Dentistry Journal最新文献

{"title":"Evaluation of Internal and Marginal Shrinkage Stress in Adhesive Class III Cavities Restored with Different Resin Composite Combinations-A 3D-FEA Study.","authors":"Elisa Donaria Aboucauch Grassi, Guilherme Schmitt de Andrade, Ana Beatriz Gomes de Carvalho, Roberta Gasparro, Mauro Mariniello, Angelo Aliberti, Pietro Ausiello, Alexandre Luiz Souto Borges","doi":"10.3390/dj13080367","DOIUrl":"10.3390/dj13080367","url":null,"abstract":"<p><p><b>Objectives:</b> To study the effects of internal and marginal polymerization shrinkage stress and distribution in different resin composite class III dental restorations in relation to the restorative technique using numerical finite element analysis (FEA). <b>Methods:</b> A 3D model of a human hemi-maxilla with a sound maxillary central incisor were created. Four class III distal cavities were shaped and differently restored. Four groups of resin composite combinations were analyzed: group C (three increments of conventional composite); group B (two increments of bulk-fill composite); group FC (flowable base + three increments of conventional composite); and group FB (flowable bulk-fill base + two increments of conventional composite). The resulting four models were exported to FEA software for static structural analysis. Polymerization shrinkage was simulated using thermal analogy, and stress distribution was analyzed using the Maximum Principal Stress criterion at the marginal and internal cavity interfaces. <b>Results:</b> Group FC showed the highest stress at the level in the proximal region (9.05 MPa), while group FB showed the lowest (4.48 MPa). FB also exhibited the highest internal dentin stress, indicating potential risks for long-term bond degradation. In the cavo-surface incisal angle, the average peak stress across all groups was 3.76 MPa. At the cervical cavo-surface angle, stress values were 3.3 MPa (C), ~3.36 MPa (B), 3.41 MPa (FC), and 3.27 MPa (FB). <b>Conclusions:</b> Restorative technique did not significantly influence marginal stress distribution in class III composite restorations. However, the bevel area at the cervical margin showed the highest concentration of shrinkage stress.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12384751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946571","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":"Evaluating the Success of Immediate Implants in the Esthetic Zone: A Narrative Review with Case Illustration.","authors":"Carlos A Jurado, Francisco Garcia-Torres, Silvia Rojas-Rueda, Kiarash Karimi, Mark Adam Antal","doi":"10.3390/dj13080365","DOIUrl":"10.3390/dj13080365","url":null,"abstract":"<p><p><b>Background</b>: Immediate implant therapy is a highly effective solution for replacing non-restorable teeth, particularly in the esthetic zone, where achieving optimal results can be challenging. In this area, even small imperfections can significantly affect a patient's satisfaction due to the high visibility of the teeth involved. This narrative review provides an overview of findings from case reports and systematic reviews that highlight the success of immediate implant therapy in the esthetic zone. Additionally, it includes a case illustration to emphasize how meticulous planning, combined with advanced techniques, can achieve successful outcomes. <b>Methods</b>: A comprehensive literature review was conducted to evaluate the effectiveness of immediate implant placement and loading for non-restorable teeth in the esthetic zone. Key factors identified for success include atraumatic tooth extraction, precise implant placement, and effective soft tissue management to achieve natural esthetics and long-term stability. To illustrate these principles, the review features a clinical case involving the replacement of a maxillary right central incisor rendered non-restorable due to trauma. Treatment incorporated advanced digital planning, atraumatic extraction, immediate implant placement, and provisionalization. The final restoration involved soft tissue contouring and ceramic veneers on adjacent teeth, enhancing the patient's overall smile and confidence. <b>Results</b>: Evidence from the literature indicates that well-planned immediate implant therapy achieves high success rates and long-term stability. In the clinical case presented, the workflow met the patient's esthetic and functional needs, resulting in a natural, harmonious smile, and improved patient satisfaction. <b>Conclusions</b>: Immediate implant therapy in the esthetic zone is highly effective when critical considerations-such as bone preservation, guided implant placement, soft tissue shaping, and appropriate restoration-are meticulously addressed. Advanced techniques and careful planning are essential for fulfilling both esthetic and functional patient needs, ultimately delivering predictable and successful outcomes.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946515","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":"Charting New Territory: AI Applications in Dental Caries Detection from Panoramic Imaging.","authors":"Man Hung, Daniel Yevseyevich, Milan Khazana, Connor Schwartz, Martin S Lipsky","doi":"10.3390/dj13080366","DOIUrl":"10.3390/dj13080366","url":null,"abstract":"<p><p><b>Introduction:</b> Dental caries remains a public health concern, and early detection prevents its progression and complications. Panoramic radiographs are essential diagnostic tools, yet the interpretation of panoramic X-rays varies among practitioners. Artificial intelligence (AI) presents a promising approach to enhance diagnostic accuracy in detecting dental caries. This scoping review examines the current literature on the use of AI programs to analyze panoramic radiographs for the diagnosis of dental caries. <b>Methods:</b> This scoping review searched PubMed, Scopus, Web of Science, and Dentistry and Oral Sciences Source, adhering to PRISMA guidelines. The review included peer-reviewed, original research published in English that investigated the use of AI to diagnose dental caries. Data were extracted on the AI model characteristics, advantages, disadvantages, and diagnostic performance. <b>Results:</b> Seven studies met the inclusion criteria. The Deep Learning Model achieved the highest performance (specificity 0.9487, accuracy 0.9789, F1 score 0.9245), followed by Diagnocat and Tooth Type Enhanced Transformer. Models such as CranioCatch and CariSeg showed moderate performance, while the Dental Caries Detection Network demonstrated the lowest. Benefits included improved diagnostic support and workflow efficiency, while limitations involved dataset biases, interpretability challenges, and computational demands. <b>Conclusions:</b> Applying AI technologies to panoramic X-rays demonstrates the potential for enhancing caries diagnosis, with some models achieving near-expert performance. However, future research must address the generalizability, transparency, and integration of AI models into clinical practice. Future research should focus on diverse training datasets, explainable AI development, clinical validation, and incorporating AI training into dental education and training.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946782","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":"The Areca Nut and Oral Submucosal Fibrosis: A Narrative Review.","authors":"Kimia Kazemi, Asmaa Fadl, Felipe F Sperandio, Andrew Leask","doi":"10.3390/dj13080364","DOIUrl":"10.3390/dj13080364","url":null,"abstract":"<p><p>The areca nut (AN) is chewed by approximately 600 million people worldwide. Among AN chewers, ~5% develop oral submucosal fibrosis (OSF), a progressive fibrotic disorder of the oral cavity. OSF is characterized by subepithelial fibrosis and mucosal rigidity, leading to restricted mouth opening, difficulty in mastication, deglutition, and speech. These impairments severely compromise oral hygiene and routine dental care, diminishing patients' quality of life. At least 4% of OSF patients develop oral cancer. The prevalence of OSF correlates with AN chewing, particularly when accompanied by other risk factors such as tobacco use. The International Agency for Research on Cancer has identified chronic chemical and mechanical irritation of the oral mucosa from AN chewing as a major cause of OSF. The active chemical ingredients of AN include alkaloids such as arecoline, flavonoids, and tannins. Of these, arecoline is considered the most potent fibrogenic agent. In vitro, arecoline induces cultured fibroblasts to differentiate into highly contractile α-smooth muscle actin (α-SMA)-expressing myofibroblasts, the effector cells of fibrosis, and to express profibrotic markers and mediators, including transforming growth factor-β 1 (TGF-β1) and cellular communication network factor 2 (CCN2), which is associated with malignant progression of OSF. In vivo, mice exposed to AN extract or arecoline show submucosal collagen accumulation and myofibroblast differentiation, concomitant with upregulated pro-fibrotic gene (TGF-β1, Col1A1, α-SMA) expression. Although myofibroblasts can be seen in OSF patient-derived samples, substantial disease heterogeneity exists, which has thus far hindered the generation of high-quality data necessary to gain insights into underlying mechanisms and disease progression. Consequently, treatment options for OSF are limited and primarily symptomatic. Collectively, evidence from human and animal studies establishes OSF as an AN-induced fibrotic disorder and underscores the urgent need for mechanism-focused research to identify reliable diagnostic markers and therapeutic targets to address its growing global burden.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946437","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":"Optimizing Preclinical Skill Assessment for Handpiece-Naïve Students: A Strategic Approach.","authors":"Reinhard Chun Wang Chau, Szabolcs Felszeghy, Maria F Sittoni-Pino, Santiago Arias-Herrera, Sompop Bencharit, Margrit Maggio, Murat Mutluay, David P Rice, Walter Yu Hang Lam, Sıla Nur Usta, Barry F Quinn, Jorge Tricio, Masako Nagasawa, Mihaela Pantea, Marina Imre, Ana Maria Cristina Tancu, Amitha Ranauta, Arzu Tezvergil-Mutluay, Satu Korpisaari, Kaisa Leinonen, Mikko Liukkonen, Outi S Huhtela, Ulf T Örtengren, Peter Lingström","doi":"10.3390/dj13080363","DOIUrl":"10.3390/dj13080363","url":null,"abstract":"<p><p><b>Background</b>: Preclinical dental training requires simulation-based tools to develop fine motor skills, but traditional models like plastic teeth often lack realistic tactile feedback, and systematic evaluations of multi-layered drilling plates are scarce. This study aimed to evaluate the educational utility and perceived realism of a novel multi-layered drilling plate designed to simulate enamel, dentin, and pulp, with null hypotheses that it would not differ in realism from natural dental tissues or in educational utility from existing tools. <b>Methods</b>: Seventy dental educators (mean preclinical teaching experience: 112.9 ± 116.7 months) from 14 institutions across four continents assessed the plates using standardized protocols. Statistical analysis (Mann-Whitney U Test) was performed to analyze the results. <b>Results</b>: Quantitative ratings (1-10 scale) showed high mean scores for drilling quality (enamel: 7.80 ± 1.55, dentin: 7.27 ± 1.94, pulp: 7.48 ± 2.33), surface smoothness (enamel: 8.17 ± 1.55, dentin: 8.17 ± 1.57), and ergonomic visibility (8.56 ± 1.58), with 90% passing grades, rejecting the null hypothesis of no difference in educational utility. Tissue transition scores (enamel/dentin: 7.09 ± 2.56; dentin/pulp: 6.86 ± 2.46) showed significant differences (<i>p</i> < 0.05) in realism from natural tissues, rejecting the null hypothesis of no difference. Inter-rater reliability was poor (Krippendorff's alpha: 0.449 for failing scores, 0.211 for passing scores). Qualitative feedback praised ease of use but noted limitations in dentin haptic simulation. <b>Conclusions</b>: The drilling plate shows promise for skill development, though without controlled comparisons to existing tools, its relative efficacy remains preliminary. Further research on student outcomes and tool refinement is needed to validate its use in dental education.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946757","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":"Oral Manifestations, Dental Interventions, and Clinical Outcomes in Hospitalized COVID-19 Patients: A Two-Year Cohort Study in São Paulo, Brazil.","authors":"Marcelo Ivander Andrade Wanderley, Leticia Rodrigues-Oliveira, Teresa Cristina Dias Cunha Nascimento, Luiz Francisco Cardoso, Thaís Bianca Brandão, Alan Roger Santos-Silva, Ana Carolina Prado-Ribeiro","doi":"10.3390/dj13080362","DOIUrl":"10.3390/dj13080362","url":null,"abstract":"<p><p><b>Objectives:</b> To investigate the demographic, epidemiological, and medical profiles of hospitalized COVID-19 patients who received dental care, and to identify their main oral health needs. <b>Methods:</b> This retrospective, descriptive cohort study analyzed medical and dental records of patients hospitalized with COVID-19 at a private tertiary hospital in São Paulo, Brazil, from January 2020 to March 2022. The data collected included demographic variables, comorbidities, length of hospitalization, need for respiratory support, clinical outcomes, dental diagnoses, and procedures performed. <b>Results:</b> A total of 129 medical records were reviewed. The sample included 93 males (72%) and 36 females (28%), with a mean age of 72 years. Comorbidities were present in 92% of cases, most frequently a prior COVID-19 infection (59%), diabetes (36%), and depression (31%). The mean hospital stay was 51 days, with a median of 33 days. Most patients (91%) required ICU care; among these, 87% received invasive mechanical ventilation. Dental consultations were most commonly requested for oral assessments (88%), lesions (58%), and opportunistic infections (8%). The most frequent diagnoses were trauma-related lesions from orotracheal intubation (63%), opportunistic infections (45%), and odontogenic or periodontal infections (15%). Primary treatments included oral hygiene procedures (89%), photobiomodulation therapy (67%), and tooth extractions (6%). Patients received an average of eight dental consultations. The overall mortality rate was 26%. <b>Conclusions:</b> Older male patients with COVID-19 frequently required intensive dental care during hospitalization. Oral trauma and opportunistic infections were common, highlighting the need for specialized dental management in critically ill populations.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946760","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":"The 2018 Classification of Periodontitis: Challenges from Clinical Perspective.","authors":"Marek Chmielewski, Andrea Pilloni, Alessandro Cuozzo, Giuseppe D'Albis, Gerarda D'Elia, Piero Papi, Lorenzo Marini","doi":"10.3390/dj13080361","DOIUrl":"10.3390/dj13080361","url":null,"abstract":"<p><p><b>Objectives</b>: The objective of this narrative review was to evaluate the clinical challenges encountered in the application of the 2018 AAP/EFP Classification of Periodontitis. <b>Methods</b>: Electronic and manual searches were conducted to identify studies reporting diagnostic accuracy and inter- and intra-examiner agreement when using the 2018 Classification, both with and without the aid of implementation tools. <b>Results</b>: Eleven studies were included, encompassing a total of 459 clinical cases. Overall, 852 examiners participated, with 31 gold-standard examiners providing the reference diagnoses. General dentists often exhibited lower diagnostic accuracy and consistency compared to students and periodontal experts. Diagnostic challenges were observed in staging, particularly distinguishing between Stage III/IV and gingivitis/Stage I. Grading reliability was reduced in the absence of longitudinal data and high-level modifying factors. This review also explored difficulties in reporting 'hopeless teeth' and assigning the extent of periodontitis. Education, training, and implementation tools substantially improved diagnostic accuracy and consistency, increasing the agreement with reference diagnosis and strengthening inter- and intra-examiner agreement. <b>Conclusions</b>: The application of the 2018 Classification showed notable variability in diagnostic accuracy and inter- and intra-examiner agreement. Improving clinician experience and training and incorporating diagnostic aids and emerging AI technologies has the potential to enhance diagnostic accuracy and consistency, which are essential for precisely estimating periodontitis prevalence, interpreting research findings, and determining prognosis and treatment needs.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12385251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946412","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":"<i>Houttuynia cordata</i> Exhibits Anti-Inflammatory Activity Against Interleukin-1β-Induced Inflammation in Human Gingival Epithelial Cells: An In Vitro Study.","authors":"Ryo Kunimatsu, Sawako Ikeoka, Yuma Koizumi, Ayaka Odo, Izumi Tanabe, Yoshihito Kawashima, Akinori Kiso, Yoko Hashii, Yuji Tsuka, Kotaro Tanimoto","doi":"10.3390/dj13080360","DOIUrl":"10.3390/dj13080360","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Periodontitis is a chronic infectious inflammatory disorder that affects the supporting structures of the teeth. The gingival epithelium plays a crucial role as a physical and immunological barrier, producing pro-inflammatory cytokines in response to microbial pathogens. Modulation of gingival epithelial function has been proposed as a therapeutic strategy to prevent the progression of periodontal disease. <i>Houttuynia cordata</i>, a perennial herb traditionally used in Asian medicine, is recognized for its anti-inflammatory properties, with documented benefits in the cardiovascular, respiratory, and gastrointestinal systems. However, its potential therapeutic role in oral pathologies, such as periodontitis, remains underexplored. This study aimed to investigate the anti-inflammatory effects of <i>H. cordata</i> extract on interleukin (IL)-1β-stimulated primary gingival keratinocytes (PGKs) subjected to IL-1β-induced inflammatory stress, simulating the conditions encountered during orthodontic treatment. <b>Methods</b>: Inflammation was induced in PGKs using IL-1β, and the impact of <i>H. cordata</i> extract pretreatment was assessed using quantitative real-time reverse transcription polymerase chain reaction, enzyme-linked immunosorbent assay, and immunoblotting. <b>Results</b>: <i>H. cordata</i> extract significantly downregulated the mRNA and protein expression levels of tumor necrosis factor-alpha, IL-8, and intercellular adhesion molecule-1 in IL-1β-stimulated PGKs without inducing cytotoxicity. <b>Conclusions</b>: These findings suggest that <i>H. cordata</i> holds promise as a preventive agent against periodontitis by attenuating inflammatory responses in gingival epithelial tissues. We believe that our findings will inform the development of prophylactic interventions to reduce periodontitis risk in patients undergoing orthodontic therapy.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12384889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946867","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":"Consequences of Untreated Dental Caries on Schoolchildren in Mexico State's Rural and Urban Areas.","authors":"José Cuauhtémoc Jiménez-Núñez, Álvaro Edgar González-Aragón Pineda, María Fernanda Vázquez-Ortíz, Julio César Flores-Preciado, María Eugenia Jiménez-Corona, Socorro Aída Borges-Yáñez","doi":"10.3390/dj13080359","DOIUrl":"10.3390/dj13080359","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Dental caries is the most prevalent oral condition worldwide. Consequences of untreated dental caries (CUDC) can range from pulp damage and soft tissue ulceration due to root debris to more severe issues, such as fistulas and abscesses. Rural communities might be more vulnerable to CUDC because of lower socioeconomic status, poorer access to healthcare, and lower education levels. The objective of this study was to evaluate and compare the prevalence of CUDC in rural and urban areas in schoolchildren aged 8 to 12 years in the State of Mexico. <b>Methods</b>: A cross-sectional study was conducted using the PUFA index, considering the presence of pulp involvement (P), soft tissue ulcerations due to root remnants (U), fistulas (F), and abscesses (A). The independent variable was the geographic area (rural or urban), and the covariates were nutritional status, hyposalivation, having one's own toothbrush, and having received topical fluoride in the last year. Logistic regression models were fitted, calculating odds ratios (ORs) and 95% confidence intervals (CIs). <b>Results</b>: The prevalence of CUDC (PUFA > 0) was 42.9% in rural areas and 25.9% in urban areas. Residing in a rural area (OR: 2.15, 95% CI 1.38-3.34, <i>p</i> = 0.001), hyposalivation (OR: 1.93, 95% CI 1.11-3.37, <i>p</i> = 0.020), and professional fluoride application (OR: 0.15, 95% CI 0.07-0.32, <i>p</i> < 0.001) were associated with the prevalence of CUDC. <b>Conclusions</b>: To prevent caries and its clinical consequences due to the lack of treatment, it is important to promote timely care seeking and access to dental care services, considering the conditions of each geographic area.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12384999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946818","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":"Comparison of the Marginal Integrity of Sectional Non-Invasive Laminate Veneers Versus Sectional Minimally Invasive Laminate Veneers Under Artificial Aging.","authors":"Polykarpos Papanagiotou, Phophi Kamposiora, George Papavasiliou, Spiros Zinelis","doi":"10.3390/dj13080358","DOIUrl":"10.3390/dj13080358","url":null,"abstract":"<p><p><b>Background/Objectives</b>: To compare the marginal integrity of sectional non-invasive laminate veneers versus sectional minimally invasive laminate veneers. <b>Methods</b>: A total of eighty (80) intact maxillary and mandibular frontal teeth (central incisors) were randomly divided into four groups (<i>n</i> = 20). Two groups received non-invasive veneers made of feldspathic porcelain (Feldspathic Non-Invasive-FNI) and lithium disilicate (Lithium Disilicate Non-Invasive-LNI) accordingly. Groups FP and LP received minimally invasive veneers manufactured by feldspathic porcelain and lithium disilicate, respectively. Following cementation, three grooves with mesio-distal orientation on the labial surface of teeth of each sample, at the incisal, middle, and cervical third, were made. Before and after artificial aging, the mesio-distal distance between the end of the groove on the tooth and the edge of each veneer was measured in micrometers (μm) employing an SEM immediately after cementation (T₀), after simulated artificial aging equivalent to four months of everyday brushing (T₁), and after twelve months of everyday brushing (2 times per day) (T₂) to identify the wear of veneers. In the same manner, the horizontal dimension of the cement layer extending from its edge till the margin of the veneer was measured for all the groups at T₀, T₁, and T₂, respectively. The statistical analysis was performed employing non-parametric Kruskal-Wallis ANOVA and Dunn's test. <b>Results</b>: No significant differences from T₀ to T₁ and from T₁ to T₂, as well as from T₀ to T₂, were identified for all the groups tested. No significant differences were allocated among all groups for the dimensional changes in the cement. <b>Conclusions</b>: All the groups responded similarly to aging factors, regardless of the non-invasive or minimally invasive approach, or the material used to fabricate the veneers.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 8","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12384641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946842","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}