Journal of Esthetic and Restorative Dentistry最新文献

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Does Cigarette Smoke Affect Permanent Resin-Based Crown Materials? 香烟烟雾会影响永久性树脂基牙冠材料吗?
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-06 DOI: 10.1111/jerd.13403
Ezgi Sonkaya, Koray Soygun, Öykü Ceren Kahraman
{"title":"Does Cigarette Smoke Affect Permanent Resin-Based Crown Materials?","authors":"Ezgi Sonkaya, Koray Soygun, Öykü Ceren Kahraman","doi":"10.1111/jerd.13403","DOIUrl":"https://doi.org/10.1111/jerd.13403","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to investigate how cigarette smoking affects the surface roughness (R<sub>a</sub>) and stainability of additively and subtractively manufactured resins.</p><p><strong>Materials and methods: </strong>Two additively manufactured definitive resins (Dentafab, DF and Formlabs, FL) and a subtractively manufactured resin nanoceramic (Cerasmart, CS) were used to fabricate 60 specimens (14 × 12 × 1 mm). After taking baseline R<sub>a</sub> and color measurements (ΔE<sub>00</sub>), they were divided into two groups (n = 10). Using a programmable cigarette smoking simulation device, the study groups smoked 10 cigarettes a day for 30 days. The control groups were kept in artificial saliva for 30 days. The R<sub>a</sub> and ΔE<sub>00</sub> were performed again. Scanning electron microscope images were taken. Kruskal-Wallis test, Mann-Whitney U, Bonferroni, and Wilcoxon Signed Rank tests were used for statistical analyses (α = 0.05).</p><p><strong>Result: </strong>Significantly less discoloration was observed in the FL group compared with the other groups (p < 0.001). The R<sub>a</sub> of the DF study groups was statistically significantly higher than the control groups (p = 0.005).</p><p><strong>Conclusion: </strong>All the tested materials had moderately unacceptable color change when previously reported threshold values were considered. There was not found to be any linear correlation between the R<sub>a</sub> of materials and smoking-induced discoloration.</p><p><strong>Clinical significance: </strong>The discoloration and surface roughness of three-dimensional (3D)-produced SLA definitive resin because of smoking are at acceptable levels. Optimized physical and chemical properties of definitive resins are clinically important to extend the life of the restoration. The application of 3D definitive resin can be recommended in clinical practice.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931859","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}
引用次数: 0
Immediate Pre-Endodontic Dentin Sealing (IPDS) Improves Resin-Dentin Bond Strength. 即刻牙髓前牙本质密封(IPDS)提高树脂-牙本质结合强度。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-06 DOI: 10.1111/jerd.13395
Marco A Carvalho, Priscilla C Lazari-Carvalho, Paulo E T Maffra, Thábata F Izelli, Marco Gresnigt, Carlos Estrela, Pascal Magne
{"title":"Immediate Pre-Endodontic Dentin Sealing (IPDS) Improves Resin-Dentin Bond Strength.","authors":"Marco A Carvalho, Priscilla C Lazari-Carvalho, Paulo E T Maffra, Thábata F Izelli, Marco Gresnigt, Carlos Estrela, Pascal Magne","doi":"10.1111/jerd.13395","DOIUrl":"https://doi.org/10.1111/jerd.13395","url":null,"abstract":"<p><strong>Objective: </strong>Chemicals used during canal disinfection and endodontic sealers have a deleterious effect on dentin bond strength. The aim of this study was to evaluate a novel clinical sequence to improve the resin-dentin microtensile bond strength (μTBS) to endodontically treated teeth.</p><p><strong>Materials and methods: </strong>Twenty human molars were distributed in four experimental groups (n = 5, N = 20): C-control group without exposure to any endodontic chemical substances (2.5% sodium hypochlorite, 17% EDTA and endodontic cement); LDh-late dentin hybridization (Dh) with Dh at the time of final restoration, after exposure to chemical substances; IPDS-immediate pre-endodontic dentin sealing, with Dh before exposure to chemical substances; and PLDh-late Dh after exposure to chemical substances and after dentin repreparation with ultrasonic diamond tip. Teeth were restored with resin composite and the microtensile test was performed after 24 h.</p><p><strong>Results: </strong>The highest bond strength values were found in the PLDh, IPDS, and C groups, without statistically significant differences among them. The lowest value was found in the LDh group. The LDh group presented a decrease of 70% when compared with the control group.</p><p><strong>Conclusion: </strong>The resin-dentin microtensile bond strength was significantly improved by dentin hybridization before exposure to chemicals used during endodontics. Otherwise, substantial dentin repreparation is necessary to restore the bond strength after this exposure.</p><p><strong>Clinical significance: </strong>Early dentin hybridization (IPDS) before endodontic treatment not only improves the microtensile bond strength to dentin but also omitting this procedure would require significant repreparation of the exposed dentin after endodontic treatment to restore the bond strength. Hence, it allows the preservation of healthy tooth structure (no need for repreparation), as well as the reinforcement of weakened cusps and improvement of isolation (if combined with deep margin elevation, when necessary).</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931862","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}
引用次数: 0
Substituting the Conventional Facebow With an Extraoral Scan Body System for Transferring the Maxillary Cast Into the Virtual Articulator: Manufacturing Procedures and Digital Clinical Protocol. 用口外扫描体系统代替传统的脸弓将上颌铸造体转移到虚拟关节器:制造程序和数字临床方案。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-06 DOI: 10.1111/jerd.13399
Marta Revilla-León, Jonathan M Zeitler, John C Kois
{"title":"Substituting the Conventional Facebow With an Extraoral Scan Body System for Transferring the Maxillary Cast Into the Virtual Articulator: Manufacturing Procedures and Digital Clinical Protocol.","authors":"Marta Revilla-León, Jonathan M Zeitler, John C Kois","doi":"10.1111/jerd.13399","DOIUrl":"https://doi.org/10.1111/jerd.13399","url":null,"abstract":"<p><strong>Clinical considerations: </strong>Conventional facebow records are used to transfer the maxillary cast into the analog articulator. Different reference planes have been described, including the true horizontal or gravity reference plane. A conventional facebow (Kois Dentofacial Analyzer; Panadent) allows the recording of the gravity plane for transferring the maxillary cast into the analog semi-adjustable articulator. Clinical procedures should also allow the maxillary scan transfer into the virtual articulator by using the true horizontal reference plane.</p><p><strong>Objective: </strong>The present manuscript describes the step-by-step protocol to record the gravity plane and to transfer the maxillary scan into the virtual articulator by using an extraoral scan body system.</p><p><strong>Conclusions: </strong>The extroral scan body device enables the substitution of the conventional facebow procedure. Additionally, this extraoral scan body is fabricated by using additive manufacturing technologies and eases the complete digital workflow for transferring the maxillary scan into the virtual articulator.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931916","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}
引用次数: 0
The Influence of Surface Treatment on the Color of Enamel and Dentin: An In Vitro Study Using Machine Learning-Based Analysis. 表面处理对牙釉质和牙本质颜色的影响:基于机器学习分析的体外研究。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-06 DOI: 10.1111/jerd.13404
Zhen-Yu Wang, Fei-Yu Hu, Chao-Qiang Wu, Fei Liu, Du Chen, Jun-Fei Shen, Jie-Fei Shen
{"title":"The Influence of Surface Treatment on the Color of Enamel and Dentin: An In Vitro Study Using Machine Learning-Based Analysis.","authors":"Zhen-Yu Wang, Fei-Yu Hu, Chao-Qiang Wu, Fei Liu, Du Chen, Jun-Fei Shen, Jie-Fei Shen","doi":"10.1111/jerd.13404","DOIUrl":"https://doi.org/10.1111/jerd.13404","url":null,"abstract":"<p><strong>Objective: </strong>To investigate how surface treatment affects the color of enamel and dentin, and to evaluate whether the color differences are acceptable.</p><p><strong>Materials and methods: </strong>Freshly extracted premolars were prepared using diamond burs (blue, red, and yellow tapes). Tooth surfaces were divided into control and acid-etched areas and treated with phosphoric acid (5, 15, 30, 45, and 60 s). Adhesives were applied and light-cured. Hyperspectral images were captured to analyze reflectance spectra, calculating L, a, b, and ΔE2000 values under the D65 illuminant. Enamel and dentin slices underwent atomic force microscopy for surface roughness. A random forest model was trained to assess the effects of multiple factors on color differences. Statistical analyses included one-way ANOVA, Tukey tests, and independent-sample t-test.</p><p><strong>Results: </strong>Extended acid-etching times notably increased ΔE2000 values for enamel, surpassing acceptable thresholds in all groups except for the 5-s acid-etching followed by adhesive application. Dentin ΔE2000 remained stable regardless of surface treatment. Machine learning highlighted the influence of acid etching and surface roughness on enamel. Bur tape color had minimal impact.</p><p><strong>Conclusions: </strong>The effects of acid etching on the color vary between enamel and dentin. Greater attention should be focused on enamel surface. Acid-etching time should be appropriately reduced.</p><p><strong>Clinical significance: </strong>Comprehending the varying impacts of surface treatment on the color of enamel and dentin could contribute to achieving superior esthetic outcomes.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931918","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}
引用次数: 0
Association of Gingival Thickness With Incisor Morphological Characteristics and Papilla Height: A Cross-Sectional Study. 牙龈厚度与切牙形态特征和乳头高度的关系:一项横断面研究。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-06 DOI: 10.1111/jerd.13402
G Koukos, E Kyriakou, G A Malamoudi, R J Wierichs, N Pandis, D Kloukos
{"title":"Association of Gingival Thickness With Incisor Morphological Characteristics and Papilla Height: A Cross-Sectional Study.","authors":"G Koukos, E Kyriakou, G A Malamoudi, R J Wierichs, N Pandis, D Kloukos","doi":"10.1111/jerd.13402","DOIUrl":"https://doi.org/10.1111/jerd.13402","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the current study was to examine possible associations between gingival thickness and other parameters, such as crown length and width, papilla height and patient's age and gender.</p><p><strong>Overview: </strong>This cross-sectional study included 238 consecutive white Caucasian consecutive patients in all stages of orthodontic treatment (before, in-course, and after orthodontic treatment). Measurements of gingival thickness were carried out at both central mandibular incisors, mid-facially on the buccal aspect of each tooth, and 2 mm apically to the free gingival margin, with an Ultrasound device. Each patient was scanned with an intraoral 3D scanner before gingival thickness evaluation, where papilla height, and central mandibular and maxillary incisor crown length and width were measured.</p><p><strong>Conclusions: </strong>Significant (positive) association between gingiva thickness and patient's age and gender were found, with thicker gingiva being observed in older individuals and males. However, no significant association were found between gingival thickness and crown length, crown width, or papilla height.</p><p><strong>Clinical significance: </strong>Variations in soft and hard tissue architecture significantly impact the long-term aesthetic outcomes of periodontal therapy, prosthetic and implant restorations, and root coverage treatments. Accurately assessing gingival biotype phenotype during treatment planning is critical to prevent complications, particularly in aesthetically sensitive areas.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931857","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}
引用次数: 0
Color Change and Cytotoxic Effects of a Bleaching Gel With 22% Carbamide Peroxide Catalyzed by Manganese Oxide. 氧化锰催化22%过氧化脲漂白凝胶的颜色变化及细胞毒作用。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2025-01-04 DOI: 10.1111/jerd.13401
Rafael Antonio de Oliveira Ribeiro, Victória Peruchi, Leonardo Novaes Gaeta Sônego, Igor Paulino Mendes Soares, Diana Gabriela Soares, Josimeri Hebling, Carlos Alberto de Souza Costa
{"title":"Color Change and Cytotoxic Effects of a Bleaching Gel With 22% Carbamide Peroxide Catalyzed by Manganese Oxide.","authors":"Rafael Antonio de Oliveira Ribeiro, Victória Peruchi, Leonardo Novaes Gaeta Sônego, Igor Paulino Mendes Soares, Diana Gabriela Soares, Josimeri Hebling, Carlos Alberto de Souza Costa","doi":"10.1111/jerd.13401","DOIUrl":"https://doi.org/10.1111/jerd.13401","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the color change and trans-amelodentinal cytotoxicity of a 22% carbamide peroxide (CP) bleaching gel containing different concentration of manganese oxide (MnO<sub>2</sub>).</p><p><strong>Material and methods: </strong>Enamel/dentin discs adapted to artificial pulp chambers were distributed according to treatments: CN-No treatment; CP22%-22%CP; CP22 + 2MnO<sub>2</sub>-22%CP + 2 mg/mLMnO<sub>2</sub>; CP22% + 6MnO<sub>2</sub>-22%CP + 6 mg/mLMnO<sub>2</sub>; CP22% + 10MnO<sub>2</sub>-22%CP + 10 mg/mLMnO<sub>2</sub> applied for 2 h for 15 days. Color change-CC (ΔE<sub>00</sub> and ΔWI<sub>D</sub>) (n = 8) was determined at 5, 10, and 15-day periods (ANOVA/Sidak). Trans-amelodentinal cytotoxicity (TC) was assessed after applying the extracts to cultured MDPC-23 cells, which were analyzed concerning their viability (Vi) (n = 8) and oxidative stress (OxS) (n = 8). The amount of hydroxyl radical (OH<sup>•</sup>) (n = 4) generated by H<sub>2</sub>O<sub>2</sub> degradation (ANOVA/Sidak), and trans-amelodentinal diffusion of H<sub>2</sub>O<sub>2</sub> (n = 8) (ANOVA/Tukey) were also evaluated.</p><p><strong>Results: </strong>CP22 + 10MnO<sub>2</sub> presented higher CC than CP22 for both evaluated equations in all analysis periods (p ≤ 0.04). Among bleached groups, CP22 + 10MnO<sub>2</sub> presented the highest OH<sup>•</sup> generation (p ≤ 0.02) and the lowest trans-amelodentinal diffusion of H<sub>2</sub>O<sub>2</sub> (p ≤ 0.0004). Therefore, MDPC-23 cells in CP22 + 10MnO<sub>2</sub> exhibited the lowest OxS (p < 0.0001) and consequently the highest Vi (p ≤ 0.0146).</p><p><strong>Conclusion: </strong>Besides increasing the bleaching efficacy, the strategy of adding 10 mg/mL of MnO<sub>2</sub> to a 22%CP bleaching gel also reduces significantly the trans-amelodentinal diffusion of H<sub>2</sub>O<sub>2</sub>, diminishing the cytotoxicity caused by at-home bleaching therapy.</p><p><strong>Clinical significance: </strong>The addition of MnO<sub>2</sub> to a 22% carbamide peroxide bleaching gel improves the color change and reduces the cytotoxicity effects of the product, making at-home bleaching faster and biologically safer.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927324","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}
引用次数: 0
Polymer-Based Toothpastes and Their Ability in Control Tooth Extrinsic Stain. 聚合物基牙膏及其控制牙齿外源性染色的能力。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2024-12-27 DOI: 10.1111/jerd.13389
Raissa Manoel Garcia, Letícia Maria Balbino Rigo, Leonardo Custódio Lima, Leticia Oba Sakae, Vanessa Cavalli, Alessandra Buhler Borges, Taís Scaramucci
{"title":"Polymer-Based Toothpastes and Their Ability in Control Tooth Extrinsic Stain.","authors":"Raissa Manoel Garcia, Letícia Maria Balbino Rigo, Leonardo Custódio Lima, Leticia Oba Sakae, Vanessa Cavalli, Alessandra Buhler Borges, Taís Scaramucci","doi":"10.1111/jerd.13389","DOIUrl":"https://doi.org/10.1111/jerd.13389","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesize experimental toothpastes (ETs) containing four different polymers (sodium linear polyphosphate [LPP]; chitosan [CHI]; sodium hexametaphosphate [HMP]; and sodium pyrophosphate [PP]) and test their ability in preventing and removing tooth extrinsic stain.</p><p><strong>Methods: </strong>The tooth specimens were randomly assigned into six groups (n = 10): control (artificial saliva), regular toothpaste (RT-no whitening claim), ET 5% LPP, ET 0.5% CHI, ET 5% HMP, and ET 5% PP. Each cycle consisted of chlorhexidine (2 min), staining broth (30 min), artificial saliva (30 min), brushing (45 strokes), and artificial saliva (30 min). Color parameters (L*, a*, and b*) were assessed at baseline and after 21 cycles. ΔE<sub>ab</sub>, ΔE<sub>00</sub>, ΔWI<sub>D</sub>, ΔL, Δa, and Δb were analyzed through ANOVA and Tukey test, at a 5% significance level.</p><p><strong>Results: </strong>ET 5% PP showed lower ΔE<sub>ab</sub> and ΔE<sub>00</sub> than the control and RT (p < 0.01). For ΔWI<sub>D</sub>, PP showed a higher value. For ΔL (p = 0.265) and Δb (p = 0.119), there were no significant differences among the groups. For Δa (p = 0.01), ET 5% PP showed a difference with the control.</p><p><strong>Conclusions: </strong>The ETs showed a similar effect in preventing and removing tooth extrinsic stains. However, the sodium pyrophosphate-containing toothpaste was the only one with a superior effect in comparison with RT or brushing without toothpaste.</p><p><strong>Clinical significance: </strong>The use of toothpastes for managing tooth extrinsic stains is a common approach in dentistry. In addition to the abrasives, their effect can be further enhanced by the presence of some polymers. Toothpastes containing sodium pyrophosphate demonstrated a superior ability to control tooth extrinsic stains.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894898","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}
引用次数: 0
Different Esthetic Assessment of Anterior Restorations by Patient and Expert: A Prospective Clinical Study. 患者和专家对前牙修复体的不同审美评价:一项前瞻性临床研究。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2024-12-26 DOI: 10.1111/jerd.13398
Jonas Lorenz, Carolin Wilhelm, Julia Urich, Paul Weigl, Robert Sader
{"title":"Different Esthetic Assessment of Anterior Restorations by Patient and Expert: A Prospective Clinical Study.","authors":"Jonas Lorenz, Carolin Wilhelm, Julia Urich, Paul Weigl, Robert Sader","doi":"10.1111/jerd.13398","DOIUrl":"https://doi.org/10.1111/jerd.13398","url":null,"abstract":"<p><strong>Background: </strong>Esthetically pleasing, bright teeth and a symmetrical dental arch are of great importance. There are only a few scientific studies that compare the evaluation of anterior restorations by experts and patients. Additionally, there are hardly any studies that deal with the weighting of esthetic parameters.</p><p><strong>Objective: </strong>The current study was performed to test the hypothesis that patients and experts evaluate anterior restorations differently and place their emphasis differently. Therefore, aim of this prospective study was to compare the evaluation of the red and white esthetics of anterior restorations by patients and an expert and to find out which parameters play an important role in the evaluation of the esthetic appearance of anterior restorations.</p><p><strong>Material and methods: </strong>Anterior restorations of 21 patients were analyzed. All patients evaluated their own restorations using a questionnaire of ten defined parameters (pink esthetic score, PES and the white esthetic score, WES). Additionally, the questionnaire was used to determine how important the individual parameters are for them in relation to the assessment of the esthetic result. An expert also gave her assessment and weighting for all 21 patients.</p><p><strong>Results: </strong>The statistical analysis of the questionnaires shows that the expert assigned lower values, particularly in the evaluation of the PES. The expert weighted individual parameters of the PES to be more important than the patients. The type of abutment of the restoration (tooth or implant) had no influence on the evaluation of the restorations.</p><p><strong>Discussion/conclusion: </strong>The study shows that patients and experts have different assessments of the esthetics and the weighting of the various parameters. Nevertheless, patients are sensitive to esthetic deviations and patient preferences should be taken into account in anterior restorations.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893721","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}
引用次数: 0
The Perception of Unilateral Recessions in the Maxillary Esthetic Zone: A Survey Among Dentists and Non-Professionals. 上颌审美区单侧衰退知觉:一项牙医和非专业人员的调查。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2024-12-25 DOI: 10.1111/jerd.13392
Nikolaus Fürhauser, Rebecca Rosen, Lukas Fürhauser, Rudolf Fürhauser
{"title":"The Perception of Unilateral Recessions in the Maxillary Esthetic Zone: A Survey Among Dentists and Non-Professionals.","authors":"Nikolaus Fürhauser, Rebecca Rosen, Lukas Fürhauser, Rudolf Fürhauser","doi":"10.1111/jerd.13392","DOIUrl":"https://doi.org/10.1111/jerd.13392","url":null,"abstract":"<p><strong>Statement of problem: </strong>Esthetic dental features, especially the maxillary anterior teeth, significantly influence perceived attractiveness. Gingival recessions can negatively affect smile esthetics, particularly when asymmetrical.</p><p><strong>Purpose: </strong>This study aimed to investigate the perception of dentists and non-professionals regarding subtle variations in the apically displaced soft tissue surrounding a lateral or central incisor.</p><p><strong>Materials and methods: </strong>Based on an ideal image of the esthetic zone, asymmetrical modifications of either a central or lateral incisor in the maxillary anterior were created and used in a digital survey asking participants to assess the overall appearance of the smile, using a visual analog scale (VAS). The dental expertise, age, and gender of the participants were recorded. For each image, the question was posed to identify if any of the teeth caused a visible irritation. The mean results of each tooth alteration and the correlation between dental expertise were statistically analyzed.</p><p><strong>Results: </strong>A total of 114 participants were polled. There was a significant difference in the esthetic perception between the central and lateral incisors (p < 0.001). The perception threshold for a noticeable asymmetrical recession was 1.2 mm for the central and 2.0 mm for the lateral incisor. Gender and age showed no significant difference in the esthetic evaluation, and dental expertise was only significantly different for larger recessions (p < 0.05).</p><p><strong>Conclusion: </strong>The asymmetric changes were more noticeable for the central incisor than the lateral incisor. A unilateral recession change of 0.8 mm did not appear to influence the assessment of the overall smile. The dental expertise, age, or gender of the participants did not significantly correlate with a stricter esthetic perception.</p><p><strong>Clinical implications: </strong>The present study highlights that the perception of unilateral recession changes in the anterior maxilla varies between central and lateral incisors, with lateral incisor recessions being less impactful on the overall appearance of the smile. These findings suggest that small gingival changes can be acceptable for the overall esthetic outcome, underscoring the importance of discussing patient expectations and treatment options before restoration or orthodontic treatment and prioritizing the gingival margin of the central incisor which appeared more noticeable.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894918","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}
引用次数: 0
DMFT-Related Dental Plaque Scoring by Using Different Imaging Systems. 使用不同成像系统进行dmft相关牙菌斑评分。
IF 3.2 3区 医学
Journal of Esthetic and Restorative Dentistry Pub Date : 2024-12-25 DOI: 10.1111/jerd.13400
Simge Meşeli, Bora Korkut, Dilek Tağtekin
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