Faisal AlMutairi, Sarah AlShammari, Hala Alanazi, Saleh AlWatban, Nada AlZahrani, Naif AlFadhil, Faris AlShammari, Reem AlHurayyis, Norah AlShammari, Ghadi AlShehri, Asmaa Faden, Nassr Meflhi
{"title":"A systematic review and meta-analysis of single-application topical doxycycline for recurrent aphthous stomatitis.","authors":"Faisal AlMutairi, Sarah AlShammari, Hala Alanazi, Saleh AlWatban, Nada AlZahrani, Naif AlFadhil, Faris AlShammari, Reem AlHurayyis, Norah AlShammari, Ghadi AlShehri, Asmaa Faden, Nassr Meflhi","doi":"10.1007/s44445-026-00157-9","DOIUrl":"https://doi.org/10.1007/s44445-026-00157-9","url":null,"abstract":"<p><p>Recurrent aphthous stomatitis (RAS), an oral mucosal pathosis, can interfere with patients' quality of life, mainly due to its recurrent nature. The etiology of RAS remains unclear and its management is challenging. This systematic review and meta-analysis were performed to assess the efficacy of a single topical application of doxycycline to treat RAS. Online search of the Scopus, Medline (via PubMed), Embase and Google Scholar databases was performed from May to September 2025. Randomized controlled trials (RCTs) were selected, eligible studies were conducted for healthy patients with the primary diagnosis of RAS who received the treatment. Primary outcomes (Pain scores & healing times) were extracted. The Cochrane Collaboration risk of bias (ROB) tool was used for quality control. The data were synthesized and a meta-analysis was performed. Five RCTs were included in the systematic review and three were included in the meta-analysis. Two were excluded for insufficient sample size. The overall average healing times in the control and doxycycline groups were 2.695 ± 0.731 and 1.677 ± 0.588 days, respectively (p = 0.274). Additionally, mean pain scores in the control and doxycycline groups were 2.718 ± 0.466 and 2.039 ± 0.790, respectively (p = 0.291). However, one study revealed a significant effect in healing time (0.032). Topical doxycycline appears to have a clinical role in RAS treatment, despite the small number of available clinical studies. Further controlled clinical trials are warranted to confirm study findings.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayat G Montaser, Sara Tamimi, Shimaa A El Saeed, Ahmed D Abogabal, Ahmed Y Allam, Suad M Hassan, Sally N El Adawy
{"title":"Surface and fracture properties of lithium disilicate and resin-Matrix CAD/CAM ceramics.","authors":"Ayat G Montaser, Sara Tamimi, Shimaa A El Saeed, Ahmed D Abogabal, Ahmed Y Allam, Suad M Hassan, Sally N El Adawy","doi":"10.1007/s44445-026-00145-z","DOIUrl":"https://doi.org/10.1007/s44445-026-00145-z","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize hardness and fracture toughness of ceramic CAD/CAM materials with different composition (IPS e.max CAD and MAZIC Duro) and thicknesses (1mm and 1.5mm).</p><p><strong>Materials and methods: </strong>Blocks of CAD/CAM esthetic restorative materials (IPS e. max CAD \"EC\" and MAZIC Duro \"MD\"), forty discs were fabricated with dimensions of 10 mm × 1 mm and 10 mm × 1.5 mm. All discs were prepared using a precision cutting machine. Discs were then subjected to hardness, fracture toughness tests.</p><p><strong>Results: </strong>Data were analyzed using independent t-tests and Two-way ANOVA (p < 0.05). For hardness test, at 1 mm and 1.5mm thicknesses, MAZIC Duro (MD) recorded a not statistically significant higher mean value of hardness (459.836 ± 20.549 HV) (468.818 ± 17.574 HV) compared to IPS e.max CAD (EC) (456.596 ± 38.102 HV) (463.346 ± 11.399 HV) (p = 0.816 and p = 0.420, respectively). For fracture toughness test, at 1 mm thickness, MAZIC Duro (MD) recorded a highly statistically significant higher mean value of fracture toughness (5.360 ± 0.133 MPa) compared to IPS e.max CAD (EC) (4.744 ± 0.151 MPa) (p < 0.001). While at 1.5 mm thickness, MAZIC Duro (MD) recorded a not statistically significant higher mean value of fracture toughness (5.291 ± .089 MPa) compared to IPS e.max CAD (EC) (5.285 ± 0.330 MPa) (p = 0.956).</p><p><strong>Conclusion: </strong>MAZIC Duro (MD) showed slightly higher hardness than IPS e.max CAD (EC) at both 1 mm and 1.5 mm thicknesses, but the difference was not statistically significant. For fracture toughness, MD was highly significant at 1 mm thickness, while at 1.5 mm, both materials performed similarly with no significant difference.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdulaziz Owayed, Bader E Alkandari, Latifah Abdulrahman Al-Ali, Dalal Jamal Al-Toorah, Mohammad A Mohammad, Ali Fayeq Khajah, Abdullah A AlHajeri, Wed S Alkandari, Zahraa M Ashkanani, Sayed Ahmad Al-Zelzelah, Hashem Ismael Ashkanani
{"title":"TruNatomy versus protaper gold for postoperative pain in pulpitis: a systematic review and meta-analysis of randomized controlled trials.","authors":"Abdulaziz Owayed, Bader E Alkandari, Latifah Abdulrahman Al-Ali, Dalal Jamal Al-Toorah, Mohammad A Mohammad, Ali Fayeq Khajah, Abdullah A AlHajeri, Wed S Alkandari, Zahraa M Ashkanani, Sayed Ahmad Al-Zelzelah, Hashem Ismael Ashkanani","doi":"10.1007/s44445-026-00154-y","DOIUrl":"https://doi.org/10.1007/s44445-026-00154-y","url":null,"abstract":"<p><p>Root canal treatment aims to eliminate organisms within the canal system through the removal of pulp tissue, infected dentin, and necrotic materials. However, experiencing pain or swelling after root canal operations can be a significant concern. Minimally invasive (MI) techniques, such as the TruNatomy rotary file system, are intended to preserve tooth structure. However, conventional systems, such as ProTaper Gold rotary file system, aim for complete debridement. In this meta-analysis, we aim to assess the efficacy of the TruNatomy and ProTaper Gold in reducing postoperative pain. In November 2025, we conducted a systematic search of PubMed, Scopus, Web of Science, and the Cochrane Library for randomized controlled trials (RCTs) comparing TruNatomy to ProTaper Gold in adult patients with pulpitis. For the meta-analysis, we used R 4.5.0 with R Studio 2024.12.1 + 563. Using a random-effects model, we evaluated dichotomous data using risk ratios (RRs) and 95% confidence intervals (95% CI); whereas continuous data were analyzed using standardized mean difference (SMD) and 95% CI. Visual inspection of the forest plot was used to determine statistical heterogeneity between trials, in addition to I-squared (I2) and chi-squared (Chi2) statistics. Our analysis included four RCTs comprising 381 patients. Pooled analysis showed no statistically significant difference between TruNatomy and ProTaper Gold in pain intensity at 24 h (SMD = 0.03, 95% CI -0.17; 0.23), 48 h (SMD = 0.13, 95% CI -0.16; 0.42), or 72 h (SMD = -0.59, 95% CI -1.33; 0.14). There was no significant difference between the two groups in analgesic intake (RR = 1.2, 95% CI 0.70; 2.06). Also, the presence of postoperative pain at 24 and 48 h was similar in both groups. The results showed low statistical heterogeneity for most outcomes; however, the results should be interpreted with consideration of the clinical variability between the included studies. According to our data, the TruNatomy showed no superiority over ProTaper Gold rotary file systems in managing postoperative pain following root canal therapy. The choice of either approach may be based on other criteria, such as dentin preservation or operator preference. Thus, future large-scale clinical trials should validate these findings.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wiwiek Poedjiastoeti, Rachendra Pratama, Irvan Septrian Syah Putra Rasad, Indrayadi Gunardi, Jonathan Agung Suryowinahyu, Felicia Klarissa Tanzil, Armelia Sari Widyarman, Chaminda Jayampath Seneviratne
{"title":"Multifunctional effects of Zizyphus mauritiana leaf extract on oral pathogens and wound healing: an integrative in vitro and in vivo study.","authors":"Wiwiek Poedjiastoeti, Rachendra Pratama, Irvan Septrian Syah Putra Rasad, Indrayadi Gunardi, Jonathan Agung Suryowinahyu, Felicia Klarissa Tanzil, Armelia Sari Widyarman, Chaminda Jayampath Seneviratne","doi":"10.1007/s44445-026-00168-6","DOIUrl":"10.1007/s44445-026-00168-6","url":null,"abstract":"<p><p>Post-extraction infections and delayed oral wound healing remain clinical challenges due to bacterial biofilms, oxidative stress, and inflammation. Natural plant-derived compounds offer promising alternatives to conventional antimicrobials. Zizyphus mauritiana (daun bidara), widely used in traditional Indonesian medicine, has not been comprehensively evaluated for its potential role in oral infection control and wound repair. This study investigated the antibacterial, antibiofilm, antioxidant, and anti-inflammatory activities of ethanolic extract of Z. mauritiana (ZM) leaves using both in vitro and in vivo models. The antibacterial activity of ZM extract was tested against Prevotella intermedia, Fusobacterium nucleatum, Streptococcus sanguinis, and Treponema denticola using the microdilution method to determine minimum inhibitory (MIC) and bactericidal (MBC) concentrations. Antibiofilm activity was assessed using a 96-well plate biofilm assay and confirmed by quantitative polymerase chain reaction (qPCR). Antioxidant activity was evaluated using the DPPH assay to determine the IC₅₀ value. For in vivo evaluation, gels containing 50% and 100% ZM extract were applied to tooth extraction sockets in Sprague-Dawley rats (n = 24). On day 3, wounds were analyzed for tumor necrosis factor-α (TNF-α) levels by ELISA and for histological inflammation using immunohistochemistry (IHC). ZM extract exhibited strong antibacterial activity (MIC = 125-500 mg/mL; MBC = 250-500 mg/mL) and significantly inhibited biofilm formation (p < 0.05). The extract showed moderate antioxidant activity (IC₅₀ = 0.13703 mg/mL). In vivo, the 50% ZM gel markedly reduced TNF-α levels (118.7 pg/mL) and produced sparse IHC staining, indicating reduced inflammation and improved healing. Ethanolic extract of Zizyphus mauritiana leaves demonstrates multifunctional bioactivities and holds promise as a natural therapeutic agent for managing oral infections and enhancing post-extraction wound healing.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khulood Almansour, Mai Alhamdan, Ali Alarabi, Ahmed AlManqur, Yazeed Altamimi, Nassr Al-Maflehi
{"title":"Prevalence and causes of indirect veneer failure: a retrospective analysis from a university dental hospital.","authors":"Khulood Almansour, Mai Alhamdan, Ali Alarabi, Ahmed AlManqur, Yazeed Altamimi, Nassr Al-Maflehi","doi":"10.1007/s44445-026-00171-x","DOIUrl":"10.1007/s44445-026-00171-x","url":null,"abstract":"<p><p>Indirect veneers are widely used as an esthetic restorative option in dentistry however, complications may occur leading to failure and the need for replacement. Understanding the prevalence and contributing factors to veneer failure is essential for proper diagnosis and for improving clinical outcomes. This study aimed to assess the prevalence, patterns, and causes of indirect veneer failures among patients receiving replacement restorations at the Dental University Hospital, King Saud University, Riyadh, Saudi Arabia. A retrospective analysis was conducted on 194 replaced veneer restorations. Data extracted from patient records included patient demographics, tooth location, type of failure, survival duration, veneer material, cement type, and preparation design. Descriptive statistics and cross-tabulations were used to evaluate failure distribution across clinical and material-related variables. Associations between all variables were assessed using the Chi-square test. A p-value < 0.05 was considered statistically significant. Veneer failure was more common in females (79.9%) than males (20.1%). Failures occurred more frequently in posterior teeth (65.5%) and in the maxilla (57.7%). Age-related peaks were observed at 44 years (20.6%), 38 years (10.3%), and 47 years (10.3%). Most failures occurred after 6-7 years of service. The most frequent cause was dimensional error in veneer size or shape (58.2%), followed by discoloration (21.1%). Lithium disilicate veneers accounted for the highest proportion of replacements in the study sample (64.4%), porcelain was more fracture-susceptible (10.3%), and zirconia showed higher debonding and shade mismatch (8.3% each). Failures were most common in veneers with incisal edge coverage (36.6%), followed by prep-less (32.5%) and minimal preparation designs (30.9%). Indirect veneer failures were predominantly associated with dimensional complications and discoloration, especially in lithium disilicate restorations and designs involving incisal edge coverage. These findings highlight the importance of careful case selection to enhance long-term veneer success.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of cone-beam computed tomography in predicting root canal treatment success: A systematic review and meta-analysis.","authors":"Saeed Alqahtani","doi":"10.1007/s44445-026-00133-3","DOIUrl":"10.1007/s44445-026-00133-3","url":null,"abstract":"<p><p>Root canal treatment (RCT) is an essential dental procedure aimed at preserving natural teeth by eliminating infected pulp and preventing reinfection. Predicting RCT success remains a clinical challenge due to anatomical complexities and diagnostic limitations of traditional 2D imaging. Cone-beam computed tomography (CBCT) offers three-dimensional visualization, potentially enhancing diagnostic accuracy and prognostic evaluation. This systematic review and meta-analysis aimed to evaluate the role of CBCT in predicting the success of RCT by identifying anatomical and pathological factors that influence treatment outcomes. This review is the first to separately synthesize diagnostic accuracy and prognostic evidence for CBCT in predicting non-surgical RCT outcomes using subgroup analyses of voxel size and follow-up duration. Following PRISMA guidelines, electronic databases including PubMed, Scopus, Web of Science, and Embase were searched for relevant studies published between 2013 and 2024. Studies were categorized as (1) diagnostic accuracy studies or (2) prognostic studies assessing whether CBCT-identified variables predicted RCT success/failure. Data extraction and quality assessment were performed using appropriate critical appraisal tools. Meta-analysis was conducted to determine pooled effect sizes for periapical lesion detection, root fracture identification, and canal configuration assessment. Twelve studies (6 diagnostic accuracy; 6 prognostic outcome) involving various designs and sample sizes were included. Meta-analysis of diagnostic accuracy studies showed pooled sensitivity/specificity of 0.88/0.84 for periapical lesions (I<sup>2</sup> = 47%), 0.81/0.86 for vertical root fractures (I<sup>2</sup> = 52%), and 0.91/0.88 for canal morphology (I<sup>2</sup> = 28%). Prognostic meta-analysis demonstrated significant associations between CBCT-detected pathology and risk of post-treatment failure: periapical lesions (OR = 2.63; 95% CI 1.78-3.58; p < 0.001; I<sup>2</sup> = 39%), root fractures (OR = 3.48; 95% CI 2.05-5.12; p < 0.001; I<sup>2</sup> = 44%), and complex canal anatomy (OR = 1.94; 95% CI 1.20-2.82; p = 0.004; I<sup>2</sup> = 28%). Subgroup analyses showed stronger prediction with voxel size < 0.2 mm and follow-ups ≥ 12 months. While CBCT demonstrates improved diagnostic capability and offers valuable prognostic insight in complex cases, its findings cannot establish causation and do not guarantee treatment success. CBCT should therefore be used selectively, considering its cost, radiation exposure, and the need for operator expertise.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative evaluation of compressive strength of CAD-CAM polyetheretherketone and indirect composite Class II inlays: an in vitro study.","authors":"Nidhi Sharma, Siddhant Mahajan, Ish Kumar Sharma, Neha Verma, Diksha Yadav, Nikita Poonia","doi":"10.1007/s44445-026-00150-2","DOIUrl":"10.1007/s44445-026-00150-2","url":null,"abstract":"<p><p>Polyetheretherketone (PEEK) is a high-performance thermoplastic polymer that is currently being utilized in the dental field due to its desirable mechanical characteristics, biocompatibility, and ease of integration into digital CAD-CAM processes. Despite the esthetic and esthetic benefits of composite resins in Class II inlays, mechanical performance in high-stress posterior restorations continues to be a clinical issue with the material. Although other research has been conducted to utilize PEEK in different dental treatment procedures, there are no direct comparative studies dealing specifically with the compressive strength of Class II dental restorations using CAD-CAM developed PEEK inlays as compared to indirect composite inlays. This study aimed to compare the compressive strength of PEEK and composite resin when used as Class II inlays and evaluate PEEK's suitability as an alternative restorative material. Thirty-four human premolars extracted for orthodontic reasons and randomly allocated to two groups (n = 17). Group A was provided with CAD-CAM-produced PEEK inlays, and Group B was restored with inlays made of an indirect composite. Fracture load testing of all specimens was done through a universal testing machine. An independent t -test was used to statistically analyze the compressive strength values. The PEEK group showed a mean compressive strength value of 381.88 N compared to 266.67 N in the composite group, and the p-value was below 0.001, which was a statistically significant difference. PEEK inlays proved to have better compressive strength than composite resin inlays, which implies that PEEK is a prospective Class II restorative material in stress-bearing posterior areas. Its clinical performance over the long term and in more applications should be the subject of future research.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13076760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147676685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical and biomechanical determinants of immediate, early, progressive, and delayed implant loading: A comprehensive narrative review.","authors":"Akansha Kishen, Varsha Murthy, Lakshmi Devi, Balaji Jayachandran, Sadish, Suganya S","doi":"10.1007/s44445-026-00122-6","DOIUrl":"10.1007/s44445-026-00122-6","url":null,"abstract":"<p><p>The protocols for implant loading have changed considerably over the years. Branemark's old way of delaying loading has become trendier at present. Today, we have immediate and early protocols being widely used. These latest methods try to shorten treatment time while ensuring that osseointegration remains stable. As the surface technology of implants has become advanced and as digital planning and biomechanical understanding have improved so much, the older concepts of safe functional loading can be redefined. There is still clinical uncertainty about the long-term predictability of early load initiation for implants of varying quality and design. This review critically reviews recent (2019-2025) evidence into the biologic and biomechanical principles, clinical and decision-making principles for immediate, early, progressive and delayed loading of implants. The goal is to create an effective, evidence-based framework that practitioners can use for loading selection according to patient-specific factors, bone density and primary stability. To achieve the aim, a structured narrative review was conducted, which involved the databases including PubMed, Scopus, ScienceDirect and Wiley Online Library. The literature was searched using Boolean search strings that combined appropriate MeSH terms pertaining to 'dental implants', 'osseointegration', 'loading protocol' and 'primary stability'. Seventy-two studies (24 RCTs, 28 cohort studies and 20 systematic reviews/Meta-analysis) that met the inclusion criteria were qualitatively analyzed. When insertion torque was ≥ 35 N.cm, implant survival rates were between 95 and 100% in immediate and early loading protocols, comparable to that of delayed protocols. Similarly, for ISQ ≥ 70 and bone quality Type I-II. The difference in mean marginal bone loss between early and late loading was less than 0.2 mm at 12 months, which is clinically insignificant. Excess occlusal load, low bone density (type IV) and absence of prosthetic splinting were associated with failures. The implant bone interface in low-density bone improved as upgrades were made with progressive loaders. Implants in the lower jaw were more predictable than in the upper jaw. Immediate loading and early loading are both reliable if the biomechanical and biologic prerequisites are satisfied. This is a significant change from time-based loading to mechanically and biologically guided loading. Ways of working in the future will be AI-assisted torque analysis, digital bone-density mapping and biomimetic implant surfaces that enhance osseointegration under controlled functional load. Clinical Significance: Clinicians should determine the time of implant loading according to objective parameters rather than according to fixed timelines. Properly done immediate or early loading can shorten treatment time, improve patient satisfaction and provide long-term predictability comparable to those achieved with delayed approaches.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noha M Alhazmi, Nooralhuda A Felemban, Lobna A Alsulaimani, Nada S Alghamdi, Sarah I Al-Hawsah, Khulood A Hawsawi
{"title":"Advancing preventive care under vision 2030: a retrospective study on integrating oral health into the health coach program in Jeddah's second health cluster.","authors":"Noha M Alhazmi, Nooralhuda A Felemban, Lobna A Alsulaimani, Nada S Alghamdi, Sarah I Al-Hawsah, Khulood A Hawsawi","doi":"10.1007/s44445-026-00165-9","DOIUrl":"10.1007/s44445-026-00165-9","url":null,"abstract":"<p><p>Oral health is a key component of overall well-being, yet it is often underrepresented in public health training programs. This study aimed to evaluate the impact of introducing dental health education sessions into the annual Health Coach Program at Jeddah Second Health Cluster. A cohort of 55 health coaches participated in an educational intervention that incorporated essential dental health topics into their training curriculum. Participants' knowledge and understanding of oral health concepts were measured using a structured, validated questionnaire administered before and after the intervention to assess changes attributable to the program. The results show that the educational intervention awareness for the participants of fluoride benefits increased from 40 to 80% (p < 0.001), and knowledge of pediatric oral health improved from 55 to 85% (p = 0.002). Self-reported tooth brushing twice daily rose from 70 to 95% (p = 0.001*). Participants with bachelor's degrees demonstrated greater knowledge gains (OR = 2.10, p = 0.016), while the intervention itself was the strongest predictor of improvement (OR = 4.25, p < 0.001). The study concluded that integrating oral health into the Health Coach Program may strengthen community prevention efforts and advance the national agenda for holistic, preventive healthcare.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of bisoctrizole addition on color stability after artificial aging and surface hardness of scleral acrylic resin: an in-vitro study.","authors":"Ahmed W Mohammed, Bayan S Khalaf","doi":"10.1007/s44445-026-00166-8","DOIUrl":"10.1007/s44445-026-00166-8","url":null,"abstract":"<p><p>The color degradation of ocular prostheses is significantly affected by exposure to ultraviolet (UV) light over time. As a result, the prosthesis requires frequent replacement, ultimately increases the financial burden of rehabilitation on the patient. This study aimed to determine the optimal bisoctrizole percentage for ocular acrylic by assessing its effects on color stability after 300 h of artificial aging and on surface hardness. A total of 120 specimens were prepared from white heat-cure scleral acrylic and subdivided into two groups according to the conducted tests; color stability and surface hardness. Each of these groups were further subdivided into 6 groups with 10 specimens for each based on the weight percentages of bisoctrizole added; 0%, 0.5%, 1%, 1.5%, 2% and 2.5%. The color parameters were measured before and after artificial weathering using a portable digital colorimeter according to the CIE L*a*b* system. Shapiro-Wilk test was used to confirm normality of data. One-way ANOVA was used among the study groups followed by Tukey's honestly significant difference (HSD) as a post hoc test (α = 0.05). All groups exhibited significant (p < 0.001) color change (ΔE > 0) after aging, with the control (0%) showing the highest ΔE. A progressive decrease in ΔE was observed with increasing bisoctrizole. Surface hardness was clinically comparable, though compared to the control, a statistically significant difference was found in Groups 1.5% and 2% (p < 0.001). Bisoctrizole had effectively preserved the color of scleral acrylic over time under UV light. Additionally, it had minimally affected the surface hardness of the material.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13062149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}