Saudi Dental Journal最新文献

Aim: The preset systematic review and meta-analysis aimed to evaluate neurosensory outcomes following permanent lingual nerve injury in the surgical removal of mandibular third molars.

Method: The international databases Cochrane, Embase, and MEDLINE (PubMed and Ovid) were searched for pertinent keywords until January 2025. Eight studies were included, and their risk of bias was evaluated using the Newcastle-Ottawa Scale. Using a random effect model and limited maximum-likelihood techniques of 95 percent confidence intervals (CI), prevalence rates were employed as an effect size. Stata (version 17) was used for meta-analysis.

Result: The prevalence rate of somatosensory following lingual nerve injury after surgical removal of mandibular third molars was 5.58% (ES 5.58% 95% CI; 2.55%, 8.61%). The frequency of pain and gustatory was 36.78% and 3.52%, respectively.

Conclusion: According to the present meta-analysis, the incidence rate of neurosensory outcomes is high after the surgical removal of mandibular third molars and following permanent lingual nerve injury.

Introduction: Peri-implantitis is an inflammatory condition affecting the supporting structures of dental implants, which can result in bone loss and possible implant failure. Given their potential antimicrobial and immunomodulatory properties, probiotics have been suggested as an adjuvant to Mechanical debridement in the treatment for peri-implantitis. This systematic review aims to assess the effectiveness of probiotics as an adjuvant in non-surgical management of peri-implantitis.

Methods: A thorough literature search was carried out using databases such as PubMed, Scopus, Web of Science, Embase, and Cochrane Library. The search covered studies published between 2015 and 2024, utilizing search string including "probiotics," "peri-implantitis," "dental implants," "adjunctive therapy," "Non-surgical periodontal therapy" and "oral microbiota"."

Results: This review consolidates existing evidence regarding the use of probiotics as a beneficial adjunctive therapy in the treatment of peri-implantitis, offering insights into their clinical significance, mechanisms of action, and potential drawbacks of the treatment protocol.

Conclusion: Probiotics may serve as a beneficial complement to traditional peri-implantitis treatments; however, additional high-quality research is necessary to confirm their effectiveness and long-term advantages.

Background: Oral health is an integral part of the overall health of the elderly, significantly impacting their physical, social, and psychological well-being. This study aimed to synthesize, summarize, and standardize the results of primary studies, resolve inconsistencies, examine the influence of potential factors, and estimate the global prevalence of dental caries in the elderly through a systematic review and meta-analysis.

Methods: The systematic review and meta-analysis covered studies published from 1991 to November 2024. Relevant articles were identified through searches in international databases, including Embase, PubMed, Scopus, and Web of Science (WoS), using appropriate keywords. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) checklist. Heterogeneity among studies was evaluated using the I² statistic. Data were analyzed using Comprehensive Meta-Analysis software, version 2.

Results: The initial search yielded 20,374 studies, of which 31 articles with a total sample size of 26,703 individuals met the inclusion criteria for the meta-analysis. The global prevalence of dental caries in the elderly was estimated at 60.7% (95% confidence interval: 54.6%-66.4%). The highest prevalence was observed in the Americas at 79.6% (95% CI: 34.8%-96.6%). Meta-regression analysis revealed that the prevalence of dental caries decreased with larger sample sizes, higher study quality, and older age, while it increased over time (P < 0.05).

Conclusion: The findings indicate a high prevalence of dental caries among the elderly, particularly in the Americas, with an upward trend in recent years. It is recommended that health policymakers prioritize prevention and control measures for this condition.

This narrative review systematically examines the emerging role of natural bioactive substances in dental tissue biomineralization. Through comprehensive analysis of peer-reviewed literature (2000-2024) identified via PubMed, Web of Science, and Scopus using keywords including 'natural drugs,' 'biomineralization,' and 'dental restoration,' we evaluate three key aspects: (1) the limitations of current restorative materials (composite resins, adhesives); (2) the mechanisms of natural compounds (collagen protection, mineral deposition, demineralization inhibition); and (3) clinical translation challenges. Our analysis reveals that plant-derived flavonoids, polyphenols, and bioactive peptides show particular promise for enhancing remineralization while addressing toxicity concerns. The review concludes by proposing a research framework for developing next-generation bioactive restorative materials, highlighting knowledge gaps in long-term stability and standardized protocols.

This study investigated the color stability and surface roughness of three novel single-shade universal composites after exposure to common staining solutions. A total of 120 specimens (n = 40 per composite) were fabricated from Transcend Universal Composite (TRA), Ecosite One (ECO), and Clearfil Majesty ES-2 Universal (CLA). Specimens were stored at 37 °C in four different staining solutions (artificial saliva, coffee, red wine, matcha tea). Color changes (ΔE₀₀) were assessed at five time points using the eLAB system, and surface roughness (Sa, Sz) was analyzed via 3D laser scanning microscopy. Statistical analysis was performed using a linear mixed model and post-hoc test (Tukey) (p < 0.05). Composite type, staining solution, and exposure duration significantly affected discoloration (p < 0.001). Red wine induced the most pronounced color change (ECO: ΔE₀₀ = 38.9 ± 1.56), while coffee and matcha tea caused similar discoloration (p = 0.164). TRA showed the greatest surface roughness increase; no correlation with color change was observed. The color stability of single-shade composites is influenced by resin matrix composition and staining agent exposure. Tri-modal or nanohybrid composites showed greater color stability than the micro hybrid composite. Surface roughness did not impact discoloration susceptibility.

One clinical complication oral surgeons encounter is oroantral communication (OAC) with progressive formation of oroantral fistula (OAF). Among bone grafting materials, autogenous bone is still considered the gold standard in grafting oral and maxillofacial regions. To evaluate clinically and radiographically the efficacy of Calcium phosphate (Vital-Os) bone cement in stabilizing an autogenous bone graft in repairing an oroantral fistula. The study recruited 20 patients with an oroantral fistula ranging from 4-10 mm diameter. Ten patients were treated by grafting the defect with bone graft harvested from the chin area and closure of oroantral by buccal advancement flap and Vital-Os Bone cement (Study group), and ten patients were treated without Vital-Os Bone cement (Control group). All patients came for postoperative follow-up at the 1st, 3rd, and 6th months. Visual Analogue Scale (VAS) in the study group was significantly lower than the control group one week and one month postoperatively (p = .007, .004; respectively). Failure of the oroantral fistula closure was significantly lower in the study group (p = .025). The closure of an oroantral fistula is recommended through the use of an autogenous bone graft harvested from the chin region, supplemented by the application of injectable VitalOs bone cement to secure the graft at the recipient site.

This study evaluates the antimicrobial efficacy of gold nanogel as an endodontic medicament against Enterococcus faecalis in persistent root canal infections. It investigates whether gold nanogel can serve as an effective and biocompatible alternative to conventional medicaments in eliminating E. faecalis. Gold nanoparticles (< 100 nm) were tested against E. faecalis using the agar diffusion method. Extracted teeth inoculated with E. faecalis were treated with gold nanogel (1000 µg/mL), chlorhexidine gluconate (2%), calcium hydroxide, or saline for seven days. Antimicrobial efficacy was assessed on days 1, 3, and 7 using agar diffusion and colony-forming unit (CFU) assays. Gold nanogel significantly reduced E. faecalis biofilm viability, showing greater efficacy than calcium hydroxide and comparable results to 2% chlorhexidine. Chlorhexidine eradicated E. faecalis by day 7, while gold nanogel exhibited sustained antibacterial action with minimal CFUs remaining. Gold nanogel demonstrated superior efficacy over calcium hydroxide and comparable effectiveness to chlorhexidine gluconate (2%) against E. faecalis. Further studies are recommended to evaluate its clinical applications and long-term biocompatibility.

The study conducted to assess the frequency of radiographic retakes during endodontic procedures among undergraduate dental students and to identify common imaging errors, intending to propose strategies to increase radiographic accuracy and minimize unnecessary exposure. A retrospective analysis conducted using data from 4786 intraoperative periapical radiographs taken by fourth-year students during root canal treatment. The incidence and reasons behind repeating radiographs were examined on the basis of tooth type and treatment step. The imaging errors were categorized, then chi-square tests and one-way analysis of variance were performed. The overall repeat rate was 37.2%, with the highest frequency occurring during the master cone selection (54.6%) and working length determination (47.4%). The most prevalent error leading to repetition was missing the apical area (38%), which was significantly associated with radiographic repetition (p = 0.0001). Other common errors included incorrect working length adjustment (9.6%) and master apical cone positioning (20%). There was no significant difference in overall repeat rates between maxillary and mandibular teeth (p > 0.05). The high radiographic repetition rate highlights the need for enhanced radiographic training, improved faculty supervision, and greater reliance on electronic apex locators (EALs) with the radiographs to reduce unnecessary imaging. Implementing structured radiographic education and promoting the use of parallel devices can increase students' diagnostic accuracy. Clinically, reducing radiographic repetition minimizes radiation exposure and improves procedural efficiency.

This study aimed to evaluate the fracture resistance of maxillary veneers with feather edge, butt-joint and palatal chamfer and traditional full coverage crowns fabricated out of chairside CAD/CAM advanced lithium disilicate and virgilite. Fifty-two restorations for maxillary right canine were fabricated (n = 13 per group) as follows: veneers with feather edge, veneers with butt-joint, veneers with palatal chamfer and full coverage crowns out of chairside CAD/CAM lithium disilicate and virgilite (Cerec Tessera). The restorations were bonded to 3D printed resin dies with resin cement (Variolink Esthetic LC). The cemented restorations were subjected to 10,000 thermocycles at 5 to 55 °C with a dwell time of 30 s. The specimens were loaded until fracture using a universal testing machine and the resistance was recorded in Newtons. Two-way ANOVA was used to assess the fracture resistance among veneers with different incisal edge designs and between veneers and crowns. Scanning electron microscope (SEM) images of the fractured specimens were taken and descriptive analysis was carried out. Full coverage crowns displayed higher fracture resistance (1496 ± 41 N) than any type of veneers. Veneers with palatal chamfer showed the highest value (842 ± 28 N) among veneers followed by butt joint veneers (661 ± 22 N). Feather edge veneers provided the lowest fracture resistance values (464 ± 23 N). The fracture resistance of CAD/CAM advanced lithium disilicate maxillary veneers are significantly influenced by the incisal edge design. Palatal chamfer veneers displayed higher fracture resistance than feather edge and butt joint veneers. Full coverage crowns offered higher fracture resistance than any type of veneer.

Recognizing the characteristics of the zygomatic process of the maxilla (ZPM) has several applications in implant dentistry and orthodontics. The present study evaluated the relationship between ZPM morphology, as obtained from panoramic images, and sinus pneumatization within the ZPM, according to cone-beam computed tomography (CBCT). CBCT and panoramic images of 300 patients were obtained, and the patients were divided into three age groups: Group I (15-34 years), Group II (35-55 years), and Group III (≥ 55 years). ZPM morphology was classified into J-shaped and non-J-shaped types based on panoramic images. The ZPM volume, maxillary sinus volume, and extent of sinus pneumatization within the ZPM were measured using CBCT scans, and their relationship to ZPM morphology classification was evaluated. Statistical analyses were performed using the Shapiro-Wilk test, one-way ANOVA, independent sample t-test, Mann-Whitney U test, Kruskal-Wallis test, and chi-square test (α = 0.05). Participants ranged in age from 17 to 82 years, and 67% were female. Most ZPMs were J-shaped (75%). J-shaped ZPMs had significantly greater sinus volume (1.83 ± 0.81 cm³), sinus pneumatization (53.56 ± 12.60%), and ZPM volume (3.50 ± 0.98 cm³) compared to non-J-shaped ZPMs (P < 0.05). Male participants had significantly larger ZPM volumes than females (P = 0.039). Sinus pneumatization and maxillary sinus volume were comparable across age groups and between gender. The presence of a non-J-shaped ZPM might be associated with less sinus pneumatization than J-shaped ZPMs, regardless of the patient's age or gender. Therefore, non-J-shaped ZPMs might offer more bone availability for various applications in dentistry.