Journal of Esthetic and Restorative Dentistry最新文献

{"title":"Evaluation of Enamel Surface Properties Submitted to Bleaching With 35% Hydrogen Peroxide Associated With Titanium Tetrafluoride (TiF4).","authors":"Caique Gosser Nascimento,Reginna Vyctória da Trindade Souza de Melo Carneiro,Matheus Kury,Juliana Pucci de Moraes,Rodrigo Barros Esteves Lins,Vanessa Cavalli","doi":"10.1111/jerd.13308","DOIUrl":"https://doi.org/10.1111/jerd.13308","url":null,"abstract":"OBJECTIVEThis study evaluated the color change, surface roughness, mineral content and morphology of enamel bleached with 35% hydrogen peroxide (HP) combined with an experimental gel containing 1% titanium tetrafluoride (TiF4).MATERIALS AND METHODSBovine enamel blocks were treated with (n = 12): (TiF) experimental gel containing 1% TiF4, (HP) 35% HP, (HPT) 35% HP + 1% TiF4 and (CT) control. Bleaching with HP was performed in 3 sessions (3 × 15 min/applications). pH, colorimetric parameters, surface roughness, mineral content and enamel morphology were determined. The pH was evaluated for 45 min. The color parameters were determined before bleaching (T0), and 14 days elapsed from the last bleaching session (T4). Surface roughness was analyzed at T0 and immediately after last bleaching session (T3). Enamel mineral content and morphology were verified at T4. Data were statistically analyzed by one-way, two-way ANOVA and Kruskal-Wallis (α = 0.05).RESULTSTiF increased surface roughness, and no differences between HP and HPT in terms of color and CO 3 2 - $$ {mathrm{CO}}_3^{2-} $$ - PO 4 3 - $$ {mathrm{PO}}_4^{3-} $$ mineral content. Ti was detected only on TiF, and slight surface morphology changes were observed in bleached enamel.CONCLUSIONSThe combination of TiF4 and 35% HP did not interfere with the enamel bleaching effect, controlled surface roughness, and kept mineral content but promoted a minor surface morphology alteration.CLINICAL SIGNIFICANCEDue to the adverse effects of bleaching, titanium tetrafluoride (TiF4) has gained attention for its therapeutic properties, including the ability to reverse mineral loss and neutralize remineralization of mineral structures. Therefore, TiF4's remineralizing capacity may be a good alternative for incorporation into hydrogen peroxide bleaching agents.","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263164","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":"Enhancing the Opacity of Glass Ceramics by Applying Opaque Stains to the Intaglio Surface.","authors":"Rafaela Oliveira Pilecco,Marlon Roberto Konzen,Felipe Somavilla Binotto,Gabriel Kalil Rocha Pereira,Atais Bacchi","doi":"10.1111/jerd.13316","DOIUrl":"https://doi.org/10.1111/jerd.13316","url":null,"abstract":"OBJECTIVEThe aim of this study was to assess the effect of opaque stain application to the intaglio surface of lithium disilicate glass ceramics on the masking ability of discolored substrates and bond strength to a resin-based luting agent (depending on etching time); the stain film-thickness was also assessed.MATERIALS AND METHODSCeramic specimens were produced with CAD-CAM blocks of lithium disilicate (IPS e.max CAD). Two opaque stains were tested at ceramic intaglio surface: opaque glassy stain for titanium frameworks (OP-ti) and low-fusion glassy stain for ceramic characterization (LFG-iv). Non-stained ceramic specimens served as controls. For optical and colorimetric analyses, A2-shaded ceramics of medium and low-translucencies were tested, in thicknesses of 1.0- and 1.5-mm (n = 10), with two coupling agents (non-shaded-glycerin and A2-shaded try-in paste). CIEDE2000 formula was used for calculation of translucency parameter (TP00) and color differences (ΔE00). Whiteness index for dentistry (WID) was also reported. ΔE00 were assessed over discolored substrates (tooth-shaded A2-reference, A4, C3, and C4; coppery metal, silvery metal, white zirconia, and PEEK). Microshear bond strength of stained and non-stained ceramic specimens to a resin-based luting agent was evaluated. Film-thickness of stains was assessed by scanning electron microscopy.RESULTSThe application of opaque stains to the intaglio surface of lithium disilicate ceramics resulted in significant reduction of TP00 (p < 0.001) and WID (p < 0.001) and differences in L*, C*, and ho color coordinates (especially with OP-ti) (p < 0.001). ΔE00 was significantly reduced in stained ceramic groups in comparison with the control, for all discolored substrates (p < 0.001). Acceptable color matching was obtained with stained ceramic specimens for all discolored substrates, depending on the type of stain, ceramic thickness, ceramic translucency, and coupling agent. The application of stains to the ceramic intaglio surface was not detrimental to bond strength to a resin-based luting agent, but depended on the time of hydrofluoric acid-etching (20 s for OP-ti and 60 s for LFG-iv) (p < 0.001). Film-thickness of stains presented mean values <70 μm.CONCLUSIONThe application of opaque stains to the intaglio surface of lithium disilicate glass ceramics was effective to mask severely discolored substrates, presenting adequate bond strength to the luting agent and thin film-thicknesses.CLINICAL SIGNIFICANCEFor indirect restorations over severely discolored substrates, the application of opaque stain to the intaglio surface of lithium disilicate glass ceramic ensures acceptable color matching, with adequate bond strength to resin-based luting agents and clinically acceptable stain film-thickness.","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263165","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":"In‐Office Dental Bleaching Using 37% Carbamide Peroxide Versus 35% Hydrogen Peroxide: A Randomized, Double‐Blind Clinical Trial","authors":"Karine Letícia da Silva, Cleysson Crovador, Rodrigo Stanislawczuk, Abraham Lincoln Calixto, Alessandra Reis, Alessandro D. Loguercio","doi":"10.1111/jerd.13315","DOIUrl":"https://doi.org/10.1111/jerd.13315","url":null,"abstract":"ObjectiveCompare the tooth sensitivity (TS) and bleaching efficacy (BE) of in‐office dental bleaching performed with 35% hydrogen peroxide (HP) or 37% carbamide peroxide (CP).Materials and MethodsSixty‐six participants were randomly divided into two groups according to the bleaching gel applied to the right hemiarch: 35% HP, or 37% CP. TS was recorded immediately after, up to 1, 24, and 48 h after bleaching, using the VAS and NRS scales. BE was assessed before bleaching and 1 month after using color guide units (ΔSGUs) and a spectrophotometer (Δ<jats:italic>E</jats:italic><jats:sub><jats:italic>ab</jats:italic></jats:sub>, Δ<jats:italic>E</jats:italic><jats:sub>00</jats:sub>, and ΔWI<jats:sub><jats:italic>D</jats:italic></jats:sub>). TS was assessed using McNemar's and paired <jats:italic>t</jats:italic>‐test (VAS) or Wilcoxon signed rank (NRS). The paired <jats:italic>t</jats:italic>‐test was used to analyze BE (<jats:italic>α</jats:italic> = 0.05).ResultsTS risk and intensity were lower for the 37% CP (<jats:italic>p</jats:italic> = 0.003 and <jats:italic>p</jats:italic> &lt; 0.005). Despite significant differences between the groups after 1 month (ΔSGU and Δ<jats:italic>E</jats:italic><jats:sub>00</jats:sub>; <jats:italic>p</jats:italic> &lt; 0.05), the color measurements of both groups exceeded the 50%:50% perceptibility/acceptability threshold.ConclusionIn‐office dental bleaching using 37% CP resulted in reduced risk and TS intensity, without prejudice to the BE.Clinical RelevanceThe use of 37% CP for in‐office dental bleaching could decrease TS risk and intensity without affecting BE.Trial Registration: ClinicalTrials.gov identifier: RBR‐683qhf","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263168","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":"Cover Image, volume 36, Issue 10","authors":"","doi":"10.1111/jerd.13323","DOIUrl":"https://doi.org/10.1111/jerd.13323","url":null,"abstract":"<p>The cover image is based on the article <i>Three dimensionally printed template with an interproximal isolation design guide consecutive closure of multiple diastema with injectable resin composite</i> by Yusen Shui et al., https://doi.org/10.1111/jerd.13268.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jerd.13323","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142244548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double Monolithic Protocol: The Solution to Fluorescence Limitations","authors":"Jacobo Somoza-Román,&nbsp;Javier Tapia Guadix,&nbsp;Esther Muñoz-Soto,&nbsp;Gabriela Almeida,&nbsp;Rui I. Falacho","doi":"10.1111/jerd.13313","DOIUrl":"10.1111/jerd.13313","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The present paper aims to demonstrate the incorporation of the double monolithic protocol (DMP) into a chairside digital workflow to reproduce the fluorescence properties of natural teeth with chairside monolithic restorations when exposed to different light sources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Considerations</h3>\u0000 \u0000 <p>A female patient reporting dissatisfaction with her upper anterior teeth was rehabilitated using seven veneers and a three-element bridge. The DMP was applied to the bridge, which consisted of a primary lithium disilicate framework to which leucite-reinforced glass ceramic veneers were cemented. The fluorescence of the different substrates and ceramic restorations was evaluated throughout the rehabilitation process, under 365 and 405 nm light.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The DMP allows chairside procedures to be optimized by achieving predictable, mechanically resistant, and esthetic restorations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Significance</h3>\u0000 \u0000 <p>The DMP is a new chairside solution for developing ceramic restorations with optimal esthetics and combined mechanical properties, eliminating the need for sintering or glazing procedures.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jerd.13313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Color Comparison Between Intraoral Scanner and Spectrophotometer Shade Matching: A Systematic Review and Meta-Analysis.","authors":"Viktória Vitai, Anna Németh, Brigitta Teutsch, Kata Kelemen, Alíz Fazekas, Péter Hegyi, Orsolya Németh, Beáta Kerémi, Judit Borbély","doi":"10.1111/jerd.13309","DOIUrl":"https://doi.org/10.1111/jerd.13309","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis compared the accuracy of intraoral scanners and spectrophotometers in determining tooth shade.</p><p><strong>Materials and methods: </strong>An electronic search of five databases (PubMed, Scopus, Embase, Web of Science, CENTRAL) was conducted on October 19, 2023. A total of 163 studies were identified from the databases, of which 23 articles were eligible for inclusion. In vivo and in vitro quasi-experimental studies were included. After data extraction, a quantitative analysis was performed to determine the accuracy of the intraoral scanner in subgroups using four outcomes: trueness and precision with different measurement locations. A random-effects model was used to pool effect sizes. The pooled proportion with a 95% confidence interval (CI) was used for the effect size measure.</p><p><strong>Results: </strong>Eleven articles were included in the meta-analysis. Trueness with the intraoral scanner was between 0.28 (CI: 0.09-0.60) and 0.38 (CI: 0.24-0.53). Repeatability was between 0.81 (CI: 0.64-0.91) and 0.85 (CI: 0.74-0.92). Trueness showed low, and precision had moderate certainty of evidence.</p><p><strong>Conclusion: </strong>The trueness of shade matching with intraoral scanners is low compared to spectrophotometers, although the precision is considered high and is similar to spectrophotometers.</p><p><strong>Clinical significance: </strong>Shade determination with intraoral scanners is not recommended.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154320","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":"Modified Surgical Guide for Root Sectioning in the Socket Shield Technique-In Vitro Study.","authors":"João Manoel de Mello Vasconcellos, Daniel Valvassori Pereira, Gisele Lie Fukuoka, Eduardo Mukai, Newton Sesma","doi":"10.1111/jerd.13307","DOIUrl":"https://doi.org/10.1111/jerd.13307","url":null,"abstract":"<p><strong>Objective: </strong>This in vitro study aimed to evaluate the effectiveness of a printed surgical guide for root sectioning in the socket-shield technique.</p><p><strong>Materials and methods: </strong>A typodont model of the maxilla with augmented filler was used for the upper right central incisor, and CBCT images were obtained. Two types of vertical root sectioning guides were tested: one with a buccal sleeve (Group A, n = 10) and another with a buccal orientation slit (Group B, n = 10). Control group (n = 10) performed freehand cuts on printed models. After crown cutting with diamond burs, root sectioning was conducted using an ultrasonic tip with the guides. Mean and standard deviation were calculated for the remaining root length, width, and volume. Data were analyzed using the Kruskal-Wallis test and Dunn's post hoc test.</p><p><strong>Results: </strong>Statistical analysis showed significant differences in root width between the control group (2.0 mm) and both Groups A (2.655 mm; p < 0.0001) and B (2.460 mm; p < 0.0001). Group B (5.585 mm) also showed a significant difference in root remnant compared with the control (13.880 mm; p < 0.0043). Groups A and B did not differ significantly from each other.</p><p><strong>Conclusions: </strong>The socket shield technique is safe and effective, this study aimed to add improvements through the introduction of surgical guides, facilitating the root section, which is the critical phase so that the parameters that are requisite for success are achieved in terms of width, length, and volume of the root remnant. Both guided techniques effectively facilitated root sectioning, maintaining satisfactory root thickness and length.</p><p><strong>Clinical significance: </strong>Sectioning the root is challenging for the correct angulation to remove the palatal portion in the socket shield technique. Therefore, modifying this technique with the use of the presented guides, it is possible to prevent damage to the soft tissues and to plan the surgery with the help of cone beam computed tomography (CBCT) scans to remove the root apex and maintain the root remnant with a thickness greater than 1.5 mm, making the socket-shield technique more predictable.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125946","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 Staining, Glazing and Polishing on the Survival Probability of Monolithic Zirconia Crowns.","authors":"Lívia Fiorin, Stephanie Francoi Poole, Paulo Eduardo Barros Souza Oliveira, Adriana Claudia Lapria Faria, Ricardo Faria Ribeiro, Renata Cristina Silveira Rodrigues","doi":"10.1111/jerd.13310","DOIUrl":"https://doi.org/10.1111/jerd.13310","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this in vitro study was to evaluate the effect of staining, glazing, and polishing on the survival probability of monolithic crowns manufactured with preshaded stabilized zirconia with 5 mol% of yttrium oxide (5Y-TZP).</p><p><strong>Materials and methods: </strong>Monolithic crowns in the shape of an upper canine (1.5 mm of thickness) were manufactured by CAD/CAM, adhesively cemented on metallic foundation, and divided into 6 groups (n = 21): C (control), S (staining), G (glazing), P (polishing), SG (staining and glazing), and SP (staining and polishing). The survival probability was determined by step-stress accelerated life testing with a load applied to the palatine concavity of the crown. First, the specimens were subjected to a single-load to fracture test (SLF) and next to the fatigue test (5 Hz, thermocycling immersed in water varying 5-55°C), including the light (n = 9), moderate (n = 6), and aggressive (n = 3) loading profiles (load ranged between 20% and 60% of SLF). The survival probability was calculated considering the cycles for failure (CFF) and fatigue failure load (FFL) and illustrated using a Kaplan-Meier graph. The comparison among groups was performed using a Log-Rank test (α = 0.05).</p><p><strong>Results: </strong>The mean value of SLF was 586.7 N. There was no difference among groups in survival probability, considering CFF and FFL.</p><p><strong>Conclusion: </strong>Staining, glazing, and polishing can be performed safely without damaging the mechanical behavior of 5Y-TZP monolithic crowns.</p><p><strong>Clinical significance: </strong>Staining is used to characterize and improve the esthetic of zirconia monolithic crowns. It can be used to reproduce the color gradient in the cervical region of the crown and pigmented grooves. This study showed that staining, glazing, and polishing did not affect the survival probability and the use of finishing procedures (glazing or polishing) after staining did not improve the survival probability of zirconia monolithic crowns.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125945","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":"Comparison of the Accuracy and Reliability of Instrumental Shade Selection Devices and Visual Shade Selection: An in Vitro Study.","authors":"N Kutkut, M Jordi, A Almalki, J Conejo, E Anadioti, M Blatz","doi":"10.1111/jerd.13311","DOIUrl":"https://doi.org/10.1111/jerd.13311","url":null,"abstract":"<p><strong>Objective: </strong>New shade-matching devices are available for clinical use, but their accuracy and reliability have not been investigated. This in vitro study compared the accuracy and reliability of a shade-matching colorimeter (Optishade), a spectrophotometer (VITA Easyshade V), and visual shade matching in simulated clinical conditions.</p><p><strong>Material and methods: </strong>Shade matching was conducted with two digital devices; (Optishade and Vita Easyshade) and the visual shade selection method, with a new 16-tab Vita Classical shade guide. Shade tabs were placed within a gingival matrix and measurements were taken from the central area of each shade tab enclosed in a black box to simulate the oral cavity. Visual assessments were conducted independently by two examiners. For the reliability assessment, each shade tab was measured 20 times by each examiner. Accuracy was calculated as a percentage of the matching readings with the actual shade per each tab. Data were analyzed with the one-way ANOVA test (α = 0.05) and Pairwise Comparison (Bonferroni Post hoc Test) to assess accuracy. The reliability evaluation was conducted by comparison between both examiners using mean and standard deviation; by a two-tailed t-test for the independent samples for all the three groups included in the study.</p><p><strong>Result: </strong>The shade matching accuracy of Optishade was 97.50%, Vita Easyshade 89.38%, and visual method 62.19%. Statistically, high significant difference in accuracy (p < 0.001) was found when comparing both Optishade and VITA Easyshade with the visual method. Additionally, there was statistically significant difference in accuracy (p < 0.05) when Optishade was compared to Vita Easyshade. The reliability of the Optishade was 99.6% and Vita Easy shade was 99.38%. Statistically, showed no statistically significant difference in the reliability of shade match obtained within the same group when comparing the readings of Examiner 1 and Examiner 2 (p > 0.05).</p><p><strong>Conclusion: </strong>The colorimeter demonstrated the highest accuracy, followed by the spectrophotometer, and the visual shade selection method. Both digital methods investigated in this study showed comparable reliability.</p><p><strong>Clinical implication: </strong>The results of this study emphasize the clinical advantage of digital shade-matching devices over visual shade-matching. The colorimeter offers high accuracy for shade matching and should be considered to use for shade matching especially with restorations in the esthetic zone.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120026","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":"The Bio-Restorative Concept for Implant-Supported Restorations","authors":"Ignacio Pedrinaci,&nbsp;Adam Hamilton,&nbsp;Alejandro Lanis,&nbsp;Mariano Sanz,&nbsp;German O. Gallucci","doi":"10.1111/jerd.13306","DOIUrl":"10.1111/jerd.13306","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to present the bio-restorative approach in implant dentistry, which combines biological and restorative concepts through digital planning. This concept combines periodontal, surgical, and prosthetic variables, aiming to reduce patient morbidity while achieving satisfactory esthetic and functional outcomes in implant-supported restorations in the long term.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Overview</h3>\u0000 \u0000 <p>Implant dentistry evolved from a primarily surgical to a recent prosthetically driven approach. This evolution was partly due to advancements in bone reconstructive techniques and an increased demand for esthetic outcomes. Recently, digital planning has introduced a new paradigm that allows for the full integration of both approaches. The bio-restorative concept considers functional, esthetic, and biological variables in a virtual planning environment. This is achieved through the simultaneous digital assessment of (A) anatomical site characteristics and (B) implant restorative variables. These variables include digital tooth arrangement, soft–hard tissue conditions, implant variables, supra-platform components, and a surgical plan that respects or modifies peri-implant phenotype.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The bio-restorative concept is intended to improve contemporary implant dentistry by integrating updated biological and prosthetic notions through digital planning. Adopting this paradigm has the potential to redefine the standards in implant dentistry, fostering a holistic and patient-centered approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Considerations</h3>\u0000 \u0000 <p>It enhances patient and clinician satisfaction through more efficient and less invasive procedures. Significantly, it improves predictability, leading to successful implant-supported restorations in the long term.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jerd.13306","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}