{"title":"A Retrospective Service- Evaluation of Implant Success, Survival, Periimplant Health and Prosthetic Complications in a Cohort of Head and Neck Cancer Patients.","authors":"A J Pollard, S Garner, S Patel, M Jerreat","doi":"10.1922/EJPRD_2441Pollard12","DOIUrl":"https://doi.org/10.1922/EJPRD_2441Pollard12","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the success, survival, peri-implant health and prosthetic complications in head and neck cancer patients receiving oral rehabilitation utilising dental implants between 2008 and the present day.</p><p><strong>Materials and methods: </strong>Service evaluation. Survival Group: Retrospective review of records to determine implant survival and prosthetic complications. Success Group: Examination to determine implant success and health.</p><p><strong>Results: </strong>Survival Group: 260 implants in 81 individuals, median follow up 49.2 months. 89.3% implant survival at 96 months, no further failures up to 133 months. 40.9% individuals required repair or remake of prosthesis by 72 months - mostly denture re-lines. Success group: 164 implants in 48 individuals, median follow up 56 months. Peri-implant mucositis detected in 22% of fixtures (37.5% individuals); peri-implantitis in 12.8% (25% individuals); 33.3% fixtures exhibiting periimplantitis at 120 months. Previous smoking significantly associated with development of peri-implantitis (HR 2.372, p=0.032, 95CI:1.232, 93.317). Compromised survival (e.g. peri-implantitis), absolute (not in mouth) or clinical failure estimated to occur in 28.1% fixtures at 101 months, mostly due to peri-implantitis.</p><p><strong>Conclusions: </strong>There is a large burden of ongoing care in this cohort, requiring interventions to improve peri-implant health and maintain complex prostheses. Oral rehabilitation and ongoing maintenance in this cohort is complex and multi-disciplinary.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P Kamposiora, I Papathanasiou, A B Barmak, K Chochlidakis
{"title":"EPA Consensus Project Paper: Failure Rates of Direct Versus Indirect Single-Tooth Restorations. A Systematic Review and Meta-Analysis.","authors":"P Kamposiora, I Papathanasiou, A B Barmak, K Chochlidakis","doi":"10.1922/EJPRD_2489Komposiora22","DOIUrl":"https://doi.org/10.1922/EJPRD_2489Komposiora22","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this systematic review and meta-analysis was to evaluate and compare the failure rates of direct and indirect restorations for single-tooth restorations.</p><p><strong>Methods: </strong>A literature search was conducted by using electronic databases and relevant references for clinical studies on direct and indirect dental restorations with a follow-up of at least 3 years. The risk of bias was assessed with the ROB2 and the ROBINS- I tools. The I2 statistic was used for the assessment of heterogeneity. The authors reported summary estimates of annual failure rates of single-tooth restorations using a random-effects model.</p><p><strong>Results: </strong>Of 1415 screened articles, 52 (18 RCTs, 30 prospective, 4 retrospective) met the inclusion criteria. No articles with direct comparisons were identified. No significant difference was found in the annual failure rates of single teeth restored with either direct or indirect restorations, which were calculated as 1% using a random-effects model. High heterogeneity was found, ranging from 80% (P⟨0.01) for studies on direct restorations to 91% (P⟨0.01) for studies on indirect restorations. Most of the studies presented some risk of bias.</p><p><strong>Conclusions: </strong>Annual failure rates were similar for direct and indirect single-tooth restorations. Further randomized clinical trials are needed to draw more definitive conclusions.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9840677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EPA Consensus Project Paper: Accuracy of Conventional and Digital Workflows in Partially Edentulous Cases Restored with FPDs over Implants. A Systematic Review","authors":"E Mijiritsky, V Ivanova, V Rutkunas, S Zlatev","doi":"10.1922/EJPRD_2484Mijiritsky09","DOIUrl":"https://doi.org/10.1922/EJPRD_2484Mijiritsky09","url":null,"abstract":"<p><strong>Purpose: </strong>To compare conventional and digital workflows in terms of accuracy in partially edentulous cases restored with implant-supported restorations.</p><p><strong>Methods: </strong>An electronic search in the databases PubMed, Scopus, Web Of Science, and CENTRAL was conducted to identify relevant publications, comparing digital and conventional workflows in partially edentulous cases restored with implant-supported prostheses.</p><p><strong>Results: </strong>18 articles were included in the systematic review. Ten of the studies were in-vitro, and eight were clinical. Sample sizes varied considerably from 20 to 100. In three studies, three implants were investigated, whereas, in all other instances, accuracy was evaluated on two implants. Substantial heterogeneity in the methodology of the selected studies is evident, which prevents summarising the accuracy outcomes.</p><p><strong>Conclusions: </strong>Digital impressions showed similar results in terms of accuracy compared to the conventional approach. There is a lack of uniform criteria for the tolerable misfit, which hampers the ability to transfer in-vitro results to clinical situations. A need for a standardised approach in the evaluation of impression and workflow accuracy is warranted to enable the systematisation and analysis of results from different studies.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G Pradíes, A M García-Naranjo, F Martínez-Rus, R Martínez de Fuentes, M Romeo-Rubio
{"title":"EPA Consensus Project Paper: Shifting from the \"Analogic Virtual Patient\" to the \"Digital Virtual Patient\" in Prosthodontics. A Scoping Review.","authors":"G Pradíes, A M García-Naranjo, F Martínez-Rus, R Martínez de Fuentes, M Romeo-Rubio","doi":"10.1922/EJPRD_2485Pradies17","DOIUrl":"https://doi.org/10.1922/EJPRD_2485Pradies17","url":null,"abstract":"<p><strong>Aims: </strong>To determine whether the use of single or combined mechanical and virtual articulators, as well as facebows, jaw motion trackers, face scanners, and related devices, actually improve the efficacy of the prosthesis obtained in terms of lifespan and patient-related outcomes. To coin the terms Analogic and Digital Virtual Patients (AVP and DVP) as an attempt to analyze, clarify and synthesize terminology and workflows related to previously so-called devices.</p><p><strong>Materials and methods: </strong>A scoping review was accomplished involving different databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-ScR) checklist and JBI guidance were followed to extract data regarding the Population, Context and Concept established.</p><p><strong>Results: </strong>Available literature on the efficacy of using devices and techniques related to both AVP and DVP workflows showed arguable study designs, great heterogeneity, and questionable quality.</p><p><strong>Conclusions: </strong>The terms AVP and DVP have been coined as a first step to clarify and simplify concepts and workflows related to the use of both mechanical and virtual articulators, as well as facebows, or facial and intraoral scanners, among others. This scoping review cannot claim that an AVP approach leads to more effective and efficient prosthetic restorations.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EPA Consensus Project Paper: Optical Impression Accuracy of Preparations for Fixed Prosthodontics: A Systematic Review.","authors":"M A Kılıçarslan, E I Oğuz","doi":"10.1922/EJPRD_2512Kilicarslan13","DOIUrl":"https://doi.org/10.1922/EJPRD_2512Kilicarslan13","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review aimed to evaluate the accuracy of different optical impressions of tooth preparations.</p><p><strong>Methods: </strong>An electronic search in PubMed, Web of Science, Scopus, Medline Complete, and ScienceDirect was performed to identify articles comparing the accuracy of different optical impressions (OI) published up to the 1st of March 2022. The inclusion criteria enclosed the accuracy of optical impressions acquired for tooth-supported fixed prosthodontics. Exclusion criteria were defined as studies focused on orthodontic impressions and implant-supported restorations. This review was registered to Prospero; CRD42021287758.</p><p><strong>Results: </strong>Eleven included studies had in vitro design and a low risk of bias. Considering scanned objects, 5 studies evaluated the accuracy based on a single preparation, 2 studies evaluated the accuracy of OIs based on fixed partial denture (FPD) restoration, 3 studies included both single preparation and preparations to receive FPD restorations, and 1 article included a fullarch scan. Mean values of the trueness and precision of OI systems varied according to methodological differences.</p><p><strong>Conclusions: </strong>Optical impression has certain advantages. However, stating a particular optical impression system as the most accurate or superior to conventional impression is not feasible because of the heterogeneity of the accuracy results presented in this systematic review.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surface Characteristics and Microbial Adhesion in Polymethylmethacrylate for Denture Base Submitted to Antimicrobial Agents and Cleaning Agents: A Systematic Review.","authors":"A B V Teixeira, G G de Carvalho, A C Dos Reis","doi":"10.1922/EJPRD_2386Teixeira09","DOIUrl":"https://doi.org/10.1922/EJPRD_2386Teixeira09","url":null,"abstract":"<p><p>This review aimed to identify the influence of antimicrobial and cleaning agents on surface characteristics such as surface free energy (SFE) and wettability, and microbial adhesion in polymethylmethacrylate (PMMA) for denture base. The review question, based on PICO, was: \"Does intervention with antimicrobial and cleaning agents in PMMA influence the surface free energy, wettability, and consequently the microbial adhesion?\" and the protocol was registered in Open Science Framework (osf. io/v3xgn). The search was performed in PubMed, Lilacs, Embase, Scopus, and Science Direct databases, using the terms: (\"acrylic resin\" OR PMMA) AND (antimicrobial OR antibacterial) AND (\"electrostatic interaction\" OR surface free energy) AND (biofilm OR \"bacteria adhesion\"), and resulted in 462 articles, of which 7 were included. The antimicrobials polypara-xylylene, carboxybetaine methacrylate, ethylene glycol methacrylate phosphate, and deposition of F and Ag ions in PMMA influenced the SFE and wettability. Denture cleaners reduced microbial adhesion. Five of the included studies evaluated the microbial adhesion, however, only two observed a direct relationship between SFE, wettability, and microbial adhesion. It was concluded that the intervention with antimicrobial and cleaning agents in PMMA can interfere in SFE and surface wettability, but no correlation was observed between microbial adhesion and these surface characteristics in PMMA.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10826075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient Satisfaction with Upper and Lower Complete Dentures: A Service Evaluation Report.","authors":"H E Bhutta, K Moharamzadeh, R Martin, N Martin","doi":"10.1922/EJPRD_2416Bhutta13","DOIUrl":"https://doi.org/10.1922/EJPRD_2416Bhutta13","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this questionnaire-based service evaluation was to assess patient satisfaction with complete dentures provided in a dental teaching hospital.</p><p><strong>Methods: </strong>Patients completed the self-administered questionnaire before, immediately after, and 2-months following provision of new complete dentures. The questionnaire consisted of the following sections: Patient characteristics, current denture history and satisfaction with the fit of upper/lower complete dentures, chewing ability, speech, and aesthetics. Descriptive analysis, chi-square test, student t-test, and 2-way-ANOVA were performed on satisfaction levels pre-and post-treatment to assess denture fit, chewing ability, speech, and appearance. Age and gender-wise satisfaction levels along with correlations and associations between patient satisfaction levels and various factors were assessed.</p><p><strong>Results: </strong>147 participants, including 91 males (61.9%) and 56 females (38.1%) completed the study. A statistically significant improvement in satisfaction scores was seen post-treatment in all domains (p⟨0.05), with most respondents showing great satisfaction. Overall, satisfaction levels were: Upper complete denture fit (82%), appearance (87%), speech (67%), chewing ability and lower complete denture fit (39%). A strong positive correlation was observed between the number of previous dentures used and patient satisfaction with upper denture fit (R=1).</p><p><strong>Conclusion: </strong>Denture replacement positively impacts the satisfaction of patients and improves complete denture acceptance.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9381255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E P Chun, G S de Andrade, E D A Grassi, J Garaicoa, C Garaicoa-Pazmino
{"title":"Impact of Deep Margin Elevation Procedures Upon Periodontal Parameters: A Systematic Review.","authors":"E P Chun, G S de Andrade, E D A Grassi, J Garaicoa, C Garaicoa-Pazmino","doi":"10.1922/EJPRD_2350Chun12","DOIUrl":"https://doi.org/10.1922/EJPRD_2350Chun12","url":null,"abstract":"<p><strong>Introduction: </strong>Deep margin elevation (DME) is an emerging technique attempting to minimize the need for surgical procedures (i.e., crown lengthening [CL]), deliver indirect restorations in one clinical session and reduce overall treatment time. The present study evaluated the impact of DME upon periodontal measurements based exclusively on human studies.</p><p><strong>Methods: </strong>A literature search was performed by two independent reviewers in several databases including PubMed, EMBASE, and Cochrane Central up to March 2022. This review searched for randomized human trials, cohort (prospective/ retrospective) and/or case series studies using DME, reporting periodontal (i.e. marginal bone levels [MBL], probing depths [PD], bleeding on probing [BoP], recession [REC], clinical attachment level [CAL]), and the type of approach (non-surgical or surgical) with at least ⟩3 months of post-operative outcomes.</p><p><strong>Results: </strong>None of the included studies reported MBL, REC or CAL, and thus, results were limited to PD and BoP. BoP was increased when the distance between restorative margin and alveolar bone was approximately ⟨2mm. Non-surgical and surgical DME approaches led to different outcomes in PD (0.26±0.77mm vs -0.39±0.85mm) and BoP (31.50% vs -22.33%).</p><p><strong>Conclusions: </strong>Limited findings of the present systematic review can be drawn and thus, the impact of DME upon the periodontium remains inconclusive.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10808110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Ceramic Thickness and Titanium Anodization on Esthetic Outcomes of Lithium Disilicate Ceramic Over Titanium Alloys.","authors":"P Weeranoppanant, M Palanuwech","doi":"10.1922/EJPRD_2397Weeranoppanant10","DOIUrl":"https://doi.org/10.1922/EJPRD_2397Weeranoppanant10","url":null,"abstract":"<p><strong>Objective: </strong>In order to investigate the esthetic outcomes via color differences of various lithium disilicate ceramic thicknesses on various voltages of anodized titanium.</p><p><strong>Materials and methods: </strong>28 lithium disilicate ceramic specimens (medium translucency) were arranged into four groups based on the thickness of the ceramic: 1.0, 1.5, 2.0, and 2.5 mm (n=7). Each group was tested with seven different materials (n=7): composite resin (A2-dentin shade, control), zirconia, titanium, 40 V (blue), 50 V (light yellow), 60 V (yellow) and 70 V (pink)-anodized titanium. All the specimens were measured with a spectrophotometer, and then compared with the composite resin (control) to establish the color differences. To be considered as clinically acceptable, the color differences must be lower than 2.7. The data obtained was statistically analyzed through ANOVA and a post hoc test (p=0.05).</p><p><strong>Results: </strong>Both the thickness of the lithium disilicate ceramics and the type of material had a significant effect on the color differences observed (p⟨0.05). When ceramics thickness more than 2.0 mm were used for zirconia or 2.5- mm ceramic thickness for yellow-shade (50 V and 60 V) of anodized titanium, the color differences obtained were below the clinical acceptability values.</p><p><strong>Conclusions: </strong>yellowshade of anodized titanium tends to achieve esthetics in combination with adequate ceramic thickness.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10874399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N V Ballal, P Jalan, N Rai, N Al-Haj Husain, M Özcan
{"title":"Evaluation of New Alkasite Based Restorative Material for Restoring Non- Carious Cervical Lesions- Randomized Controlled Clinical Trial.","authors":"N V Ballal, P Jalan, N Rai, N Al-Haj Husain, M Özcan","doi":"10.1922/EJPRD_2410Ballal06","DOIUrl":"https://doi.org/10.1922/EJPRD_2410Ballal06","url":null,"abstract":"<p><p>Two different restoration materials, an alkasite-based resin composite and a resinmodified glass ionomer cement were used to assess restoration of non-carious cervical dental lesions. This split mouth randomized controlled trial included 40 patients. After randomization both sides of the dental arch were restored with either an alkasite-based (Cention N, Ivoclar Vivadent) or a resin-modified glass ionomer cement (Voco GmbH) restoration. The placed fillings were evaluated by blinded additional operators 1, 6 months and 1 year after to the USPHS criteria (retention, marginal integrity and discoloration, anatomical form and secondary caries). Data were analyzed using Kendall's Coefficient of Concordance test and Chi-square tests using SPSS software (SPSS Inc., Version 20) (P=0.05). As for retention and anatomic form both materials performed similar after one month. However, the retention and anatomic form for alkasite based restorative Cention showed significantly better results after 6 months (p=0.013/p=0.003) and one year (p=0.026/p=0.008). The resin modified glass ionomer restoration showed higher discoloration after 6 months (p=0.025) and one year (p=0.018), while Cention performed better regarding marginal integrity at all time intervals. No secondary caries occurred. Alkasite based restorative materials displayed superior technical, mechanical and aesthetical performance in a follow-up period of one year and can therefore be recommended as an alternative to resin-modified glass ionomer cements.</p>","PeriodicalId":45686,"journal":{"name":"European Journal of Prosthodontics and Restorative Dentistry","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9364815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}