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Digital workflow in complete dentures: a narrative review 全口义齿的数字化工作流程:述评
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2020-01-01 DOI: 10.23805/JO.2020.12.04.3
L. D'arienzo, A. Casucci, P. Manneh, A. D'Arienzo, A. Borracchini, Massimo Ferrari
Aim The aim of the present study is to review the literature evaluating the main steps required in complete denture rehabilitation in case of edentulous jaws in the digital workflow. Methods This review was conducted using PubMed and Scopus databases. It focuses on the following clinical and laboratory steps: the impression, the registration of the centric relation, the try-in and the finalization. Results According to the reported data in literature, impression, try-in and finalization are feasible with a complete digital approach. Registration of the centric is possible only combining the digital with the traditional one. Digital impression is accurate, but shows some limitations in the peripheral areas. The printing process, because of accuracy and its cost, can be used for the try-in of the prototype. Milling machine  is more accurate than  3D printing and offers a good level of retention and of satisfaction for the patient. Conclusions In relation to optical scanning, there are still some limitations because of the impossibility to perform selective pressure in the areas of the peripheral seal. Fully digital methods to register the centric are not described. More evidence based evidence on qualitative and quantitative results is required to validate digital denture protocols.
目的本研究的目的是回顾在数字工作流程中评估无牙颌全口义齿康复所需的主要步骤的文献。方法使用PubMed和Scopus数据库进行综述。它侧重于以下临床和实验室步骤:印象,中心关系的登记,试入和定型。结果根据文献报道的数据,采用完全数字化的方法,印模、试入、定型均是可行的。只有将数字与传统相结合,才能实现中心的注册。数字印象是准确的,但在外围区域显示出一些局限性。由于打印过程的准确性和成本,可以用于原型的试戴。铣床比3D打印更准确,并为患者提供良好的保留和满意度。结论光学扫描由于不能对周围密封区域进行选择性加压,仍有一定的局限性。没有描述完全数字化的方法来登记中心。需要更多基于定性和定量结果的证据来验证数字义齿方案。
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引用次数: 2
Is immediate implant placement advantageous for the management of aggressive periodontitis patients in maxillary esthetic zone? An update of systematic reviews 上颌美观区侵袭性牙周炎患者即刻种植是否有利?系统评论的更新
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2020-01-01 DOI: 10.23805/JO.2019.11.03.19
N. Yussif, Abdel Rahman
Aim To determine the  clinical safety, survival and success of the immediate dental implant placement in aggressive periodontitis patients. Materials and methods In April 2019, Pubmed, Cochrane central database, Web of Science, Lilacs and hand search were searched with no restrictions for language, publication date or follow up period. All types of prospective studies reporting the prognosis of immediate implant placement were included. Outcomes were implant survival rate, complications during placement and postoperatively and marginal bone loss around implants.  Results After screening of the titles, abstracts and full text of the reported studies, none of those met the pre-determined inclusion criteria. Conclusions There was no sufficient evidence regarding the survival rate of immediately placed dental implants in patients affected with aggressive periodontitis. Long term prospective double armed clinical studies are recommended.
目的探讨侵袭性牙周炎患者即刻种植的临床安全性、生存期和成功率。2019年4月,检索Pubmed、Cochrane中央数据库、Web of Science、Lilacs和hand search,不受语言、出版日期和随访期的限制。所有类型的前瞻性研究都报道了即刻种植体置入术的预后。结果是种植体成活率,种植体放置期间和术后并发症以及种植体周围边缘骨丢失。结果在对报道的研究的标题、摘要和全文进行筛选后,没有一项符合预定的纳入标准。结论对于侵袭性牙周炎患者即刻种植牙的存活率尚无足够的证据。建议进行长期前瞻性的双臂临床研究。
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引用次数: 0
Angulated implants: a novel concept for the rehabilitation of severe atrophic maxilla with 3 years follow up supported by Finite Element Analysis 有角种植体:一种用于严重萎缩上颌骨康复的新概念,有限元分析支持3年随访
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2020-01-01 DOI: 10.23805/JO.2019.12.01.22
P. Nag, P. Sarika, Tejashree Bhagwatkar, V. Dhara
Aim Rehabilitation of maxillary edentulous arches is a challenging task for the Dentists. Angulated implants used for implant placement which utilizes bicortical engagement of implants at the nasal cortex and pterygoid region in a flapless manner. The aim of this study was to evaluate the clinical outcome when 6 tall angulated implants were placed in a maxilla and restored with screw-retained fixed prosthesis after 3 years follow up.  Methods Total of 40 patients were considered for implant placement in the maxilla, 20 patients who underwent implant placement followed by delayed loading and 20 patients who underwent the same surgical procedure followed by immediate loading. Angulated implants were supported by Finite element analysis (FEA) comparing stress distribution on cortical, cancellous and basal bone on mesial and distal side of each implant with All-on-6 concept for maxillary arch.   Results Angulated implant shows 100% survival rate in implants and prosthesis, in both delayed and immediate loading protocols of maxillary rehabilitation. The FEA based on von Misses stress, shows little higher values for All-on-6 for cortical, cancellous and basal bone when compared with Angulated 6 implants design.   Conclusions Angulated implants a novel concept shows a good survival rate. Due to the bicortical engagement of implant the chances of marginal bone resorption around the implant, implant and prosthesis failure is minimal.
目的上颌无牙弓的修复是牙医面临的一项具有挑战性的任务。成角植入物用于植入物放置,其利用植入物在鼻皮质和翼状骨区域以无瓣方式双皮质接合。本研究的目的是评估6个高角度种植体放置于上颌骨并经3年随访后与螺钉保留固定假体修复的临床效果。方法选取40例上颌种植体放置患者,20例采用种植体放置后延迟装填,20例采用相同手术方式立即装填。采用All-on-6上颌弓概念,通过有限元分析比较各种植体中、远侧皮质骨、松质骨和基骨的应力分布。结果弓形种植体在上颌康复的延迟和即刻加载方案中,种植体和假体的成活率均为100%。基于von mises应力的有限元分析显示,与角化6植入体设计相比,皮质骨、松质骨和基底骨的All-on-6值略高。结论成角种植体是一种新颖的种植理念,具有良好的成活率。由于种植体的双皮质接合,种植体周围边缘骨吸收的机会,种植体和假体失败是最小的。
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引用次数: 0
Bond strength to radicular dentin of two experimental luting cements 两种实验性牙本质黏合剂与牙根质的黏结强度
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-17 DOI: 10.23805/JO.2019.11.03.17
G. Bonarini, E. F. Cagidiaco, N. Discepoli
Aim The aim of this study was to test two different of experimental cements based on two types of polymerization techniques comparing them with one already well known in the market. Materials and methods  Thirty intact central incisors, extracted for periodontal reasons, were selected and endodontically treated, then were randomly divided into 3 groups of 10 samples: Group 1, light cured composite experimental material with self-etch adhesive and dual polymerization activator; Group 2, dual experimental core build-up with self-etch adhesive and dual-polymer activator; Group 3 (control group), dual cement with self-etch adhesive and dual polymerization activator. One fiber post was luted into the root canal strictly following manufacturer’s instructions. Each sample was cut in slices in order to perform the push-out bond strength test with a testing machine. To express the bond strength in MegaPascals (MPa), the breaking load recorded in Newton (N) was divided by the area of the bonded interface (A) in mm2. The area of the bond interface was calculated as the area of the surface of a truncated cone using the formula: A = π (R + r) [h2 + (Rr) 2] 1/2, where R represents the major radius of the coronal post, r represents the minor radius of the apical post and h is the thickness of the slice in millimeters. The diameters and thickness of the slice were measured individually using a digital caliper with 0.01 mm precision. After the test, each slide was observed to detect the type of failure and classified as adhesive between cement and dentin (AD); adhesive between the cement and the post (AP); fracture of the sample, cohesive inside the post and dentin (FR); cohesive in cement (CC); mixed (M). Results  Group 2 recorded the highest values of adhesion strength,  group 1 the lowest. There were no statistically significant differences among groups 1 and 2 and controls. The most common failure mode was the mixed one and the less frequent was the adhesive type between the post and the cement. Conclusions  Within the limitations of this study, it can be concluded that the bond strength of experimental resin cements is comparable to that of a cement marketed by the same manufacturer, used here as a control and well known in the market.
本研究的目的是测试基于两种聚合技术的两种不同的实验水泥,并将其与市场上已知的一种水泥进行比较。材料与方法选择因牙周原因拔出的完整中切牙30个,进行根管治疗,随机分为3组,每组10个样品:第一组,采用自蚀刻胶粘剂和双聚合活化剂光固化复合实验材料;第二组:自蚀刻胶粘剂和双聚合物活化剂的双实验堆芯;第三组(对照组):双自蚀刻胶粘剂双聚合活化剂双水泥。严格按照制造商的说明将一根纤维桩插入根管。每个样品被切成薄片,以便在试验机上进行推出粘结强度测试。为了表示以兆帕斯卡(MPa)为单位的粘结强度,用牛顿(N)记录的断裂载荷除以以mm2为单位的粘结界面面积(A)。键合界面的面积用截锥表面的面积计算,公式为:a = π (R + R) [h2 + (Rr) 2] 1/2,其中R为冠状柱的大半径,R为根尖柱的小半径,h为切片的厚度,单位为毫米。切片的直径和厚度分别用精度为0.01 mm的数字卡尺测量。试验结束后,观察每一张载玻片的破坏类型,并将其归类为水泥与牙本质之间的粘接剂(AD);水泥与桩之间的胶粘剂(AP);试样断裂,桩内与牙本质粘连(FR);水泥内聚力(CC);结果2组黏附强度最高,1组黏附强度最低。1、2组与对照组比较,差异无统计学意义。最常见的破坏方式是混合破坏,较少发生的是桩与水泥之间的粘结破坏。在本研究的局限性内,可以得出结论,实验树脂水泥的粘结强度与同一制造商销售的水泥相当,这里用作对照,在市场上众所周知。
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引用次数: 1
Interaction of dental pulp stem cells in bone regeneration on titanium implant. An in vitro study 牙髓干细胞在钛种植体骨再生中的相互作用。体外研究
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-13 DOI: 10.23805/JO.2019.11.03.16
V. P. Sushmita, J. Kumar, C. Hegde, B. G. Kurkalli
Aim To investigate in vitro interaction of dental pulp stem cells (DPSCs) in bone regeneration on titanium implants. Materials and methods Dental pulp tissue collected from  extracted teeth without infection was used to obtain DPSCs. The biocompatibility of titanium implant was studied by culturing the DPSCs in conditioned media obtained by incubating the titanium implants for 72 hours. Following which the interaction of DPSCs on titanium implants was checked by wrapping the DPSCs cell sheet on SLA (sandblasted large grit acid etched) treated and smooth implants. Results  Cytotoxicity test revealed that the SLA treated implants were biocompatible and did not affect the proliferation rate of DPSCs. Osteogenic study with titanium implant revealed DPSCs have the capacity to undergo osteogenic differentiation in the presences of titanium implants. Conclusions This study postulates that it is possible to construct a biologically modified implant by wrapping the dental stem cell sheet around commercially available implants in order to improve the process of osseointegration as the implant- stem cell complex contains all the factors required for osseointegration.
目的探讨牙髓干细胞(DPSCs)在体外钛种植体骨再生中的相互作用。材料和方法采用未感染拔牙的牙髓组织制备DPSCs。将DPSCs培养于钛种植体培养72小时后获得的条件培养基中,研究其生物相容性。随后,通过将DPSCs细胞片包裹在SLA(喷砂大颗粒酸蚀)处理和光滑的种植体上,检查DPSCs与钛种植体的相互作用。结果细胞毒性实验显示,植体具有良好的生物相容性,不影响DPSCs的增殖速率。钛种植体的成骨研究表明,DPSCs在钛种植体存在下具有成骨分化的能力。结论本研究假设,由于种植体-干细胞复合物包含骨整合所需的所有因素,通过将牙干细胞片包裹在市售种植体周围来构建生物修饰的种植体是可能的,以改善骨整合过程。
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引用次数: 3
Digital impression of teeth prepared with a subgingival vertical finish line: a new clinical approach to manage the interim crown 用龈下垂直终点线制备的数字印模:一种处理过渡冠的新临床方法
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-12 DOI: 10.23805/JO.2019.11.03.14
A. D. Fiore, P. Vigolo, C. Monaco, Lorenzo Graiff, M. Ferrari, E. Stellini
Intraoral scanner can simplify the prosthodontic workflow with reduction of time, cost and several steps. However, clinic conditions can affect the quality of the digital impressions, especially if the tooth is prepared with subgingival vertical finish line. This report describes a technique to manage the interim crown and to obtain accurate digital impression of an abutment tooth with subgingival vertical finish line without the use of retraction techniques.
口腔内扫描仪可以减少时间、成本和步骤,从而简化修复工作流程。然而,临床条件会影响数字印模的质量,特别是当牙齿准备有龈下垂直终点线时。本报告描述一种不使用内收技术来管理中间冠并获得龈下垂直终点线基牙准确数字印模的技术。
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引用次数: 3
Management of upper odontogenic infections and the role of multidisciplinary treatment 上牙源性感染的处理及多学科治疗的作用
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-12 DOI: 10.23805/JO.2019.11.03.15
M. Trimarchi, A. Vinciguerra, A. Galli, P. Capparé, R. Vinci, M. Bussi
Aim Odontogenic sinusitis is a group of infections related to dental conditions. It may involve the paranasal sinuses (upper odontogenic infections, UOs) and cervical-fascial spaces. Proper diagnosis and treatment of dental complications can be challenging due to  unspecific clinical presentation. Materials and methods A retrospective study of 37 patients with acute UOs treated between January 2008 and December 2018 is presented. A clear etiological and chronological relationship between the odontogenic focus and sinonasal infection was required for inclusion in the study. Results The causes of UOs were mainly dental implantation (29.8%) and tooth extraction (18.9%). In all cases, UOs were treated with transnasal endoscopic surgery, associated with transoral procedures in 24 out of 37 patients (64.9%). Empirical antibiotic therapy was used in all cases, whereas antibiogram-driven therapy was adopted secondarily in 22 out of 37 cases (59.4%). Surgical success was achieved in 97.3% of patients. Conclusions Multidisciplinary agreement of an otorhinolaryngologist and dental surgeon is a crucial step in proper diagnosis and treatment of UOs. A correct surgical approach and antibiogram-driven therapy are key elements of correct resolution of infection.
目的牙源性鼻窦炎是一组与口腔疾病相关的感染。它可能涉及鼻窦(上牙源性感染,UOs)和颈筋膜间隙。由于不明确的临床表现,正确的诊断和治疗牙科并发症是具有挑战性的。材料与方法回顾性分析2008年1月至2018年12月收治的37例急性UOs患者。明确牙源性病灶与鼻窦感染之间的病因学和时间关系是纳入研究的必要条件。结果造成口腔溃疡的主要原因是种植牙(29.8%)和拔牙(18.9%)。在所有病例中,UOs均采用经鼻内镜手术治疗,37例患者中有24例(64.9%)采用经口手术治疗。所有病例均采用经验性抗生素治疗,而37例中有22例(59.4%)采用抗生素驱动治疗。手术成功率97.3%。结论耳鼻喉科医师和口腔外科医师的多学科共识是正确诊断和治疗耳鼻缺损的关键一步。正确的手术入路和抗生素驱动治疗是正确解决感染的关键因素。
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引用次数: 3
Immediate implant replacement after Partial explantation of malpositioned dental implant: Case report and follow-up 牙种植体部分移位后立即置换术:1例报告及随访
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-10 DOI: 10.23805/JO.2019.11.03.13
M. Guerrero, D. Espinoza, O. A. Cáceres
Aim It is not common to report in the literature about complications during intraoral dental implant removal and its immediate approach during implant surgery. This report describes the approach of an intraoperative accident during an explantation and its follow up. Case report In this case, an immediate implant was placed in the presence of an implant remnant left after its partial explantation due to implant fracture during the procedure. A cone-beam CT scan was taken after six months post rehabilitation and revealed bone formation surrounding the replaced implant and the remaining titanium fragment. Results There were no functional or aesthetic alterations that affected the outcome of the treatment after 2 years of follow-up. Conclusions This satisfactory result suggests that this immediate solution can be used to obtain adequate results when failed dental implants cannot be completely eliminated, which reduces the duration of the treatment and the number of surgical procedures.
目的口腔内种植体拔除及即刻入路的相关文献报道并不多见。这篇报告描述了一例术中意外事故的处理方法及其随访。病例报告:在本病例中,由于假体在手术过程中骨折而部分外植后残留假体,立即植入假体。康复6个月后进行锥形束CT扫描,发现替换的种植体周围有骨形成和剩余的钛碎片。结果经过2年的随访,两组患者均未出现影响治疗效果的功能或美观改变。结论在种植体失败不能完全清除时,采用即刻修复方法可获得满意的修复效果,减少了治疗时间和手术次数。
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引用次数: 0
Digital manufacturing of occlusal splint: from intraoral scanning to 3D printing 咬合夹板的数字化制造:从口腔内扫描到3D打印
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-10 DOI: 10.23805/JO.2019.11.03.10
P. Venezia, L. Muzio, C. Furia, F. Torsello
Aim Digital technology has greatly improved its accuracy and precision in the last decade and has allowed for a complete digital workflow in several dental applications. The present paper describes the technique used by the authors for the manufacturing of intraoral occlusal splints featuring a digital workflow. Materials and methods  The procedure includes an intraoral scan of the maxillary and mandibular arches, registration of vertical relationship, and computer-assisted design (CAD) technology of the occlusal splint and fabrication with a multi-jet 3D printer. Conclusion The presented technique allows for time efficient laboratory manufacturing, which could also be performed chair-side in the dental office. The delivered splint is accurate and precise and could be reproduced anytime if needed.
在过去的十年中,数字技术大大提高了其准确性和精度,并允许在几个牙科应用中实现完整的数字工作流程。本文描述了作者用于制造具有数字工作流程的口内咬合夹板的技术。材料和方法该过程包括口腔内扫描上颌和下颌弓,垂直关系的注册,咬合夹板的计算机辅助设计(CAD)技术和多喷嘴3D打印机的制造。结论该方法可在实验室制作,同时也可在牙科诊所的椅子旁进行。交付的夹板是准确和精确的,可以随时复制,如果需要。
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引用次数: 16
the Simultaneous sinus lift and implant placement using lateral approach in atrophic posterior maxilla with residual bone height of 5 mm or less. A systematic review 对于残骨高度不超过5mm的萎缩后上颌,采用外侧入路同时进行窦内提升和种植体置入。系统回顾
IF 0.4 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2019-09-06 DOI: 10.23805/JO.2019.11.03.12
C. D'Elia, N. Baldini, G. Gabriele, N. Nuti, J. Juloski, P. Gennaro
Aim To test both success and survival rate of implant placed simultaneously with sinus lift in atro-phic posterior maxilla with a residual bone height of less than 5 mm. Materials and methods A computer search strategy was developed for the following electronic databases: MEDLINE/ PubMed and EMBASE. All the relevant articles were screened involving controlled  clinical trials, randomized clinical trials, prospective cohort studies.  Results The selection process yielded  12  studies, published  between 1999 and 2016, 6 of which were  prospective, 1 was a randomized controlled trial, 5 were controlled studies. Conclusions Within the limitation of this systematic review, the qualitative data analysis revealed that the survival rate of implants placed in grafted sinus ranged from 61% to 100%; on the other hand, the success rate ranged between 75.3% to 94.8%. No significant differences were detected regarding different grafting materials used. In order to understand if the one-stage pro-cedure is an effective and predictable surgical alternative in critically resorbed maxillae, larger and well designed clinical trials are needed.
目的探讨在残骨高度小于5mm的萎缩性后上颌,种植体与窦内提升同时放置的成功率和成活率。材料与方法针对以下电子数据库:MEDLINE/ PubMed和EMBASE制定了计算机检索策略。筛选所有相关文章,包括对照临床试验、随机临床试验、前瞻性队列研究。结果筛选过程中产生了12项研究,发表于1999年至2016年,其中6项为前瞻性研究,1项为随机对照试验,5项为对照研究。结论在本系统综述的局限性内,定性数据分析显示植入物在移植窦内的成活率为61%至100%;另一方面,成功率在75.3%到94.8%之间。不同接枝材料间无显著差异。为了了解一期手术对于重度吸收的上颌骨是否是一种有效且可预测的手术选择,需要更大规模且设计良好的临床试验。
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引用次数: 2
期刊
Journal of Osseointegration
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