{"title":"Biocompatibility of universal dental adhesives: An in vitro study.","authors":"Ming Dong, Yue Han, Juhong Dong, Xiaoyan Zhang, Lina Wang, Weidong Niu","doi":"10.1016/j.prosdent.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.11.010","url":null,"abstract":"<p><strong>Statement of problem: </strong>Adhesives play an essential role in restorative dentistry, and Universal Bond Quick (UBQ) has been marketed as having a short application time and long-term resistance to hydrolysis. However, research on its biocompatibility is lacking.</p><p><strong>Purpose: </strong>The purpose of this in vitro study was to compare the biocompatibility of 3 recently introduced universal dental adhesives: UBQ, Single Bond Universal (SBU), and Prime&Bond Universal (PBU), and the popular clinical dental adhesive SE Bond.</p><p><strong>Material and methods: </strong>The CCK-8 assay, Calcein AM-PI, Real-time qPCR, DNA damage, and Cell cycle were used to evaluate the biocompatibility of each adhesive. Microleakage of the dental adhesives was also tested through immediate and chemical aging dye penetration in vitro experiments. An ANOVA, t test, Kruskal-Wallis, and Mann-Whitney tests were used for the statistical analyses (α=.05).</p><p><strong>Results: </strong>The biocompatibility results showed that the inhibitory effect of UBQ and SBU on the proliferation of L929 cells was lower than that of PBU and SE. The proportion of viable cells in the SBU group decreased when the concentration reached 25%, while the proportion of viable cells in the UBQ group remained unchanged at this concentration. Concentrations of PBU and SE of 6.25% caused DNA damage in L929 cells. After chemical aging, the gingival microleakage of specimens in the UBQ and PBU groups was more obvious than that of occlusal microleakage, and the difference was statistically significant (P<.05).</p><p><strong>Conclusions: </strong>The biocompatibility of UBQ and SBU was similar and better than that of PBU and SE. However, after aging, the microleakage of the UBQ and PBU was slightly poorer in the thin enamel area near the gingival margin.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142791879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steve An, Navodika Yaparathna, Jane L Evans, Robert M Love
{"title":"Antimicrobial properties of denture adhesives: A scoping review.","authors":"Steve An, Navodika Yaparathna, Jane L Evans, Robert M Love","doi":"10.1016/j.prosdent.2024.11.007","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.11.007","url":null,"abstract":"<p><strong>Statement of problem: </strong>Denture adhesives have been a focus in prosthodontic research for many years because of the consistently high demand for these products. However, systematic investigations into their antimicrobial properties or effectiveness are limited.</p><p><strong>Purpose: </strong>The purpose of this scoping review was to investigate and evaluate articles on the antimicrobial activity of denture adhesives.</p><p><strong>Material and methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to describe the result of the scoping review. Four electronic databases were searched for articles in the English language up to October 2023.</p><p><strong>Results: </strong>A total of 597 published articles were identified, and 40 met the selection criteria for review. Of these, 17 articles reported that denture adhesives with added antimicrobial agents demonstrated antimicrobial effects. Eight articles detailed the antimicrobial effectiveness of denture adhesives that did not contain added antimicrobial agents. Additionally, 11 articles compared the antimicrobial effectiveness of denture adhesives without additional agents. The results varied, with some adhesives showing antimicrobial effects while others with similar compositions did not. Studies indicate that some denture adhesives exhibit antifungal or antibacterial effects; however, whether these effects are associated with the included antimicrobial agents or components or other ingredients is unclear.</p><p><strong>Conclusions: </strong>Although extensive studies have attempted to evaluate the antimicrobial efficacy of commercially available denture adhesives and to incorporate additional antimicrobial agents into them, whether the incorporated antimicrobial agents are effective or whether the effects are caused by other ingredients remains unclear.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tay Xiao Thong, Jennese Moo Wann Wai, Smita Nimbalkar, Pravinkumar G Patil
{"title":"Occlusal device therapy for sleep bruxism: Analysis of educational value, clarity, reliability, understandability, and actionability of information of content on YouTube.","authors":"Tay Xiao Thong, Jennese Moo Wann Wai, Smita Nimbalkar, Pravinkumar G Patil","doi":"10.1016/j.prosdent.2024.10.022","DOIUrl":"https://doi.org/10.1016/j.prosdent.2024.10.022","url":null,"abstract":"<p><strong>Statement of problem: </strong>Sleep bruxism, characterized by teeth grinding during sleep, is often managed with an occlusal device. Despite the abundance of YouTube videos discussing occlusal device therapy, their educational quality remains unclear.</p><p><strong>Purpose: </strong>The purpose of this process-based audit was to assess the educational value (EV), clarity (COI), reliability (ROI), understandability (UOI), and actionability (AOI) of information regarding occlusal device therapy for sleep bruxism in YouTube videos provided by dental professionals.</p><p><strong>Material and methods: </strong>YouTube was searched systematically using 4 search terms. A total of 19 videos were identified using predetermined criteria. EV was assessed using a 4-point scoring system across 10 predetermined domains. A 3-point scoring system was applied to evaluate COI. Journal of American Medical Association (JAMA) Benchmark Criteria was applied to evaluate ROI. Patient Education Materials Assessment Tool for audio-visual material (PEMAT-A/V) was used to determine UOI and AOI. Descriptive statistics, interrater and intrarater reliability tests were conducted using a statistical software program.</p><p><strong>Results: </strong>Most videos had been uploaded by general dental practitioners (95%) followed by orthodontists (5%). The mean number of reported domains was 4.68 ±2.73 (out of 10), with the highest scoring domain being \"Indications of occlusal device\" (1.24 ±0.87), and the lowest being \"Cost of occlusal device\" (0.00 ±0.00). Overall, the EV score per video was 5.61 ±5.10 (out of 30), while the COI score was 0.55 ±0.50 (out of 2). The ROI averaged 1.95 ±0.40 (out of 4), with \"Attribution\" scoring lowest (0.026 ±0.11) and \"Currency\" highest (1). Overall, the videos had a mean understandability of 66.6% and actionability of 45.6%.</p><p><strong>Conclusions: </strong>Videos uploaded by dental professionals lack sufficient educational value pertaining to the cost of occlusal devices. The videos demonstrated low reliability regarding the credibility of sources and poor understandability and actionability.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital scans versus conventional impressions in fixed prosthodontics: An overview of systematic reviews.","authors":"Aikaterini Kaitatzidou, Aspasia Chalazoniti, Clovis Mariano Faggion, Athina Bakopoulou, Diana Maria Barbosa-Liz, Nikolaos Nikitas Giannakopoulos","doi":"10.1016/j.prosdent.2024.11.002","DOIUrl":"10.1016/j.prosdent.2024.11.002","url":null,"abstract":"<p><strong>Statement of problem: </strong>Several systematic reviews have compared the accuracy of conventional impression making and digital recording techniques, with sometimes different results. A systematic overview of these studies is lacking.</p><p><strong>Purpose: </strong>The purpose of this overview of systematic reviews was to examine the accuracy of digital scans and conventional impressions for tooth- or implant-supported fixed restorations in partially and completely edentulous adult patients.</p><p><strong>Material and methods: </strong>Four databases (Medline via PubMed, Scopus, Web of Science, and Google Scholar) were searched for systematic reviews according to preset eligibility criteria. Two calibrated evaluators screened and assessed the overall confidence of the included reviews using the A MeaSurement Tool to Assess systematic Reviews (AMSTAR) 2 tool. Several review characteristics were recorded, including accuracy in terms of trueness and/or precision. The Jadad et al<sup>1</sup> decision algorithm was used to select the best evidence, and a citation matrix was used to show overlaps in the studies.</p><p><strong>Results: </strong>From the 307 studies that were retrieved, 28 systematic reviews were included in this overview. Among these, 12 performed meta-analyses, and 18 comprised both in vitro and in vivo primary studies. Generally, digital scanning and conventional impression techniques for crowns and fixed partial dentures, for implant-supported fixed restorations, and for both tooth- and implant-supported restorations showed no statistically significant differences in terms of accuracy (trueness and precision) and marginal and internal adaptation (P>.05). However, conventional impressions outperformed digital scans for complete-arch fixed dental prostheses in terms of accuracy. Regarding methodological quality, most systematic reviews (67.9%) received critically low overall confidence based on AMSTAR 2.</p><p><strong>Conclusions: </strong>No significant differences were reported in terms of marginal and internal fit between prosthetic restorations constructed after digital scanning and conventional impression making. The opportunity exists to enhance the methodological quality of systematic reviews with regard to the accuracy of dental recordings.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Removable prosthetic management for tooth agenesis in the pediatric population: A systematic review of case reports and case series.","authors":"Arya Acca Varghese, Arun Mamachan Xavier, Venkitachalam Ramanarayanan","doi":"10.1016/j.prosdent.2023.02.005","DOIUrl":"10.1016/j.prosdent.2023.02.005","url":null,"abstract":"<p><strong>Statement of problem: </strong>Dental agenesis is a condition in which the absence of teeth causes debilitating problems, primarily in speech, mastication, and esthetics. The optimal removable prosthetic management for the condition is unclear.</p><p><strong>Purpose: </strong>The purpose of this systematic review was to evaluate the spectrum of removable prosthetic techniques with regard to the type of edentulism and to provide clinical guidance for practicing dentists.</p><p><strong>Material and methods: </strong>An electronic and manual search was conducted in the PubMed, Scopus, and Google Scholar databases. Publications of case reports and series written in English without data restrictions that reported on removable prosthodontic management of patients with oligodontia, hypodontia, or anodontia were included.</p><p><strong>Results: </strong>A total of 59 articles comprising 83 case reports were analyzed. In patients with anodontia, the most common treatment option was an acrylic resin complete denture. Hypodontia and oligodontia were commonly managed by using either a partial denture or overdenture. Irreversible hydrocolloid or alginate was the most accepted material for the preliminary impressions and elastomeric materials for definitive impressions. The tooth arrangements were modified to simulate natural dentition and improve esthetics. Modifications of conventional acrylic resin dentures have been proposed for improved denture adaptation. Good retention is essential to the long-term success of prosthetic treatment and may be achieved with a denture reline or with retention clasps. The active growth of the patients means constant maintenance, including denture renewals or repairs, emphasizing the need for long-term follow-up care.</p><p><strong>Conclusions: </strong>Prosthodontic rehabilitation at an early age has been shown to significantly impact the overall quality of life for a child with tooth agenesis.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1250.e1-1250.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9128909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yujia Wang, Mariko Hattori, Keita Masaki, Yuka I Sumita
{"title":"Detailed speech evaluation including formant 3 analysis and voice visualization in maxillofacial rehabilitation: A clinical report.","authors":"Yujia Wang, Mariko Hattori, Keita Masaki, Yuka I Sumita","doi":"10.1016/j.prosdent.2023.02.022","DOIUrl":"10.1016/j.prosdent.2023.02.022","url":null,"abstract":"<p><p>Objective speech evaluation such as analysis of formants 1 and 2 and nasality measurement have been used in maxillofacial rehabilitation for outcome assessment. However, in some patients, those evaluations are insufficient to assess a specific or unique problem. This report describes the use of a new speech evaluation including formant 3 analysis and voice visualization in a patient with a maxillofacial defect. The patient was a 67-year-old man who had a maxillary defect that opened to the maxillary sinus and who had an unnatural voice even when wearing an obturator. Nasality was low and the frequency of formants 1 and 2 were normal even without the obturator. However, a low frequency of formant 3 and a shifted center of voice were observed. These results indicated that the unnatural voice was related to increased resonant volume in the pharynx rather than hypernasality. This patient demonstrates that advanced speech analysis can be useful for detecting the cause of speech disorder and planning maxillofacial rehabilitation.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1331.e1-1331.e7"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9447091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Davide Cortellini, Angelo Canale, Johannes H Schmitz, Marco Valenti, Alessandro Valenti
{"title":"A digital protocol for the fabrication of anatomic-contour implant zirconia crowns directly screwed on external hexagonal implant connections without the interposition of a Ti-base component.","authors":"Davide Cortellini, Angelo Canale, Johannes H Schmitz, Marco Valenti, Alessandro Valenti","doi":"10.1016/j.prosdent.2023.01.019","DOIUrl":"10.1016/j.prosdent.2023.01.019","url":null,"abstract":"<p><p>A straightforward and effective restorative option is proposed for implant-supported fixed prostheses with external connections by using monolithic zirconia without the interposition of a Ti-base component. The technique is based on a modification of the Brånemark connection used to link metal-ceramic or metal-composite resin restorations directly to the implant.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1124-1127"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9438745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lilibeth Carola Leyton Mendoza, Thiago Silva Peres, Isaac Daniel Gonzaga Estevão, Maria Tereza Hordones Ribeiro, Calebe de Melo, Hugo Lemes Carlos, Carlos José Soares
{"title":"Mechanical properties of dual-polymerizing resin-core material, dual-polymerizing resin cement, and bulk-fill composite resin used for restoring endodontically treated teeth.","authors":"Lilibeth Carola Leyton Mendoza, Thiago Silva Peres, Isaac Daniel Gonzaga Estevão, Maria Tereza Hordones Ribeiro, Calebe de Melo, Hugo Lemes Carlos, Carlos José Soares","doi":"10.1016/j.prosdent.2024.08.007","DOIUrl":"10.1016/j.prosdent.2024.08.007","url":null,"abstract":"<p><strong>Statement of problem: </strong>How resin-based material and a light-activation protocol influence the mechanical properties of materials used to cement glass fiber post-and-cores in endodontically treated teeth is unclear.</p><p><strong>Purpose: </strong>The purpose of this in vitro study was to evaluate the influence of immediate or 5-minute delayed light activation on the mechanical properties of dual-polymerizing resin cements and dual-polymerizing resin-core materials compared with bulk-fill composite resins.</p><p><strong>Material and methods: </strong>Nine resin-based materials were tested: 4 dual-polymerizing resin-core materials, (Allcem Core; FGM, LuxaCore Z; DMG, Rebilda DC; VOCO, and (Clearfil DC Core Plus; KURARAY), 3 dual-polymerizing resin cements, (RelyX Universal; 3M ESPE, RelyX U200; 3M ESPE, and Allcem Dual; FGM), and 2 bulk-fill composite resins, (Opus Bulk Fill APS; FGM, and Filtek One Bulk Fill; 3M ESPE). The dual-polymerizing materials were light activated using both protocols. The postgel shrinkage (Shr), flexural strength (FS), elastic modulus (E), Knoop hardness (KH), degree of conversion (DC), and depth of polymerization (DoP) were measured (n=10). The data for Shr, FS, E, and DoP were analyzed using 2-way ANOVA, and for KH and DC using 2-way repeated measurement ANOVA and the Tukey HSD test (α=.05).</p><p><strong>Results: </strong>A 5-minute delay before light-activation significantly reduced Shr for all materials (P<.001). Increasing the depth significantly reduced the KH for all materials (P<.001). Bulk-fill composite resins and dual-polymerizing resin-core had higher KH values than dual-polymerizing resin cements (P<.001).</p><p><strong>Conclusions: </strong>Delayed 5-minute light-activation reduced postgel shrinkage and had no negative effect on mechanical properties. Dual-polymerizing resin-core materials exhibited higher KH values than dual-polymerizing resin cement and mechanical properties similar to those of bulk-fill composite resin.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1326.e1-1326.e9"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of simulated intraoral adjustment on the color and translucency of gradient multilayered monolithic zirconia.","authors":"Reham Ghanem, Ahmed Adel, Walid Al-Zordk","doi":"10.1016/j.prosdent.2024.08.025","DOIUrl":"10.1016/j.prosdent.2024.08.025","url":null,"abstract":"<p><strong>Statement of problem: </strong>The use of multilayered monolithic zirconia ceramics is becoming popular because it simplifies the production of esthetic restorations. The effect of clinical adjustment on the optical properties of these ceramics, especially strength-gradient zirconia, remains unclear.</p><p><strong>Purpose: </strong>The purpose of this in vitro study was to evaluate the color and translucency of gradient multilayered zirconia brands after grinding and polishing.</p><p><strong>Material and methods: </strong>Sixty 10×10×1-mm monolithic zirconia specimens were milled from 6 zirconia brands (Ceramill Zolid HT White, Ceramill Zolid HT Preshade, Ceramill Zolid FX Multicolor, VITA YZ XT Multicolor, IPS e.max ZirCAD Prime, and KATANA YML). The zirconia specimens were milled to include all layers of A2 preshaded multilayered zirconia blanks (A2 shade) except Ceramill Zolid HT White and Ceramill Zolid HT Preshade. Ceramill Zolid HT White specimens were milled from a white zirconia blank with subsequent shading. The color coordinates and the relative translucency parameter after glazing and after grinding and polishing were determined with a reflectance spectrophotometer, and the relative translucency parameter and contrast ratio were measured. The differences in color and translucency were calculated. The data were analyzed using 2-way ANOVA and 1-way ANOVA tests followed by the post hoc Tukey test (α=.05).</p><p><strong>Results: </strong>Statistically significant changes (P<.001) in the color coordinates measured before and after grinding and polishing were detected for each zirconia brand except for the KATANA YML that showed no significant difference (P=.686) in lightness. The highest color difference after grinding and polishing was detected in group KATANA YML. The 2-way ANOVA test showed a statistically significant interaction (P<.001) between the zirconia brand and the grinding and polishing regarding the relative translucency parameter. The zirconia brand had a significant impact on the relative translucency parameter before and after grinding and polishing (both P<.001).</p><p><strong>Conclusions: </strong>Except for KATANA YML, the color change in multilayered zirconia after clinical adjustment with polishing was not beyond the clinically acceptable limit of the color difference. Although clinical adjustment with polishing reduced the translucency of gradient zirconia, the change in translucency was below the clinically detectable threshold value of the translucency difference.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1313.e1-1313.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital orthodontic extrusion system for complex crown-root fracture of anterior teeth: A technique report.","authors":"Ao Sun, Xiaoyan Feng, Li Chen, Xinhua Gu","doi":"10.1016/j.prosdent.2023.02.011","DOIUrl":"10.1016/j.prosdent.2023.02.011","url":null,"abstract":"<p><p>Patients with traumatic dental injuries commonly present in clinical practice with complex crown-root fractures. Prosthodontic treatment of such patients may be unsuccessful because of the violation of the supracrestal tissue attachment, making their management challenging. Minor tooth movement is an effective solution to extruding the residual root but may require referral to an orthodontist. The purpose of this technique was to present a digital orthodontic system including a 3-dimensional virtual patient technique, a computer-aided design and computer-aided manufacture (CAD-CAM) resin facial veneer-retained pontic, and a zirconia post as an orthodontic appliance for tooth extrusion in the esthetic zone. This veneered pontic may also serve as an interim prothesis. The appliance provides a precise design for the direction and extent of orthodontic extrusion.</p>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":" ","pages":"1123.e1-1123.e8"},"PeriodicalIF":4.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9171868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}