The Use of Cone Beam Computer Tomography (CBCT) in Endodontics
AbstractPurpose of ReviewCone beam computed tomography scans have been gaining popularity as a diagnostic aid. The purpose of this review is to understand the benefits and the limitations of this technology and its application in day to day clinical assessment. Familiarity with some basic principles of the technical aspect will aid the practitioner in controlling quality of the scan and the amount of radiation the patient is subjected to.Recent FindingsSignificant findings of this review are that the exposure to ionizing radiation is the main limiting factor in taking CBCT scans. The information obtained can be invaluable ...
Source: Current Oral Health Reports - November 27, 2019 Category: Dentistry Source Type: research
3D Printing of Zirconia –What is the Future?
AbstractPurpose of ReviewWithin this review, the current needs of the dental industry will be discussed with special focus on additive manufacturing (3D printing) of dental restorations. Up to now, subtractive manufacturing methods are state of the art for production of monolithic restorations. Here, the challenges and opportunities currently existing for 3D printing of crowns and bridges will be evaluated.Recent FindingsOver the last 10 years, the LCM technology has evolved to the state of the art 3D printing technique for dense and precise ceramics. A case study will present here the full digital workflow from acquiring ...
Source: Current Oral Health Reports - November 27, 2019 Category: Dentistry Source Type: research
Digital Treatment Planning: Limits and Possibilities
This study set out to demonstrate how the digital approach to prosthetic dentistry is able to guarantee better opportunity both in terms of diagnosis and planning and from the point of view of final prosthetic restoration.Recent FindingsIn recent years, the digital approach to prosthetic dentistry has certainly improved the predictability of treatments, giving clinicians and technicians the opportunity to cooperate in the best possible way. A crucial point in prosthetic rehabilitation is the creation of a treatment plan that can be generated through an analysis of facial aesthetics and a consequent orientation of the arche...
Source: Current Oral Health Reports - November 26, 2019 Category: Dentistry Source Type: research
Factors Affecting the Marginal Fit of CAD-CAM Restorations and Concepts to Improve Outcomes
This report assesses and compares ceramic crown fabrication systems to determine what factors affect marginal fit and provide solutions for better outcomes.SummaryThe review revealed key scientific evidence about what factors influence the marginal fit of CAD-CAM ceramic restorations. Solutions were recommended to help the clinician achieve greater long-term success when providing this treatment to their patients. The dental microscope enables the dental practitioner to achieve improved clinical outcomes in all phases of restorative dentistry, especially CAD-CAM restorations. (Source: Current Oral Health Reports)
Source: Current Oral Health Reports - November 17, 2019 Category: Dentistry Source Type: research
Endodontic microsurgery: outcomes and prognostic factors
AbstractPurpose of ReviewThis review addresses endodontic microsurgery procedures compared with traditional surgery and aims to review factors related to the success and failure of endodontic microsurgery from the existing literature.Recent FindingsPeriodontal involvement and tooth position are patient- and tooth-related factors known to have an effect on the outcome of apical surgery. Factors related to successful outcome have been reported and include whether the mineral trioxide aggregate used to obturate the apical portion of the root after surgery was fast or slow setting. Although not statistically significant, large...
Source: Current Oral Health Reports - November 15, 2019 Category: Dentistry Source Type: research
Current Workflows for Computer-Aided Implant Surgery: a Review Article
AbstractPurpose of ReviewImplant dentistry is a fast-evolving field and the computer-aided implant placement is becoming an inseparable part of it. There is a vast variety of techniques, workflows, and software making it hard for the dental practitioner to know which technique to apply to which clinical scenario. Therefore, the purpose of this review is to classify and describe current techniques and compare advantages and disadvantages of different methods. Workflows for various clinical scenarios are also presented to guide a clinician in decision-making.Recent FindingsStatic computer-aided implant surgery offers safe an...
Source: Current Oral Health Reports - November 12, 2019 Category: Dentistry Source Type: research
Biological Communications Between Implants and Periodontal Tissues
AbstractPurpose of ReviewAt present, attention is directed to increase the bone to implant contact (BIC) and minimize the marginal bone loss by modifying the root part of titanium implant using chemical and texture surface treatments. In the present review, we evaluate to what extent the titanium implant surface treatments are targeted to achieve biological attachment and connectivity similar to ankylosed teeth.Recent FindingsWe find that the re-implanted tooth that undergoes ankylosis to alveolar bone and re-attachment of marginal gingiva by cellular and fibrous biological connectivity is a desirable model to seek similar...
Source: Current Oral Health Reports - November 6, 2019 Category: Dentistry Source Type: research
Contemporary CAD/CAM Materials in Dentistry
AbstractPurpose of ReviewTo present an update on the current CAD/CAM materials in restorative dentistry.Recent FindingsImportant contributions are seen in updated mechanical properties of CAD/CAM materials, new insights in lithium silicate systems, and development in translucent zirconia. Many materials are arriving at optimized processing procedures and further development will come from new strategies and systems. Increasing our understanding of CAD/CAM materials will improve their use and indications and drive innovation.SummaryA general update was provided by classifications, mechanical properties, and clinical conside...
Source: Current Oral Health Reports - November 6, 2019 Category: Dentistry Source Type: research
Current Developments on Enamel and Dentin Remineralization
AbstractPurpose of ReviewTo present an overview of the ongoing research on enamel and dentin remineralization and to describe particle-mediated and biomimetic approaches. The importance of restoring tissue functionality as the ultimate goal of remineralization is emphasized.Recent FindingsCalcium-releasing particles and adjuvants to increase fluoride uptake by enamel are described in the literature. In order to recover the prismatic structure in mineral-depleted enamel, amelogenin-derived peptides and amelogenin analogues have been proposed as templates for apatite deposition. In dentin, mineral deposition per se is not en...
Source: Current Oral Health Reports - November 6, 2019 Category: Dentistry Source Type: research
The Use of Growth Factors for Guided Bone Regeneration in Clinical Periodontics
AbstractPurpose of ReviewThe primary purpose of this literature review is to determine the effectiveness of available growth factors for oral guided bone regeneration surgery in clinical periodontics. Secondarily, the authors clarify questions regarding the use of specific growth factors to optimize clinical outcomes.Recent FindingsCurrent research indicates that growth factors may enhance initial periodontal wound healing; however, there is limited evidence to support their use in guided bone regeneration surgical procedures, to include peri-implant bone regeneration.SummaryThe use of biologic mediators, such as growth fa...
Source: Current Oral Health Reports - November 6, 2019 Category: Dentistry Source Type: research
Beyond Endodontic MicroSurgery 1: Intentional Replantation
AbstractPurpose of ReviewThe goal of this paper is to explain the concepts and techniques of intentional replantation so as to encourage all practitioners to include this procedure in their armamentarium. We will seek to answer why this procedure is not done more frequently.Recent FindingsThe latest review of papers from the 1960s through 2017 shows a success rate approaching 89%.SummaryOther than newer root-end filling materials and transport media, the technique has not varied significantly. The CBCT has allowed for better imaging to help treatment plan the direction of extraction without fracturing the tooth. Future res...
Source: Current Oral Health Reports - November 5, 2019 Category: Dentistry Source Type: research
Facially Driven Digital Diagnostic Waxing: New Software Features to Simulate and Define Restorative Outcomes
AbstractPurpose of ReviewComputer-aided design (CAD) softwares minimize human designing errors, reduce time and cost, and serve as more powerful diagnostic and designing tools for treatment planning in restorative dentistry when compared with conventional diagnostic waxing techniques. The goal of this article was to review the features of the available dental and open-source CAD softwares for a facially driven digital diagnostic waxing elaboration.Recent FindingsThe literature review demonstrated that when digital technologies are selected, the fundamental concepts remain, but the protocol differs. When fabricating a facia...
Source: Current Oral Health Reports - November 4, 2019 Category: Dentistry Source Type: research
Allografts and Xenografts for Periodontal Plastic Surgical Procedures
AbstractPurpose of ReviewThe selection of surgical techniques and grafting materials is undoubtedly a critical component in the treatment of gingival recession defects. In order to provide top quality care, dental professionals are always in pursuit of treatment modality that provides maximal efficacy and predictability with minimal patient morbidity. The subepithelial connective tissue graft procedure, the gold standard, has been consistently proven to show excellent root coverage, but limited palatal tissue availability and potential morbidity associated with the harvesting process push dental practitioners to seek an al...
Source: Current Oral Health Reports - July 23, 2019 Category: Dentistry Source Type: research
Surgical Treatment of Periodontal Diseases —a Review of Current Clinical Research
AbstractPurpose of ReviewThis manuscript reviews the literature concerning the surgical treatment of periodontal diseases focusing on studies published within the last three years (2016 –2019). A thorough review of four databases was completed including clinical human research studies and systematic reviews.Recent FindingsSeveral recent studies have focused on evaluating the effects of combining alloplastic materials with autologous platelet-rich products and growth factors. The results of most of these studies are similar to those with traditionally used allografts. New membranes of human, animal, stem cell, or alloplas...
Source: Current Oral Health Reports - July 12, 2019 Category: Dentistry Source Type: research
Crown Lengthening Procedures for Functional and Esthetic Purposes
AbstractPurpose of ReviewThe crown lengthening (CL) procedure is one of the most common procedures in daily dental practice. The purpose of this review is to examine the newer techniques along with parameters that need to be considered in the decision-making process for optimal functional and esthetic results.Recent FindingsThe parameters that need to be considered during the decision-making process for CL include the patient ’s restorative needs and esthetic expectations, supracrestal attachment, level of bone, and gingival phenotype. While gingivectomy with or without osseous resection is the traditional approach, more...
Source: Current Oral Health Reports - July 11, 2019 Category: Dentistry Source Type: research
