casts were obtained for 2 subgroups: the 4–24 subgroup, which included 4 implants (right first premolar, right lateral incisor, left lateral incisor, and left first premolar) and the 4–26 subgroup, which also included 4 implants (right first molar, right lateral incisor, left lateral incisor, and left first molar). Three methods were used to record implant location in these 3 subgroups: conventional impression making using the open-tray splinted technique (group CNV), intraoral scanning with the use of conventional scan bodies (group IOS-C), and intraoral scanning using newly modified scan bodies (group IOS-M). To assess accuracy, the best-fit algorithm was used, and root mean square (RMS) values were calculated. Descriptive statistics, including the median, interquartile range, and minimum and maximum values, were used to summarize the variables. Accuracy among different groups was compared, and the influence of the number of implants and the scan distance on the accuracy of group IOS-M was investigated. Appropriate methods were chosen based on the examination of normal distribution and homogeneity of variance, with 1-way analysis of variance (ANOVA) and the Tukey multiple comparison test for data normally (or log-normally) distributed and having equal variances and the Brown-Forsythe ANOVA test and Dunnett T3 multiple comparisons test for data normally (or log-normally) distributed but having unequal variances (α=.05). For data that did not follow a normal or log-normal distribution, the nonparametric Kruskal-Wallis test and Dunn multiple comparisons test was used.</div></div><div><h3>Results</h3><div>The trueness of group IOS-M ranged from 15.5 to 37.5 µm, with a median (Q1, Q3) of 22.8 (20.3, 25.5) μm, better than that of group IOS-C (<em>P</em><.001), ranging from 10.1 to 110.0 µm, with a median (Q1, Q3) of 32.1 (26.3, 47.6) μm. Although the trueness of group IOS-M was worse than group CNV (<em>P</em><.001), ranging from 6.7 to 22.5 µm, with a median (Q1, Q3) of 14.9 (10.5, 17.8) μm, it was within the threshold deemed acceptable to produce clinically suitable complete arch restorations (<59 to 72 µm). The precision of group IOS-M, ranging from 7.2 to 40.8 µm, with a median (Q1, Q3) of 19.5 (16.4, 23.0) μm, was better than that of group IOS-C (<em>P</em><.001), ranging from 9.8 to 86.","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 994.e1-994.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2023.12.023
Sang-Ah Lee DDS, MSD , Chan-Ho Park DDS, MSD , Kyung-Ho Ko DDS, MSD, PhD , Chan-Jin Park DDS, MSD, PhD , Lee-Ra Cho DDS, MSD, PhD
Mandibular condyle fracture malunion and tooth loss can cause functional and esthetic problems. A patient with restricted mouth opening associated with muscle atrophy required prosthetic rehabilitation. Since the remaining teeth had a poor prognosis and the patient had difficulty adapting to the interim denture, complete mouth rehabilitation with implants was chosen. The implants were placed by using nerve lateralization and an autogenous bone graft. Prosthetic rehabilitation combines digital diagnosis and conventional prosthetic restorations. The definitive prosthesis was fabricated to ensure adequate oral hygiene and functional adaptation of the orofacial structures. Treatment resulted in stable masticatory function, occlusion, and esthetics and restored the function of the atrophied lips and restricted mouth opening.
{"title":"Complete mouth rehabilitation in a patient with condylar fracture malunion: A clinical report","authors":"Sang-Ah Lee DDS, MSD , Chan-Ho Park DDS, MSD , Kyung-Ho Ko DDS, MSD, PhD , Chan-Jin Park DDS, MSD, PhD , Lee-Ra Cho DDS, MSD, PhD","doi":"10.1016/j.prosdent.2023.12.023","DOIUrl":"10.1016/j.prosdent.2023.12.023","url":null,"abstract":"<div><div><span><span><span>Mandibular condyle fracture malunion and </span>tooth loss can cause functional and esthetic problems. A patient with restricted mouth opening associated with </span>muscle atrophy<span> required prosthetic rehabilitation. Since the remaining teeth had a poor prognosis and the patient had difficulty adapting to the interim denture, complete mouth rehabilitation with implants was chosen. The implants were placed by using nerve lateralization and an autogenous </span></span>bone graft<span>. Prosthetic rehabilitation combines digital diagnosis and conventional prosthetic restorations. The definitive prosthesis was fabricated to ensure adequate oral hygiene and functional adaptation of the orofacial structures. Treatment resulted in stable masticatory function, occlusion, and esthetics and restored the function of the atrophied lips and restricted mouth opening.</span></div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 849.e1-849.e6"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant-retained overdentures are a recognized treatment option. However, a comprehensive assessment of all articles on implant-retained overdentures to identify publication standards such as mean citation and the Journal Citation Reports (JCR) impact factor is lacking.
Purpose
The purpose of this bibliometric assessment was to evaluate the association of mean citation and JCR impact factor with bibliometric parameters in articles on implant-retained overdentures.
Material and methods
Articles reporting randomized controlled clinical trials (RCTs) and nonrandomized controlled clinical trials (N-RCTs); case reports and series; retrospective studies; and in silico, in vitro, or systematic reviews in 6 databases were included. Data were extracted, and 2 multiple Poisson regressions analyses were applied (α=.05). The dependent variables were mean citation and JCR impact factor, which were evaluated to identify their association with bibliometric parameters by using prevalence ratio (PR) values.
Results
A total of 1369 articles published from 1986 to 2021 were included. The data revealed a high mean citation and high JCR impact factor for RCT, N-RCT, retrospective, and in vitro studies (P<.05). In silico studies presented a high mean citation (P<.001). Senior researchers with a high h-index were more likely to have a high mean citation and publications with a high JCR impact factor (P<.001). Also, senior authors associated with an international network were more likely to have a high mean citation (P=.001). High-income countries had more studies with a high mean citation and JCR impact factor (P<.05). Higher JCR impact factors were associated with articles evaluating only the maxilla or mandible (P<.05). The topics “implant setting” and “macrodesign” were associated with a high mean citation (P<.05).
Conclusions
The publication trends suggest a high mean citation and a high JCR impact factor for clinical designs (RCT, N-RCT, retrospective) and in vitro studies. The same pattern was also displayed for researchers with a high h-index and located in high-income countries.
{"title":"Bibliometric assessment in implant-retained overdenture articles: Mapping citation and journal impact factor trends","authors":"Guilherme Almeida Borges DDS, MSc , Caroline Dini DDS, MSc , Mariana Marinho Davino de Medeiros DDS, MSc , Renata Cunha Matheus Rodrigues Garcia DDS, MSc, PhD , Valentim Adelino Ricardo Barão DDS, MSc, PhD , Marcelo Ferraz Mesquita DDS, MSc, PhD","doi":"10.1016/j.prosdent.2022.11.002","DOIUrl":"10.1016/j.prosdent.2022.11.002","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Implant-retained overdentures are a recognized treatment option. However, a comprehensive assessment of all articles on implant-retained overdentures to identify publication standards such as mean citation and the Journal Citation Reports (JCR) impact factor is lacking.</div></div><div><h3>Purpose</h3><div>The purpose of this bibliometric assessment was to evaluate the association of mean citation and JCR impact factor with bibliometric parameters in articles on implant-retained overdentures.</div></div><div><h3>Material and methods</h3><div>Articles reporting randomized controlled clinical trials<span><span> (RCTs) and nonrandomized controlled clinical trials (N-RCTs); case reports and series; retrospective studies; and in silico, in vitro, or </span>systematic reviews in 6 databases were included. Data were extracted, and 2 multiple Poisson regressions analyses were applied (α=.05). The dependent variables were mean citation and JCR impact factor, which were evaluated to identify their association with bibliometric parameters by using prevalence ratio (PR) values.</span></div></div><div><h3>Results</h3><div>A total of 1369 articles published from 1986 to 2021 were included. The data revealed a high mean citation and high JCR impact factor for RCT, N-RCT, retrospective, and in vitro studies (<em>P</em><.05). In silico studies presented a high mean citation (<em>P</em><.001). Senior researchers with a high h-index were more likely to have a high mean citation and publications with a high JCR impact factor (<em>P</em><.001). Also, senior authors associated with an international network were more likely to have a high mean citation (<em>P</em>=.001). High-income countries had more studies with a high mean citation and JCR impact factor (<em>P</em><span><.05). Higher JCR impact factors were associated with articles evaluating only the maxilla<span> or mandible (</span></span><em>P</em><.05). The topics “implant setting” and “macrodesign” were associated with a high mean citation (<em>P</em><.05).</div></div><div><h3>Conclusions</h3><div>The publication trends suggest a high mean citation and a high JCR impact factor for clinical designs (RCT, N-RCT, retrospective) and in vitro studies. The same pattern was also displayed for researchers with a high h-index and located in high-income countries.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 921.e1-921.e9"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10407172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.prosdent.2024.07.012
Noha Morsy DDS, MSD, PhD , Mohammed El Kateb DDS, MSD, PhD , Mona Mohamed Ghoneim DDS, MSD, PhD , Ahmed A. Holiel DDS, MSD, PhD
<div><h3>Statement of problem</h3><div>Occlusal veneers are a conservative method of reestablishing vertical dimensions of occlusion (VDO) for worn teeth. A restorative material used for occlusal veneers should have a smooth surface, adequate wear resistance, and low abrasiveness to the antagonists, as total wear of occlusal veneers and their antagonists determines the stability of the reestablished VDO. Studies on roughness, wear, and abrasiveness of occlusal veneers are scarce.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the surface roughness, wear, and abrasiveness of printed and milled occlusal veneers after thermomechanical aging against natural cusps and restorative materials.</div></div><div><h3>Material and methods</h3><div>Forty-eight extracted mandibular first molars were prepared for occlusal veneers and scanned with an intraoral scanner. The scans were exported to a computer-aided design program to design the occlusal veneers in 3 groups (n=16) according to the restorative material: group IP: milled lithium disilicate; group EN: milled hybrid ceramic (Vita Enamic), group VA: printed hybrid ceramic (Varseosmile Crown plus). The occlusal veneers in each group were bonded to their corresponding abutments and subjected to 250 000 mechanical cycles and a simultaneous 1000 thermal cycles in a mastication simulator. During thermomechanical aging, half of the specimens of each study group (n=8) were opposed by natural cusps (antagonist C) and the other half by antagonist cusps fabricated from the same restorative material as the occlusal veneers (antagonist R). The wear of the occlusal veneers and their antagonists was assessed with a 3-dimensional processing software program. The surface roughness of the veneers was assessed with a contact profilometer. The results were statistically analyzed with a 2-way ANOVA followed by the post hoc Tukey HSD test (α=.05).</div></div><div><h3>Results</h3><div>The 2-way ANOVA indicated a significant effect for the material and the antagonist on surface roughness, wear, and abrasiveness (<em>P</em><.05). When opposed by antagonist C, VA showed significantly higher surface roughness than IP and EN (<em>P</em><.001). VA had significantly higher surface wear followed by EN and IP (<em>P</em><.001). IP caused significantly higher wear to antagonist C than EN and VA (<em>P</em><.001). In addition, IP had significantly higher total wear (combined wear of veneers and their antagonists) followed by VA and EN (<em>P</em><.001). When opposed by antagonist R, no significant difference was found among the 3 materials for surface roughness (<em>P</em>=.08), material wear (<em>P</em>=.12), opposing wear (<em>P</em>=.11), or total wear (<em>P</em>=.11).</div></div><div><h3>Conclusions</h3><div>Both material and antagonist had a significant effect on surface roughness and occlusal stability when occlusal veneers were fabricated to restore VDO. VA had significantly mo
{"title":"Surface roughness, wear, and abrasiveness of printed and milled occlusal veneers after thermomechanical aging","authors":"Noha Morsy DDS, MSD, PhD , Mohammed El Kateb DDS, MSD, PhD , Mona Mohamed Ghoneim DDS, MSD, PhD , Ahmed A. Holiel DDS, MSD, PhD","doi":"10.1016/j.prosdent.2024.07.012","DOIUrl":"10.1016/j.prosdent.2024.07.012","url":null,"abstract":"<div><h3>Statement of problem</h3><div>Occlusal veneers are a conservative method of reestablishing vertical dimensions of occlusion (VDO) for worn teeth. A restorative material used for occlusal veneers should have a smooth surface, adequate wear resistance, and low abrasiveness to the antagonists, as total wear of occlusal veneers and their antagonists determines the stability of the reestablished VDO. Studies on roughness, wear, and abrasiveness of occlusal veneers are scarce.</div></div><div><h3>Purpose</h3><div>The purpose of this in vitro study was to assess the surface roughness, wear, and abrasiveness of printed and milled occlusal veneers after thermomechanical aging against natural cusps and restorative materials.</div></div><div><h3>Material and methods</h3><div>Forty-eight extracted mandibular first molars were prepared for occlusal veneers and scanned with an intraoral scanner. The scans were exported to a computer-aided design program to design the occlusal veneers in 3 groups (n=16) according to the restorative material: group IP: milled lithium disilicate; group EN: milled hybrid ceramic (Vita Enamic), group VA: printed hybrid ceramic (Varseosmile Crown plus). The occlusal veneers in each group were bonded to their corresponding abutments and subjected to 250 000 mechanical cycles and a simultaneous 1000 thermal cycles in a mastication simulator. During thermomechanical aging, half of the specimens of each study group (n=8) were opposed by natural cusps (antagonist C) and the other half by antagonist cusps fabricated from the same restorative material as the occlusal veneers (antagonist R). The wear of the occlusal veneers and their antagonists was assessed with a 3-dimensional processing software program. The surface roughness of the veneers was assessed with a contact profilometer. The results were statistically analyzed with a 2-way ANOVA followed by the post hoc Tukey HSD test (α=.05).</div></div><div><h3>Results</h3><div>The 2-way ANOVA indicated a significant effect for the material and the antagonist on surface roughness, wear, and abrasiveness (<em>P</em><.05). When opposed by antagonist C, VA showed significantly higher surface roughness than IP and EN (<em>P</em><.001). VA had significantly higher surface wear followed by EN and IP (<em>P</em><.001). IP caused significantly higher wear to antagonist C than EN and VA (<em>P</em><.001). In addition, IP had significantly higher total wear (combined wear of veneers and their antagonists) followed by VA and EN (<em>P</em><.001). When opposed by antagonist R, no significant difference was found among the 3 materials for surface roughness (<em>P</em>=.08), material wear (<em>P</em>=.12), opposing wear (<em>P</em>=.11), or total wear (<em>P</em>=.11).</div></div><div><h3>Conclusions</h3><div>Both material and antagonist had a significant effect on surface roughness and occlusal stability when occlusal veneers were fabricated to restore VDO. VA had significantly mo","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"132 5","pages":"Pages 984.e1-984.e7"},"PeriodicalIF":4.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}