1
|
Hideki de Lima Toyoshima G, Maria da Silva Costa S, Campos Costa MS, Egídio Cota RM, de Oliveira TM, Soares S, Santiago Junior JF, de Almeida ALPF. Fixed partial dentures in adult patients with cleft lip and palate and their relationship with the quality of life: A cross-sectional clinical study. J Prosthet Dent 2024; 131:598-602. [PMID: 35431029 DOI: 10.1016/j.prosdent.2022.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/11/2022] [Accepted: 03/11/2022] [Indexed: 11/21/2022]
Abstract
STATEMENT OF PROBLEM Reports on the impact of fixed partial denture treatments on the quality of life of patients with cleft lip and palate are lacking. PURPOSE The purpose of this cross-sectional clinical study was to assess the impact of fixed partial dentures on the quality of life of adults with cleft lip and palate. MATERIAL AND METHODS A total of 52 participants (23 women and 29 men) with cleft lip and palate, aged between 20 and 50 years old, and who required treatment with fixed partial dentures were enrolled in the study. They responded to the Oral Health Impact Profile (OHIP)-14 questionnaire before and 30 days after the fixed prosthodontic treatment. The final value from the OHIP-14 was generated by totaling the 14 answers, giving a range from 0 to 56, with higher values indicating a worse relationship between oral health and the quality of life. Nonparametric statistical analysis was performed with the Wilcoxon test (α=.05). RESULTS Forty-six participants reported some negative experience before the fixed partial denture, and 48 indicated an improved quality of life 30 days after delivery. All domains assessed showed significant quality of life improvements between the periods compared (P≤.014). CONCLUSIONS Oral treatment with fixed partial dentures improved the quality of life in adults with cleft lip and palate.
Collapse
Affiliation(s)
- Guilherme Hideki de Lima Toyoshima
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Sandy Maria da Silva Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Matheus Souza Campos Costa
- Postgraduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Raphael Márcio Egídio Cota
- Postgraduate student, Hospital for Treatment of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil
| | - Thais Marchini de Oliveira
- Associate Professor, Department of Pediatric Dentistry, Orthodontics, and Collective Health, Bauru School of Dentistry, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Simone Soares
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil
| | - Ana Lúcia Pompéia Fraga de Almeida
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo (USP), Bauru, São Paulo, Brazil.
| |
Collapse
|
2
|
Vila-Nova TEL, Leão RDS, Santiago Junior JF, Pellizzer EP, Vasconcelos BCDE, Moraes SLD. Photodynamic therapy in the treatment of denture stomatitis: A systematic review and meta-analysis. J Prosthet Dent 2023; 130:825-832. [PMID: 35125209 DOI: 10.1016/j.prosdent.2021.11.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2021] [Revised: 11/18/2021] [Accepted: 11/19/2021] [Indexed: 11/28/2022]
Abstract
STATEMENT OF PROBLEM Photodynamic therapy is widely used in dentistry, but limited evidence exists regarding its effectiveness in treating denture stomatitis. High resistance to antifungals has been reported, and photodynamic therapy could be an alternative treatment. PURPOSE The purpose of this systematic review and meta-analysis was to evaluate whether photodynamic therapy is effective in reducing denture stomatitis. MATERIAL AND METHODS A systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist and recorded in the prospective register of systematic reviews (PROSPERO) (CRD42020205589) to answer the population, intervention, control, outcome (PICO) question: "Is photodynamic therapy effective in the treatment of denture stomatitis when compared with the use of antifungal agents?" Electronic searches were performed in databases PubMed/MEDLINE, Cochrane library, and Web of Science for articles published until February 2021 by using the following terms: (denture stomatitis OR oral candidiasis) AND (low-level light therapy OR laser therapy OR lasers OR photodynamic therapies OR photochemotherapy) AND (antifungal drugs OR antifungal agents OR antimicrobial OR treatment). Clinical trials and randomized clinical trials, studies in the English language, and studies comparing antifungal agents with photodynamic therapy were included. RESULTS In total, 5 articles were selected for the qualitative analysis and 3 for the meta-analysis. No significant difference was detected between antifungal therapy and photodynamic therapy in the reduction of colony-forming units on the palate. In a subgroup analysis, a significant difference was found in the reduction of colony-forming units on the palate at 15 days and at the denture surface at 30 days. CONCLUSIONS Photodynamic therapy is effective in the treatment of denture stomatitis, but after 30 days and 15 days, the antifungals demonstrated better performance.
Collapse
Affiliation(s)
- Taciana Emília Leite Vila-Nova
- PhD student, Department of Oral Rehabilitation, Faculty of Dentistry, University of Pernambuco (UPE), Recife, Pernambuco, Brazil
| | - Rafaella de Souza Leão
- Adjunct Professor of Department of Prosthodontics, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
| | | | - Eduardo Piza Pellizzer
- Full Professor of Departament of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Araçatuba Dental School, Araçatuba, São Paulo, Brazil
| | | | - Sandra Lúcia Dantas Moraes
- Associate Professor, Department of Oral Rehabilitation, Faculty of Dentistry, University of Pernambuco (UPE), Recife, Pernambuco, Brazil
| |
Collapse
|
3
|
Chepernate Vieira Dos Santos C, Gonçalves MG, Souza Campos Costa M, da Silva Costa SM, Ferreira Santiago Junior J, de Almeida ALPF. Survival Rate of Dental Implants in the Cleft Area: A Cross-Sectional Retrospective Study. J Craniofac Surg 2023; 34:2146-2148. [PMID: 37594045 DOI: 10.1097/scs.0000000000009625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 06/15/2023] [Indexed: 08/19/2023] Open
Abstract
This study aimed to evaluate the survival rate of osseointegrated implants installed in the cleft area. An extensive data survey was conducted using the medical records of individuals who had implants installed in the cleft area between 1999 and 2020. The variables assessed were age, sex, implant follow-up time, implantation procedures, and rehabilitation with implant-supported prostheses. Data were analyzed in terms of implant survival time, correlating with the factors: age, sex, execution, or no-execution of bone regrafting, the time interval between secondary alveolar bone grafting and regrafting, the time interval between regrafting and implant installation, and the time interval between implant installation and provisional and definitive prosthesis. Data were analyzed with respect to implant survival. χ 2 and Student t tests were used with a 5% significance level. A total of 1295 medical records were analyzed, of which 688 reported implants in cleft areas (56.1% in females, 43.9% in males) with a success rate of 92.73% and a mean follow-up time of 53.2 (±45.0) months. There were no statistically significant differences in the correlation between the survival rate and sex ( P = 0.895, χ 2 test), between the implant survival rate and regrafted area ( P = 0.904, χ 2 test), or between the survival rate and patient age ( P = 0.246, Student t test). The survival rate of implants in the cleft area was 92.73%. Age, sex, and the need for regrafting did not influence the survival rate of implants installed in the cleft area. Clinical studies that evaluate the survival rate of implants installed in patients with cleft maxilla are of great relevance to the dental field.
Collapse
Affiliation(s)
| | - Maiara Gabriela Gonçalves
- Sector of Periodontics Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo
| | | | | | | | - Ana Lúcia Pompéia Fraga de Almeida
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, and Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
| |
Collapse
|
4
|
Carneiro CA, Santiago Junior JF, Peralta LCF, Neppelenbroek KH, Porto VC. What is the Best Tooth-Supported Attachment System for Distal-Extension Removable Partial Dentures? A Systematic Review with Meta-Analysis. INT J PROSTHODONT 2023; 0:0. [PMID: 37729481 DOI: 10.11607/ijp.8337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023]
Abstract
PURPOSE To evaluate the published literature on tooth-tissue supported removable partial dentures (RPDs) and determine the attachment system that provides the best clinical outcome. MATERIALS AND METHODS A comprehensive search of studies published up to November 2021 was performed in the PubMed/MEDLINE, Web of Science, and Cochrane Library databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The study protocol was approved and was registered in the International Prospective Register of Systematic Reviews (PROSPERO: CRD42021268449). The PICO question was, "What is the best attachment system used in Kennedy class I and II removable partial dentures?" RESULTS The search identified 871 articles, of which 21 met the inclusion criteria. The evaluation period in the studies ranged from 3 to 282 months. A total of 1,357 patients were included, of which 526 used prostheses with attachments. The mini SG attachment (extracoronal) was the most commonly used attachment, and the survival rate ranged from 37% to 98.1% in 10 studies, with no significant differences between the systems. Among the 10 studies selected for quantitative analysis, the meta-analysis revealed an overall failure rate of 16.6% (95% confidence interval: 10.4-25.4%), and heterogeneity of I²=65.725 (Q-value: 26.258, P=.002). CONCLUSION Clinical studies comparing different attachment systems for rehabilitation are lacking. Our findings suggest that attachment-retained RPDs have good retention and better esthetics than conventional RPDs and that the extracoronal attachment system is the most viable choice for treatment at the free end.
Collapse
|
5
|
Dallazen E, Baccaro GC, Santos AMDS, Queiroz ME, Santiago Junior JF, Hochuli-Vieira E, Faverani L. Comparison of Manual (2D) and Digital (3D) Methods in the Assessment of Simulated Facial Edema. J Oral Maxillofac Surg 2023; 81:1146-1154. [PMID: 37308089 DOI: 10.1016/j.joms.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 05/18/2023] [Accepted: 05/18/2023] [Indexed: 06/14/2023]
Abstract
BACKGROUND An edema assessment following dental surgeries is essential to improving the dental surgeon's technique and, consequentially, patient comfort. PURPOSE Two-dimensional (2D) methods are limited in analyzing 3-dimensional (3D) surfaces. Currently, 3D methods are used to investigate postoperative swelling. However, there are no studies that directly compare 2D and 3D methods. The goal of this study is to directly compare 2D and 3D methods used in the assessment of postoperative edema. STUDY DESIGN AND SAMPLE The investigators implemented a prospective, cross-sectional study with each subject serving as its own control. The sample was composed of dental student volunteers without facial deformities. PREDICTOR VARIABLE The predictor variable is the method used to measure edema. After simulating edema, manual (2D) and digital (3D) techniques were used to measure edema. The manual method used direct facial perimeter measurements. The two digital methods were photogrammetry using a smartphone (iPhone 11, Apple Inc, Cupertino, California), and facial scanning with a smartphone application (Bellus3D FaceApp, Bellus3D Inc, Campbell, California) [3D measurements] MAIN OUTCOME VARIABLE: The coefficient of variation (CV) (CV = standard deviation /mean) was used to assess homogeneity of edema measurements. ANALYSIS The Shapiro-Wilk and equal variance tests were applied to assess data homogeneity. Next, one-way analysis of variance was performed, followed by a correlation analysis. Finally, the data were submitted to Tukey's test. The statistical significance threshold was set at 5% (P < .05). RESULTS The sample was composed of 20 subjects aged 18-38 years. The CV showed higher values using the manual (2D) method (47%; 4.88% ± 2.99), compared with the photogrammetry method (18%; 8.55 mm ± 1.52) and the smartphone application (21%; 8.97 mm ± 1.93). A statistically significant difference was observed between the manual method values and those of the other two groups (P < .001). There was no difference between the facial scanning and photogrammetry groups (3D methods) (P = .778) CONCLUSION AND RELEVANCE: Both digital measuring methods (3D) demonstrated greater homogeneity than the manual method in analyzing facial distortions caused by the same swelling simulation. Therefore, it can be affirmed that digital methods may be more reliable that manual methods for assessing facial edema.
Collapse
Affiliation(s)
- Eduardo Dallazen
- PhD Student, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Gabriela Cristina Baccaro
- DDS Student, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Anderson Maikon de Souza Santos
- PhD Student, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; Assistant Professor, Division of Oral Surgery, Paraíba State University, Araruna, Brazil
| | - Mariana Elias Queiroz
- PhD Student, Department of Dental Materials and Prosthesis, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | | | - Eduardo Hochuli-Vieira
- Associate Professor, Department of Diagnosis and Surgery, Araraquara Dental School, São Paulo, Brazil
| | - Leonardo Faverani
- Associate Professor, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.
| |
Collapse
|
6
|
Lemos CAA, Verri FR, de Luna Gomes JM, Santiago Junior JF, Miyashita E, Mendonça G, Pellizzer EP. Survival and prosthetic complications of monolithic ceramic implant-supported single crowns and fixed partial dentures: A systematic review with meta-analysis. J Prosthet Dent 2022:S0022-3913(22)00736-3. [PMID: 36564291 DOI: 10.1016/j.prosdent.2022.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 11/15/2022] [Accepted: 11/15/2022] [Indexed: 12/24/2022]
Abstract
STATEMENT OF PROBLEM Monolithic ceramic implant-supported restorations have been used to rehabilitate partially edentulous patients. However, knowledge of the survival and prosthetic complications of single crowns (SCs) and fixed partial dentures (FPDs) is limited. PURPOSE The purpose of this systematic review with meta-analysis was to evaluate the clinical performance of monolithic ceramic implant-supported SCs and FPDs in terms of survival and prosthetic complication rates. MATERIAL AND METHODS The systematic review was registered on the prospective register of systematic reviews (PROSPERO) (CRD42017078568). Five electronic databases were independently searched by 2 authors for articles published until May 2022. In addition, a hand search was performed in the nonpeer-reviewed literature, specific journals, and reference lists of included articles. A single-arm meta-analysis was performed by using the R program. The risk of bias and quality were assessed using the Cochrane risk of bias tools and the Newcastle-Ottawa scale. RESULTS Twenty-eight studies were included in the quantitative synthesis. A total of 1298 monolithic ceramic implant-supported restorations (1116 SCs and 182 FPDs) were evaluated in 1193 participants, with a median observation time of 24 months (range: 12 to 72 months). Meta-analysis indicated the proportion of failures and prosthetic complication rates of 2% (95% confidence interval [CI]: 1% to 4%) for SCs. No difference was observed for monolithic zirconia and lithium disilicate SCs. In the FPDs, only monolithic zirconia was considered, with 1 failure reported totaling the proportion of failures of 0% (0% to 1%) and complication rates of 4% (0% to 12%). The most complications reported for both types of restorations were screw loosening, debonding, and minor chipping and were considered repairable. The included studies showed a low risk of bias and good quality. CONCLUSIONS The use of monolithic ceramic implant-supported SCs, independent of ceramic material, and monolithic zirconia implant-supported FPDs should be considered an effective and safe treatment option because of favorable short-term survival and low prosthetic complications. However, additional well-conducted studies with a longer-term follow-up and direct comparison between veneered restorations are recommended to reassess clinical performance.
Collapse
Affiliation(s)
- Cleidiel Aparecido Araujo Lemos
- Adjunct Professor, Department of Dentistry, Federal University of Juiz de Fora - Campus Governador Valadares (UFJF/GV), Governador Valadares, Minas Gerais, Brazil.
| | - Fellippo Ramos Verri
- Adjunct Professor, Departament of Dental Materials and Prosthodontics, São Paulo State Univeristy (UNESP), Araçatuba Dental School, Araçatuba, São Paulo, Brazil
| | | | - Joel Ferreira Santiago Junior
- Professor, Departament of Health Sciences, School of Dentistry, Centro Universitário Sagrado Coração-UNISAGRADO, Bauru, São Paulo, Brazil
| | - Eduardo Miyashita
- Titular Professor, Department of Dentistry, UNIP - Universidade Paulista, São Paulo, Brazil
| | - Gustavo Mendonça
- Clinical Associate Professor, Department of Biological and Material Sciences, School of Dentistry, University of Michigan, Ann Arbor, Mich
| | - Eduardo Piza Pellizzer
- Titular Professor, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, Brazil
| |
Collapse
|
7
|
Pordeus MD, Gasparetto GD, Machado LMR, Noritomi PY, Costa RMBD, Chappuis-Chocano AP, Venante HS, Junior JFS, Porto VC. A New Proposal for Calibrated Gauges for Removable Partial Dentures: A Finite Element Analysis. J Contemp Dent Pract 2022; 23:1230-1236. [PMID: 37125521 DOI: 10.5005/jp-journals-10024-3453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
AIM The aim of this study was to evaluate the stress distribution of a planned removable partial denture (RPD) using new proposals for calibrated gauges of 0.3 mm and 0.35 mm undercuts through the three-dimensional (3D) finite element methodology, and compare them with 0.25 mm and 0.5 mm gauges that are already existing in clinical practice. MATERIALS AND METHODS Kennedy class-I edentulous 3D models and their respective RPDs (InVesalius software; Rhinoceros and SolidWorks CAD) were created and exported to the finite element program HyperMesh 2019 for mesh configuration. In the following steps, axial loading (0º) of 40 N per point was performed, with 3 points on the molars and 2 points on the premolars, totaling 280 N unilaterally. The model was processed by the OptiStruct 2019 software and imported into the HyperView 2019 software to obtain the stress maps (MPa). RESULTS The use of 0.30 and 0.35 mm calibrated gauges presented tensions similar to those with the 0.25 mm gauge (gold standard) and caused no significant damage to biological structures. The use of a 0.5 mm undercut caused greater traction force in the periodontal ligament of the abutments. CONCLUSIONS The 0.35 mm undercut seems promising as it presented more favorable results in this simulation, on the other hand, a 0.5 mm undercut is greater than that necessary for retainers made of CoCr. CLINICAL SIGNIFICANCE This study aims to measure a new undercut gauge (0.35 mm) to increase the retention area in abutment teeth of removable partial dentures.
Collapse
Affiliation(s)
- Mariana Domingues Pordeus
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | | | | | | | | | - Ana Paula Chappuis-Chocano
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Helena Sandrini Venante
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Centro Universitário Sagrado Coração, UNISAGRADO, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil, e-mail:
| | - Vinicius Carvalho Porto
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| |
Collapse
|
8
|
Prasad S, Faverani LP, Santiago Junior JF, Sukotjo C, Yuan JCC. Attachment systems for mandibular implant-supported overdentures: A systematic review and meta-analysis of randomized controlled trials. J Prosthet Dent 2022:S0022-3913(22)00485-1. [PMID: 36115712 DOI: 10.1016/j.prosdent.2022.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 08/02/2022] [Accepted: 08/03/2022] [Indexed: 10/14/2022]
Abstract
STATEMENT OF PROBLEM Although mandibular implant-supported overdentures have been highly recommended as a treatment option, a consensus on the type of attachment systems that can be used to increase implant and prostheses survivability is lacking. PURPOSE The purpose of this systematic review and meta-analysis was to compare different types of attachments for retention by investigating outcome measures such as implant and prosthesis survival rates and biological and prosthesis complications in participants with a mandibular implant-supported overdenture. MATERIAL AND METHODS The search was performed in the PubMed, Cochrane, Embase, and Scopus databases by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria and registered with the International Prospective Register of Systematic Reviews (CRD42021253566). An analysis of association was conducted between different attachment systems and implant and overdenture survival rates in randomized controlled clinical trials. RESULTS The initial search indicated 477 studies, of which 25 randomized controlled trials (RCTs) were included for analysis. A total of 2154 implants and 737 overdentures were analyzed in the meta-analysis. The main results indicated the failure rate for dental implants to be 2.0% (95% confidence interval [CI], 1.3 to 3.2) and overdentures 4.2% (95% CI, 1.6 to 10.5), respectively. With regard to different attachment systems, a similar failure rate was identified with bar-type retention (7.7% to 95% CI, 3.0 to 18.1), magnetic retention systems (7.6% to 95% CI, 2.2 to 22.7), and ball-type retention (6.8% to 95% CI, 3.0 to 14.3). No significant difference was found in biological complications for splinted and unsplinted implant overdentures (P=.902). Regarding prosthetic complications, the most favorable groups were LOCATOR attachments followed by telescopic and Conus, bar, and ball attachments. Magnet attachments had higher prosthetic complications (7.4 times) than the other attachments. CONCLUSIONS Implants and implant-supported mandibular overdentures showed a high survival rate irrespective of the attachment system used. Splinting implants did not significantly affect the rate of biological complications. Prosthetic complications were most common for magnet and least common for LOCATOR attachments.
Collapse
Affiliation(s)
- Soni Prasad
- Associate Professor and Director, Pre-Doctoral Implant Program, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wisc
| | - Leonardo P Faverani
- Assistant Professor, Division of Oral and Maxillofacial Surgery and Implantology, Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University - UNESP, Araçatuba, Sao Paulo, Brazil
| | - Joel Ferreira Santiago Junior
- Assistant Professor, Department of Health Sciences, Centro Universitário Sagrado Coração - UNISAGRADO, Bauru, Sao Paulo, Brazil; Assistant Professor, Department of Prosthesis and Periodontics, Bauru School of Dentistry - University of São Paulo (FOB-USP), Bauru, Sao Paulo, Brazil
| | - Cortino Sukotjo
- Professor and Director Pre-Doctoral Implant Program, Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Ill
| | - Judy Chia-Chun Yuan
- Associate Professor and Managing Partner, Department of Restorative Dentistry, University of Illinois Chicago College of Dentistry, Chicago, Ill.
| |
Collapse
|
9
|
Ferreira MS, Miranda G, Almeida FT, Gasperini G, Silva BSDF, Valladares-Neto J, Santiago Junior JF, Silva MAG. Complications in intraoral versus external approach for surgical treatment of Eagle syndrome: A systematic review and meta-analysis. Cranio 2022:1-13. [PMID: 35007190 DOI: 10.1080/08869634.2021.2020995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The surgical treatment of Eagle syndrome involves an intra- or extraoral approach. This systematic review set out to consolidate current knowledge on the prevalence of complications associated with intraoral and external approaches. METHODS Seven main electronic and two gray literature databases were searched. Studies were blindly selected by two reviewers based on pre-defined eligibility criteria. Studies evaluating any type of complication in the treatment of Eagle syndrome were considered eligible. Risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for studies reporting prevalence data, case reports, and case series. The Comprehensive Meta-Analysis software (Software version 3.0 - Biostat, Englewood, NJ, USA) was used to perform all meta-analyses. RESULTS Out of 1728 articles found on all databases, 36 were included for qualitative analysis. Twenty were included for quantitative analysis and meta-analysis. CONCLUSION In this study, the highest rate of complications was found in the intraoral approach.
Collapse
Affiliation(s)
- Mário Serra Ferreira
- Department of Oral Sciences, School of Dentistry, Federal University of Goiás, Goiânia, Brazil
- Department of Oral & Maxillofacial Surgery, School of Dentistry, Unievangélica, Anápolis, Brazil
| | - Geovane Miranda
- Department of Oral Sciences, School of Dentistry, Federal University of Goiás, Goiânia, Brazil
| | - Fabiana T Almeida
- School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta - Alberta, Canada
| | - Giovanni Gasperini
- Division of Oral & Maxillofacial Surgery, University Hospital, Federal University of Goiás, Goiânia, Brazil
| | | | - José Valladares-Neto
- Division of Orthodontics, School of Dentistry, Federal University of Goiás, Goiânia, Brazil
| | | | | |
Collapse
|
10
|
Chappuis Chocano AP, Venante HS, Bringel da Costa RM, Pordeus MD, Santiago Junior JF, Porto VC. Evaluation of the clinical performance of dentures manufactured by computer-aided technology and conventional techniques: A systematic review. J Prosthet Dent 2021; 129:547-553. [PMID: 34332774 DOI: 10.1016/j.prosdent.2021.06.029] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 06/22/2021] [Accepted: 06/23/2021] [Indexed: 11/19/2022]
Abstract
STATEMENT OF PROBLEM The introduction of computer-aided design and computer-aided manufacturing (CAD-CAM) technology for complete denture fabrication may have improved clinical outcomes compared with conventional techniques. However, systematic reviews comparing these techniques are lacking. PURPOSE The purpose of this systematic review was to identify, compare, and synthesize the outcomes of published clinical studies related to complete denture fabrication, with respect to the differences between CAD-CAM technology and conventional techniques. MATERIAL AND METHODS A comprehensive search of studies published up to March 16, 2020, was conducted by using the PubMed/MEDLINE, Web of Science, Cochrane Library, SciELO, and Embase databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement criteria and was registered in the International Prospective Register of Systematic Reviews (PROSPERO ID 42020202614). The population, intervention, comparison, and outcome (PICO) question was: Do CAD-CAM complete dentures have a similar functional performance to those fabricated by conventional techniques? The quality of publications was appraised by using the Critical Appraisal Skills Program (CASP) checklists. RESULTS Of the 1232 titles, 6 articles were selected. The studies reported better retention of digitally manufactured complete dentures without denture adhesives than that of conventional complete dentures with or without denture adhesives. Other studies reported that dentures manufactured with digital systems were better adapted to tissue surfaces, required less clinical time, were lower in cost, and provided better experience and satisfaction to patients. CONCLUSIONS The assessment of CAD-CAM planning and manufacturing through clinical studies is ongoing. However, preliminary results indicate better clinical performance and lower overall costs of digital complete dentures than conventional dentures.
Collapse
Affiliation(s)
- Ana Paula Chappuis Chocano
- PhD student, Department of Periodontics and Prosthodontics, Dental School of Bauru, FOB-USP, University of São Paulo, Bauru, São Paulo, Brazil
| | - Helena Sandrini Venante
- PhD student, Department of Periodontics and Prosthodontics, Dental School of Bauru, FOB-USP, University of São Paulo, Bauru, São Paulo, Brazil.
| | - Rodrigo Moreira Bringel da Costa
- PhD student, Department of Periodontics and Prosthodontics, Dental School of Bauru, FOB-USP, University of São Paulo, Bauru, São Paulo, Brazil
| | - Mariana Domingues Pordeus
- PhD student, Department of Periodontics and Prosthodontics, Dental School of Bauru, FOB-USP, University of São Paulo, Bauru, São Paulo, Brazil
| | | | - Vinicius Carvalho Porto
- Professor, Department of Periodontics and Prosthodontics, Dental School of Bauru, FOB-USP, University of São Paulo, Bauru, São Paulo, Brazil
| |
Collapse
|
11
|
Costa RTF, Barbirato DDS, Santiago Junior JF, Barros MCMD, Pellizzer EP, Moraes SLD. Toxicity potential of denture adhesives: A scoping review. J Prosthet Dent 2021; 128:1239-1244. [PMID: 33888328 DOI: 10.1016/j.prosdent.2021.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 03/01/2021] [Accepted: 03/02/2021] [Indexed: 11/26/2022]
Abstract
STATEMENT OF PROBLEM Denture adhesives are widely used products, but limited evidence regarding their toxicity is available. PURPOSE The purpose of this scoping review was to map the existing literature on the toxic potential of denture adhesives. MATERIAL AND METHODS This scoping review was structured based on the 5-step methodology proposed by Arksey and O'Malley and The Joanna Briggs Institute Manual for Evidence Synthesis and followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The methods were registered on the Open Science Framework (<osf.io/nqryt>). The following research question was formulated: Are there any toxic effects related to the use of denture adhesives? The electronic literature search was performed independently by 2 authors in the following databases: PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library. The inclusion criteria were in vitro and clinical studies; studies that evaluated the cytotoxic properties of denture adhesives as local or systemic implications; and studies published in English. RESULTS The search conducted in October 2020 provided 1099 articles. In total, 33 studies were included, 14 in vitro and 19 clinical studies. Commercially available denture adhesives have a dose-dependent cytotoxic effect on fibroblasts and keratinocytes, with poor cell recovery noted in older human fibroblasts. Patients presented different levels of neurologic or hematological alterations associated with the excessive use of denture adhesives. CONCLUSIONS Most commercially available denture adhesives have a dose-dependent cytotoxic effect, and the use of well-adapted removable dental prostheses, proper patient follow-ups, and correct instructions for their use when indicated should be a priority.
Collapse
Affiliation(s)
| | - Davi da Silva Barbirato
- Postdoctoral fellow, Department of Oral and Maxilollofacial Surgery, Faculty of Dentistry, University of Pernambuco (UPE), Recife, Brazil
| | - Joel Ferreira Santiago Junior
- Assistant Professor, Department of Health Sciences, Centro Universitário Sagrado Coração (Unisagrado), Bauru, Brazil
| | | | - Eduardo Piza Pellizzer
- Full Professor, Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Sandra Lúcia Dantas Moraes
- Associate Professor, Department of Oral Rehabilitation, Faculty of Dentistry, University of Pernambuco (UPE), Recife, Brazil.
| |
Collapse
|
12
|
Biguetti CC, Junior JFS, Fiedler MW, Marrelli MT, Brotto M. The toxic effects of chloroquine and hydroxychloroquine on skeletal muscle: a systematic review and meta-analysis. Sci Rep 2021; 11:6589. [PMID: 33758324 PMCID: PMC7988151 DOI: 10.1038/s41598-021-86079-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 02/23/2021] [Indexed: 12/30/2022] Open
Abstract
The aim of this systematic review was to perform qualitative and quantitative analysis on the toxic effects of chloroquine (CQ) and hydroxychloroquine (HCQ) on skeletal muscles. We designed the study according to PRISMA guidelines. Studies for qualitative and quantitative analyses were selected according to the following inclusion criteria: English language; size of sample (> 5 patients), adult (> age of 18) patients, treated with CQ/HCQ for inflammatory diseases, and presenting and not presenting with toxic effects on skeletal muscles. We collected data published from 1990 to April 2020 using PubMed, Cochrane Library, EMBASE, and SciELO. Risk of bias for observational studies was assessed regarding the ROBIN-I scale. Studies with less than five patients (case reports) were selected for an additional qualitative analysis. We used the software Comprehensive Meta-Analysis at the confidence level of 0.05. We identified 23 studies for qualitative analysis (17 case-reports), and five studies were eligible for quantitative analysis. From case reports, 21 patients presented muscle weakness and confirmatory biopsy for CQ/HCQ induced myopathy. From observational studies, 37 patients out of 1,367 patients from five studies presented muscle weakness related to the use of CQ/HCQ, and 252 patients presented elevated levels of muscle enzymes (aldolase, creatine phosphokinase, and lactate dehydrogenase). Four studies presented data on 34 patients with confirmatory biopsy for drug-induced myopathy. No study presented randomized samples. The chronic use of CQ/HCQ may be a risk for drug-induced myopathy. There is substantiated need for proper randomized trials and controlled prospective studies needed to assess the clinical and subclinical stages of CQ/HCQ -induced muscle myopathy.
Collapse
Affiliation(s)
- Claudia Cristina Biguetti
- Bone-Muscle Research Center, College of Nursing & Health Innovation, University of Texas-Arlington, 655 W. Mitchell Street, Arlington, TX, 76010, USA
- Department of Bioengineering, University of Texas-Dallas, 800 W. Campbell Road, Richardson, TX, 75080, USA
| | | | - Matthew William Fiedler
- Bone-Muscle Research Center, College of Nursing & Health Innovation, University of Texas-Arlington, 655 W. Mitchell Street, Arlington, TX, 76010, USA
| | - Mauro Toledo Marrelli
- Bone-Muscle Research Center, College of Nursing & Health Innovation, University of Texas-Arlington, 655 W. Mitchell Street, Arlington, TX, 76010, USA
- Department of Epidemiology, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo 715, São Paulo, SP, 01246‑904, Brazil
| | - Marco Brotto
- Bone-Muscle Research Center, College of Nursing & Health Innovation, University of Texas-Arlington, 655 W. Mitchell Street, Arlington, TX, 76010, USA.
| |
Collapse
|
13
|
Pordeus MD, Santiago Junior JF, Venante HS, Bringel da Costa RM, Chappuis Chocano AP, Porto VC. Computer-aided technology for fabricating removable partial denture frameworks: A systematic review and meta-analysis. J Prosthet Dent 2021; 128:331-340. [PMID: 33581866 DOI: 10.1016/j.prosdent.2020.06.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 06/26/2020] [Accepted: 06/29/2020] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM A consensus that establishes the indications and clinical performance of removable partial denture (RPD) frameworks designed and manufactured with computer-aided design and computer-aided manufacturing (CAD-CAM) systems is lacking. PURPOSE The purpose of this systematic review and meta-analysis was to evaluate the currently published literature investigating different CAD-CAM methods and techniques for RPD manufacturing and their clinical performance. MATERIAL AND METHODS A comprehensive search of studies published up to September 2019 was performed in PubMed/MEDLINE, Web of Science, Cochrane Library, and SciELO databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA Statement) criteria and was registered and approved in the International Prospective Register of Systematic Reviews (PROSPERO: CRD42020152197). The population, intervention, comparison, outcome (PICO) question was "Do the CAD-CAM frameworks have similar performances to those fabricated by conventional techniques?" The meta-analysis included clinical and in vitro studies based on the effect size and test of Null (2-Tail) with 95% confidence interval (CI). Clinical and in vitro studies were selected and analyzed separately. RESULTS A total of 15 articles out of 358 were selected. For clinical studies, quantitative analysis with a sample of 25 participants showed a mean discrepancy between occlusal rests and rest seats of 184.91 μm (95% CI: 152.6 μm-217.15 μm) and heterogeneity (I2) of 0%. Clinical data considered that frameworks were acceptable for continuity of treatment. The predominant materials were cobalt-chromium (Co-Cr) and polyetheretherketone (PEEK), and studies using Co-Cr reported that the structure required adjustments. In addition, it has been reported that the indirect technique was time-consuming and selective laser melting (SLM) can be costly. PEEK structures have been more widely accepted because of improved esthetics. Quantitative data from the in vitro studies revealed that the additive manufacturing technique (2.006 mm: 95% CI: -2.021 mm to 6.032 mm) was not significantly different from the indirect technique (0.026 mm; P=.455; random: I2: 98.402%). CONCLUSIONS Clinical studies and in vitro research on CAD-CAM planning and manufacturing of removable prosthesis frameworks are still sparse. However, preliminary data indicate a similar fit and esthetic improvement when compared with the conventional technique.
Collapse
Affiliation(s)
- Mariana Domingues Pordeus
- MSc student, Dental School of Bauru, FOB-USP - University of São Paulo, Octávio Pinheiro Brisolla, Jardim Brasil, Bauru, São Paulo, Brazil
| | | | - Helena Sandrini Venante
- PhD student, Dental School of Bauru, FOB-USP - University of São Paulo, Bauru, São Paulo, Brazil.
| | | | | | - Vinicius Carvalho Porto
- Associate Professor, Dental School of BauruFOB-USP - University of São Paulo, Bauru, São Paulo, Brazil
| |
Collapse
|
14
|
da Costa RMB, Poluha RL, De la Torre Canales G, Junior JFS, Conti PCR, Neppelenbroek KH, Porto VC. The effectiveness of microwave disinfection in treating Candida-associated denture stomatitis: a systematic review and metaanalysis. Clin Oral Investig 2020; 24:3821-3832. [PMID: 32974776 DOI: 10.1007/s00784-020-03599-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 09/16/2020] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To evaluate the effectiveness of microwave disinfection in treating Candida-associated denture stomatitis (CADS). MATERIALS AND METHODS The PubMed/MEDLINE, Embase, and Scopus databases were searched for reports on randomized clinical trials (RCTs) published in English until May 2020 (PROSPERO CRD42020192062) that evaluated the treatment of CADS by using microwave disinfection. The main outcomes were the improvement of clinical signs and/or the decrease in the residual yeast present on the dentures and palatal mucosa. The mean differences, standard deviations, risk ratio, and 95% confidence interval were calculated by using the random-effects model. Heterogeneity was assessed by using Cochran's Q test and I2 values. The level of significance was set at α = 0.05. RESULTS Five RCTs with 245 participants were included. The descriptive investigations demonstrated that microwave disinfection was as effective (p > 0.05) as 0.2% chlorhexidine, 0.02% sodium hypochlorite, and topical nystatin (100.000 IU/mL), and was superior to topical miconazole in treating CADS. The metaanalysis did not show a statistical difference between microwave disinfection and nystatin (100.000 IU/mL) treatment in terms of mycological counts, cure, and recurrence rates (p > 0.05). CONCLUSION Microwave disinfection showed comparable results with those of conventional therapies for treating CADS. In addition, treatment with 650 W for 3 min once a week for 14 days had better cost-effect results, indicating both the prevention and treatment of CADS. CLINICAL RELEVANCE Our findings provide evidence regarding the treatment of CADS using microwave disinfection, and also indicating the best cost-effective option for this treatment modality.
Collapse
Affiliation(s)
- Rodrigo Moreira Bringel da Costa
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
| | - Rodrigo Lorenzi Poluha
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Giancarlo De la Torre Canales
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Joel Ferreira Santiago Junior
- Department of Health Sciences, School of Dentistry, Centro Universitário Sagrado Coração - UNISAGRADO, Irmã Arminda St., 10-50, Bauru, SP, 17011-160, Brazil
| | - Paulo Cesar Rodrigues Conti
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Karin Hermana Neppelenbroek
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Vinicius Carvalho Porto
- Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| |
Collapse
|
15
|
Rodas MAR, Paula BLD, Pazmiño VFC, Lot Vieira FFDS, Junior JFS, Silveira EMV. Platelet-Rich Fibrin in Coverage of Gingival Recession: A Systematic Review and Meta-Analysis. Eur J Dent 2020; 14:315-326. [PMID: 32221958 PMCID: PMC7296445 DOI: 10.1055/s-0040-1701907] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
This systematic review and meta-analysis sought to evaluate the efficacy of platelet-rich fibrin (PRF) membranes versus subepithelial connective tissue grafts (SCTGs) in the coverage of Miller class I and II gingival recessions. After the inclusion and exclusion criteria were applied, the quality of seven articles (Cohen's Kappa = 0.9) was evaluated using the Jadad scale. The MEDLINE/PubMed, Cochrane, and Web of Science databases were consulted, and manual searches were performed in the most popular periodontics journals. The studies included considered a total of 122 patients, 203 surgical fields on which SCTGs were used, and 205 surgical fields on which PRF was used. The parameters analyzed were probing depth, clinical attachment level, gingival recession, and keratinized mucosa. The minimum follow-up period accepted was 6 months. A statistically significant difference between the SCTG and PRF groups was found only in the case of keratinized mucosa. However, gingival recession, clinical attachment level, and probing depth parameters in the PRF group were found to be statistically equal to those of the SCTG group (the gold standard) (p ≥0.05). PRF membranes were determined to be a promising alternative to autogenous gingival grafts in the treatment of Miller class I and II gingival recessions.
Collapse
Affiliation(s)
| | | | - Victor Fabrizio Cabrera Pazmiño
- Department of prosthesis, Hospital for Rehabilitation of Craniofacial Anomalies (HRAC), University of São Paulo (USP), Bauru, São Paulo, Brazil
| | | | | | | |
Collapse
|
16
|
Kricheldorf F, Bueno CRDS, Amaral WDS, Junior JFS, Filho HN. Analysis of vertical marginal discrepancy in feldspathic porcelain crowns manufactured with different CAD/CAM systems: Closed and open. Eur J Dent 2019; 12:123-128. [PMID: 29657537 PMCID: PMC5883464 DOI: 10.4103/ejd.ejd_368_17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objective: The objective of this study is to compare the marginal adaptation of feldspathic porcelain crowns using two computer-aided design/computer-aided manufacturing systems, one of them is open and the other is closed. Materials and Methods: Twenty identical titanium abutments were divided into two groups: open system (OS), where ceramic crowns were created using varied equipment and software, and closed system (CS), where ceramic crowns were created using the CEREC system. Through optical microscopy analysis, we assess the marginal adaptation of the prosthetic interfaces. The data were subjected to the distribution of normality and variance. The t-test was used for the analysis of the comparison factor between the groups, and the one-way ANOVA was used to compare the variance of crown analysis regions within the group. A significance level of 5% was considered for the analyses. Results: There was a significant difference between the systems (P = 0.007), with the CS group having the higher mean (23.75 μm ± 3.05) of marginal discrepancy when compared to the open group (17.94 μm ± 4.77). Furthermore, there were no differences in marginal discrepancy between the different points between the groups (P ≥ 0.05). Conclusions: The studied groups presented results within the requirements set out in the literature. However, the OS used presented better results in marginal adaptation.
Collapse
Affiliation(s)
- Fabio Kricheldorf
- Department of Health Sciences, University of Sacred Heart (USC), Bauru, Brazil
| | | | | | | | - Hugo Nary Filho
- Department of Health Sciences, University of Sacred Heart (USC), Bauru, Brazil
| |
Collapse
|
17
|
Thompson FC, Matsumoto MA, Biguetti CC, Rennó ACM, de Andrade Holgado L, Santiago Junior JF, Munerato MS, Saraiva PP. Distinct healing pattern of maxillary sinus augmentation using the vitroceramic Biosilicate®: Study in rabbits. Mater Sci Eng C Mater Biol Appl 2019; 99:726-734. [PMID: 30889746 DOI: 10.1016/j.msec.2019.02.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/14/2017] [Revised: 04/20/2018] [Accepted: 02/02/2019] [Indexed: 12/23/2022]
Abstract
OBJECTIVES To follow healing process of augmented maxillary sinus in rabbits analyzing the histological pattern of bone tissue formation, along with the osteogenic activity and vascularization using a bioactive vitroceramic in comparison to deproteinized bovine bone associated or not with autogenous bone graft. DESIGN Forty five male adult New Zealand rabbits, 5 months of age, mean weight of 4 Kg, underwent bilateral sinus augmentation surgeries to be divided in five groups: G - (Control) particulate autogenous bone graft (AG), BO - deproteinized bovine bone, BO+G - deproteinized bovine bone + AG, BSi -vitroceramic, and BSi + G - vitroceramic +AG. After 15, 45 and 90 days, all animals were euthanized for specimen's removal to be analyzed under light microscopy, histomorphometry, and immunohistochemistry for Runx2 and VEGF labeling. RESULTS G, BO and BO+G groups healed uneventfully, allowing the formation of mature remodeling bone at day 90, regarding the association of AG with the biomaterial. On the other hand, BSi and BSi + G groups showed an important cellular reaction and granulation/fibrous tissue formation from the first to the last period of observation. Runx-2 and VEGF immunolabeling were coherent with this result. However, histomorphometry did not reveal significant differences considering new bone formation. CONCLUSIONS Reconstructed maxillary sinuses using Biosilicate® permitted satisfactory new bone formation in comparison to the deproteinized bovine bone and AG. However, the presence of granulation/fibrous tissue and inflammatory cells associated to the degrading biomaterial indicate that further studies should be careful performed considering the immunological aspect of this new biomaterial.
Collapse
Affiliation(s)
- Francis Cazzeli Thompson
- Oral Biology Post-graduation Program, Sagrado Coração University - USC, Rua Irmã Arminda 10-50 - Bauru -, SP 17011-160, Brazil
| | - Mariza Akemi Matsumoto
- Department of Basic Sciences, São Paulo State University (Unesp), School of Dentistry, Rua José Bonifácio 1193, 16015-050 Araçatuba, SP, Brazil.
| | - Claudia Cristina Biguetti
- Faculty of Medicine of Jau - Universidade do Oeste Paulista - UNOESTE, Jaú - Brazil, R. Ângelo Martins, 498 - Jardim Estadio, Jaú - SP, 17203-480, Brazil
| | - Ana Claudia Muniz Rennó
- Department of Bioscience, Federal University of Sao Paulo, Campus Baixada Santista - UNIFESP, Avenida Ana Costa, 95, Santos, SP 11060-001, Brazil
| | - Leandro de Andrade Holgado
- Oral Biology Post-graduation Program, Sagrado Coração University - USC, Rua Irmã Arminda 10-50 - Bauru -, SP 17011-160, Brazil
| | - Joel Ferreira Santiago Junior
- Oral Biology Post-graduation Program, Sagrado Coração University - USC, Rua Irmã Arminda 10-50 - Bauru -, SP 17011-160, Brazil.
| | - Marcelo Salles Munerato
- Oral Biology Post-graduation Program, Sagrado Coração University - USC, Rua Irmã Arminda 10-50 - Bauru -, SP 17011-160, Brazil
| | - Patrícia Pinto Saraiva
- Faculty of Medicine of Jau - Universidade do Oeste Paulista - UNOESTE, Jaú - Brazil, R. Ângelo Martins, 498 - Jardim Estadio, Jaú - SP, 17203-480, Brazil
| |
Collapse
|
18
|
de Luna Gomes JM, Lemos CAA, Santiago Junior JF, de Moraes SLD, Goiato MC, Pellizzer EP. Optimal number of implants for complete-arch implant-supported prostheses with a follow-up of at least 5 years: A systematic review and meta-analysis. J Prosthet Dent 2018; 121:766-774.e3. [PMID: 30527569 DOI: 10.1016/j.prosdent.2018.06.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Revised: 06/03/2018] [Accepted: 06/04/2018] [Indexed: 11/15/2022]
Abstract
STATEMENT OF PROBLEM Consensus is lacking regarding the optimal number of implants for supporting complete-arch prostheses with good survival rates and lower prosthetic complications and marginal bone loss. PURPOSE The purpose of this systematic review was to evaluate the influence of the number of implants used for complete-arch prostheses with at least 5 years of follow-up. MATERIAL AND METHODS A search was performed in the PubMed/MEDLINE, Scopus, and Cochrane Library databases according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria and was registered in The International Prospective Register of Systematic Reviews (CRD42016048468). The following was the population, intervention, comparison, outcome (PICO) question: Does the number of implants influence the longevity of complete-arch prostheses? RESULTS Nineteen studies including 1006 patients with a mean age of 61.44 years were selected for evaluation. The number of implants per jaw ranged between 2 and 9 in the maxilla, mandible, or both jaws. For implant survival rate in complete-arch prostheses with fewer than 5 implants per jaw, the pooled weighted event rate was 1.4% (I2=25.26%; P=.211) and 4.2% (I2=81.35%; P<.001) for complete arches with more than 4 implants per jaw. For the prosthesis survival rate, the pooled weighted event rate for a complete-arch with fewer than 5 implants per jaw was 1.5% (I2=0%; P=.677) and 9% (I2=17.33%; P=.304) for complete arches with more than 4 implants per jaw. For prosthesis complications for complete arches with fewer than 5 implants per jaw, the pooled weighted event rate was 19.9% (I2=93.5%; P<.001) and 24.5% (I2=88.89; P<.001) for complete arches with more than 4 implants per jaw. The mean marginal bone loss for complete arches with fewer than 5 implants per jaw was 1.22 ±0.49 mm (I2=99.46; P<.001) and 1.46 ±0.46 mm (I2=99.6; P <.001) for more than 4 implants per jaw. CONCLUSIONS The current systematic review indicated no relationship of the number of implants used to support a complete-arch prosthesis with implant survival rate, prosthesis survival rate, prosthesis complications, or marginal bone loss in studies with follow-up periods of between 5 and 15 years.
Collapse
Affiliation(s)
- Jéssica Marcela de Luna Gomes
- Postgraduate student, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, Brazil.
| | - Cleidiel Aparecido Araújo Lemos
- Postgraduate student, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, Brazil
| | - Joel Ferreira Santiago Junior
- Assistant Professor, Pró-Reitoria de Pesquisa e Pós-graduação (PRPPG), Universidade do Sagrado Coração (USC), Bauru, Brazil
| | | | - Marcelo Coelho Goiato
- Full Professor, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, Brazil
| | - Eduardo Piza Pellizzer
- Full Professor, Department of Dental Materials and Prosthodontics, Sao Paulo State University (UNESP), Araçatuba, Brazil
| |
Collapse
|
19
|
Barbosa IV, Ladewig VDM, Almeida-Pedrin RR, Cardoso MA, Santiago Junior JF, Conti ACDCF. The association between patient's compliance and age with the bonding failure of orthodontic brackets: a cross-sectional study. Prog Orthod 2018; 19:11. [PMID: 29713922 PMCID: PMC5928014 DOI: 10.1186/s40510-018-0209-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 03/26/2018] [Indexed: 11/11/2022] Open
Abstract
Background An efficient orthodontic treatment must aim the best occlusal result in the shortest possible time. One of the factors that can interfere in this goal is the bracket debonding during the treatment. This study aimed at assessing the different factors related to brackets failure, highlighting age and patient cooperation with treatment. Methods The sample comprised 199 orthodontic patients of both genders (103 women and 96 men); divided into two groups—adolescents (12 to 18 years old, 118 patients) and adults (19 to 59 years old, 81 patients). A questionnaire was applied regarding the motivation of patients to seek treatment and whether they had received information on appliance care; patients also filled out their level of cooperation with treatment in a visual analog scale (VAS). Additionally, other variables were assessed, such as the teeth with bracket debonding, the presence of deep overbite, and the use of bite plate. The Mann-Whitney test was used, and a 5% significance level was applied for analyses. Results It was observed that 20.1% of patients presented at least one tooth with bracket failure, and the lower arch was the most prevalent site (47.5%). Adolescents presented more debonding (25.4%) than adults (12.3%). Individuals with better VAS scores on cooperation sought treatment on their own (p = 0.042), were adults (p ≤ 0.001), and showed lower rate of failure of brackets (p ≤ 0.001). The factors related to malocclusion and treatment performed had no statistical significance. Conclusion Greater cooperation was expected from adult individuals who sought treatment on their own and presented low rate of bracket failure.
Collapse
|
20
|
de Souza Batista VE, Verri FR, Almeida DADF, Santiago Junior JF, Lemos CAA, Pellizzer EP. Evaluation of the effect of an offset implant configuration in the posterior maxilla with external hexagon implant platform: A 3-dimensional finite element analysis. J Prosthet Dent 2017; 118:363-371. [DOI: 10.1016/j.prosdent.2016.10.033] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 10/21/2016] [Accepted: 10/21/2016] [Indexed: 10/20/2022]
|
21
|
de Souza Batista VE, Verri FR, Almeida DADF, Santiago Junior JF, Lemos CAA, Pellizzer EP. Finite element analysis of implant-supported prosthesis with pontic and cantilever in the posterior maxilla. Comput Methods Biomech Biomed Engin 2017; 20:663-670. [DOI: 10.1080/10255842.2017.1287905] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Victor Eduardo de Souza Batista
- Graduate Program in Dentistry, Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Araçatuba, Brazil
| | - Fellippo Ramos Verri
- Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Araçatuba, Brazil
| | | | | | - Cleidiel Aparecido Araújo Lemos
- Graduate Program in Dentistry, Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Araçatuba, Brazil
| | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP – Univ Estadual Paulista, Araçatuba, Brazil
| |
Collapse
|
22
|
Goiato MC, Junior JFS, Pellizzer EP, Moreno A, Villa LMR, de Carvalho Dekon SF, de Carvalho PSP, dos Santos DM. Systemic Trans- and Postoperative Evaluations of Patients Undergoing Dental Implant Surgery. Clinics (Sao Paulo) 2016; 71:156-62. [PMID: 27074177 PMCID: PMC4785855 DOI: 10.6061/clinics/2016(03)07] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Accepted: 01/27/2016] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE The aims of this study were to examine the trans- and postoperative systemic characteristics of patients undergoing dental implant surgery and to investigate the relationship between pre- and post- surgery anxiety levels. MATERIAL AND METHODS Thirty-nine patients were analyzed in 3 call centers to determine anxiety levels, pain levels, and preoperative and postoperative histories using the State-Trait (STAI) questionnaire. RESULTS A total of 93 dental implants were installed, with a success rate of 100%. The most frequently reported systemic disease was hypertension. There was a significantly higher rate of effective clamping (torque) to the mandibular bone than to the maxillary bone. The association between postoperative surgical complications and longer operative time was not significant, but there was a significant correlation between the alteration of mouth opening and daily routine activities and a significant decrease in anxiety levels between the day of surgery and the postoperative time point (p =0.006). CONCLUSION A longer surgical time was associated with surgery-related complications and with a higher anxiety index on the preoperative evaluation.
Collapse
Affiliation(s)
| | | | | | - Amália Moreno
- />Universidade Estadual Paulista (UNESP), Faculdade de Odontologia Pública
| | | | | | | | | |
Collapse
|
23
|
Ramos Verri F, Santiago Junior JF, de Faria Almeida DA, de Oliveira GBB, de Souza Batista VE, Marques Honório H, Yoshito Noritomi P, Piza Pellizzer E. Biomechanical influence of crown-to-implant ratio on stress distribution over internal hexagon short implant: 3-D finite element analysis with statistical test. J Biomech 2015; 48:138-45. [DOI: 10.1016/j.jbiomech.2014.10.021] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2013] [Revised: 04/09/2014] [Accepted: 10/16/2014] [Indexed: 11/25/2022]
|
24
|
de Souza Batista VE, Junior JFS, de Faria Almeida DA, de Toledo Piza Lopes LF, Verri FR, Pellizzer EP. The Effect of Offset Implant Configuration on Bone Stress Distribution: A Systematic Review. J Prosthodont 2014; 24:93-9. [DOI: 10.1111/jopr.12221] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2014] [Indexed: 11/28/2022] Open
Affiliation(s)
- Victor Eduardo de Souza Batista
- Department of Dental Materials and Prosthodontics; Araçatuba Dental School; UNESP - Univ Estadual Paulista; Campus of Araçatuba; São Paulo Brazil
| | - Joel Ferreira Santiago Junior
- Department of Dental Materials and Prosthodontics; Araçatuba Dental School; UNESP - Univ Estadual Paulista; Campus of Araçatuba; São Paulo Brazil
| | - Daniel Augusto de Faria Almeida
- Department of Dental Materials and Prosthodontics; Araçatuba Dental School; UNESP - Univ Estadual Paulista; Campus of Araçatuba; São Paulo Brazil
| | | | - Fellippo Ramos Verri
- Department of Dental Materials and Prosthodontics; Araçatuba Dental School; UNESP - Univ Estadual Paulista; Campus of Araçatuba; São Paulo Brazil
| | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics; Araçatuba Dental School; UNESP - Univ Estadual Paulista; Campus of Araçatuba; São Paulo Brazil
| |
Collapse
|
25
|
Moraes SLDD, Verri FR, Junior JFS, Almeida DADF, Mello CCD, Pellizzer EP. A 3-D Finite Element Study of the Influence of Crown-Implant Ratio on Stress Distribution. Braz Dent J 2013; 24:635-41. [DOI: 10.1590/0103-6440201302287] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2013] [Accepted: 10/10/2013] [Indexed: 11/22/2022] Open
Abstract
The purpose of this study was to assess the influence of the crown height of external hexagon implants on the displacement and distribution of stress to the implant/bone system, using the three-dimensional finite element method. The InVesalius and Rhinoceros 4.0 softwares were used to generate the bone model by computed tomography. Each model was composed of a bone block with one implant (3.75x10.0 mm) with external hexagon connections and crowns with 10 mm, 12.5 mm and 15 mm in height. A 200 N axial and a 100 N oblique (45°) load were applied. The models were solved by the NeiNastran 9.0 and Femap 10.0 softwares to obtain the results that were visualized by maps of displacement, von Mises stress (crown/implant) and maximum principal stress (bone). The crown height under axial load did not influence the stress displacement and concentration, while the oblique loading increased these factors. The highest stress was observed in the neck of the implant screw on the side opposite to the loading. This stress was also transferred to the crown/platform/bone interface. The results of this study suggest that the increase in crown height enhanced stress concentration at the implant/bone tissue and increased displacement in the bone tissue, mainly under oblique loading.
Collapse
|