Pub Date : 2025-03-17DOI: 10.1016/j.jdsr.2025.03.002
Antonia Olivares , Valentina Barraza , Sebastian Aguayo
To evaluate the available evidence regarding in-vitro studies carried out with atomic force microscopy (AFM) to study the adhesion of oral bacteria under the research question: “Which adhesion parameters have been reported for oral bacteria attachment to surfaces following AFM experiments?”
This review was carried out following PRISMA guidelines. The Pubmed, Web of Science and Scopus databases were accessed and original articles reporting in-vitro findings on AFM-based oral bacteria adhesion experiments were included. Study selection and data extraction was performed by two independent researchers. Of the initial 249 screened articles, 24 were included in the final analysis.
Overall, the adhesion of oral bacteria to 12 different biomaterial surface types has been explored with AFM including soft materials, dental materials, and other materials. S. mutans was the most frequently studied bacterial species in its early attachment to biomaterials. Regarding AFM-based adhesion parameters, the maximum adhesion force, adhesion energy, rupture and contour lengths, and number of rupture events between oral bacteria and substrates have been quantified and reported.
Initial oral bacterial attachment to biomaterials is modulated by a range of cell, environmental, and surface-derived properties. Further research is needed to transfer this knowledge into the clinical setting.
{"title":"Micro- and nano-scale adhesion of oral bacteria to biomaterials using atomic force microscopy: A systematic review","authors":"Antonia Olivares , Valentina Barraza , Sebastian Aguayo","doi":"10.1016/j.jdsr.2025.03.002","DOIUrl":"10.1016/j.jdsr.2025.03.002","url":null,"abstract":"<div><div>To evaluate the available evidence regarding in-vitro studies carried out with atomic force microscopy (AFM) to study the adhesion of oral bacteria under the research question: <em>“Which adhesion parameters have been reported for oral bacteria attachment to surfaces following AFM experiments?”</em></div><div>This review was carried out following PRISMA guidelines. The Pubmed, Web of Science and Scopus databases were accessed and original articles reporting in-vitro findings on AFM-based oral bacteria adhesion experiments were included. Study selection and data extraction was performed by two independent researchers. Of the initial 249 screened articles, 24 were included in the final analysis.</div><div>Overall, the adhesion of oral bacteria to 12 different biomaterial surface types has been explored with AFM including soft materials, dental materials, and other materials. <em>S. mutans</em> was the most frequently studied bacterial species in its early attachment to biomaterials. Regarding AFM-based adhesion parameters, the maximum adhesion force, adhesion energy, rupture and contour lengths, and number of rupture events between oral bacteria and substrates have been quantified and reported.</div><div>Initial oral bacterial attachment to biomaterials is modulated by a range of cell, environmental, and surface-derived properties. Further research is needed to transfer this knowledge into the clinical setting.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"61 ","pages":"Pages 41-54"},"PeriodicalIF":5.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-12DOI: 10.1016/j.jdsr.2025.03.001
Gabriel Guimarães Leite , Karolina Skarlet Silva Viana , Luís Otávio Miranda Cota , Lucas Guimarães Abreu , Rafael Paschoal Esteves Lima , Fernando Oliveira Costa
This review aimed to evaluate the efficacy of different interventions used on the palatal donor area in the treatment of postoperative pain after free gingival graft and connective tissue graft techniques, and their impact in the oral-health related quality of life (OHRQOL). This study was conducted according to PRISMA. A search was conducted in four electronic databases and the grey literature. The interventions found were grouped according to biological plausibility and mechanisms of action: Mechanical Barriers; Topical Drugs; Hemostatic Agents; Other Therapies (photobiomodulation, ozonotherapy and others). Fifty-four studies were included and 43 different interventions were reported. The most commonly reported intervention was collagen hemostatic sponge, either alone or combined with other interventions, followed by platelet-rich fibrin and photobiomodulation. Postoperative pain evaluation using the Visual Analogue Scale (VAS) generally indicated that interventions improved pain over time. However, comparing the superiority of interventions is challenging, as studies often combine different interventions with different mechanisms of action. OHRQOL also showed improvement over time, but the comparison between interventions is limited, since few studies used a validated tool. The methodological diversity among studies is considerable, requiring a cautious interpretation of individual studies.
{"title":"Efficacy of different interventions on the morbidity of the palatal donor area after free gingival graft and connective tissue graft: A systematic review","authors":"Gabriel Guimarães Leite , Karolina Skarlet Silva Viana , Luís Otávio Miranda Cota , Lucas Guimarães Abreu , Rafael Paschoal Esteves Lima , Fernando Oliveira Costa","doi":"10.1016/j.jdsr.2025.03.001","DOIUrl":"10.1016/j.jdsr.2025.03.001","url":null,"abstract":"<div><div>This review aimed to evaluate the efficacy of different interventions used on the palatal donor area in the treatment of postoperative pain after free gingival graft and connective tissue graft techniques, and their impact in the oral-health related quality of life (OHRQOL). This study was conducted according to PRISMA. A search was conducted in four electronic databases and the grey literature. The interventions found were grouped according to biological plausibility and mechanisms of action: Mechanical Barriers; Topical Drugs; Hemostatic Agents; Other Therapies (photobiomodulation, ozonotherapy and others). Fifty-four studies were included and 43 different interventions were reported. The most commonly reported intervention was collagen hemostatic sponge, either alone or combined with other interventions, followed by platelet-rich fibrin and photobiomodulation. Postoperative pain evaluation using the Visual Analogue Scale (VAS) generally indicated that interventions improved pain over time. However, comparing the superiority of interventions is challenging, as studies often combine different interventions with different mechanisms of action. OHRQOL also showed improvement over time, but the comparison between interventions is limited, since few studies used a validated tool. The methodological diversity among studies is considerable, requiring a cautious interpretation of individual studies.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"61 ","pages":"Pages 31-40"},"PeriodicalIF":5.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-04DOI: 10.1016/j.jdsr.2025.02.002
Swapna B. Venkatesh , Smitha Sammith Shetty
Residual ridge (RR) refers to the clinical alveolar ridge that remains after the bone and soft tissues have healed following tooth extraction. This ridge undergoes resorption, which is most rapid during the first six months of post-extraction. Subsequently, bone resorption continues at a slower pace throughout life, leading to significant loss of jaw structure over time. This process is commonly known as residual ridge resorption (RRR). RRR is a major factor contributing to the loss of stability and retention, especially in mandibular complete dentures. Severe resorption of the maxillary and mandibular ridges can also lead to a sunken cheek appearance, poorly fitting and unstable dentures, and associated pain and discomfort. Though the etiology of residual ridge resorption remains unclear. It is believed that certain cytokines and individual genetic variations may influence the RRR process. Thus, reviewing the studies that discuss genetic association with the health and resorption of alveolar bone may give clear view on the etiology, help to define the risk and strategize preventive and personalized management of the disease. Hence, we undertook a scoping review to understand the potential genetic factors influencing the Residual ridge resorption (RRR). This review employed PRISMA-ScR extension protocols for scoping review. The results of the study provided significant association between genetic polymorphisms, especially of single gene nucleotide polymorphisms with mandibular residual ridge resorption. Hence understanding the genetic predisposition of patients can guide the clinicians in identifying patients at higher risk of RRR, enabling preventive measures, proactive intervention and careful designing of the prothesis.
{"title":"Role of genetic polymorphisms in residual ridge resorption of mandible – A scoping review","authors":"Swapna B. Venkatesh , Smitha Sammith Shetty","doi":"10.1016/j.jdsr.2025.02.002","DOIUrl":"10.1016/j.jdsr.2025.02.002","url":null,"abstract":"<div><div>Residual ridge (RR) refers to the clinical alveolar ridge that remains after the bone and soft tissues have healed following tooth extraction. This ridge undergoes resorption, which is most rapid during the first six months of post-extraction. Subsequently, bone resorption continues at a slower pace throughout life, leading to significant loss of jaw structure over time. This process is commonly known as residual ridge resorption (RRR). RRR is a major factor contributing to the loss of stability and retention, especially in mandibular complete dentures. Severe resorption of the maxillary and mandibular ridges can also lead to a sunken cheek appearance, poorly fitting and unstable dentures, and associated pain and discomfort. Though the etiology of residual ridge resorption remains unclear. It is believed that certain cytokines and individual genetic variations may influence the RRR process. Thus, reviewing the studies that discuss genetic association with the health and resorption of alveolar bone may give clear view on the etiology, help to define the risk and strategize preventive and personalized management of the disease. Hence, we undertook a scoping review to understand the potential genetic factors influencing the Residual ridge resorption (RRR). This review employed PRISMA-ScR extension protocols for scoping review. The results of the study provided significant association between genetic polymorphisms, especially of single gene nucleotide polymorphisms with mandibular residual ridge resorption. Hence understanding the genetic predisposition of patients can guide the clinicians in identifying patients at higher risk of RRR, enabling preventive measures, proactive intervention and careful designing of the prothesis.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"61 ","pages":"Pages 22-30"},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-18DOI: 10.1016/j.jdsr.2025.02.001
Yuqing Zhang , Ce Bian , Chaoran Yu , Mengyao Zhu , Michael D. Weir , Hockin H.K. Xu , Yuxing Bai , Ning Zhang
The bidirectional association between oral diseases caused by plaque and the inflammatory bowel disease remains unclear. Here, we comprehensively searched PubMed, EMBASE, Web of Science, and the Cochrane Library from inception to August 2024 to identify relevant studies. The relative risk (RR) from periodontal disease studies and the decayed, missing, and filled teeth (DMFT) index from caries-related studies was pooled, and calculating 95 % confidence intervals (CIs). Subgroup analysis, sensitivity analysis, and cumulative meta-analysis were employed to evaluate the robustness of the findings. The research adhered to PRISMA 2020 guidelines, incorporating 26 studies for systematic review and 20 for meta-analysis. The results indicated no significant increase in the overall risk of inflammatory bowel disease (IBD) in patients with periodontal disease (RR 1.31, 95 % CI 0.98–1.35); however, the risk of ulcerative colitis (UC) was higher compared to controls (RR 1.34, 95 % CI 1.04–1.73). Among IBD patients, the risk of periodontal disease was significantly elevated (RR 2.14, 95 % CI 1.62–2.81), as was the risk of dental caries (WMD = 2.51, 95 % CI 0.97–4.06). Additionally, UC patients exhibited a higher incidence of caries compared to Crohn’s disease (CD) patients (WMD = 3.97, 95 % CI 1.94–6.00). Sensitivity analyses and cumulative meta-analyses confirmed the stability of the results. In conclusion, IBD patients, particularly those with UC, should prioritize stringent oral hygiene to mitigate the risks of periodontal disease and dental caries. The association between periodontal disease and IBD warrants further investigation, and high-quality clinical studies are needed to provide more definitive and reliable evidence.
{"title":"Bidirectional association between oral diseases caused by plaque and the inflammatory bowel disease: A systematic review and meta-analysis","authors":"Yuqing Zhang , Ce Bian , Chaoran Yu , Mengyao Zhu , Michael D. Weir , Hockin H.K. Xu , Yuxing Bai , Ning Zhang","doi":"10.1016/j.jdsr.2025.02.001","DOIUrl":"10.1016/j.jdsr.2025.02.001","url":null,"abstract":"<div><div>The bidirectional association between oral diseases caused by plaque and the inflammatory bowel disease remains unclear. Here, we comprehensively searched PubMed, EMBASE, Web of Science, and the Cochrane Library from inception to August 2024 to identify relevant studies. The relative risk (RR) from periodontal disease studies and the decayed, missing, and filled teeth (DMFT) index from caries-related studies was pooled, and calculating 95 % confidence intervals (CIs). Subgroup analysis, sensitivity analysis, and cumulative meta-analysis were employed to evaluate the robustness of the findings. The research adhered to PRISMA 2020 guidelines, incorporating 26 studies for systematic review and 20 for meta-analysis. The results indicated no significant increase in the overall risk of inflammatory bowel disease (IBD) in patients with periodontal disease (RR 1.31, 95 % CI 0.98–1.35); however, the risk of ulcerative colitis (UC) was higher compared to controls (RR 1.34, 95 % CI 1.04–1.73). Among IBD patients, the risk of periodontal disease was significantly elevated (RR 2.14, 95 % CI 1.62–2.81), as was the risk of dental caries (WMD = 2.51, 95 % CI 0.97–4.06). Additionally, UC patients exhibited a higher incidence of caries compared to Crohn’s disease (CD) patients (WMD = 3.97, 95 % CI 1.94–6.00). Sensitivity analyses and cumulative meta-analyses confirmed the stability of the results. In conclusion, IBD patients, particularly those with UC, should prioritize stringent oral hygiene to mitigate the risks of periodontal disease and dental caries. The association between periodontal disease and IBD warrants further investigation, and high-quality clinical studies are needed to provide more definitive and reliable evidence.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"61 ","pages":"Pages 7-21"},"PeriodicalIF":5.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-19DOI: 10.1016/j.jdsr.2024.12.001
Daniele Manfredini, Steven S. Bender, Birgitta Häggman-Henrikson, Justin Durham, Charles S. Greene
This letter is being sent to editors of major dental journals around the world. Attached to it is an Announcement that summarizes a recently published position paper which deals with the topic of standards of care for Temporomandibular Disorders (TMDs). That paper, entitled “Temporomandibular disorders: INfORM/IADR key points for good clinical practice based on standard of care”, was developed by a group of expert researchers and clinicians over a one-year period. The full paper describing the outcome of this project was published in CRANIO – The Journal of Craniomandibular and Sleep Practice (1), and is available as an open access paper at the following link. https://www.tandfonline.com/doi/full/10.1080/08869634.2024.2405298?src=exp-la
这封信正寄给世界各地主要牙科杂志的编辑。附件是一份公告,总结了最近发表的一份关于颞下颌疾病(TMDs)护理标准的立场文件。这篇题为“颞下颌疾病:基于标准护理的良好临床实践的INfORM/IADR关键点”的论文是由一组专家研究人员和临床医生在一年的时间内编写的。描述该项目的完整论文发表在CRANIO - The Journal of Craniomandibular and Sleep Practice(1)上,并可通过以下链接作为开放获取论文。https://www.tandfonline.com/doi/full/10.1080/08869634.2024.2405298?src=exp-la。
{"title":"Temporomandibular disorders: A new list of key points to summarize the standard of care","authors":"Daniele Manfredini, Steven S. Bender, Birgitta Häggman-Henrikson, Justin Durham, Charles S. Greene","doi":"10.1016/j.jdsr.2024.12.001","DOIUrl":"10.1016/j.jdsr.2024.12.001","url":null,"abstract":"<div><div>This letter is being sent to editors of major dental journals around the world. Attached to it is an Announcement that summarizes a recently published position paper which deals with the topic of standards of care for Temporomandibular Disorders (TMDs). That paper, entitled “Temporomandibular disorders: INfORM/IADR key points for good clinical practice based on standard of care”, was developed by a group of expert researchers and clinicians over a one-year period. The full paper describing the outcome of this project was published in CRANIO – The Journal of Craniomandibular and Sleep Practice (1), and is available as an open access paper at the following link. <span><span>https://www.tandfonline.com/doi/full/10.1080/08869634.2024.2405298?src=exp-la</span><svg><path></path></svg></span></div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"61 ","pages":"Pages 1-2"},"PeriodicalIF":5.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11729766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.jdsr.2024.11.001
Okkar Kyaw , Masanao Inokoshi , Manabu Kanazawa
The contact between enamel and an antagonist surface is the primary factor in tooth wear. Loss of tooth structure can cause changes in occlusion, chewing functionality, dental sensitivity, and appearance. However, enamel wear caused by opposing restorations is multifactorial and there is a lack of consensus regarding its behavior. This meta-narrative review assesses the multiple factors that affect enamel wear when using two common indirect restorative materials, lithium disilicate and zirconia. PubMed, Google Scholar, MEDLINE, and CINAHL databases were searched using keywords “zirconia,” “lithium disilicate,” “antagonistic tooth wear,” and “enamel wear” to identify studies related to enamel wear caused by zirconia and lithium disilicate restorations. The Realist and Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) publication standard was used to report this meta-narrative literature review. Four broad categories of influencing factors were identified and reviewed: (1) mechanical and physical properties, (2) wear behavior and microstructural characteristics, (3) surface state, and (4) environmental factors. We conclude that well-polished zirconia is a more favorable indirect restorative material than lithium disilicate in terms of tribology because of its microstructure and surface integrity during wear. This review will enable clinicians to better comprehend the intricate nature of tooth wear caused by dental restorations.
{"title":"Tribological aspects of enamel wear caused by zirconia and lithium disilicate: A meta-narrative review","authors":"Okkar Kyaw , Masanao Inokoshi , Manabu Kanazawa","doi":"10.1016/j.jdsr.2024.11.001","DOIUrl":"10.1016/j.jdsr.2024.11.001","url":null,"abstract":"<div><div>The contact between enamel and an antagonist surface is the primary factor in tooth wear. Loss of tooth structure can cause changes in occlusion, chewing functionality, dental sensitivity, and appearance. However, enamel wear caused by opposing restorations is multifactorial and there is a lack of consensus regarding its behavior. This meta-narrative review assesses the multiple factors that affect enamel wear when using two common indirect restorative materials, lithium disilicate and zirconia. PubMed, Google Scholar, MEDLINE, and CINAHL databases were searched using keywords “zirconia,” “lithium disilicate,” “antagonistic tooth wear,” and “enamel wear” to identify studies related to enamel wear caused by zirconia and lithium disilicate restorations. The Realist and Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) publication standard was used to report this meta-narrative literature review. Four broad categories of influencing factors were identified and reviewed: (1) mechanical and physical properties, (2) wear behavior and microstructural characteristics, (3) surface state, and (4) environmental factors. We conclude that well-polished zirconia is a more favorable indirect restorative material than lithium disilicate in terms of tribology because of its microstructure and surface integrity during wear. This review will enable clinicians to better comprehend the intricate nature of tooth wear caused by dental restorations.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"60 ","pages":"Pages 258-270"},"PeriodicalIF":5.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phototherapy has emerged as a promising treatment for Bell’s palsy, offering potential improvements in facial nerve function and overall well-being. In this study, we selected seven relevant studies involving 306 patients with subacute or acute Bell’s palsy from PubMed, EMBASE, Web of Science, and Scopus before June 5, 2024. Low-level laser therapy (LLLT) efficacy for facial nerve paralysis was assessed in seven studies. Two studies lacked standard deviation data, precluding meta-analysis. Sunnybrook scores favored LLLT (mean difference [MD] = 17.42, 95 % confidence interval [CI]: 4.00–30.84, p = 0.011). However, Facial Disability Index results showed no significant difference (MD = 12.16, 95 % CI: −0.60 to 24.92, p = 0.061) between LLLT and control. LLLT, particularly with wavelengths of 830 or 850 nm administered over 6 weeks, may lead to beneficial outcomes. Combining LLLT with exercise therapy appears to be effective.LLLT demonstrates promise as a management option for Bell’s palsy, potentially offering advantages over other treatments, particularly in patients with comorbidities, such as diabetes. Phototherapy devices currently used in Japan offer non-invasive treatment with minimal patient burden. The safety and therapeutic efficacy of these devices have been confirmed as a potential treatment for facial nerve paralysis.
{"title":"Effects of phototherapy in patients with idiopathic facial palsy: Scoping review","authors":"Keita Takizawa , Kana Ozasa , Akiko Shimada , Toru Ogawa , Takashi Iida , Yuka Oono , Keiichi Sasaki , Noboru Noma","doi":"10.1016/j.jdsr.2024.09.001","DOIUrl":"10.1016/j.jdsr.2024.09.001","url":null,"abstract":"<div><div>Phototherapy has emerged as a promising treatment for Bell’s palsy, offering potential improvements in facial nerve function and overall well-being. In this study, we selected seven relevant studies involving 306 patients with subacute or acute Bell’s palsy from PubMed, EMBASE, Web of Science, and Scopus before June 5, 2024. Low-level laser therapy (LLLT) efficacy for facial nerve paralysis was assessed in seven studies. Two studies lacked standard deviation data, precluding meta-analysis. Sunnybrook scores favored LLLT (mean difference [MD] = 17.42, 95 % confidence interval [CI]: 4.00–30.84, p = 0.011). However, Facial Disability Index results showed no significant difference (MD = 12.16, 95 % CI: −0.60 to 24.92, p = 0.061) between LLLT and control. LLLT, particularly with wavelengths of 830 or 850 nm administered over 6 weeks, may lead to beneficial outcomes. Combining LLLT with exercise therapy appears to be effective.LLLT demonstrates promise as a management option for Bell’s palsy, potentially offering advantages over other treatments, particularly in patients with comorbidities, such as diabetes. Phototherapy devices currently used in Japan offer non-invasive treatment with minimal patient burden. The safety and therapeutic efficacy of these devices have been confirmed as a potential treatment for facial nerve paralysis.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"60 ","pages":"Pages 250-257"},"PeriodicalIF":5.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This systematic review evaluated the effectiveness of combining enamel matrix derivative (EMD) with various bone grafts in periodontal regenerative surgery, specifically targeting intrabony defects. Randomized controlled trials with 12-month follow-ups were included. Clinical outcomes assessed included clinical attachment level, probing depth, gingival recession, and radiographic defect fill. Meta-analysis showed that adding bone grafts to EMD does not provide additional benefits in periodontal tissue examination, with improvement observed only in radiographic defect fill. Subgroup analyses examined the impact of different bone graft types, revealing that alloplastic bone grafts are effective in radiographic defect fill. The risk of bias assessment indicated a moderate risk across studies, with challenges in blinding owing to the nature of the surgical treatment. Furthermore, a minimal intervention surgical approach may not require additional bone grafts for optimal periodontal regeneration. These findings contribute to the ongoing dialogue in the field and guide clinicians toward evidence-based decisions for optimal periodontal outcomes, emphasizing the judicious use of bone grafts.
{"title":"Enamel matrix derivative monotherapy versus combination therapy with bone grafts for periodontal intrabony defects: An updated review","authors":"Akira Hasuike , Taito Watanabe , Akemu Hirooka , Shingi Arai , Hideyasu Akutagawa , Naoto Yoshinuma , Shuichi Sato","doi":"10.1016/j.jdsr.2024.08.001","DOIUrl":"10.1016/j.jdsr.2024.08.001","url":null,"abstract":"<div><div>This systematic review evaluated the effectiveness of combining enamel matrix derivative (EMD) with various bone grafts in periodontal regenerative surgery, specifically targeting intrabony defects. Randomized controlled trials with 12-month follow-ups were included. Clinical outcomes assessed included clinical attachment level, probing depth, gingival recession, and radiographic defect fill. Meta-analysis showed that adding bone grafts to EMD does not provide additional benefits in periodontal tissue examination, with improvement observed only in radiographic defect fill. Subgroup analyses examined the impact of different bone graft types, revealing that alloplastic bone grafts are effective in radiographic defect fill. The risk of bias assessment indicated a moderate risk across studies, with challenges in blinding owing to the nature of the surgical treatment. Furthermore, a minimal intervention surgical approach may not require additional bone grafts for optimal periodontal regeneration. These findings contribute to the ongoing dialogue in the field and guide clinicians toward evidence-based decisions for optimal periodontal outcomes, emphasizing the judicious use of bone grafts.</div></div>","PeriodicalId":51334,"journal":{"name":"Japanese Dental Science Review","volume":"60 ","pages":"Pages 239-249"},"PeriodicalIF":5.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}