Dentistry Review最新文献

{"title":"Surgical prosthodontics in the era of transdisciplinary decentralization","authors":"Young K. Kim","doi":"10.1016/j.dentre.2026.100429","DOIUrl":"10.1016/j.dentre.2026.100429","url":null,"abstract":"","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 3","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148951806","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":"Artificial intelligence–driven smile design in prosthodontics: A systematic review and meta-analysis of data modalities, validation and clinical utility","authors":"Renuka Bodkhe,&nbsp;Ajay Sabane,&nbsp;Abhijit Ashok Patil,&nbsp;Vasantha Vijayraghavan,&nbsp;Arti Gachake","doi":"10.1016/j.dentre.2026.100437","DOIUrl":"10.1016/j.dentre.2026.100437","url":null,"abstract":"<div><h3>Purpose</h3><div>Artificial intelligence (AI) has been suggested as an additional tool for diagnosing, treating and communicating with patients in prosthetics and other areas of medicine. This review aims at reviewing the current literature on the types of data used by such systems, validation techniques and clinical utility.</div></div><div><h3>Study selection</h3><div>Electronic searches were conducted on the PubMed/MEDLINE, Cochrane Library, Dimensions, and Google Scholar databases. Included studies evaluated AI-assisted tools for esthetic smile analysis, smile simulation, shade recommendation, or digital comprehensive planning in adults. Data regarding study design, data modalities, validation comparators, esthetic and functional outcomes, patient and professional-rated outcomes, and workflow metrics were abstracted.</div></div><div><h3>Results</h3><div>The evidence base comprised nine studies: technical validation studies, cross-sectional preference studies, and non-randomized clinical or cohort studies. No randomized controlled trial was identified. The meta-analysis indicated a high overall rate of positive responses or clinical success of 0.84 (95% CI 0.72–0.91). For continuous outcomes, results favored AI-assisted workflows, with a pooled standardized mean difference (SMD) of 1.29 (95% CI 0.02–2.56). Validation reliability was high, with a pooled correlation of 0.92 (95% CI 0.74–0.98). Individual studies also showed high repeatability for 3D AI tasks (ICC 0.973–1.000) and improved shade recommendations (ΔE00 ≤ 1.8: 85% vs 70%; mean ΔE00 1.42 ± 0.56 vs 1.88 ± 0.72; time 2.9 ± 0.8 vs 4.6 ± 1.2 min). Pooled estimates came from only three or four studies each, and there was notable between-study heterogeneity (τ² 0.261–1.166) and wide confidence intervals, with the pooled SMD not being clearly differentiated from the absence of effect.</div></div><div><h3>Conclusion</h3><div>With regard to a small set of evidence that is not randomized or long-term, the use of digitally assisted smile design systems was shown to be positively effective on the measurement accuracy, shade matching and workflow efficiency (moderate certainty), while its effects on esthetic preference and patient satisfaction were contradictory (low certainty). These results are encouraging yet preliminary, and they support the use of digital smile design systems as an add-on in prosthodontic work-flows.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 3","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148853970","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":"Fracture Strength Of Endodontically Accessed Zirconia Crowns Restored With Composite","authors":"Mitchell Akey DMD","doi":"10.1016/j.dentre.2026.100364","DOIUrl":"10.1016/j.dentre.2026.100364","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>Determine the effect of various resin repair protocols on the fracture strength of endodontically accessed zirconia crowns (3Y-TZP).</div></div><div><h3>METHODS</h3><div>Two groups of minimal thickness IPS e.max ZirCAD LT were endodontically accessed with a fine diamond bur under irrigation and subsequently repaired with composite resin. The endodontic access of Group A (N=10) was restored with a resin restoration (Ivoclar Tetric Power Flow) using a two-step dentin bonding adhesive (Kuraray Clearfil SE Bond). The endodontic access of Group B (N=10) was re-polished with a zirconia polishing kit and restored with a resin restoration (Ivoclar Tetric Power Flow) following the APC methodology. Test samples were loaded to failure using an Instron machine. The experimental groups’ fracture strengths were compared to a control group (N=10) of intact zirconia crowns. A one-way ANOVA followed by Tukey post-hoc test were used to determine the differences between the sample groups.</div></div><div><h3>RESULTS</h3><div>The mean load to fracture of the Control Group, Group A, and Group B were 2789 ± 473 (N), 2507 ± 659 (N), and 2419 ± 553 (N) respectively. The one-way ANOVA indicated no significant difference among the samples (p=0.32). Tukey post-hoc test results were as follows: Control-Group A p=0.52, Control-Group B p=0.33 and Group A-Group B p=0.94.</div></div><div><h3>CONCLUSION</h3><div>The fracture strength of a minimal thickness zirconia crown is not significantly reduced after endodontic access regardless of the repair protocol.</div></div><div><h3>IMPLICATIONS</h3><div>The results of this study suggest that conservative repair with composite resin and preservation of the existing zirconia crown may be indicated after endodontic access. This has significant implications regarding cost, chair time, and biological considerations to the tooth and surrounding periodontal structures.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100364"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Early Education on Pediatric Oral Health for Resident Physicians: A Survey","authors":"Rachel Elvis DMD","doi":"10.1016/j.dentre.2026.100372","DOIUrl":"10.1016/j.dentre.2026.100372","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>The purpose of my study is to assess the effectiveness of an oral health educational seminar for pediatric and family medicine resident physicians in improving their knowledge and confidence in providing guidance, care, and appropriate dental referrals for pediatric patients.</div></div><div><h3>METHODS</h3><div>A pre and post survey was administered to resident physicians surveying their knowledge and confidence levels of pediatric oral health. The post survey was given one month following an educational intervention. Results from the pre and post survey were compared to determine if the intervention was effective.</div></div><div><h3>RESULTS</h3><div>Results of study are currently in progress.</div></div><div><h3>CONCLUSIONS</h3><div>Conclusions of study are currently in progress.</div></div><div><h3>IMPLICATIONS</h3><div>Improving the oral and overall health of children by equipping physicians with the knowledge and confidence to provide comprehensive and timely care.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100372"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Clinical Effects Of P11-4 On White Spot Lesions","authors":"Bryanna Jenkins,&nbsp;Emma Kelly,&nbsp;Ashley Christman RDH, BS","doi":"10.1016/j.dentre.2026.100353","DOIUrl":"10.1016/j.dentre.2026.100353","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>The studies examined how various remineralization compounds, such as fluoride varnish or P11-4, affected white spot lesions.</div></div><div><h3>METHODS</h3><div>The PICO question was, “In various age groups, what is the remineralization effect of P11-4 on incipient carious lesions compared to fluoride varnish?”. The PubMed database was used along with keywords such as curodont, monomer peptide, incipient caries, and fluoride varnish. We found 55 articles, and 4 clinical studies were used. For this research, clinical trials were included that compared the efficacy of P11-4 to other remineralizing agents such as fluoride varnish and/or placebo. We excluded literature reviews, meta-analyses and studies over five years old.</div></div><div><h3>RESULTS</h3><div><strong>(If applicable)</strong> The majority of the studies showed that P11-4 remineralized incipient lesions. Although, it was found that more white spot lesions regressed when P11-4 was used in combination with fluoride varnish.</div></div><div><h3>CONCLUSIONS</h3><div>P11-4 is a self-assembling Oligopeptide that allows for the reversal of decalcified lesions and aids in the remineralization process of enamel. P11-4 combined with fluoride varnish was shown to be the superior treatment for white spot lesions (WSL). Incipient caries on facial smooth surfaces, incipient buccal caries, and WSL on primary maxillary anterior teeth were all tested.</div></div><div><h3>IMPLICATIONS</h3><div>P11-4 products could reduce the number of restorations that are completed on children and young adult patients.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100353"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socket-Shield Therapy: Maintaining The Alveolar Ridge During Implant Placement","authors":"Miranda Peck DMD","doi":"10.1016/j.dentre.2026.100395","DOIUrl":"10.1016/j.dentre.2026.100395","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>This presentation aims to explain the indications, protocol, and benefits for partial extraction therapy, in particular the socket-shield technique. It further explains the surgical approach for a socket-shield in order to optimize the outcomes in implant placement while maintaining the alveolar ridge.</div></div><div><h3>METHODS</h3><div>This presentation utilizes clinical case presentations to illustrate the methods for socket-shield therapy when placing implants. In addition, it incorporates a review of relevant research publications to explore current surgical techniques and evidence-based practices in addressing partial extraction therapy.</div></div><div><h3>CONCLUSIONS</h3><div>This presentation concludes that socket shield therapy, when used during implant placement, helps maintain the alveolar ridge and can aid in the success implant placement. It highlights the effectiveness of this technique sensitive surgical approach, allowing for favorable implant placement outcomes in patients with a compromised alveolar ridge.</div></div><div><h3>IMPLICATIONS</h3><div>By highlighting the surgical techniques for socket-shield therapy in order to maintain the alveolar ridge during implant placement, this presentation will help reinforce the successful outcomes of implant placement. This presentation will ultimately help promote appropriate patient care and aid in the success of implant placement while maintaining the ridge.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100395"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness Of Pulpotomy in Managing Carious-exposure In Mature Permanent Teeth","authors":"Jocelyn Tang","doi":"10.1016/j.dentre.2026.100383","DOIUrl":"10.1016/j.dentre.2026.100383","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>This quantitative systematic review evaluated whether pulpotomy performed with hydraulic calcium silicate cements may be used as an alternative to root canal treatment (RCT) in mature permanent teeth with carious pulp exposure.</div></div><div><h3>METHODS</h3><div>A comprehensive search was conducted in PubMed, Web of Science, Scopus, and the Cochrane Library.</div><div>No language restrictions were applied. The search included randomized controlled trials that compared pulpotomy to root canal treatment for managing carious exposure in mature permanent teeth. Studies were selected based on predetermined inclusion criteria: randomized controlled trials involving mature permanent teeth with carious pulp exposure, using hydraulic calcium silicate cements for pulpotomy. Noncomparative studies, case reports, and trials involving primary or immature permanent teeth were excluded.</div></div><div><h3>RESULTS</h3><div>Data were extracted on success rates, clinical outcomes, follow-up periods, pain profiles, and potential complications. A meta-analysis was performed, revealing no statistically significant differences in success rates between pulpotomy and RCT. Both interventions demonstrated success rates exceeding 90% at one year and two-year follow-up periods. Pain profiles consistently showed lower post-operative pain intensity in the pulpotomy group compared to the RCT group during the first week. Potential complications, such as non-responsive pulp and difficulties in determining pulp vitality, were reported more frequently in the pulpotomy group.</div></div><div><h3>CONCLUSIONS</h3><div>Pulpotomy with bioactive hydraulic calcium silicate cements shows comparable success rates to RCT in managing carious pulp exposure in mature permanent teeth. The results suggest pulpotomy as a viable, less invasive alternative to RCT, particularly in cases where preservation of pulp vitality is paramount.</div></div><div><h3>IMPLICATIONS</h3><div>This systematic review highlights pulpotomy as a less invasive and cost-effective alternative to root canal treatment in mature permanent teeth. With comparable success rates and lower post-operative pain, pulpotomy offers a promising approach to managing carious exposure and preserving tooth vitality.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100383"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-Linear Cutting Guides In Oral And Maxillofacial Surgery","authors":"Ryan Mooneyham DDS,&nbsp;Mohamad Fawaz DMD","doi":"10.1016/j.dentre.2026.100387","DOIUrl":"10.1016/j.dentre.2026.100387","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>Identify any patients who underwent resection of bone in the oral and maxillofacial region using non-linear cutting guides in order to demonstrate any increased risk of close or positive margins with their use.</div></div><div><h3>METHODS</h3><div>Retrospective chart review from July 1, 2020 January 31, 2025</div></div><div><h3>RESULTS</h3><div><strong>(If applicable)</strong> 7 patients were found to have undergone resection of oral and maxillofacial pathologies with the aid of custom non-linear cutting guides. There were no close or positive margins noted among the cohort on final pathologic evaluation.</div></div><div><h3>CONCLUSIONS</h3><div>The use of non-linear cutting guides for resection of oral and maxillofacial pathologies demonstrates no increased risk of close or positive margins on final pathologic evaluation.</div></div><div><h3>IMPLICATIONS</h3><div>Non-linear cutting guides may offer particular advantages such as more conservative and aesthetic surgical options when performing mandibular resection and reconstruction for benign pathology.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100387"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Root Canal Day” Proposal survey","authors":"Chan Young Jin","doi":"10.1016/j.dentre.2026.100379","DOIUrl":"10.1016/j.dentre.2026.100379","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>Many students graduate from dental school lacking confidence in non-surgical root canal therapy. Students are also extremely anxious before treating their first “endo” patient in senior year since they don’t gain any practice after the endo course officially ends the beginning of their junior year. We need more exposure.</div></div><div><h3>METHODS</h3><div>Conducted a survey among dental students from D1-D4 to gauge interest in having the “Root Canal Day”. The survey was sent out via email.</div></div><div><h3>RESULTS and CONCLUSIONS</h3><div>31% of students at the DCG took part in the survey.</div><div>1. Only 7 out of the 46, 3rd and 4th year dental students, felt they were somewhat comfortable performing NS-RCT.</div><div>2. Only 2, 4th year dental students, stated that they believe 1 semester of the endodontics course prepared them well to perform NS-RCT. I am 1 of the 2.</div><div>3. 71.2% of students agreed that they are very interested, and 28% of students stated that they were somewhat interested in attending the event.</div><div>4. 72% of students mentioned that they would still attend this event if they had to pay $15 while 28% of students mentioned that they would only attending this event if it was free.</div><div>5. 97.5% of students mentioned that they would still attend the event even if they must come in on a Wednesday afternoon.</div></div><div><h3>IMPLICATIONS</h3><div>Students need more experience in non-surgical root canal therapy. Having “RCT Day” will definitely aid in providing more exposure.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100379"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148178478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personalized Periodontal Care Through Gingival Crevicular Fluid Testing: Exploring the Oral-Systemic Connection","authors":"Eva Rainieri,&nbsp;Olivia Grady","doi":"10.1016/j.dentre.2026.100352","DOIUrl":"10.1016/j.dentre.2026.100352","url":null,"abstract":"<div><h3>OBJECTIVES</h3><div>Research on gingival crevicular fluid (GCF) testing may allow dental hygienists to make clinical diagnoses of periodontal disease more accurately and more efficiently, enhancing clinical decision-making. This literature review examined peer-reviewed clinical studies on the use of GCF testing to determine a patient’s periodontal health, as well as systemic connections for best practices.</div></div><div><h3>METHODS</h3><div>For periodontally susceptible patients, we researched if GCF testing allows providers to curate more specialized treatment plans, compared to treating all patients with the standard course of treatment. PubMed and Springer Nature were searched using the keywords gingival crevicular fluid, comprehensive dental care, and periodontal patients. A total of 5 articles were used to conduct our comprehensive literature review on GCF testing. We analyzed the non-invasive approach as a diagnostic tool for clinicians to improve patient outcomes. Comparing the clinical trials, we included only the statistically significant findings. We also researched the correlations of chronic kidney disease and type 2 diabetes mellitus and their associations with systemic inflammation. We found that integration of GCF testing may allow practitioners to not only enhance prevention strategies, but create personalized periodontal care to comprehensively approach patients’ oral and systemic diseases.</div></div><div><h3>RESULTS</h3><div>Our research produced 79 articles, from which five were selected for use. Our studies were clinical trials, randomized controlled trials, and case-control studies. They all tested the GCF of both controlled and diseased groups to find the differences between immune responses. The study limitations included larger sample sizes, storage and handling of samples, and extended follow-up periods. The results of our literature review examined studies on the use of GCF testing to determine periodontal health and its connection with systemic disease.</div></div><div><h3>CONCLUSIONS</h3><div>Our research is successful and allows readers to recognize biomarkers important to the periodontal disease process. This review provides sufficient evidence that clinicians can create personalized periodontal care through GCF testing.</div></div><div><h3>IMPLICATIONS</h3><div>Based on the evidence found, practitioners providing periodontal care should consider the use of gingival crevicular fluid testing to maximize patient benefit.</div></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"6 2","pages":"Article 100352"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}