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Watanabe K, Tichy A, Kamoi K, Hiasa M, Yonekura K, Tanaka E, Nakajima M, Hosaka K. Restoration of a Microdont Using the Resin Composite Injection Technique With a Fully Digital Workflow: A Flexible 3D-printed Index With a Stabilization Holder. Oper Dent 2023; 48:483-489. [PMID: 37503684 DOI: 10.2341/23-007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2023] [Indexed: 07/29/2023]
Abstract
Direct composite restorations are accepted as a treatment option for microdontia, which is a relatively prevalent condition that poses esthetic concerns. While free-hand composite placement is technique-sensitive and time-consuming, the resin composite injection technique is more straightforward and predictable. A fully digital workflow has been recently introduced, but the 3D-printed resin index is rigid and challenged by undercuts, as opposed to the silicone index. This case report presents a flexible 3D-printed resin index, which can accurately transfer the digitally simulated functional and esthetic form to the final restoration. In addition, a rigid stabilization holder was designed to stabilize the flexible index.
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Affiliation(s)
- K Watanabe
- Keiichiro Watanabe, DDS, PhD, Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - A Tichy
- Antonin Tichy, DDS, PhD, Institute of Dental Medicine, First Faculty of Medicine of the Charles University and General University Hospital in Prague, Prague, Czech Republic
| | - K Kamoi
- Kohei Kamoi, RDT, Department of Dental Laboratory, Tokushima University Hospital, Tokushima, Japan
| | - M Hiasa
- Masahiro Hiasa, DDS, PhD, Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - K Yonekura
- Kazuhide Yonekura, DDS, PhD, Department of Regenerative Dental Medicine, Tokushima University Graduate School of Biomedical Sciences, and Institute of Post-LED Photonics, Tokushima University, Tokushima, Japan
| | - E Tanaka
- Eiji Tanaka, DDS, PhD, Department of Orthodontics and Dentofacial Orthopedics, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - M Nakajima
- Masatoshi Nakajima, DDS, PhD, Department of Regenerative Dental Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - K Hosaka
- *Keiichi Hosaka, DDS, PhD, Department of Regenerataive Dental Medicine Tokushima University Graduate School of Biomedical Sciences, and Institute of Post-LED Photonics, Tokushima University, Tokushima, Japan
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de Freitas BN, da Silva PO, Pintado-Palomino K, de Almeida CVVB, Souza-Gabriel AE, Corona SAM, Geraldeli S, Grosgogeat B, Roulet JF, Tirapelli C. Patients´ satisfaction concerning direct anterior dental restoration. Braz Dent J 2023; 34:82-93. [PMID: 37466529 PMCID: PMC10355263 DOI: 10.1590/0103-6440202305260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2022] [Accepted: 03/20/2023] [Indexed: 07/20/2023] Open
Abstract
The objective of this study was to observe patients' satisfaction with their in-service direct anterior dental restorations and to compare it with clinical evaluation using FDI (Federation Dental International) criteria. Patients scored their own anterior dental restorations regarding satisfaction (satisfactory /dissatisfactory). If dissatisfaction was mentioned, then, they would be interviewed about the complaint. In the same session, the dental restorations were clinically evaluated by two dentists using FDI criteria (1-5 score) concerning esthetic, functional, and biological domains. Descriptive statistics were used for frequencies of scores attributed by patients and clinicians. In order to compare patients' to clinicians' frequencies, the Chi-square test was applied (p ≤ 0.05). A total of 106 restorations were evaluated by patients and clinicians. Patients reported 52.8% of restorations satisfactory and 47.8% dissatisfactory. Overall, clinicians reported the same restorations as 82,3% satisfactory and 17,6% dissatisfactory. Patients' most frequent complaints referred to color, followed by anatomical form, fracture of material and retention, and approximal anatomical form. Comparing patients' satisfaction and dissatisfaction rates to clinicians' evaluation per criteria, there was no difference regarding esthetics. The frequency of dissatisfactory restorations by clinicians was significantly lower when functional and biological properties were compared with patients' opinions. Direct anterior dental restorations were more frequently reported as satisfactory by patients and clinicians, being the main complaints related to esthetic issues. When clinicians and patients' evaluations were compared, it was observed that the frequencies of satisfactory restoration by patients and clinicians were similar regarding esthetic properties, and significantly different regarding functional and biological properties.
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Affiliation(s)
- Bruna Neves de Freitas
- Department of Dental Materials and Prosthodontics, School of
Dentistry of Ribeirão Preto, University of São Paulo. Ribeirão Preto, SP,
Brazil
| | | | | | | | - Aline Evangelista Souza-Gabriel
- Department of Restorative Dentistry, School of Dentistry of
Ribeirao Preto, University of São Paulo. Ribeirão Preto, SP, Brazil
| | - Silmara Aparecida Milori Corona
- Department of Restorative Dentistry, School of Dentistry of
Ribeirao Preto, University of São Paulo. Ribeirão Preto, SP, Brazil
| | - Saulo Geraldeli
- East Carolina University, School of Dental Medicine, Department of
General Dentistry Greenville. Greenville, NC, United States of America
| | - Brigitte Grosgogeat
- Faculté d’Odontologie, Laboratoire des Multimateriaux et
Interfaces, UMR CNRS 5615, France
| | | | - Camila Tirapelli
- Department of Dental Materials and Prosthodontics, School of
Dentistry of Ribeirão Preto, University of São Paulo. Ribeirão Preto, SP,
Brazil
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Goodacre CJ, Eugene Roberts W, Munoz CA. Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration. J Prosthodont 2023; 32:e1-e18. [PMID: 35920595 DOI: 10.1111/jopr.13585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 07/25/2022] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To synthesize the literature regarding noncarious cervical lesions (NCCLs) and propose clinical guidelines when lesion restoration is indicated. MATERIAL AND METHODS A PubMed search was performed related to NCCL morphology, progression, prevalence, etiology, pathophysiology, and restoration. RESULTS NCCLs form as either rounded (saucerlike) depressions with smooth, featureless surfaces that progress mainly in height or as V-shaped indentations that increase in both height and depth. Prevalence ranges from less than 10% to over 90% and increases with age. Common locations are the facial surfaces of maxillary premolars. They have a multifactorial etiology due to personal habits such as excessive horizontal toothbrushing and consumption of acidic foods and drinks. Occlusal factors have been identified as contributing to the prevalence of NCCLs in some studies, whereas other studies indicate there is no relationship. The concept of abfraction has been proposed whereby mechanical stress from occlusal loading plays a role in the development and progression of NCCLs with publications supporting the concept and others indicating it lacks the required clinical documentation. Regardless of the development mechanism, demineralization occurs and they are one of the most common demineralization diseases in the body. Treatment should be managed conservatively through preventive intervention with restorative treatment delayed until it becomes necessary due to factors such as lesion progression, impact on patient's quality of life, sensitivity, poor esthetics, and food collection may necessitate restoration. Composite resins are commonly used to restore NCCLs although other materials such as glass ionomer and resin-modified glass ionomer are also used. Sclerotic dentin does not etch like normal dentin and therefore it has been recommended to texture the dentin surface with a fine rotary diamond instrument to improve restoration retention. Some clinicians use mechanical retention to increase retention. Beveling of enamel is used to increase the bonding area and retention as well as enhance the esthetic result by gradually creating a color change between the restoration and tooth. Both multistep and single-step adhesives have been used. Dentin etching should be increased to 30 seconds due to the sclerotic dentin with the adhesive agent applied using a light scrubbing motion for 20 seconds but without excessive force that induces substantial bending of a disposable applicator. Both flowable and sculptable composite resins have been successfully used with some clinicians applying and polymerizing a layer of flowable composite resin and then adding an external layer of sculptable composite resin to provide enhanced resistance to wear. When caries is present, silver diamine fluoride has been used to arrest the caries rather than restore the lesion. CONCLUSIONS Noncarious cervical lesions (NCCLs) form as smooth saucerlike depressions or as V-shaped notches. Prevalence values as high as 90% and as low as 10% have been reported due to habits such as excessive toothbrushing and an acidic diet. Occlusal factors have been proposed as contributing to their presence but it remains controversial. Publications have both supported and challenged the concept of abfraction. They are one of the most common demineralization diseases in the body. Conservative treatment through prevention is recommended with restorative treatment delayed as long as possible. When treatment is needed, composite resins are commonly used with proposed restorative guidelines including texturing the sclerotic dentin, beveling the enamel, potential use of mechanical retention, 30 seconds of acid etching, and use of either multistep or single-step adhesives in conjunction with a light scrubbing motion for 20 seconds without excessive force placed on disposable applicators.
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Affiliation(s)
- Charles J Goodacre
- Advanced Education Program in Implant Dentistry, Loma Linda University School of Dentistry, Loma Linda, California
| | - W Eugene Roberts
- Adjunct Professor Mechanical Engineering, Indiana University & Purdue University, Indianapolis, Indiana
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DEGIRMENCI A, PEHLIVAN IE, DEGIRMENCI BUNALAN. Effects of polishing procedures on optical parameters and surface roughness of composite resins with different viscosities. Dent Mater J 2023; 42:199-210. [PMID: 36476685 DOI: 10.4012/dmj.2022-178] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The aims of this study were to evaluate the optical properties of flowable and injectable composites after polishing, such as translucency (translucency parameter [TP], TP00), opalescence (OP-BW), chroma (C*ab), refractive index (RI), and change in surface roughness (Ra, Rz). Ninety disc-shaped samples were prepared from micro-hybrid, flowable, and injectable composites and divided into 3 groups according to the polishing systems (n=10). The RI was measured with an Abbe refractometer, and optical measurements were performed with a spectrophotometer. The surface roughness was measured with a two-dimensional profilometer. Data were analyzed with the generalized linear model method and two-way analysis of variance. The results showed that the polishing procedure did not significantly impact the RI (p=0.987). Injectable composite had the highest translucency (TP=28.67; TP00=13.49) and opalescence (OP-BW=13.11); showed the lowest C*ab value (17.95). Also, the effects of the composite type and polishing procedure on surface roughness were statistically significant (p=0.047 and p<0.001).
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Affiliation(s)
- Alperen DEGIRMENCI
- Department of Restorative Dentistry, Faculty of Dentistry, University of Van Yuzuncu Yil
| | - Ikbal Esra PEHLIVAN
- Department of Restorative Dentistry, Faculty of Dentistry, University of Van Yuzuncu Yil
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Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2022; 128:248-330. [PMID: 36096911 DOI: 10.1016/j.prosdent.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 07/15/2022] [Accepted: 07/15/2022] [Indexed: 11/23/2022]
Abstract
The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2021 dental 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 coverage of this broad topical area. Specific subject areas addressed, in order of the appearance in this report, include COVID-19 and the dental profession (new); prosthodontics; periodontics, alveolar bone, and peri-implant tissues; implant dentistry; dental materials and therapeutics; occlusion and temporomandibular disorders; 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 daily dental treatment decisions with an emphasis on future trends in dentistry. With the tremendous volume of dentistry and related literature being published daily, this review cannot possibly be comprehensive. Rather, its purpose is to update interested readers and provide important resource material for those interested in pursuing greater details on their own. It remains our intent to assist colleagues in negotiating the extensive volume of important information being published annually. It is our hope that readers find this work useful in successfully managing the patients and dental problems they encounter.
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Kaida K, Kubo S, Egoshi T, Taira Y. Eight-year clinical evaluation of two types of resin composite in non-carious cervical lesions. Clin Oral Investig 2022; 26:6327-6337. [PMID: 35751704 DOI: 10.1007/s00784-022-04587-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Accepted: 06/10/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVES In this clinical study, the 8-year clinical performances of a flowable resin composite was compared with that of a conventional resin composite. MATERIALS AND METHODS Ninety non-carious cervical lesions (NCCLs) in 19 participants were involved in this trial. NCCLs were restored with a flowable composite (Clearfil Flow FX: FX, Kuraray Noritake, Japan) or a conventional resin composite (Clearfil AP-X: AP) in conjunction with a one-step self-etch adhesive (Clearfil S3 Bond). Each participant had both types of resin composite restorations that were randomly allocated. The restorations were evaluated at baseline and annually up to 8 years using modified USPHS criteria. The data were statistically analyzed using the Fisher's exact test, Kaplan-Meier method, and a multivariate Cox-regression with frailty models (p < 0.05). RESULTS The 8-year participant recall rate was 95%. One hundred percent retention was recorded for AP, whereas four out of 46 restorations were lost for FX during the 8 years. The incidence of marginal staining increased over time regardless of the type of resin composite, showing 48% for AP and 57% for FX after 8 years. Wear of the resin composite occurred only for the flowable material and there was a significant difference between the types of resin composite (p = 0.024). Overall survival rates at 8 years for AP and FX were 98% and 82% respectively (p = 0.110). CONCLUSIONS The flowable resin composite presented lower wear resistance and showed a lower survival rate compared with the conventional composite after eight years of clinical service. CLINICAL RELEVANCE Flowable resin composites may show greater wear after long-term clinical service. TRIAL REGISTRATION NUMBER UMIN000028745, Date of registration: August 19, 2017.
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Affiliation(s)
- Kei Kaida
- Division of Cariology and Restorative Dentistry, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan
| | - Shisei Kubo
- Division of Cariology and Restorative Dentistry, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan.
| | - Takafumi Egoshi
- Division of Cariology and Restorative Dentistry, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan
| | - Yohsuke Taira
- Division of Cariology and Restorative Dentistry, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8588, Japan
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