Clinical Oral Investigations最新文献

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Recent innovations in nasolabial and facial artery myomucosal flaps: A commentary. 鼻唇和面动脉肌粘膜瓣的最新创新:评论。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-17 DOI: 10.1007/s00784-025-06553-5
Andrea Frosolini, Olindo Massarelli
{"title":"Recent innovations in nasolabial and facial artery myomucosal flaps: A commentary.","authors":"Andrea Frosolini, Olindo Massarelli","doi":"10.1007/s00784-025-06553-5","DOIUrl":"https://doi.org/10.1007/s00784-025-06553-5","url":null,"abstract":"","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"460"},"PeriodicalIF":3.1,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two different short fiber-reinforced resin composites for extensive MOD cavities in premolars and molars. 两种不同的短纤维增强树脂复合材料用于前磨牙和磨牙的广泛MOD腔。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-17 DOI: 10.1007/s00784-025-06562-4
Viivi Oksanen, Jasmina Bijelic-Donova, Pekka K Vallittu, Lippo Lassila, Sufyan Garoushi
{"title":"Two different short fiber-reinforced resin composites for extensive MOD cavities in premolars and molars.","authors":"Viivi Oksanen, Jasmina Bijelic-Donova, Pekka K Vallittu, Lippo Lassila, Sufyan Garoushi","doi":"10.1007/s00784-025-06562-4","DOIUrl":"10.1007/s00784-025-06562-4","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the influence of (1) incorporating micro- and millimeter-scale short fiber-reinforced composite (SFC) on the fracture behavior of large direct restorations made in premolars (P) and molars (M); (2) tooth size on the fracture resistance and their correlation.</p><p><strong>Materials and methods: </strong>Wide MOD cavities with missing lingual walls were prepared in premolars and molars. Four groups were designed (n = 15/group). Teeth in PFC group were restored with particulate filler resin composite (Gaenial Universal Injectable) without fiber reinforcement. Teeth in bilayered group were made of micrometer-scale SFC-core (everX Flow) veneered with a resin composite layer 1 mm in thickness. Monolithic SFC restorations were made either with plain SFC (everX Flow) or with plain hybrid SFC. The hybrid SFC was composed of handmade mixture of micro- and millimeter-scale SFCs (everX Flow and everX Posterior). Specimens were stored in water for 12 months before quasi-static loading. Fractures were analyzed using scanning electron microscopy. Data were statistically analyzed with two-way ANOVA (p = 0.05), followed by the Tukey HSD test. Additionally, Pearson correlation analyses (p = 0.001) were conducted.</p><p><strong>Results: </strong>Restorations in premolars exhibited statistically significant lower fracture resistance than those in molars, except for the plain SFC group (p < 0.05;r = 0.0114) (PFC P 481 ± 159 N; PFC M 1221 ± 435 N; Bilayered P 727 ± 387 N; Bilayerd M 1954 ± 517 N; SFC P 1735 ± 533 N; SFC M 1847 ± 551 N; SFC-hybrid P 1485 ± 339 N; SFC-hybrid M 2280 ± 375 N). In both, premolars and molars, the application of SFC as core or plain restorative material demonstrated superior fracture endurance compared to PFC restorations. Hybrid SFC in molars displayed significantly higher fracture resistance (p < 0.05) compared to the other groups. Pearson correlation indicated statistically significant positive correlation in favor of molars (p < 0.001;r = 0.490) (PFC r = 0.712, Bilayered r = 0.815, SFC-hybrid r = 0.767), except for the plain SFC group (r = 0.114).</p><p><strong>Conclusions: </strong>The volume and consistency of SFC significantly impact the fracture endurance and fracture mode of direct composite restorations.</p><p><strong>Clinical significance: </strong>Tooth and short fiber reinforced composite (SFC) type are factors that should be taken into account when planning the SFC restoration. Molars could be restored with any type of SFC, however gaining a high volume of plain flowable or preferably hybrid SFC in premolars is highly important.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"462"},"PeriodicalIF":3.1,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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 stresses in the mandible caused by loading of all-on-four and trefoil concepts under different occlusion conditions using finite element analysis. 应用有限元分析方法评估不同咬合条件下全对四和三叶概念加载对下颌骨造成的应力。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06522-y
Berna Derinpınar, Esra Tsakir Emin, Merve Özarslan, Öznur Özalp, Alper Sindel, Mehmet Mustafa Özarslan, Mehmet Ali Altay, Nurullah Türker
{"title":"Evaluation of stresses in the mandible caused by loading of all-on-four and trefoil concepts under different occlusion conditions using finite element analysis.","authors":"Berna Derinpınar, Esra Tsakir Emin, Merve Özarslan, Öznur Özalp, Alper Sindel, Mehmet Mustafa Özarslan, Mehmet Ali Altay, Nurullah Türker","doi":"10.1007/s00784-025-06522-y","DOIUrl":"10.1007/s00784-025-06522-y","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the maximum stresses on the bone, implant, and screw under four loading conditions in two implant-supported prosthesis concepts: Trefoil and All-on-Four.</p><p><strong>Materials and methods: </strong>Three-dimensional mandibular models were created based on the All-on-Four and Trefoil concepts. Maximum bite forces were applied under four conditions: maximum intercuspal position, canine-protected occlusion, group-function occlusion, and cantilever loading. The stresses on cortical bone, implants, and screws were calculated using finite element analysis.</p><p><strong>Results: </strong>The highest stresses under maximum bite forces occurred at the distal implants in the Trefoil model (393,9 MPa). The anterior implant (219,9 MPa), screw (171,1 MPa), and bone (29,7 MPa) in the Trefoil system experienced four times more stress than in the All-on-Four system (anterior implant 48,5 MPa, screw 50 MPa, bone 8,3 MPa). Canine-protected occlusion led to higher stresses on the working side. Stress concentrations were similar at the implant (trefoil right implant 23,7 MPa; middle 38 MPa; left 82,5 MPa; all on four right posterior implant 22,3 MPa; right anterior 12,7 MPa; left anterior 39,8 MPa; left posterior 86,8 MPa) and bone levels (trefoil right cortical bone 9,6 MPa; middle 2,07 MPa; left 11,1 MPa; all on four right posterior 7,5 MPa; right anterior 2,27 MPa; left anterior 1,8 MPa; left posterior 11,9 MPa) in both models, but higher stress was found around the screw of the central implant in the Trefoil system (53,8 MPa). Group-function occlusion resulted in higher stress at the implant (right 112,3 MPa; middle 124,6 MPa; left 776,2 MPa), screw (right 129,1 MPa; middle 239,9 MPa; left 474,3 MPa) and bone levels (right 66,1 MPa; middle 9,3 MPa; left 71,32 MPa) in the Trefoil model, with increased stress on the working side. Cantilever loading caused significant stress on abutment screws in the Trefoil model (right 42,2 MPa; middle 198,1 MPa; left 340,3 MPa), while the All-on-Four model (408,4 MPa) showed higher stress around the distal implants.</p><p><strong>Conclusions: </strong>Canine-protected occlusion is recommended to minimize stress in both systems. Further clinical trials are needed to determine the optimal occlusion for implant prostheses.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"456"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhanced and safe removal of a novel experimental fiber-colored post: an in vitro micro-CT study. 增强和安全去除一种新的实验性纤维色桩:体外微ct研究。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06545-5
Laís Lima Pelozo, Camila Tirapelli, Jardel Francisco Mazzi-Chaves, Manoel Damião Sousa-Neto, Aline Evangelista Souza-Gabriel
{"title":"Enhanced and safe removal of a novel experimental fiber-colored post: an in vitro micro-CT study.","authors":"Laís Lima Pelozo, Camila Tirapelli, Jardel Francisco Mazzi-Chaves, Manoel Damião Sousa-Neto, Aline Evangelista Souza-Gabriel","doi":"10.1007/s00784-025-06545-5","DOIUrl":"10.1007/s00784-025-06545-5","url":null,"abstract":"<p><strong>Objectives: </strong>Post-removal can be challenging and may increase the risk of iatrogenic damage during endodontic retreatment. This study evaluated the efficacy and efficiency of removing a novel fiber-colored post specifically designed to facilitate retrieval.</p><p><strong>Materials and methods: </strong>Twenty mandibular premolars were instrumented with an R50 file and irrigated using 2.5% NaOCl and 17% EDTA under ultrasonic agitation. The roots were filled with AH Plus, and post spaces were prepared. Micro-CT scans were performed before post-cementation and after post-removal. Specimens were divided into two groups: Control - Exacto post (Angelus) and Experimental - fiber-colored post (patent granted). Post-removal was performed under magnification with ultrasonic tips activated for 20-second intervals, with pauses for tip cooling, canal irrigation and drying. Outcomes included working time, dentin loss, residual material, canal deviation, and procedural quality. Data were analyzed using the T-test and Mann-Whitney at 5%.</p><p><strong>Results: </strong>The fiber-colored post showed a significantly shorter removal time (p = 0.023), with less dentin loss and residual material (p < 0.0001). The control group exhibited severe deviations from the root axis and a 30% perforation rate, whereas fiber-colored posts had no perforations and most samples without deviation (p < 0.0001).</p><p><strong>Conclusions: </strong>The experimental fiber-colored posts enhanced removal efficiency, safety, and predictability.</p><p><strong>Clinical relevance: </strong>Fiber-colored posts represent a promising restorative alternative that can facilitate post-removal during reintervention, helping to prevent iatrogenic damage and preserve tooth structure.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"453"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of external apical root resorption and apical root displacement in maxillary molars with different sinus-root relationships by cone-beam computed tomography. 锥形束ct评价不同窦根关系上颌磨牙外根尖吸收和根尖位移。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06540-w
Yuhan Li, Kexin Li, Xiangyi Li, Yibiao Yin, Zilong Ren, Sijia Cai, Xiulin Yan
{"title":"Evaluation of external apical root resorption and apical root displacement in maxillary molars with different sinus-root relationships by cone-beam computed tomography.","authors":"Yuhan Li, Kexin Li, Xiangyi Li, Yibiao Yin, Zilong Ren, Sijia Cai, Xiulin Yan","doi":"10.1007/s00784-025-06540-w","DOIUrl":"10.1007/s00784-025-06540-w","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of different pretreatment sinus-root relationships on external apical root resorption (EARR) and apical root displacement (ARD) of maxillary molars in maxillary premolar extraction treatment using a split-mouth design.</p><p><strong>Materials and methods: </strong>Paired palatal roots of maxillary molars with different sinus-root relationships from the same patients were included in groups based on pretreatment CBCT. The relationships were classified as follows: type I, root separated from the maxillary sinus floor (MSF); type II, root contacting MSF; and type III, root protruding into the maxillary sinus. Pretreatment and posttreatment CBCT images were superimposed to quantify three-dimensional ARD. EARR length was measured post-orthodontics. Groups I vs. II and II vs. III were analyzed using paired t-tests/Wilcoxon tests, respectively. Analysis of associated factors was conducted using Generalized Estimating Equations (GEE).</p><p><strong>Results: </strong>Mean EARR was < 1 mm across all types. Type II roots exhibited greater extrusive displacement in vertical ARD (P < 0.01) and increased EARR (P < 0.001) compared to type I. Type III roots demonstrated reduced mesial ARD compared to type II (P < 0.05), with no significant difference in EARR between types II and III. Type II roots were found to promote more EARR than type I (P < 0.001), while type III roots restricted mesial ARD compared to type II (P < 0.05).</p><p><strong>Conclusions: </strong>Roots contacting MSF before orthodontic treatment increase EARR of maxillary molars, though the values remain clinically acceptable. Protrusion into the maxillary sinus prior to orthodontic treatment restricts the mesial movement of molar roots in the maxillary premolar extraction treatment, suggesting MSF morphology modulates orthodontic outcomes, duration, and anchorage demands.</p><p><strong>Clinical relevance: </strong>A pretreatment evaluation of sinus-root relationship is recommended to anticipate the sequelae and biomechanical limitation in maxillary molars. However, complications from MSF proximity rarely necessitate excessive concern from orthodontists clinically.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"455"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Involvement of resistant bacteria in the severity of refractory osteonecrosis of the jaw. 颌骨难治性骨坏死的严重程度与耐药细菌的关系。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06547-3
Junya Kusumoto, Yumi Muraki, Eiji Iwata, Megumi Matsumura, Shungo Furudoi, Masaya Akashi
{"title":"Involvement of resistant bacteria in the severity of refractory osteonecrosis of the jaw.","authors":"Junya Kusumoto, Yumi Muraki, Eiji Iwata, Megumi Matsumura, Shungo Furudoi, Masaya Akashi","doi":"10.1007/s00784-025-06547-3","DOIUrl":"10.1007/s00784-025-06547-3","url":null,"abstract":"<p><strong>Purpose: </strong>Osteoradionecrosis (ORN) and medication-related osteonecrosis of the jaw (MRONJ) are relatively rare and refractory, and there is no consensus regarding the bacteria associated with their development. This study was conducted to identify the bacteria associated with refractory ORN and MRONJ, including severe cases.</p><p><strong>Methods: </strong>Patients who underwent surgery for osteonecrosis of the jaw were included in this study. Bacterial culture specimens were obtained from tissue as deeply as possible. Severe cases of ORN and MRONJ were defined as stage IV of Lyon's classification and stage III of the AAOMS classification, respectively. Demographic data, clinical features, antimicrobials usage, and bacteria detected were analysed to determine the factors associated with severe disease.</p><p><strong>Results: </strong>Seventy-seven patients (ORN, n = 22; MRONJ, n = 55) were analysed. Penicillins were the most commonly used antimicrobials. A total of 311 bacterial strains were detected in tissue culture (detection rate = 100%). Streptococcus spp. were the most common bacteria (37.0%), followed by anaerobes (33.8%). Gram-negative rods were detected in 10.3% of the patients, antimicrobial-resistant bacteria in 78.4%, and ampicillin resistance in 60.8%. Factors associated with severe disease were ampicillin resistance and malignancy in MRONJ, with odds ratios of 8.74 (95% confidence interval, 1.20-63.4; p = 0.032) and 13.5 (1.09-168, p = 0.043), respectively. Enterobacter spp. were detected only in severe cases.</p><p><strong>Conclusion: </strong>Bacteria associated with osteonecrosis of the jaw are similar in composition to those responsible for common odontogenic infections, but with a higher proportion of gram-negative rods. Ampicillin-resistant bacteria, including Enterobacter spp., are implicated in severe disease.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"454"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","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 validation of a deep learning based application for quantitative assessment of dental plaque in fluorescence imaging. 基于深度学习的荧光成像牙菌斑定量评估应用的临床验证。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06550-8
Hang-Nga Mai, Sohee Kang, Hyeonjeong Go, Youn-Hee Choi, Eun Young Park, Eun-Kyong Kim
{"title":"Clinical validation of a deep learning based application for quantitative assessment of dental plaque in fluorescence imaging.","authors":"Hang-Nga Mai, Sohee Kang, Hyeonjeong Go, Youn-Hee Choi, Eun Young Park, Eun-Kyong Kim","doi":"10.1007/s00784-025-06550-8","DOIUrl":"10.1007/s00784-025-06550-8","url":null,"abstract":"<p><strong>Aim: </strong>Evaluating dental plaque is a fundamental task for periodontal health care, but it is subjective, time-consuming, and cumbersome. Therefore, this study aimed to develop and validate a web-based deep learning application capable of objectively quantifying tooth plaque in fluorescence images by calculating the plaque-tooth area ratio.</p><p><strong>Methods: </strong>A total of 2,490 fluorescence image of the Lingual surfaces of mandibular anterior teeth from 498 participants were used to train and test a YOLO v11 model with optimized hyperparameters for detecting tooth and plaque. After the model was developed, 30 additional participants were recruited, and their fluorescence image were evaluated for clinical validation by calculating the plaque-tooth area ratio. A web application was developed for clinical use, and validation compared AI predictions with clinical ratings via intraclass correlation coefficient analysis.</p><p><strong>Results: </strong>The deep learning model accurately detected and segmented teeth and dental plaque, with F1 scores of 0.81 for both tasks. Mean average precision at an intersection over union threshold of 0.50 (mAP50) was 0.83 and 0.84, respectively. The model achieved average precision scores of 0.969 for teeth and 0.706 for plaque, with an overall mAP50 of 0.838. Clinical validation showed strong agreement with expert assessments (ICC = 0.947) and a 97.9% reduction in evaluation time.</p><p><strong>Conclusions: </strong>The web application demonstrated high accuracy in identifying and quantifying tooth plaque objectively in fluorescence images, supporting its potential as an oral hygiene assessment tool for the prevention of periodontal disease.</p><p><strong>Clinical significance: </strong>This deep learning-based web application offers an effective, and objectively scalable solution for dental plaque quantification, enhancing diagnostic precision and supporting timely periodontal intervention. Its integration into clinical workflows might improve treatment planning, promote patient compliance, and enable standardised monitoring of oral hygiene status, ultimately contributing to improved periodontal outcomes.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"457"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the efficacy of non-activated microbubble emulsions in biofilm removal from 3D-printed root canals. 评价非活化微泡乳剂去除3d打印根管生物膜的效果。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06554-4
Ahmet Keles, Anil Kishen
{"title":"Evaluating the efficacy of non-activated microbubble emulsions in biofilm removal from 3D-printed root canals.","authors":"Ahmet Keles, Anil Kishen","doi":"10.1007/s00784-025-06554-4","DOIUrl":"10.1007/s00784-025-06554-4","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the effectiveness of non-activated microbubble emulsions in removing biofilms in simulated minimally shaped root canals.</p><p><strong>Materials and methods: </strong>Enterococcus faecalis biofilms were developed over three weeks in various sizes of 3D-printed root canal models. The biofilm removal efficiency of microbubble emulsions (MB) was compared with several irrigants, sodium hypochlorite (NaOCl), distilled water (DW), and hydrogen peroxide (HP), across different root canal dimensions (20.04, 20.06, 40.04, 40.06). Irrigation was performed using 2.5 mL of each solution for one minute. In the MB groups, the canal was filled with a single emulsion drop and left for one minute. We used confocal laser scanning microscopy and crystal violet colorimetric analysis to assess the effectiveness of biofilm eradication. Bonferroni tests and two-way ANOVA were employed to analyze the data.</p><p><strong>Results: </strong>In narrow canals, MB emulsions demonstrated biofilm removal efficacy comparable to NaOCl (P > .05). However, NaOCl was the most effective irrigation solution for wider canals (P < .05). Canal size significantly influenced the biofilm removal efficacy in the MB group (P < .05). Overall, both MB emulsions and NaOCl achieved better biofilm removal results than DW and HP (P < .05).</p><p><strong>Conclusion: </strong>The non-activated MBs have shown effective antibiofilm properties in narrow canals, making them suitable for a minimally invasive approach and indicating their potential role in developing improved irrigation protocols.</p><p><strong>Clinical relevance: </strong>This study highlights the potential of microbubble emulsions as effective irrigants for minimally shaped root canals, supporting minimally invasive endodontic strategies.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"452"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of early and prolonged physiotherapy on the results of temporomandibular joint prosthetic replacement. 早期和长期物理治疗对颞下颌关节假体置换术疗效的影响。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-16 DOI: 10.1007/s00784-025-06556-2
Edouard Lange, Andrea Varazzani, Emma Bach, Pierre Bouletreau, Louis Brochet, Anne-Sabine Cousin
{"title":"Effect of early and prolonged physiotherapy on the results of temporomandibular joint prosthetic replacement.","authors":"Edouard Lange, Andrea Varazzani, Emma Bach, Pierre Bouletreau, Louis Brochet, Anne-Sabine Cousin","doi":"10.1007/s00784-025-06556-2","DOIUrl":"10.1007/s00784-025-06556-2","url":null,"abstract":"<p><strong>Objectives: </strong>Total temporomandibular joint (TMJ) replacement is indicated when conservative treatments fail in conditions that significantly alter joint anatomy. This study evaluated the impact of early and prolonged physiotherapy on functional outcomes after TMJ prosthetic replacement.</p><p><strong>Materials and methods: </strong>Thirty-six patients (94.4% female; mean age, 49.8 years) underwent TMJ prosthetic replacement between July 2020 and December 2023, with a mean follow-up of 23.5 months. Functional outcomes included TMJ range of motion (ROM), pain according to a visual analog scale (VAS), and masticatory function (diet and chewing score on the TMJ-S-QoL scale). Patients were divided into two groups based on physiotherapy: early and prolonged (initiated within the first month and continued for ≥ 6 months) vs. absent/delayed/non-prolonged.</p><p><strong>Results: </strong>Overall, patients showed significant (p < 0.001) improvements in ROM (+ 9.8 mm), pain score (-5.2 points), and diet and chewing score (+ 1.7 points). At 1 year, early and prolonged physiotherapy was associated with significantly better masticatory outcomes. Recovery kinetics showed faster and greater improvements between 1 and 6 months in this group. ROM and pain improvements also favored early rehabilitation, although the differences were not statistically significant.</p><p><strong>Conclusion: </strong>Early and sustained physiotherapy initiated within the first postoperative month significantly enhances masticatory recovery following TMJ prosthetic replacement. These findings support the integration of structured rehabilitation protocols to optimize long-term functional outcomes.</p>","PeriodicalId":10461,"journal":{"name":"Clinical Oral Investigations","volume":"29 10","pages":"458"},"PeriodicalIF":3.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the editor, concerning the article by Latzkow, Schmit et al. about orthodontic materials in MRI. 致编辑的信,关于Latzkow, Schmit等人关于MRI中正畸材料的文章。
IF 3.1 2区 医学
Clinical Oral Investigations Pub Date : 2025-09-15 DOI: 10.1007/s00784-025-06537-5
Felix H Blankenstein
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