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Influence of prosthetic rehabilitation on salivary flow, pH, and comfort sensation in patients treated for head and neck cancer. 假肢康复对头颈癌患者唾液流量、pH值和舒适感的影响。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-13 DOI: 10.1111/jopr.70045
Carlos Moreno-Soriano, Sonia Egido-Moreno, Carlos Omaña-Cepeda, Constanza Saka-Herrán, Enric Jané-Salas, José López-López

Purpose: This study aims to determine whether prosthetic rehabilitation affects salivary flow, pH, and comfort in patients treated for head and neck cancer (HNC) and to assess potential differences between irradiated and non-irradiated patients.

Materials and methods: This pilot clinical study focused on patients treated for HNC who require prosthetic rehabilitation. Participants were divided into two groups: irradiated and non-irradiated. Stimulated and unstimulated salivary flow, pH, and perceived comfort sensation were assessed at three time points: T0 (prior to prosthesis placement), T1 (1 month after prosthesis placement), and T6 (6 months after prosthesis placement). Outcomes were compared between the two groups across all time points.

Results: Significant differences were observed in unstimulated salivary flow between T0 and T6, while stimulated salivary flow showed significant differences between T0 and T1, T0 and T6, and T1 and T6. No significant differences were found in salivary pH or perceived comfort. However, 85% of participants reported greater comfort 6 months after prosthetic rehabilitation. Both irradiated and non-irradiated patients demonstrated improvements in salivary flow and perceived oral comfort, although no significant differences were observed between groups. A significant change in pH was detected only in the non-irradiated group.

Conclusions: The study demonstrated a significant increase in both unstimulated and stimulated salivary flow, with no significant differences between groups. Salivary pH increased significantly in the non-irradiated group compared to the irradiated one. Both groups reported improvements in perceived comfort, although no significant differences were observed between T1 and T6.

目的:本研究旨在确定假肢康复是否会影响头颈癌(HNC)患者的唾液流量、pH值和舒适度,并评估放疗和未放疗患者之间的潜在差异。材料和方法:这项试点临床研究的重点是接受HNC治疗的需要假肢康复的患者。参与者被分为两组:接受过放疗和未接受过放疗。在三个时间点:T0(植入假体前)、T1(植入假体后1个月)和T6(植入假体后6个月)评估受刺激和未受刺激的唾液流量、pH值和感知舒适感觉。比较两组在所有时间点的结果。结果:未受刺激的唾液流量在T0与T6之间存在显著差异,而受刺激的唾液流量在T0与T1、T0与T6、T1与T6之间存在显著差异。在唾液pH值和感知舒适度方面没有发现显著差异。然而,85%的参与者在假肢康复后6个月报告了更大的舒适度。放疗和未放疗的患者均表现出唾液流动和口腔舒适度的改善,尽管两组之间没有观察到显著差异。只有在未照射组中,pH值发生了显著变化。结论:该研究表明,未受刺激和受刺激的唾液流量均显著增加,组间无显著差异。与受照射组相比,未受照射组的唾液pH值显著升高。两组都报告了感知舒适度的改善,尽管T1和T6之间没有显著差异。
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引用次数: 0
Fracture strength of repaired 3D-printed interim fixed dental prostheses: In vitro comparison of repair material type and surface treatment. 修复后3d打印临时固定义齿的断裂强度:修复材料类型和表面处理的体外比较。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-10 DOI: 10.1111/jopr.70038
Faisal D Al-Qarni, Alanoud Albarrak, Shahad Alhamid, Sultan Akhtar, Soban Q Khan, Mohammed Al-Nefaiee, Yousif Al-Dulaijan, Mohammed M Gad

Purpose: To date, no evidence exists regarding the optimal technique/material to repair three-dimensional (3D) printed interim fixed dental prostheses (IFDPs). This study aimed to investigate different repair techniques/materials and compare their impact on the fracture strength of repaired 3D-printed IFDPs.

Materials and methods: A total of 208 3-unit IFDP specimens (n = 8) were printed using two materials (NextDent or ASIGA). One group had no surface treatment (control), while the other two groups were treated with alumina blasting and etch-primer (EP) and then repaired using flowable composite resin or Multilink in a customized putty index. Repaired specimens were thermocycled (5000 cycles) and then loaded onto a universal testing machine until fracture, and the fracture strength was recorded in newtons (N). ANOVA with Tukey's post hoc test and t-test were used for data analysis (α = 0.05).

Results: All repaired 3D-printed IFDPs exhibited lower fracture loads compared to intact specimens (p < 0.001). Repairs made with composite resin resulted in a superior fracture load than Multilink (p < 0.001). Alumina-blasting and EP treatment surface treatments significantly increased the fracture strength of repaired NextDent IFDPs compared with untreated groups (p < 0.001). EP surface treatment did not influence the repair of ASIGA specimens (p > 0.05).

Conclusion: The type of repair material significantly influences the repair strength. Repair using a composite showed the highest strength. Surface treatment (mechanical or chemical) increased repair strength for NextDent specimens. ASIGA specimens were not affected by chemical surface treatment, while mechanical treatment positively influenced repair strength.

目的:到目前为止,还没有关于修复三维(3D)打印临时固定义齿(ifdp)的最佳技术/材料的证据。本研究旨在研究不同的修复技术/材料,并比较它们对修复后3d打印ifdp断裂强度的影响。材料和方法:采用NextDent或ASIGA两种材料打印3单元IFDP标本208例(n = 8)。其中一组没有进行表面处理(对照组),而另外两组则进行了氧化铝喷砂和蚀刻底漆(EP)处理,然后使用可流动复合树脂或定制腻子指数的Multilink进行修复。修复后的试样进行热循环(5000次),然后加载到万能试验机上直至断裂,断裂强度以牛顿(N)为单位记录。数据分析采用方差分析,采用Tukey事后检验和t检验(α = 0.05)。结果:与完整标本相比,所有修复的3d打印ifdp均表现出更低的骨折负荷(p 0.05)。结论:修复材料的种类对修复强度有显著影响。复合材料修复显示出最高的强度。表面处理(机械或化学)增加了下凹痕试样的修复强度。化学表面处理对ASIGA试样的修复强度没有影响,而机械处理对修复强度有正向影响。
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引用次数: 0
Adoption and challenges of digital dentistry among dentists and dental technicians: A cross-sectional study 数字牙科在牙医和牙科技术人员中的采用和挑战:一项横断面研究。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-10 DOI: 10.1111/jopr.70043
Muhanad M. Hatamleh BSc, MSc, Dip, PhD, Sarah A. Saleh BSc, Omar I. Radwan BSc, Heyam R. Abu Shamma BSc

Purpose

To evaluate the adoption of digital dentistry by examining (1) the prevalence of digital technology use among dentists and dental technicians, (2) their knowledge and perceptions of these technologies, and (3) the challenges hindering broader implementation.

Materials and Methods

A cross-sectional survey among 90 Jordanian dental professionals (50 technicians, 40 dentists) was conducted. Two validated questionnaires assessed demographics, technology utilization, perceptions, barriers, and educational exposure. Descriptive statistics, frequencies, and the Chi-square test were applied to assess statistical significance at p < 0.05.

Results

Of the 90 respondents, 87% of technicians regularly used digital workflows, with significant adoption of liquid crystal display (LCD)-based 3D printers (78%; χ2 = 25.36, p < 0.001) and Exo-CAD software (81%; χ2 = 15.65, p < 0.001). Technicians primarily printed models (100%) and castable materials (90%; χ2 = 13.48, p = 0.001), but reported significant barriers, including lack of training (62%) and material unavailability (52%) (χ2 = 37.44, p < 0.001). Among dentists, 76% used digital tools (χ2 = 10.00, p = 0.002), with high usage of intraoral scanners (90.3%; χ2 = 25.60, p < 0.001) and design software (83.3%; χ2 = 16.90, p < 0.001). Milling and 3D printing were underutilized due to cost (61.5%) and limited in-house expertise. Educational gaps were noted, with 43.3% receiving no predoctoral digital dentistry training. A significant disparity existed between sectors, as 73.3% of private clinics adopted digital dentistry versus 53.3% of public clinics reporting no adoption (χ2 = 12.91, p < 0.001).

Conclusions

Digital dentistry is gaining greater traction, with dental technicians frequently using 3D printing and dentists mainly utilizing intraoral scanners while relying on labs for design and milling. However, broader adoption is hindered by high costs, limited training, and material availability.

目的:通过检查(1)牙医和牙科技术人员使用数字技术的流行程度,(2)他们对这些技术的知识和看法,以及(3)阻碍更广泛实施的挑战,来评估数字牙科的采用情况。材料和方法:对90名约旦牙科专业人员(50名技术人员,40名牙医)进行了横断面调查。两份有效问卷评估了人口统计、技术利用、认知、障碍和教育程度。采用描述性统计、频率和卡方检验,p < 0.05。结果:在90名受访者中,87%的技术人员经常使用数字工作流程,大量采用基于液晶显示器(LCD)的3D打印机(78%;χ2 = 25.36, p < 0.001)和Exo-CAD软件(81%;χ2 = 15.65, p < 0.001)。技术人员主要打印模型(100%)和可浇注材料(90%;χ2 = 13.48, p = 0.001),但报告了重大障碍,包括缺乏培训(62%)和材料不可用(52%)(χ2 = 37.44, p < 0.001)。76%的牙医使用数字化工具(χ2 = 10.00, p = 0.002),其中口腔内扫描仪(90.3%,χ2 = 25.60, p < 0.001)和设计软件(83.3%,χ2 = 16.90, p < 0.001)使用率较高。铣削和3D打印由于成本(61.5%)和有限的内部专业知识而未得到充分利用。值得注意的是教育差距,43.3%的人没有接受过博士前数字牙科培训。不同部门之间存在显著差异,73.3%的私立诊所采用数字牙科,而53.3%的公立诊所没有采用数字牙科(χ2 = 12.91, p < 0.001)。结论:数字牙科正在获得更大的吸引力,牙科技术人员经常使用3D打印,牙医主要使用口内扫描仪,同时依靠实验室进行设计和铣削。然而,更广泛的采用受到高成本、有限的培训和材料可用性的阻碍。
{"title":"Adoption and challenges of digital dentistry among dentists and dental technicians: A cross-sectional study","authors":"Muhanad M. Hatamleh BSc, MSc, Dip, PhD,&nbsp;Sarah A. Saleh BSc,&nbsp;Omar I. Radwan BSc,&nbsp;Heyam R. Abu Shamma BSc","doi":"10.1111/jopr.70043","DOIUrl":"10.1111/jopr.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To evaluate the adoption of digital dentistry by examining (1) the prevalence of digital technology use among dentists and dental technicians, (2) their knowledge and perceptions of these technologies, and (3) the challenges hindering broader implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A cross-sectional survey among 90 Jordanian dental professionals (50 technicians, 40 dentists) was conducted. Two validated questionnaires assessed demographics, technology utilization, perceptions, barriers, and educational exposure. Descriptive statistics, frequencies, and the Chi-square test were applied to assess statistical significance at <i>p</i> &lt; 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 90 respondents, 87% of technicians regularly used digital workflows, with significant adoption of liquid crystal display (LCD)-based 3D printers (78%; <i>χ</i><sup>2</sup> = 25.36, <i>p</i> &lt; 0.001) and Exo-CAD software (81%; <i>χ</i><sup>2</sup> = 15.65, <i>p</i> &lt; 0.001). Technicians primarily printed models (100%) and castable materials (90%; χ<sup>2</sup> = 13.48, <i>p</i> = 0.001), but reported significant barriers, including lack of training (62%) and material unavailability (52%) (<i>χ</i><sup>2</sup> = 37.44, <i>p</i> &lt; 0.001). Among dentists, 76% used digital tools (<i>χ</i><sup>2</sup> = 10.00, <i>p</i> = 0.002), with high usage of intraoral scanners (90.3%; χ<sup>2</sup> = 25.60, <i>p</i> &lt; 0.001) and design software (83.3%; <i>χ</i><sup>2</sup> = 16.90, <i>p</i> &lt; 0.001). Milling and 3D printing were underutilized due to cost (61.5%) and limited in-house expertise. Educational gaps were noted, with 43.3% receiving no predoctoral digital dentistry training. A significant disparity existed between sectors, as 73.3% of private clinics adopted digital dentistry versus 53.3% of public clinics reporting no adoption (<i>χ</i><sup>2</sup> = 12.91, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Digital dentistry is gaining greater traction, with dental technicians frequently using 3D printing and dentists mainly utilizing intraoral scanners while relying on labs for design and milling. However, broader adoption is hindered by high costs, limited training, and material availability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49152,"journal":{"name":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","volume":"34 9","pages":"913-917"},"PeriodicalIF":3.4,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In vitro effect of simulated brushing on color stability, surface roughness, and microbial adhesion of characterizing resin composites for 3D-printed denture bases. 体外模拟涂刷对3d打印义齿基托表征树脂复合材料颜色稳定性、表面粗糙度和微生物粘附力的影响
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-10 DOI: 10.1111/jopr.70040
Pamela Tayná Matias Bezerra, Lucas Cavalcante de Sousa, Ana Larisse Carneiro Pereira, Ana Luísa Cassiano Alves Bezerra, Maria Heloisa de Souza Borges Grisi, Leopoldina de Fátima Dantas de Almeida, André Ulisses Dantas Batista, Gabriela Queiroz de Melo Monteiro, Adriana da Fonte Porto Carreiro

Purpose: This in vitro study evaluated the effect of simulated brushing on color stability, surface roughness, and microbial adhesion of resin composites with different viscosities applied to denture base materials.

Materials and methods: Disc-shaped specimens (10 × 3.0 mm) were fabricated using a 3D-printed denture base resin and heat-polymerized resin. Three extrinsic characterizations (2 mm thick) were applied to the 3D-printed resin specimens: one regular-viscosity (RV) and two low-viscosity (LV49, LV30), and light-cured. The heat-polymerized resin group (STG) was fabricated and characterized using a compression-molding technique. Color coordinates and color stability (ΔE00) were measured using a colorimeter; surface roughness (Ra) was assessed using an optical profilometer; and microbial adhesion (Candida albicans, log CFU/mL) was evaluated before and after 20,000 brushing cycles. Color and roughness data were analyzed using the Kruskal-Wallis test and the Wilcoxon signed-rank test, while microbial adhesion was analyzed using one-way ANOVA followed by Tukey's post hoc test (α = 0.05).

Results: STG and LV49 exhibited greater color changes than did LV30 (p < 0.05), but all groups remained within clinically acceptable limits (ΔE00 ≤ 2.25). Brushing increased surface roughness in all groups except STG (p < 0.05). Microbial adhesion increased after simulated brushing (p < 0.05); however, no significant differences were observed between the groups (p > 0.05).

Conclusions: Simulated brushing affected color stability, with some groups exhibiting clinically noticeable changes. It increased surface roughness in characterizing resin composites and enhanced Candida albicans adhesion in all groups, with no significant differences between materials.

目的:体外研究模拟刷牙对不同黏度树脂复合材料用于义齿基托材料的颜色稳定性、表面粗糙度和微生物粘附力的影响。材料与方法:采用3d打印义齿基托树脂和热聚合树脂制备盘状标本(10 × 3.0 mm)。三种外部表征(2mm厚)应用于3d打印的树脂样品:一种是常规粘度(RV),两种是低粘度(LV49, LV30),光固化。采用压缩成型技术制备了热聚合树脂基团(STG)并对其进行了表征。使用色度计测量颜色坐标和颜色稳定性(ΔE00);使用光学轮廓仪评估表面粗糙度(Ra);微生物粘附(白色念珠菌,log CFU/mL)在20,000次刷牙前后进行评估。颜色和粗糙度数据采用Kruskal-Wallis检验和Wilcoxon符号秩检验进行分析,微生物黏附分析采用单因素方差分析和Tukey事后检验(α = 0.05)。结果:STG、LV49组颜色变化明显大于LV30组(p < 0.05),但均在临床可接受范围内(ΔE00≤2.25)。除STG组外,刷毛组表面粗糙度均增加(p < 0.05)。模拟刷牙后微生物黏附力增加(p < 0.05);但各组间无显著差异(p < 0.05)。结论:模拟刷牙影响颜色稳定性,其中一些组表现出明显的临床变化。它增加了表征树脂复合材料的表面粗糙度,增强了白色念珠菌的粘附,在所有组中,材料之间没有显著差异。
{"title":"In vitro effect of simulated brushing on color stability, surface roughness, and microbial adhesion of characterizing resin composites for 3D-printed denture bases.","authors":"Pamela Tayná Matias Bezerra, Lucas Cavalcante de Sousa, Ana Larisse Carneiro Pereira, Ana Luísa Cassiano Alves Bezerra, Maria Heloisa de Souza Borges Grisi, Leopoldina de Fátima Dantas de Almeida, André Ulisses Dantas Batista, Gabriela Queiroz de Melo Monteiro, Adriana da Fonte Porto Carreiro","doi":"10.1111/jopr.70040","DOIUrl":"https://doi.org/10.1111/jopr.70040","url":null,"abstract":"<p><strong>Purpose: </strong>This in vitro study evaluated the effect of simulated brushing on color stability, surface roughness, and microbial adhesion of resin composites with different viscosities applied to denture base materials.</p><p><strong>Materials and methods: </strong>Disc-shaped specimens (10 × 3.0 mm) were fabricated using a 3D-printed denture base resin and heat-polymerized resin. Three extrinsic characterizations (2 mm thick) were applied to the 3D-printed resin specimens: one regular-viscosity (RV) and two low-viscosity (LV49, LV30), and light-cured. The heat-polymerized resin group (STG) was fabricated and characterized using a compression-molding technique. Color coordinates and color stability (ΔE<sub>00</sub>) were measured using a colorimeter; surface roughness (R<sub>a</sub>) was assessed using an optical profilometer; and microbial adhesion (Candida albicans, log CFU/mL) was evaluated before and after 20,000 brushing cycles. Color and roughness data were analyzed using the Kruskal-Wallis test and the Wilcoxon signed-rank test, while microbial adhesion was analyzed using one-way ANOVA followed by Tukey's post hoc test (α = 0.05).</p><p><strong>Results: </strong>STG and LV49 exhibited greater color changes than did LV30 (p < 0.05), but all groups remained within clinically acceptable limits (ΔE<sub>00</sub> ≤ 2.25). Brushing increased surface roughness in all groups except STG (p < 0.05). Microbial adhesion increased after simulated brushing (p < 0.05); however, no significant differences were observed between the groups (p > 0.05).</p><p><strong>Conclusions: </strong>Simulated brushing affected color stability, with some groups exhibiting clinically noticeable changes. It increased surface roughness in characterizing resin composites and enhanced Candida albicans adhesion in all groups, with no significant differences between materials.</p>","PeriodicalId":49152,"journal":{"name":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of occlusal relationships in 3D-printed dental casts: A comparative in vitro study. 3d打印牙模咬合关系的准确性:一项体外比较研究。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-06 DOI: 10.1111/jopr.70039
Omar Alhinti, Yukio Kudara, Sarah Pagni, Khaled El Rafie, Konstantinos Vazouras, Marco Ferrari, Yo-Wei Chen

Purpose: This in vitro study aimed to evaluate the accuracy of occlusal relationships in 3D-printed dental casts, comparing two mounting methodologies.

Materials and methods: Maxillary and mandibular dental casts were scanned and digitized for virtual digital design as reference models. A total of 30 pairs of casts were printed using a digital light synthesis (DLS) 3D printer and mounted either based on hand articulation (Group HA) or using computer-aided design (CAD)-generated articulation pins (Group CAP). Accuracy was assessed by using the root mean square (RMS) values and linear measurements against the reference models.

Results: Group HA demonstrated mean RMS values of 147.9, 133.9, and 166.5 for the canine, second premolar, and second molar regions, respectively, with a mean RMS value of 149.4. Group CAP had RMS values of 398.2, 298.9, and 301.4 for the same regions, respectively, averaging at 332.8. Statistically significant differences were observed between the two groups across all sites. Linear measurements also showed notable discrepancies, especially in Group CAP, with significant differences in vertical dimension when compared to the master standard tessellation language (STL) models.

Conclusions: The mounting methodology influences the accuracy of occlusal relationships in 3D-printed dental casts. Group HA demonstrated greater accuracy and consistency in replicating occlusal relationships compared to Group CAP. These findings underscore the importance of selecting an appropriate mounting methodology for precise replication of occlusal relationships in prosthodontic treatments within digital workflows.

目的:本体外研究旨在评估3d打印牙模咬合关系的准确性,比较两种安装方法。材料与方法:对上颌和下颌牙模进行扫描和数字化,作为虚拟数字设计参考模型。总共使用数字光合成(DLS) 3D打印机打印了30对铸件,并基于手部关节(HA组)或使用计算机辅助设计(CAD)生成的关节针(CAP组)进行安装。通过使用均方根(RMS)值和对参考模型的线性测量来评估准确性。结果:HA组犬齿、第二前磨牙和第二磨牙区域的平均RMS值分别为147.9、133.9和166.5,平均RMS值为149.4。同一地区CAP组的RMS值分别为398.2、298.9和301.4,平均值为332.8。两组在所有部位的差异均有统计学意义。线性测量也显示出显著的差异,特别是在CAP组,与主标准镶嵌语言(STL)模型相比,在垂直尺寸上存在显著差异。结论:安装方法影响3d打印牙模咬合关系的准确性。与CAP组相比,HA组在复制咬合关系方面表现出更高的准确性和一致性。这些发现强调了在数字工作流程中选择适当的安装方法来精确复制修复治疗中咬合关系的重要性。
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引用次数: 0
Methodological concern regarding “Narrow-diameter implants for treatment with fixed restorations in the posterior region: A systematic review and meta-analysis” 关于“窄径种植体治疗后牙区固定修复:系统回顾和荟萃分析”的方法学关注。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-10-01 DOI: 10.1111/jopr.70041
Mohammad Hosseini Hooshiar
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引用次数: 0
Multidisciplinary approach to the management of oral commissure burns in pediatric patients: A case report. 多学科方法治疗小儿口腔接触烧伤1例报告。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-29 DOI: 10.1111/jopr.70037
Jessica E Canallatos, Robert Perry

Electrical burns to the oral commissure are uncommon injuries that can lead to significant functional and esthetic complications if not promptly and appropriately managed. This case report details the management of a 14-year-old male with post-burn oral commissure scarring resulting from an electrical injury sustained at the age of 6. The treatment included the fabrication and application of a custom commissure splint combined with intralesional corticosteroid injections by a plastic surgeon to improve scar pliability and oral function. The report highlights the integration of dental prostheses and surgical interventions to achieve favorable outcomes.

电烧伤的口腔连接是罕见的伤害,可导致显著的功能和审美并发症,如果不及时和适当的处理。本病例报告详细介绍了一名14岁男性因6岁时遭受电伤导致烧伤后口腔连接瘢痕的处理。治疗包括制作和使用定制的连接夹板,并由整形外科医生进行局部皮质类固醇注射,以改善疤痕的柔韧性和口腔功能。该报告强调了牙修复和手术干预的整合,以获得良好的结果。
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引用次数: 0
Functional and nutritional effects of mandibular two-implant overdentures in edentulous adults: A prospective clinical study 下颌双种植覆盖义齿对无牙成人的功能和营养影响:一项前瞻性临床研究。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-29 DOI: 10.1111/jopr.70036
Güleren Sabuncular PhD, Ceren Küçük DDS, PhD, Şule Aktaç PhD, Ferit Bayram DDS, PhD, Ayşe Hümeyra İslamoğlu PhD, Fatma Esra Güneş PhD

Purpose

Edentulism is associated with impaired masticatory function and nutritional deficiencies, particularly in older adults. Implant-supported overdentures have been suggested as a prosthetic intervention to enhance chewing ability and improve dietary intake. This study aimed to evaluate the impact of mandibular two-implant overdentures on chewing ability, dietary intake, and nutritional status in edentulous middle-aged and older adults.

Materials and Methods

A prospective clinical study was conducted with 35 edentulous participants aged 50 years and older. Participants were assessed at four time points: baseline (T0), 3 months after receiving immediate complete dentures (T1), 3 months after transitioning to implant-supported overdentures (T2), and 6 months postimplant-supported overdenture placement (T3). Anthropometric measurements, 24-h dietary recall, and chewing ability assessments were performed at each time point.

Results

Implant-supported overdentures significantly improved chewing ability and increased the intake of vitamins A, C, K, and folate (p < 0.05). However, body weight (F = 6.27, p = 0.001), body mass index (BMI; F = 6.31, p = 0.001), and mid–upper arm circumference (F = 6.89, p < 0.001) showed significant reductions over time. Participants with chewing difficulties consumed higher energy and protein but tended to avoid nutrient-dense foods.

Conclusions

While mandibular two-implant overdentures enhance chewing ability and dietary intake, they do not fully address nutritional deficiencies. A multidisciplinary approach integrating dietary counseling with prosthetic rehabilitation is recommended to optimize nutritional outcomes in edentulous adults.

目的:龋齿症与咀嚼功能受损和营养缺乏有关,特别是在老年人中。种植覆盖义齿被认为是提高咀嚼能力和改善饮食摄入的一种义齿干预手段。本研究旨在评估下颌双种植覆盖义齿对无牙中老年患者咀嚼能力、饮食摄入和营养状况的影响。材料与方法:对35名50岁及以上无牙者进行前瞻性临床研究。参与者在四个时间点进行评估:基线(T0),接受即时全口义齿(T1)后3个月,过渡到种植支持覆盖义齿(T2)后3个月,以及种植支持覆盖义齿放置后6个月(T3)。在每个时间点进行人体测量、24小时饮食回忆和咀嚼能力评估。结果:种植覆盖义齿可显著提高咀嚼能力,增加维生素A、C、K和叶酸的摄入量(p < 0.05)。然而,随着时间的推移,体重(F = 6.27, p = 0.001)、体重指数(BMI; F = 6.31, p = 0.001)和中上臂围(F = 6.89, p < 0.001)显著降低。有咀嚼困难的参与者消耗了更高的能量和蛋白质,但倾向于避免营养密集的食物。结论:下颌双种植覆盖义齿虽然可以提高咀嚼能力和饮食摄入量,但不能完全解决营养不足的问题。综合膳食咨询和假肢康复的多学科方法被推荐用于优化无牙成人的营养结果。
{"title":"Functional and nutritional effects of mandibular two-implant overdentures in edentulous adults: A prospective clinical study","authors":"Güleren Sabuncular PhD,&nbsp;Ceren Küçük DDS, PhD,&nbsp;Şule Aktaç PhD,&nbsp;Ferit Bayram DDS, PhD,&nbsp;Ayşe Hümeyra İslamoğlu PhD,&nbsp;Fatma Esra Güneş PhD","doi":"10.1111/jopr.70036","DOIUrl":"10.1111/jopr.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Edentulism is associated with impaired masticatory function and nutritional deficiencies, particularly in older adults. Implant-supported overdentures have been suggested as a prosthetic intervention to enhance chewing ability and improve dietary intake. This study aimed to evaluate the impact of mandibular two-implant overdentures on chewing ability, dietary intake, and nutritional status in edentulous middle-aged and older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A prospective clinical study was conducted with 35 edentulous participants aged 50 years and older. Participants were assessed at four time points: baseline (T0), 3 months after receiving immediate complete dentures (T1), 3 months after transitioning to implant-supported overdentures (T2), and 6 months postimplant-supported overdenture placement (T3). Anthropometric measurements, 24-h dietary recall, and chewing ability assessments were performed at each time point.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Implant-supported overdentures significantly improved chewing ability and increased the intake of vitamins A, C, K, and folate (<i>p</i> &lt; 0.05). However, body weight (<i>F</i> = 6.27, <i>p</i> = 0.001), body mass index (BMI; <i>F</i> = 6.31, <i>p</i> = 0.001), and mid–upper arm circumference (<i>F</i> = 6.89, <i>p</i> &lt; 0.001) showed significant reductions over time. Participants with chewing difficulties consumed higher energy and protein but tended to avoid nutrient-dense foods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While mandibular two-implant overdentures enhance chewing ability and dietary intake, they do not fully address nutritional deficiencies. A multidisciplinary approach integrating dietary counseling with prosthetic rehabilitation is recommended to optimize nutritional outcomes in edentulous adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49152,"journal":{"name":"Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry","volume":"34 9","pages":"918-928"},"PeriodicalIF":3.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to “Methodological concern regarding ‘Narrow-diameter implants for treatment with fixed restorations in the posterior region: A systematic review and meta-analysis’” 对“关于“窄直径种植体治疗后牙区固定修复体:系统回顾和荟萃分析”的方法学关注”的回应。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-29 DOI: 10.1111/jopr.70042
Aspasia Pachiou DDS, MSc, MSc, Panagiotis Tsirogiannis DDS, Alexis Ioannidis DDS, MAS PD, Tim Joda DDS, PhD, MSc, Nikitas Sykaras DDS, MS, PhD, Olga Naka DDS, MClinDent, PhD
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引用次数: 0
Use of open-source software and photogrammetry in the fabrication of 3D-printed custom trays for edentulous patients: A technical guide. 使用开源软件和摄影测量技术为无牙患者制作3d打印定制托盘:技术指南。
IF 3.4 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-09-20 DOI: 10.1111/jopr.70035
João Victor Cunha Cordeiro, Lauren Bohner, Fernanda Pretto Zatt, Artur Ferronato Soto, Henrique Souza Dos Santos, Maria Eduarda Broering da Silva, Maurício Malheiros Badaró, Ricardo Armini Caldas

A technique is described to obtain a 3D-printed custom tray for complete dentures through open-source, free software and additive manufacturing. This approach enables the production of custom trays in a cost-effective and optimized manner. A three-dimensional (3D) digital cast is obtained by photogrammetry and later used to design a digital custom tray. Then, the digital custom tray is manufactured by a 3D printer to be used in clinical procedures. This technique is a clean, rapid, and low-cost alternative to the traditional technique.

描述了一种通过开源、免费软件和增材制造获得全假牙3d打印定制托盘的技术。这种方法使定制托盘的生产具有成本效益和优化的方式。通过摄影测量获得三维(3D)数字模型,然后用于设计数字定制托盘。然后,数字定制托盘由3D打印机制造,用于临床程序。该技术是传统技术的一种清洁、快速、低成本的替代技术。
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Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry
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