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Huang B, Chen M, Wang J, Zhang X. Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects. J Dent 2024; 147:105111. [PMID: 38866229 DOI: 10.1016/j.jdent.2024.105111] [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: 03/14/2024] [Revised: 06/04/2024] [Accepted: 06/06/2024] [Indexed: 06/14/2024] Open
Abstract
OBJECTIVES Zirconia (ZrO2) ceramics are widely used in dental restorations due to their superior mechanical properties, durability, and ever-improving translucency. This review aims to explore the properties, classification, applications, and recent advancements of zirconia-based dental materials, highlighting their potential to revolutionize dental restoration techniques. STUDY SELECTION, DATA AND SOURCES The most recent literature available in scientific databases (PubMed and Web of Science) reporting advances of zirconia-based materials within the dental field is thoroughly examined and summarized, covering the major keywords "dental zirconia, classification, aesthetic, LTD, applications, manufacturing, surface treatments". CONCLUSIONS An exhaustive overview of the properties, classifications, and applications of dental zirconia was presented, alongside an exploration of future prospects and potential advances. This review highlighted the importance of addressing challenges such as low-temperature degradation resistance and optimizing the balance between mechanical strength and translucency. Also, innovative approaches to improve the performances of zirconia as dental material was discussed. CLINICAL SIGNIFICANCE This review provides a better understanding of zirconia-based dental biomaterials for dentists, helping them to make better choice when choosing a specific material to fabricate the restorations or to place the implant. Moreover, new generations of zirconia are still expected to make progress on key issues such as the long-term applications in dental materials while maintaining both damage resistance and aesthetic appeal, defining the directions for future research.
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Affiliation(s)
- Bo Huang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
| | - Mengbing Chen
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China
| | - Jian Wang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
| | - Xin Zhang
- State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, China.
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Silotry TMH, Talekar AL, Mourelle P, Fonseca M, Schimmel M. Assessment of masticatory performance in pediatric patients receiving preformed crowns by Hall technique: a controlled clinical trial. Eur Arch Paediatr Dent 2024:10.1007/s40368-024-00922-6. [PMID: 39008276 DOI: 10.1007/s40368-024-00922-6] [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: 10/28/2023] [Accepted: 06/20/2024] [Indexed: 07/16/2024]
Abstract
PURPOSE The purpose of the study was to assess and compare the masticatory performance in children receiving preformed metal crown by Hall technique and conventional technique. METHODS Children having teeth indicated for restorative/endodontic therapy and belonging to the age group of six to ten years were invited to participate in the study. Eighteen children received preformed metal crowns (PMCs) by Hall technique. Meanwhile, nineteen children received preformed metal crowns by the conventional technique. Their masticatory performance (MP) was assessed at T0 (pre-intervention), T1 (day 1 post-intervention), T2 (1 week), T3 (2 weeks), T4 (1 month) and T5 (3 months) using Hue-check Gum® (University of Bern, Switzerland). The chewing gum samples were scanned within 24 h of their collection and processed in the ViewGum Software©. The software calculated the hue value (VOH) which indicated the masticatory performance of the individual. A questionnaire was given to the parents at T4 and T5 to assess any discomfort or pain associated with PMCs placed in both groups. RESULTS The evaluation of masticatory performance using the two-color chewing method revealed reduction in MP on day 1 post-intervention (p < 0.001) for both groups. However, the MP values recorded at T5 were comparable to the baseline values at T0 (p = 0.009). No significant discomfort or pain was reported in both groups. CONCLUSION The findings of the current clinical study indicate that placement of PMCs by both conventional and Hall technique in children deteriorates their MP which equilibrates within 1 month. CLINICAL TRIAL REGISTRY OF INDIA NUMBER CTRI/2021/02/031532 [Registered on: 25/02/2021]-Trial Registered Prospectively.
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Affiliation(s)
- T M H Silotry
- Department of Pediatric Dentistry, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.
- Conservative Dentistry and Orofacial Prosthodontics, School of Dentistry, Complutense University, Madrid, Spain.
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
- Department of Pediatric Dentistry, Dr G.D. Pol Foundation's Y.M.T. Dental College and Hospital, Navi Mumbai, India.
| | - A L Talekar
- Department of Pediatric Dentistry, M.A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - P Mourelle
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
- Conservative Dentistry and Orofacial Prosthodontics, School of Dentistry, Complutense University, Madrid, Spain
| | - M Fonseca
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - M Schimmel
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland
- Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland
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Foster M, Patel J, Turlach B, Anthonappa R. Survival of pre-formed zirconia crowns in primary teeth: a prospective practice-based cohort study. Aust Dent J 2024; 69:139-145. [PMID: 38299688 DOI: 10.1111/adj.13006] [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] [Accepted: 01/17/2024] [Indexed: 02/02/2024]
Abstract
BACKGROUND This study aimed to investigate the (1) survival probabilities of prefabricated zirconia crowns (PZCs) placed on primary teeth and (2) identify demographic and tooth-related factors that might affect survival probability. METHODS This study prospectively followed children treated under general anaesthesia by a single practitioner between 2012 and 2020. Demographic variables including the age at treatment, gender and tooth-related variables including FDI tooth number, crown size used and any procedural complications at postoperative reviews were collected. RESULTS A total of 155 children involving 319 teeth with PZCs were followed up between 12 and 78 months postoperatively with a mean of 38 months. Of the 319 crowns followed, five failures were observed in three patients requiring extraction. Other procedural complications noted included fracture (n = 3), overhangs (n = 3), internal resorption (n = 5) and 24% of crowns showed signs of radiographic changes on postoperative radiographs when these were taken. Age at treatment, tooth type and need for pulp therapy were not statistically associated with clinical success (P > 0.1). CONCLUSIONS PZCs provide an aesthetic and durable solution in the management of children with early childhood caries. This study shows very good clinical success and survival extending up to 78 months for PZCs placed on primary teeth under general anaesthesia.
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Affiliation(s)
- M Foster
- Castlegate Family Dental Care, Woodvale, Western Australia, Australia
| | - J Patel
- UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
| | - B Turlach
- School of Physics, Maths and Computing, Mathematics and Statistics, The University of Western Australia, Perth, Western Australia, Australia
| | - R Anthonappa
- UWA Dental School, The University of Western Australia, Nedlands, Western Australia, Australia
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Strassburg A, Weber AT, Kluba T. Implementation of Outpatient Parenteral Antimicrobial Therapy (OPAT) in Patients with Complicated Periprosthetic Joint Infections. ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE 2024. [PMID: 38802072 DOI: 10.1055/a-2288-7187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2024]
Abstract
Periprosthetic joint infections (PJI) are a serious complication of arthroplasty with high morbidity. With growing bacterial resistance and limited disposability of oral antibiotics with sufficient bioavailability, the need for intravenous antibiotic application is raising. This causes long-term hospital stays and rising costs. In the course of transferring procedures into an outpatient setting as well as coping with pressures on hospital capacity, outpatient parenteral antimicrobial therapy (OPAT) can build a bridge for the treatment of such infections.In a single centre analysis, 47 cases treated with OPAT were studied in relation to pathogen, antimicrobial resistance, indication for OPAT and follow up. Furthermore, the patients received an anonymised questionnaire with 4 clusters of interest in terms of internal quality assessment on the success and evaluation of this therapeutic procedure. Special attention was paid to the descriptive analysis of patients with periprosthetic joint infections (n = 30).Between May 2021 and October 2022 out of 47 patients with OPAT, 30 cases with periprosthetic joint infections were identified. For infected hip- and knee arthroplasties, a remarkable spectrum of pathogens was found. In hip infections highly resistant strains of Staphylococcus epidermidis and Enterococci were detected. In knee infections, the pathogens were more susceptible, but however highly virulent Staphylococcus aureus and Streptococci. Difficult to treat, mixed infections were found in both locations. The indication for OPAT was based in half of the cases on the high level of antimicrobial resistance, with availability of only parenteral applicable antibiotics. Further indications were mixed infections and difficult to treat pathogens, with flucloxacillin therapy as well as OPAT as the last therapeutic option. The questionnaire showed 96% patient satisfaction in terms of organisation and acceptance of this kind of therapy. Complications or unexpected outpatient/ hospital treatments were very rare in connection with OPAT. Two thirds of patients reported completion of the treatment. In the clinical follow up (average of 5.7 months), 96.6% of cases were declared free of infection. In one patient the infection persisted.OPAT is a safe and reliable therapeutic option for outpatients to continue parenteral antimicrobial treatment in joint infections. Due to increasing pressure on hospitals in terms of costs and capacity, this therapy offers an alternative to inpatient treatment. The indication for OPAT should be set individually, risk adjusted and not generalised for all patients. The outpatient sector needs financial and structural support for comprehensive roll-out of this treatment in Germany. A further focus should be on the prevention of periprosthetic joint infections. With the knowledge of the expected pathogens and the surgical resources, the standards should be adapted. The choice of the antibiotic should be specified and the intervals of application be shortened, according to the surgical course, in order to yield high levels of agent concentration in the surgical area. Further investigations are required to test the superiority of OPAT versus the oral administration of antibiotics in long-term observations as well as to define the necessary duration of OPAT.
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Affiliation(s)
- Anne Strassburg
- Klinik für Orthopädie und Orthopädische Chirurgie, Städtisches Klinikum Dresden Friedrichstadt, Dresden, Deutschland
| | - Andreas T Weber
- Klinik für Orthopädie und Orthopädische Chirurgie, Städtisches Klinikum Dresden Friedrichstadt, Dresden, Deutschland
| | - Torsten Kluba
- Klinik für Orthopädie und Orthopädische Chirurgie, Städtisches Klinikum Dresden Friedrichstadt, Dresden, Deutschland
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Peter C, Shah K, Simon L, Pm S, N A, El-Shamy FM. Comprehensive Evaluation of Titanium, Zirconia, and Ceramic Dental Implant Materials: A Comparative Analysis of Mechanical and Esthetic Properties. Cureus 2024; 16:e60582. [PMID: 38894756 PMCID: PMC11184537 DOI: 10.7759/cureus.60582] [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: 05/06/2024] [Accepted: 05/15/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND Dental implant materials play a pivotal role in the success of restorative dentistry. This study comprehensively compares the mechanical and esthetic properties of three commonly used dental implant materials: titanium, zirconia, and ceramic. OBJECTIVE This study aimed to provide insights into the suitability of titanium, zirconia, and ceramic for various clinical applications within implant dentistry. METHODS Ninety dental implants, 30 for each material, were selected based on their well-established usage in dental implantology. Mechanical properties, including tensile strength, modulus of elasticity, and fatigue resistance, were assessed using state-of-the-art testing machines. Esthetic properties, such as color stability and translucency, were scrutinized through immersion in staining solutions and spectrophotometer measurements. Fracture properties and biocompatibility were also evaluated. RESULTS Mechanical testing revealed that titanium exhibited the highest tensile strength (810 ± 55 MPa), while zirconia demonstrated the highest modulus of elasticity (208 ± 8 GPa). Titanium also displayed the greatest fatigue resistance (1,010,000 ± 95,000 cycles), whereas zirconia had the highest hardness (1190 ± 45 Vickers hardness number (VHN)). Esthetically, zirconia showed superior color stability (ΔE: 1.7 ± 0.2), while ceramic exhibited the highest translucency (TP%: 15.3 ± 1.7). Zirconia presented the lowest surface roughness (0.28 ± 0.04 μm). CONCLUSION This study provides insights into potential dental implant material performance, with zirconia emerging as a promising alternative. Future research should validate these findings in clinical settings, considering a broader array of variables and long-term outcomes.
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Affiliation(s)
- Claudia Peter
- Department of Prosthodontics, Rajas Dental College and Hospital, Tirunelveli, IND
| | - Krupali Shah
- Department of Periodontology and Implantology, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth, Vadodara, IND
| | - Lovebin Simon
- Department of Prosthodontics, Century Dental College, Thekkil, IND
| | - Shyama Pm
- Department of Prosthodontics, Kunhitharuvai Memorial Charitable Trust (KMCT) Dental College, Kozhikode, IND
| | - Ashwathi N
- Department of Orthodontics, Kannur Dental College, Anjarakandy, IND
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Alassar RM, Metwally NI, Abdelgawad AM, Elsherbeny SH, Mohamed EA. Custom-made versus prefabricated zirconia crowns for primary molars: A 12-month follow-up. J Indian Soc Pedod Prev Dent 2024; 42:156-164. [PMID: 38957914 DOI: 10.4103/jisppd.jisppd_39_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 04/18/2024] [Indexed: 07/04/2024] Open
Abstract
BACKGROUND Many practitioners have questioned whether the construction method of pediatric zirconia crowns impacts the periodontal health and clinical performance of severely decayed primary molars. The objective of this study was to compare the periodontal health and clinical performance of primary molars restored with custom-made zirconia crowns (CZCs) and prefabricated zirconia crowns. METHODS Twenty primary molars indicated for crown restorations were selected from ten patients (5-9 years old) randomly. Each patient received two pediatric zirconia crowns constructed by two different methods: one custom-made and one prefabricated. The primary molars were divided into two groups: Group 1: primary molars received CZCs and Group 2: primary molars received prefabricated zirconia crowns (PZCs). RESULTS After a 12-month follow-up, there was no statistically significant difference between the periodontal health of primary molars restored with custom-made and prefabricated zirconia crowns. The clinical performance of primary molars restored with CZCs was statistically significantly higher than those restored with PZCs in terms of retention and fracture resistance (P ≤ 0.05). CONCLUSIONS The construction method of pediatric zirconia crowns does not significantly affect the periodontal health of primary molars; however, clinical performance is significantly affected in terms of retention and fracture resistance. CLINICAL SIGNIFICANCE A CZC is an excellent alternative option, especially for primary molars whose permanent successors still have a long time to erupt. The PZC is a quick and easy restoration, but the technique is sensitive.
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Affiliation(s)
- Roqia Mohammad Alassar
- Department of Crowns and Bridges, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
- Department of Fixed Prosthodontics, Faculty of Dentistry, Pharos University in Alexandria, Alexandria, Egypt
| | - Noha Ibrahim Metwally
- Department of Pedodontics and Oral Dental Health, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Asmaa Mohammad Abdelgawad
- Department of Crowns and Bridges, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Selwan Hassan Elsherbeny
- Department of Pedodontics and Oral Dental Health, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
| | - Eman Abdelraouf Mohamed
- Department of Pedodontics and Oral Dental Health, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
- Department of Pedodontics, Faculty of Dentistry, Sinai University, Kantara Branch, Ismailia, Egypt
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El Hayek JE, Tohme H, Nasr L, El Hachem R, Kabbani N, Mchayleh NF. Fracture strength of preformed zirconia crown and CAD-CAM zirconia, ceramic, and hybrid composite crowns for the restoration of primary molars: An in vitro study. Int J Paediatr Dent 2024. [PMID: 38403852 DOI: 10.1111/ipd.13171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 12/18/2023] [Accepted: 02/07/2024] [Indexed: 02/27/2024]
Abstract
BACKGROUND Paediatric-preformed zirconia crowns have been associated with several issues, primarily their inability to be crimped and the need for extensive tooth preparation. Additionally, the capacity to adjust the size, shape, and fit of these crowns is very limited. AIM To evaluate and compare the fracture strength of four different types of dental crowns intended for paediatric patients. DESIGN The fracture resistance of four types of paediatric crowns was evaluated using the universal testing machine; freshly extracted primary molars received one of the following: preformed zirconia crowns, custom-made computer-aided design and computer-aided manufacturing (CAD-CAM) zirconia crowns, custom-made CAD-CAM ceramic crowns, and custom-made CAD-CAM hybrid composite crowns. Data were statistically compared using the Kruskal-Wallis test followed by the Bonferroni test, and the level of significance was set at 5%. RESULTS Results showed that there was a statistically significant difference among the four groups (p < .001). The highest value of fracture force was observed for the milled zirconia crown and the lowest for the prefabricated zirconia. CONCLUSION The implementation of the CAD-CAM digital crown fabrication technique has the potential to address issues associated with preformed crowns in paediatric patients, particularly in terms of fracture resistance.
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Affiliation(s)
- Joy Elian El Hayek
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
- Cranio-Facial Research Laboratory, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
- Department of Digital Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Hani Tohme
- Department of Digital Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Lara Nasr
- Cranio-Facial Research Laboratory, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Roula El Hachem
- Cranio-Facial Research Laboratory, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Nathalie Kabbani
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Nada Farhat Mchayleh
- Department of Pediatric Dentistry, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
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Patil AS, Jain M, Choubey S, Patil M, Chunawala Y. Comparative evaluation of clinical success of Stainless Steel and Bioflx crowns in primary molar - A 12 month split mouth prospective randomized clinical trial. J Indian Soc Pedod Prev Dent 2024; 42:37-45. [PMID: 38616425 DOI: 10.4103/jisppd.jisppd_484_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 02/02/2024] [Indexed: 04/16/2024] Open
Abstract
PURPOSE The purpose of this clinical trial was to assess and compare the clinical outcomes of Bioflx crowns (BFCs) with stainless steel crowns (SSCs) in primary molars (PMs). MATERIALS AND METHODS This prospective split-mouth randomized controlled clinical trial was conducted between March 2022 and June 2023. Thirty-eight patients (17 females and 21 males) with a mean age of 5.21 years participated in this study. Each child (n = 38) received both SSC and BFC. Clinical and radiographic follow-up was performed at baseline, 3, 6, and 12 months using the modified United States Public Health System scoring criteria to evaluate various parameters. RESULTS At the 3 and 6 months' follow-up, no significant difference was observed between the two groups. However, at 1-year follow-up, a statistically significant difference (P < 0.05) was evident in the frequency between the two groups for the criteria of crown retention after cementation and anatomic form of the crown, indicating a preference for SSC over prototype 1 BFC. CONCLUSION The 12-month results indicate that BFC performed similarly to the established SSC for the restoration of PMs providing better esthetics.
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Affiliation(s)
- Amol Suresh Patil
- Department of Pediatric and Preventive Dentistry, M. A, Rangoonwala College of Dental Sciences and Research Centre, Azam Campus, Pune, Maharashtra, India
| | - Mukul Jain
- Bright Smiles Dental Clinic, Mumbai, Maharashtra, India
| | - Shikha Choubey
- Department of Pediatric and Preventive Dentistry, ITS Dental College, Muradnagar, Uttar Pradesh, India
| | - Madhuri Patil
- Department of Conservative and Endodontics, M. A, Rangoonwala College of Dental Sciences and Research Centre, Azam Campus, Pune, Maharashtra, India
| | - Yusuf Chunawala
- Department of Pediatric and Preventive Dentistry, M. A, Rangoonwala College of Dental Sciences and Research Centre, Azam Campus, Pune, Maharashtra, India
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Cagna DR, Donovan TE, McKee JR, Eichmiller F, Metz JE, Marzola R, Murphy KG, Troeltzsch M. Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2023; 130:453-532. [PMID: 37453884 DOI: 10.1016/j.prosdent.2023.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/02/2023] [Accepted: 06/05/2023] [Indexed: 07/18/2023]
Abstract
The Scientific Investigation Committee of the American Academy of Restorative Dentistry offers this review of the 2022 dental literature to briefly touch on several topics of interest to modern restorative dentistry. Each committee member brings discipline-specific expertise in their subject areas that include (in order of the appearance in this report): prosthodontics; periodontics, alveolar bone, and peri-implant tissues; 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 the daily dental treatment decisions of the reader with an emphasis on innovations, new materials and processes, and future trends in dentistry. With the tremendous volume of literature published daily in dentistry and related disciplines, this review cannot be comprehensive. Instead, its purpose is to update interested readers and provide valuable resource material for those willing to subsequently pursue greater detail on their own. Our intent remains to assist colleagues in navigating the tremendous volume of newly minted information produced annually. Finally, we hope that readers find this work helpful in managing patients.
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Affiliation(s)
- David R Cagna
- Professor, Associate Dean, Chair, and Residency Director, Department of Prosthodontics, University of Tennessee Health Sciences Center College of Dentistry, Memphis, Tenn.
| | - Terence E Donovan
- Professor, Department of Comprehensive Oral Health, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - James R McKee
- Private practice, Restorative Dentistry, Downers Grove, Ill
| | - Frederick Eichmiller
- Vice President and Science Officer (Emeritus), Delta Dental of Wisconsin, Stevens Point, Wis
| | - James E Metz
- Private practice, Restorative Dentistry, Columbus, Ohio
| | | | - Kevin G Murphy
- Associate Clinical Professor, Department of Periodontics, University of Maryland College of Dentistry, Baltimore, Md
| | - Matthias Troeltzsch
- Private practice, Oral, Maxillofacial, and Facial Plastic Surgery, Ansbach, Germany; Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery, University Hospital, Ludwig Maximilian University of Munich (LMU), Munich, Germany
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Maheshkumar K, Chowdhary N, Chowdharry R, Vundela RR, Sonnahalli NK, Anuraaga AT. Bite force evaluation at maximal intercuspal position: An in vivo comparative study between stainless steel and zirconia crowns on primary molar teeth. J Indian Soc Pedod Prev Dent 2023; 41:89-97. [PMID: 37635466 DOI: 10.4103/jisppd.jisppd_156_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/29/2023] Open
Abstract
Objective The objective of this study was to clinically evaluate and compare the mean bite force changes at maximum intercuspal position, along with parental satisfaction following full crown restoration using stainless steel crown/zirconia crown on primary molar teeth using digital occlusal analysis system T-Scan III (Tekscan Corp, Boston, Mass., USA). Materials and Methods Thirty-six primary molars of children aged 6-9 years with pulpal involvement were selected for the study. The selected teeth were allocated to either of the two groups using simple random sampling technique: Group A = stainless steel crowned teeth and Group B = zirconia crowned teeth. The mean bite force was recorded before the placement of the crown, after the placement of the crown, and after 1 month-follow-up. The inter-group and intra-group comparison was done among the groups. After the placement of the crown, parents were asked to fill out a questionnaire for assessing parental satisfaction. Results A significant result in the bite force on crowned tooth, vertical dimension was seen from baseline to 1-month follow-up between the SSC and zirconia groups. In the zirconia crown group, the mean bite force was more compared to the stainless steel crown group. Parents' satisfaction was higher with zirconia crown in terms of color and esthetics. Conclusion SSC is more acceptable than zirconia crown since occlusal re-equilibration was attained better in SSC as compared to zirconia crown.
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Affiliation(s)
- K Maheshkumar
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
| | - Nagalakshmi Chowdhary
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
| | - Ramesh Chowdharry
- Department of Prosthodontics, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
| | - Rajashekar Reddy Vundela
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
| | - Nithin Kumar Sonnahalli
- Department of Prosthodontics, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
| | - A Thirumagal Anuraaga
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumakuru, Karnataka, India
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Arieira A, Madeira S, Rodrigues F, Silva F. Tribological Behavior of TiO 2 PEEK Composite and Stainless Steel for Pediatric Crowns. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16062420. [PMID: 36984300 PMCID: PMC10053974 DOI: 10.3390/ma16062420] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 03/13/2023] [Accepted: 03/16/2023] [Indexed: 06/01/2023]
Abstract
Dental decay still presents a major health problem among children. Its treatment usually requires the use of stainless steel crowns. This study compares the wear behavior of 316 L stainless steel and polyetheretherketone (PEEK) composite under identical test conditions. The wear tests were conducted in a reciprocating ball-on-plate tribometer (Plint TE67/R) using alumina balls as a counterface and artificial saliva as a lubricant at 37 °C to faithfully mimic oral conditions. The coefficient of friction (COF) and specific wear rate (k) values were determined and SEM/EDS examinations were performed to identify the predominant wear mechanisms. Results showed that PEEK exhibited a significantly lower coefficient of friction (COF = 0.094 ± 0.004) and thus lower wear volume (ΔV = 0.0078 ± 0.0125 mm3) and higher wear resistance, with an average value of specific wear rate of k = 9.07 × 10-6 mm3N-1m-1 when compared to stainless steel (COF = 0.32 ± 0.03, ΔV = 0.0125 ± 0.0029 mm3, k = 1.45 × 10-5 mm3N-1m-1). PEEK was revealed to be a potential material for use in pediatric crowns due to its high wear resistance while overcoming the disadvantages associated with steel at both an aesthetic and biological level.
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Affiliation(s)
- Ana Arieira
- Center for MicroElectroMechanical Systems—CMEMS, Campus de Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS—Associate Laboratory, 4800-058 Guimarães, Portugal
| | - Sara Madeira
- Center for MicroElectroMechanical Systems—CMEMS, Campus de Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS—Associate Laboratory, 4800-058 Guimarães, Portugal
| | - Flávio Rodrigues
- Center for MicroElectroMechanical Systems—CMEMS, Campus de Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS—Associate Laboratory, 4800-058 Guimarães, Portugal
| | - Filipe Silva
- Center for MicroElectroMechanical Systems—CMEMS, Campus de Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS—Associate Laboratory, 4800-058 Guimarães, Portugal
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El Shahawy OI, Azab MM. Fracture resistance of prefabricated versus custom-made zirconia crowns after thermo-mechanical aging: an in-vitro study. BMC Oral Health 2022; 22:587. [PMID: 36494637 PMCID: PMC9733029 DOI: 10.1186/s12903-022-02628-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/29/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Prefabricated zirconia crowns for a young permanent molar is a child-friendly solution for restoring a permanent molar at a young age. This in-vitro study aimed to compare the fracture resistance of prefabricated versus custom-made permanent molar crowns. METHODS 16 identical resin dies were fabricated to receive permanent molar zirconia crowns, dies were divided into 2 groups, 1) received perfricated crowns, 2) custom-made crowns. Thermo-dynamic cycling was performed to simulate 6 months in the oral cavity, Fracture resistance of each group was assessed by applying increasing load till fracture. Data were tested for normality using Shapiro-Wilk and Levene's tests. Data were analyzed using independent t test. RESULTS No statistically significant difference was found between fracture resistance of prefabricated and custom-made crowns (1793.54 ± 423.82) and (1987.38 ± 414.88) respectively. 3 crowns of the custom-made group fractured with the underlying die, versus zero dies fractured in the prefabricated group. CONCLUSIONS Prefabricated permanent molars zirconia crowns can perform as well as custom-made crowns for an adult in terms of fracture resistance, it is suitable for children and can withstand the occlusal forces of an adult.
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Affiliation(s)
- Osama Ibrahim El Shahawy
- grid.7776.10000 0004 0639 9286Department of Pediatric Dentistry, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Maha Moussa Azab
- grid.411170.20000 0004 0412 4537Department of Pediatric Dentistry, Faculty of Dentistry, Fayoum University, Fayoum, Egypt ,grid.517528.c0000 0004 6020 2309Department of Pediatric Dentistry, School of Dentistry, Newgiza University NGU, Giza, Egypt
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