Journal of dentistry最新文献

{"title":"Evaluation of the clinical performance of endocrown and overlay restorations: A 4-year retrospective study","authors":"Mustafa Ayata ,&nbsp;Esen Küçükömeroğlu Oktay ,&nbsp;Haydar Albayrak ,&nbsp;Melis Çakar ,&nbsp;Mutlu Özcan","doi":"10.1016/j.jdent.2025.105874","DOIUrl":"10.1016/j.jdent.2025.105874","url":null,"abstract":"<div><h3>Objectives</h3><div>This retrospective study aimed to evaluate and compare the clinical performance, plaque indices, and cemented surface areas of feldspathic ceramic endocrown and overlay restorations in endodontically treated premolars and molars over a 2- to 4-year follow-up.</div></div><div><h3>Methods</h3><div>Fifty-one restorations (24 endocrowns, 27 overlays) delivered between January 2019 and September 2022 were examined. All were fabricated in a single session using CEREC system (Omnicam AC scanner, CEREC Software v3.85, and MCXL milling unit; Sirona Dental Systems GmbH, Bensheim, Germany) from feldspathic ceramic blocks (CEREC Blok PC; Sirona Dental Systems GmbH, Bensheim, Germany) and cemented with a dual-cure adhesive resin cement (G-CEM LinkForce; GC Corporation, Tokyo, Japan). Clinical performance was assessed using modified FDI criteria, including esthetic, functional, and biological parameters. Plaque index was recorded, and cemented surface area was measured using archived STL files. Statistical analyses included the Mann-Whitney U test, chi-square test, Fisher’s exact test, and two-way ANOVA (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>All endocrown and overlay restorations showed a 100 % survival rate, with no failures. No significant differences were found in esthetic, functional, or biological performance (<em>p</em> &gt; 0.05). Plaque index scores were similar (<em>p</em> = 0.253), but a strong negative correlation was observed between plaque accumulation and periodontal response (Spearman’s rho = -0.846, <em>p</em> &lt; 0.001). Endocrowns had a significantly larger cemented surface area than overlays (<em>p</em> = 0.020), but this did not impact clinical success.</div></div><div><h3>Conclusions</h3><div>Endocrowns and overlays provided reliable, minimally invasive treatment options for endodontically treated premolars and molars, ensuring high survival rates. Although endocrowns presented a larger cemented surface area, overlays showed similar success, supporting a conservative approach. Periodontal health was not significantly affected by restoration type, but clinical success was influenced by patient hygiene (clinicaltrials.gov ID: NCT06734806).</div></div><div><h3>Clinical Significance</h3><div>Endocrowns and overlay restorations fabricated from feldspathic and cemented with a dual-polymerized resin cement used with a bonding agent can be safely applied in a single session for endodontically treated posterior teeth.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105874"},"PeriodicalIF":4.8,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225660","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}

{"title":"Effect of using curing light manufacturer-recommended exposure times on the microhardness of resin composites","authors":"Jaccare T. Jauregui-Ulloa ,&nbsp;Brooklyn N. Luke ,&nbsp;Aditya Kunapareddy ,&nbsp;Jason A. Griggs ,&nbsp;Richard B. Price ,&nbsp;Susana M. Salazar Marocho","doi":"10.1016/j.jdent.2025.105870","DOIUrl":"10.1016/j.jdent.2025.105870","url":null,"abstract":"<div><div>Objectives: This study evaluated the effect of the light curing unit (LCU), light curing technique (LCT), and insertion technique (CIT) of resin-based composite (RBC) on the microhardness at various depths of RBC specimens. Methods: A mesio-occlusal-distal (MOD) mold was used to make samples of conventional RBC (<em>n</em> = 3/group) using either an incremental (I) or a bulk-fill (BF) technique. The RBC was photocured using one of three different LCUs (Bluephase Style 20i for 15 s (I) and 10 s (BF), Monet laser for 1 s (I) and 3 s (BF), and Pinkwave for 10 s (I) and 20 s (BF). The LCUs were positioned either only over the center of the mold, or at three sites (side-center-side). The Vickers microhardness was measured at different distances from the top of the sample. Four-way ANOVA and Pareto chart analysis were performed (α=0.05). Results: All the experimental factors were significant (<em>p</em> ≤ 0.05). The Pinkwave produced the highest microhardness, followed by the Bluephase and Monet. Light exposure from the three sites produced higher microhardness than light exposure only at the center of the mold. The incremental technique resulted in higher microhardness than the bulk-fill technique. The depth of the RBC negatively affected the microhardness. Conclusion: RBC microhardness varied depending on the type of LCU used. The Pinkwave delivered the most energy and produced the highest microhardness values. Clinical significance: To ensure uniform microhardness of the RBC, the tip of the LCU should cover all aspects of the restoration (occlusal, mesial, and distal surfaces).</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105870"},"PeriodicalIF":4.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216000","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}

{"title":"Effect of at-home agents and concentrations on bleaching efficacy: A systematic review and network meta-analysis","authors":"Renata Maria Oleniki Terra ,&nbsp;Michael Willian Favoreto ,&nbsp;Tom Morris ,&nbsp;Alessandro D. Loguercio ,&nbsp;Alessandra Reis","doi":"10.1016/j.jdent.2025.105857","DOIUrl":"10.1016/j.jdent.2025.105857","url":null,"abstract":"<div><h3>Introduction/Objectives</h3><div>This systematic review and network meta-analysis (NMA) aimed to compare the efficacy of at-home bleaching agents and concentrations in patients with permanent dentition (PROSPERO 2021 CRD42021265220).</div></div><div><h3>Data</h3><div>Randomized clinical trials (RCTs) comparing any two at-home bleaching systems were considered eligible. A Bayesian NMA was conducted for color change (ΔE, ΔSGU) to compare different carbamide peroxide (CP) or hydrogen peroxide (HP) concentrations. The risk of bias (RoB) was assessed using the Cochrane tool 2.0 and the quality of evidence (QoE) with the GRADE approach.</div></div><div><h3>Sources</h3><div>A comprehensive search was conducted in PubMed, Cochrane Central, LILACS/BBO, SCOPUS, Web of Science, EMBASE, and grey literature.</div></div><div><h3>Study selection/Results</h3><div>81 studies were eligible and 53 included in the NMA. A high RoB was observed in most studies included. No statistically significant differences were found in most of the comparisons, except for the extreme concentrations. For ΔE: CP 5 % vs. CP 15–17 % (mean difference, [95 % CrI]: -3.36 [-6.53 to -0.22]); HP 2–4 % vs. CP 15–17 % (-1.85 [-3.63 to -0.08]); CP 5 % vs. CP 35–37 % (-4.23 [-8.21 to -0.22]). For ΔSGU: HP 14–16 % vs. CP 5 % (4.66 [0.27 to 9.01]); HP 14–16 % vs. HP 2–4 % (4.06 [0.74 to 7.46]). The QoE was low.</div></div><div><h3>Conclusions</h3><div>Most at-home agents showed similar bleaching efficacy (ΔE, ΔSGU), except when the highest and lowest concentrations were compared one another with a low QoE. Further well-designed, low-bias RCTs is essential to achieve higher QoE.</div></div><div><h3>Clinical Significance</h3><div>Low-certainty evidence points to similar efficacy of most at-home bleaching agents across concentrations, suggesting their clinical versatility in dental practice.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105857"},"PeriodicalIF":4.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215999","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}

{"title":"Improving reline bonding in 3D-printed dentures: an experimental in vitro study","authors":"Samuel Sturzenegger ,&nbsp;Kittipit Srisanoi ,&nbsp;Angela Stillhart ,&nbsp;Murali Srinivasan","doi":"10.1016/j.jdent.2025.105873","DOIUrl":"10.1016/j.jdent.2025.105873","url":null,"abstract":"<div><h3>Objective</h3><div>This in-vitro study aimed to evaluate the tensile bond strength of a 3D-printed denture base resin relined with conventional polymethylmethacrylate (PMMA) reline resin, following various surface treatment protocols including mechanical abrasion, monomer application, and selected commercially available adhesive systems.</div></div><div><h3>Methods</h3><div>Ninety resin specimens were 3D printed using DentaBase resin (Asiga) and divided into nine groups: GrN: control (intact) and relined groups (Gr1-Gr8) subjected to different surface treatments including, Gr1: no surface treatment, Gr2: monomer application, Gr3: sandblasting, Gr4: sandblasting + monomer application, Gr5: sandblasting + Qu-resin, Gr6: sandblasting + Visiolink, Gr7: Sandblasting + Monobond Plus + Heliobond, Gr8: sandblasting + Lukafix bonder. Specimens underwent tensile testing at 1 mm/min and ultimate tensile strength (UTS) was calculated. Fracture patterns were examined microscopically. Data were analyzed using Kruskal-Wallis ANOVA and Dunn’s post hoc test (α = 0.05).</div></div><div><h3>Results</h3><div>The highest median of the ultimate tensile strength (UTS) was observed in GrN (control, 25.9 MPa), followed by Gr4 (19.7 MPa), Gr5 (18.4 MPa), and Gr6 (17.9 MPa). Gr1 (no treatment) had the lowest median UTS (11.5 MPa). Statistically significant differences were observed between GrN and Gr1 (<em>p</em> &lt; 0.001), GrN and Gr2 (<em>p</em> = 0.002), and GrN and Gr8 (<em>p</em> = 0.004). No significant differences were observed among Gr3, Gr4, Gr7, and Gr6 (<em>p</em> &gt; 0.05). All relined groups exhibited adhesive failures at the denture base-reline interface.</div></div><div><h3>Conclusion</h3><div>Surface treatments improved tensile bond strength in relined 3D-printed specimens, but none restored it to control levels. Sandblasting with monomer application or with selected bonding agents produced higher bond strengths than no treatment or monomer alone.</div></div><div><h3>Clinical Significance</h3><div>Simple, accessible surface treatments such as sandblasting along with monomer application on the resin surfaces can significantly enhance bond strength when relining 3D-printed dentures and may be preferable over complex bonding systems.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105873"},"PeriodicalIF":4.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216001","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}

{"title":"Comparative analysis of dental erosion on natural buccal and occlusal enamel surfaces","authors":"Abdullah Almansour ,&nbsp;Owen Addison ,&nbsp;Aaron LeBlanc ,&nbsp;David Bartlett","doi":"10.1016/j.jdent.2025.105864","DOIUrl":"10.1016/j.jdent.2025.105864","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the susceptibility of natural enamel on buccal and occlusal surfaces to erosion by assessing step-height changes.</div></div><div><h3>Methods</h3><div>Twenty enamel samples were obtained from caries-free, unerupted human molars. Paired buccal and occlusal specimens (<em>n</em> = 10 each) were prepared from the same teeth and mounted in custom-designed cobalt-chrome moulds and randomly assigned to the groups. Samples underwent acid challenges using 0.3 wt. % citric acid (pH 2.7) for cumulative durations of 10, 20, 40, and 60 min. Surface changes were measured using white light profilometry and scanning electron microscopy (SEM) used to examine the ultrastructural differences between paired surfaces.</div></div><div><h3>Results</h3><div>Mean step-height loss for buccal surfaces at 10, 20, 40, and 60 min was 5.36 ± 4.80 µm, 8.67 ± 6.05 µm, 18.69 ± 10.19 µm, and 25.50 ± 11.72 µm respectively. Occlusal surfaces showed losses of 6.30 ± 2.58 µm, 9.18 ± 4.17 µm, 25.92 ± 6.38 µm, and 33.84 ± 11.48 µm at corresponding timepoints. Despite consistently higher mean step-height loss in occlusal surfaces, differences were not statistically significant (<em>p</em> = 0.055). Linear regression analysis revealed significant positive slopes for both surfaces (<em>p</em> &lt; 0.0001) with no significant difference between slopes (<em>p</em> = 0.06).</div></div><div><h3>Conclusion</h3><div>Natural buccal and occlusal enamel surfaces showed similar susceptibility to erosion despite ultrastructural differences, indicating clinical erosion patterns may result more from environmental factors than inherent surface properties.</div></div><div><h3>Significance</h3><div>This study introduces a novel methodology for analysing tooth wear on natural enamel surfaces using a custom-built mould as a reference. The findings suggest that buccal and occlusal surfaces exhibit similar erosion susceptibility in vitro, despite their varying ultrastructural characteristics. This implies that observed clinical differences in erosion patterns may be influenced more by environmental factors than inherent surface properties.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105864"},"PeriodicalIF":4.8,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215997","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}

{"title":"Enhancing dental sealant performance: Effects of mesoporous bioactive glass and 10-MDP on adhesion and remineralization","authors":"Nara Yun ,&nbsp;Hyun-Jung Kim ,&nbsp;Jiyoung Kwon ,&nbsp;Sun-Young Kim ,&nbsp;Duck-Su Kim","doi":"10.1016/j.jdent.2025.105869","DOIUrl":"10.1016/j.jdent.2025.105869","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to evaluate the effect of incorporating mesoporous bioactive glass (MBG) and 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) into dental sealants on enamel remineralization and adhesion.</div></div><div><h3>Methods</h3><div>Five sealant groups were established: Control (Any-Seal™; MEDICLUS, Cheongju, Korea); experimental sealants containing 0.5 wt % MBG; 1 wt % MBG; 0.5 wt % MBG + 5 wt % 10-MDP; 1 wt % MBG + 5 wt % 10-MDP, respectively. Two weeks later, enamel remineralization was assessed using microhardness, field emission scanning electron microscope (FE-SEM) analysis, and X-ray diffraction (XRD). Mechanical properties were determined by measuring flexural strength and shear bond strength (SBS).</div></div><div><h3>Results</h3><div>MBG-containing sealants significantly increased enamel micro-hardness, with FE-SEM and XRD confirming enhanced remineralization. Although 10-MDP-containing sealants significantly enhanced SBS (<em>p</em> ≤ 0.0157), they reduced flexural strength (<em>p</em> ≤ 0.0461).</div></div><div><h3>Conclusions</h3><div>Collectively, our findings suggest that MBG can enhance enamel remineralization in dental sealants. Although 10-MDP improves SBS, it may compromise flexural strength. An optimal balance of MBG and 10-MDP is crucial for achieving enhanced remineralization and adhesion.</div></div><div><h3>Clinical significance</h3><div>Incorporating MBG and 10-MDP into dental sealants could enhance clinical performance by improving adhesion and promoting enamel remineralization, which may reduce secondary caries and delay the need for more extensive restorative treatments in the future.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105869"},"PeriodicalIF":4.8,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199284","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}

{"title":"Total sodium replacement by calcium in trimetaphosphate and its incorporation into dental whitening gels: A novel strategy for in-office treatment","authors":"Ana Vitória Pereira Fernandes,&nbsp;Gabriel Pereira Nunes,&nbsp;Lara Oliveira Ribeiro Urzedo,&nbsp;Priscila Toninatto Alves de Toledo,&nbsp;Tamires Passadori Martins,&nbsp;Renata de Oliveira Alves,&nbsp;Alberto Carlos Botazzo Delbem","doi":"10.1016/j.jdent.2025.105861","DOIUrl":"10.1016/j.jdent.2025.105861","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to synthesize a cyclophosphate with total sodium replacement (CaTMP) and to evaluate, in vitro, its incorporation into hydrogen peroxide (HP) whitening gels.</div></div><div><h3>Materials and Methods</h3><div>CaTMP was synthesized through column chromatography using ion-exchange resin and calcium hydroxide solution. Bovine enamel/dentin discs (<em>n</em> = 150) were divided into five groups: 1) negative control (no treatment), 2) 35 % HP whitening gel (positive control), 3) 35 % HP + 1 % CaTMP, 4) 17.5 % HP, and 5) 17.5 % HP + 1 % CaTMP. Whitening gels were applied weekly for three 40-minute sessions. Color change was measured using ΔE, ΔWI_D, and ΔE₀₀. Transamelodentinal HP diffusion was determined, as well the mineral content of dental substrates by μ-CT (g_HAp × cm⁻³ × µm). Data were analyzed with ANOVA and Student-Newman-Keuls test (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>All whitening gels caused significant color changes (<em>p</em> &lt; 0.001), with no differences between groups in ΔE, ΔE₀₀, and ΔWI_D (<em>p</em> &gt; 0.05). The highest transamelodentinal HP diffusion occurred in the 35 % HP group (<em>p</em> &lt; 0.001), but adding 1 % CaTMP reduced this diffusion in both HP concentrations (<em>p</em> &lt; 0.05), with a greater reduction in the 17.5 % HP gel. Conventional gels (17.5 % and 35 % HP) caused greater mineral loss (g_HAp × cm⁻³ × µm), while CaTMP protected against these changes.</div></div><div><h3>Conclusions</h3><div>Incorporating 1 % CaTMP into whitening gels (17.5 % and 35 % HP) significantly reduced HP diffusion and preserved the mineral content of enamel and dentin, while providing whitening results similar to conventional gels.</div></div><div><h3>Clinical relevance</h3><div>CaTMP may act as a protective agent against peroxide-induced oxidative damage in dental tissues. While these findings are based on in vitro data, they support a promising direction for future translational research aimed at enhancing the safety and effectiveness of in-office whitening procedures.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105861"},"PeriodicalIF":4.8,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208691","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}

{"title":"Diagnostic accuracy of an artificial intelligence-based platform in detecting periapical radiolucencies on cone-beam computed tomography scans of molars","authors":"Marwa Allihaibi ,&nbsp;Garrit Koller ,&nbsp;Francesco Mannocci","doi":"10.1016/j.jdent.2025.105854","DOIUrl":"10.1016/j.jdent.2025.105854","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the diagnostic performance of an artificial intelligence (AI)-based platform (Diagnocat) in detecting periapical radiolucencies (PARLs) in cone-beam computed tomography (CBCT) scans of molars. Specifically, we assessed Diagnocat’s performance in detecting PARLs in non-root-filled molars and compared its diagnostic performance between preoperative and postoperative scans.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed preoperative and postoperative CBCT scans of 134 molars (327 roots). PARLs detected by Diagnocat were compared with assessments independently performed by two experienced endodontists, serving as the reference standard. Diagnostic performance was assessed at both tooth and root levels using sensitivity, specificity, accuracy, positive predictive value (PPV), negative predictive value (NPV), F1 score, and the area under the receiver operating characteristic curve (AUC-ROC).</div></div><div><h3>Results</h3><div>In preoperative scans of non-root-filled molars, Diagnocat demonstrated high sensitivity (teeth: 93.9 %, roots: 86.2 %), moderate specificity (teeth: 65.2 %, roots: 79.9 %), accuracy (teeth: 79.1 %, roots: 82.6 %), PPV (teeth: 71.8 %, roots: 75.8 %), NPV (teeth: 91.8 %, roots: 88.8 %), and F1 score (teeth: 81.3 %, roots: 80.7 %) for PARL detection. The AUC was 0.76 at the tooth level and 0.79 at the root level. Postoperative scans showed significantly lower PPV (teeth: 54.2 %; roots: 46.9 %) and F1 scores (teeth: 67.2 %; roots: 59.2 %).</div></div><div><h3>Conclusion</h3><div>Diagnocat shows promise in detecting PARLs in CBCT scans of non-root-filled molars, demonstrating high sensitivity but moderate specificity, highlighting the need for human oversight to prevent overdiagnosis. However, diagnostic performance declined significantly in postoperative scans of root-filled molars. Further research is needed to optimize the platform’s performance and support its integration into clinical practice.</div></div><div><h3>Clinical significance</h3><div>AI-based platforms such as Diagnocat can assist clinicians in detecting PARLs in CBCT scans, enhancing diagnostic efficiency and supporting decision-making. However, human expertise remains essential to minimize the risk of overdiagnosis and avoid unnecessary treatment.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105854"},"PeriodicalIF":4.8,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208688","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}

{"title":"Risk factors for non-attendance to new patient clinics in patients referred to a secondary Hospital","authors":"Jose M Rodriguez ,&nbsp;Harpoonam Kalsi ,&nbsp;Joanna Johnson ,&nbsp;Jing Kang","doi":"10.1016/j.jdent.2025.105850","DOIUrl":"10.1016/j.jdent.2025.105850","url":null,"abstract":"<div><h3>Objectives</h3><div>This service evaluation assessed factors associated with patients’ attendance to new patient appointments at the dental directorate of Guy’s and St Thomas’ Hospitals in the UK.</div></div><div><h3>Methods</h3><div>An analysis of over 40,000 new patient clinic referrals for 2022 was conducted.</div></div><div><h3>Results</h3><div>Overall ‘Did Not Attend’ (DNA) rate was 14.5 %, and deprivation was a significant factor associated with non-attendance (DNA). Patients from the least deprived areas were less likely to miss appointments than patients from the most deprived areas (Odds Ratio, OR 0.62, 95 % confidence interval, CI: 0.49 to 0.79). Additionally, prolonged waiting times were strongly associated with higher DNA rates; patients waiting over 180 days were ten times more likely to DNA than those waiting &lt;30 days (OR 10.01, 95 % CI 8.12 to 12.36). Age also played a role, with younger adults (25–34 years) being most likely to DNA. Ethnicity data was incomplete, limiting analysis. Among attendees, factors such as age and waiting time were associated with whether patients were discharged or remained under treatment in the hospital.</div></div><div><h3>Clinical Significance</h3><div>This study underscores the need for targeted interventions to mitigate barriers to attendance and highlights the importance of robust data collection to inform these efforts. Recommendations include offering support for travel costs and utilizing virtual clinics such as Advice and Guidance to improve accessibility, thus promoting health equity and optimizing resource utilization within health systems.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"160 ","pages":"Article 105850"},"PeriodicalIF":4.8,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208690","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}

{"title":"Corrigendum to “Antibiofilm Efficacy of Silver Nanoparticles as a Vehicle for Calcium Hydroxide medicament against Enterococcus faecalis” [Journal of Dentistry 43/12(2015) 1573-1579]","authors":"Seyyed Jalal Pourhashemi ,&nbsp;Farzaneh Afkhami ,&nbsp;Moona Sadegh ,&nbsp;Yasaman Salehi ,&nbsp;Mohammad Javad Kharazi fard","doi":"10.1016/j.jdent.2025.105840","DOIUrl":"10.1016/j.jdent.2025.105840","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"159 ","pages":"Article 105840"},"PeriodicalIF":4.8,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199283","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}