European Journal of Prosthodontics and Restorative Dentistry最新文献

Introduction: The purpose of this in vitro study was to evaluate the dimensional accuracy, trueness, and precision of vinyl siloxane ether (VSXE) and polyvinylsiloxane (PVS) impression materials using different impression techniques.

Material and methods: A three-dimensional (3D) printed mandibular model with implants and metal rods served as the reference model. Impressions were taken in custom trays, resulting in four groups: PVS-closed-tray, VSXE-closed-tray, PVS-open-tray, and VSXE-open-tray. The reference model and impressions were scanned and analyzed using 3D analysis software to assess the trueness and precision within each group.

Results: There was significant difference in trueness between the groups, with PVS closed tray showing a higher deviation than VSXE-closed-tray and PVS-open-tray. VSXE-open-tray had the lowest deviation, which was statistically significant. In terms of precision, PVS-closed-tray showed the highest deviation, while no significant differences were found among the other groups.

Conclusions: VSXE impression material with an open tray technique consistently demonstrated the highest levels of accuracy and precision. Conversely, PVS impression material with a closed tray technique yielded less favorable results.

Clinical relevance: Better understanding of trueness and precision of new impression materials with new impression techniques will increase their clinical effectiveness.

Objective: This study measured 278 new curing lights (LCUs) to determine if they met the manufacturer's specifications.

Materials and methods: Over a 6-year period, the light output from 278 Bluephase Style LCUs was measured before the LCUs were given to students (41 in 2017, 44 in 2018, 46 in 2019, 48 in 2020, 50 in 2021, and 49 in 2022). The radiant exitance (mW/cm²) from each year was compared using ANOVA and Tukey- Kramer multiple comparisons test with adjustment for the unequal sample sizes (α=0.05). The results were also compared against the manufacturer's stated radiant exitance of 1200 mW/cm².

Results: The 278 LCUs delivered an average (± standard deviation) radiant exitance of 1203 ± 16.7 mW/cm². The lowest radiant exitance was 1149 mW/cm² and the highest was 1257 mW/cm². Although there were statistically significant differences in the LCUs from each year, these values were within the manufacturer's tolerance of values of ± 10%. Approximately 13% of the emitted light was below 420 nm, and 87% was above 420 nm.

Conclusion: These new LCUs were all multiple peak LCUs that emitted an average radiant exitance of 1,203 mW/cm² (range 1149 to 1257 mW/cm². Purchasers of the Style LCU can be confident that their new LCU will meet the manufacturer's specifications.

Alternatives have been sought to add an antimicrobial property to denture adhesives. This study evaluated the antimicrobial potential of adhesives associated with nanostructured silver vanadate decorated with silver nanoparticles (β-AgVO3). Specimens in acrylic resin were treated with the adhesives associated with β-AgVO3 (1%, 2.5%, 5% and 10%). As control, specimens treated only with Ultra Corega Cream (UCC) or Ultra Corega Powder (UCP) adhesive were used. Multispecies biofilm of Candida albicans, Candida glabrata, Streptococcus mutans and Staphylococcus aureus was evaluated by counting colony forming units per milliliter (CFU/mL), colorimetric assay and fluorescence microscopy. The data were analyzed using the two-way analysis of variance (ANOVA) and Bonferroni multiple comparisons test (α=0.05). For both adhesives, a small amount of β-AgVO3 (1%) completely inhibited S. mutans (P⟨0.05). For the other microorganisms, there was a reduction in metabolic activity and complete inhibition in the groups with intermediate or greater amounts of nanomaterial (P⟨0.05), except for C. albicans, which was reduced (P⟨0.05) but not completely inhibited in UCP. Microscopy that showed less biofilm in the groups with β-AgVO3 and in the UCC than UCP. Denture adhesives in powder and cream form with β-AgVO3 showed potential antimicrobial activity against multispecies biofilm. Powder adhesive showed higher biofilm formation.

Background: There is limited evidence available regarding patient satisfaction and quality of life assessment in patients with extraoral maxillofacial prostheses.

Objectives: This systematic review aims to understand the impact of extraoral implant retained prosthesis in improving the quality of life in patients with extraoral maxillofacial defects/abnormalities.

Methods: A comprehensive search was performed of nine electronic databases up to August 2022, which yielded three articles that satisfied the inclusion criteria. The study characteristics and findings were extracted, and the included studies were assessed for quality.

Results: Three cohort studies were selected. Despite the lack of uniformity in the quality of life instruments, there was a general trend in improvement in the quality of life for patients with implant retained extraoral prostheses. The studies were also deemed to be of high quality on assessment.

Conclusion: Given the limitations of this systematic review, there exists limited evidence indicating that implant prostheses may enhance the quality of life for individuals with extraoral maxillofacial defects or abnormalities.

Introduction: The aim of this paper is to compare the survival and success rates of endodontically treated posterior teeth restored with full veneer crowns or full cuspal coverage onlays in vivo.

Methods: A literature search using PubMed, Medline and Embase via Ovid, and The Cochrane Library retrieved English and non-English language articles from 1946 to April 2022. Electronic searches were supplemented with the use of forward citation chaining via Google Scholar.

Results: A total of eleven studies met all predetermined search criteria. Data were extracted and tabulated. Survival rates for onlays ranged from 95% to 100% at two years and 90.7% to 100% at three years with success rates ranging from 86.6% - 96.6% at two years and 86.6% to 96% at three years. Survival results for full veneer crowns were reported at 87.8% at over two years, 95.1% at three years, and 84% - 97.73% at five to ten years. Success rates have been reported at 91.11% - 92.64% at five years and 60% at six years.

Conclusions: The data suggest that the use of onlays instead of full veneer crowns in the restoration of endodontically treated posterior teeth is favourable in the short to midterm.

Introduction: The application of occlusal concepts in prosthodontics is still under debate.This study assessed the impact of compensating curves on the comminution of complete denture wearers.

Methods: Seven edentulous subjects, aged 64.6 ± 2.0 years, were rehabilitated with new muco-supported complete dentures and tested in two occlusal plane settings: with and without compensating curves. A randomised triple-blind clinical trial was conducted, considering one-week and one-month as adaptation periods for dentures. After each trial, the subjects were crossed over to their respective groups. One-week was also chosen as the washout period, and after that, the subjects were re-examined. The masticatory performance and swallowing threshold were determined while chewing Optocal test food. The multiple sieve method was used for fractionation and granulometry.

Results: During the masticatory performance and swallowing threshold estimates, no differences were found between the median particle sizes obtained with the both occlusal plane conditions (P ⟩ 0.05). However, the swallowing threshold improved after one month, resulting in smaller particle sizes. Moreover, the chewing rates for the both test foods were also increased (P ⟨ 0.05).

Conclusions: These findings suggest that the compensating curves did not have an impact on the masticatory function of subjects wearing complete dentures.

Introduction: Additive manufacturing is a tool with potential use in medicine and dentistry. The manufacture of metals and composites is already advanced, however, concerns about titanium hypersensitivity, tissue staining, and corrosion caused by gradual material degradation encourage research into more biocompatible alternatives.

Objective: This systematic scoping review aimed to gather studies that evaluated zirconia implants produced by additive manufacturing to describe the current stage of the printing technique and the final product.

Methods: Searches in Embase, PubMed, SCOPUS, Web of Science, and Google Scholar databases were enriched with manual searches between February and March 2021 and updated in June 2022 using keywords: zirconium implants, zirconium oxide, additive manufacturing, rapid prototyping, 3D printing, selective laser melting, and electron beam melting. The criteria included studies that evaluated or described zirconia implants obtained by 3D printing, with a direct relationship to dentistry or orthopedics.

Results: The database search resulted in 671 articles. Eight articles were selected for full reading and remained in this systematic review.

Conclusion: The printing technique for zirconia implants is promising. However, further studies are required before implants produced by the printing technique can be tested clinically. The literature with results regarding the impression product is still limited.

This case report compares a conventional and a digital workflow for manufacturing metal frameworks for maxillary and mandibular removable partial dentures (RPDs). Two sets of maxillary and mandible RPDs were produced. The metal framework of one set of RPDs was produced conventionally using the lost wax casting technique. Intraoralscanning and computer-aided designing (CAD) were used to fabricate the metal frameworks of the other set of RPDs using direct metal laser sintering (DMLS) technology. The accuracy of fit of the two sets of RPDs was evaluated after 3 months using replica models. Patient satisfaction was assessed. Two years later, the fit accuracy of the DMLS prosthesis and patient satisfaction were re-evaluated. The accuracy of fit in the maxillary RPD with the DLMS manufactured metal framework showed better results in all areas except areas of rests (457 vs. 421 μm) and the major connector (850 vs. 512 μm). The mandibular RPD with DLMS manufactured metal framework showed only in the areas of the reciprocal arm and major connector better fit accuracy compared to the conventional RPD. The patient satisfaction with the DLMS manufactured RPDs was rated equally to the conventional one. The use of digital technologies in manufacturing RPDs seems promising regarding accuracy and patient satisfaction.

Introduction: This study evaluates the impact of decontamination methods on Microtensile bond strength (μTBS) between resin cement and resin blocks.

Methods: Twenty CAD/CAM resin blocks from two manufacturers were wet-polished, sandblasted, and ultrasonically cleaned. After blood and saliva contamination, blocks were divided into subgroups: control, water rinsing, acid etching, alkaline cleaning paste, or 10-MDP containing cleaner. Resin-based cement was then applied. After 24 hours, the blocks were sectioned to obtain bars for testing. Half of the specimens were tested immediately for μTBS, and the other half underwent artificial aging. The surfaces of the blocks were inspected with a scanning electron microscope (SEM). Three-way ANOVA was performed for μTBS values (α=0.05).

Results: In one of the substrates, the positive control subgroup obtained the highest value (56,01 MPa, SD:6,96) followed by 10-MDP cleaner and universal cleaning paste, when immediately tested, with significant differences respect to the water rinsing (p⟨0.041) and acid etching (p⟨0.048) groups. After thermocycling, higher values were found in the 10-MDP cleaner (47,57 MPa, SD:8,15), but differences were not significant. In the other substrate group, the 10-MDP cleaner subgroup showed highest bond strengths (64,46 MPa SD: 10,92) at the initial test. After thermocycling, 10-MDP cleaner (58,66 MPa, SD: 9,93) gave the highest μTBS value. Significant differences between water rinsing group and the rest of subgroups (p⟨0.001), and between 10-MDP cleaner and the positive control group (p⟨0.006) were observed.

Conclusion: Cleaning after contamination improves bonding. 10-MDP containing cleaner can help to restore initial μTBS value and maintain it in the long-term.

Purpose: The aim of this study was to evaluate the surface wear and retention force of telescopic attachments made of zirconia primary crowns and poly-ether- ketone -ketone (PEKK) secondary crowns for 2-implant retained mandibular complete overdentures.

Materials and methods: Ten healthy completely edentulous patients aged 55-60 years were selected for this study. Each patient received two implants in the mandibular canine regions. Maxillary conventional complete dentures were constructed against implant-retained mandibular overdentures for all patients. Zirconia- PEKK telescopic attachments were fabricated to retain the overdentures where primary copings were constructed of zirconia and secondary ones were constructed of PEKK. Retention force and surface wear were evaluated at the time of overdenture insertion (T0), and after 6 months of overdenture use (T6).

Results: The results revealed less wear of zirconia copings compared to PEKK ones at T0 and T6. However, both materials showed insignificant wear after 6 months of overdenture use. A significant increase in retention force was observed after 6 months of overdenture use.

Conclusion: Within limitations of this study, PEKK may be considered a promising alternative material for telescopic secondary crowns construction combined to zirconia primary ones, regarding the wear resistance and the satisfactory retention forces.