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Update on the efficacy of the dermal apron technique: Increasing peri-implant mucosal thickness and tissue stability 真皮围裙技术的最新疗效:增加种植体周围粘膜厚度和组织稳定性
Dentistry Review Pub Date : 2024-07-06 DOI: 10.1016/j.dentre.2024.100092
Barry P. Levin
{"title":"Update on the efficacy of the dermal apron technique: Increasing peri-implant mucosal thickness and tissue stability","authors":"Barry P. Levin","doi":"10.1016/j.dentre.2024.100092","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100092","url":null,"abstract":"<div><p>Immediate tooth-replacement therapy can be a predictable method for treating anterior hopeless teeth. Preserving and augmenting both hard and soft tissues is critical for the physiologic and esthetic success of therapy. Utilizing a combined hard and soft tissue augmentation approach improves outcomes. Reducing morbidity associated with procuring autogenous grafts can be efficacious regarding short and long-term outcomes. The Dermal Apron Technique uses both bone and soft tissue allografts to increase soft tissue thickness around immediately placed and provisionalized implants. Studies demonstrate the increased soft tissue thickness produced by the technique. This article demonstrates the technique and discusses the clinical research supporting the use of this method for successful immediate tooth-replacement therapy.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000154/pdfft?md5=35e492b76bdb49153d2a390d8baba72b&pid=1-s2.0-S2772559624000154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596221","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}
引用次数: 0
The relationship between periodontal disease and age-related disease 牙周病与年龄相关疾病之间的关系
Dentistry Review Pub Date : 2024-06-08 DOI: 10.1016/j.dentre.2024.100140
Takahito Iwashimizu , Hiroki Tabata , Hikaru Otsuka , Huicong Shi , Yoshifumi Tamura
{"title":"The relationship between periodontal disease and age-related disease","authors":"Takahito Iwashimizu ,&nbsp;Hiroki Tabata ,&nbsp;Hikaru Otsuka ,&nbsp;Huicong Shi ,&nbsp;Yoshifumi Tamura","doi":"10.1016/j.dentre.2024.100140","DOIUrl":"10.1016/j.dentre.2024.100140","url":null,"abstract":"<div><p>Our objectives of this narrative review is to summarize the scientific perspective on the effect of periodontal disease on age-related diseases, focusing on chronic low-level systemic inflammation, and discuss the goals for future research. In this review, we summarized the findings of articles that showed the mechanisms of periodontal disease and each age-related disease. Periodontal disease is a prevalent infectious disease due to oral anaerobic bacteria that results in dissolution of the gums around the teeth (gingiva) and the bone supporting the teeth, leading to decreased quality of life. The disease is more prevalent with increasing age and associated with age-related diseases, such as diabetes, non-alcoholic fatty liver disease, cardiovascular disease, dementia, and osteoporosis via chronic low-level systemic inflammation, which requires long-term care and increases medical costs. Chronic low-level systemic inflammation due to periodontal disease is a common risk factor for age-related diseases, but the mechanisms of inflammation in each disease vary. Periodontal pathogens mainly cause three patterns of inflammation: cytokine crosstalk that attacks the whole body, changes in the balance of gut microbiota, and production of proteases like gingipains that can subvert immune responses to reach various systemic organs, especially the brain. Several age-related diseases, such as diabetes and dementia, can be improved by treating periodontal disease as inflammatory markers are reduced. In conclusion, it will be necessary to confirm whether the exact mechanism in the human body is the same as that in mice. Improvement in chronic low-level systemic inflammation caused by periodontal disease may be effective in the treatment of age-related diseases.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100140"},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000634/pdfft?md5=5a810c5868397138e517593a8a230373&pid=1-s2.0-S2772559624000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409948","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}
引用次数: 0
Peri-implant mucosal tissue attachment: Narrative review 种植体周围粘膜组织附着:叙述性综述
Dentistry Review Pub Date : 2024-06-07 DOI: 10.1016/j.dentre.2024.100141
Suzie Choe , Tao Ma , Deborah Jones , Harlan J. Shiau , Hanae Saito
{"title":"Peri-implant mucosal tissue attachment: Narrative review","authors":"Suzie Choe ,&nbsp;Tao Ma ,&nbsp;Deborah Jones ,&nbsp;Harlan J. Shiau ,&nbsp;Hanae Saito","doi":"10.1016/j.dentre.2024.100141","DOIUrl":"10.1016/j.dentre.2024.100141","url":null,"abstract":"<div><p>The peri‑implant mucosa (PIM) is formed during the wound healing process that follows implant and abutment placement. The PIM is known to play crucial roles in function; acting as a biologic barrier for bacterial infiltration and maintaining the mucosal health of the implant, and for implant esthetics. This narrative review presents:</p><p>• Differences between periodontal soft tissue attachment and peri‑implant mucosal tissue attachment</p><p>• Development of the osseointegration and its effect on PIM</p><p>• Different Implant – abutment interface configurations including one– VS two-piece implants, bone-level VS tissue-level implants, and PIM in different implant collars</p><p>• Engineering in surface characteristics</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 3","pages":"Article 100141"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000646/pdfft?md5=ad0ac65457822bdf7b60931f711e8762&pid=1-s2.0-S2772559624000646-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410560","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}
引用次数: 0
Treatment of multiple adjacent gingival recession 治疗多发邻面牙龈退缩
Dentistry Review Pub Date : 2024-05-23 DOI: 10.1016/j.dentre.2024.100091
Shan-Huey Yu , Harlan J. Shiau
{"title":"Treatment of multiple adjacent gingival recession","authors":"Shan-Huey Yu ,&nbsp;Harlan J. Shiau","doi":"10.1016/j.dentre.2024.100091","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100091","url":null,"abstract":"<div><p>Gingival recession is a prevalent mucogingival deformity and condition associated with teeth, often occurring in patterns involving multiple adjacent sites. This presentation by the patient is frequently framed as an aesthetic concern, because of the imbalance in white and pink esthetic proportions, or related to a complaint of dentin hypersensitivity. The clinician is required to understand the etiologic factors specific to this recession pattern. Modification or management of these factors contributing to multiple adjacent gingival recession should be included as part of the overall treatment plan to increase efficacy of surgical root coverage procedures. The current treatment options for multiple gingival recession include tunneling and coronally advanced flap techniques with varying technical modifications. The aim of this narrative review is to explore the development of these procedures utilized to manage patients presenting with multiple adjacent gingival recession.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100091"},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000142/pdfft?md5=3a966cb3e017ee05292795093a025c0f&pid=1-s2.0-S2772559624000142-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083114","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}
引用次数: 0
Coronally Advanced Flap versus Tunnel on the treatment of gingival recession and peri‑implant mucosal defects: A review of current clinical indications 治疗牙龈退缩和种植体周围粘膜缺损的CoCoronally Advanced翻瓣与隧道疗法:当前临床适应症综述
Dentistry Review Pub Date : 2024-05-09 DOI: 10.1016/j.dentre.2024.100090
Tien-Hsin Chang , Rawaa Alshatti , Lorenzo Mordini
{"title":"Coronally Advanced Flap versus Tunnel on the treatment of gingival recession and peri‑implant mucosal defects: A review of current clinical indications","authors":"Tien-Hsin Chang ,&nbsp;Rawaa Alshatti ,&nbsp;Lorenzo Mordini","doi":"10.1016/j.dentre.2024.100090","DOIUrl":"10.1016/j.dentre.2024.100090","url":null,"abstract":"<div><p>This review assesses evolving landscape of mucogingival surgery for treatment of gingival recession and peri-implant mucosal defects, highlighting an increased awareness of the role of soft tissue and advancements in treatment modalities. In response to diverse mucogingival defects, various treatment approaches have been proposed, with ongoing updates in considerations, prognostic factors, as well as the introduction of novel techniques. A comprehensive and up-to-date exploration of the existing literature is therefore required to consolidate the current understanding of mucogingival surgery.</p><p>Among all treatment modalities, coronally advanced flap (CAF) and tunneling (TUN) techniques were evaluated for treating gingival recessions and peri-implant mucosal defects, acknowledging challenges due to limited direct comparisons and heterogeneous study groups. While some evidence favored CAF for achieving higher complete root coverage, recent meta-analyses suggest comparable outcomes for both techniques, underscoring the need for better-designed studies.</p><p>In conclusion, both CAF and TUN exhibit versatility in mucogingival surgery, with considerations for specific clinical scenarios. Future studies should explore surgical duration, post-operative experiences, and comprehensive outcomes such as patient satisfaction, long-term stability, and esthetic results for a more thorough evaluation of these techniques.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000130/pdfft?md5=55bd6429a20fc942f9abd1e9b51f7546&pid=1-s2.0-S2772559624000130-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050164","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}
引用次数: 0
Association between type 1 diabetes mellitus and dental caries: A systematic review and meta-analysis 1 型糖尿病与龋齿之间的关系:系统回顾和荟萃分析
Dentistry Review Pub Date : 2024-05-08 DOI: 10.1016/j.dentre.2024.100088
Mahmoud Nassar , Omar Nassar , Hazem Abosheaishaa , Nahla Elhakim
{"title":"Association between type 1 diabetes mellitus and dental caries: A systematic review and meta-analysis","authors":"Mahmoud Nassar ,&nbsp;Omar Nassar ,&nbsp;Hazem Abosheaishaa ,&nbsp;Nahla Elhakim","doi":"10.1016/j.dentre.2024.100088","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100088","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the correlation between patients with type 1 diabetes mellitus (T1DM) and dental caries outcomes, including missing teeth, missing surface, filling teeth, filling surface, plaque index, gingival index, and calculus index.</p></div><div><h3>Methods</h3><p>A comprehensive search was performed across EMBASE, Medline/Pubmed, and Web of Science databases from inception until February 20, 2023. Observational and interventional studies reporting dental caries outcomes in patients with T1DM were included. A random effects meta-analysis was performed to estimate the pooled effect sizes and 95 % confidence intervals.</p></div><div><h3>Results</h3><p>Thirty-three studies met the criteria for inclusion in the meta-analysis, which revealed that patients with T1DM had a reduced risk of missing teeth in comparison to those without diabetes (control group), with a mean difference (MD) of -0.03, CI 95 % [-0.03, -0.03]. No significant differences were found in missing surface, filling teeth, filling surface, or calculus index between T1DM and non-diabetic groups. However, patients with T1DM had a significantly higher plaque index (MD: 0.47, CI 95 % [0.06, 0.89]) than the non-diabetic group. The overall MD in DFMT between the DM and non-DM groups was 0.47 (95 % CI: 0.13, 0.82). The gingival index showed no significant difference between the groups.</p></div><div><h3>Conclusion</h3><p>This meta-analysis suggests that patients with T1DM have a higher plaque index than the non-diabetic group, whereas no significant differences were observed in other dental caries outcomes. Because of the considerable variability identified in certain analyses, additional research employing more extensive sample sizes and rigorous methodologies is required to validate these results.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000117/pdfft?md5=83edbec02985ed2f41a599e111c09892&pid=1-s2.0-S2772559624000117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951280","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}
引用次数: 0
Prosthetic and soft tissue considerations around anterior maxillary implants 上颌前部种植体周围的修复和软组织注意事项
Dentistry Review Pub Date : 2024-05-08 DOI: 10.1016/j.dentre.2024.100089
Ricardo Palacios-Bañuelos , María José Zilleruelo-Pozo , Ludovica Oreglia , Lory Abrahamian , Alvaro Blasi
{"title":"Prosthetic and soft tissue considerations around anterior maxillary implants","authors":"Ricardo Palacios-Bañuelos ,&nbsp;María José Zilleruelo-Pozo ,&nbsp;Ludovica Oreglia ,&nbsp;Lory Abrahamian ,&nbsp;Alvaro Blasi","doi":"10.1016/j.dentre.2024.100089","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100089","url":null,"abstract":"<div><p>This article provides a comprehensive exploration of critical factors influencing optimal outcomes in single-implant restorations in the anterior maxilla. The review delves into key considerations, including peri‑implant mucosal thickness, restorative materials, abutment height, emergence profile, 3-D implant position, and provisionalization timing. It highlights the importance of meticulous planning, from accurate diagnosis to precise implant positioning, while addressing advancements in computer-guided surgery. The present article emphasizes the complex interaction of surgical and prosthetic considerations and the need for a comprehensive approach to achieve success in implant dentistry.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000129/pdfft?md5=e055fd527300129a4a715b6077927ec2&pid=1-s2.0-S2772559624000129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906874","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}
引用次数: 0
Evaluation of healing dynamics in root coverage therapy: A systematic review of digital technologies 牙根覆盖疗法的愈合动态评估:数字技术的系统回顾
Dentistry Review Pub Date : 2024-05-03 DOI: 10.1016/j.dentre.2024.100087
Lory Abrahamian , Erika Brancacci , Ricardo Palacios-Bañuelos
{"title":"Evaluation of healing dynamics in root coverage therapy: A systematic review of digital technologies","authors":"Lory Abrahamian ,&nbsp;Erika Brancacci ,&nbsp;Ricardo Palacios-Bañuelos","doi":"10.1016/j.dentre.2024.100087","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100087","url":null,"abstract":"<div><p>This review highlights the use of optical scanning-based digital technologies in assessing volumetric changes following root coverage therapy. A comprehensive search was conducted in different databases to identify interventional studies reporting on volumetric changes after root coverage surgery using various approaches. 12 articles from 10 studies meeting the inclusion criteria were included in the qualitative synthesis. The documented volumetric outcomes encompassed changes in volume (Vol) measured in mm³, mean distance between surfaces (ΔD) in mm, and linear dimensional changes (LD) in mm. A notable divergence was observed in determining the Region of Interest (ROI). The observed variability in methodologies and outcomes underscores the necessity for standardized approaches and reporting guidelines, enabling volumetric comparisons across different studies and treatments.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100087"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000105/pdfft?md5=0edb0d96ba97f008757bac54a52ea653&pid=1-s2.0-S2772559624000105-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878538","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}
引用次数: 0
Clinical applications of ultrasound imaging in dentistry: A comprehensive literature review 超声波成像在牙科中的临床应用:综合文献综述
Dentistry Review Pub Date : 2024-04-12 DOI: 10.1016/j.dentre.2024.100086
Leonardo Díaz , Rafael Contador , Helena Albrecht , Mario Ibáñez , Pablo Urrutia , Bulcsú Bencze , Mauricio Toro , Gustavo Sáenz-Ravello , Dániel Végh
{"title":"Clinical applications of ultrasound imaging in dentistry: A comprehensive literature review","authors":"Leonardo Díaz ,&nbsp;Rafael Contador ,&nbsp;Helena Albrecht ,&nbsp;Mario Ibáñez ,&nbsp;Pablo Urrutia ,&nbsp;Bulcsú Bencze ,&nbsp;Mauricio Toro ,&nbsp;Gustavo Sáenz-Ravello ,&nbsp;Dániel Végh","doi":"10.1016/j.dentre.2024.100086","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100086","url":null,"abstract":"<div><p>Ultrasonography (USG) is a diagnostic imaging technique based on the application of ultrasound waves with a frequency greater than 20.000 Hz, corresponding to the upper limit of audible human sound. The frequencies used in ultrasound imaging typically range from 1 MHz to 16 MHz. The principles and applications of this type of waves were first described by the Curie brothers and despite the time that has passed, their use in dentistry has not currently become widespread. The generation of images in USG is the result of the relationship and behavior experienced by different bodies and structures before the application of ultrasound pulses. Ultrasound imaging and its different modes have been used in different areas of dentistry, surgery, and maxillofacial aesthetics, in the description of cysts and tumors, identification of caries, dental fractures or cracks, periodontal bone defects, maxillofacial fractures, temporomandibular disorders, evaluation of periodontal and peri‑implant tissues, in addition to the identification of anatomical structures in the facial region. Although USG in dentistry offers considerable advantages over other frequently used diagnostic imaging techniques, further research is still required in relation to the equipment used for the study of the maxillofacial area, the different tissues and anatomical spaces that are part of it.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000099/pdfft?md5=8c375a77778fd943c777cf4c7eaae461&pid=1-s2.0-S2772559624000099-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140558484","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}
引用次数: 0
Biomechanical, esthetic, and hygienic considerations of materials for overdenture bars: A systematic review 覆盖义齿杆材料的生物力学、美学和卫生学考虑因素:系统回顾
Dentistry Review Pub Date : 2024-04-07 DOI: 10.1016/j.dentre.2024.100082
Juliana Dias Corpa Tardelli, Andréa Cândido dos Reis
{"title":"Biomechanical, esthetic, and hygienic considerations of materials for overdenture bars: A systematic review","authors":"Juliana Dias Corpa Tardelli,&nbsp;Andréa Cândido dos Reis","doi":"10.1016/j.dentre.2024.100082","DOIUrl":"https://doi.org/10.1016/j.dentre.2024.100082","url":null,"abstract":"<div><h3>Purpose</h3><p>The bar-clip retention system is the most retentive; however, the best material choice is questionable. So, this review aimed to answer “How does the material used for overdenture bars influence the results?”.</p></div><div><h3>Methods</h3><p>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were followed, and the protocol was registered in the Open Science Framework. A personalized search strategy was applied in four databases and grey literature. The selection process was carried out in two stages independently by two reviewers according to the eligibility criteria, in vitro or in vivo experimental articles that evaluated the influence of bar material on the results. The risk of bias was analyzed using a checklist of important parameters.</p></div><div><h3>Results</h3><p>Three hundred and sixty-one articles were found, and after the removal of duplicates, 308 were evaluated, of which six met the eligibility criteria, and all had a low risk of bias. The qualitative analysis was subdivided into stress distribution, bar deformation, clip retention, esthetic, and hygiene.</p></div><div><h3>Conclusion</h3><p>1) PEEK and BioHPP when compared to metallic alloys, are promising materials for the bar because they have a lower modulus of elasticity, low affinity for bacterial adhesion, and greater esthetic; 2) Clinical studies with longer follow-up times are required to evaluate the biomechanical performance of zirconia bars (ZrO<sub>2</sub>) because their stiffness and hardness can lead to increased stress concentration and replacement of the plastic clip, although they are associated with high esthetic and low affinity for bacterial adhesion.</p></div>","PeriodicalId":100364,"journal":{"name":"Dentistry Review","volume":"4 2","pages":"Article 100082"},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772559624000051/pdfft?md5=18ed429e7fd6b7abae31c9d25d73a0e5&pid=1-s2.0-S2772559624000051-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140542455","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}
引用次数: 0
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