Clinical, Cosmetic and Investigational Dentistry最新文献

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A Retrospective Study on Correlation of Facial Fractures and Type of Trauma in Patients Admitted in Department of Maxillofacial Surgery of Stomatology National and Specialized Hospital, Kabul, Afghanistan.
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2025-01-18 eCollection Date: 2025-01-01 DOI: 10.2147/CCIDE.S501492
Abdul Karim Sharif, Hedayatullah Ehsan, Sayed Wahabuddin Mirzad, Munir Ahmad Ibrahimkhil
{"title":"A Retrospective Study on Correlation of Facial Fractures and Type of Trauma in Patients Admitted in Department of Maxillofacial Surgery of Stomatology National and Specialized Hospital, Kabul, Afghanistan.","authors":"Abdul Karim Sharif, Hedayatullah Ehsan, Sayed Wahabuddin Mirzad, Munir Ahmad Ibrahimkhil","doi":"10.2147/CCIDE.S501492","DOIUrl":"10.2147/CCIDE.S501492","url":null,"abstract":"<p><strong>Background: </strong>Facial bone fractures represent a significant clinical challenge due to their prevalence and the complexity of treatment required. Understanding the demographic patterns, causes, and treatment outcomes of these injuries is crucial for improving patient care and developing targeted prevention strategies.</p><p><strong>Objective: </strong>This study aims to analyze the demographic characteristics, etiological factors, anatomical distribution, and treatment modalities of patients presenting with facial bone fractures at Stomatology National and Specialized Hospital in Kabul, Afghanistan, during 2022.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 463 patients with facial bone fractures treated at the hospital. Data collected included patient demographics, causes of trauma, fracture location, and treatment methods. Statistical analysis was performed to identify patterns and correlations.</p><p><strong>Results: </strong>The study included 463 patients (378 males and 85 females), aged between 3 and 88 years, with a mean age of 26.34 years. The primary causes of trauma were road traffic accidents (RTAs) (29.6%), interpersonal violence (26.1%), and falls (23.3%). The mandible was the most commonly fractured bone (74.1%), with the parasymphysis being the predominant site of injury. Treatment predominantly involved closed reduction (54.9%), with a significant portion of patients undergoing open reduction and internal fixation (ORIF) (45.1%).</p><p><strong>Conclusion: </strong>The findings highlight RTAs, interpersonal violence, and falls as the leading causes of facial bone fractures. The mandible is the most frequently affected bone. Closed reduction remains the most common treatment modality. These insights underline the need for enhanced preventive measures, including stricter enforcement of traffic regulations and targeted interventions to address interpersonal violence and fall prevention.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"17 ","pages":"39-48"},"PeriodicalIF":1.5,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143022471","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
Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study. 甲状腺功能减退患者下颌骨全景x线片放射形态学参数的横断面研究。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2025-01-14 eCollection Date: 2025-01-01 DOI: 10.2147/CCIDE.S502528
Ananya Nair, Vathsala Patil, Isha Bhardwaj, Deepak Kumar Singhal, Komal Smriti, Yogesh Chhaparwal, Shubha Chhaparwal, Disha Prabhu
{"title":"Radiomorphometric Parameters in Mandibular Panoramic Radiographs of Hypothyroid Patients: A Cross-Sectional Study.","authors":"Ananya Nair, Vathsala Patil, Isha Bhardwaj, Deepak Kumar Singhal, Komal Smriti, Yogesh Chhaparwal, Shubha Chhaparwal, Disha Prabhu","doi":"10.2147/CCIDE.S502528","DOIUrl":"10.2147/CCIDE.S502528","url":null,"abstract":"<p><strong>Purpose: </strong>Thyroid hormones have a catabolic effect on bone mineral homeostasis. Hypothyroid patients have shown changes in bone mineral density with increased risk for osteoporosis and bone fractures. Radiomorphometric parameters on panoramic images are good indicators of bone mineral density. The aim of the study was to compare the radiomorphometric parameters in dental panoramic images of patients diagnosed with hypothyroidism with age- and gender-matched control populations.</p><p><strong>Methods: </strong>Panoramic radiographs of 47 patients diagnosed with hypothyroidism were measured for radio morphometric indices like mental index (MI), The inferior panoramic mandibular index (PMI), antegonial index (AGI), gonial Index (GI) and mandibular cortical Index (MCI). The measurements were compared with age and gender matched 50 healthy controls.</p><p><strong>Results: </strong>The mean values of MI (3.11), PMI (0.28), and GI (1.38) were lower in hypothyroidism than in 50 healthy controls which was 3.17, 0.30 and 1.33, respectively. However, only AGI (3.14) showed statistically significant differences (p = 0.03).</p><p><strong>Conclusion: </strong>This study showed radiomorphometric parameters like MI, PMI, GI and AGI are valuable indicators of bone changes in mandible of patients with systemic diseases like hypothyroidism. Although statistically significant difference was seen only in AGI compared to healthy controls. Further studies with larger samples can provide substantial data. Applying newer technologies like machine learning can also help us determine whether mandibular morphometric parameters can predict changes in bone mineral density in hypothyroid cases.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"17 ","pages":"31-37"},"PeriodicalIF":1.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001404","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
Surface Roughness and Color Stability of Conventional and Bulk-Fill Resin Composite with S-PRG Fillers After Coffee Exposure: An in-vitro Study. 含S-PRG填料的常规和散装填充树脂复合材料在咖啡暴露后的表面粗糙度和颜色稳定性:体外研究。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI: 10.2147/CCIDE.S496750
Fabiano Augusto Dos Santos Janisch, Milagros Falcon Aguilar, Flávio Henrique Baggio Aguiar, Fabiana Mantovani Gomes França, Roberta Tarkany Basting, Waldemir Francisco Vieira-Junior
{"title":"Surface Roughness and Color Stability of Conventional and Bulk-Fill Resin Composite with S-PRG Fillers After Coffee Exposure: An in-vitro Study.","authors":"Fabiano Augusto Dos Santos Janisch, Milagros Falcon Aguilar, Flávio Henrique Baggio Aguiar, Fabiana Mantovani Gomes França, Roberta Tarkany Basting, Waldemir Francisco Vieira-Junior","doi":"10.2147/CCIDE.S496750","DOIUrl":"10.2147/CCIDE.S496750","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the in vitro effects of coffee exposure on the color and roughness of conventional and bulk-fill resin composites, with and without surface pre-reacted glass-ionomer (S-PRG) filler.</p><p><strong>Methodology: </strong>Forty-eight cylindrical samples (Ø6 mm × 2 mm) were prepared and categorized as follows (n = 12 per group): conventional nano-hybrid (Tetric N-Ceram, Ivoclar); nano-hybrid with S-PRG filler (Beautifil II, Shofu); bulk-fill (Tetric N-Ceram Bulk Fill, Ivoclar); and bulk-fill with S-PRG filler (Beautifil Bulk Restorative, Shofu). The samples were assessed for surface roughness (Ra, μm), color coordinates (CIE L<i>a</i>b), and overall color change (ΔE<sub>ab</sub>, ΔE<sub>00</sub>). Measurements were taken at baseline and after 7 days of coffee immersion (pH = 4.95). Data were analyzed using generalized linear models, Kruskal-Wallis, Dunn, and paired Wilcoxon tests (α = 0.05).</p><p><strong>Results: </strong>After the coffee exposure, all resin composites exhibited a significant decrease in L* (towards black), an increase in a* (towards red), an increase in b* (towards yellow), and a higher Vita color score (p < 0.05). Tetric N-Ceram demonstrated the lowest roughness values post-exposure; however, a significant increase in roughness over time was observed only for Tetric N-Ceram Bulk Fill (p < 0.05). For ΔE<sub>ab</sub>, Beautifil Bulk Restorative and Tetric N-Ceram showed higher values compared to Beautifil II. For ΔE<sub>00</sub>, a significant difference was noted between Beautifil Bulk Restorative and Beautifil II (p < 0.05).</p><p><strong>Conclusion: </strong>Resin composites with S-PRG fillers exhibited similar pigmentation dynamics to conventional composite but showed greater surface roughness after exposure to coffee. Considering the S-PRG materials, the bulk-fill version is more susceptible to staining.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"17 ","pages":"21-29"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969632","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 Estimation of Cementoenamel Junction Crestal Bone Distance in Mandibular Anterior Teeth. 下颌前牙牙髓-牙釉质结合部嵴骨距的估计。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI: 10.2147/CCIDE.S492129
Ammar Sh Ahmed, Banaz Jabbar Ali, Ban Karem Hassan, Abbas Sabah Mohammad
{"title":"The Estimation of Cementoenamel Junction Crestal Bone Distance in Mandibular Anterior Teeth.","authors":"Ammar Sh Ahmed, Banaz Jabbar Ali, Ban Karem Hassan, Abbas Sabah Mohammad","doi":"10.2147/CCIDE.S492129","DOIUrl":"10.2147/CCIDE.S492129","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to measure the distance from the cementoenamel junction (CEJ) to the alveolar bone crest on both the buccal and lingual sides of the anterior mandibular teeth utilizing cone beam computed tomography (CBCT).</p><p><strong>Materials and methods: </strong>Cone-beam computed tomography (CBCT) was utilized to measure the distance between CEJ and the alveolar bone crest on both the buccal and lingual sides of the mandible's anterior teeth.</p><p><strong>Results: </strong>The mean of the distance on buccal side for the central, lateral, and canine teeth were (1.6 mm), (1.6 mm), and (1.5 mm) respectively. On the lingual side, the mean for all teeth (central, lateral, and canine) was 1.7 mm. The study demonstrated a significant difference in distance across age groups (<30 and ≥30 years) for all teeth on both the buccal and lingual sides, except for the canine on the buccal side.</p><p><strong>Conclusion: </strong>The distance from the CEJ to the bone crest on both the buccal and lingual sides varies significantly by age group. This data is essential for developing orthodontic, implant, and periodontal therapies.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"17 ","pages":"13-20"},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977657","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
Effect of Staining and External Bleaching on the Color Stability and Surface Roughness of Universal-Shade Resin-Based Composite. 染色和外漂白对共色树脂基复合材料颜色稳定性和表面粗糙度的影响。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2025-01-06 eCollection Date: 2025-01-01 DOI: 10.2147/CCIDE.S494320
AlHanouf AlHabdan, Amal Alsuhaibani, Lama Alomran, Lulwah Almutib
{"title":"Effect of Staining and External Bleaching on the Color Stability and Surface Roughness of Universal-Shade Resin-Based Composite.","authors":"AlHanouf AlHabdan, Amal Alsuhaibani, Lama Alomran, Lulwah Almutib","doi":"10.2147/CCIDE.S494320","DOIUrl":"10.2147/CCIDE.S494320","url":null,"abstract":"<p><strong>Aim: </strong>This study evaluated the color stability and surface roughness of two universal-shade compared to two nanohybrid composites after staining and external bleaching with 40% hydrogen peroxide.</p><p><strong>Methods: </strong>Two universal shade resin-based composites and two nanohybrid composites were tested. Twenty disc-shaped specimens from each material were fabricated and divided into two subgroups: one group was stained and bleached (staining group) and the other received bleaching treatment only (control group). The staining group was stained with coffee solution for 24 h. Subsequently, each sample of all four materials was bleached using an in-office bleaching gel using 40% hydrogen peroxide. Color measurements were performed using a spectrophotometer to obtain the International Commission on Illumination parameters, L*; a*; and b* for each of the following periods: baseline, after bleaching, and two weeks after bleaching for the control group. The staining group was examined at baseline, after staining, after bleaching, and two weeks after bleaching. Surface roughness (Ra) of all the materials after each treatment step were also recorded. The data was statistically analyzed using SPSS 26.0 statistical software. Changes were considered statistically significant at P = 0.05.</p><p><strong>Results: </strong>Descriptive statistics (means and standard deviations) were used to describe color measurements and surface-roughness values. Two-analysis of variance and one-way analysis of variance were used to compare the mean values of surface roughness, L*a*b*and ΔE<sub>00</sub> values. Statistically significant differences and clinically acceptable ΔE<sub>00</sub> were observed between all materials during the different stages in color measurements, whereas the surface roughness was significantly different for each study material and treatment mode.</p><p><strong>Conclusion: </strong>Staining with coffee solution and external bleaching produced acceptable color changes for all materials tested. Staining and bleaching increased the surface roughness values of the tested resin-based composites.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"17 ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969340","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
A Review of a Breakdown in the Barrier: Tight Junction Dysfunction in Dental Diseases. 口腔疾病中屏障破坏:紧密连接功能障碍的综述。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2024-12-30 eCollection Date: 2024-01-01 DOI: 10.2147/CCIDE.S492107
Thao Thi Do, Vy Thuy Nguyen, Ngoc Tran Nhu Nguyen, Kim Tran Thien Duong, Tri Ta Minh Nguyen, Duong Nguyen Thuy Le, Tin Hoang Nguyen
{"title":"A Review of a Breakdown in the Barrier: Tight Junction Dysfunction in Dental Diseases.","authors":"Thao Thi Do, Vy Thuy Nguyen, Ngoc Tran Nhu Nguyen, Kim Tran Thien Duong, Tri Ta Minh Nguyen, Duong Nguyen Thuy Le, Tin Hoang Nguyen","doi":"10.2147/CCIDE.S492107","DOIUrl":"https://doi.org/10.2147/CCIDE.S492107","url":null,"abstract":"<p><p>The tight junction (TJ), a type of cell-cell junction, regulates the permeability of solutes across epithelial and endothelial cellular sheets and is believed to maintain cell polarity. However, recent studies have provided conflicting views on the roles of TJs in epithelial polarity. Membrane proteins, including occludin, claudin, and the junction adhesion molecule, have been identified as TJ components. TJs are predominantly found at the stratum granulosum and stratum corneum. Although it remains unclear whether the disruption of TJs is the cause or consequence of certain dental diseases, evidence suggests that TJ dysfunction may be a crucial factor in gingival epithelial barrier impairment and the progression of oral diseases. Bacterial infection is among the most specific factors we found that may contribute to the breakdown of the epithelial barrier formed by TJs in dental diseases. Bacteria and their products may weaken the epithelial barrier by directly destroying intercellular junctions or altering the expression of junctional proteins. Additionally, they may induce the production of inflammatory cytokines, which could lead to the downregulation of TJ proteins and, consequently, impair the epithelial barrier. This review introduces a novel perspective by exploring, for the first time, the role of TJs dysfunction in the breakdown of the oral epithelial barrier and its potential link to the progression of dental diseases such as gingivitis, periodontitis, Sjӧgren syndrome, and oral squamous cell carcinoma.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"16 ","pages":"513-531"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930534","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
Dental Clinicians' and Technologists' Experiences and Perspectives on Removable Complete Denture Fabrication Services in Makerere University Dental Hospital, Uganda. 乌干达Makerere大学牙科医院牙科临床医生和技术人员对可移动全口义齿制造服务的经验和观点。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.2147/CCIDE.S495315
David Nono, Mathias Akugizibwe, Godfrey Bagenda, Isaac Okullo, Charles Mugisha Rwenyonyi
{"title":"Dental Clinicians' and Technologists' Experiences and Perspectives on Removable Complete Denture Fabrication Services in Makerere University Dental Hospital, Uganda.","authors":"David Nono, Mathias Akugizibwe, Godfrey Bagenda, Isaac Okullo, Charles Mugisha Rwenyonyi","doi":"10.2147/CCIDE.S495315","DOIUrl":"10.2147/CCIDE.S495315","url":null,"abstract":"<p><strong>Background: </strong>Globally, there is growing concern regarding mouth sores, occlusion, cost, ridge resorption, and retention, in the delivery of removable complete dentures fabrication services brought about by the aging of the population and poor oral healthcare. The therapy for edentulous patients can be realized through the use of conventional removable complete dentures, implant-supported prostheses, and computer-aided design/computer-aided manufacturing (CAD/CAM). In Uganda, the therapy for edentulous patients has predominantly been realized through the use of conventional removable complete dentures. There has been a discernible difference in the number of visits and remake rate between removable complete dentures that were made conventionally and digitally. This present study, therefore, aimed to explore dental clinicians' and technologists' experiences and perspectives on removable complete denture fabrication services.</p><p><strong>Methods: </strong>The study employed a qualitative design, 25 in-depth interviews were conducted with dental clinicians and technologists at Makerere University Dental Hospital. Both practicing dental technologists and clinicians were purposively selected after providing written informed consent. Interviews' audios were transcribed verbatim, coded in NVivo 14 and data were analyzed thematically.</p><p><strong>Results: </strong>Clinical and socio-demographic assessments like age, oral hygiene, ridge level, underlying health conditions, and mental stability of the patient were done by dental clinicians before removable complete denture fabrication. Dental technologists and clinicians mentioned patients having a lot of expectations relating to being able to eat whatever they like and improving physical appearance. However, the patients also had fears and concerns about discomfort, and some worried that they would swallow the dentures.</p><p><strong>Conclusion: </strong>Prior assessments were the basis for planning for complete denture therapy. Patients' fears and expectations can effectively be addressed in the consent process since adequate information can be shared and the patients can be psychologically prepared to receive the denture treatment.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"16 ","pages":"499-511"},"PeriodicalIF":1.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806336","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 Timing of Implant Placement in Maxillary Esthetic Zone with Type I Extraction Sockets- A Randomized Controlled Trial. 上颌美观区I型拔牙槽种植时机的评价-一项随机对照试验。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.2147/CCIDE.S489867
Muthukumar Santhanakrishnan, Vedavalli Subramanian, Devi Arul, Sri Vidhya Marimuthu
{"title":"Evaluation of Timing of Implant Placement in Maxillary Esthetic Zone with Type I Extraction Sockets- A Randomized Controlled Trial.","authors":"Muthukumar Santhanakrishnan, Vedavalli Subramanian, Devi Arul, Sri Vidhya Marimuthu","doi":"10.2147/CCIDE.S489867","DOIUrl":"10.2147/CCIDE.S489867","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to evaluate the appropriate protocol to be followed in the maxillary esthetic zone involving single dental implants by comparing three implant placement protocols: immediate implant placement (IIP) with and without the socket shield technique (SST) and delayed implant placement (DIP) in terms of dynamic alterations in hard and soft tissues and patient-related outcome measures (PROMS).</p><p><strong>Materials and methods: </strong>A total of 75 patients were recruited for the study and randomly allocated to the SST, IIP, and DIP groups (25 each). They were subjected to Cone Beam Computed Tomography (CBCT) assessment pre-operatively, 6 and 12 months post-operatively to evaluate changes in Crestal Bone Thickness (CBT). Soft tissue changes were evaluated using the pink aesthetic score (PES) and visual analogue scale (VAS) to assess the pain threshold and patient satisfaction.</p><p><strong>Results: </strong>There was a statistically significant difference in the mean reductions in crestal bone thickness (CBT) between and among the groups. The SST group demonstrated a significantly lower reduction in CBT (0.09) than the IIP and DIP groups, which showed a mean reduction in CBT of 0.18 and 0.50 at (p<0.01), respectively, at the end of 12 months. However, when the mean differences in PES between the groups were compared, there was a statistically significant difference for SST 13(2), IIP 10(2), and DIP 9(2) (p<0.01).</p><p><strong>Conclusion: </strong>Socket shield technique could be technique of choice for IIP when buccal bone thickness is <1mm as demonstrated by less reduction in CBT and better PES at the end of 12 months than the IIP and DIP groups.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"16 ","pages":"481-498"},"PeriodicalIF":1.5,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812421","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
Platelet-Rich Fibrin (PRF) Analyzed for Cytokine Profiles - A Misguided Hope for Osteogenesis in Jawbone Defects? Research and Clinical Observational Study. 富血小板纤维蛋白(PRF)细胞因子谱分析--被误导的颌骨缺损成骨希望?研究与临床观察性研究。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2024-11-19 eCollection Date: 2024-01-01 DOI: 10.2147/CCIDE.S488206
Johann Lechner, Volker vonBaehr, Cornelia Doebis, Florian Notter, Fabian Schick
{"title":"Platelet-Rich Fibrin (PRF) Analyzed for Cytokine Profiles - A Misguided Hope for Osteogenesis in Jawbone Defects? Research and Clinical Observational Study.","authors":"Johann Lechner, Volker vonBaehr, Cornelia Doebis, Florian Notter, Fabian Schick","doi":"10.2147/CCIDE.S488206","DOIUrl":"10.2147/CCIDE.S488206","url":null,"abstract":"<p><strong>Background: </strong>Platelet-rich fibrin (PRF) blood concentrates are used in oral implantology and defect surgery to promote osteoneogenesis in Bone Marrow Defects in Jawbone (BMDJ), according to the morphology of fatty-degenerative osteonecrosis also called FDOJ.</p><p><strong>Question: </strong>Can the benefit of PRF on alveolar osteoneogenesis be confirmed by cytokine analysis?.</p><p><strong>Methods: </strong>The cytokine expressions of the PRF samples in 26 patients undergoing BMDJ/FDOJ surgery in the same session were analysed for seven cytokines (RANTES/CCL5; FGF-2; IL-1RA; Il-6; IL-8; MCP-1; TNF-a) by multiplex (Luminex). The FDOJ samples of these 26 BMDJ/FDOJ patients were analysed for the RANTES/CCL5 expression only.</p><p><strong>Results: </strong>Cytokine expression in PRF is compared to reference values for healthy medullary bone of the jaw and BMDJ/FDOJ and shows that the cytokine expressions of the PRF samples do not compensate or counteract prima vista for the cytokine dysregulations present in the BMDJ/FDOJ areas.</p><p><strong>Discussion: </strong>To define the aid of cytokines studied in PRF in the restoration of the immunological dysregulation in areas of BMDJ/FDOJ, literature is reviewed comparing RANTES/CCL5, IL-1ra, TNF-α and MCP-1/CCL2 expression in PRF and BMDJ/FDOJ. Immunoregulatory properties of PRF in alveolar bone restoration are evaluated.</p><p><strong>Summary: </strong>PRF was mistakenly thought to be a cure for bone healing, which is here shown to be incorrect. Enoral Ultrasound Sonography of bone density is available for the clinical measurement of individually developed osteoneogenesis by PRF.</p><p><strong>Conclusion: </strong>The multiplex analysis of PRF shows a dynamic and cytokine-based interaction with osteoneogenesis that is not yet fully clarified.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"16 ","pages":"467-479"},"PeriodicalIF":1.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709367","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
Enhancing Communication Between Dental Laboratories and Clinics: The Role of Information Technology Systems in a Developing Country. 加强牙科实验室与诊所之间的沟通:信息技术系统在发展中国家的作用》。
IF 1.5
Clinical, Cosmetic and Investigational Dentistry Pub Date : 2024-11-02 eCollection Date: 2024-01-01 DOI: 10.2147/CCIDE.S483308
Farid Tawfiq Nusairat, Salam Walid Al-Shogran, Noor Almortadi, Karem H Alzoubi
{"title":"Enhancing Communication Between Dental Laboratories and Clinics: The Role of Information Technology Systems in a Developing Country.","authors":"Farid Tawfiq Nusairat, Salam Walid Al-Shogran, Noor Almortadi, Karem H Alzoubi","doi":"10.2147/CCIDE.S483308","DOIUrl":"10.2147/CCIDE.S483308","url":null,"abstract":"<p><strong>Background: </strong>Despite the great effort between the dentist and dental technician in prosthesis fabrication, there is a lack of proper communication. According to the laboratory prescription, the communication process must include all the essential elements to complete the prosthesis fabrication correctly. The digital revolution in dentistry suggested using information technology system prescriptions instead of traditional prescriptions.</p><p><strong>Aim: </strong>To explore the association between the application of ITS and the communication process between dental laboratories and dental clinics in a developing country setting.</p><p><strong>Methods: </strong>The current study used a quasi-experimental design (posttest only). A convenience sample of 600 subjects was divided into two subsamples of 300 subjects each. The data from the first subsample was collected from traditional (paper-based) prescriptions, and the data from the second subsample was collected from the Information Technology System (ITS).</p><p><strong>Results: </strong>It was associated with a statistically significant commitment to recording the most essential information in the dental lab prescription. The time spent completing and delivering the work was faster, and the need for recommunication was less common among those using ITS than those using traditional systems. Regarding the quality of the prosthesis, the need for modification or redo due to improper shade, inappropriate charting of teeth, or lack of additional information in the dental lab prescription was less among users of the ITS system compared to the traditional system (P < 0.05).</p><p><strong>Conclusion: </strong>Using ITS instead of a traditional system can enhance the communication process and the amount filled in the laboratory prescription in multiple aspects, including the completeness of essential information in the dental lab prescription, the time needed to complete the cases, the need to re-communicate less frequently with the dentist, and improved the quality of the prosthesis.</p>","PeriodicalId":10445,"journal":{"name":"Clinical, Cosmetic and Investigational Dentistry","volume":"16 ","pages":"441-451"},"PeriodicalIF":1.5,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590001","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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