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International Journal of Clinical... Nov 2023Intracanal posts are commonly used to restore lost permanent/primary tooth structure and the smile of the patient. (Review)
Review
BACKGROUND
Intracanal posts are commonly used to restore lost permanent/primary tooth structure and the smile of the patient.
AIM
This systematic review aims to evaluate the clinical success of intracanal posts used in primary maxillary anterior teeth and compare their mechanical properties.
METHODS
An extensive literature search was performed using Medline PubMed, Embase embase.com, LILACS, CINAHL EBSCO, Cochrane Oral Health Group Specialized Register, Scopus, and Web of Science until December 2021 and was updated till December 2022. and studies in the English language that assessed clinical success and mechanical properties were included. Distiller SR software was used for everything from title screening to data extraction.
RESULTS
A total of 30 studies were analyzed, including 11 and 19 studies. Four studies were included in a meta-analysis, and all 30 studies qualified for qualitative analysis. The meta-analysis showed that fiber posts are clinically superior to composite resin posts (CRPs) ( = 0.02). No significant difference was observed between the fracture resistance of CRPs and no posts ( = 0.73). Most of the included studies showed a high risk of bias.
CONCLUSION
Conclusive evidence about the effectiveness of various intracanal posts cannot be established. This is due to the limited number of clinical trials and included studies of low to moderate quality with a high risk of bias. To validate the use of posts in primary maxillary anterior teeth, further research, including randomized controlled trials (RCTs) of higher quality, is required.
CLINICAL SIGNIFICANCE
The use of intracanal posts in primary teeth is a commonly used treatment modality among pediatric dentists. However, the quality of the evidence to support its use is low. This systematic review provides a comprehensive summary of the current literature and highlights the need for further research. Results were interpreted with caution, as the evidence supporting the use of intracanal posts in primary teeth is limited.
HOW TO CITE THIS ARTICLE
Shanmugam Y, Raghu A, Muthu MS, Mechanical Properties and Clinical Success of Intracanal Posts in Primary Maxillary Anterior Teeth: A Systematic Review and Meta-analysis. Int J Clin Pediatr Dent 2023;16(S-3):S293-S305.
PubMed: 38268626
DOI: 10.5005/jp-journals-10005-2697 -
Cureus Dec 2023When restoring proximal surfaces in posterior teeth, dentists frequently encounter the difficulty of reproducing the proximal contact that is naturally present in... (Review)
Review
When restoring proximal surfaces in posterior teeth, dentists frequently encounter the difficulty of reproducing the proximal contact that is naturally present in unrestored teeth. In order to guarantee the durability of restorations made from class II composite resin, it is imperative that both functional and aesthetic requirements are met. This entails the choice of the matrix system that replicates the optimal proximal contact subsequent to the insertion of restorations made of class II composite resin. The objective of this systematic review is to assemble current research conducted on the various matrix systems utilized in class II composite restorations and assess their impact on the pre-existing composite proximal contact. Three examiners conducted an independent electronic search utilizing the subsequent databases: Web of Science, Cochrane Library, Scopus, PubMed, and Embase. Publications on proximal contact in class II composite restorations were compiled from the time of their inception until August 2022, in accordance with predetermined inclusion and exclusion criteria. The methodological quality assessment was conducted utilizing the Effective Public Health Practice Project (EPHPP) instrument. Among the six studies that were included, it was observed that the sectional matrix system generated greater proximal contact tightness than the circumferential matrix system (Tofflemire). However, no significant distinction was found between the metal and polyester matrix systems. In contrast to alternative circumferential matrix systems, the utilization of a sectional matrix system yields a statistically significant improvement in the optimum proximal contact of class II composite restorations, according to the studies.
PubMed: 38259361
DOI: 10.7759/cureus.50835 -
Journal of Esthetic and Restorative... Jun 2024The aim of this review was to compare various types of restorations used in children and young adults affected with amelogenesis imperfecta (AI) to determine the most... (Review)
Review
OBJECTIVE
The aim of this review was to compare various types of restorations used in children and young adults affected with amelogenesis imperfecta (AI) to determine the most effective restorative treatment.
METHODS
This systematic review included randomized controlled trials, retrospective and prospective cohorts conducted on children and young adults diagnosed with amelogenesis imperfecta and written in French or English. A systematic search was conducted using four databases, namely Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE via PubMed, Science Direct and Scopus, using a selection of MeSH terms: "Amelogenesis Imperfecta," "Therapeutics," "Treatment Outcome," "Adult, young," "Child," "Dental Restoration, Permanent," "Dental Restoration, Temporary," and "Esthetics, Dental."
RESULTS
Out of 138 articles identified in the initial search, four articles met all the inclusion criteria. The results showed that ceramic restorations had better quality scores and longevity compared to other restorations.
CONCLUSION
Ceramic restorations could be considered the restorative treatment modality of choice for AI-affected children and young adults. However, more high-quality clinical trials involving young patients affected with AI are required to evaluate and compare the outcomes of different restorative approaches.
CLINICAL SIGNIFICANCE
Young patients affected with amelogenesis imperfecta usually suffer from low self-esteem, psychological problems and social avoidance, caused by the alteration of teeth such as discoloration, sensitivity, fractures and reduced size. For the dentist, selecting the appropriate restorative treatment for AI in young patients could be a veritable challenge. Therefore, it is important to have an evidence-based modality. For this reason, in this review, the different restorative approaches used in AI-affected young patients were compared to recommend the most effective treatment.
Topics: Humans; Amelogenesis Imperfecta; Child; Dental Restoration, Permanent; Young Adult; Adolescent
PubMed: 38258433
DOI: 10.1111/jerd.13191 -
Evidence-based Dentistry Jun 2024This systematic review was conducted to explore the factors influencing access to oral health services and to identify and examine the strategies to improve the access.
OBJECTIVE
This systematic review was conducted to explore the factors influencing access to oral health services and to identify and examine the strategies to improve the access.
MATERIALS AND METHODS
PubMed, Scopus and Embase databases were searched. Studies except editorials reported in English regardless of the study design were included. Risk of Bias assessment was carried out using Agency for Healthcare Research and Quality, Newcastle Ottawa Scale and The Joanna Briggs Institute tool for cross-sectional, case-control and cohort and qualitative studies, respectively.
RESULTS
In total, 11,372 records were initially identified, eventually leading to 12 relevant publications to be included in the review. Individuals valued oral health but found it difficult to access oral health services. Dental care was mainly accessed during emergencies and participants felt apprehensive in visiting dentists. Caregiver's and dentist's perspective was also reported.
CONCLUSION
There is a need for provision of education, training and increasing awareness on dental hygiene and annual dental checkups to improve access.
Topics: Humans; Health Services Accessibility; Disabled Persons; Dental Care; Dental Care for Disabled; Oral Health
PubMed: 38225370
DOI: 10.1038/s41432-024-00970-3 -
Journal of Dentistry Mar 2024The aim of this study was to evaluate the amount of enamel tooth wear induced by different antagonistic ceramic crown materials in the posterior area within a follow-up... (Meta-Analysis)
Meta-Analysis
OBJECTIVES
The aim of this study was to evaluate the amount of enamel tooth wear induced by different antagonistic ceramic crown materials in the posterior area within a follow-up period up to 24 months in function. A network meta-analysis was performed to assess the effect of the materials on the mean vertical loss (MVL) of the antagonist enamel tooth surface.
DATA
Main search terms used in combination: ceramic, dental materials, metal ceramic, tooth wear and dental enamel.
SOURCES
An electronic search was conducted in PubMed/Medline, Embase, and Cochrane CENTRAL plus hand-searching.
STUDY SELECTION
Eligibility criteria included clinical studies reporting on MVL on antagonist's tooth up to 24 months following the permanent crown placement. From a total of 5697 articles, 7 studies reporting on 261 crowns for 177 subjects with 3 ceramic materials (Lithium disilicate, metal-ceramic, monolithic zirconia) were included. Among all, metal-ceramic and zirconia caused significantly higher enamel tooth wear on antagonist teeth, representing 82.5 µm [54.4; 110.6]) and 40.1 µm [22.2; 58.0]) more MVL than natural teeth group. In contrast, lithium disilicate showed only 5.0 µm [-48.2; 58.1]) more MVL than occurs on opposing natural teeth.
CONCLUSIONS
This systematic review demonstrated that prosthodontic ceramic materials produced significantly more antagonist enamel tooth wear than opposing natural enamel tooth wear, and ceramic material type was correlated to the degree of enamel tooth wear. Additional well-conducted, randomized controlled trials with homogeneous specimens are required due to inadequate sample size and number of the clinical studies included in the analyses.
CLINICAL SIGNIFICANCE
The amount of wear caused by different restorative materials has a high influence on the antagonistic natural teeth and should therefore be evaluated intensively by the dentist.
Topics: Humans; Ceramics; Crowns; Dental Enamel; Dental Porcelain; Dental Restoration Wear; Materials Testing; Network Meta-Analysis; Surface Properties; Tooth Wear; Zirconium; Controlled Clinical Trials as Topic
PubMed: 38211687
DOI: 10.1016/j.jdent.2024.104832 -
Journal of Oral Pathology & Medicine :... Jan 2024The aim of the present systematic review was to summarize evidence on odontogenic carcinosarcoma, analyzing clinical, epidemiological, imaging, histopathological,... (Review)
Review
BACKGROUND
The aim of the present systematic review was to summarize evidence on odontogenic carcinosarcoma, analyzing clinical, epidemiological, imaging, histopathological, immunohistochemical, therapeutic, and prognostic features of this tumor.
MATERIALS AND METHODS
This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Searches were performed in the Ovid MEDLINE (Wolters Kluwer), PubMed (National Library of Medicine), Web of Science (Thomson Reuters), Scopus (Elsevier), and LILACS (Latin American and Caribbean Center on Health Sciences Information) databases, without publication date or language restrictions. Case reports or case series of OCS reporting clinical, radiological, and histopathological data that confirmed the diagnosis were selected. The Joanna Briggs Institute-University of Adelaide tool was used for critical appraisal of the included articles.
RESULTS
Odontogenic carcinosarcoma is a rare, aggressive tumor associated with high mortality; however, the metastasis rate is low. The tumor has a male predilection. The mean patient age is 40 years, but there is no predilection for age. The left posterior mandible is the most affected site, but no specific radiographic features have been reported.
CONCLUSION
Given its rarity, dentists, oral-maxillofacial surgeons, and physicians need to be aware of odontogenic carcinosarcoma in order to increase the diagnostic potential, preventing delays in diagnosis and treatment and thus contributing to lower morbidity of the tumor.
Topics: United States; Humans; Male; Adult; Odontogenic Tumors; Mouth Neoplasms; Carcinosarcoma
PubMed: 38164057
DOI: 10.1111/jop.13502 -
Special Care in Dentistry : Official... 2024Children with autism spectrum disorder (ASD) face unique challenges related to oral health, which can negatively impact their day-to-day lives, significantly...
BACKGROUND
Children with autism spectrum disorder (ASD) face unique challenges related to oral health, which can negatively impact their day-to-day lives, significantly compromising their overall quality of life. Primary caregivers of children with ASD have a critical role in delivering and seeking oral health care. Hence, it is vital to study their perspective towards their children's oral health and its impact on their quality of life.
AIM
To explore the parental perception of oral health-related quality of life in children with autism.
METHODS
A systematic electronic and manual search was conducted in Medline (via PubMed), Embase, Google Scholar, Scopus, and LILACS of articles published from January 2003 to May 2023 using appropriate MeSH terms, keywords, and other terms. A four-phase study selection process was followed according to PRISMA guidelines, and data extraction and synthesis were performed using an extraction form. The selected studies were critically appraised using the QATSDD and Crombie's assessment tool. The inter-reviewer agreement was assessed using the kappa with a linear weighting coefficient.
RESULTS
Out of the 885 results, 15 studies were included in the review after the two selection phases, and the study characteristics were summarized in tabular form. Study quality varied considerably, and out of a total possible QATSDD score of 42, scores for the individual studies ranged from 14 to 40. The risk of bias for the seven criteria was found to be low.
CONCLUSION
The parental perception of the OHRQoL in children with ASD is poor, and the most significant perceived impact is on the child's functional and social well-being aspects. Parental-Caregiver Perception Questionnaire was the most commonly used. The most frequent symptoms include bad breath, food lodgment, mouth breathing and night grinding. The familial impact and influence on the OHRQoL of siblings were also studied.
Topics: Humans; Quality of Life; Autism Spectrum Disorder; Child; Oral Health; Parents; Adolescent
PubMed: 38156791
DOI: 10.1111/scd.12951 -
Journal of Dentistry (Shiraz, Iran) Dec 2023Management of gag reflex is a challenging process during many dental treatments. Various studies have been carried out to evaluate different pharmacological and... (Review)
Review
STATEMENT OF THE PROBLEM
Management of gag reflex is a challenging process during many dental treatments. Various studies have been carried out to evaluate different pharmacological and non-pharmacological techniques to control gagging.
PURPOSE
The aim of this study is to review the available evidence on methods proposed for managing the gag reflex.
MATERIALS AND METHOD
This systematic review adheres to the preferred reporting items for systematic review and meta-analysis (PRISMA) guidelines. A comprehensive search was conducted in English and Persian based on articles published from 2015 to 2022 (February) in PubMed, Scopus, Science Direct, Web of Science, Google Scholar, ISC and SID. All studies were first screened based on their title and abstract. The quality assessment of articles was carried out by two independent authors. Then, risk of bias evaluation was conducted according to Cochrane parameters.
RESULTS
In total, 1704 studies were identified via search. After reviewing title and abstract, 16 studies found eligible based on inclusion and exclusion criteria. Following quality and risk of bias assessment, 9 studies included in the systematic review.
CONCLUSION
Based on the finding of this review, distraction techniques, nitrous oxide, and low-level laser therapy were found effective in management of gag reflex. The dentist should consider gag reflex management based on the type of dental treatment, gag severity, patient's age, and available capabilities.
PubMed: 38149230
DOI: 10.30476/dentjods.2022.96360.1934 -
Pediatric Dentistry Nov 2023to update the 2016 systematic review evidence for vital pulp therapy (VPT) for primary teeth affected by caries or trauma. The population, intervention, comparison,... (Meta-Analysis)
Meta-Analysis
to update the 2016 systematic review evidence for vital pulp therapy (VPT) for primary teeth affected by caries or trauma. The population, intervention, comparison, outcomes, and study (PICOS) design inclusion/exclusion was used for multiple databases. Risk of bias, meta-analyses using RevMan, and certainty of evidence was created. A total of 299 studies were included; no trauma was found. Indirect pulp treatment (IPT) resulted in 97 percent success. Two calcium silicate cement (CSC) pulpotomies' success using mineral trioxide aggregate (MTA) and Biodentine were 94 percent and 90 percent, respectively, greater than for direct pulp capping (DPC; 86 percent) and other pulpotomies (moderate certainty). The success of IPT versus pulpotomy at 24 months showed no significant difference (P=0.31). Different liners or capping agents did not affect the success of IPT (P=0.79) or DPC at 24 months (P=0.24). The two CSC pulpotomies were not significantly different based on 24-month success (P=0.34). The formocresol pulpotomy success at 24 months was significantly lower than for MTA (P=0.02). Ferric sulfate had a significant lower success at 24 months than MTA pulpotomy (69 percent versus 92 percent; P=0.03). Zinc oxide eugenol, as a singular pulpotomy, had low success (65 percent). Selective/stepwise caries removal did significantly better at avoiding pulp exposures than complete excavation (P<0.001). Complete, selective, and no caries removal (Hall technique [HT], steel crown placement with no caries removal) had no significant difference in pulp vitality success for deep caries at 24 months (P=0.29). For deep caries affecting vital incisors, pulpotomy had significantly greater success than pulpectomy (P=0.002). The following had no significant effect on MTA pulpotomy success: coronal pulp removal methods; irrigation solution; method to control hemorrhage; base over MTA; treatment in one or two visits; and anterior or posterior teeth. Vital pulp therapy success of indirect pulp treatment or two calcium silicate cement pulpotomies demonstrated improved success over direct pulp capping and other pulpotomies based on 24-month evidence with moderate certainty. The Hall technique did not significantly reduce pulp vitality success versus caries removal.
Topics: Humans; Calcium Compounds; Silicates; Dental Care; Dental Cements; Zinc Oxide-Eugenol Cement; Dental Pulp Capping; Pulpotomy; Glass Ionomer Cements; Tooth, Deciduous; Oxides; Drug Combinations; Treatment Outcome; Aluminum Compounds
PubMed: 38129755
DOI: No ID Found -
Special Care in Dentistry : Official... 2024Children with autism exhibit a higher risk of poor oral health due to difficulty in the performance of simple tasks such as toothbrushing. (Meta-Analysis)
Meta-Analysis
Effectiveness of picture-based interventions of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders: A systematic review and meta-analysis.
BACKGROUND
Children with autism exhibit a higher risk of poor oral health due to difficulty in the performance of simple tasks such as toothbrushing.
AIM
This current systematic review aims to evaluate the effectiveness of Picture based intervention of toothbrush training on improvement of oral hygiene in children with autism spectrum disorders (ASD) MATERIALS AND METHODS: Prospero registered (CRD42023450156). PubMed, Cochrane, Scopus databases are searched from years January 1, 1980 to August 1, 2023 using broad search terms (brush) AND (autism).
RESULTS
The search queries have identified 853 titles, from three databases (PubMed, Scopus, Cochrane), after application of filters for exclusion of systematic reviews and meta-analysis, duplicate exclusion and removal of irrelevant titles led to the final inclusion of 24 articles for full text screening. From the 24 included studies, 10 studies (four RCTs and six non-randomized clinical studies) sustained the final rigorous PICO search. Quantitative pooling of data were performed for limited articles.
CONCLUSION
Low quality evidence suggest that picture-based intervention of toothbrush training has significant improvement (p ≤ .05) in improving toothbrushing habit as well as performance as indicated by the Plaque Index score (PI), Gingival index (GI) and Oral hygiene index score (OHI-S).
Topics: Humans; Toothbrushing; Autism Spectrum Disorder; Child; Oral Hygiene
PubMed: 38129634
DOI: 10.1111/scd.12950