Dentistry Review最新文献

{"title":"Emergent periodontal conditions: An overview","authors":"Mark E Peacock,&nbsp;Mira Ghaly,&nbsp;Celine Joyce Cornelius Timothius","doi":"10.1016/j.dentre.2025.100155","DOIUrl":"10.1016/j.dentre.2025.100155","url":null,"abstract":"<div><div>Dental emergency patients present often with periodontal conditions which they deem emergent. Most of these disease states are acute, although some are more associated with chronic ulcerative lesions, such as those seen in desquamative gingivitis cases. Pain or discomfort is the usual reason these patients seek treatment, in addition to swelling, infection, and/or bleeding/suppuration. Oral health care practitioners should have available to them a systematic approach to diagnosis and treatment of these conditions, leading to resolution and improved quality of life for their patients. This article describes common periodontal emergencies, their etiology, and the clinical management of these disorders.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"5 2","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-driven evolution in teledentistry: A comprehensive overview of technology and clinical applications","authors":"Richa Kaushik ,&nbsp;Ravindra Rapaka","doi":"10.1016/j.dentre.2025.100154","DOIUrl":"10.1016/j.dentre.2025.100154","url":null,"abstract":"<div><div>This scoping review discusses the current state and future of artificial intelligence (AI) in teledentistry. Teledentistry is a form of telehealth in which dental care is offered via electronic communication across distances due to geographic and financial constraints. The application of AI in teledentistry has made remote diagnosis, treatment scheduling, and patient interaction easier than ever. AI-enabled devices have already shown improved diagnostic performance in generating effective analysis of dental images such as radiographs and intraoral scans to prevent oral diseases in the first place. Automated image analysis in orthodontics, periodontics and prosthodontics, customized treatment plans, and dental prosthesis design are just some of its uses.</div><div>However, there remain a number of limitations, such as lack of infrastructure, clinical readiness, data privacy, and compatibility with current practice management systems. Future technologies, like 5 G connectivity, XR, IoT, edge computing, and blockchain, may prove to further augment AI-enabled teledentistry. Addressing these issues are important for successful and widespread use of AI technologies in the field of remote dentistry.</div><div>The study focuses on how AI can revolutionize the availability, efficacy and performance of teledentistry services. It's also an important reminder that research, ethics and professional training are still needed to properly incorporate AI in order to promote improved dental health.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"5 2","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of the anterior open bite using clear aligner therapy and surgery-first: Case example and scoping review of the literature","authors":"Marshall F. Newman ,&nbsp;Joshua Stewart","doi":"10.1016/j.dentre.2025.100153","DOIUrl":"10.1016/j.dentre.2025.100153","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The anterior open bite is challenging skeletal facial discrepancy and often requires a combined orthodontic and surgical approach to treatment. Traditionally, such approaches have involved use of conventional fixed orthodontic appliances in-preparation, followed by orthognathic surgery, and subsequent refinement of the occlusion with orthodontic treatment after surgery. Surgery-first approaches to treatment of skeletal facial discrepancies exist and have been demonstrated to provide excellent treatment outcomes with often shorter overall treatment times. The use of clear aligner therapy rather than conventional fixed orthodontic appliances has also been described in the treatment of various skeletal facial discrepancies. As providers offer surgery-first and clear aligner treatment options more frequently, a review of the available literature regarding the combination of the two modalities is needed, particularly for treatment of the anterior open bite.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The primary objectives of this report are to systematically review the available literature regarding the use of clear aligner therapy and a surgery-first approach to treatment of the anterior open bite and to provide a case example. Advantages of using clear aligners versus conventional fixed orthodontic appliances will also be discussed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Eligibility Criteria&lt;/h3&gt;&lt;div&gt;Articles included for review were studies addressing patients with an anterior open bite and the use of a surgery-first approach as well as clear aligner therapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Sources of Evidence&lt;/h3&gt;&lt;div&gt;PubMed and Ovid were queried using the terms “clear aligners” AND “von Willebrand OR open bite”; “clear aligners” AND “surgery-first”; and “clear aligners” AND “orthognathic.” Additional references relevant to the review were obtained from the reference lists of available articles ultimately deemed appropriate for inclusion in the review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A recent example case of a patient with hemifacial microsomia and an anterior open bite undergoing a combined orthodontic and surgical approach to management is presented for consideration. A scoping review of the literature was undertaken for evaluation of available literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Insufficient evidence exists for significant analysis of clear aligner therapy directly compared to conventional fixed orthodontic appliances in patients undergoing surgery-first, as was the strategy used for the case presented. A review of the available literature with reference to updated literature regarding management of patients with an open bite specifically undergoing surgery-first and clear aligner treatment yields one two case series. The results indicate that further study of the subject in question is warranted, but currently ava","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"5 1","pages":"Article 100153"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key strategies for evidence synthesis through systematic reviews in Dentistry","authors":"Anirudha Agnihotry ,&nbsp;Radhika Thakkar ,&nbsp;Karanjot S Gill ,&nbsp;Todd Schoenbaum ,&nbsp;Maureen Dobbins ,&nbsp;Richard G Stevenson ,&nbsp;Rachel Couban ,&nbsp;Sagnik Ray","doi":"10.1016/j.dentre.2025.100152","DOIUrl":"10.1016/j.dentre.2025.100152","url":null,"abstract":"<div><div>Systematic reviews in dentistry are increasing in numbers and scope, influencing and informing the overall practice. Quality conduct of these reviews is indispensable. Key strategies should be followed to execute these effectively, starting with assembling the team with all the experts playing the right roles. Formulating the question and registering the review at a protocol registry are important aspects and it should be noted that the right search strategy is followed, where all the databases are thoroughly searched with the guidance from an information specialist. Critical appraisal of the quality of included studies should be performed with an objective tool after the included studies get the data extracted by two reviewers, getting conflicts resolved by a third one. Analyzed data should be schematically presented comprehensively in the results section and suitable conclusions should be drawn, often augmented with generating recommendations for the practice. Dissemination of the results and their implications on practice should be considered a crucial and pivotal part of the review process, as this serves the purpose of the research by creating the impact in the right domains.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"5 1","pages":"Article 100152"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Quality Assurance- Most Common Reasons for Rejection” [Dentistry Review 4 (2024) 100100]","authors":"William Gladden","doi":"10.1016/j.dentre.2024.100151","DOIUrl":"10.1016/j.dentre.2024.100151","url":null,"abstract":"","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 4","pages":"Article 100151"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143171631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Soft tissue management as part of peri‑implantitis treatment: When, why and how?","authors":"Paternò Holtzman Lucrezia ,&nbsp;Malpassi Chiara ,&nbsp;Cuppini Marla","doi":"10.1016/j.dentre.2024.100147","DOIUrl":"10.1016/j.dentre.2024.100147","url":null,"abstract":"<div><h3>Background</h3><div>Dental implants are susceptible to biological complications that affect the peri‑implant tissues. The role of the soft tissues compartment in promoting and maintaining peri‑implant health is still controversial in the literature, especially in terms of the amount/thickness of keratinized mucosa presence.</div></div><div><h3>Purpose</h3><div>To discuss the complexities of surgical treatment of peri‑implantitis when it simultaneously presents with soft tissues deficiencies.</div></div><div><h3>Result</h3><div>The available data supported that the presence of keratinized mucosa promotes peri‑implant health in the long term, as it favors soft tissues stability over time with less brushing discomfort reported. In the presence of peri‑implantitis associated with soft tissue deficiency, surgical peri‑implant therapy alone was not able to correct the soft tissues compartment, thus, a combined approach with peri‑implant plastic surgery is strongly advised.</div></div><div><h3>Conclusion</h3><div>Peri-implant soft-tissue augmentation in peri‑implantitis treatment procedures may be helpful to guarantee long-term biological, aesthetic, and functional outcomes.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 4","pages":"Article 100147"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentially Inappropriate Medications Prescribed to Geriatric Patients in Single Institution","authors":"Christina Sun,&nbsp;Madison Mondry,&nbsp;Mohammed Bindakhil,&nbsp;DDS MS","doi":"10.1016/j.dentre.2024.100112","DOIUrl":"10.1016/j.dentre.2024.100112","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The primary objective of this investigation was to determine the types and frequency of PIMs prescribed to geriatric patients at the Dental College of Georgia at Augusta University (DCG) while considering patients’ age groups and American Society of Anesthesiologists (ASA) physical status. The secondary objective was to determine the source of PIMs prescriptions based on the prescribers’ specialty and professional status.</p></div><div><h3>METHODS</h3><p>The most recent Beers List and STOPP/START criteria were studied, and PIMs identified. A retrospective electronic chart review of patients at DCG aged 65 and above was performed for calendar years 2018, 2019, 2020, 2021 and 2022. Search queries were also generated for the patients’ medical history, along with PIMs prescribers’ specialty and professional status.</p></div><div><h3>RESULTS</h3><p>Of 10675 geriatric patients identified, 6.2% (n=662) received PIMs prescriptions. Of those, 73.7% had an ASA III status. 77% received one PIM prescription, while others received between two to six. NSAIDs were the most commonly prescribed PIM (60.1% of patients), followed by opioids (32.5% of patients). A dramatic drop in prescribing NSAIDs was detected in recent years. Surprisingly, a similar pattern was not observed with opioids. Both NSAIDs and opioids were largely provided by oral-maxillofacial surgery (OMFS) followed by restorative dentistry and periodontics. Benzodiazepines were mostly prescribed by endodontics, while tricyclic antidepressants (TCAs), muscle relaxants and anticonvulsants were most commonly prescribed by oral medicine. Residents prescribed opioids at similar rates to faculty (p=0.78), but exceeded faculty in prescribing benzodiazepines (p&lt;0.001).</p></div><div><h3>CONCLUSIONS</h3><p>PIMs are prescribed at low percentages to geriatric patients. However, many of the geriatric patients receiving such prescriptions have an ASA III status. Prescription of PIMs, especially opioids and NSAIDs, is not uncommon, and many patients received more than two PIMs. Further work should be devoted, at both institutional and national levels, to monitor/limit PIMs provided to geriatric patients.</p></div><div><h3>IMPLICATIONS</h3><p>In geriatric care, it is important to be cognizant of the unique characteristics of this population. Studies like this are important to analyze prescription trends in different populations and dental specialties. We can draw attention to areas which can be improved, while also highlighting what is being done well, for future care.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100112"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277255962400035X/pdfft?md5=bcd96e655475be64f38f33dabcbed578&pid=1-s2.0-S277255962400035X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the Effect of Hyperbaric Oxygen Therapy on Pocket Depths as an Adjunct to Conventional Scaling and Root Planning?","authors":"Anna Winsness,&nbsp;Gabby Fallin,&nbsp;Krystal Herring RDH, MPH","doi":"10.1016/j.dentre.2024.100123","DOIUrl":"10.1016/j.dentre.2024.100123","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>Hyperbaric oxygen therapy (HBOT) brings several benefits to wound healing in various tissues throughout the body by delivering high concentrations of oxygen under increased atmospheric pressure for small intervals of time. In addition to routine scaling and root planning (SRP), HBOT may be able to further improve pocket depths, revive tissues, and maybe even help to regenerate parts of the periodontal ligament.</p></div><div><h3>METHODS</h3><p>The Augusta University Greenblatt online library, Google scholar, and Galileo were used to find credible articles. Criteria for finding credible articles included articles that were published within 5 years of 2023, articles that are not literature reviews, articles that report randomized clinical trials, and articles that do not present an obvious bias.</p></div><div><h3>RESULTS</h3><p>All studies yielded results in favor of the use of HBOT to improve periodontal health. Results included decreases in probing depths, improved clinical attachment levels, decreases in bleeding, and improved gingival indexes. Only one study yielded non-directional results with no noticeable differences between the control group and study group.</p></div><div><h3>CONCLUSIONS</h3><p>After a thorough review of the selected research articles, it is concluded that HBOT would be an effective adjunct to SRP. Adding HBOT to a patient's treatment plan could be beneficial to many components of the periodontal ligament.</p></div><div><h3>IMPLICATIONS</h3><p>HBOT would be a good addition to the dental field by offering a less invasive form of therapy to periodontally affected patients. Certain factors like price and duration of treatment could affect the accessibility of HBOT. Further research will help to bring HBOT into the dental field and become a widely accepted adjunct to periodontal therapy.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100123"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000464/pdfft?md5=a4c57a7d85751b50403a2ab23cda2448&pid=1-s2.0-S2772559624000464-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects Of Oral Probiotics on Gingival and Periodontal Health: A Literature Review","authors":"Amber Hamilton,&nbsp;Madison Barnes,&nbsp;Trina Hutto RDH, MS, EdD","doi":"10.1016/j.dentre.2024.100101","DOIUrl":"10.1016/j.dentre.2024.100101","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>Be able to identify the effects of oral probiotics and determine the different methods probiotics can be administered. Learn the different ways probiotics can be incorporated daily.</p></div><div><h3>METHODS</h3><p>This research used the key words oral health, oral microorganisms, probiotics, and periodontal health. Meta-analysis, literature reviews, irrelevant articles, and articles older than five years were excluded.</p></div><div><h3>CONCLUSIONS</h3><p>Periodontal probing depths decreased throughout all three trials. Bleeding on probing showed substantial reduction signifying a reduction in gingival inflammation. Plaque and gingival indices, although measured in only a subset of trials, also displayed positive trends. Clinical attachment/loss decreased in all trials that included this parameter. Minor increase in recession after a three month recall emphasized further need for investigation In this area.</p></div><div><h3>IMPLICATIONS</h3><p>Probiotics have gained attention in recent years for their ability to revolutionize dental care. They are inexpensive and easily accessible. They are used to strengthen the number of healthy bacteria in the periodontium by inhibiting the adhesion, growth, and metabolism of harmful bacteria.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000245/pdfft?md5=98e4cbe16910962aa51acac10807568f&pid=1-s2.0-S2772559624000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Ozone Therapy in Periodontal Disease Compared to SRP","authors":"Kamer Mola,&nbsp;Sarah Long,&nbsp;Trina Hutto RDH, MS, EdD","doi":"10.1016/j.dentre.2024.100096","DOIUrl":"10.1016/j.dentre.2024.100096","url":null,"abstract":"<div><h3>OBJECTIVES</h3><p>The objective of the present study was to find out the benefit of ozonized therapy as an adjunct to nonsurgical periodontal therapy for the management of periodontitis.</p></div><div><h3>METHODS</h3><p>A specific collection of available literature was selected and reviewed on the topic of ozone therapy and periodontal disease. Ozone Therapy, Ozone gas, Oxygen, Ozone [MeSH], Periodontitis, alveolar bone loss, Periodontal Disease [MeSH] werev the specific keywords and MeSH terms we used.</p><p>Regarding the selection criteria for articles, only peer-reviewed articles published within the last five years were considered. Excluded were literature reviews, meta-analyses, books, or documents. However, randomized controlled trials, whether clinical or not, were accepted.</p></div><div><h3>RESULTS</h3><p>All evaluated studies show the positive outcome of ozone therapy as an adjunct to SRP. Adjunctive ozone therapy resulted in significant improvement in all except one. The first study shows no significant difference in the outcome of both groups in evaluating GCF, PTX-3, IL-1B, and high-sensitivity C-reactive proteins. In the other two studies, clinical parameters of bacterial load, periodontal pocket depth, T. forsythia and T. denticola were decreased and completely eradicated . The total bacteria load and P. gingivalis showed a percentage reduction of 38% and 55% concerning the right-side pockets, respectively. CAL, BOP, and PPD response rates after three months and six months also reduced significantly in the test group after therapy.</p></div><div><h3>CONCLUSIONS</h3><p>Ozone therapy essentially introduces oxygen into an environment where it usually does not exist. Therefore, it disrupts the stability, replication, and energy source of destructive pathogens.</p></div><div><h3>IMPLICATIONS</h3><p>The implication of ozone therapy lies in its ability to effectively eliminate periodontal pathogens, particularly anaerobic bacteria like spirochetes and P. gingivalis.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000191/pdfft?md5=eb8d0360ba5de17d9e88ab7e72a3aa5a&pid=1-s2.0-S2772559624000191-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142168726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}