Pub Date : 2024-05-03DOI: 10.1016/j.sdentj.2024.05.001
Passent Ellakany , Nourhan M. Aly , Shahad T. Alameer , Turki Alshehri , Shaimaa M. Fouda
Background
Translucency and optical characteristics significantly affect the aesthetics of ceramic restorations. The introduction of new virgilite crystals to novel ceramic advanced lithium disilicate through a matrix firing process enhances the material’s strength and aesthetic quality according to the manufacturer.
Materials and Methods
Four types of CAD/CAM ceramics; lithium disilicate (LD), leucite reinforced (LR), advanced lithium disilicate (ALD), and zirconia-reinforced lithium silicate (ZLS) exposed to different staining solutions (tea, cola, coffee, and distilled water). Each ceramic type had 120 specimens, divided into subgroups based on thickness (0.5 mm, 1 mm, and 1.5 mm). Color changes (ΔE00) and translucency parameters (TP00) were measured after thermocycling, and spectrophotometry was employed to evaluate ΔE00 and TP00 after 1, 7, and 30 days of exposure to the staining solutions.
Results
ZLS exhibited the lowest color stability, while lithium LD and ALD displayed the highest. Thickness significantly affected color stability, with 0.5 mm thickness showing the least change. The duration of exposure also impacted color changes, with 30 days causing the most significant shift. LD demonstrated the highest translucency. Coffee and tea induced more pronounced reductions in translucency and color stability compared to the control group.
Conclusions
Material structure, thickness, staining solution, and exposure duration significantly influenced the color stability and translucency of CAD/CAM ceramics, with LD and ALD demonstrating superior color stability and LD exhibiting the highest translucency.
{"title":"Assessment of color stability and translucency of various CAD/CAM ceramics of different compositions and Thicknesses: An in vitro study","authors":"Passent Ellakany , Nourhan M. Aly , Shahad T. Alameer , Turki Alshehri , Shaimaa M. Fouda","doi":"10.1016/j.sdentj.2024.05.001","DOIUrl":"10.1016/j.sdentj.2024.05.001","url":null,"abstract":"<div><h3>Background</h3><p>Translucency and optical characteristics significantly affect the aesthetics of ceramic restorations. The introduction of new virgilite crystals to novel ceramic advanced lithium disilicate through a matrix firing process enhances the material’s strength and aesthetic quality according to the manufacturer.</p></div><div><h3>Materials and Methods</h3><p>Four types of CAD/CAM ceramics; lithium disilicate (LD), leucite reinforced (LR), advanced lithium disilicate (ALD), and zirconia-reinforced lithium silicate (ZLS) exposed to different staining solutions (tea, cola, coffee, and distilled water). Each ceramic type had 120 specimens, divided into subgroups based on thickness (0.5 mm, 1 mm, and 1.5 mm). Color changes (ΔE00) and translucency parameters (TP00) were measured after thermocycling, and spectrophotometry was employed to evaluate ΔE00 and TP00 after 1, 7, and 30 days of exposure to the staining solutions.</p></div><div><h3>Results</h3><p>ZLS exhibited the lowest color stability, while lithium LD and ALD displayed the highest. Thickness significantly affected color stability, with 0.5 mm thickness showing the least change. The duration of exposure also impacted color changes, with 30 days causing the most significant shift. LD demonstrated the highest translucency. Coffee and tea induced more pronounced reductions in translucency and color stability compared to the control group.</p></div><div><h3>Conclusions</h3><p>Material structure, thickness, staining solution, and exposure duration significantly influenced the color stability and translucency of CAD/CAM ceramics, with LD and ALD demonstrating superior color stability and LD exhibiting the highest translucency.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224001470/pdfft?md5=47e5dbb23bd5cbb8f513f0ad72be625f&pid=1-s2.0-S1013905224001470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.03.001
Izabela Ferreira , Murilo Rodrigues de Campos , Beatriz Danieletto Sahm , Mariana Lima da Costa Valente , José Augusto Marcondes Agnelli , Andréa Cândido dos Reis
Introduction
Post-processing (PP) is performed to improve the surface, which can favor microbial adhesion and consequent pathological manifestations that impair the indication of polylactic acid (PLA) obtained by fused filament fabrication (FFF) for biomedical applications. This aims to evaluate the influence of chemical, thermal, and mechanical PP on the adhesion of Streptococcus mutants and Candida albicans, roughness, and wettability of the PLA obtained by FFF with and without thermal aging.
Methods
The specimens were designed in the 3D modeling program and printed. The chemical PP was performed by immersion in chloroform, the thermal by the annealing method, and the mechanical by polishing. Thermal aging was performed by alternating the temperature from 5 °C to 55 °C with 5000 cycles. Colony-forming unit (CFU/mL) counting was performed on dual-species biofilm of C. albicans and S. mutans. Roughness was analyzed by rugosimeter and wettability by the sessile drop technique. Data were verified for normality using the Shapiro-Wilk test, two-way ANOVA (α = 0.05) applied for CFU and wettability, and Kruskal-Wallis (α = 0.05) for roughness.
Results
Chemical, thermal, and mechanical PP methods showed no influence on CFU/mL of C. albicans (p = 0.296) and S. mutans (p = 0.055). Thermal aging did not influence microbial adhesion. Chemical PP had lower roughness, which had increased after aging. Wettability of the mechanical PP was lower.
Conclusions
Post-processing techniques, do not present an influence on the adhesion of S. mutans and C. albicans in PLA obtained by FFF, chemical PP reduced roughness, and mechanical reduced wettability. Thermal aging did not alter the microbial adhesion and altered the roughness and wettability.
{"title":"Influence of post-processing on the adhesion of dual-species biofilm on polylactic acid obtained by additive manufacturing","authors":"Izabela Ferreira , Murilo Rodrigues de Campos , Beatriz Danieletto Sahm , Mariana Lima da Costa Valente , José Augusto Marcondes Agnelli , Andréa Cândido dos Reis","doi":"10.1016/j.sdentj.2024.03.001","DOIUrl":"10.1016/j.sdentj.2024.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Post-processing (PP) is performed to improve the surface, which can favor microbial adhesion and consequent pathological manifestations that impair the indication of polylactic acid (PLA) obtained by fused filament fabrication (FFF) for biomedical applications. This aims to evaluate the influence of chemical, thermal, and mechanical PP on the adhesion of <em>Streptococcus mutants</em> and <em>Candida albicans</em>, roughness, and wettability of the PLA obtained by FFF with and without thermal aging.</p></div><div><h3>Methods</h3><p>The specimens were designed in the 3D modeling program and printed. The chemical PP was performed by immersion in chloroform, the thermal by the annealing method, and the mechanical by polishing. Thermal aging was performed by alternating the temperature from 5 °C to 55 °C with 5000 cycles. Colony-forming unit (CFU/mL) counting was performed on dual-species biofilm of <em>C. albicans</em> and <em>S. mutans</em>. Roughness was analyzed by rugosimeter and wettability by the sessile drop technique. Data were verified for normality using the Shapiro-Wilk test, two-way ANOVA (α = 0.05) applied for CFU and wettability, and Kruskal-Wallis (α = 0.05) for roughness.</p></div><div><h3>Results</h3><p>Chemical, thermal, and mechanical PP methods showed no influence on CFU/mL of <em>C. albicans</em> (p = 0.296) and <em>S. mutans</em> (p = 0.055). Thermal aging did not influence microbial adhesion. Chemical PP had lower roughness, which had increased after aging. Wettability of the mechanical PP was lower.</p></div><div><h3>Conclusions</h3><p>Post-processing techniques, do not present an influence on the adhesion of <em>S. mutans</em> and <em>C. albicans</em> in PLA obtained by FFF, chemical PP reduced roughness, and mechanical reduced wettability. Thermal aging did not alter the microbial adhesion and altered the roughness and wettability.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000750/pdfft?md5=489e0b5cc0d2952f11c9fc87d6b483ab&pid=1-s2.0-S1013905224000750-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140091326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.02.006
Youssef S. Al Jabbari , Raymond Fournelle , Arif Sufyan , Spiros Zinelis
Purpose
This study aimed to perform a thorough failure analysis of two fractured narrow dental implants after medium-term in vivo use.
Materials and methods
The top parts of two fractured Narrow Dental Implant (NDI) fixtures were retrieved from two different locations at two different times from the same patient. The NDI-specimen-1 was 12-months in service while the NDI-specimen-2 was 17-months in service. In both cases, the top parts of the fractured NDI fixtures that were attached to prosthetic components were retrieved and subjected to thorough, non-destructive and destructive testing.
Results
Light Microscopy (LM) and Scanning Electron Microscopy (SEM) revealed that both the retrieved fractured NDIs failed because of fatigue, characterized by beach and ratchet marks. Macroscopic examination revealed that fatigue cracks initiated at the internal thread surfaces of the implants and propagated around them until final fracture. Both samples fractured near the end of the retaining screw and followed the root of the internal thread. Optical and SEM analyses revealed a uniform distribution of irregularly shaped grains (diameter = 2 to 5 μm). X -ray Energy Dispersive Spectroscopy (EDS) analysis showed that the NDI-specimen-1 was made using Ti-14%Zr with a Vickers Hardens (HV) of 288 ± 5.
Conclusion
Since the fracture occurred by a fatigue; thus, an increase in fatigue resistance will be beneficial for the longevity of NDI.
{"title":"Is fatigue mechanism implicated in intraoral fracture of narrow dental implants? A thorough retrieval analysis of two failed implant fixtures retrieved from a single patient","authors":"Youssef S. Al Jabbari , Raymond Fournelle , Arif Sufyan , Spiros Zinelis","doi":"10.1016/j.sdentj.2024.02.006","DOIUrl":"10.1016/j.sdentj.2024.02.006","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to perform a thorough failure analysis of two fractured narrow dental implants after medium-term in vivo use.</p></div><div><h3>Materials and methods</h3><p>The top parts of two fractured Narrow Dental Implant (NDI) fixtures were retrieved from two different locations at two different times from the same patient. The NDI-specimen-1 was 12-months in service while the NDI-specimen-2 was 17-months in service. In both cases, the top parts of the fractured NDI fixtures that were attached to prosthetic components were retrieved and subjected to thorough, non-destructive and destructive testing.</p></div><div><h3>Results</h3><p>Light Microscopy <strong>(</strong>LM) and Scanning Electron Microscopy (SEM) revealed that both the retrieved fractured NDIs failed because of fatigue, characterized by beach and ratchet marks. Macroscopic examination revealed that fatigue cracks initiated at the internal thread surfaces of the implants and propagated around them until final fracture. Both samples fractured near the end of the retaining screw and followed the root of the internal thread. Optical and SEM analyses revealed a uniform distribution of irregularly shaped grains (diameter = 2 to 5 μm). X -ray Energy Dispersive Spectroscopy (EDS) analysis showed that the NDI-specimen-1 was made using Ti-14%Zr with a Vickers Hardens (HV) of 288 ± 5.</p></div><div><h3>Conclusion</h3><p>Since the fracture occurred by a fatigue; thus, an increase in fatigue resistance will be beneficial for the longevity of NDI.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000580/pdfft?md5=2e7a751f955d5a7b36eb513d57c5ae80&pid=1-s2.0-S1013905224000580-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.02.011
Hatem Alqarni , Adhwaa Aldghim , Rose Alkahtani , Nasser Alshahrani , Majed S. Altoman , Mohammed A. Alfaifi , Mohammad Helmi , Abdulaziz A. Alzaid
The purpose of this comprehensive literature review is to present the available evidence on the effects of methamphetamine on mental and oral health, as well as provide an overview of the most widely used medical and dental care strategies in the management of meth mouth. For this purpose, PubMed and Google Scholar electronic databases were searched for relevant articles, yielding 115 search results, which were further scrutinized for their relevance, leaving 55 for a detailed review. The analysis of the gathered data indicates that a comprehensive patient-centered approach that takes into consideration the physical, mental, and social aspects is crucial for mitigating the detrimental effects of increasing methamphetamine use.
本综合文献综述旨在介绍甲基苯丙胺对精神和口腔健康影响的现有证据,并概述在治疗冰毒口腔方面最广泛使用的医疗和牙科护理策略。为此,研究人员在 PubMed 和 Google Scholar 电子数据库中搜索了相关文章,共获得 115 条搜索结果,并对这些结果的相关性进行了进一步审查,最后剩下 55 条进行了详细审查。对收集到的数据进行的分析表明,以患者为中心、考虑到生理、心理和社会方面的综合方法对于减轻甲基苯丙胺使用增加所带来的有害影响至关重要。
{"title":"Crystal methamphetamine and its effects on mental and oral health: A narrative review","authors":"Hatem Alqarni , Adhwaa Aldghim , Rose Alkahtani , Nasser Alshahrani , Majed S. Altoman , Mohammed A. Alfaifi , Mohammad Helmi , Abdulaziz A. Alzaid","doi":"10.1016/j.sdentj.2024.02.011","DOIUrl":"10.1016/j.sdentj.2024.02.011","url":null,"abstract":"<div><p>The purpose of this comprehensive literature review is to present the available evidence on the effects of methamphetamine on mental and oral health, as well as provide an overview of the most widely used medical and dental care strategies in the management of meth mouth. For this purpose, PubMed and Google Scholar electronic databases were searched for relevant articles, yielding 115 search results, which were further scrutinized for their relevance, leaving 55 for a detailed review. The analysis of the gathered data indicates that a comprehensive patient-centered approach that takes into consideration the physical, mental, and social aspects is crucial for mitigating the detrimental effects of increasing methamphetamine use.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000634/pdfft?md5=32939cba1fc7a48b2cdf9065231638cd&pid=1-s2.0-S1013905224000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.04.007
Norah M Almufadhi , Ola.M. Sakr , Lina Aloufi
Aim
This study aimed to evaluate dental esthetic screening index (DESI) Intraoral component scores among patients attending Qassim University dental clinics and the factors affecting these scores.
Materials and methods
This was a retrospective study that included 150 participants aged 18 years or older with full upper and lower anterior dentitions. Standardized intraoral frontal photographs of the patients’ upper and lower dentitions were acquired from their dental records, and the mean rank DESI intraoral scores were evaluated and compared across the demographic and dental characteristics of the study patients.
The mean age of the patients sampled was 33.56; 57 % were female and 43 % were male. The mean DESI Intraoral score was 15.33. DESI scores were significantly higher in patients older than 35 years compared with subjects 35 years old or younger (p = 0.015). DESI scores were increased in patients who had anterior restorations compared with those who did not (p = 0.016).
Conclusions
This was the first study of its kind to use the DESI in a large clinical setting. According to the DESI, most patients attending Qassim University dental clinics had good dentofacial aesthetics. Age and the presence of anterior restorations negatively impacted patients' dentofacial aesthetics. Sex, the nature of the chief complaint, a history of orthodontic treatments, and teeth bleaching did not affect the DESI scores.
{"title":"Dental esthetic screening index (DESI) scores among patients attending Qassim University dental clinics","authors":"Norah M Almufadhi , Ola.M. Sakr , Lina Aloufi","doi":"10.1016/j.sdentj.2024.04.007","DOIUrl":"10.1016/j.sdentj.2024.04.007","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to evaluate dental esthetic screening index (DESI) Intraoral component scores among patients attending Qassim University dental clinics and the factors affecting these scores.</p></div><div><h3>Materials and methods</h3><p>This was a retrospective study that included 150 participants aged 18 years or older with full upper and lower anterior dentitions. Standardized intraoral frontal photographs of the patients’ upper and lower dentitions were acquired from their dental records, and the mean rank DESI intraoral scores were evaluated and compared across the demographic and dental characteristics of the study patients.</p><p>The mean age of the patients sampled was 33.56; 57 % were female and 43 % were male. The mean DESI Intraoral score was 15.33. DESI scores were significantly higher in patients older than 35 years compared with subjects 35 years old or younger (<em>p</em> = 0.015). DESI scores were increased in patients who had anterior restorations compared with those who did not (<em>p</em> = 0.016).</p></div><div><h3>Conclusions</h3><p>This was the first study of its kind to use the DESI in a large clinical setting. According to the DESI, most patients attending Qassim University dental clinics had good dentofacial aesthetics. Age and the presence of anterior restorations negatively impacted patients' dentofacial aesthetics. Sex, the nature of the chief complaint, a history of orthodontic treatments, and teeth bleaching did not affect the DESI scores.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224001299/pdfft?md5=d7c5df34a0d6a53ab0f5f39f46434b00&pid=1-s2.0-S1013905224001299-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141032497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
One of today’s largest global problems is malocclusion. We must prevent this through the screening and early treatment of young children, because malocclusion treatment conducted during a child’s growth and development stage either the primary or mixed dentition era yields the best outcomes. Functional appliances are usually used during initial orthodontic treatment, such as myobrace and twin block appliances. Myobraces come in various sizes. The size chosen depends on the treatment objectives, which may include correcting class II malocclusions. The twin block appliance is a functional device commonly employed to treat class II malocclusions.
Purpose
This investigation’s main goal was to compare the efficacy of the myobrace and twin block appliances in class II malocclusion treatment to select a more appropriate pediatric dentistry device.
Results
A total of 5 articles were selected from 306 articles based on relevant keywords. All selected studies were conducted within the last 10 years.
Discussion
Myobrace and twin block appliances can address overjet issues and achieve significant overjet measurement reductions. This appliance promotes mandibular growth and enhances the facial profiles of individuals with class II malocclusions.
Conclusion
In order to treat individuals with class II malocclusions, the myobrace and the twin block both address skeletal and dentoalveolar discrepancies. But compared to the myobrace, the twin block appliance had more noteworthy outcomes.
{"title":"Myobrace versus twin block in the treatment of class II malocclusion in Children: A systematic review","authors":"Rezky Oktaviyani Rusli , Harun Achmad , Wesley Kuandinata , Iriani Fatimah , Nurwahidah A , Sulfina Halid , Nurul Hikmah La Mente","doi":"10.1016/j.sdentj.2024.03.006","DOIUrl":"10.1016/j.sdentj.2024.03.006","url":null,"abstract":"<div><h3>Background</h3><p>One of today’s largest global problems is malocclusion. We must prevent this through the screening and early treatment of young children, because malocclusion treatment conducted during a child’s growth and development stage either the primary or mixed dentition era yields the best outcomes. Functional appliances are usually used during initial orthodontic treatment, such as myobrace and twin block appliances. Myobraces come in various sizes. The size chosen depends on the treatment objectives, which may include correcting class II malocclusions. The twin block appliance is a functional device commonly employed to treat class II malocclusions.</p></div><div><h3>Purpose</h3><p>This investigation’s main goal was to compare the efficacy of the myobrace and twin block appliances in class II malocclusion treatment to select a more appropriate pediatric dentistry device.</p></div><div><h3>Results</h3><p>A total of 5 articles were selected from 306 articles based on relevant keywords. All selected studies were conducted within the last 10 years.</p></div><div><h3>Discussion</h3><p>Myobrace and twin block appliances can address overjet issues and achieve significant overjet measurement reductions. This appliance promotes mandibular growth and enhances the facial profiles of individuals with class II malocclusions.</p></div><div><h3>Conclusion</h3><p>In order to treat individuals with class II malocclusions, the myobrace and the twin block both address skeletal and dentoalveolar discrepancies. But compared to the myobrace, the twin block appliance had more noteworthy outcomes.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000804/pdfft?md5=46ab2da3880fd466f1ecb8c9fde385af&pid=1-s2.0-S1013905224000804-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.02.022
Eman H. Ismail , Saba S. Ghazal , Rahaf D. Alshehri , Hajar N. Albisher , Rana S. Albishri , Abdulrahman A. Balhaddad
The deep margin elevation (DME) technique has gained popularity because of numerous supporting case reports. However, some clinicians are cautious regarding using this technique owing to the lack of clear case selection criteria for DME application. This review aimed to analyze case reports and a series of DME cases to determine pre-/post-operative evaluation methods that could be used to suggest a pre-operative case selection checklist for DME. An electronic database search was conducted in June 2021 and updated by June 2023 using selected terms from PubMed, Cochrane Library, Google Scholar, EBSCO, and Scopus. The search was limited to English-language publications and was not restricted to the date. The inclusion criteria were case reports/series addressing periodontal and restorative outcomes of DME. The search identified 217 articles, 76 of which were pertinent. However, only six case reports and one case series satisfied the inclusion criteria. None of the selected studies followed any reporting guidelines, which led to significant information gaps. While the reviewed studies reported favorable outcomes, standardized protocols for evaluating pre-/post-operative restorative and periodontal status were lacking. The post-operative follow-up period varied from 3 months to 6 years. Designing and implementing pre-/post-operative guidelines hold the potential for ensuring the safe application of the DME technique. This may enhance our understanding of the suitability and efficacy of such non-invasive technique in future clinical trials.
Clinical significance
Handling deep cavities and preparing crowns are challenging. However, a lack of understanding of when to perform DME can lead to missed opportunities for conservative treatment, thereby a disservice to the patient. Provision of safe guidelines should be employed by clinicians until further evidence either supports or contradicts this treatment method.
{"title":"Navigating the practical-knowledge gap in deep margin elevation: A step towards a structured case selection – a review","authors":"Eman H. Ismail , Saba S. Ghazal , Rahaf D. Alshehri , Hajar N. Albisher , Rana S. Albishri , Abdulrahman A. Balhaddad","doi":"10.1016/j.sdentj.2024.02.022","DOIUrl":"10.1016/j.sdentj.2024.02.022","url":null,"abstract":"<div><p>The deep margin elevation (DME) technique has gained popularity because of numerous supporting case reports. However, some clinicians are cautious regarding using this technique owing to the lack of clear case selection criteria for DME application. This review aimed to analyze case reports and a series of DME cases to determine pre-/post-operative evaluation methods that could be used to suggest a pre-operative case selection checklist for DME. An electronic database search was conducted in June 2021 and updated by June 2023 using selected terms from PubMed, Cochrane Library, Google Scholar, EBSCO, and Scopus. The search was limited to English-language publications and was not restricted to the date. The inclusion criteria were case reports/series addressing periodontal and restorative outcomes of DME. The search identified 217 articles, 76 of which were pertinent. However, only six case reports and one case series satisfied the inclusion criteria. None of the selected studies followed any reporting guidelines, which led to significant information gaps. While the reviewed studies reported favorable outcomes, standardized protocols for evaluating pre-/post-operative restorative and periodontal status were lacking. The post-operative follow-up period varied from 3 months to 6 years. Designing and implementing pre-/post-operative guidelines hold the potential for ensuring the safe application of the DME technique. This may enhance our understanding of the suitability and efficacy of such non-invasive technique in future clinical trials.</p></div><div><h3>Clinical significance</h3><p>Handling deep cavities and preparing crowns are challenging. However, a lack of understanding of when to perform DME can lead to missed opportunities for conservative treatment, thereby a disservice to the patient. Provision of safe guidelines should be employed by clinicians until further evidence either supports or contradicts this treatment method.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000749/pdfft?md5=926707b0f8cad13326038ab3b41f2ff0&pid=1-s2.0-S1013905224000749-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.02.007
Gustavo Henrique Sousa , Rodolfo Lima Gonçalves , Barbara Figueiredo , Vilton Cardozo Moreira Dias , Ana Carolina Soares Mendes , Valéria de Cássia Bueno Melo , Adriana Guimarães Rodrigues , Hebertt Gonzaga dos Santos Chaves
Aim
The aim of this study was to identify and analyze the most cited articles on vital pulp therapies.
Methodology
Bibliographical data related to the abstract, citations, keywords, and other relevant information was extracted using different combinations of keywords. Further evaluation and visualization of the selected data were performed with the help of various tools, including MS Excel, Microsoft Word, Google open refine, BibExcel, and VOS viewer. An initial search revealed 91 documents, of which 40 were chosen for further analysis. We used the Kolmogorov–Smirnov test and Spearman correlation coefficient test, and our adopted significance level was p < 0.05.
Results
In total, the articles received 1,905 citations, with six of them receiving at least 100 citations. Among the top 40 articles, the United States of America (10 articles) and Ireland (6 articles) were the countries with the highest number of cited articles. The journals “Journal of Endodontics” (14 articles; 650 citations) and “International Endodontic Journal” (13 articles; 577 citations) published most of the articles among the 50 most cited ones. Duncan H. was the author with the highest number of works cited (11 articles; 339 citations). Of the articles, systematic reviews accounted for 32%, literature reviews for 14%, in vitro experimental studies for 12%, clinical trials for 8%. Among the biomaterials used in vital pulp therapies, mineral trioxide aggregate (MTA) was discussed in 37 articles (74%), followed by calcium hydroxide, mentioned in 30 studies (60%). Interestingly, the publication year did not demonstrate a significant impact on citation count.
Conclusion
The present study provided a detailed list of the top 50 most cited and classic articles on vital pulp therapies. This will help researchers, students, and clinicians in the field of endodontics with an impressive source of information.
本研究的目的是识别和分析被引用次数最多的有关牙髓疗法的文章。方法使用不同的关键词组合提取与摘要、引用、关键词和其他相关信息有关的文献数据。在 MS Excel、Microsoft Word、Google open refine、BibExcel 和 VOS viewer 等多种工具的帮助下,对所选数据进行了进一步评估和可视化。初步搜索发现了 91 份文件,其中 40 份被选中进行进一步分析。我们使用了 Kolmogorov-Smirnov 检验和 Spearman 相关系数检验,采用的显著性水平为 p < 0.05。在被引用次数最多的前 40 篇文章中,美国(10 篇)和爱尔兰(6 篇)是被引用次数最多的国家。在被引用次数最多的 50 篇文章中,《牙髓病学杂志》(14 篇;650 次引用)和《国际牙髓病学杂志》(13 篇;577 次引用)发表的文章最多。Duncan H. 是被引用次数最多的作者(11 篇文章;339 次引用)。在这些文章中,系统综述占 32%,文献综述占 14%,体外实验研究占 12%,临床试验占 8%。在用于牙髓治疗的生物材料中,有37篇文章(74%)讨论了三氧化二矿骨料(MTA),其次是氢氧化钙,有30篇研究(60%)提到了氢氧化钙。有趣的是,发表年份对引用次数并无明显影响。 结论本研究提供了一份关于牙髓疗法的前 50 篇最常被引用的经典文章的详细列表。这将为牙髓病学领域的研究人员、学生和临床医生提供令人印象深刻的信息来源。
{"title":"Exploring vital pulp Therapies: A bibliometric analysis of the most cited articles","authors":"Gustavo Henrique Sousa , Rodolfo Lima Gonçalves , Barbara Figueiredo , Vilton Cardozo Moreira Dias , Ana Carolina Soares Mendes , Valéria de Cássia Bueno Melo , Adriana Guimarães Rodrigues , Hebertt Gonzaga dos Santos Chaves","doi":"10.1016/j.sdentj.2024.02.007","DOIUrl":"10.1016/j.sdentj.2024.02.007","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to identify and analyze the most cited articles on vital pulp therapies.</p></div><div><h3>Methodology</h3><p>Bibliographical data related to the abstract, citations, keywords, and other relevant information was extracted using different combinations of keywords. Further evaluation and visualization of the selected data were performed with the help of various tools, including MS Excel, Microsoft Word, Google open refine, BibExcel, and VOS viewer. An initial search revealed 91 documents, of which 40 were chosen for further analysis. We used the Kolmogorov–Smirnov test and Spearman correlation coefficient test, and our adopted significance level was p < 0.05.</p></div><div><h3>Results</h3><p>In total, the articles received 1,905 citations, with six of them receiving at least 100 citations. Among the top 40 articles, the United States of America (10 articles) and Ireland (6 articles) were the countries with the highest number of cited articles. The journals “Journal of Endodontics” (14 articles; 650 citations) and “International Endodontic Journal” (13 articles; 577 citations) published most of the articles among the 50 most cited ones. Duncan H. was the author with the highest number of works cited (11 articles; 339 citations). Of the articles, systematic reviews accounted for 32%, literature reviews for 14%, in vitro experimental studies for 12%, clinical trials for 8%. Among the biomaterials used in vital pulp therapies, mineral trioxide aggregate (MTA) was discussed in 37 articles (74%), followed by calcium hydroxide, mentioned in 30 studies (60%). Interestingly, the publication year did not demonstrate a significant impact on citation count.</p></div><div><h3>Conclusion</h3><p>The present study provided a detailed list of the top 50 most cited and classic articles on vital pulp therapies. This will help researchers, students, and clinicians in the field of endodontics with an impressive source of information.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000592/pdfft?md5=629876a828743a92e66bf1cfefe05a08&pid=1-s2.0-S1013905224000592-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140469895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.sdentj.2024.02.014
Irdra Lastyautari , Mochamad Fahlevi Rizal , Eva Fauziah
Introduction
Dental photography has increasingly been used in practice. One of the purposes of dental photography is for treatment evaluation. Notably, photo resolution affects a picture’s quality. Glass ionomer cement (GIC) restorations are frequently used on pediatric teeth and must be evaluated periodically. In this digital era, digital photos can be used to evaluate restorations. The evaluation of restorations using FDI criteria is typically effective in clinical uses.
Objective
This study aims to compare differences in digital photo resolution and clinical results to evaluate GIC restoration in primary teeth.
Materials and methods
Forty mandibular primary first molars from 31 pediatric patients aged 4 to 9 years from Universitas Indonesia dental hospital were included in this study. All teeth were examined and clinically evaluated, and photos were taken using a DSLR camera with low resolution (8 MP), medium resolution (15 MP), and high resolution (32 MP). The photos were then evaluated. Clinical GIC restorations and digital photographs were evaluated using FDI criteria. All of the collected data were analyzed using a Pearson’s chi-square categorical comparative test with a significance level of p < 0.05.
Result
Based on the comparative test, there were no statistically significant differences in the clinical groups with low resolution, medium resolution, and high resolution for evaluating GIC restorations in primary teeth.
Conclusion
Digital photography can be used to support the evaluation of restoration status. Digital photos can indicate the clinical state of GIC restorations. This study recommends using digital photos between low and medium resolution (8–15.3 MP) as media in dental practices to evaluate GIC restorations in primary teeth, comparable to smartphone cameras or pocket cameras.
{"title":"A comparison between clinical and digital images with various resolutions to evaluate glass ionomer cement restoration on primary teeth","authors":"Irdra Lastyautari , Mochamad Fahlevi Rizal , Eva Fauziah","doi":"10.1016/j.sdentj.2024.02.014","DOIUrl":"10.1016/j.sdentj.2024.02.014","url":null,"abstract":"<div><h3>Introduction</h3><p>Dental photography has increasingly been used in practice. One of the purposes of dental photography is for treatment evaluation. Notably, photo resolution affects a picture’s quality. Glass ionomer cement (GIC) restorations are frequently used on pediatric teeth and must be evaluated periodically. In this digital era, digital photos can be used to evaluate restorations. The evaluation of restorations using FDI criteria is typically effective in clinical uses.</p></div><div><h3>Objective</h3><p>This study aims to compare differences in digital photo resolution and clinical results to evaluate GIC restoration in primary teeth.</p></div><div><h3>Materials and methods</h3><p>Forty mandibular primary first molars from 31 pediatric patients aged 4 to 9 years from Universitas Indonesia dental hospital were included in this study. All teeth were examined and clinically evaluated, and photos were taken using a DSLR camera with low resolution (8 MP), medium resolution (15 MP), and high resolution (32 MP). The photos were then evaluated. Clinical GIC restorations and digital photographs were evaluated using FDI criteria. All of the collected data were analyzed using a Pearson’s chi-square categorical comparative test with a significance level of p < 0.05.</p></div><div><h3>Result</h3><p>Based on the comparative test, there were no statistically significant differences in the clinical groups with low resolution, medium resolution, and high resolution for evaluating GIC restorations in primary teeth.</p></div><div><h3>Conclusion</h3><p>Digital photography can be used to support the evaluation of restoration status. Digital photos can indicate the clinical state of GIC restorations. This study recommends using digital photos between low and medium resolution (8–15.3 MP) as media in dental practices to evaluate GIC restorations in primary teeth, comparable to smartphone cameras or pocket cameras.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S101390522400066X/pdfft?md5=57d819490ff43f9feb4d8e098d44f50b&pid=1-s2.0-S101390522400066X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective of this study was to compare the cytotoxicity of TDV and Rebase II denture hard liners on human gingival fibroblasts, aiming to address issues associated with incomplete polymerization and free monomers that affect material properties.
Methods
Seventy-two specimens (24 each of TDV, Rebase II, and controls) were prepared under aseptic conditions according to factory instructions. Cytotoxicity was determined using the MTT test with methyl tetrazolium salt added to the cell culture medium. A two-way ANOVA and a post-hoc Tukey test was used to evaluate the results of incubation before mitochondrial activity was measured using Multiscan spectrophotometry (570 nm).
Results
There were significant differences in cell viability between the groups after 24 hours (P < 0.001), with TDV having higher viability than Rebase II. The difference between Rebase II and TDV, however, was not significant at 48 and 96 hours (P > 0.131). At 24 hours, Rebase II exhibited significantly lower viability than TDV liner, with a significant difference between the two groups (P = 0.001).
Conclusion
Due to the maximum monomer release in the early hours of incubation, the amount of cytotoxicity decreased with increasing incubation time.
背景本研究的目的是比较 TDV 和 Rebase II 义齿硬衬对人类牙龈成纤维细胞的细胞毒性,旨在解决与不完全聚合和影响材料特性的游离单体有关的问题。细胞毒性采用在细胞培养基中加入甲基四氮唑盐的 MTT 试验进行测定。在使用 Multiscan 分光光度法(570 nm)测量线粒体活性之前,采用双向方差分析和事后 Tukey 检验来评估培养结果。结果24 小时后,各组细胞存活率存在显著差异(P <0.001),TDV 的存活率高于 Rebase II。然而,在 48 小时和 96 小时时,Rebase II 和 TDV 之间的差异并不明显(P > 0.131)。在 24 小时内,Rebase II 的存活率明显低于 TDV 内衬,两组之间差异显著(P = 0.001)。
{"title":"Comparative analysis of cytotoxicity effects of two denture hard lining materials on human gingival fibroblasts: an in vitro study","authors":"Somayeh Hashemi , Reza Nahidi , Homeyra Ansari , Kiarash Firoozi , Rata Rokhshad","doi":"10.1016/j.sdentj.2024.02.005","DOIUrl":"10.1016/j.sdentj.2024.02.005","url":null,"abstract":"<div><h3>Background</h3><p>The objective of this study was to compare the cytotoxicity of TDV and Rebase II denture hard liners on human gingival fibroblasts, aiming to address issues associated with incomplete polymerization and free monomers that affect material properties.</p></div><div><h3>Methods</h3><p>Seventy-two specimens (24 each of TDV, Rebase II, and controls) were prepared under aseptic conditions according to factory instructions. Cytotoxicity was determined using the MTT test with methyl tetrazolium salt added to the cell culture medium. A two-way ANOVA and a post-hoc Tukey test was used to evaluate the results of incubation before mitochondrial activity was measured using Multiscan spectrophotometry (570 nm).</p></div><div><h3>Results</h3><p>There were significant differences in cell viability between the groups after 24 hours (<em>P</em> < 0.001), with TDV having higher viability than Rebase II. The difference between Rebase II and TDV, however, was not significant at 48 and 96 hours (<em>P</em> > 0.131). At 24 hours, Rebase II exhibited significantly lower viability than TDV liner, with a significant difference between the two groups (<em>P</em> = 0.001).</p></div><div><h3>Conclusion</h3><p>Due to the maximum monomer release in the early hours of incubation, the amount of cytotoxicity decreased with increasing incubation time.</p></div>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1013905224000579/pdfft?md5=59ac1a440f857db1496a393b600d79b8&pid=1-s2.0-S1013905224000579-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}