Journal of dentistry最新文献

{"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}

{"title":"SealPrint: The anatomically replicated seal-and-support socket abutment technique A Proof-of-Concept with 12 months of follow-up","authors":"Pierre Lahoud ,&nbsp;Ana Castro ,&nbsp;Elias Walter ,&nbsp;Wout Jacobs ,&nbsp;Alexander De Greef ,&nbsp;Reinhilde Jacobs","doi":"10.1016/j.jdent.2025.105948","DOIUrl":"10.1016/j.jdent.2025.105948","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed at investigating a novel technique for designing and manufacturing a sealing socket abutment (SSA) using artificial intelligence (AI)-driven tooth segmentation and 3D printing technologies.</div></div><div><h3>Methods</h3><div>A validated AI-powered module was used to segment the tooth to be replaced on the presurgical Cone Beam Computed Tomography (CBCT) scan. Following virtual surgical planning, the CBCT and intraoral scan (IOS) were imported into Mimics software. The AI-segmented tooth was aligned with the IOS, sliced horizontally at the temporary abutment's neck, and further trimmed 2 mm above the gingival margin to capture the emergence profile. A conical cut, 2 mm wider than the temporary abutment with a 5° taper, was applied for a passive fit.</div><div>This process produced a custom sealing socket abutment, which was then 3D-printed. After atraumatic tooth extraction and immediate implant placement, the temporary abutment was positioned, followed by the SealPrint atop. A flowable composite was used to fill the gap between the temporary abutment and the SealPrint; the whole structure sealing the extraction socket, providing by design support for the interdental papilla and protecting the implant and (bio)materials used.</div></div><div><h3>Results</h3><div>True to planning, the SealPrint passively fits on the temporary abutment. It provides an optimal seal over the entire surface of the extraction socket, preserving the emergence profile of the extracted tooth, protecting the dental implant and stabilizing the graft material and blood clot.</div></div><div><h3>Conclusions</h3><div>The SealPrint technique provides a reliable and fast solution for protection and preservation of the soft-, hard-tissues and emergence profile following immediate implant placement.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105948"},"PeriodicalIF":4.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564824","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":"Presenting a novel model to visualize the interaction process between blue (445 nm) and infrared laser radiation (810 nm) in oral soft tissue","authors":"Yannick Davide Ansorge ,&nbsp;Matthias Frentzen ,&nbsp;Jörg Meister","doi":"10.1016/j.jdent.2025.105936","DOIUrl":"10.1016/j.jdent.2025.105936","url":null,"abstract":"<div><h3>Background</h3><div>Lasers are increasingly being employed in oral surgery, whereby blue lasers are state of the art. Aiming to advance understanding of laser-tissue interactions, this study presents a novel model system for displaying oral mucosa, to analyse effects of all proposed laser types prior to clinical use.</div></div><div><h3>Materials and Methods</h3><div>Exemplary, diode lasers with wavelengths of 445 nm and 810 nm were used for the experiments. Based on the histological structure of oral mucosa, the epithelial and the subepithelial connective tissue were simulated using variously modified gelatine layers for 20 test devices (<em>n</em> = 10 for each wavelength). In the simplified setup, each test device (consisting of a glass receptical and tissue model) was irradiated statically in non-contact mode with 2 W CW for 10 s. During the experiment, the thermal development within the tissue model was documented with a thermographic camera at time points 2.5 s, 5 s and 10 s. Additionally, the morphological changes were recorded with a video camera.</div></div><div><h3>Results</h3><div>For the wavelength 810 nm, the average temperature in the irradiated target area (interface at the simulated subepithelial connective tissue) rose approx. 62 °C. For the wavelength 445 nm, there were clear thermal changes at this interface leading to an incision of the simulated epithelium. Here, a mean temperature of approx. 151 °C was measured.</div></div><div><h3>Conclusion</h3><div>The study results underscore that this tissue modelling is a promising approach to display laser-tissue-interactions in oral mucosa prior to clinical use.</div></div><div><h3>Clinical Significance</h3><div>The clinical use of laser technology requires preclinical experience and basic knowledge regarding the tissue-interaction process to ensure patient safety. This investigation is an approach to visualize the different effects appear by the use of two representative laser wavelengths 445 and 810 nm in oral soft tissue surgery.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105936"},"PeriodicalIF":4.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564823","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":"Association between social factors, cluster of behaviours and oral impact on daily performance","authors":"Fatimah Alobaidi,&nbsp;Ellie Heidari,&nbsp;Wael Sabbah","doi":"10.1016/j.jdent.2025.105947","DOIUrl":"10.1016/j.jdent.2025.105947","url":null,"abstract":"<div><h3>Objectives</h3><div>The study objective was to examine the association between social support and network, socioeconomic factors, cluster of behaviours, and oral impact on daily performance of English older adults.</div></div><div><h3>Methods</h3><div>Data was extracted from the English Longitudinal Study of Ageing ELSA. Socioeconomic factors at Wave 3, social support (positive and negative) and network, and behaviours (smoking, alcohol intake, fruit and vegetable consumption, physical activity) at Wave 5 were included. Oral Impact on Daily Performance OIDP at Wave 7 was the outcome variable. Demographics and OIDP at baseline were included in the analysis. Latent class analysis (LCA) was conducted using four dichotomised behavioural variables to identify clusters of behaviours. Logistic regression modelling was created to assess the associations. The model was adjusted for demographic factors.</div></div><div><h3>Results</h3><div>A total of 2049 participants were included. The LCA identified two clusters: Class 1 healthy, and Class 2 risky cluster. In the fully adjusted model, participants with high levels of negative social support had 1.04 (95 %CI: 1.01, 1.08) higher odds for having any oral impact on their daily performance than those with lower negative social support. People in the risky cluster had 1.49 (95 %CI: 1.01, 2.19) higher odds of having any oral impact on daily performance than those in the healthy cluster.</div></div><div><h3>Conclusion</h3><div>Negative social support and cluster of health-related behaviours were associated with oral impact on daily performance among English adults.</div></div><div><h3>Clinical significance</h3><div>The impact of behavioural and social factors on the oral health outcomes of older English adults is highlighted by this study. The findings suggest that high levels of negative social support and engagement in unhealthy behaviours are associated with a greater likelihood of experiencing oral impacts on daily life. Clinicians should take these psychosocial and behavioural factors into account when evaluating and treating older patients. Interventions aimed at reducing negative social interactions and promoting healthier lifestyle choices may help minimise the impact of oral health issues on daily activities.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105947"},"PeriodicalIF":4.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560264","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":"Silver diamine fluoride treatment for the management of deep caries: A scoping review","authors":"Adam Sheridan,&nbsp;May Lei Mei,&nbsp;Paul R. Cooper,&nbsp;Trudy Milne,&nbsp;Lara T. Friedlander","doi":"10.1016/j.jdent.2025.105946","DOIUrl":"10.1016/j.jdent.2025.105946","url":null,"abstract":"<div><h3>Objective</h3><div>Dental caries is a biofilm-driven, multifactorial disease that can progress to deep dentine lesions, risking pulp exposure and complications. Silver diamine fluoride (SDF) has emerged as a non-invasive approach for caries management. This scoping review assesses the available evidence on SDF’s effects in deep caries management, focusing on clinical success rates, pulp vitality, restoration outcomes, and patient acceptance.</div></div><div><h3>Data and sources</h3><div>A broad literature search of four electronic databases (PubMed, EMBASE, Medline, EMCARE) was conducted up to December 2024, focusing on <em>in vivo</em> studies published in English that investigated SDF application in deep caries. Reference lists of relevant articles were also screened.</div></div><div><h3>Article selection</h3><div>The initial search yielded 504 articles. Nineteen articles published up to December 2024 were included in the final review.</div></div><div><h3>Conclusion</h3><div>SDF shows considerable promise for deep caries treatment, with high rates of caries arrest, favourable pulp outcomes, and generally good patient acceptance. However, heterogeneity in study designs, lesion depth classifications, and reapplication protocols demonstrate the need for more standardised research. Future long-term investigations should further investigate the role of SDF in managing deep caries, particularly in vulnerable populations and resource-limited settings.</div></div><div><h3>Clinical Significance</h3><div>This scoping review provides a valuable overview of the range of potential factors that should be considered regarding SDF research on deep caries. Standardised clinical protocols and strategies to minimise staining could further improve its application and utility.</div></div>","PeriodicalId":15585,"journal":{"name":"Journal of dentistry","volume":"161 ","pages":"Article 105946"},"PeriodicalIF":4.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144553646","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}