Journal of dentistry最新文献

{"title":"Publication Trends and Scientific Profile of Clinical Trials on Universal Adhesives in Dentistry: A Metrics-Based Review.","authors":"Aurélio de Oliveira Rocha, Lucas Menezes Dos Anjos, Michael Willian Favoreto, Michely Cristina Goebel, Bruno Henriques, Alessandra Reis, Alessandro D Loguercio, Mariane Cardoso","doi":"10.1016/j.jdent.2025.105965","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105965","url":null,"abstract":"<p><strong>Objective: </strong>to assess the scientific profile of clinical trials utilizing universal adhesives in dentistry through a bibliometric and altmetric analysis.</p><p><strong>Methodology: </strong>A search was conducted in May 2025 on Web of Science (WoS-CC) and Scopus. Two researchers selected articles and extracted key study characteristics. VOSviewer was used to generate bibliometric networks. Dimensions was consulted to measure altmetric data. Google Trends was consulted to investigate the global popularity of research. Spearman's correlation was used to evaluate the correlation of citations.</p><p><strong>Results: </strong>A total of 130 studies were included. The studies predominantly investigated clinical performance (n = 120) of universal adhesives in the restoration of non-carious cervical lesions (NCCLs) (n = 82), with a double-blind design (n = 77). The Journal of Dentistry (n = 26) stood out. The criteria of the World Dental Federation (FDI) were the most commonly used (n = 50), and the Scotchbond Universal adhesive was the most investigated product (n = 70). As an adhesive strategy, most studies used only the self-etch technique (n = 65). The majority of papers were published in Brazil (n = 60), with Loguercio AD (n = 34) and Reis A (n = 27) being the most frequent authors. VOSviewer revealed significant collaborations among authors. According to Dimensions, notable mentions were primarily identified on Mendeley.</p><p><strong>Conclusions: </strong>Clinical studies on universal adhesives were primarily published by Brazilian authors and institutions, with the highest number of publications recorded in 2024. Most studies used Scotchbond Universal to restore NCCLs and assessed clinical performance.</p><p><strong>Clinical significance: </strong>By identifying the most studied clinical conditions, products, methodologies, and publication trends, this bibliometric and altmetric analysis offers valuable insights to clinicians and researchers into the current scientific landscape of universal adhesives.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105965"},"PeriodicalIF":4.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608555","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":"Evaluation of the accuracy of dynamic navigation versus robot-assisted dental implant placement in models with one missing tooth or multiple missing teeth with a free-end: an in vitro study","authors":"Wen Yang ,&nbsp;Jin-Long Weng ,&nbsp;Feng Sun,&nbsp;Hai Jiao,&nbsp;Fei-Fei Ma,&nbsp;Bin-Zhang Wu","doi":"10.1016/j.jdent.2025.105962","DOIUrl":"10.1016/j.jdent.2025.105962","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess and compare the accuracy of robot-assisted and dynamic navigation systems for dental implant placement in models with either a single missing tooth or multiple consecutive missing teeth at the distal extension.</div></div><div><h3>Methods</h3><div>Thirty-two models and 86 implants were utilized. Implant placement was randomly assigned using either a robot-assisted or dynamic navigation system. The accuracy was evaluated by superimposing planned and actual implant positions. The primary study outcome was angular deviation, while secondary outcomes included three-dimensional deviations at the implant entry and apex levels.</div></div><div><h3>Results</h3><div>Across all models, the robot-assisted group demonstrated a median angular deviation of 1.15°, compared to 1.99° with the dynamic navigation system (<em>P</em> &lt; 0.01). Entry and apex deviations were 0.90 mm vs. 0.92 mm and 1.00 mm vs. 0.99 mm, respectively. In single-tooth cases, significant differences between groups were observed in entry and apex depth deviations (<em>P</em> = 0.038 and <em>P</em> = 0.032, respectively). In models with multiple missing teeth, the robot-assisted system showed significantly lower angular, apex, and apex horizontal deviations than dynamic navigation system (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Both approaches yield a high degree of accuracy in vitro for implant placement<em>.</em> However, the robot-assisted approach may offer improved precision, particularly in complex cases involving multiple missing teeth.</div></div><div><h3>Clinical significance</h3><div>The lower deviations in terms of accuracy demonstrated by the robot-assisted approach in the study would have potential benefits for the application of robots in relatively complex implant surgeries.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105962"},"PeriodicalIF":4.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608554","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":"Analysis of prenatal and passive smoking exposure and Early Childhood Caries among preschool children in Hong Kong. A cross-sectional study.","authors":"Phoebe Pui Ying Lam, Kaixin Guo, Sophia Siu Chee Chan, Edward Chin Man Lo, Cynthia Kar Yung Yiu","doi":"10.1016/j.jdent.2025.105967","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105967","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the prevalence and severity of caries in preschool children exposed to prenatal smoking and passive smoking compared to those not exposed.</p><p><strong>Methods: </strong>A total of 672 children were recruited from 11 kindergartens and underwent examinations for dental plaque and dental caries. Sociodemographic background, oral health-related habits, prenatal smoking, and passive smoking exposure of the children were obtained through validated parental questionnaires. Negative binomial regression using generalised linear equations and binary logistic regressions were employed to assess the impact of smoking exposure and other confounding variables.</p><p><strong>Results: </strong>Children with passive smoking exposure (n=281) compared to those without (n=391) were found to have significantly higher dft scores (p=0.021), but a higher proportion of them also had lower socioeconomic background and poorer oral health habits (p<0.05). On the other hand, the ECC prevalence and dft scores among children with (n=246) and without (n=414) firsthand or secondhand prenatal smoking did not differ. Regression analyses revealed that passive smoking exposure was not significantly associated with ECC prevalence or increased dft scores, but increased child age and risk factors such as lower household income, frequent snacking, and increased plaque scores were associated.</p><p><strong>Conclusions: </strong>Passive smoking exposure was not found to be associated with an increased risk of caries among preschool children. In addition to controlling for common confounders related to passive smoking exposure and dental caries, the study suggests further investigation to quantify the degree and severity of passive smoking exposure in order to establish a more definitive link.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105967"},"PeriodicalIF":4.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608552","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 fluoride gels supplemented with nano-sized sodium trimetaphosphate on enamel remineralization in situ.","authors":"Tamires Passadori Martins, Liliana Carolina Báez-Quintero, Alberto Carlos Botazzo Delbem, Isabela Maria Passarela Gomes, Annette Wiegand, Juliano Pelim Pessan","doi":"10.1016/j.jdent.2025.105964","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105964","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the effect of fluoride gels supplemented with nano-sized sodium trimetaphosphate (TMP) on remineralization of artificial caries lesions in situ.</p><p><strong>Materials and methods: </strong>Bovine enamel blocks (n=160) with chemically-induced caries-like lesions were randomly distributed into four groups: Placebo (without F and TMP - negative control), 9000 µg F/g (9000F - positive control), 4500 µg F/g + 5% micrometric TMP (4500F+5% TMPmicro), and 4500 µg F/g + 5% nano-sized TMP (4500F+5%TMPnano). Ten volunteers used palatal devices containing 4 demineralized enamel blocks for 3 days, following a double-blind and crossover protocol. Two enamel blocks were removed immediately after gel application to determine calcium fluoride (CaF₂) formed. After each phase, the samples were analyzed for the percentage of surface hardness recovery (%SHR), cross-sectional hardness (ΔKHN), and CaF₂ retained on enamel. The data were submitted to one-way (%SHR and ΔKHN) or two-way (CaF₂), repeated-measures ANOVA, followed by Student-Newman-Keuls test (p<0.05).</p><p><strong>Results: </strong>The highest %SHR was observed for 4500F+5%TMPnano gel, followed by 4500F+5%TPMmicro, 9000F, and Placebo, with significant differences among all groups. An inverse pattern was verified for ΔKHN, with the highest and lowest values achieved by the Placebo and 4500+5%TMPnano groups, respectively. Regarding CaF₂ formed, the highest concentration was observed in the 9000F group. For CaF₂ retained, no significant differences were observed among all fluoride-containing gels.</p><p><strong>Conclusion: </strong>The low-fluoride gel containing TMP led to significantly higher remineralization rates than a conventional gel containing twice as much fluoride; nano-sized TMP resulted in enhanced remineralization compared with micrometric particles.</p><p><strong>Clinical significance: </strong>The experimental formulation significantly outperformed the conventional fluoride gel in promoting enamel remineralization. These findings suggest a promising and safer alternative to current topical fluoride therapies, with important implications for caries prevention, both for private practice and in public health programs.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105964"},"PeriodicalIF":4.8,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608553","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":"Clinical efficacy of mixed-reality holographic imaging-based nonsurgical periodontal therapy: A randomized controlled split-mouth study","authors":"Rui Zhang ,&nbsp;Yichong Sun ,&nbsp;Yong Zhang ,&nbsp;Jun Dai ,&nbsp;Jianxia Hou ,&nbsp;Fei Xue","doi":"10.1016/j.jdent.2025.105963","DOIUrl":"10.1016/j.jdent.2025.105963","url":null,"abstract":"<div><h3>Objectives</h3><div>This randomized, controlled, split-mouth clinical trial compared the short-term clinical efficacy of mixed-reality holographic imaging-based scaling and root planing (MR-SRP) and conventional SRP (C-SRP) in the treatment of severe periodontitis.</div></div><div><h3>Methods</h3><div>Patients with generalized stage III periodontitis (grade B or C) were recruited. Using a split-mouth design, the contralateral quadrants were randomly assigned to receive either MR-SRP or C-SRP. The primary outcome measure was the number of sites with both a probing pocket depth (PPD) ≥5 mm and bleeding on probing (BOP). Multivariate multilevel logistic regression models were used to quantify the effects of treatment modality, sex, smoking status, tooth type, site characteristics, and baseline PPD on treatment outcomes.</div></div><div><h3>Results</h3><div>At the 3-month follow-up, both modalities yielded significant reductions in the number of sites with a PPD ≥5 mm and BOP compared with baseline (<em>p</em> &lt; 0.01). Multivariate analysis revealed that MR-SRP treatment (OR = 1.37, <em>p</em> = 0.02), middle site (OR = 1.44, <em>p</em> = 0.03), molar (OR = 0.30, <em>p</em> &lt; 0.01), and baseline PPD (OR = 0.26, <em>p</em> &lt; 0.01) were significantly associated with site healing.</div></div><div><h3>Conclusions</h3><div>Compared with C-SRP, the MR-SRP approach demonstrated superior short-term clinical outcomes, likely due to the achieved three-dimensional visualization of periodontal structures.</div></div><div><h3>Clinical significance</h3><div>Within the limits of the present study, mixed-reality holographic imaging could be a clinically variable adjunct tool for periodontal therapy. This technology shows promise for managing severe periodontitis, potentially improving treatment outcomes through enhanced visualization and instrument navigation.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105963"},"PeriodicalIF":4.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600635","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":"Dental aesthetic perception of patients submitted to violet LED bleaching: Randomized controlled trial","authors":"Gabriela Torres Zanin ,&nbsp;Edgar Pedreiro Ribeiro ,&nbsp;Bianca Medeiros Maran ,&nbsp;Murilo Baena Lopes ,&nbsp;Ricardo Danil Guiraldo ,&nbsp;Alessandra Reis ,&nbsp;Alessandro D. Loguercio ,&nbsp;Sandrine Bittencourt Berger","doi":"10.1016/j.jdent.2025.105961","DOIUrl":"10.1016/j.jdent.2025.105961","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of violet LED compared to 35 % hydrogen peroxide (HP) and the combination of treatments, on aesthetic perception and psychosocial impact before and after treatment.</div></div><div><h3>Methods</h3><div>Eighty-four participants were randomly assigned to three bleaching groups (<em>n</em> = 28): HP only, violet LED only (VLED), and HP combined with violet LED (HP+VLED). Treatments were applied in three sessions at seven-day intervals. The following questionnaires were applied before and 30 days after treatment: Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), Oral Health Impact Profile specific to Aesthetics (OHIP-Aesthetics), and Orofacial Esthetics Scale (OES). Data were analyzed using descriptive statistics, linear mixed models for repeated measures, and nonparametric tests (α = 0.05).</div></div><div><h3>Results</h3><div>For PIDAQ, the HP and HP+VLED groups showed significant increases in dental self-confidence and reductions in social and psychological impacts, as well as in aesthetic concern (<em>p</em> &lt; 0.05). The VLED group demonstrated improvement only in social impact and aesthetic concern. For OHIP-Aesthetics, only the HP+VLED group presented significant reductions in functional limitation, psychological discomfort, physical and psychological disability, and total score (<em>p</em> &lt; 0.05). The OES scores increased significantly in the HP and HP+VLED groups, but not in the VLED group.</div></div><div><h3>Conclusion</h3><div>Violet LED alone produced limited benefits for aesthetic perception and quality of life. Treatments with 35 % HP, alone or combined with violet LED, led to greater improvements in self-perception and reduced psychosocial impact.</div></div><div><h3>Clinical relevance</h3><div>The current study demonstrates that while violet LED alone offers limited benefits, 35 % hydrogen peroxide protocols generate meaningful improvements in dental self-confidence, reduced psychosocial impact, and enhanced aesthetic satisfaction. These effects were evident in both the HP-only and HP+VLED groups. The findings highlight that beyond achieving a whiter smile, bleaching treatments can positively influence patient-reported outcomes related to quality of life, reinforcing the importance of including psychosocial measures when evaluating aesthetic dental interventions. This study contributes valuable data to support patient-centered care in clinical practice.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105961"},"PeriodicalIF":4.8,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584076","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":"\"Accuracy of Bone-Borne versus Tooth-Bone-Borne Orthognathic Surgical Guides: A Systematic Review and Meta-Analysis\".","authors":"Ker Jia Cheryl Lee, Chee Weng Yong, Han Yi Li, Ming Tak Chew, Yijin Ren","doi":"10.1016/j.jdent.2025.105940","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105940","url":null,"abstract":"<p><strong>Background: </strong>Accurate repositioning of the maxilla is a crucial component of orthognathic surgery and can be facilitated by bone-borne (BB) or tooth-bone-borne (TBB) guides.</p><p><strong>Aims: </strong>The objective of this systematic review and meta-analysis is to compare the accuracy of BB and TBB surgical guides in orthognathic surgery. Accuracy was defined as the difference between the planned and actual position of the maxilla, measured in linear and angular deviations across three axes. Relevant studies were identified up to February 2025.</p><p><strong>Results: </strong>Twenty studies involving 332 patients (223 BB and 109 TBB) were reviewed. BB guides demonstrated slightly better accuracy at the U1 landmark, with deviations of 0.07 mm, 0.10 mm, and 0.24 mm in the X, Y, and Z axes, respectively. Conversely, TBB guides showed superior accuracy at the U6 landmark, with deviations of 0.19 mm and 0.31 mm in the X and Y axes. However, TBB guides were less accurate only in the Z-axis at U6 (deviation of 0.21 mm) when compared to BB guides. TBB guides also demonstrated higher angular accuracy, with differences of 0.35°, 0.39° and 0.02° for pitch, yaw, and roll respectively. However, these differences were generally small and clinically insignificant.</p><p><strong>Conclusion: </strong>Both BB and TBB guides are satisfactory choices, and the decision to use one over the other should be based on regulatory and logistical factors. The available evidence suggests that clinicians can be confident that both options yield comparable results, allowing flexibility in the decision-making process.</p><p><strong>Clinical significance: </strong>This review is the first to directly compare the effectiveness of BB and TBB guides. It provides valuable insights into how guide design influences surgical precision and supports clinical decision-making between the two types of guides.</p>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105940"},"PeriodicalIF":4.8,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144575612","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 \"Accuracy of immediate anterior implantation using static and robotic computer-assisted implant surgery: A retrospective study\" [Journal of Dentistry 148 (2024) 105218].","authors":"Jun Li, Meng Dai, Siwei Wang, Xitao Zhang, Qin Fan, Lin Chen","doi":"10.1016/j.jdent.2025.105843","DOIUrl":"https://doi.org/10.1016/j.jdent.2025.105843","url":null,"abstract":"","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":" ","pages":"105843"},"PeriodicalIF":4.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564822","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":"Accuracy of near-infrared reflection in detecting proximal caries: a systematic review and meta-analysis","authors":"Kaijing Mao ,&nbsp;Jason Chi-Kit Ku ,&nbsp;Feifei Wang ,&nbsp;Ke Song ,&nbsp;Walter Yu-Hang Lam ,&nbsp;Ollie Yiru Yu","doi":"10.1016/j.jdent.2025.105949","DOIUrl":"10.1016/j.jdent.2025.105949","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to evaluate the accuracy of near-infrared reflection (NIRR) technology in detecting proximal dental caries compared to the reference standard.</div></div><div><h3>Data</h3><div>This review followed PRISMA guidelines and was registered in PROSPERO (CRD42024570850). The pooled sensitivity, specificity, and the area under the summary receiver operating characteristic curve (AUC) of NIRR were calculated from the accuracy parameters extracted from the included studies. The quality of the studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool.</div></div><div><h3>Sources</h3><div>Publications from PubMed, MEDLINE, Scopus, and Web of Science.</div></div><div><h3>Study selection/results</h3><div>Thirteen studies, including six <em>in vitro</em> and seven clinical studies, met the eligibility criteria. Most of the included studies assess NIRR employing near-infrared light with a wavelength of 850 nm, while 780, 1050, 1550, and 1600 nm NIR were adopted in a few studies. The pooled data from <em>in vitro</em> studies revealed that the sensitivity (95 % Confidence Interval, CI), specificity (95 % CI) and AUC of NIRR for proximal caries detection were 0.46(0.42–0.50) and 0.87(0.84–0.89), and 0.72, respectively. For clinical studies, the pooled sensitivity (95 % CI), specificity (95 % CI), and AUC were 0.65(0.62–0.68), 0.95(0.94–0.95) and 0.83, respectively. Seven studies showed a low risk, five studies showed a high risk, and one study showed an unclear risk of bias and applicability concerns.</div></div><div><h3>Conclusion</h3><div>NIRR is relatively insensitive but highly specific for the detection of proximal dental caries in posterior teeth. Due to the heterogeneity of the included studies, a cautious interpretation of the results is necessary. Future research is needed to confirm the potential of NIRR in detecting dental caries, particularly NIRR that utilizes longer wavelengths.</div></div><div><h3>Clinical significance</h3><div>NIRR is a novel technology for caries detection. This study provides valuable information to researchers and clinicians who are interested in using this technology for caries detection.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105949"},"PeriodicalIF":4.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564821","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":"Effectiveness of dentin cleaning using air abrasion with aluminum oxide particles on the bond strength of resin-based cements: A systematic review and meta-analysis","authors":"João Vitor do Nascimento Santos ,&nbsp;Helena Nóbrega Almeida ,&nbsp;Lara Beatriz Nascimento Diniz ,&nbsp;Mariana de Andrade Nogueira ,&nbsp;Joel Ferreira Santiago Junior ,&nbsp;Mutlu Özcan ,&nbsp;Rodrigo Othávio de Assunção e Souza","doi":"10.1016/j.jdent.2025.105950","DOIUrl":"10.1016/j.jdent.2025.105950","url":null,"abstract":"<div><h3>Objective</h3><div>Investigate the effect of aluminum oxide air abrasion, used for cleaning the surface of human dentin, on the bond strength to resin cements for indirect restorations.</div></div><div><h3>Data and source</h3><div>This study followed PRISMA-ScR guidelines for scoping reviews and registered on the Open Science Framework platform.</div></div><div><h3>Study selection</h3><div>A comprehensive search of four electronic databases: PubMed, Scopus, Embase, and Web of Science, as well as manual searches, was performed to identify relevant studies published through July 2024. Studies focused on in vitro evaluations of oxide particles as a surface cleaning method for sound human dentin and their effect on the bond strength of resin cements for indirect restorations were included. Studies involving glass ionomer cements and temporary cements were excluded.</div></div><div><h3>Results</h3><div>A total of seven (7) studies were included in the descriptive analysis and meta-analysis. The overall meta-analysis of air abrasion with aluminum oxide particles (50 µm) showed a statistically significant difference (SMD: 0.94, 95 % CI, 0.43–1.46), favoring the air abrasion group. Additionally, when comparing pumice with air abrasion using aluminum oxide particles, a significant difference was found (SMD: 0.94, 95 % CI, 0.43–1.46), favoring the air abrasion group. The meta-analysis evaluating substrates with immediate dentin sealing (IDS) and air abrasion with alumina particles showed a significant difference in favor of the control group (IDS only - no cleaning method) (SMD: SMD: 0.62, 95 % CI, 1.10–0.15).</div></div><div><h3>Conclusion</h3><div>Dentin cleaning with 50 µm aluminum oxide particles significantly improves the bond strength to resin cement. In addition, air abrasion provides higher resin cement bond strength than pumice and water cleaning. However, on substrates treated previously with immediate dentin sealing, air abrasion reduced the resin cement bond strength compared to the no cleaning method.</div></div><div><h3>Clinical Significance</h3><div>Air abrasion with 50 µm aluminum oxide particles may improve the bond strength of resin cements to sound dentin, supporting its use before cementing indirect restorations. However, when used after immediate dentin sealing, this technique may impair bond strength and should be avoided in such cases.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105950"},"PeriodicalIF":4.8,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567443","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}