-
The Journal of Prosthetic Dentistry Aug 2022Which surface treatment provides the optimal bond strength (BS) for the repair of resin nanoceramics (RNCs) and polymer-infiltrated ceramics (PICs) is unclear. (Meta-Analysis)
Meta-Analysis Review
STATEMENT OF PROBLEM
Which surface treatment provides the optimal bond strength (BS) for the repair of resin nanoceramics (RNCs) and polymer-infiltrated ceramics (PICs) is unclear.
PURPOSE
The purpose of this systematic review and meta-analysis of in vitro studies was to determine the best surface treatment protocols for the repair of PICs and RNCs.
MATERIAL AND METHODS
The PubMed, Scopus, and Web of Science electronic databases were searched to select in vitro studies in English up to March 2020. Studies with fewer than 5 specimens, those that did not evaluate the BS of PICs or RNCs, and those with aging for fewer than 30 days and 5000 cycles were excluded. Data sets were extracted, and the mean differences were analyzed by using a systematic review software program.
RESULTS
Among 284 potentially eligible studies, 21 were selected for full-text analysis, and 9 were included in the systematic review, of which 6 were used in the meta-analysis. The meta-analyses were performed for each treatment surface versus their respective control group and their combinations according to material: RNCs and PICs. For RNCs, airborne-particle abrasion with aluminum oxide (AlO) treatment was statistically higher than tribochemical silica airborne-particle abrasion (CoJet) (P=.02, I=90%) and that in the hydrofluoric acid (HF) (P<.001, I=0%) groups and was statistically similar to diamond rotary instrument grinding (P=.40, I=54%). For PICs, the treatment with hydrofluoric acid (HF) was statistically significantly higher than with CoJet (P=.03, I=62%) and airborne-particle abrasion with AlO (P<.001, I=98%).
CONCLUSIONS
The best surface treatment protocol for repair varied according to the restorative material. HF followed by silanization is suggested for PICs, and airborne-particle abrasion with AlO or preparation with a diamond rotary instrument for RNCs.
Topics: Aluminum Oxide; Ceramics; Dental Bonding; Diamond; Hydrofluoric Acid; Materials Testing; Polymers; Resin Cements; Silanes; Surface Properties; Zirconium
PubMed: 33573835
DOI: 10.1016/j.prosdent.2020.06.009 -
The International Journal of... 2013This systematic review aimed to report and explore the survival of dental veneers constructed from non-feldspathic porcelain over 5 and 10 years. (Meta-Analysis)
Meta-Analysis Review
PURPOSE
This systematic review aimed to report and explore the survival of dental veneers constructed from non-feldspathic porcelain over 5 and 10 years.
MATERIALS AND METHODS
A total of 4,294 articles were identified through a systematic search involving all databases in the Cochrane Library, MEDLINE (OVID), EMBASE, Web of Knowledge, specific journals (hand-search), conference proceedings, clinical trials registers, and collegiate contacts. Articles, abstracts, and gray literature were sought by two independent researchers. There were no language limitations. One hundred sixteen studies were identified for full-text assessment, with 10 included in the analysis (5 qualitative, 5 quantitative). Study characteristics and survival (Kaplan-Meier estimated cumulative survival and 95% confidence interval [CI]) were extracted or recalculated. A failed veneer was one which required an intervention that disrupted the original marginal integrity, had been partially or completely lost, or had lost retention more than twice. A meta-analysis and sensitivity analysis of Empress veneers was completed, with an assessment of statistical heterogeneity and publication bias. Clinical heterogeneity was explored for results of all veneering materials from included studies.
RESULTS
Within the 10 studies, veneers were fabricated with IPS Empress, IPS Empress 2, Cerinate, and Cerec computer-aided design/computer-assisted manufacture (CAD/CAM) materials VITA Mark I, VITA Mark II, Ivoclar ProCad. The meta-analysis showed the pooled estimate for Empress veneers to be 92.4% (95% CI: 89.8% to 95.0%) for 5-year survival and 66% to 94% (95% CI: 55% to 99%) for 10 years. Data regarding other non-feldspathic porcelain materials were lacking, with only a single study each reporting outcomes for Empress 2, Cerinate, and various Cerec porcelains over 5 years. The sensitivity analysis showed data from one study had an influencing and stabilizing effect on the 5-year pooled estimate.
CONCLUSION
The long-term outcome (> 5 years) of non-feldspathic porcelain veneers is sparsely reported in the literature. This systematic review indicates that the 5-year cumulative estimated survival for etchable non-feldspathic porcelain veneers is over 90%. Outcomes may prove clinically acceptable with time, but evidence remains lacking and the use of these materials for veneers remains experimental.
Topics: Aluminum Silicates; Ceramics; Dental Marginal Adaptation; Dental Porcelain; Dental Prosthesis Retention; Dental Restoration Failure; Dental Veneers; Follow-Up Studies; Humans; Survival Analysis; Treatment Outcome
PubMed: 23476903
DOI: 10.11607/ijp.3202 -
Journal of Prosthodontic Research Apr 2022This systematic review set out to investigate the influence of chemical composition and specimen thickness of monolithic zirconia on its optical and mechanical... (Meta-Analysis)
Meta-Analysis
PURPOSE
This systematic review set out to investigate the influence of chemical composition and specimen thickness of monolithic zirconia on its optical and mechanical properties. Meta-analysis and meta-regression analyzed the effects of variations in percentages of yttrium, aluminum, and specimen thickness of monolithic zirconia.
STUDY SELECTION
The review followed recommendations put forward in the PRISMA checklist. An electronic search for relevant articles published up to October 2019 was conducted in the Pubmed, Cochrane, Scopus, Scielo, and Web of Science databases, with no language limits and articles published in the last 10 years. From 167 relevant articles; applying inclusion criteria based on the review's PICO question, 26 articles were selected for qualitative synthesis (systematic review) and 24 for quantitative synthesis (meta-analysis). Experimental in vitro studies published were selected and their quality was assessed using the modified Consort scale for in vitro studies of dental materials.
RESULTS
The variables yttrium, aluminum and thickness were analyzed in random effects models, observing high heterogeneity (>75%), and finding statistically significant influences on the properties of monolithic zirconia (p<0.05).
CONCLUSION
Within the review's limitations, it may be concluded that variations in the percentage of yttrium and aluminum influence the optical and mechanical properties of monolithic zirconia, making it more or less esthetic and resistant in relation to each variable. The clinical implications of these findings can help select the most appropriate type of zirconia to meet the different clinical needs when restoring different regions (posterior or anterior).
Topics: Aluminum; Ceramics; Dental Materials; Materials Testing; Surface Properties; Yttrium; Zirconium
PubMed: 34176849
DOI: 10.2186/jpr.JPR_D_20_00218 -
Clinical Oral Investigations Jul 2016We systematically assessed randomized controlled trials comparing direct pulp capping materials. (Meta-Analysis)
Meta-Analysis Review
OBJECTIVES
We systematically assessed randomized controlled trials comparing direct pulp capping materials.
METHODS
Trials comparing materials for direct capping and evaluating clinically and/or radiographically determined success after minimum 3 months were included. Two reviewers independently screened electronic databases (Medline, Central, Embase) and performed hand searches. Risk of bias was assessed and meta-analyses were performed, separated for dentition. Trial sequential analysis was used to assess risk of random errors. Strength of evidence was graded using the GRADE approach.
RESULTS
From a total of 453 identified studies, 11 (all with high risk of bias) investigating 1094 teeth (922 patients) were included. Six studies were on primary teeth (all with carious exposures) and five on permanent teeth (carious and artificial exposures). Mean follow-up was 14 months (range 3-24). Most studies used calcium hydroxide as control, comparing it to mineral trioxide aggregate (MTA) (three studies), bonding without prior etching/conditioning (two), or bonding with prior etching/conditioning, enamel matrix proteins, resin-modified glass ionomer cement, calcium sulfate, zinc oxide eugenol, corticosteroids, antibiotics, or formocresol (each in only one study). One study compared MTA and calcium-enriched cement. In permanent teeth, risk of failure was significantly decreased if MTA instead of calcium hydroxide was used (risk ratio (RR) [95 % confidence intervals (CI)] 0.59 [0.39/0.90]); no difference was found for primary teeth. Other comparisons did not find significant differences or were supported by only one study. No firm evidence was reached according to trial sequential analysis.
CONCLUSION
There is insufficient data to recommend or refute the use of a specific material. More long-term practice-based studies with real-life exposures are required.
CLINICAL RELEVANCE
To reduce risk of failure, dentists might consider using MTA instead of calcium hydroxide (CH) for direct capping. Current evidence is insufficient for definitive recommendations.
Topics: Aluminum Compounds; Calcium Compounds; Calcium Hydroxide; Dental Materials; Dental Pulp Capping; Drug Combinations; Humans; Oxides; Silicates
PubMed: 27037567
DOI: 10.1007/s00784-016-1802-7 -
The Journal of Prosthetic Dentistry Nov 2007Developments in ceramic core materials such as lithium disilicate, aluminum oxide, and zirconium oxide have allowed more widespread application of all-ceramic... (Review)
Review
STATEMENT OF PROBLEM
Developments in ceramic core materials such as lithium disilicate, aluminum oxide, and zirconium oxide have allowed more widespread application of all-ceramic restorations over the past 10 years. With a plethora of ceramic materials and systems currently available for use, an overview of the scientific literature on the efficacy of this treatment therapy is indicated.
PURPOSE
This article reviews the current literature covering all-ceramic materials and systems, with respect to survival, material properties, marginal and internal fit, cementation and bonding, and color and esthetics, and provides clinical recommendations for their use.
MATERIAL AND METHODS
A comprehensive review of the literature was completed seeking evidence for the treatment of teeth with all-ceramic restorations. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on evidence-based research articles published between 1996 and 2006. A hand search of relevant dental journals was also completed. Randomized controlled trials, nonrandomized controlled studies, longitudinal experimental clinical studies, longitudinal prospective studies, and longitudinal retrospective studies were reviewed. The last search was conducted on June 12, 2007. Data supporting the clinical application of all-ceramic materials and systems was sought.
RESULTS
The literature demonstrates that multiple all-ceramic materials and systems are currently available for clinical use, and there is not a single universal material or system for all clinical situations. The successful application is dependent upon the clinician to match the materials, manufacturing techniques, and cementation or bonding procedures, with the individual clinical situation.
CONCLUSIONS
Within the scope of this systematic review, there is no evidence to support the universal application of a single ceramic material and system for all clinical situations. Additional longitudinal clinical studies are required to advance the development of ceramic materials and systems.
Topics: Ceramics; Dental Bonding; Dental Marginal Adaptation; Dental Restoration Failure; Dental Restoration, Permanent; Humans; Survival Analysis
PubMed: 18021828
DOI: 10.1016/S0022-3913(07)60124-3 -
The International Journal of Oral &... 2008The aim of this systematic review was to evaluate available evidence for a difference in the stability of peri-implant tissues between titanium abutments versus gold... (Review)
Review
PURPOSE
The aim of this systematic review was to evaluate available evidence for a difference in the stability of peri-implant tissues between titanium abutments versus gold alloy, zirconium oxide, or aluminum oxide abutments.
MATERIALS AND METHODS
Studies were identified by examining several electronic databases and major dental implant, prosthetic, and periodontal journals. To be selected for the preliminary article pool, the article must have been written in the English language and published from 1980 to March 2007. Articles were sorted based on the nature of the study. In vitro studies and literature reviews were excluded. The included articles were clinical, human histology, and animal studies. Case reports, case series, uncontrolled clinical trials, and clinical studies with teeth treated as a control were excluded from the final review.
RESULTS
The initial article pool included 40 articles of which 9 met the inclusion criteria: 3 animal studies, 2 human histological studies, and 4 randomized clinical trials. Soft tissue recession was not accurately measured in the included clinical studies. Assessment of peri-implant tissues around zirconium oxide and titanium abutments was described only in animal and human histologic studies. Due to differences in study types, timing of follow-ups, and outcome variables, meta-analysis could not be performed.
CONCLUSIONS
Included studies revealed that titanium abutments did not maintain a higher bone level in comparison to gold alloy, aluminum oxide, or zirconium oxide abutments. However, there is a lack of information about the clinical performance of zirconium oxide and gold alloy abutments as compared to titanium abutments.
Topics: Alveolar Bone Loss; Animals; Dental Abutments; Dental Alloys; Dental Implantation, Endosseous; Dental Implants; Dental Porcelain; Gingival Recession; Gold Alloys; Humans; Titanium
PubMed: 18700367
DOI: No ID Found -
The Journal of Prosthetic Dentistry Nov 2023The union of the metal removable partial denture framework to the heat polymerized acrylic resin is related to prosthesis longevity. However, methods to enhance this... (Review)
Review
STATEMENT OF PROBLEM
The union of the metal removable partial denture framework to the heat polymerized acrylic resin is related to prosthesis longevity. However, methods to enhance this bond are not clear to clinicians and dental laboratory technicians.
PURPOSE
The purpose of this systematic review was to identify which metal surface treatments best increase the bond strength between heat polymerized acrylic resin and removable partial denture alloys.
MATERIAL AND METHODS
This review was carried out following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in the International Prospective Registry of Systematic Reviews (PROSPERO) database (CRD42022384926). Electronic searches were carried out independently, by 3 examiners in Medline/PubMed, Scopus, and Web of Science databases, and in the nonpeer-reviewed literature via ProQuest.
RESULTS
The electronic searches resulted in 4143 articles, with 4055 after removing duplicates. After reading the titles and abstracts, 37 articles were selected for reading in full-text version, from which 6 articles were included. All studies evaluated materials for conventional acrylic resin denture base (heat polymerized), processed by water bath, bonded to metal. For the metal framework alloys, cobalt chromium (Co-Cr) alloys were used in 2 studies, titanium (Ti) in 2 studies, and Co-Cr and Ti in the other 2 studies. Different metal surface treatments were used as airborne-particle abrasion with aluminum oxide (particle sizes of 50 µm, 110 µm, and 250 µm) followed by the primer application and the isolated use of the primer, compared to the absence of isolated intervention or airborne-particle abrasion of the metal surface. Among the different primers used, those based on 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) showed the highest acrylic resin-to-metal bond strength values.
CONCLUSIONS
Airborne-particle abrading the metal with AlO followed by applying a 10-MDP-based primer, increased the bond strength between metal framework alloys and heat polymerized acrylic resin denture base material.
PubMed: 37978008
DOI: 10.1016/j.prosdent.2023.10.009 -
Journal of the American Dietetic... Jan 1991This report summarizes current knowledge about pica practices during pregnancy through a systematic review of the literature for the period 1950 through 1990. Pica... (Review)
Review
This report summarizes current knowledge about pica practices during pregnancy through a systematic review of the literature for the period 1950 through 1990. Pica behavior was considered in terms of its prevalence, risk factors, clinical profile, and effect on pregnancy outcome. Data on pica practices by pregnant women are limited and inconclusive but reveal several interesting relationships. The prevalence of pica among pregnant women in high-risk groups declined between the 1950s and the 1970s but now remains steady, affecting about one fifth of high-risk women. Women at high risk of pica are more likely to be black, to live in rural areas, and to have a positive childhood and family history of pica. The clinical picture of the disorder during pregnancy is not well described. The evidence suggests that pica during pregnancy results in anemia, but it is not definitive. Pica also has been associated with maternal and perinatal mortality. We conclude that the behavior is more prevalent than commonly believed, shows no sign of further decline, and may have serious effects, particularly anemia, on mother and infant. Dietetic practitioners who counsel pregnant women should ask questions about pica when they conduct nutrition assessments of their clients.
Topics: Black or African American; Aluminum Silicates; Clay; Female; Humans; Pica; Pregnancy; Pregnancy Complications; Rural Population; Starch; United States
PubMed: 1869757
DOI: No ID Found -
Dental Materials : Official Publication... Apr 2008(1) To systematically review the existing literature on in vitro assessments of antagonist wear of ceramic materials; (2) To systematically evaluate possible influencing... (Review)
Review
OBJECTIVE
(1) To systematically review the existing literature on in vitro assessments of antagonist wear of ceramic materials; (2) To systematically evaluate possible influencing factors on material and antagonist wear of ceramic specimens.
METHODS
The database MEDLINE was searched with the terms "enamel," "wear" and "antagonist." The selected studies were analyzed with regard to wear parameters, type of antagonist and outcome. In the laboratory study, three ceramic materials were selected with different compositions and physical properties: IPS d.SIGN low-fusing metal ceramic, IPS Empress leucite ceramic, e.max Press lithium disilicate ceramic. These materials were subjected to the Ivoclar wear method (Willytec chewing simulator, 120,000cycles, 5kg weight) by systematically modifying the following variables which resulted in 36 tests with 8 specimens in each group: (1) configuration (flat, crown specimen), (2) surface treatment (polish, glaze), (3) type of antagonist (ceramic, two types of enamel stylus). Furthermore, the enamel styluses were cut to measure the enamel thickness and cusp width. Wear of both the material and the antagonist was quantified by scanning plaster replicas of the specimens with a laser scanner (etkon es1) and matching baseline and follow-up data with the Match 3D software (Willytec). The data were log-transformed to stabilize the variance and achieve near normality. To test the influence of specific test parameters, a four-way ANOVA with post hoc tests and Bonferroni correction was applied.
RESULTS
The systematic review revealed 20 in vitro studies in which a material and the antagonist wear of the same material was examined. However, the results were inconsistent mainly due to the fact that the test parameters differed widely. Most studies used prepared enamel from extracted molars as the antagonist and flat polished ceramic specimens. The test chamber was filled with water and some sort of sliding movement was integrated in the wear generating process. However, there was a huge variation in relation to the applied force, the used force actuator, the number of cycles, and the frequency of cycles per time as well as the number of specimens. The results of the systematic laboratory tests revealed that the following factors strongly influence the wear: configuration (more material wear of flat versus crown specimens), surface treatment (more antagonist wear of glazed versus polished specimens), the antagonist system (more material wear and less antagonist wear for ceramic stylus versus enamel stylus), and enamel thickness (less wear for thicker enamel). Material wear was not very much different between the materials. However, e.max Press generally caused more antagonist wear than the other two materials, which were quite similar. However, the main influencing factors did not yield consistent results for all the subgroups and there was a huge variability of results within the subgroups especially in those groups that used enamel as antagonist.
SIGNIFICANCE
As far as consistency and correlation with clinical studies is concerned, the set-up that consists of unprepared enamel of molar cusps against glazed crowns seems to be the most appropriate method to evaluate a ceramic material with regard to antagonist wear. However, due to the high variability of results large sample sizes are necessary to differentiate between materials, which calls the whole in vitro approach into question.
Topics: Aluminum Silicates; Analysis of Variance; Apatites; Dental Enamel; Dental Polishing; Dental Porcelain; Dental Restoration Wear; Dental Stress Analysis; Humans; Materials Testing; Metal Ceramic Alloys; Surface Properties; Tooth Attrition; Tooth Crown; Vertical Dimension
PubMed: 17720238
DOI: 10.1016/j.dental.2007.06.016 -
The Japanese Dental Science Review Nov 2021This study aimed to evaluate the effect of nanoparticles on the mechanical properties of acrylic denture repairs. The review was designed following PRISMA (Preferred... (Review)
Review
This study aimed to evaluate the effect of nanoparticles on the mechanical properties of acrylic denture repairs. The review was designed following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. Database search was conducted involving articles published from 2000 to 2020 using the following keywords: PMMA/nanoparticles, denture repair/nanoparticles, and repair strength/nanoparticles. PubMed/MEDLINE, Embase, Google Scholar, Scopus, and EBSCOhost were used to find only those studies used repair resin reinforced with nanoparticles for denture repairs. Due to variations between nanoparticles types, sizes, and testing properties, the quantitative statistical meta-analysis couldn't be conducted. Therefore, a descriptive data analysis was applied. Out of 379 articles, 8 articles were included; three nanoparticles, zirconium oxide (nano-ZrO), silicon oxide (nano-SiO), and aluminum oxide (nano-AlO) nanoparticles were used as reinforcements to repair resin. Seven studies investigated the effects of 0.25-7.5 wt.% nano-ZrO on the mechanical properties of repaired denture bases and reported positive effects with high concentrations. Two studies study investigated 0.25-0.75 wt% nano-SiO and found that low % nano-SiO concentrations improved repair strength while, one study showed that 1 and 1.5 wt.% nano-AlO increased the flexural strength. Although nanoparticles offer positive effects on the properties of denture repair, inadequate studies exist. Therefore, further investigations are required. Prosthodontics.
PubMed: 33936326
DOI: 10.1016/j.jdsr.2020.12.004