Journal of Esthetic and Restorative Dentistry最新文献

{"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 (MnO₂).</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 + 2MnO₂-22%CP + 2 mg/mLMnO₂; CP22% + 6MnO₂-22%CP + 6 mg/mLMnO₂; CP22% + 10MnO₂-22%CP + 10 mg/mLMnO₂ applied for 2 h for 15 days. Color change-CC (ΔE₀₀ and ΔWI_D) (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^•) (n = 4) generated by H₂O₂ degradation (ANOVA/Sidak), and trans-amelodentinal diffusion of H₂O₂ (n = 8) (ANOVA/Tukey) were also evaluated.</p><p><strong>Results: </strong>CP22 + 10MnO₂ presented higher CC than CP22 for both evaluated equations in all analysis periods (p ≤ 0.04). Among bleached groups, CP22 + 10MnO₂ presented the highest OH^• generation (p ≤ 0.02) and the lowest trans-amelodentinal diffusion of H₂O₂ (p ≤ 0.0004). Therefore, MDPC-23 cells in CP22 + 10MnO₂ 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 MnO₂ to a 22%CP bleaching gel also reduces significantly the trans-amelodentinal diffusion of H₂O₂, diminishing the cytotoxicity caused by at-home bleaching therapy.</p><p><strong>Clinical significance: </strong>The addition of MnO₂ 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}

{"title":"Shade Modulation Ability of Direct vs. Direct–Indirect Prepless Composite Veneers","authors":"Yazeed Altamimi,&nbsp;Newton Fahl Jr,&nbsp;Mateus G. Rocha,&nbsp;Dayane Oliveira,&nbsp;Gisele F. Neiva,&nbsp;Rodrigo R. Maia","doi":"10.1111/jerd.13390","DOIUrl":"https://doi.org/10.1111/jerd.13390","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Assess the shade modulation ability of direct–indirect prepless composite veneer using distinct composite resins and cement shades by instrumental and visual assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A total of 270 samples of direct and direct–indirect composite veneers were fabricated using three composite resins (3M Filtek Supreme Ultra A1B, Tokuyama Omnichroma, Transcend Universal) over a 3D designed mold in 10 × 10 mm cuboid shape with three depth cuts on the surface (0.3, 0.5, and 0.7 mm) to stimulate the veneer preparation and bonded using Ivoclar Variolink Esthetic LC neutral and light cement shades over a standard C4 shade substrate. Measurements were gathered through instrumental assessment by spectrophotometry and through visual assessment by four dental professionals. Color differences (Δ<i>E</i>\u0000 ₀₀) were calculated according to the CIEDE2000 formula. Statistical analysis was conducted using three-way ANOVA followed by the Tukey test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Δ<i>E</i> values were influenced by the technique (<i>p</i> &lt; 0.001), thickness (<i>p</i> &lt; 0.001), and type of composite resin (<i>p</i> &lt; 0.001). Cement shades were not statistically significant in the final shade of the direct–indirect technique (<i>p</i> = 0.168). There was no mismatch in the visual assessment between the direct–indirect samples compared to the direct samples.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is a difference in the final shade between the direct and direct–indirect techniques in the instrumental but not in the visual evaluation. The two cement shades used did not influence the final shade of the composite veneers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":"37 1","pages":"48-55"},"PeriodicalIF":3.2,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jerd.13390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639212","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":"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_ab, ΔE₀₀, ΔWI_D, 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_ab and ΔE₀₀ than the control and RT (p < 0.01). For ΔWI_D, 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}

{"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}

{"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}

{"title":"DMFT-Related Dental Plaque Scoring by Using Different Imaging Systems.","authors":"Simge Meşeli, Bora Korkut, Dilek Tağtekin","doi":"10.1111/jerd.13400","DOIUrl":"https://doi.org/10.1111/jerd.13400","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare dental plaque scores measured using clinical examination and different imaging methods.</p><p><strong>Materials and methods: </strong>Twenty-eight volunteers were included in the study and divided into two groups according to DMFT (D: Decayed, M: Missing, F: Filling, T: Teeth) scores (under 3 and over 10). Dental plaque on anterior labial surfaces' was scored using clinical visual examination with/without staining and different imaging systems (Digital photography, intraoral digital scanning, FluoreCam). Turesky Modified Quigley Hein Plaque Index was used for dental plaque scoring. The comparison between clinical examination and imaging dental plaque scores was analyzed using Linear Models and Bonferroni Correction (p < 0.050).</p><p><strong>Results: </strong>In low DMFT group, the scores in clinical examination scores with staining were similar to the scores obtained with digital camera (p = 1.000) and intraoral digital scanning plaque scores (p = 0.997). The lowest plaque score was obtained in clinical visual examination without staining (p < 0.05) while the highest score was recorded by FluoreCam in low DMFT group (p < 0.05). In both groups, the FluoreCam scores were quantitatively higher among all imaging methods.</p><p><strong>Conclusions: </strong>Plaque staining in low DMFT group may increase the efficiency of all imaging methods. Plaque staining-guided digital imaging can be used as an alternative method to visual evaluation methods for monitoring dental plaque clinically.</p><p><strong>Clinical significance: </strong>Dental plaque diagnosis is important in preventing caries and periodontal diseases. This study investigates the comparison of various imaging systems with clinical visual examination plaque scoring in patients with different oral hygiene status. The use of intraoral scanners might be a new option for the evaluation of oral hygiene levels and used as an alternative technique to clinical visual examinations in dental practice.</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":"142885799","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":"Two-Year Clinical Evaluation of Enamel Wear Antagonistic to Polished and Glazed Monolithic Zirconia Endocrowns.","authors":"Hayam Badawy, Shaimaa Abo El-Farag, Ahmed Attia","doi":"10.1111/jerd.13388","DOIUrl":"https://doi.org/10.1111/jerd.13388","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effect of chairside adjustment and polishing on the clinical performance of zirconia endocrowns and digitally calculate the opposing enamel wear.</p><p><strong>Materials and methods: </strong>A total of 20 participants received zirconia endocrowns on their endodontically treated lower first molars. All endocrowns were fabricated using CAD/CAM technology. According to the occlusal adjustments needed for the restorations, patients were divided into two groups: Group ZG with 10 glazed monolithic zirconia endocrowns and Group ZP with 10 adjusted and polished zirconia endocrowns. Bonded endocrowns were evaluated clinically and radiographically for 24 months following modified FDI criteria. Wear of the antagonistic enamel was calculated at 6, 12, 18, and 24 months using an intraoral scanner and Geomagic software.</p><p><strong>Results: </strong>The overall survival rate of the 20 endocrowns was 100%, according to the Kaplan-Meier survival method. None of the endocrowns were replaced during the follow-up. After 2 years, polished zirconia caused enamel wear (0.422 ± 0.130 mm³), while glazed zirconia caused enamel wear (0.491 ± 0.105 mm³), with no statistically significant difference (p = 0.108).</p><p><strong>Conclusion: </strong>Both glazed and polished monolithic zirconia endocrowns showed comparable enamel wear after a 2-year clinical follow-up, with no significant difference.</p><p><strong>Clinical significance: </strong>Glazing or intra-oral polishing could be applied to monolithic zirconia endocrowns with minimal antagonist enamel wear.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877356","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":"Edge Chipping Resistance and Flexural Strength of CAD-CAM Ceramics Before and After Thermomechanical Aging.","authors":"Min-Gyu Song, Kyung-Ho Ko, Yoon-Hyuk Huh, Chan-Jin Park, Lee-Ra Cho","doi":"10.1111/jerd.13391","DOIUrl":"https://doi.org/10.1111/jerd.13391","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the complementary mechanical properties of dental ceramics using edge chipping resistance (Rea) and flexural strength before and after thermomechanical aging.</p><p><strong>Material and methods: </strong>Computer-aided design and computer-aided manufacturing of ceramic materials, including zirconia (ZR), lithium disilicate (LS2), and resin nanoceramics (RNC), were evaluated. Specimens for flexural strength testing were fabricated with dimensions of 3 × 4 × 25 mm, with 30 specimens per group. For the edge chipping test (ECT), specimens were fabricated with dimensions of 3 × 4 × 12 mm, with 48 specimens per group. Half of the specimens for both tests were subjected to thermomechanical aging for 200,000 cycles at 50 N. A Weibull analysis was performed to determine flexural strength. Fractographic analysis was performed before and after thermomechanical aging during the ECT. X-ray diffractometry (XRD) was performed on the ZR specimens before and after thermomechanical aging. Flexural strength was analyzed using a two-way repeated analysis of variance (ANOVA) with a t-test, and Rea was analyzed using Pearson correlation and a two-way repeated ANOVA.</p><p><strong>Results: </strong>The flexural strength and Rea differed according to the material (p = 0.001), whereas they were similar before and after thermomechanical aging (p > 0.05). The Weibull modulus of the flexural strength decreased after thermomechanical aging. In the fractographic analysis of the ECT, more than two fracture origins were identified after thermomechanical aging. The XRD analysis of ZR showed an increased monoclinic phase after thermomechanical aging.</p><p><strong>Conclusion: </strong>All the materials met the ISO 6872 standards for bending test. However, LS2 and RNC show low edge chipping resistance within the range of the occlusal force. The thermomechanical aging did not significantly alter the mechanical properties of the materials. However, the Weibull coefficients of the flexural strength decreased, and an additional origin of fracture appeared after thermomechanical aging.</p><p><strong>Significance: </strong>Flexural strength and Rea differed depending on the material used. The probability of the material fracture increased after thermomechanical aging. To understand ceramic fractures, two mechanical tests and thermomechanical aging must be performed together.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877348","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":"Esthetic and Functional Rehabilitation: Retreatment of Anterior Fixed Dental Prothesis With Biologically Oriented Preparation Technique and Digital Workflow.","authors":"Belén Morón-Conejo, Alfonso Gil, Mónica Bonfanti-Gris, Maria Paz Salido, Francisco Martínez-Rus","doi":"10.1111/jerd.13393","DOIUrl":"https://doi.org/10.1111/jerd.13393","url":null,"abstract":"<p><strong>Objective: </strong>This clinical case describes a multidisciplinary retreatment of a patient with anterior fixed dental prostheses (FDPs) using minimally invasive restorations and a biologically oriented preparation technique (BOPT).</p><p><strong>Clinical considerations: </strong>A 56-year-old female patient, treated 30 years ago with a metal-ceramic FDP due to dental agenesis, presented a misfit prosthesis at the gingival margin, black spaces, and food retention at the pontics. Notably, tooth number 2.6 was absent, and she exhibited a left crossbite. Her chief complaint was the compromised esthetics of her restorations. Given her coagulation disorder, von Willebrand disease, she declined mucogingival surgery. A diagnostic wax-up and mock-up was performed to establish treatment goals. The initial phase involved periodontal, orthodontic, and implant treatment. The orthodontic treatment with aligners to correct the crossbite. Subsequently, bleaching and a second mock-up were conducted to guide prosthetic treatment. In the prosthodontic treatment, the abutment teeth were prepared using a vertical BOPT to remodel the gingival tissues, achieving the esthetic goal of repositioning the gingival margin without surgery. The provisional phase was critical for soft tissue remodeling and ensured clinical success. After stabilization of the soft tissues, a monolithic zirconia FDP was delivered, with a follow-up of 2 years.</p><p><strong>Conclusions: </strong>A multidisciplinary treatment plan, utilizing a digital workflow, resulted in stable clinical and esthetic outcomes at the two-year follow-up, effectively retreating an anterior bridge using BOPT in a patient with a coagulation disorder that contraindicated complex surgical interventions.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864034","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 Value of a Tooth for Alveolar Ridge Management; Strategies to Manage Ankylosed Maxillary Anterior Teeth in Young Patients.","authors":"Jim Janakievski","doi":"10.1111/jerd.13379","DOIUrl":"https://doi.org/10.1111/jerd.13379","url":null,"abstract":"<p><strong>Objective: </strong>In the young and growing patient, tooth ankylosis impedes alveolar growth and presents a serious dilemma regarding the best treatment approach. Two common treatment approaches, extraction of the ankylosed tooth or a \"wait and see\" will result in a compromised alveolar ridge that can affect future prosthetic rehabilitation. The purpose of this article is to discuss five treatment strategies that can be utilized in the management of tooth ankylosis in the growing patient: (1) extraction, (2) decoronation or root submergence, (3) socket shield (partial extraction), (4) segmental osteotomy and (5) replacement with tooth autotransplantation.</p><p><strong>Overview: </strong>It is important to understand the biologic sequelae of ankylosis and the value of the tooth for alveolar ridge management. Strategies will be discussed with an emphasis on alveolar ridge management using a natural tooth and root. With an interdisciplinary team, treatment options can then be developed, to achieve more favorable long-term outcomes.</p><p><strong>Conclusions: </strong>An understanding of each of these procedures and the proper time for implementation will help the clinician achieve the most optimal long-term outcomes for these growing patients.</p><p><strong>Clinical significance: </strong>There are several treatment options for traumatized ankylosed incisors in growing patients. This article will describe the details of these treatment strategies, emphasize the value of the tooth for ridge management and present guidelines about selecting the most optimal strategy based on age, rate of growth, condition of the traumatized tooth, and the definitive prosthetic plan.</p>","PeriodicalId":15988,"journal":{"name":"Journal of Esthetic and Restorative Dentistry","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854114","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}