Journal of Contemporary Dental Practice最新文献

Aim: To compare the effect of different ultraviolet-C (UV-C) light exposure times on the dimensional stability of addition silicone dental impressions.

Materials and methods: The dimensional stability of the addition silicone dental impressions was assessed by measuring specific dimensions on dental casts that were recovered from an upper acrylic resin model of dental implants. The impressions were reproduced using a customized tray adapted in a three-point simplex dental articulator permitting only opening and closing movements. Addition silicone dental impressions were divided into five groups (N = 12) according to the UV-C light exposure time. Group A was untreated; group B received 10 minutes; group C, 20 minutes; group D, 30 minutes; and group E, 40 minutes. All the impressions were poured with type IV dental stone and the internal edges of the upper silicone retainers of impression copings were used as five reference points (E, D, C, B, and A) to determine six linear measurements between ED, CB, EA, AD, EB, and CD points using a traveling microscope of 0.001 mm accuracy. One-way analysis of variance (ANOVA) was used for the statistical analysis (p < 0.05).

Results: Expansion and contraction were noted among ED, CB, EA, and EB measurements, whereas only expansion was noted among AD and CD measurements. The ANOVA analysis showed there was no significant difference in the arithmetic means for the measurements between and within group A and the other groups (p > 0.05).

Conclusion: The UV-C light exposure time of 10, 20, 30, and 40 minutes did not have any negative effect on the dimensional stability of the addition silicone dental impressions evaluated.

Clinical significance: In the daily routine dental practice, dental impressions need to be washed and disinfected immediately after making to prevent cross-infections. The UV-C light has been proposed as a promising method for disinfection, but only a few studies have been published about its effect on the dimensional stability of dental silicones. How to cite this article: Bravo-Cueto AG, Tinedo-López PL, Malpartida-Carrillo V. Effect of Ultraviolet-C Light Exposure Time on the Dimensional Stability of Addition Silicone Dental Impressions: An In Vitro Study. J Contemp Dent Pract 2024;25(6):507-513.

Aim: This study was designed to compare between the use of Khoury's bone shell technique vs titanium-reinforced PTFE membrane for 3D-ridge augmentation of atrophic posterior mandible.

Materials and methods: Sixteen patients were equally and randomly assigned to either the Khoury or PTFE group. In Khoury group, a mandibular bone block was harvested, split and then fixed to augment the mandibular defect using osteosynthesis screws. In PTFE group, augmentation was achieved using Titanium-reinforced PTFE membranes fixed with bone tacks/screws. A mixture of autogenous and xenogenic graft material at a 1:1 ratio was used in both groups. Vertical and horizontal bone gain were obtained using cone-beam computed tomography (CBCT). Preoperative dimensions were compared with the final dimensions obtained 6 months postoperatively.

Results: No significant complications or neurosensory dysfunction were encountered. A solitary patient in the Khoury group experienced limited wound dehiscence, which was treated conservatively. For both groups, there were no significant differences between preoperative and postoperative vertical (p = 0.849 and 0.569) and horizontal (p = 0.778 and 0.367) dimensions.

Conclusion: No significant differences exist between the augmentation dimension which can be obtained using either Khoury of Ti-PTFE membranes.

Clinical significance: Both approaches are delicate and necessitate surgical expertise and experience. Both techniques can be used to achieve predictable augmentation results with a low rate of complications. How to cite this article: Shaker AES, Salem AS, El-Farag SAA, et al. Comparison of Khoury's Bone Shell Technique vs Titanium-reinforced Polytetrafluoroethylene Membrane for 3D-bone Augmentation in Atrophic Posterior Mandible: A Randomized Clinical Trial. J Contemp Dent Pract 2024;25(6):518-526.

Aim: This case series was to describe the use of surgical extrusion for three different cases as a technique to re-establish the biological width in patients with insufficient crown height.

Background: Surgical extrusion serves as an important means to reestablishing a proper biological width. Such method provides an excellent alternative for the restoration of teeth with insufficient ferrule and ensuring a suitable dental restoration.

Cases descriptions: This case series describes the management of three different cases with compromised teeth #25, #35, and #44, respectively. The approach involved the surgical extrusion of the compromised sites from subgingival to supragingival and the splinting of the teeth using a semi-rigid splint. A successful prognosis was observed on follow-up visits.

Conclusion: This technique is a good alternative for general practitioners because of its easy implementation and time efficiency. In addition, the method requires less equipment and provides for adequate space for the re-establishment of biological width.

Clinical significance: Such technique can re-establish a healthy biological width, the existing occlusion can be maintained without alterations, and it demonstrated the suitability of surgical extrusion technique in such clinical situations. Case selection is equally important. Cases with single-rooted teeth with fractures or caries in proximity to the marginal bone level without vertical root fractures generally provide positive outcomes on providing this treatment. How to cite this article: Boreak N, Al Moaleem MM, Zain AA, et al. Surgical Extrusion of Three Premolars to Re-establish the Biological Width: Case Series. J Contemp Dent Pract 2024;25(6):593-598.

Aim: The aim of this study is to compare the fracture resistance of canine teeth restored using TRINIA Endocrowns with three different types of preparations (2, 3, and 4 intracanal preparations).

Materials and methods: Thirty maxillary-extracted canines were collected. All teeth were fixed in orthodontic acrylic resin and decapitated at the level of the proximal cemento-enamel junction (CEJ). After being endodontically treated, specimens were distributed equally between 3 groups (n = 10) with different preparation depths (GT: 2 mm Intraradicular Preparation, GH: 3 mm Intraradicular Preparation, GF: 4 mm Intraradicular Preparation). Thirty TRINIA endocrowns were dry milled. After surface treatment, all endocrowns were bonded to their corresponding roots using Permaflo a dual-cure resin cement. Each specimen was then fixed in the lower part of a universal testing machine with a load cell of 5 KN, at an angle of 45 degrees to the tooth long-axis at 0.5 mm/min crosshead speed. Failure loads were recorded in Newton's. Data were recorded, organized, and statistically investigated.

Results: Shapiro-Wilk tests revealed that the data were not normally distributed. Descriptive statistics revealed a high mean fracture resistance of GH (647 N), then GT (475.6 N), and finally GF (353.9 N). The Kruskal-Wallis test revealed a significant difference that existed between the groups being studied (p = 0.036).

Conclusion: TRINIA endocrowns with intracanal preparations of 2 and 3 mm provide more promising fracture resistance than those with intracanal preparations of 4 mm as a way of treating of root-canal-treated maxillary canines. TRINIA endocrowns (2 and 3 mm intracanal preparations) are as promising as fiber posts and all ceramic crowns in terms of fracture resistance. TRINIA endocrowns with 2 mm intracanal preparations are mostly reparable after failure, but those of 3 and 4 mm are mostly irreparable after failure.

Clinical significance: Modifying endocrowns to have intraradicular projections, simulating Nayyar core, may improve the success and longevity of endocrowns in anterior teeth. How to cite this article: Alahmad AM, Alenezi AY, Rayyan M, et al. Static Loading of Different Intraradicular Preparation Depths of Trinia Endocrowns in Maxillary Canines. J Contemp Dent Pract 2024;25(6):575-580.

Aims: This cross-sectional retrospective study was conducted to assess the differences in the microarchitecture of the trabecular bone of the posterior mandibular region at dentulous and edentulous sites with the help of fractal dimension (FD) and lacunarity using cone-beam computed tomography (CBCT).

Materials and methods: Ninety CBCT scans were analyzed for the purpose of the present study. Inclusion criteria included subjects with unilaterally missing mandibular molars or premolars and an with intact contralateral opposing tooth. The coronal view of the dentulous and edentulous sites was used, and the region of interest (ROI) was selected 2.6 mm below the apex of the tooth present. These images were then transferred to ImageJ Software, and fractal analysis was done using the box-counting method of the FracLac plug-in. A paired samples t-test was performed to compare the means of FD and lacunarity, and a Kendall correlation was performed to check correlations. A p-value less than 0.05 was considered to indicate statistical significance.

Results: Statistical analysis revealed that the mean FD of the edentulous side was significantly greater than that of the dentulous side (p-value = 0.011). Additionally, the mean lacunarity of the edentulous side was marginally significantly greater than that of the dentulous side (p-value = 0.089). A significant negative correlation was detected between the FD and lacunarity of the edentulous region (p-value = 0.017), and a marginally significant negative correlation was detected between edentulous lacunarity and dentulous lacunarity (p-value = 0.081).

Conclusion: The differences in occlusal forces exerted in dentulous and edentulous regions can lead to a change in the trabecular pattern of the bone in these regions. This change in the microarchitecture of bones can be detected by FD and lacunarity, which can further help us assess changes pre- and post-implant.

Clinical significance: The advanced technology, the assessment of microarchitecture of the bone has been made easy, using FD and lacunarity, as done in the present study. This analysis can further aid us in both pre- and post-implant analysis to prevent failure of the implant. How to cite this article: Bhoraskar M, Denny C, Srikant N, et al. Fractal Dimension and Lacunarity Analysis in the Dentulous and Edentulous Mandibular Posterior Region Using Cone-beam Computed Tomography: A Cross-sectional Retrospective Study. J Contemp Dent Pract 2024;25(6):581-587.

How to cite this article: Kathiria NV, Attur K, Bagda KM, et al. Erratum: Postendodontic Pain Using Single File System with Different Irrigation Protocols in Single-visit Root Canal Treatment: A Randomized Control Trial. J Contemp Dent Pract 2024;25(5):503.

Aim: To assess the gloss and gloss retention of two esthetic restorative materials after brushing with a charcoal-infused toothbrush and activated charcoal toothpaste compared to their standard counterparts in all possible combinations.

Materials and methods: In this study,104 disc-shaped specimens were prepared, 52 from each of the two materials: Beautifil II LS composite resin (Giomer) and Fuji II LC resin-modified glass ionomer (RMGI). Specimens of each material were divided into 4 groups (n = 13) according to the tested brushing procedure: group A-standard toothbrush + standard non-whitening toothpaste (S-S), group B-standard toothbrush + activated charcoal toothpaste (S-CH), group C-charcoal-infused toothbrush + standard non-whitening toothpaste (CH-S), and group D-charcoal-infused toothbrush + activated-charcoal toothpaste (CH-CH). Gloss was recorded using a gloss meter initially and after each brushing protocol. The data were statistically analyzed with two-way analysis of variance (ANOVA) and Tukey HSD post hoc tests using SPSS® v.27 software at 5% significance level.

Results: Beautifil II LS showed the highest gloss values after brushing in group D (44 ± 3.9), which was not significantly different from its initial value (46.1 ± 1.8), followed by groups A (32.2 ± 4), B (23.2 ± 3.6), and C (22.7 ± 3.9), while Fuji II LC showed its highest gloss values after brushing in groups D (16.6 ± 3.7) and a (15.4 ± 8.7), followed by groups C (10.9 ± 6) and B (4.4 ± 2.5), all were significantly lower than their respective initial gloss values.

Conclusion: The gloss of Giomer and RMGI reduced significantly following the brushing with the tested brushing procedures except for the Giomer group brushed with a combination of charcoal-infused toothbrush and activated-charcoal toothpaste.

Clinical significance: The brushing using a combination of charcoal-infused toothbrush and activated-charcoal toothpaste is recommended for the gloss retention of Beautifil II LS restorations. However, the gloss of the Fuji II LC cannot be retained after any of the brushing procedures. How to cite this article: Farghal NS, Awadalkreem F, Abouelhonoud NA, et al. The Gloss Retention of Esthetic Restorations Following Simulated Brushing with Charcoal Oral Products: An In-Vitro Study. J Contemp Dent Pract 2024;25(5):473-479.

Aim: This study compared the quality and quantity of newly formed bone in rabbits' critical-sized calvarial defects filled with enamel matrix derivative (EMD) combined with freeze-dried bone allograft (FDBA) vs FDBA alone.

Materials and methods: A total of 24 adult male white New Zealand rabbits were included. In each rabbit, three bone defects with a diameter of 8 mm were created on the calvarium bone; the first defect was left untreated, while the second was filled with FDBA, and the third was filled with EMD + FDBA. Twelve rabbits were randomly euthanized after a month, and the remaining 2 month postsurgery. Bone sections were histologically evaluated by hematoxylin and eosin and vascular endothelial growth factor (VEGF), alkaline phosphatase (ALP), osteoprotegerin (OPG), and receptor activator of NF-kappaB (RANK) immune-histochemical staining.

Results: An improvement in the newly formed bone percentage was found in the defects filled with EMD + FDBA in comparison with FDBA and control defects at 1 month and 2 months postsurgery. Additionally, the expression of VEGF, ALP, OPG, and RANK showed highly significant differences in the defects filled with EMD + FDBA compared to the FDBA and control ones at 1 month postsurgery (p = 0.001). Meanwhile, VEGF and ALP expression showed a significant decrease in defects filled with EMD + FDBA compared to the FDBA and control ones (p = 0.001), while OPG and RANK expression showed non-significant differences between treated groups at 2 months postsurgery.

Conclusion: Enamel matrix derivative combined with FDBA has a synergistic effect on bone formation and graft substitution. This combination accelerates the expression of VEGF, ALP, OPG, and RANK.

Clinical significance: The combination of EMD and FDBA accelerates and ameliorates the quality of newly formed bone, aiding in maxillofacial reconstruction. How to cite this article: Zakri RN, Grawish ME, Mowafey B, et al. Impact of Freeze-dried Corticocancellous Bone Allograft Combined with Enamel Matrix Derivative in the Treatment of Critical-sized Calvarial Bone Defects: An Animal Study. J Contemp Dent Pract 2024;25(5):424-431.

Aim: The current study aims to assess the color change of polymer-infiltrated ceramic Vita Enamic (VE) and extra translucent multilayer zirconia (XTML) after being immersed in different types of beverages, which are coffee, tea, and cola in comparison to distilled water as control.

Materials and methods: A total of 80 rectangular-shaped specimens were prepared with fixed dimensions (14 × 12 × 0.5 mm) and then were divided into two groups (n = 40) according to ceramic material (VE, XTML). Specimens were sliced as each slice measures about 0.5 mm thick. Each group specimens were divided into four subgroups (n = 10) based on the immersion solutions in which specimens were stored (water, coffee, tea, and cola) for 28 days. The color parameters (L-a-b) of the specimens were recorded before immersion and at the end of the 7th (T1), 14th (T2), 21st (T3) and 28th (T4) days after immersion. Color measurements were statistically analyzed with a significance threshold of p < 0.05.

Results: There was a significant difference in color change between VE and XTML in all periods of tea and coffee immersion subgroups and in T3 and T4 in cola immersion subgroups (p < 0.001). Vita Enamic showed the highest differences in ΔE through all storage periods after 28 days of tea immersion (ΔE of VE= 8.06 ± 1.04). Extra translucent multilayer zirconia showed the highest differences in ΔE through all storage periods after 28 days of tea immersion (ΔE of XTML = 3.0 ± 0.33).

Conclusion: Commonly consumed staining beverages influenced the color stability of the polymer-infiltrated ceramics more than extra translucent zirconia ceramics.

Clinical significance: This study may provide guidance for clinicians to select the appropriate ceramic restorative material with high color stability and low tendency for color change by common staining beverages to achieve long-lasting esthetic results for the patients. How to cite this article: Abdelhafez MHA, Abu-Eittah MRH. Effect of Common Staining Beverages on Color Stability of Polymer-infiltrated Ceramics and Extra Translucent Zirconia: An In Vitro Study. J Contemp Dent Pract 2024;25(5):411-416.