Australian dental journal最新文献

{"title":"Chronic Traumatic Dental Occlusion: Its Impact on Temporomandibular Joint and Systemic Health, and Clinical Management Strategies.","authors":"Furkan Akkılıç, Hacer Balkaya","doi":"10.1111/adj.70041","DOIUrl":"10.1111/adj.70041","url":null,"abstract":"<p><strong>Purpose: </strong>Traumatic dental occlusion (TDO) is a multifactorial and dynamic clinical condition that extends beyond localised tooth wear and has been reported to be associated with alterations in temporomandibular joint biomechanics, neuromuscular function and overall masticatory system performance. While acute dental trauma often receives greater clinical attention, chronic occlusal trauma may remain underrecognised in routine practice, despite its potential to influence mandibular movement patterns, modify joint loading and contribute to patient-reported functional complaints.</p><p><strong>Basic procedures: </strong>This narrative review synthesises current concepts from the literature regarding the proposed etiologic factors, functional implications and long-term clinical consequences of traumatic dental occlusion. Particular emphasis is placed on the adaptive nature of the masticatory system and the variability of individual responses to occlusal disturbances. Contemporary digital diagnostic tools, occlusal analysis technologies and CAD/CAM-assisted restorative workflows are discussed as adjunctive modalities that may support clinical assessment and treatment planning rather than as definitive solutions.</p><p><strong>Main findings: </strong>The review outlines commonly applied clinical approaches used in the management of TDO-related structural and occlusal changes, including tooth wear and variations in occlusal vertical dimension, with reference to provisional strategies, indirect restorations and minimally invasive interventions.</p><p><strong>Principal conclusions: </strong>By providing an expert narrative synthesis and acknowledging ongoing controversies within occlusion and temporomandibular disorder research, this review aims to enhance clinician awareness, support cautious and patient-centred decision-making and encourage further research to clarify the clinical relevance of traumatic dental occlusion within contemporary dental practice.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral-Onset Langerhans Cell Histiocytosis in a Noncompliant Adult: A Cautionary Case of Multisystem Progression.","authors":"Ayşe Ege Selman, Burcu Karaduman, Mustafa Cenk Durmuslar, Necat Vakur Olgac, Hanife Ataoğlu","doi":"10.1111/adj.70038","DOIUrl":"https://doi.org/10.1111/adj.70038","url":null,"abstract":"<p><p>Langerhans cell histiocytosis (LCH) is a rare clonal proliferative disorder that may initially present with oral manifestations, posing diagnostic challenges, especially in adults. We report a rare case of a 27-year-old male who initially presented with painful ulcerative palatal lesions and advanced periodontal symptoms. Despite early biopsy-confirmed LCH diagnosis and haematology referral, the patient's noncompliance led to delayed treatment, resulting in progression from localised oral involvement to multisystem disease, including mandibular, iliac, and vertebral bone lesions. Treatment ultimately required systemic chemotherapy after repeated biopsies and positron emission tomography/computed tomography imaging confirmed disease dissemination. Dental extractions and soft tissue excision were performed to manage oral symptoms. This case highlights the critical role of dental professionals in early LCH detection and underscores the impact of delayed intervention. Interdisciplinary collaboration and patient compliance are essential to prevent disease progression and improve outcomes in LCH with oral involvement.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Letter to Editor Regarding 'Photogrammetry in Implant Dentistry'.","authors":"Jiayi Chen","doi":"10.1111/adj.70039","DOIUrl":"https://doi.org/10.1111/adj.70039","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145888245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Odontogenic Orbital Abscess in Paediatric Patients: Diagnosis and Surgical Management of Three Cases.","authors":"Naseem Maalouf, Imad Abu El-Naaj, Shareef Araidy","doi":"10.1111/adj.70037","DOIUrl":"https://doi.org/10.1111/adj.70037","url":null,"abstract":"<p><strong>Background: </strong>Paediatric orbital abscesses represent true emergencies requiring immediate recognition and multidisciplinary management to prevent permanent vision loss and life-threatening complications.</p><p><strong>Methods: </strong>We present three paediatric cases of orbital abscess (ages two, six, and eight years) presenting to emergency departments. Cases were analysed for emergency presentation patterns, imaging findings, and treatment outcomes.</p><p><strong>Results: </strong>All patients presented with periorbital swelling and fever, and all three cases originated from odontogenic infections. Emergency CT imaging was crucial for diagnosis. Multidisciplinary management involving emergency medicine, ENT, and maxillofacial surgery achieved excellent outcomes with no visual or neurological complications.</p><p><strong>Conclusions: </strong>Emergency physicians must maintain high clinical suspicion for orbital abscess in children with periorbital swelling and fever. Immediate CT imaging, broad-spectrum antibiotics, and emergency surgical interventions can prevent catastrophic complications.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145861948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Probiotic Supplementation on Cariogenic Streptococcus mutans Levels: A Systematic Review and Network Meta-Analysis.","authors":"Alain Manuel Chaple Gil, Laura Pereda Vázquez, Meylin Santiesteban Velázquez, Jorge J Menendez","doi":"10.1111/adj.70036","DOIUrl":"https://doi.org/10.1111/adj.70036","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate and quantitatively compare, through pairwise and network meta-analysis, the effectiveness of probiotic supplementation in reducing cariogenic Streptococcus mutans levels in human subjects.</p><p><strong>Methods: </strong>A comprehensive search was conducted in PubMed, Scopus, Embase, Web of Science and Cochrane Library up to October 2025. Randomised controlled trials assessing probiotic or synbiotic formulations with quantitative S. mutans outcomes were included. Data expressed as mean ± standard deviation were synthesised under a random-effects model using a frequentist network meta-analysis (netmeta, R). Effect sizes were reported as mean differences (MD, 95% CI). To strengthen analytical validity, all outputs were cross-validated through triangulation using the MetaInsight platform, confirming consistency between independent computational environments. Risk of bias was assessed with RoB 2, and evidence certainty was appraised via CINeMA.</p><p><strong>Results: </strong>Twenty trials fulfilled inclusion criteria. Most interventions showed a short-term reduction in S. mutans counts, but differences versus placebo were small and not statistically significant across intervals. Forest-plot synthesis and triangulated results indicated that effects were transient and strain-dependent. SUCRA rankings suggested a high percentage of success, but those findings are only probabilistic, not conclusive superiority. Overall evidence certainty was low to moderate.</p><p><strong>Conclusions: </strong>Probiotic supplementation exhibited a limited, time-dependent capacity to modulate S. mutans levels without a consistent advantage over placebo. Current findings support its role as a safe adjunctive rather than as a standalone preventive strategy.</p><p><strong>Clinical significance: </strong>Within the available evidence, probiotics should be regarded as experimental adjuncts rather than as replacements for conventional caries-prevention measures. Any observed microbiological benefits were modest, transient and strain-specific, without consistent translation into clinical outcomes. Their recommendation should remain cautious until larger, long-term randomised trials confirm durable effects.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD420251180536.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145861974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Migration Status of Parents With Their Satisfaction With Oral Care Provision for Their Children in Australia-Insights From a National Study.","authors":"Sudheer Babu Balla, Jyothi Tadakamadla, Diep H Ha, Loc G Do, Santosh Kumar Tadakamadla","doi":"10.1111/adj.70034","DOIUrl":"https://doi.org/10.1111/adj.70034","url":null,"abstract":"<p><strong>Background: </strong>Globally, the number of migrants with limited language proficiency and low health literacy has been steadily increasing. In Australia, while most state governments have recognised these individuals as a priority population and provide free or subsidised access to oral healthcare services, their satisfaction levels regarding the received dental care remain uncertain. Studies suggest that patients with communication barriers often report greater dissatisfaction and anxiety in healthcare settings, with cultural insensitivity further worsening their experience. Therefore, feedback on oral healthcare services is crucial for improving service delivery and care quality.</p><p><strong>Objective and methods: </strong>This study aims to compare and assess the satisfaction of migrant and Australian-born parents with the oral healthcare received by their children in Australia. Data from the 2012-2014 National Child Oral Health Survey (NCOHS) was utilised, which involved a cross-sectional survey of 24,664 representative school children aged 5-14 years and their parents in Australia. This study used the Child Oral Care Performance Assessment Scale (COPAS), which was originally developed to collect parental observation and assessment of dental care received by their child. In the present study, the COPAS was used as a proxy measure for gauging the parents' satisfaction. Data were analysed using the complex samples' general linear model regression analyses to confirm the association between the factors.</p><p><strong>Results: </strong>In general, the satisfaction scores were significantly lower in migrants than non-migrant parents regarding the oral healthcare provided to their children in efficient, responsive, accessible and capable domains of COPAS. The overall satisfaction score, across all domains, revealed that migrant parents had lower satisfaction levels than non-migrants (B = -1.64; 95% CI, -3.11 to -0.17). Parental language and income were also linked to satisfaction levels, with migrant parents from countries where English is not the primary language having notably lower scores than migrant parents from countries where English is the primary language (B = -4.16; 95% CI, -5.98 to -2.34). Among the other factors studied, parents in lower-income (B = -7.55; 95% CI, -9.14 to -5.95) and middle-income (B = -4.31; 95% CI, -5.45 to -3.17) groups were less satisfied with oral healthcare compared to higher-income parents. Single-adult households also reported lower satisfaction (B = -5.01; 95% CI, -9.67 to -0.35). On the other hand, having fewer children was associated with higher parental satisfaction.</p><p><strong>Conclusions: </strong>Notable differences in satisfaction levels with oral healthcare of their children were observed between migrant and non-migrant parents. These findings help guide policymakers in developing public health measures to improve satisfaction among migrant parents.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Workflows in Prosthodontics.","authors":"Jaafar Abduo, Vanya Rasaie","doi":"10.1111/adj.70005","DOIUrl":"10.1111/adj.70005","url":null,"abstract":"<p><p>The rapid advancement of scanning technologies, design software, and manufacturing techniques has led to the maturation of digital workflows in prosthodontics over the past few decades. Initially perceived as alternatives to analogue workflows, digital workflows now offer significant advantages in diagnosis, treatment planning, communication, and prosthesis design and fabrication. The growing demand for efficient, predictable, aesthetic, and outcome-driven prosthodontic treatments has led to increasing adoption of digital workflows. This integration has transformed each step of prosthodontic treatment, resulting in three digital workflows: laboratory, clinical, and combined clinical-laboratory workflows. Although most prosthodontic treatments can now be executed digitally, a universally applicable digital workflow is yet to be established. Contrary to analogue workflows, digital workflows continue to evolve rapidly, with significant improvements anticipated in the near future that may establish them as the mainstream approach in prosthodontics. This review article aims to: (1) illustrate the importance of digital workflows in modern prosthodontics, (2) discuss available digital workflows in relation to different areas of prosthodontics, and (3) explore how recent advancements in digital dentistry are likely to shape the future of prosthodontics.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S146-S158"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photogrammetry in Implant Dentistry.","authors":"William Matthew Negreiros, Samuel Akhondi, Henrique Kors Quiles, Adam Hamilton","doi":"10.1111/adj.70028","DOIUrl":"10.1111/adj.70028","url":null,"abstract":"<p><p>This narrative review examines the application of photogrammetry (PG) in complete-arch implant fixed prosthodontics, as it offers an alternative to conventional and intraoral scanning (IOS) impression techniques. Evidence from in vitro and in vivo studies suggests that PG provides high trueness and precision. The technique supports both immediate and delayed loading workflows, potentially reducing prosthetic misfit and chairside adjustments. Limitations include the need for separate IOS scans to capture soft tissues and occlusion, the cost of the device, and the restricted scanning scope. Future improvements in integration and accessibility may broaden its role in implant dentistry.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S15-S24"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Dental Radiology and Diagnostics-From 2D to 3D.","authors":"Matheus L Oliveira","doi":"10.1111/adj.70024","DOIUrl":"10.1111/adj.70024","url":null,"abstract":"<p><p>Digital dental radiology has evolved significantly from traditional two-dimensional (2D) imaging to advanced three-dimensional (3D) modalities such as cone-beam computed tomography (CBCT). This progression has overcome many limitations of 2D imaging, including superimposition and distortion, enabling more accurate visualisation of complex anatomical structures. Despite CBCT's higher radiation dose compared to 2D imaging, ongoing advances in low-dose protocols and artefact reduction algorithms have expanded its clinical applications. Integration with digital tools such as intraoral scanners and CAD/CAM systems has further enhanced its utility in guided implant surgery, orthodontic appliance design, and forensic dentistry. Emerging artificial intelligence technologies promise to improve image analysis, diagnostic accuracy, and workflow efficiency. Emphasising radiation safety and careful imaging selection remains essential. Additionally, magnetic resonance imaging and ultrasound are gaining attention as non-ionising imaging alternatives, offering valuable soft tissue assessment complementary to CBCT's strengths in hard tissue evaluation. Together, these innovations reflect the crucial change in dental diagnostics from 2D to 3D imaging, advancing patient care through improved accuracy and comprehensive treatment planning.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S50-S66"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guided Endodontics-Potential and Limitations.","authors":"Thomas Connert, Elias Walter, Leander Benz, Falk Schwendicke, Wadim Leontiev","doi":"10.1111/adj.70012","DOIUrl":"10.1111/adj.70012","url":null,"abstract":"<p><p>Guided Endodontics has emerged as a digital treatment concept designed to overcome the challenges associated with conventional access cavity preparation in teeth with pulp canal calcification. Calcification of the pulp (also referred to as obliteration or mineralization), often caused by trauma or chronic irritative stimuli, presents a substantial clinical obstacle during endodontic treatment. The advent of computer-assisted technologies such as static and dynamic navigation systems has enabled highly precise and minimally invasive localization of root canal orifices, even in cases of severe calcification. This narrative review explores the clinical indications, technical workflows, and current evidence for both static and dynamic Guided Endodontics, including their limitations and future directions. Numerous in vitro and clinical studies have shown that guided access preparation results in higher precision, reduced dentine loss, and increased success rates compared to freehand techniques, even when performed by less experienced clinicians. While static navigation provides excellent accuracy for straight canals, its application in posterior teeth and curved canals remains limited. Dynamic navigation, in contrast, offers greater intraoperative flexibility but requires significant training and costly equipment. Future developments, including augmented reality integration and MRI-based workflows, may further expand the applicability of Guided Endodontics. However, the current techniques are limited by cost, planning time, and the necessity for advanced imaging. Despite these challenges, Guided Endodontics has the potential to transform the management of calcified canals and represents a significant step forward in minimally invasive endodontics.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S118-S128"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145371993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}