Saudi Dental Journal最新文献

{"title":"Different final irrigation protocols on postoperative pain and swelling following single-visit non-surgical root canal treatment in necrotic mandibular first molars: a randomized controlled trial.","authors":"Mina Zarei, Maryam Javidi, Rouzbeh Farrokhi, Yasamin Tajdini, Maryam Peighoun","doi":"10.1007/s44445-026-00179-3","DOIUrl":"10.1007/s44445-026-00179-3","url":null,"abstract":"<p><strong>Introduction: </strong>Postoperative flare-ups remain a frequent complication after root canal treatment, particularly in teeth with necrotic pulps. This randomized clinical trial evaluated postoperative pain, swelling, and analgesic intake following single-visit endodontic treatment of necrotic mandibular molars using three irrigation approaches: conventional needle irrigation (CNI), side-vented needle irrigation (SNI) and passive ultrasonic irrigation (PUI).</p><p><strong>Methods: </strong>In this single-blind, parallel-group randomized clinical trial, 45 patients diagnosed with necrotic mandibular first molars were equally assigned to CNI, SNI, or PUI groups (n = 15 each). All procedures were completed in one visit using standardized rotary instrumentation with 5.25% sodium hypochlorite as the primary irrigant. Pain intensity was recorded using a 0-10 visual analogue scale at 6, 24, 48, and 72 h after treatment, while postoperative swelling was documented as present or absent. Analgesic intake was also registered. Data analysis was performed using Kruskal-Wallis, Fisher's exact, and Cochran's Q tests with a significance level set at 0.05.</p><p><strong>Results: </strong>Pain intensity in the CNI group was significantly higher at 24, 48, and 72 h compared with both SNI and PUI groups (p ≤ 0.008). At 24 h, swelling occurred more frequently in the CNI group (46.7%) than in the SNI (0%) and PUI (6.7%) groups (p = 0.002). Patterns of analgesic consumption were consistent with pain outcomes. No statistically significant differences were identified between the SNI and PUI protocols.</p><p><strong>Conclusions: </strong>Within the limitations of this randomized clinical trial, both SNI and PUI were associated with reduced postoperative pain, swelling, and analgesic use compared with conventional needle irrigation in necrotic mandibular molars. These findings suggest that improved irrigant delivery methods may contribute to minimizing postoperative flare-ups.</p><p><strong>Trial registration: </strong>Iranian Registry of Clinical Trials (IRCT20100110003036N2), registered 1399.05.08.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876017","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":"Blue®m gel vs hyaluronic acid gel in wound healing and pain control following functional crown lengthening: a randomized controlled trial.","authors":"Riddhi Vyas, Santhosh Kumar, C M Manasa","doi":"10.1007/s44445-026-00178-4","DOIUrl":"10.1007/s44445-026-00178-4","url":null,"abstract":"<p><p>Periodontal wound dressings have advanced from passive protectants to bioactive agents. This study compared the efficacy of Blue®m gel and a hyaluronic acid (HA) gel in promoting wound healing and controlling postoperative pain after functional crown lengthening surgery. A prospective, randomized, patient and outcome assessor-blinded study was conducted on 40 systemically healthy patients (aged 20-60 years) requiring crown lengthening of posterior teeth. Participants were divided into two groups: Blue®m gel (Group A) and custom-formulated HA gel (Group B). Both gels were applied to the surgical site immediately after suturing and then three times daily for 1 week. Wound healing was assessed at 1, 2, and 3 weeks using the Early Wound Healing Index (EHS, including CSR for closure, CSH for hemostasis and CSI for inflammation) and the Landry Wound Healing Index. Postoperative pain was evaluated via a Numeric Pain Rating Scale (NPRS) on Days 1, 2, and 3. Outcome comparisons between groups were performed with Chi-square tests for categorical healing indices and Mann-Whitney test for ordinal data. Both interventions yielded excellent clinical outcomes with comparable healing patterns. By Week 1, 100% of sites in both groups had complete incision closure (merged margins). Approximately 20% of patients in each group showed slight fibrin presence and mild redness at Week 1, which resolved entirely by Week 2. Consequently, EHS scores were high in both groups (most cases scoring 9-10 at Week 1 and 10 by Week 2) with no significant intergroup difference (p > 0.05). The Landry index reflected progressive improvement from predominantly red tissue at Week 1 to fully pink, healthy tissue by Week 3 in both groups (p > 0.05). Postoperative pain was mild and diminished rapidly: On Day 1, pain scores ranged from 0 to 4 in Group A and 1 to 2 in Group B, dropping significantly by Day 3 with no difference between the two groups (p > 0.05). No adverse effects were observed with either gel. Blue®m gel and HA gel demonstrated favorable clinical outcomes in soft tissue wound healing and early postoperative pain control, with no statistically significant differences observed between groups. Both agents can be safely recommended as effective periodontal dressings in this context, with the choice between them potentially guided by practical considerations such as cost and availability.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875969","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":"Association between mandibular third molar impaction patterns, second molar caries, and pericoronitis: a cross-sectional study in a syrian population.","authors":"Eman Hadla, Shahed Kuraitby, Mohammad Abou Hasan","doi":"10.1007/s44445-026-00182-8","DOIUrl":"10.1007/s44445-026-00182-8","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the pattern of mandibular third molar impaction and its association with distal carious lesions of adjacent mandibular second molars (MSMs), as well as the occurrence of pericoronitis, in a Syrian population.</p><p><strong>Methods: </strong>This cross-sectional study included 619 mandibular third molars (MTMs) from 365 Syrian patients. The pattern of impaction was assessed clinically and radiographically using Winter's classification and Pell & Gregory's classification. The presence of distal caries on adjacent mandibular second molars and the occurrence of pericoronitis were recorded. Information on patient age and gender was also collected. Associations between impaction patterns and the presence of distal caries and pericoronitis were statistically analyzed, with p < 0.05 considered significant.</p><p><strong>Results: </strong>Among the 619 MTMs evaluated, 418 were in females and 201 in males. The most common age group was 21-25 years (40.8%). Mesioangular impaction was the most frequent type (55.3%), and Class A impaction was the most prevalent (64%). Pericoronitis occurred in 5.7% of cases and was significantly associated with age (p = 0.020), vertical impaction (p = 0.010), and Class A molars (p = 0.001). Distal caries was observed in 12.6% of cases, mainly in patients older than 26 years, with no significant gender difference (p = 0.791); the highest prevalence was found in Class A molars.</p><p><strong>Conclusions: </strong>The anatomical position and angulation of impacted mandibular third molars significantly influence the risk of pericoronitis and distal caries. This finding suggests that prophylactic removal of these molars may help reduce associated complications.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876019","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":"Digital patient education and its role in overcoming dental anxiety and barriers to endodontic care.","authors":"Iuliana Sofian-Pauliuc, Antonio Castaño-Séiquer, David Ribas-Perez, Ignacio Barbero-Navarro","doi":"10.1007/s44445-026-00172-w","DOIUrl":"10.1007/s44445-026-00172-w","url":null,"abstract":"<p><p>Dental fear and anxiety (DFA) serve as a significant obstacle to oral healthcare, affecting approximately 15% of the adult population. In endodontics, misconceptions regarding procedural pain and complexity often lead to treatment avoidance or a preference for extraction over tooth-preserving therapy. Currently, there remains a notable information gap regarding the efficacy of modern educational modalities in mitigating these barriers. The purpose of this scoping review is to map the existing research on DFA, socioeconomic barriers to endodontic care, and the relative effectiveness of new educational tools, particularly multimedia and Artifical Intelligence (AI) -driven interventions, in raising patient awareness and lowering DFA. Following the Arksey & O'Malley guidelines and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews), a systematic search was carried out for the years 2015-2025 using PubMed/MEDLINE, ScienceDirect, Cochrane, and Wiley. Two reviewers conducted independent data charting and study selection. Joanna Briggs Institute (JBI) critical assessment techniques were used to evaluate methodological quality. Notably, there was no pre-registered review protocol, which is recognised as a methodological limitation. Ten studies met the inclusion criteria, representing diverse geographic cohorts, including Saudi Arabia, India, Pakistan, Brazil, and Turkey. The findings indicate that previous negative dental experiences, fear of pain and limited knowledge regarding root canal treatment are major contributors to DFA. Educational interventions, particularly video-based and animated materials, were associated with improved patient understanding and reduced anxiety levels. Recent studies also suggest that AI-generated educational content may enhance clarity and trust while reducing patient anxiety, although further validation is required. Socioeconomic factors, including treatment cost and access to specialised care, were also identified as important determinants influencing treatment decisions. Emerging digital and AI-driven educational tools show promise in reducing DFA but require further expert validation and ethical oversight before widespread implementation to avoid misinformation and ensure clinical safety. Future research should prioritise longitudinal and multi-centre studies to evaluate the long-term impact of digital education on patient decision-making and treatment outcomes.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876039","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 IV midazolam premedication before anesthesia on post-recovery outcomes in orthognathic surgery: a double blind randomized clinical trial.","authors":"Ali Modaberi, Hamidreza Eftekharian, Hosein Askari, Nasim Morshedian, Sheila Shahsavari-Pour","doi":"10.1007/s44445-026-00151-1","DOIUrl":"10.1007/s44445-026-00151-1","url":null,"abstract":"<p><strong>Objective: </strong>Orthognathic surgery is a complex maxillofacial procedure designed to correct skeletal jaw deformities, improving both functional and aesthetic outcomes. Despite its efficacy, the procedure carries risks of postoperative complications, including agitation, shivering, nausea, and intraoperative recall. Midazolam, a short-acting benzodiazepine with anxiolytic and amnestic properties, is frequently used as a premedication. This study aims to evaluate the effect of midazolam on postoperative recovery outcomes in patients undergoing orthognathic surgery.</p><p><strong>Methods: </strong>In this double-blind randomized clinical trial, 56 healthy patients scheduled for orthognathic surgery were enrolled. The participants were assigned to receive either intravenous midazolam (0.1 mg/kg) or a normal saline placebo at the onset of anesthesia induction. A standardized anesthesia protocol using propofol and remifentanil was maintained for all patients. The measured outcomes included the incidence and severity of postoperative agitation, shivering, nausea, and surgical recall. Also, intraoperative blood loss, recovery duration, and ICU admission rates were evaluated. Statistical analysis was performed using Mann-Whitney U, Independent T-tests, and Chi-square tests as appropriate (P < 0.05).</p><p><strong>Results: </strong>The two groups were comparable regarding demographic data, ASA classification, and surgical duration (p > 0.05). No significant differences were found in median intraoperative blood loss (350 mL in the midazolam group vs. 300 mL in the control group; p = 0.190) or median recovery duration (60 min for both groups; P = 0.204). Although the midazolam group showed lower frequencies of agitation, shivering, and nausea, these differences did not reach statistical significance (P > 0.05). Surgical recall was reported in 3.6% of the midazolam group compared to 10.7% in the control group (P > 0.05). No adverse pharmacological events or significant respiratory depressions were recorded in either cohort.</p><p><strong>Conclusion: </strong>Pre-induction administration of IV midazolam did not decrease the incidence of postoperative complications such as agitation, shivering, or nausea.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13168409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875972","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 working length determination on postoperative pain using Electronic Apex Locator versus Radiographic method: a systematic review of randomized control trials.","authors":"Muhammad Usman Sultan, Muhammad Anas, Aamna Mansur, Jaber Hamad Jaber Amin","doi":"10.1007/s44445-026-00158-8","DOIUrl":"10.1007/s44445-026-00158-8","url":null,"abstract":"<p><p>When it comes to root canal therapy, the right working length (WL) must be established in order to minimize material extrusion and the resulting post- procedure pain. Although electronic apex locators (EALs) are a radiation-free, time-saving substitute for conventional or digital radiography techniques, but their impact on postoperative pain has been controversial. This systematic review was registered in PROSPERO (CRD420251247626) and adhered to PRISMA 2020 guidelines. Randomized controlled trials (RCTs) comparing EAL versus radiographic WL determination, with postoperative pain as an outcome, were searched in PubMed, Cochrane CENTRAL, and ScienceDirect from January 2000 to November 17, 2025. Only peer-reviewed RCTs involving permanent teeth were considered. Bias risk was evaluated using Cochrane RoB 2.0. Four RCTs (total n = 414 patients) met the inclusion criteria. Four RCTs (2014-2024) showed no statistically significant difference in postoperative pain incidence, intensity (measured by VAS or 4-point verbal rating scale), analgesic consumption, or time to pain resolution between EAL and radiographic groups at any time point (4 h to 7 days). Pain levels were generally low to moderate and resolved within 72 h in both groups. One three-arm trial demonstrated significantly lower early pain (6-48 h) with a simultaneous/hybrid EAL plus radiographic technique compared with either method alone. No flare-ups or serious adverse events were reported. Based on limited evidence from four RCTs with methodological concerns (including risks in randomization, blinding, and subjective pain assessment) and very low certainty, electronic apex locators and radiographic methods may yield similar postoperative pain outcomes in single-visit root canal treatment of vital teeth. A combined method of both techniques showed preliminary indications of early pain alleviation in one small trial on symptomatic conditions, but this requires confirmation. EALs may represent a radiation free alternative or supplement to radiography that does not appear to increase pain, though the evidence is insufficient to draw firm conclusions.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13156390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844516","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":"Artificial intelligence in periodontal disease research: a bibliometric and visualized analysis of global research trends (2007-2025).","authors":"Wuyan Zhou, Xun Liu, Jinghong Yu, Yaoxu Li, Lin Cheng, Guanliang Wang, Fulin Jiang","doi":"10.1007/s44445-026-00160-0","DOIUrl":"10.1007/s44445-026-00160-0","url":null,"abstract":"<p><p>Periodontal disease is one of the most common diseases in stomatology. With the continuous development of artificial intelligence (AI), its integration with periodontology is rapidly evolving. However, a comprehensive bibliometric analysis mapping this interdisciplinary field is currently lacking. We conducted a bibliometric analysis by retrieving publications related to AI and periodontal disease from the Web of Science Core Collection (WoSCC) for the period January 2007 to July 2025. Data processing and visualization were performed using R (Bibliometrix), VOSviewer, and CiteSpace. A total of 496 relevant articles (437 research papers; 59 reviews) were included. Annual publication output has shown sustained growth, particularly since 2021. China contributed the most publications (153 articles), followed by the United States. Among institutions, Pusan National University, South Korea (32 articles), and Saveetha Institute of Medical and Technical Science, India (31 articles) were the most productive. BMC Oral Health published the highest number of articles (n = 23). The co-authorship network involved 2,604 authors, with Pradeep Kumar Yadalam being the most prolific (15 articles). Co-citation analysis identified Orhan Kaan, Abu Patricia Angela R., and Falk Schwendicke as the most cited authors. Keyword analysis revealed \"periodontitis,\" \"machine learning,\" and \"artificial intelligence\" as core research foci, while burst detection indicated \"progression\" and \"expression\" as emerging thematic directions. This study provides a systematic overview of the research landscape, highlighting evolving trends, key contributors, and knowledge structure in AI applications for periodontal disease. The findings offer valuable insights to help dentists and researchers understand current applications, identify frontiers, and potentially guide the future clinical translation of AI technologies in periodontology.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844519","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":"Fueling failure or fostering fusion? A critical review of the potential effect of ketogenic, intermittent fasting, and low-carbohydrate diets on dental implant osseointegration.","authors":"Faris A Alshahrani, Noha Taymour","doi":"10.1007/s44445-026-00164-w","DOIUrl":"10.1007/s44445-026-00164-w","url":null,"abstract":"<p><p>To synthesize current evidence (2010-2025) on ketogenic, intermittent fasting, and low-calorie diets' effects on bone health, inflammation, osseointegration and identifying research gaps relevant to dental implantology. A systematic literature search was conducted across PubMed, Scopus, and Web of Science for human and animal studies, mechanistic work, and systematic reviews. Evidence was extracted and summarized, prioritizing studies on diet patterns, bone biology, and dental implant outcomes. Mechanistic and animal studies suggest dietary influence on bone remodeling, inflammation, and angiogenesis, crucial for osseointegration. Vitamin D level correlates with implant outcomes, and moderate intermittent fasting appears not to harm systemic bone markers short-term. Major gaps include peri-implant mechanistic data, comparative trials, and optimal dietary timing. Current evidence indicates a potential influence of different diets on dental implant success factors. Definitive dietary recommendations for implant patients are premature due to insufficient human clinical data. Comprehensive, implant-specific research is still needed to establish guidelines and integrate nutrition into implant practice.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822179","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":"Mechanical and adhesive properties of monolithic zirconia and their clinical implications: a narrative review.","authors":"Areej Ata Abdulgader","doi":"10.1007/s44445-026-00136-0","DOIUrl":"10.1007/s44445-026-00136-0","url":null,"abstract":"<p><p>Monolithic zirconia has become increasingly popular in clinical dentistry as an indirect restorative material fabricated using computer-aided design/computer-aided manufacturing (CAD/CAM) technology. It is widely used due to its favorable combination of mechanical strength, aesthetic potential, and biocompatibility. Its monolithic design reduces the risk of veneer chipping, thereby improving restoration longevity. To narratively review the mechanical and adhesive properties of monolithic zirconia and discuss their clinical implications. This narrative review was based on a comprehensive, non-systematic literature search conducted using PubMed/MEDLINE, Scopus, and Web of Science. English-language publications addressing monolithic zirconia, mechanical behavior, surface treatments, adhesive strategies, and clinical performance were considered. Additional studies were identified through manual screening of reference lists. Study selection was guided by relevance to the review topic rather than predefined inclusion or exclusion criteria. Monolithic zirconia demonstrates high flexural strength and fracture toughness, supporting its use in posterior load-bearing restorations. However, direct exposure to the oral environment may promote low-temperature degradation (LTD), potentially affecting long-term mechanical stability. Despite improvements in translucency, aesthetic performance remains a consideration. Adhesive durability depends largely on appropriate surface conditioning and the use of functional primers, particularly those containing 10-methacryloyloxydecyl dihydrogen phosphate (MDP), which enhance chemical bonding to zirconia. Monolithic zirconia offers a reliable balance between strength and clinical durability. Nevertheless, its long-term performance is influenced by environmental exposure and adhesive protocols. Further research is needed to optimize the resin-zirconia interface while maintaining both mechanical reliability and aesthetic outcomes.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822160","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":"What is the impact of digital technologies on removable complete dentures: Advances, challenges, and clinical implications: A narrative review.","authors":"Parsa Maasoomnia, Somayeh Zeighami","doi":"10.1007/s44445-026-00134-2","DOIUrl":"10.1007/s44445-026-00134-2","url":null,"abstract":"<p><strong>Background: </strong>With the rapid advancement of digital technologies, dentistry has witnessed significant innovations, particularly in the fabrication of removable complete dentures. The objective of this narrative review is to examine the evolution, current state, and future directions of digital removable complete dentures, with a focus on comparing computer-aided design and computer-aided manufacturing (CAD/CAM) approaches to conventional techniques in terms of clinical efficiency and patient satisfaction.</p><p><strong>Methods: </strong>A narrative review was conducted by searching PubMed, Scopus, Embase, and Web of Science for articles published between January 2010 and April 2025. Relevant keywords related to digital dentures, CAD/CAM, 3D printing, and patient outcomes were used. Studies focusing on digital complete denture fabrication and comparisons with conventional methods were included.</p><p><strong>Results: </strong>Evidence indicates that digitally fabricated complete dentures demonstrate comparable or superior outcomes in retention, adaptation, and patient satisfaction. They also reduce the number of clinical visits and post-insertion adjustments. However, concerns remain regarding material properties, cost-effectiveness, and long-term performance.</p><p><strong>Conclusions: </strong>Digital denture fabrication presents a promising alternative to conventional methods, although further advancements in materials and long-term clinical validation are needed. Tailored implementation of digital workflows can enhance treatment efficiency and patient experience in removable prosthodontics.</p>","PeriodicalId":47246,"journal":{"name":"Saudi Dental Journal","volume":"38 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822149","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}