Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-13DOI: 10.1177/20501684251320452
Ziad Al-Ani, Riaz Yar
{"title":"Evolution of Dental Occlusion: Integrating Digital Innovations.","authors":"Ziad Al-Ani, Riaz Yar","doi":"10.1177/20501684251320452","DOIUrl":"https://doi.org/10.1177/20501684251320452","url":null,"abstract":"<p><p>The landscape of dental occlusion is undergoing a transformative shift with the integration of digital technologies offering accuracy, efficiency, and improved patient outcomes. This article explores the advancements in digital innovations that have reshaped occlusal analysis and management. By examining tools such as three-dimensional (3D) scanning, virtual articulators, and occlusal diagnostic software, we highlight their impact on treatment planning and clinical workflows. These technologies enable dental professionals to analyse occlusal relationships with a level of detail previously unattainable, paving the way for more accurate and individualised treatment plans. The implementation of digital approaches also enhances patient engagement, as visual data aids in understanding treatment processes. This article also reviews the available research on the reliability of these innovations, providing an evidence-based perspective on their clinical application.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"53-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045894","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}
Primary dental journalPub Date : 2025-03-01Epub Date: 2025-05-03DOI: 10.1177/20501684251328184
Martin G Kelleher, Reanna A Craig, Nagina Safi
{"title":"'SHEEP scoring': A practical tool for evaluating the prognosis and restorability of compromised teeth.","authors":"Martin G Kelleher, Reanna A Craig, Nagina Safi","doi":"10.1177/20501684251328184","DOIUrl":"https://doi.org/10.1177/20501684251328184","url":null,"abstract":"<p><p>This article describes a practical approach to assessing compromised teeth using a process called 'SHEEP scoring' which is an acronym based on the categories of <b>S</b>tructure, <b>H</b>istory, <b>E</b>ndodontic, <b>E</b>xpertise, and <b>P</b>eriodontal. Any compromised tooth is awarded marks out of ten under each of those five categories. Totalling those five scores (out of a maximum 50) and multiplying that number by two results in a patient-understandable 'percentage chance odds' for that compromised tooth. This pragmatic way of identifying the pre-existing problems first, before quantifying those in an intelligible way, helps to develop trust by making potential patients more aware of any existing problems with their tooth/teeth. That analysis ought to be undertaken separately and well before offering any theoretically possible solutions.Only when both sides understand the significant problems that already exist, should a '<b>B</b>enefits <b>R</b>isks <b>a</b>nd <b>N</b>othing (BRAN) analysis' be undertaken with the patient. This involves discussing the benefits and risks that might be involved in different approaches, compared with the option of doing nothing. The main objective is to help patients to evaluate their likely odds of some 'theoretically possible' treatment being successful in their particular case. Those explanations lead to outlining the time and costs that could be involved, as opposed to monitoring the situation while helping that patient to prevent further deterioration. Analysing and discussing existing problems first (separately to discussing potential treatments, and thereby avoiding availability bias and confirmation bias), means that patients can exercise their autonomy over how they would like to proceed with some treatment - or with none - which should help to ensure that their consent is likely to be valid for whatever decision they make.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"14 1","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049108","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":"Fabrication of three implant-supported crowns using a digital workflow: a case report.","authors":"Ilser Turkyilmaz, Jessie Winfree, Natalia Reiss, Berkay Tolga Suer","doi":"10.1177/20501684241270110","DOIUrl":"10.1177/20501684241270110","url":null,"abstract":"<p><p>Accurate working impression is an essential requirement for the fabrication of implant prosthesis, and digital impressions have recently become more popular. In this case report, a completely digital workflow is introduced for the fabrication of three single-unit screw-retained implant crowns on the posterior maxilla by a dental student, under supervision. This approach involved the use of an intraoral scanner to capture a digital impression of the three implants and their surrounding mucosa, the opposing arch, and occlusion. The use of intraoral scanners and digital impressions illustrated an efficient and patient-friendly method of capturing the necessary data to fabricate a well-fitted prothesis. The aim of this case report is to examine a fully digital approach in the production of multiple single-unit implant crowns.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"57-60"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485325","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":"An update on contemporary implant dentistry for general dental practice.","authors":"Igor R Blum","doi":"10.1177/20501684241301169","DOIUrl":"10.1177/20501684241301169","url":null,"abstract":"","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"13 4","pages":"2-3"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901572","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":"Current status and management of peri-implantitis: A systematic review.","authors":"Buket Acar, Guliz N Guncu","doi":"10.1177/20501684241270111","DOIUrl":"10.1177/20501684241270111","url":null,"abstract":"<p><strong>Aim: </strong>To systematically review the literature on the surgical and non-surgical methods for managing peri-implantitis.</p><p><strong>Materials and methods: </strong>An electronic search for randomised controlled trials published between 2019 and 2023 in the English language was performed with the Medline/PubMed database according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The specific search terms were \"periimplantitis\", \"non-surgical treatment\", \"surgical treatment\" and combinations of these terms.</p><p><strong>Results: </strong>The initial search yielded 2,704 relevant articles. Most of these articles were excluded based on publication type and year. At this stage, only two articles were excluded from the study because they were not written in English. Of the remaining 98 articles, seven were eliminated because the full text could not be accessed, and the others were excluded because their study topics and types were not within the scope of this review. Six out of the 51 studies, whose full texts were assessed for eligibility, were further excluded. Finally, 45 articles that met the inclusion criteria of this review were evaluated.</p><p><strong>Conclusion: </strong>Personalised and evidence-based approaches in the treatment of peri-implantitis are at the forefront in achieving the long-term success of peri-implantitis therapy. Further evidence is needed for the outcomes of surgical or non-surgical peri-implantitis treatment methods applied alone or with adjunctive therapies.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"13 4","pages":"77-92"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901573","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}
Todd R Schoenbaum, J Londono, B Hammond, J Esquivel
{"title":"Prosthetic considerations and strategies for single tooth implants in the aesthetic zone: a review.","authors":"Todd R Schoenbaum, J Londono, B Hammond, J Esquivel","doi":"10.1177/20501684241270104","DOIUrl":"10.1177/20501684241270104","url":null,"abstract":"<p><p>Abutment contours, position, tissue thickness, and volume are all key parameters for the successful restoration of implants in the aesthetic zone. This is particularly true for patients with high smile lines and high aesthetic expectations. This narrative review will provide a synopsis of the known science of implant abutments and peri-implant tissues in this area and cover specialised techniques, materials, and protocols to improve outcomes with increased predictability. Special attention will be given to the use of provisionals and custom healing abutments for the preservation and shaping of the peri-implant tissues.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"13 4","pages":"70-76"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901584","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":"Persistent numbness of the lower lip and chin due to inferior alveolar nerve injury after implant placement: A clinical report.","authors":"Ilser Turkyilmaz","doi":"10.1177/20501684241270103","DOIUrl":"10.1177/20501684241270103","url":null,"abstract":"<p><p>The number of dental implants placed and restored every year is increasing across the world. However, there has been an increase in the number of reports with implant-related surgical complications in which the inferior alveolar nerve injury is the most serious one. This surgical problem can be avoided by using cone beam computed tomography (CBCT), three-dimensional (3D) implant planning software, and computer-aided design and computer-aided manufacturing (CAD-CAM) technology such as stereolithographic surgical guides. The objective of this report is to present the clinical and radiologic findings of a female patient with the injury of inferior alveolar nerve after implant insertion where CBCT has not been used prior to implant placement.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":"13 4","pages":"66-68"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901582","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}