International Journal of Esthetic Dentistry最新文献

{"title":"The use of desensitizing agents during in-office bleaching might not decrease tooth bleaching sensitivity: a randomized clinical trial.","authors":"Thiago Mendes de Lima,&nbsp;Fabiana Mantovani Gomes França,&nbsp;Flávia Lucisano Botelho do Amaral,&nbsp;Cecilia Pedroso Turssi,&nbsp;Roberta Tarkany Basting","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Due to controversial results in relation to the influence of desensitizing agents on sensitivity during bleaching, the present study evaluated the degree of tooth bleaching sensitivity, color change, and patient acceptability of desensitizing agents containing potassium nitrate/sodium fluoride (PNF) or nanostructured calcium phosphate (N) associated with in-office bleaching with 35% hydrogen peroxide (HP).</p><p><strong>Materials and methods: </strong>Seventy-five patients were randomly distributed into three groups (n = 25): 1) Group W - in-office bleaching (Whiteness HP Maxx - three sessions of 45 min); 2) Group WD - associated with PNF desensitizing gel (Desensibilize KF 2%) applied for 10 min before each session; 3) Group WDN - associated with N desensitizing paste (Desensibilize Nano P) applied after bleaching for 5 min. The degree of sensitivity and patient acceptability of the desensitizing treatments were evaluated using a visual analog scale. Color change evaluations were made over different time intervals.</p><p><strong>Results: </strong>The three groups showed no significant difference in sensitivity between the time intervals throughout the evaluation, except for the one of 24 h after the second bleaching session, in which group WD showed lower bleaching sensitivity than group W (P < 0.05; Kruskal-Wallis and Dunn tests). The use of PNF gel and N paste did not interfere with the color change during dental bleaching.</p><p><strong>Conclusions: </strong>Although the use of desensitizing agents during bleaching did not interfere with the color change during dental bleaching, it was shown that these agents were not effective in the treatment of tooth bleaching sensitivity, despite being acceptable to the patients.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"100-114"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931628","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":"IJED Espresso.","authors":"Panagiotis Andritsakis,&nbsp;Maria Nasika,&nbsp;Michalis Papastamos","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"12-13"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931255","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":"What is your story?","authors":"Leonardo Mancini,&nbsp;Davide Guglielmi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"116-117"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931629","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":"Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla.","authors":"Shayan Barootchi,&nbsp;Lorenzo Tavelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and aim: </strong>The coronally advanced flap (CAF) and the tunnel technique (TUN) are the most performed surgical approaches for treating gingival recessions (GRs). Nonetheless, these two approaches have commonly been regarded as substitutes for one another, and clinicians are often faced with the choice of performing only one during root coverage procedures. The aim of the present article is to describe a surgical design in which the benefits of both the CAF and the TUN are combined for the treatment of isolated type 2 (RT2) GRs with deficient papilla.</p><p><strong>Materials and methods: </strong>Ten patients with isolated RT2 GRs were treated using the tunneled coronally advanced flap (TCAF) + connective tissue graft (CTG) technique.</p><p><strong>Results: </strong>The healing was uneventful, and patients consistently reported minimal discomfort. After 6 months, the TCAF + CTG resulted in an average mean root coverage of 86.5%, with six sites showing complete root coverage (60%). The mean increases in keratinized tissue width and gingival thickness were 1.40 and 0.92 mm, respectively. All the treated GRs showed an increased soft tissue phenotype. No significant changes were observed for midfacial probing depth, while a mean midfacial clinical attachment level gain of 3.05 mm was obtained after 6 months. The professional esthetic evaluation, according to the root coverage esthetic score, was 7.90 ± 1.66.</p><p><strong>Conclusions: </strong>The present article suggests that the TCAF + CTG is a suitable technique for treating isolated RT2 GRs. The newly introduced technique may have the potential to enhance flap blood supply and graft vascularization and improve clinical-, esthetic-, and patient-reported outcomes of RT2 GRs with deficient papilla. Future studies with larger sample sizes and comparative groups are needed to support these preliminary results.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"14-26"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931256","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":"Esthetic management of space and soft tissue deficiencies in implant therapy: combined orthodontic-mucogingival approach.","authors":"Mario Gisotti,&nbsp;Diego Lops,&nbsp;Nicola Alberto Valente","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The esthetic success of a case requiring implant therapy mainly depends on both the correct planning and the surgical-prosthetic execution. However, planning and surgical implementation according to prosthetically guided criteria are not always possible due to contingent anatomical limitations. When this is further complicated by the presence of mucogingival deficiencies in a highly visible esthetic area, the management of the case can become very complex. The present case report describes the presurgical and surgical management of a case of maxillary lateral incisor agenesis in the absence of sufficient vertical space. Through orthodontic therapy, the opening of the deep overbite and the alignment of the maxillary and mandibular arches were obtained, allowing for an implant positioning without compromises dictated by anatomical limitations. Finally, through mucogingival surgery and careful management of the provisional prosthetic phase, an optimal esthetic profile was achieved.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"42-56"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931258","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":"Digital Smile Design and mock-up technique in esthetic crown lengthening: 2-year follow-up of six cases.","authors":"Luana Carla Pires,&nbsp;Thais Piragine Leandrin,&nbsp;Mauricio Andres Tinajero Aroni,&nbsp;Guilherme José Pimentel Lopes de Oliveira,&nbsp;Roberto Henrique Barbeiro,&nbsp;Mario Henrique Verzola,&nbsp;Joni Augusto Cirelli,&nbsp;Suzane Cristina Pigossi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The present case series aimed to evaluate the use of a Digital Smile Design (DSD) and mock-up technique for esthetic crown lengthening (ECL) surgery in six clinical cases with a 2-year follow-up. Six nonsmoker patients (five females, one male; aged 22 to 32 years), periodontally and systemically healthy, with inadequate tooth width/height ratio proportions associated with a gingival misalignment in the anterior maxilla were included. The DSDs were created using PowerPoint for all patients to evaluate gingival level and tooth form/contour. A wax-up and mock-up were created based on the DSD measurements. ECL surgeries were performed in all cases using the mock-up technique to determine the final gingival margin position and the amount of bone resection needed. A mock-up to bone crest distance of 3 mm was obtained in all cases. Using patient photographs, comparisons were made between the dental crown length (DCL) measurements obtained before the surgical procedure (baseline; T0), on the DSD template immediately postoperatively (IPO; T1), and at the 2-year follow-up (T2). A DCL augmentation of 1.16 ± 0.68 mm was obtained at T1, with an augmentation of 1.03 ± 0.73 mm at T2. Moreover, a minimal difference of 0.34 ± 0.74 mm between the DCL planned in the DSD template and the DCL obtained IPO was observed. In conclusion, the ECL procedure based on the DSD concept and mock-up technique proposed in this cases series was a predictable protocol for smile disharmony treatment in all the patients.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"17 1","pages":"58-75"},"PeriodicalIF":1.4,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39931259","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":"Editorial: It's time to say goodbye.","authors":"Alessandro Devigus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"16 4","pages":"489"},"PeriodicalIF":1.4,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39557434","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":"Thank you!","authors":"Christian Haase","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"16 4","pages":"491"},"PeriodicalIF":1.4,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39557435","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":"Determining color for the direct restorative approach.","authors":"Romain Ceinos,&nbsp;Panaghiotis Bazos,&nbsp;Javier Tapia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When implementing a direct composite resin (CR) restoration, the determination of color can be a challenging step. The reproduction of tooth shade is often a source of frustration for the practitioner. Dental color can be complex, and its accurate reproduction requires not only a good understanding of color by the practitioner but also the use of appropriate methods to achieve it. It is important to remember what tooth color parameters one is able to mimic with CRs. The purpose of this article is to demystify the errors attributable to standard tools, ie, shade guides, and above all to suggest a number of measures to avoid such errors.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"16 4","pages":"494-513"},"PeriodicalIF":1.4,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39557437","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":"Accelerated fatigue resistance of endodontically treated incisors without ferrule restored with CAD/CAM endocrowns.","authors":"Marco Aurélio de Carvalho,&nbsp;Priscilla Cardoso Lazari-Carvalho,&nbsp;Altair A Del Bel Cury,&nbsp;Pascal Magne","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to investigate the resistance and failure mode of broken-down endodontically treated incisors without ferrule restored with CAD/CAM endocrowns.</p><p><strong>Materials and methods: </strong>Endodontically treated bovine incisors (N = 30) without ferrule were divided into two groups and restored with two types of CAD/CAM endocrowns: lithium disilicate (Eld) or resin nanoceramics (Erc). The preparations included a 4-mm-deep 'internal ferrule' and immediate dentin sealing. The samples were subjected to accelerated fatigue testing. Cyclic isometric loading was applied to the incisal edge at a 30-degree angle at a frequency of 5 Hz, beginning with a load of 100 N (5,000 cycles). A 100 N load increase was applied every 15,000 cycles. Specimens were loaded until failure or to a maximum of 140,000 cycles. Previously published data from the same authors regarding lithium disilicate crowns over post-and-core buildups without ferrule (NfPf), core buildups without post without ferrule (NfNpFR), and with a 2-mm ferrule (FNp) using the same experimental setup were included for comparison. Groups were compared using the Kaplan Meier survival analysis for cycles (log rank pairwise post hoc test comparisons at P = 0.05) and Life Table survival analysis for load at failure, followed by the Wilcoxon pairwise comparison at P = 0.05.</p><p><strong>Results: </strong>All specimens failed before 140,000 load cycles. There was no statistically significant difference between the endocrown materials (Eld: 53,448 mean endured cycles; Erc: 52,397 mean endured cycles; P = 0.844). Endocrowns outperformed the group with lithium disilicate crowns on incisors without ferrule and post-and-core buildup (NfPf with mean endured 35,025 cycles), showed no statistical difference compared with the group with no-post fiber-reinforced composite resin core buildup (NfNpFR with 45,557 mean endured cycles), and had a lower survival rate compared with the group with ferrule (FNp with mean endured 73,244 cycles). Endocrowns generated a majority of non-catastrophic failures (with an advantage for Erc), while 100% of catastrophic failures were found in the group with a post.</p><p><strong>Conclusions: </strong>CAD/CAM endocrowns of nonvital incisors without ferrule improved the resistance and optimized the failure mode when compared with traditional bonded crowns with adhesive post-and-core and no-post buildups.</p>","PeriodicalId":46271,"journal":{"name":"International Journal of Esthetic Dentistry","volume":"16 4","pages":"534-552"},"PeriodicalIF":1.4,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39557439","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}