European Journal of Prosthodontics and Restorative Dentistry最新文献

The aim was to assess the clinical performance of experimental short fiber-reinforced glass-ionomer cement (FR-GIC) in the treatment of cervical caries lesions. A total of 45 patients were randomly enrolled in this trial according to the split-mouth design. The FR-GIC was prepared by adding short glass fibers at a mass ratio of 20% into the powder portion of Fuji II LC. The cervical lesions in the intervention group were restored with FR-GIC, while unmodified Fuji II LC was applied as the control. Clinical evaluation was performed by two blinded operators at baseline, at 6, and 12 months using modified USPHS criteria. The data were analyzed using Friedman's test, followed by the Nemenyi post hoc test with a significance level of α = 0.05. After 1 year, all restorations were fully retained. There was no statistically significant difference (p⟩0.05) between the two materials based on the evaluated criteria. Both groups had 4 (10%) cases with Bravo scores for cavos-surface marginal discoloration. Regarding marginal integrity, Bravo scores were observed in 5 (12.5%) cases in the intervention group and 4 (10%) cases in the control group. Both materials in the treatment of cervical caries lesions demonstrated satisfactory clinical outcome throughout the 12-month follow-up.

Objectives: This in vitro study focused on verifying the influence of different ambient light conditions on the accuracy and precision of models obtained from digital scans.

Methodology: To measure the tested illuminances: chair light/reflector; room light, and natural light at the time of scanning, a luxmeter was used. From the STL file, nine experimental groups were formed.

Results: Of the nine specific combinations between the three IOS and the three types of lighting, it was verified that for all of them, as well as the ICC, the accuracy was also excellent, in which the measured values were not significantly influenced by the IOS brand (p = 0.994) nor by the type of lighting (p = 0.996). For precision data, GLM indicated a statistically significant interaction between IOS and lighting type. Under LS, accuracy was significantly higher with 3Shape® than with CS 3600 CareStream®, which had significantly higher accuracy than Virtuo Vivo™ Straumann®.

Conclusions: The models obtained with the three IOS evaluated exhibited excellent accuracy under the different illuminance tested and the 3Shape® under the three illuminance conditions was the device that presented the best precision, specifically when using LC and LS.

Introduction: The primary challenge associated with implant overdentures lies in the occurrence of denture fractures around the attachments. Hence, it is recommended to enhance flexural strength through reinforcement frameworks. This study aimed to assess and compare the prosthetic maintenance of mandibular implant overdentures reinforced with Co-Cr and PEKK frameworks.

Methods: Twenty-four participants with completely edentulous ridges were selected, and two implants were placed at the mandibular canine areas. After osseointegration period, ball attachments were installed. Participants were randomly assigned into two groups: Group I received a mandibular implant overdenture reinforced with a Co-Cr framework, while Group II received a mandibular implant overdenture reinforced with a PEKK framework. Prosthetic maintenance evaluations were conducted in both groups twelve months post-denture insertion. Categorical data were analyzed, and results were presented as frequency and percentage values.

Results: Group II exhibited a significantly higher percentage of cases with screw looseness, denture relining, and tooth separation compared to Group I. Although Group II cases showed a non-significant increase in the percentage of insert wear and retention loss.

Conclusion: Within the limitations of this study, the findings suggest that Co-Cr, in contrast to PEKK frameworks, offers a more reliable reinforcement of the implant-retained overdentures.

Purpose/aim: Robotic-assisted techniques have the potential to revolutionize dental implantology by offering enhanced precision, accuracy, and clinical outcomes compared to computer-assisted implant placement techniques. This study aimed to evaluate the accuracy of dental implant placement using robot-assisted implant surgery in vitro settings.

Methods: An unrestricted search of indexed databases along with a manual search was performed up to March 2024. In vitro, studies comparing the positioning accuracy of robotic systems in dental implant placement of planned pre-operative coordinates and postoperative outcomes in phantom and simulated models were included. QUIN Tool was used to assess the quality of the included studies.

Result: A total of 13 in vitro studies were included. All studies except one used entry, exit, or angle deviation as parameters to assess the accuracy of implants placed on phantom models or simulated virtual implant placement. Overall, pooled entry deviations were 0.72 ± 0.68 mm, exit deviations were 0.86 ± 0.92 mm, and angular deviations were 1.47 ± 1.610 favoring robot-assisted implant surgery.

Conclusion: Based on the current evidence, robotic-placed implants have the potential to revolutionize dental implantology by offering enhanced precision, accuracy, and clinical outcomes compared to dynamic and static computer-assisted implant surgery techniques.

Introduction: The purpose of this study was to investigate the influence of undercut depths on abutment teeth regarding the retentive force of clasps fabricated through selective laser melting (SLM), and to compare them with conventional cast clasps.

Methods: Akers clasps made of cobalt chromium alloy were fabricated using the SLM method (SLM), and the retentive forces were compared with clasps made with the conventional cast method (Cast). Three undercut amounts (0.25 mm, 0.15 mm, and 0 mm) were applied on the abutment tooth. The specimens were subjected to 10,000 repetitive insertion/removal cycles.

Results: SLM-0.15 showed slightly lower initial retentive force than the Cast specimens, it remained within an acceptable range. During insertion/removal test, the SLM-0.15 specimen showed a significant difference between the initial retentive force and the retentive force after 5,000 cycles, indicating that SLM-0.15 was the least likely to change in retentive force within the parameters established in this study. The inner clasp surface on the SLM groups had higher surface roughness before testing compared to the Cast specimen.

Conclusions: Akers clasps fabricated by SLM demonstrated optimal initial retentive forces with smaller undercuts than conventional Cast clasps, and the retentive forces changed less with repetitive insertion/removal.

Introduction: The increase in infectious diseases mediated by oral bacteria has been one of the most potent threats to human health, specifically to the elderly. Researchers seek to incorporate antimicrobial nanomaterials into PMMA to control the colonization of microorganisms and reduce deadly diseases.

Objective: To conduct a systematic review to answer the question: "Does graphene oxide incorporated into polymethylmethacrylate influence its antimicrobial activity?"

Methods: The electronic search was performed in PubMed, Embase, Web of Science, Scopus, and Google Scholar databases, and articles published until October 2021 were selected. The search terms were: ("acrylic resin" OR PMMA) AND (graphene OR "oxide graphene") AND (antimicrobial OR antibacterial OR "anti-infective agent"). The risk of bias analysis of the articles was performed using the quasi-experimental study assessment tool adapted from the JBI.

Results: Two hundred and fifty-nine articles were found in the databases. After removing the duplicates, 245 were analyzed by title and abstract. Of these, 06 were selected for full reading, of which 03 met the eligibility criteria and were included in this systematic review.

Conclusion: This systematic review's findings can infer that the incorporation of graphene in the form of graphene-based coatings to PMMA showed antimicrobial effectiveness.

The surface properties of titanium dental implants, such as wettability and surface free energy, influence the adhesion of microorganisms responsible for inflammation and infection of peri-implant tissues. This systematic review aimed to investigate the relationship of titanium surface treatments, surface free energy/wettability property and its relationship with bacterial activity. This systematic review followed PRISMA 2020 (Preferred Reporting Items for Systematic Review and MetaAnalysis) guidelines and was registered in the OpenScience Framework (osf.io/ejnct). PubMed, ScienceDirect, Embase, and Scopus library databases were used from custom search strategies. Inclusion criteria were research articles that studied titanium or its alloys for wetting property and its correlation with adhesion. Of the 697 articles initially identified, 27 were selected after full-text reading and application of the eligibility criteria. In general, the evaluated studies showed that regardless of the surface treatment, there was an increase in titanium hydrophilicity and concomitant reduction in bacterial adhesion. The surface treatment of titanium results in higher surface free energy and lower bacterial adhesion. Hydrophilic titanium surfaces prevent adhesion of hydrophobic bacteria in early stages.

Objectives: In-office and lab milled prostheses are the staple for indirect restorations. It is therefore critical to determine their long-term bonding durability.

Methods: CAD/ CAM blocks of two classes of restorative materials: 1) a nano-ceramic reinforced polymer matrix (NCPM) and, 2) a polymer-infiltrated ceramic network (PICN) were bonded using four different universal adhesives (UA) and silane systems. A lithium disilicate glassceramic (LDS) was used as a reference. The blocks were bisected and bonded with different UA/resin-cement pairs. Bonded blocks were then cut into 1.0x1.0x12.0 mm bar specimens for microtensile bond testing. Half the bars were subjected to bond strength testing immediately and the other half after aging by 50,000 thermal cycles between 5°C and 55°C. ANOVA and post-hoc tests were used to compare mean bond strength among groups.

Results: NCPM presented consistently high bond strength regardless of bonding techniques, while the bond strength of PICN and LDS were lower when bonded with UA relative to traditional silanes. The more hydrophilic UA produced higher bond strengths.

Discussion: Glass-ceramics exhibited lower bond strength with UA than the conventional etch-rinse-silane techniques. However, UAs preserved bonding interface in the long-term.

Significance: NCPM displayed superior bond strength relative to PICN and LDS regardless of the type of adhesives and bonding techniques.

Purpose: The composition and properties of resin-based composite materials could affect tooth wear and lead to clinical problems. Therefore, the study objective was to characterize human tooth wear behavior against a bulk-fill restorative (BF) compared to a conventional resin composite (RC) and a CAD/CAM resin nano ceramic (RN).

Methods: Square-shaped specimens of each material were prepared and sub-divided according to the number of testing cycles (n=8): 100,000, 250,000, and 500,000 cycles. An occlusal wear test was performed using a chewing machine with 49 N, 2 Hz, in 37°C distilled water. Human premolar cusps were used as antagonists. Micro-CT and laser scanner were used to scan antagonists and specimens, respectively. Wear volume was assessed using a software and the wear pattern was examined with SEM. Softening in solvent analysis was performed by measuring the materials' Knoop microhardness (KHN) before and after immersion in ethanol. Wear volume data were analyzed with two-way ANOVA and Student-Neuman-Keuls test (α=0.05).

Results: For tooth and specimen wear volume, there was statistical significance for material and number of cycles, but not for the interaction between factors. BF resulted in less tooth (p=0.008) and specimen (p=0.030) wear than RN and RC, which were similar (p⟩0.05). Volume loss increased from 100,000 to 500,000 cycles. BF showed the lowest microhardness (KHN1); and %ΔKHN similar to RC, but greater than RN.

Conclusion: BF induced less volume loss to the tooth than RC and RN, while presenting greater wear resistance. The tooth wear pattern and damage progression were mild for all materials.

Clinical significance: Resin composites show favorable wear behavior, leading to low volume loss and mild structural damage of the tooth. Regular bulk-fill resin composite stands out for its efficient restorative technique, low wear susceptibility and reduced capacity to wear down the tooth.

Objectives: To assess and compare the microtensile dentin bond strength (μTBS) and interfacial micromorphology of three universal adhesives.

Methods: 96 human molars were assigned to three universal adhesives: Single Bond Universal (SBU), CLEARFIL Universal Bond Quick (UBQ), and RE-GEN Universal Adhesive (REGEN). Adhesives were applied in self-etch mode. SBU and REGEN were applied following the manufacturers' instructions. UBQ was divided into two subgroups: one following the manufacturer's instructions (UBQ Short) and the other with an extended application time (UBQ Extended). Teeth were restored with nanohybrid resin composite. Specimens were divided into immediate and delayed subgroups. The delayed subgroups were stored for 6 months and subjected to 5000 thermocycles. μTBS was tested, and failure mode was analyzed. Interfacial micromorphology was assessed using a scanning electron microscope. The data were statistically analyzed (p⟨ 0.05).

Results: The adhesive choice, aging, and their interaction significantly affected μTBS. SBU exhibited the highest immediate μTBS, comparable to UBQ (Extended) and REGEN, and significantly higher than UBQ (Short). In delayed testing, SBU outperformed the other adhesives.

Conclusions: Aging negatively affected the μTBS of UBQ and REGEN, while SBU wasn't affected. The quick application concept of UBQ deteriorated its μTBS compared to the extended application time.