Gianluigi Caccianiga, Antonio Barbarisi, Paolo Caccianiga, Dorina Lauritano, Saverio Ceraulo
{"title":"Photobiomodulation in Patients Taking Denosumab: Case Report and Literature Review.","authors":"Gianluigi Caccianiga, Antonio Barbarisi, Paolo Caccianiga, Dorina Lauritano, Saverio Ceraulo","doi":"10.3390/dj13030128","DOIUrl":"10.3390/dj13030128","url":null,"abstract":"<p><p><b>Background:</b> Denosumab is a human monoclonal antibody playing a central role in bone resorption. The impaired bone healing observed in patients on denosumab is linked to the drug's inhibition of osteoclast activity. Photobiomodulation (PBM) has garnered attention as a potential adjunctive therapy for managing oral complications in patients on denosumab therapy. The aim of this study is to provide a review of the literature regarding the benefits of photobiomodulation therapy in patients taking denosumab while providing a case report of a patient treated with this therapy. <b>Materials and Methods:</b> Key terms were used to search PubMed (MEDLINE), Scopus, and Web of Science, and at last, 25 articles were compared. Following the proposed review, a case of a patient is illustrated. <b>Results:</b> Based on our literature findings, there are no papers regarding the benefits of photobiomodulation therapy in patients taking denosumab specifically, but there are articles regarding photobiomodulation therapy and MRONJ osteonecrosis patients, which can be caused by denosumab. <b>Discussion:</b> Despite all the limitations of the data in the literature, it can be deduced that there are evident benefits of photobiomodulation therapy in patients taking denosumab. The integration of laser-assisted techniques and photobiomodulation into MRONJ management protocols represents a significant evolution in treatment strategies. <b>Conclusions:</b> Further studies are needed to better understand a potential association between odontoclasts (which can cause external root resorption) and neoplastic disease or medication, as well as to explore the role of photobiomodulation in the therapeutic rehabilitation process.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709112","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}
Daniele Botticelli, Ivo Agabiti, Rihito Yamada, Nozomi Maniwa, Karol Alí Apaza Alccayhuaman, Yasushi Nakajima
{"title":"Identifying Key Factors in Papilla Growth Around Implants: Focus on Intraoral Negative Pressure.","authors":"Daniele Botticelli, Ivo Agabiti, Rihito Yamada, Nozomi Maniwa, Karol Alí Apaza Alccayhuaman, Yasushi Nakajima","doi":"10.3390/dj13030124","DOIUrl":"10.3390/dj13030124","url":null,"abstract":"<p><p>The absence of interdental papillae in dental prosthetics often leads to unsatisfactory esthetic outcomes, such as black triangles and elongated clinical crowns. While previous research has demonstrated that papillae can regenerate in a coronal direction, the underlying mechanisms remain incompletely understood. Several theories have been proposed to explain this phenomenon, but no clear cause-effect relationship has been established among the various factors involved in spontaneous papilla growth around implants. This study aims to identify and classify the factors influencing this process. Various potential contributors were analyzed, including adjacent elements, buccal-lingual papilla width, contact point position, convergent neck design, crown overcontour, intraoral negative pressure, and others. To systematically organize these factors, a modified Overton Window and a mind map were employed. The factors were categorized as cause-related, essential, or influencing based on the collective opinion of the research group following a comprehensive review of the relevant literature. In the absence of clear evidence supporting a definitive cause-effect relationship, Occam's Razor (the principle of parsimony) was applied to identify the most plausible cause-related factors.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11940915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708978","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":"Impact of High-Intensity Sports Practice on Stomatognathic System Function: An Observational Study.","authors":"Evandro Marianetti Fioco, Marcelo Palinkas, Natália de Moraes Barbosa, Edson Donizetti Verri, Luciano Maia Alves Ferreira, Danilo Henrique Lattaro, Gabriella Simi Gariba Silva, Selma Siéssere, Simone Cecilio Hallak Regalo","doi":"10.3390/dj13030126","DOIUrl":"10.3390/dj13030126","url":null,"abstract":"<p><p><b>Background:</b> Physical activity improves quality of life, but competitive sports emphasize performance, leading to intense training and restrictive diets that increase injury risk. This affects the stomatognathic system, underscoring the role of sports dentistry in preventing injuries and orofacial functional changes. This observational study analyzed the stomatognathic system's functionality in male high-intensity athletes (n = 18) compared to a sedentary group (n = 18). <b>Methods:</b> Functional parameters were analyzed: electromyographic activity during mandibular tasks, masseter and temporal muscles thickness, and molar bite force. <b>Results:</b> Student's <i>t</i>-test was used for analysis. At mandibular rest, male high-performance athletes showed lower electromyographic activity in the right and left masseter muscles, suggesting adaptation to training. During maximum voluntary contraction, activity was higher in the temporal and masseter muscles, especially in the left masseter, indicating hypertrophy. Electromyographic activity increased during protrusion and lateral movements, particularly in the masseter and temporal muscles, demonstrating a greater functional efficiency group of athletes. They also exhibited greater masseter muscle thickness and thinner temporal muscle thickness, with a significant difference in the right masseter muscle at rest. The group of athletes showed greater molar bite force, with significant differences, indicating greater muscle capacity. <b>Conclusions:</b> Sports practice promotes adaptations in the stomatognathic system, improving its functionality.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708982","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":"Dental Morphology in Restorative Dentistry: A Pilot Study on Morphological Consistency and Variability in Human Upper First Molars.","authors":"Gregorio Oxilia, Mauro Tomasella, Alberto Cecere","doi":"10.3390/dj13030122","DOIUrl":"10.3390/dj13030122","url":null,"abstract":"<p><p><b>Background:</b> Geometric morphometric analysis, a methodology traditionally used in evolutionary studies, offers unprecedented precision in quantifying the morphological traits of human organs and tissues by identifying specific anatomical landmarks. Despite its potential, this approach has not yet been applied in medical or dental research. <b>Materials and Methods:</b> This pilot study analyzed 76 permanent upper first molars (M1) from Italian individuals (38 males and 38 females), selected for their completeness, minimal wear (stage 1), and absence of pathological conditions or non-metric traits. Each individual contributed two contralateral molars: the left molar (Group A) and the right molar (Group B). The molars were scanned using a Sinergia Scan Advanced Plus optical scanner with 5 μm accuracy. The scans were processed with the Dental Scan 7.0 software to generate high-resolution STL files, followed by refinement in Meshlab to preserve the morphological integrity of the 3D models. The geometric morphometric analysis was performed using the Viewbox software, thereby enabling the placement of anatomical landmarks and semilandmarks to quantify and compare molar morphology with exceptional precision. <b>Results:</b> The analysis confirmed that contralateral molars exhibit high morphological similarity, with significantly smaller variability compared to molars from different individuals. Among the specific traits analyzed, the distolingual cusp (hypocone) showed the greatest variation, followed by the mesiolingual cusp (protocone). No significant differences were observed between males and females in the degree of similarity between contralateral molars. <b>Conclusions:</b> This pilot study highlights the potential of geometric morphometric approaches to enhance our understanding of the dental variation between sexes and across human populations, thereby improving clinical applications and advancing toward personalized medicine.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709088","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}
Faris El-Dahiyat, Ammar Abdulrahman Jairoun, Obaida Jairoun, Islam Eljilany, Mohammed Alsbou
{"title":"Assessment of Oral Health-Related Quality of Life of the United Arab Emirates' Elderly Population: Observational Prospective Cross-Sectional Study.","authors":"Faris El-Dahiyat, Ammar Abdulrahman Jairoun, Obaida Jairoun, Islam Eljilany, Mohammed Alsbou","doi":"10.3390/dj13030123","DOIUrl":"10.3390/dj13030123","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The current study aimed to evaluate the oral health self-perception on quality of life in the elderly using the Geriatric Oral Health Assessment Index (GOHAI) to assess the impact of demographic and oral health factors on oral health-related quality of life. <b>Methods:</b> An observational prospective cross-sectional study for the entire six-month period was conducted in a dental health care center in the United Arab Emirates. The principal inclusion criterion is being aged 60 and over. The GOHAI questionnaire is composed of 4 domains of 12 items that address functional limitation, pain and discomfort, psychological impacts, and behavioral impacts. Patients were questioned about the frequency at which they experience any of the 12 listed problems. <b>Results:</b> A total of 318 respondents participated in the study and completed the whole questionnaire. Among these participants, 63.5% (<i>n</i> = 202) were male and 86.8% (<i>n</i> = 276) were ≤70 years. The average GOHAI score was 13.25, with a 95% confidence interval (CI) [12.4%, 14%], indicating a low self-perception of oral health by the allocated sample. Statistical modeling identified dry mouth (OR = 2.21, 95% CI 1.40-3.48) and chewing problems (OR = 1.87, 95% CI 1.09-3.20) as the strongest determinants of poor oral health-related quality of life (OHRQoL) in the elderly population. <b>Conclusions:</b> Healthcare professionals should develop targeted strategies to address the specific needs of this population, ensuring sustained improvements in their quality of life.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709104","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}
Donika B Shabani, Linda J Dula, Zana Sllamniku Dalipi, Mirlinda S Krasniqi, Aida Meto
{"title":"Knowledge and Perceptions of Dentists Regarding E-Cigarettes: Implications for Oral Health and Public Awareness and Education.","authors":"Donika B Shabani, Linda J Dula, Zana Sllamniku Dalipi, Mirlinda S Krasniqi, Aida Meto","doi":"10.3390/dj13030119","DOIUrl":"10.3390/dj13030119","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The rising popularity of e-cigarette use is creating new challenges for oral healthcare. Factors such as targeted marketing, appealing flavors, and the perception that e-cigarettes are a safer alternative to traditional smoking have contributed to their widespread adoption. This trend is particularly prevalent among young adults and teenagers, many of whom turn to e-cigarettes despite having no prior history of regular cigarette use. This study aimed to evaluate dentists' knowledge and perceptions regarding e-cigarettes, focusing on their health effects, regulatory status, and potential risks to oral health. Assessing dentists' knowledge of e-cigarette risks is important, as they guide patients on the potential oral health dangers of vaping. E-cigarette use has been linked to several oral health problems. <b>Methods:</b> A cross-sectional survey was conducted among 189 dentists in Kosovo, comprising both general dentists and specialists. The questionnaire assessed participants' awareness of e-cigarettes' FDA approval status, their perceptions of health impacts, and their understanding of e-cigarettes' association with oral conditions such as caries, periodontal disease, and oral cancer. Data were analyzed using SPSS 22, with significance set at <i>p</i> < 0.05. <b>Results:</b> The findings revealed significant knowledge gaps, with 74.1% of respondents being uncertain about the FDA approval status of e-cigarettes and 82.0% recognizing their harmful effects on general and oral health. Nearly half (49.7%) of the participants identified e-cigarettes as a potential risk factor for caries, while 66.1% and 64.6% associated their use with oral cancer and periodontal disease, respectively. Gender and professional specialization did not significantly influence these perceptions. <b>Conclusions:</b> Dentists need better education on the risks of e-cigarette use, including their harmful effects on oral health. Incorporating this knowledge into dental curricula and professional training is essential to give dentists the information needed to advise patients effectively. Raising public awareness through dental health professionals can help mitigate the oral health risks associated with e-cigarettes.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708973","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}
Patrícia Manarte-Monteiro, Maria Vittoria Buscemi, Joana Domingues, Liliana Teixeira, Bernardo Lemos, Lígia Pereira da Silva
{"title":"Knowledge of and Attitudes Toward Erosive Tooth Wear Among Students of a Portuguese University: Pilot Survey.","authors":"Patrícia Manarte-Monteiro, Maria Vittoria Buscemi, Joana Domingues, Liliana Teixeira, Bernardo Lemos, Lígia Pereira da Silva","doi":"10.3390/dj13030120","DOIUrl":"10.3390/dj13030120","url":null,"abstract":"<p><p><b>Background/Objectives:</b> To assess and compare the knowledge of and attitudes toward erosive tooth wear (ETW) among university students at the Portuguese University Fernando Pessoa (UFP). <b>Methods:</b> Cross-sectional, prospective pilot study approved by the UFP-Ethics Committee for a bilingual (English and Portuguese) online self-administered questionnaire displayed to all UFP students of the 2023-2024 academic year. Two groups were recruited, dental students (DSs) and non-medical students (NMSs), based on a convenience sample of 344 students. Participants voluntarily answered demographic questions, 15 true/false/do not know questions between knowledge of ETW, and 10 positive statements to score the attitude toward ETW based on a 5-point Likert scale. Differences in scores for DSs and NMSs groups by non-parametric tests and the correlation between knowledge of and attitudes by the Pearson coefficient were considered significant for <i>p</i> < 0.05. <b>Results:</b> A total of 251 (72.9%) students participated, but only 245 (71.2%) fulfilled the survey. The knowledge and attitude scores of the DSs (Md = 12.0; IQR 11.0-13.0 and Md = 43.0; IQR 40.0-48.0) were higher (<i>p</i> < 0.001; <i>p</i> = 0.019) than those of NMSs (Md = 8.0; IQR 6.0-10.0 and Md = 41.0; IQR 38.0-46.0). The attitudes score showed similar (<i>p</i> > 0.05) results for gender, age, nationality, and curricular year. Moderate level of knowledge was higher (<i>p</i> < 0.001) for DSs (Md = 12.0, IQR 11.0-12.0) than for NMSs (Md = 10.0, IQR 9.0-10.0) students. DSs and NMSs revealed differences in attitude level distribution (<i>p</i> < 0.001). <b>Conclusions:</b> This survey highlighted the need for knowledge on ETW among NMSs, but especially the high need for measures to promote more positive attitudes toward ETW among all university students, DSs, and NMSs. It provided valuable insights into the demographic characteristics, response rate, knowledge, and attitude scores of ETW with the implementation of multicenter designs applied to similar populations being important for future research.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709006","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}
Dina Bursać, Lovro Marinović, Marta Horvat, Kristina Goršeta
{"title":"Awareness of Traumatic Dental Injuries and Impact of Educational Intervention Among Croatian Soccer Coaches and Players.","authors":"Dina Bursać, Lovro Marinović, Marta Horvat, Kristina Goršeta","doi":"10.3390/dj13030121","DOIUrl":"10.3390/dj13030121","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aimed to assess the knowledge of dental injuries in both soccer coaches and players, as well as the impact of educational intervention on coaches and the prevalence of traumatic dental injuries and mouthguard usage among soccer players. <b>Methods</b>: The study involved 94 male soccer players (median age 18, IQR: 12-19) and 39 coaches. Data were collected through questionnaires covering age, gender, years of experience, injury history, mouthguard use, and knowledge of tooth rescue kits and tooth repositioning. <b>Results</b>: Of the players, 34 (36.2%) experienced orofacial injuries during soccer, while only 7 (7.4%) used mouthguards. Reasons for not using mouthguards included discomfort (26.1%), belief they are unnecessary (26.1%), and difficulty purchasing them (8.0%). Among coaches, 24 (61.5%) reported handling dental injuries during training, including crown fractures (41.7%), tooth avulsions (33.3%), and tooth luxations (25.0%). Only four (10.3%) coaches personally used mouthguards. <b>Conclusions</b>: The study identified a significant lack of knowledge about dental injuries and limited use of mouthguards among Croatian soccer players. Coaches, while influential in athlete development, should also focus on injury prevention, including dental trauma.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709069","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}
Kazuhisa Kuwano, Luigi Canullo, Daniele Botticelli, Samuel Porfirio Xavier, Erick Ricardo Silva, Kaoru Kusano, Shunsuke Baba
{"title":"Ablative and Expansive Protocols for Bone Osteotomy in Rabbits.","authors":"Kazuhisa Kuwano, Luigi Canullo, Daniele Botticelli, Samuel Porfirio Xavier, Erick Ricardo Silva, Kaoru Kusano, Shunsuke Baba","doi":"10.3390/dj13030118","DOIUrl":"10.3390/dj13030118","url":null,"abstract":"<p><p><b>Background:</b> Cortical and marrow bone layer have different histomorphometric features. The traditional implant insertion technique provides for fixture stabilization through the cortical area. However, this approach has been found to result in an overstress of this bone layer, which may lead to resorption. Therefore, the aim of this study was to evaluate bone healing by applying two different implant site preparation protocols across various bone densities. <b>Materials and Methods:</b> One implant was placed in each femur and tibia of the rabbits (four implants per animal), using two distinct site preparation methods: drilling alone or drilling followed by osteotomes (funnel technique). Three regions around the implant were evaluated: cervical, marrow, and apical. The study included 12 rabbits, divided into two groups of 6 animals each, which were euthanized at 3 and 6 weeks, respectively (<i>n</i> = 6 per group). <b>Results:</b> In the cervical region of both femur and tibia, no marginal bone resorption could be detected. Similar BIC% (bone-to-implant contact percentages) were observed for funnel and drill sites after 3 weeks and 6 weeks of healing. Differences, though not statistically significant, ranged between 2.8% and 4.7%. However, higher BIC% values were observed in the femora compared to the tibia in both periods. <b>Conclusions:</b> No marginal bone loss was observed in both techniques. No statistically significant differences in bone resorption or bone-to-implant contact around the implant collar were observed when comparing two implant site preparation protocols across various bone densities. The use of osteotome did not influence the healing in the marrow region.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709083","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}
Ahmed Elsherbini, Salma M Fathy, Walid Al-Zordk, Mutlu Özcan, Amal A Sakrana
{"title":"Mechanical Performance and Surface Roughness of Lithium Disilicate and Zirconia-Reinforced Lithium Silicate Ceramics Before and After Exposure to Acidic Challenge.","authors":"Ahmed Elsherbini, Salma M Fathy, Walid Al-Zordk, Mutlu Özcan, Amal A Sakrana","doi":"10.3390/dj13030117","DOIUrl":"10.3390/dj13030117","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Fabrication of ceramic restorations with higher performance, biocompatibility, and mechanical durability, as well as excellent optical properties, is challenging. Therefore, this study was designed to investigate the mechanical properties and surface roughness of different glass ceramics manufactured with CAD/CAM and pressed techniques before and after exposure to simulated gastric acidic challenge. <b>Methods</b>: Lithium disilicate-based (LDS) ceramic, advanced lithium disilicate (ALDS), and zirconia-reinforced lithium silicate (ZLSC), were manufactured with two techniques. Disc-shaped (N = 336) specimens were used to test the biaxial flexural strength (BFS), while surface microhardness and surface roughness were evaluated before and after exposure to hydrochloric acid (34-37% concentration and 1.2 pH for 24 h). The results were statistically evaluated using two- and one-way ANOVA, Tukey's post-hoc and Student's <i>t</i>-test. <b>Results</b>: Both CAD and pressed types of LDS ceramic IPS e.max, showed significantly highest BFS and microhardness before and after acidic challenge (<i>p</i> = 0.01 and <0.01, respectively). ALDS and ZLSC showed significantly lower roughness before acidic aging, while all groups showed no significant difference after aging. <b>Conclusion</b>: Pressed groups showed better mechanical performance than CAD groups. LSD (IPS e.max types) continuously showed a better mechanical performance than modified LDS. ALDS and ZLSC showed the best performance in terms of surface smoothness, but after acidic exposure, no significant difference was observed compared to the other groups.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11941508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709105","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}