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The Journal of Prosthetic Dentistry Sep 2021The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2020 professional literature in restorative dentistry... (Review)
Review
The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2020 professional literature in restorative dentistry to inform busy dentists regarding noteworthy scientific and clinical progress over the past year. Each member of the committee brings discipline-specific expertise to this work to cover this broad topic. Specific subject areas addressed include prosthodontics; periodontics, alveolar bone, and peri-implant tissues; implant dentistry; dental materials and therapeutics; occlusion and temporomandibular disorders (TMDs); sleep-related breathing disorders; oral medicine and oral and maxillofacial surgery; and dental caries and cariology. The authors focused their efforts on reporting information likely to influence day-to-day dental treatment decisions with a keen eye on future trends in the profession. With the tremendous volume of dentistry and related literature being published today, this review cannot possibly be comprehensive. The purpose is to update interested readers and provide important resource material for those interested in pursuing greater detail. It remains our intent to assist colleagues in navigating the extensive volume of important information being published annually. It is our hope that readers find this work useful in successfully managing the dental patients they encounter.
Topics: Dental Care; Dental Caries; Dental Materials; Humans; Periodontics; Prosthodontics; United States
PubMed: 34489050
DOI: 10.1016/j.prosdent.2021.06.014 -
Journal of Dentistry Dec 2022To compare the accuracy and time efficiency of different digital workflows in 3 implant-supported fixed partial denture situations.
OBJECTIVES
To compare the accuracy and time efficiency of different digital workflows in 3 implant-supported fixed partial denture situations.
METHODS
Three partially edentulous maxillary models with 2 implants (Model 1: implants at lateral incisor sites; Model 2: implants at right canine and first molar sites; Model 3: implants at right first premolar and first molar sites) were digitized (ATOS Capsule 200MV120, n=1) for reference scans. Test scans were performed for direct (Primescan (DDW-P) and Trios 3 (DDW-T)) and indirect (IDW) digital workflows (n=14). For IDW, stone casts (type IV) were obtained from vinylsiloxanether impressions and digitized (S600 Arti). The scan/impression and post processing times were recorded. Reference and test scans were superimposed (GOM Inspect) to calculate 3D point, inter-implant distance, and angular deviations. Kruskal-Wallis and Mann-Whitney tests were used for trueness and precision analyses (α=.05).
RESULTS
Tested workflows affected trueness (P≤.030) and precision (P<.001) of scans (3D point, inter-implant distance, and angular deviations) within models. DDW-P had the highest accuracy (3D point deviations) for models 1 and 3 (P≤.046). IDW had the lowest accuracy for model 2 (P<.01). DDW-P had the highest accuracy (inter-implant distance deviations) for model 3 (P≤.048). Direct digital workflow mostly led to lower angular deviations (P≤.040), and higher precision for models 2 (mesiodistal direction) and 3 (P<.001). The time for direct digital workflow was shorter (P<.001), DDW-P being more efficient than DDW-T (P=.008).
CONCLUSION
Direct digital workflow was more accurate and efficient than indirect digital workflow in tested partial edentulism situations with 2 implants.
CLINICAL SIGNIFICANCE
Tested intraoral scanners can be recommended for accurate and efficient impressions of anterior and posterior 3- or 4-unit implant-supported fixed partial dentures.
Topics: Dental Impression Technique; Models, Dental; Computer-Aided Design; Dental Implants; Imaging, Three-Dimensional; Denture, Partial, Fixed
PubMed: 36356837
DOI: 10.1016/j.jdent.2022.104358 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Aug 2018With the minimally invasive treatment attracting considerable attention in the field of dentistry, a series of oral minimally invasive treatment technologies, including... (Review)
Review
With the minimally invasive treatment attracting considerable attention in the field of dentistry, a series of oral minimally invasive treatment technologies, including minimally invasive cosmetic dentistry (MICD) technology, is emerging. Children, as a special group of patients, are in the critical stage of the initial formation of psychological structure. Therefore, children's dental treatment should not be limited to restoring function and relieving pain. The development, aesthetics, and physical and mental health should also be given attention. Therefore, in recent years, MICD technology has been widely used in diagnosis and treatment of pediatric dentistry. This review provides a detailed introduction regarding a series of techniques in pediatric dentistry.
Topics: Child; Dentistry; Esthetics, Dental; Humans; Pediatric Dentistry
PubMed: 30182559
DOI: 10.7518/hxkq.2018.04.001 -
Dental Materials : Official Publication... Mar 2020Literature on edge chipping test applied to dental materials and structures has been systematically reviewed with regard to the evaluation methods and parameters used.
OBJECTIVE
Literature on edge chipping test applied to dental materials and structures has been systematically reviewed with regard to the evaluation methods and parameters used.
DATA
A systematic search of the literature retrieved 3484 relevant studies. After removing duplicates, 1848 records were screened by titles and abstracts and 1797 were excluded; 51 papers were assessed full text for eligibility. Twenty papers were included in this study and they were organized according to the dental materials and structures tested as follows: 2 studies on human tooth, 9 on dental ceramics, 5 on polymer-based composites, and 4 studies evaluated both ceramic and polymer-based materials.
SOURCES
MEDLINE/PubMed, Scopus and Web of Science databases were searched up to June 2019 without restriction on date and language.
STUDY SELECTION
In vitro studies using edge chipping test on dental materials and structures were included.
CONCLUSIONS
Different methods have been used for edge chipping test, regardless of reported parameters. There is significant evidence that edge chipping test is a relevant approach to predict chipping behavior of dental materials and tooth tissues because chips produced from most edge chipping studies are similar to clinically reported chipping failures.
Topics: Ceramics; Dental Materials; Dental Prosthesis Design; Dental Restoration Failure; Dental Stress Analysis; Dentistry; Humans
PubMed: 32001022
DOI: 10.1016/j.dental.2020.01.019 -
Acta Bio-medica : Atenei Parmensis Jun 2018Medical deontology is increasingly important, owing to the interests and rights which the medical profession involves. This paper focuses on the relationships of the... (Review)
Review
BACKGROUND AND AIM
Medical deontology is increasingly important, owing to the interests and rights which the medical profession involves. This paper focuses on the relationships of the Italian Code of Medical Deontology (CMD) with both the ethical and legal dimensions, in order to clarify the role of medical ethics within the medical profession, society and the overall system of the sources of law.
METHODS
The authors analyze the CMD from an ethical perspective and through the new doctrinal guidelines and current trends in the Italian law courts.
RESULTS
From an ethical point of view, moral philosophical analysis scarcely seems to address professional medical ethics. Nonetheless, the CMD needs to undergo careful ethical analysis. From a legal perspective, the Italian CMD contains provisions which do not have an official legal nature. However, they are directly binding for medical practitioners, and therefore could be understood as a supplement to the general rules of the legal system.
CONCLUSIONS
At an ethical level, rigorous debate on the CMD is indispensable, in order to update its specific principles and to make it a real moral normative document. At a legislative level, there is a possible contradiction between a legal system that does not take into account the CMD, but which then attributes significant importance to the violation of its rules.
Topics: Codes of Ethics; Dentistry; Ethical Analysis; Ethics, Dental; History of Dentistry; History, 19th Century; History, 20th Century; History, 21st Century; Humans; Italy; Legislation, Dental
PubMed: 29957745
DOI: 10.23750/abm.v89i2.6674 -
Journal of Special Operations Medicine... 2009Special Operations Forces (SOF) medics trained to deliver comprehensive dental care (extractions and fillings) to a population in a contested area can be one of the more...
Special Operations Forces (SOF) medics trained to deliver comprehensive dental care (extractions and fillings) to a population in a contested area can be one of the more important elements in a successful UW campaign. This article will highlight and review an inexpensive, lightweight, highly portable dental system that allows the SOF medic to deliver these vital dental services in the field.
Topics: Afghan Campaign 2001-; Dentistry, Operative; Humans; Iraq War, 2003-2011; Military Dentistry; Surgery, Oral; United States
PubMed: 20112641
DOI: 10.55460/KPY3-4RJY -
European Archives of Paediatric... Jun 2017This systematic review was undertaken in order to develop guidelines for the European Academy of Paediatric Dentistry for the management of non-vital permanent anterior... (Review)
Review
Interventions for the endodontic management of non-vital traumatised immature permanent anterior teeth in children and adolescents: a systematic review of the evidence and guidelines of the European Academy of Paediatric Dentistry.
AIM
This systematic review was undertaken in order to develop guidelines for the European Academy of Paediatric Dentistry for the management of non-vital permanent anterior teeth with incomplete root development.
METHODS
Three techniques were considered; apexification by single or multiple applications of calcium hydroxide, use of Mineral Trioxide Aggregate (MTA) for the creation of an apical plug followed by obturation of the root canal, and finally a Regenerative Endodontic Technique (RET). Scottish Intercollegiate Guideline Network (SIGN) Guidelines (2008) were used for the synthesis of evidence and grade of recommendation.
RESULTS
Variable levels of evidence were found and generally evidence related to these areas was found to be weak and of low quality. It was not possible to produce evidence-based guidelines based on the strength of evidence that is currently available for the management of non-vital immature permanent incisors.
CONCLUSIONS
Based on the available evidence the European Academy of Paediatric Dentistry proposes Good Clinical Practice Points as a guideline for the management of such teeth. It is proposed that the long term use of calcium hydroxide in the root canals of immature teeth should be avoided and apexification with calcium hydroxide is no longer advocated. The evidence related to the use of a Regenerative Endodontic Technique is currently extremely weak and therefore this technique should only be used in very limited situations where the prognosis with other techniques is deemed to be extremely poor. The current review supports the use of MTA followed by root canal obturation as the treatment of choice.
Topics: Adolescent; Child; Dentition, Permanent; Evidence-Based Dentistry; Humans; Practice Guidelines as Topic; Regenerative Medicine; Root Canal Obturation; Root Canal Therapy; Tooth, Nonvital
PubMed: 28508244
DOI: 10.1007/s40368-017-0289-5 -
Australian Dental Journal Mar 2017The social contract between society and the dental profession is essential to the ability to provide high quality dental care to patients. The social contract defines...
The social contract between society and the dental profession is essential to the ability to provide high quality dental care to patients. The social contract defines the profession and its place in society, giving the profession its legitimacy. Society bestows benefits upon the dental profession in exchange for our ability to alleviate pain and suffering caused by oral disease. This article seeks to explore the nature of this social contract in the provision of oral health care and what may become of the profession should the expectations of either party not be met. Changing beliefs within society and within the profession have led to new concepts of professionalism that focus upon alternative values to what is termed 'nostalgic professionalism'. It is concerning when these new values begin to focus upon financial reward built upon commercial practices, with patients slipping away to be replaced with clients; the dentist-patient relationship lacking in any degree of altruism. This article will argue that breaches in the social contract are not to the benefit of patients or the profession and that whilst specifics of the contract will inevitably change, the nature of this should not.
Topics: Altruism; Dental Care; Dentist-Patient Relations; Ethics, Dental; Humans; Professionalism; Social Responsibility; Tooth Diseases
PubMed: 27159075
DOI: 10.1111/adj.12428 -
British Dental Journal Mar 2023In the next part of this series on tooth wear management, we discuss the indications and clinical stages for the provision of removable prostheses for the treatment of...
In the next part of this series on tooth wear management, we discuss the indications and clinical stages for the provision of removable prostheses for the treatment of severely worn and depleted dentitions. The general design features of a complex prosthesis are described for reorganised occlusal schemes and maintenance guidelines are explained. In addition, the clinical stages for three different situations are described: removable-only approaches, and combined fixed and removable in the same arch and separate arches. The value of providing removable prostheses in worn dentitions allows the immediate rehabilitation of severely worn teeth taking a non-invasive and retrievable approach when the remaining dentition is of poor quality or structure and/or there are missing teeth.
Topics: Humans; Dentition; Prosthodontics; Dental Implants; Tooth Wear; Tooth Attrition; Denture, Partial, Removable
PubMed: 36964363
DOI: 10.1038/s41415-023-5583-5 -
International Journal of Environmental... Jan 2023Apart from conventional treatment, dentists are increasingly relying on physical therapy modalities in their clinical practice. The aim of this literature review is to... (Review)
Review
Apart from conventional treatment, dentists are increasingly relying on physical therapy modalities in their clinical practice. The aim of this literature review is to analyze the clinical relevance and potential uses of ozone in modern dentistry. The research question is geared towards detailing the multiple potential applications of ozone therapy in a range of dental specialties. Based on the available literature, accessed via the PubMed, Google Scholar, Scopus, and EBSCO databases, a detailed search of the electronic literature was performed for 2001-2022. Eligible studies were chosen according to inclusion and exclusion criteria, using keywords: ozone, ozone therapy, therapeutic applications, oxidants, dental disinfectants, oral medicine, physical therapy in dentistry. Out of 834 manuscripts, 273 studies were curated. A total of 70 publications were used in the final consideration. After assessing their quality, they were analyzed to determine the relevance and potential use of ozone in the various aspects of modern dentistry. Ozone therapy is used mainly as an adjunct to the primary clinical or pharmacological treatment. In some cases of oral mucosal disease, it has proven effective as a primary therapy. During the literature analysis, it was noted that ozone therapy in dentistry is a subject of ongoing research, and the results are not always consistent. The multitude of studies in the literature on the applications of ozone in dentistry reflects the search for its undiscovered physical therapeutic potential.
Topics: Ozone; Oral Medicine; Oxidants; Specialties, Dental
PubMed: 36767415
DOI: 10.3390/ijerph20032048