Journal of Esthetic and Restorative Dentistry最新文献

{"title":"Digital Occlusal Reconstruction in Patients With Failed Veneer Restorations With Full Mouth Severely Worn Teeth.","authors":"Ning Gong, Lizhe Wang, Lei Xu, Zechun Xu, Zimeng Xu, Fei Tan","doi":"10.1111/jerd.13465","DOIUrl":"https://doi.org/10.1111/jerd.13465","url":null,"abstract":"<p><strong>Objective: </strong>Occlusal reconstruction refers to the prosthodontic modification and restoration of the dental arch's occlusal configuration. Incorporation of digital technology enables precise acquisition of individualized mandibular movement patterns, facilitating the design of final restorations and effectively enhancing the clinical efficiency and treatment outcomes of occlusal reconstruction. This case report aims to demonstrate a digital workflow for occlusal rehabilitation in severe tooth wear patients, proving that digital technologies enhance treatment efficacy.</p><p><strong>Clinical considerations: </strong>A 27-year-old female presented with severe full-arch tooth wear secondary to bruxism and a history of detachment of resin veneers on the maxillary and mandibular anterior teeth. This case utilized a digital protocol incorporating digital face bow, intraoral scanning, and CAD/CAM technology to determine the existing occlusal relationships, formulate treatment plans, fabricate provisional restorations, and produce definitive prostheses. One- and three-month follow-ups confirmed stable occlusal function and satisfactory esthetic outcomes.</p><p><strong>Conclusion: </strong>This case report demonstrates that digital technologies improve diagnostic accuracy and treatment precision through integration of intraoral scanning with digital face bow recordings. The digital approach reduced potential errors from traditional methods and optimized clinical workflows.</p><p><strong>Clinical significance: </strong>The implementation of digital workflows in full-mouth occlusal reconstruction enhances treatment efficiency and improves clinical predictability of therapeutic outcomes.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Adhesive Strategies for Endodontically Treated Teeth-Part I: Impact of Endodontic Irrigation Protocols on the Chemical Composition and Structural Integrity of Coronal Dentin.","authors":"Joana A Marques, Rui I Falacho, Sara Fateixa, Francisco Caramelo, João Miguel Santos, João Rocha, Markus B Blatz, João Carlos Ramos, Paulo J Palma","doi":"10.1111/jerd.13460","DOIUrl":"https://doi.org/10.1111/jerd.13460","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of four endodontic irrigation protocols on the chemical composition and ultrastructure of coronal dentin.</p><p><strong>Materials and methods: </strong>Coronal dentin fragments were assigned to five study groups: NaOCl (3% sodium hypochlorite), NaOCl/EDTA (3% NaOCl and 17% ethylenediaminetetraacetic acid), NaOCl/EDTA/CHX (3% NaOCl, 17% EDTA and 2% chlorhexidine), NaOCl/HEDP (mixture of 3% NaOCl and 9% etidronic acid), and control (distilled water). Confocal Raman microscopy was employed to analyze the spatial distribution of organic and inorganic components, while attenuated total reflection Fourier transform infrared spectroscopy and energy-dispersive spectroscopy were used to assess the surface composition of dentin. Ultrastructural evaluation was conducted using scanning electron microscopy (SEM). Statistical analysis was performed using a mixed linear model with a significance level of 0.05.</p><p><strong>Results: </strong>All NaOCl-treated groups showed reduced amide II (p < 0.001), indicating protein degradation. Exclusive NaOCl irrigation yielded the lowest amide II, highest mineral content, and increased phosphate/amide II and carbonate/phosphate ratios (p < 0.05). Chelators reduced mineral content (p < 0.001), with NaOCl/HEDP and NaOCl/EDTA/CHX producing more mineralized surfaces than NaOCl/EDTA and control groups (p < 0.05). A general decrease in organic (C and N) and an increase in inorganic (O, P, and Ca) components occurred across treatments, particularly in NaOCl and NaOCl/HEDP groups. EDTA disturbed the Ca/P equilibrium (p < 0.05). SEM showed a dense smear layer and mostly obliterated tubules in NaOCl and control samples, while chelators reduced the smear layer, partially opened tubules, and caused erosion.</p><p><strong>Conclusions: </strong>Exclusive use of 3% NaOCl produces hypermineralized, collagen-depleted coronal dentinal surfaces, with a dense smear layer. Sequential irrigation with 17% EDTA induces stronger demineralization compared to a continuous chelation protocol with 9% HEDP. Both EDTA- and HEDP-treated coronal dentin display partially opened dentinal tubules, signs of erosion, and substantial smear layer reduction.</p><p><strong>Clinical significance: </strong>Clinically recommended endodontic irrigation protocols significantly alter the chemical composition and ultrastructural integrity of coronal dentin, the primary substrate for adhesive restorations. These findings enhance the understanding of post-irrigation coronal dentin conditions and their potential implications on the interaction with adhesive restorative materials.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"The Bio-Restorative Concept for Implant-Supported Restorations\".","authors":"","doi":"10.1111/jerd.13442","DOIUrl":"https://doi.org/10.1111/jerd.13442","url":null,"abstract":"","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for Masking Metal Show-Through in Disilicate Dental Ceramics: A Systematic Evaluation Using Different Assessment Techniques.","authors":"Ahmad Alkhazaleh, Ana Paula Piovezan Fugolin, Laura Fortes Cala, Hidehiko Watanabe, Jack Ferracane","doi":"10.1111/jerd.13455","DOIUrl":"https://doi.org/10.1111/jerd.13455","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;The aim of this study was to assess the masking effect of two lithium disilicate ceramics at various thicknesses, when bonded to opaqued and nonopaqued silvery metallic core buildups, using spectrophotometry and digital photocolorimetric analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;Sixty bis-acrylic blocks in A2 shade were fabricated to serve as control unrestored substrates, and 120 blocks were prepared (8.0 mm × 8.0 mm × 3.0 mm, W × L × H) and restored with amalgam. Sixty amalgam-restored blocks were treated with 0.65 mm (±0.10 mm) resin-based opaquer. Low-translucency (LT) lithium disilicate CAD/CAM blocks from two different manufacturers (Ivoclar IPS e.max CAD and GC Initial LiSi) were sectioned, crystallized (e.max), and polished, then divided into three subgroups according to their thickness (1.0, 1.5, and 2.0 mm, n = 30). The ceramic slices were treated and bonded to the three substrate types (control, opaqued amalgam, and nonopaqued amalgam) using a resin-luting cement. The masking effect of the resulting ceramic-substrate assemblies was investigated using a spectrophotometer and polarized digital photocolorimetric (PDPC) analysis. CIE L*a*b* coordinates were measured, and color difference analysis (ΔE&lt;sub&gt;00&lt;/sub&gt;) was performed using the CIE ΔE&lt;sub&gt;00&lt;/sub&gt; formula. Acceptability and perceptibility thresholds were set at ΔE&lt;sub&gt;00&lt;/sub&gt; ≤ 1.8 and ΔE&lt;sub&gt;00&lt;/sub&gt; ≤ 0.8, respectively. The data were statistically analyzed using three-way and two-way ANOVA, followed by Tukey's test (α ≤ 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Spectrophotometric analysis showed that, for nonopaqued amalgam substrate, IPS e.max achieved ΔE&lt;sub&gt;00&lt;/sub&gt; mean (SD) of 4.2(0.4), 2.8(0.3), and 2.1(0.2), for 1.0, 1.5, and 2.0 mm thicknesses, respectively. Initial LiSi achieved ΔE&lt;sub&gt;00&lt;/sub&gt; mean (SD) of 3.8 (1.1), 2.8(0.9), and 2.7(0.4) for 1.0, 1.5, and 2.0 mm thicknesses, respectively. When the substrate was opaqued amalgam, IPS e.max and LiSi both resulted in a mean ΔE&lt;sub&gt;00&lt;/sub&gt; of 2.3(0.7). As the thickness increased to 1.5 and 2.0 mm, IPS e.max achieved an acceptable (ΔE&lt;sub&gt;00&lt;/sub&gt; = 1.3(0.4)) and an excellent (ΔE&lt;sub&gt;00&lt;/sub&gt; = 0.8(0.3)) masking, respectively. Initial LiSi achieved a moderately unacceptable color difference (ΔE&lt;sub&gt;00&lt;/sub&gt; = 2.0(0.8)) at 1.5 mm and an acceptable masking (ΔE&lt;sub&gt;00&lt;/sub&gt; = 1.5(0.6)) at 2.0 mm. PDPC analysis presented similar trends for both ceramic types and substrates, except for LiSi on opaqued amalgam. Individual CIE L*a*b* color coordinates, however, showed significant differences between the two analysis methods.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The use of opaquer proved to be an effective strategy for masking silvery metallic core buildups in preparation for lithium disilicate-based restorations. IPS e.max CAD provided a superior masking effect compared to Initial LiSi when used in conjunction with a resin opaquer.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical significance: &lt;/strong&gt;This stu","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Angled Screw Channel-Retained vs. Cement-Retained Implant Crowns in Nonmolar Sites: A Systematic Review and Meta-Analysis.","authors":"Momen A Atieh, Maanas Shah, Abeer Hakam, Asma Albalushi, Anas Abdulmunim, Fawaghi AlAli, Nabeel H M Alsabeeha","doi":"10.1111/jerd.13463","DOIUrl":"https://doi.org/10.1111/jerd.13463","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical, radiographic, and aesthetic outcomes of angled screw channel (ASC) retained implant crowns to cement-retained implant crowns in nonmolar sites.</p><p><strong>Methods: </strong>Randomized and nonrandomized trials comparing ASC-retained and cement-retained implant crowns in single nonmolar locations were found by searching electronic databases (COCHRANE, EMBASE, and MEDLINE) up to January 2025. Changes in marginal bone level were the primary outcomes, whereas periodontal parameters, aesthetic outcomes, and technical complications were the secondary outcomes. Random-effects meta-analysis was used to calculate pooled effect sizes.</p><p><strong>Results: </strong>A total of 973 studies were identified, of which four studies with 167 single nonmolar implant crowns were included. Overall meta-analysis showed that the difference in marginal bone level was in favor of the ASC group, but the difference was not statistically significant (MD -0.03; 95% CI -0.12 to 0.06; p = 0.57). The ASC group had more positive changes in pink aesthetic score than the cemented group; however, the difference between the two groups was not statistically significant (MD -0.18; 95% CI -0.88 to 0.51; p = 0.61).</p><p><strong>Conclusions: </strong>ASC-retained implant crowns in nonmolar sites have comparable short-term clinical, radiographic, and aesthetic outcomes to cement-retained implant crowns, with less bleeding on probing expected with ASC-retained crowns.</p><p><strong>Clinical significance: </strong>The superiority of ASC-retained implant crowns over cement-retained implant crowns in nonmolars was not proven. There were no significant differences between ASC-retained and cement-retained implant crowns in terms of mean changes in marginal bone levels, probing pocket depths, aesthetic outcomes, technical complications, and implant failure.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Color Matching and Stability of Single-Shade Chameleon Dental Composites: A Systematic Review.","authors":"Alain Chaple Gil, Rodrigo Caviedes, Cristian Bersezio, Javier Martín, Eduardo Fernández, Pablo Angel","doi":"10.1111/jerd.13461","DOIUrl":"https://doi.org/10.1111/jerd.13461","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review evaluates the color-matching ability (ΔE₀₀ values) and chromatic stability of single-shade chameleon dental resin composites in restorative dentistry.</p><p><strong>Methods: </strong>A comprehensive search of PubMed, Scopus, Web of Science, Embase, and Cochrane Library was conducted following PRISMA guidelines. Studies assessing color adaptation and stability of single-shade composites in vitro, in clinical trials, and in retrospective analyses were included.</p><p><strong>Results: </strong>Seven studies (four in vitro, two clinical trials, one retrospective study) reported ΔE₀₀ values within clinically acceptable thresholds (< 3.3). Clinical trials showed that single-shade composites (e.g., Omnichroma, Vittra APS Unique) achieved comparable aesthetic outcomes to multi-shade composites over 12-18 months. Factors such as staining agents and cavity depth influenced color stability, with coffee exposure causing the most discoloration. Bleaching procedures induced minimal color shifts. Study heterogeneity limited meta-analysis.</p><p><strong>Conclusion: </strong>Single-shade chameleon resin composites provide reliable color adaptation and stability, streamlining shade selection and reducing clinical time. However, staining susceptibility and restoration depth must be considered for long-term aesthetic success.</p><p><strong>Clinical significance: </strong>Single-shade chameleon composites simplify shade selection, reducing chair time and enhancing efficiency in restorative dentistry. However, clinicians should consider staining susceptibility and restoration depth to ensure long-term aesthetic stability.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Glazing, Coating, and Polishing on the Color Stability and Surface Properties of a 3D Printed Resin and Two Veneering Composite Resins.","authors":"Marie Lask, Felicitas Mayinger, Marcel Reymus, John Meinen, Bogna Stawarczyk","doi":"10.1111/jerd.13462","DOIUrl":"https://doi.org/10.1111/jerd.13462","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the impact of various surface treatments on color stability and surface properties of a 3D printed and two veneering composite resins.</p><p><strong>Materials and methods: </strong>Specimens were manufactured from a 3D printed (VarseoSmile Crown^Plus) or two veneering composite resins (GRADIA PLUS; VITA VM LC flow) and underwent varnishing (OPTIGLAZE; VITA AKZENT LC), coating, polishing (goat hair brush; silicone polisher) or remained untreated. For 14 days, specimens were stored in red wine, curcuma, cress, or water. Individual and, for ΔE₀₀ > 1.8, professional prophylaxis was performed. Color (ΔE₀₀), surface free energy (SFE), and surface roughness (SR) were measured longitudinally. Mann-Whitney U, Kruskal-Wallis, Friedman, and Wilcoxon tests were computed (α = 0.05).</p><p><strong>Results: </strong>For the 3D printed resin, varnishing, coating, or goat hair brushing minimized discoloration, while untreated surfaces showed the highest discoloration. Veneering composite resins benefited from goat hair brushing. Individual and professional prophylaxis improved surface properties and partially reversed discolorations. Solely goat hair brushed veneering composite resins achieved surface roughness values ≤ 0.2 μm.</p><p><strong>Conclusions: </strong>To prevent discoloration, varnishing and goat hair brushing can be recommended for all materials. Individual prophylaxis was most effective for veneering composite resin 1, whereas professional prophylaxis significantly reduced discoloration on 3D printed resin. Only veneering composite resins treated with goat hair brushing achieved surface roughness values of ≤ 0.2 μm.</p><p><strong>Clinical significance: </strong>As 3D printed resins tend to discolor easily, it is important to understand how different surface treatments may impact their color stability. Applying treatments such as varnishing, coating, and polishing can improve the color stability and surface properties, ensuring better esthetic results over time.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Three Heating Guns on the Temperature of Two Bulk-Fill Resin-Based Composites.","authors":"Juliana Anany Gonzales Guarneri, Cristiane Maucoski, Fabrício Mezzomo Collares, Richard Bengt Price, Cesar Augusto Galvão Arrais","doi":"10.1111/jerd.13457","DOIUrl":"https://doi.org/10.1111/jerd.13457","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of three heating guns-Phasor (Vista Apex, Racine, USA), VisCalor (VOCO, Cuxhaven, Germany), and Compex HD (AdDent Inc. Danbury, USA)-on the temperature changes of two bulk-fill resin-based composites (RBCs): VisCalor Bulk (VBF, VOCO) and Filtek One Bulk Fill Restorative (OBF, Solventum, St. Paul, USA).</p><p><strong>Materials and methods: </strong>Temperature changes were measured using a thermal camera (PI 640i, Optris Infrared Measurements, Berlin, Germany) during insertion and photocuring in a simulated proximal box of a Class II cavity and within the RBC capsules during heating. The RBCs were photocured using the Bluephase PowerCure (Ivoclar, Schaan, Liechtenstein) for 20s. Data were analyzed using repeated measures ANOVA and Tukey's test for each RBC (α = 0.05). The temperature of the RBCs at the same depth were analyzed by t-test (α = 0.05).</p><p><strong>Results: </strong>OBF heated with Compex produced the lowest temperature rise at the pulpal floor (2.7°C ± 0.4°C), while VBF heated with Phasor produced the highest (8.8°C ± 2.4°C). The greatest temperature increases were at the top of the restoration. OBF heated with Phasor reached 48.6°C ± 4.7°C. The Phasor and VisCalor produced two temperature peaks in the RBC inside the capsule, while the Compex maintained a steady peak temperature.</p><p><strong>Conclusion: </strong>The heating gun and RBC produced different temperatures when heating, inserting, and light-activation of the RBCs.</p><p><strong>Clinical significance: </strong>The choice of RBC and heating gun can substantially affect the temperature of the RBC and influence its handling properties.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fracture Resistance of Maxillary Premolars With Class II MOD Cavities Restored With Direct and Indirect Resin Composite Restorative Systems.","authors":"Rasha M Salama, Hamdi H Hamama, Salah H Mahmoud","doi":"10.1111/jerd.13459","DOIUrl":"https://doi.org/10.1111/jerd.13459","url":null,"abstract":"<p><strong>Objective: </strong>To assess the fracture resistance of maxillary premolars with mesio-occluso-distal (MOD) Class II cavities restored with lab composite and microhybrid resin composite, with or without a short fiber-reinforced composite (SFRC) base.</p><p><strong>Methods: </strong>Fifty sound maxillary premolars were divided randomly into 5 groups (n = 10); G1: Intact teeth (negative control), G2: Unrestored MOD cavities (positive control), G3: MOD inlay cavities restored with indirect lab composite, G4: MOD cavities restored with an SFRC base and microhybrid composite, and G5: MOD cavities restored with microhybrid composite. All specimens were thermocycled for 5000 cycles, then subjected to an axial static compressive load until fracture occurred. Failure modes were inspected.</p><p><strong>Results: </strong>Negative control group exhibited maximum fracture resistance, whereas positive control revealed the lowest (p < 0.05). Microhybrid composite restorations with an SFRC base demonstrated fracture thresholds not significantly different from indirect lab composite (p = 0.22); however, those without an SFRC base presented the least resistance to fracture among restored groups (p < 0.05). Cohesive failure of restorative material was mainly noted in the microhybrid composite group without an SFRC base, whereas adhesive failures were observed in all groups.</p><p><strong>Conclusions: </strong>The resistance of teeth to fracture is significantly influenced by the restorative material. Under compressive loads, the teeth restored with microhybrid composite restorations incorporating a short fiber-reinforced composite base exhibited comparable fracture resistance to laboratory composite restorations.</p><p><strong>Clinical significance: </strong>Considering that short fiber-reinforced composites revealed experimental outcomes comparable to those of indirect lab composites, along with the added benefits of shorter treatment time and cost-effectiveness, the direct approach becomes an ideal option for restoring teeth with Class II MOD cavities.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of Dental Shade Selection Methods: Agreement Among Spectrophotometer, Intraoral Scanner, and Cross-Polarization Photography.","authors":"Jose Alfredo Gonzalez-Chavez, Uriel Soto-Barreras, Brenda Perez-Aguirre, Martina Nevarez-Rascon, Carlos Esteban Villegas-Mercado, Ruben Abraham Dominguez-Perez","doi":"10.1111/jerd.13458","DOIUrl":"https://doi.org/10.1111/jerd.13458","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to evaluate the reliability and agreement of dental shade selection methods-spectrophotometry, intraoral scanning, and cross-polarized digital photography (CP photography)-using VITA Classical (VC) and VITA 3D-MASTER (V3M) shade guides.</p><p><strong>Materials and methods: </strong>The shade of the central area of the right maxillary central incisor was assessed in 56 subjects using three methods: SpectroShade spectrophotometer, 3Shape TRIOS intraoral scanner, and CP photography. All measurements were standardized, performed in triplicate, and conducted under controlled conditions. Fleiss' Kappa was used to evaluate intra-instrument reliability, while Cohen's weighted Kappa assessed inter-instrument agreement. CIEDE2000 (ΔE₀₀) values were calculated to evaluate the magnitude of color differences between methods.</p><p><strong>Results: </strong>Intra-instrument reliability was highest for the spectrophotometer across both shade guides, followed by CP photography and the intraoral scanner. Inter-instrument agreement revealed substantial agreement between CP photography and the spectrophotometer for the VC guide (κ = 0.736) and moderate agreement for the V3M guide (κ = 0.553). The intraoral scanner showed moderate to substantial agreement with the spectrophotometer for the V3M guide (κ = 0.607). Additionally, CP photography yielded fewer cases exceeding the acceptability threshold than the intraoral scanner.</p><p><strong>Conclusions: </strong>CP photography demonstrated high intra-instrument reliability and substantial agreement with the spectrophotometer, particularly when using the VC guide.</p><p><strong>Clinical significance: </strong>This study supports the use of accessible methods, such as CP photography, for accurate shade selection, which could potentially enhance clinical outcomes and patient satisfaction in restorative dentistry.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}