Research

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7 pages, 550 KiB

Open AccessArticle

Immediate Hypersensitivity Reactions to Paraformaldehyde Used as a Dental Material

by Edyta Jura-Szołtys, Lesia Rozłucka, Radosław Gawlik and Joanna Glück

Coatings 2022, 12(10), 1493; https://doi.org/10.3390/coatings12101493 - 07 Oct 2022

Viewed by 1668

According to actual recommendations, the use of paraformaldehyde as a dental material should be significantly limited; however, it is still used in certain cases. Its use can cause delayed anaphylaxis, which can be life-threatening. We analyzed 157 patients admitted to an allergological clinic [...] Read more.

According to actual recommendations, the use of paraformaldehyde as a dental material should be significantly limited; however, it is still used in certain cases. Its use can cause delayed anaphylaxis, which can be life-threatening. We analyzed 157 patients admitted to an allergological clinic between 2017 and 2022 because of a hypersensitivity reaction after dental treatment. Paraformaldehyde was used in 24 of them. Positive specific IgE levels against paraformaldehyde were found in 12 patients, which constituted 50% of the whole group of patients who were treated with paraformaldehyde. Twelve patients had negative results of specific IgE against paraformaldehyde estimation (the PF group). Between the study and control groups, the anaphylactic reaction after paraformaldehyde application was analyzed from many aspects; the level of certainty of anaphylaxis according to Brighton criteria was significantly higher in the PF-positive group than in controls. None of the patients treated with paraformaldehyde as a dental material was informed by a dentist about this risk and symptoms of anaphylaxis. Patients who received paraformaldehyde during dental treatment should be informed of the possibility, symptoms, and treatment of an anaphylactic reaction, which might occur even 24 h after treatment. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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10 pages, 644 KiB

Open AccessArticle

Changes in the Oral Cavity Mucosal Surface under the Influence of Wearing Protective Face Masks—Nitric Oxide Concentration Analysis—Preliminary Report

by Magdalena Wyszyńska, Aleksandra Czelakowska, Przemysław Rosak, Ewa Białożyt-Bujak, Olaf Gruca, Joanna Rosak-Szyrocka, Jacek Kasperski and Małgorzata Skucha-Nowak

Coatings 2022, 12(8), 1164; https://doi.org/10.3390/coatings12081164 - 12 Aug 2022

Cited by 1 | Viewed by 2202

Abstract

Orders to cover the mouth and nose were introduced as a prophylaxis for COVID-19. The use of face masks, apart from their benefits, has some side effects. It can affect, among other things, the oral cavity mucosa, manifested by its dryness, and can [...] Read more.

Orders to cover the mouth and nose were introduced as a prophylaxis for COVID-19. The use of face masks, apart from their benefits, has some side effects. It can affect, among other things, the oral cavity mucosa, manifested by its dryness, and can increase the amount of inflammatory markers, for example, nitric oxide (NO). The aim of this research was to determine changes in the oral cavity mucosal surface under the influence of the use of protective face masks based on an innovative measurement of NO levels in the exhaled air of healthcare workers. The people taking part in this study were dental assistants and recorders who used masks during work. The first measurement of NO was carried out before starting work and putting on a mask, and the second measurement was carried out after work. Based on the research, a statistically significant difference was shown in the NO values before putting on a mask and immediately after removing it. Despite the advantages of wearing protective masks, studies have shown that their long-term use has an impact on the oral cavity mucosa, which is reflected in the higher level of NO in exhaled air. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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12 pages, 4767 KiB

Open AccessArticle

Comparative Analysis of Implant Prosthesis Treatment Planning and Execution Following Bone Repair Procedures Using Dynamic Surgical Navigation in Augmented Areas

by Kacper Wachol, Tadeusz Morawiec, Anna Nowak-Wachol, Bartłomiej Kubaszek, Teresa Kasprzyk-Kucewicz, Domenico Baldi, Agnieszka Machorowska-Pieniążek, Małgorzata Skucha-Nowak and Armand Cholewka

Coatings 2022, 12(8), 1099; https://doi.org/10.3390/coatings12081099 - 02 Aug 2022

Cited by 3 | Viewed by 1523

Abstract

Successful implant placement in augmented sites depends on the appropriate bone volume and quality, as well as careful planning of the procedure. Minimizing risks during the surgical and healing phases is also of great importance. A very promising technique has been introduced, which [...] Read more.

Successful implant placement in augmented sites depends on the appropriate bone volume and quality, as well as careful planning of the procedure. Minimizing risks during the surgical and healing phases is also of great importance. A very promising technique has been introduced, which partially meets the above criteria. This technique is designed to increase the precision and reduce the invasiveness associated with surgical procedures during implantation. The aim of this clinical study was to analyze the accuracy of computer-guided implant surgery in augmented sites in patients treated with dental implants introduced using dynamic implant navigation. Eleven healthy patients who had planned and performed implant-prosthetic treatment after bone augmentation were analyzed. Twenty-three implants were placed with Navident dynamic navigation using the tissue punch flapless technique. This study evaluated the position of the inserted implant relative to the virtual plan and determined the correlation. The treatments were successful in all the treated patients, and the integration period (3 or 6 months) was uneventful and enabled implant-prosthetic treatment. The accuracy values provided in this study are comparable to, but not better than, data provided in the literature on dynamic and static computer-assisted surgery. Dynamic navigation may improve the quality and safety of surgical procedures and reduce the risk of complications. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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14 pages, 2321 KiB

Open AccessArticle

The Effect of Various Polishing Systems on the Surface Roughness of Two Resin Composites—An In Vitro Study

by Marta Ewa Szczepaniak, Michał Krasowski and Elżbieta Bołtacz-Rzepkowska

Coatings 2022, 12(7), 916; https://doi.org/10.3390/coatings12070916 - 28 Jun 2022

Cited by 5 | Viewed by 2308

Abstract

The long-term success of a composite restoration largely depends on its smoothness, which can be achieved by the appropriate polishing tools and material selection. The purpose of this study was to evaluate the surface roughness of two composite materials after the application of [...] Read more.

The long-term success of a composite restoration largely depends on its smoothness, which can be achieved by the appropriate polishing tools and material selection. The purpose of this study was to evaluate the surface roughness of two composite materials after the application of selected polishing systems. Filtek Ultimate (FU) and Filtek Z250 (FZ) were tested. Forty specimens of each material were prepared. After polymerization under a Mylar strip, the surface roughness of five samples from each group was measured. Subsequently, all specimens were ground by 600 grit sandpaper. The surface roughness of five samples per group was tested again. The samples from each group were randomly assigned to eight subgroups, and polished by Sof-Lex, Sof-Lex Diamond Polishing System, Super Snap, One Gloss, Astrobrush, Stainbuster, Enamel Shiny, and Jiffy Polishing System. The collected data were analyzed using the Shapiro–Wilk and Kruskal–Wallis tests. The lowest Ra coefficient after polishing is found in the Super Snap groups (FU—0.077 μm, FZ—0.085 μm). The lowest Rlr coefficient is measured in the Enamel Shiny group for FU (1.000), and for Sof-Lex, Sof-Lex Diamond Polishing System, and Jiffy Polishing Kit for FZ (1.001), and only slightly higher for Super Snap (FU—1.001, FZ—1.002). The roughest-measured surface is in the One Gloss group for FU (Ra—0.657 µm, Rlr—1.009), and Astrobrush group for FZ (Ra—0.525 μm, Rlr—0.011). Additionally, it was not confirmed that the nanoparticle material (FU) demonstrates better results than the microhybrid one (FZ). Different polishing systems produce varying surface roughness. The most effective polishing system is Super Snap. The structure of composites does not significantly affect their surface roughness after polishing. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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18 pages, 130938 KiB

Open AccessArticle

Radiological and Microbiological Evaluation of the Efficacy of Alveolar Bone Repair Using Autogenous Dentin Matrix—Preliminary Study

by Bartłomiej Kubaszek, Tadeusz Morawiec, Anna Mertas, Kacper Wachol, Anna Nowak-Wachol, Joanna Śmieszek-Wilczewska, Maciej Łopaciński and Armand Cholewka

Coatings 2022, 12(7), 909; https://doi.org/10.3390/coatings12070909 - 28 Jun 2022

Cited by 2 | Viewed by 1264

Abstract

Dental procedures for alveolar bone augmentation may be carried out using autologous bone graft material derived from the patient’s own tooth. The material obtained is subjected to strict procedures aimed at reducing the amount of bacteria in the autograft. The aim of this [...] Read more.

Dental procedures for alveolar bone augmentation may be carried out using autologous bone graft material derived from the patient’s own tooth. The material obtained is subjected to strict procedures aimed at reducing the amount of bacteria in the autograft. The aim of this study was the evaluation of the efficacy of the autogenous dentine matrix produced by grinding the patient’s own tooth for the augmentation of maxillary bone defects and the evaluation of the microbiological status of the material obtained. Alveolar bone repair was performed with an autogenous dentin matrix in four patients. In each case, an autogenous bone graft substitute obtained by grinding the patient’s own tooth was used. The tooth-derived material was then used for alveolar augmentation. The obtained material was tested to assess its microbiological profile. For the purpose of comparison, other materials and tissues were also subjected to microbiological testing. Bone healing was assessed by CBCT (cone beam computed tomography) scanning before and 6 months after surgery using the Hounsfield scale and the ImageJ software. Analysis of the bone regeneration process based on the bone density score in Hounsfield units showed significant differences in measurements on CBCT scans carried out on the treatment site, before surgery, and 6 months after it, using ImageJ software. All bacteria detected in the bone augmentation material constituted the patient’s bacterial flora. The microorganisms present in the augmentation material were also present in the patient’s bone and soft tissues. The use of an autogenous dentin matrix for alveolar bone repair ensures that the proper volume is obtained and that alveolar bone shape is preserved and does not introduce pathogenic microorganisms into the patient. The procedure for preparing and using an autogenous dentin matrix is described based on one clinical case. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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15 pages, 3311 KiB

Open AccessArticle

Evaluation of Infiltrant Application in the Course of Root Cementum Caries with Different Methods of Surface Preparation—An In Vitro Study

by Anna Nowak-Wachol, Anna Korytkowska-Wałach, Bartosz Chmiela, Kacper Wachol, Magdalena Wyszyńska, Maciej Łopaciński, Sayedamirreza Mostafavi, Tadeusz Morawiec and Małgorzata Skucha-Nowak

Coatings 2022, 12(5), 675; https://doi.org/10.3390/coatings12050675 - 14 May 2022

Viewed by 2156

Abstract

The aim of this study is to evaluate the depth of penetration of an experimental preparation with the characteristics of a dental infiltrant into the decalcified root cementum tissue and observation of the root cementum tissue subjected to a single and repeated twice [...] Read more.

The aim of this study is to evaluate the depth of penetration of an experimental preparation with the characteristics of a dental infiltrant into the decalcified root cementum tissue and observation of the root cementum tissue subjected to a single and repeated twice hydrochloric acid etching process. The study material consisted of 20 human teeth (the study group—12 demineralised teeth, the control group—8 teeth). A commercially available Icon preparation and an experimental preparation were used for the study with addition 2% of YF₃ (yttrium trifluoride) added as an indicator to facilitate microscopic observation. Each tooth was divided into two zones, blue (Icon) and red (experimental preparation). The teeth were divided into two subgroups—in the first subgroup, the etching preparation was applied once, in the second subgroup twice, and at the end the teeth were infiltrated with the experimental preparation and the Icon preparation. The study of tooth longitudinal section morphology and chemical composition was performed with the use of a Hitachi S-3400N scanning electron microscope. Microscopic observations show that the applied YF₃ tracer in most cases agglomerates and remains in the form of conglomerates on the surface of the root cementum. Single particles of YF₃ are visible, penetrating through the cementum tissues into the root dentine structure. The degree of tissue infiltration with the resin (depth of penetration into decalcified tissues) is visible at a depth of approx. 80–120 μm. In the test group subjected to a single etching process, good penetration of both resins was noticeable, however, excessive erosion of the root surface was evident in several of the specimens—indicating that damage occurred as a result of the etching process. In the test group subjected to two etching processes, excessive erosion of the cementum is visible in each deposit. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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13 pages, 5360 KiB

Open AccessArticle

The Effect of Different Surface Conditioning Techniques on the Bonding between Resin Cement & Ceramic

by Shekhar Gupta, Bharti Gupta, Bhagwandas K. Motwani, Sultan Binalrimal, Waseem Radwan, Ali Robaian, Bassam Zidane, Mohammed Hussain Dafer Al Wadei, Vishnu Priya Veeraraghavan, Shilpa Bhandi, A. Thirumal Raj and Shankargouda Patil

Coatings 2022, 12(3), 399; https://doi.org/10.3390/coatings12030399 - 17 Mar 2022

Cited by 3 | Viewed by 2463

Abstract

Surface etching before cementation is a vital step that determines the clinical performance of ceramic restorations. Etching alters surface topography that contributes effective bonding between ceramic restoration and resin cement. This study aimed to compare etching techniques to determine the most effective etching [...] Read more.

Surface etching before cementation is a vital step that determines the clinical performance of ceramic restorations. Etching alters surface topography that contributes effective bonding between ceramic restoration and resin cement. This study aimed to compare etching techniques to determine the most effective etching method contributing the highest bond strength that helps in improving dental implants. Materials and methods: sixty discs of feldspathic ceramic measuring 10 mm diameter and 4 mm thickness were prepared. The 60 samples were divided into four equal groups based on the surface treatment technique used: group A: 9.6% hydrofluoric acid; group B: coarse diamond burs; group C: CO₂ laser; and group D: no treatment. Ceramic disc specimens were examined under a Scanning Electron microscope (SEM) after surface treatment to characterize their surface morphology. Further, the specimens were luted with a resin luting agent and incubated for 24 h at a temperature of 37 °C simulating the oral environment. After 24 h, shear bond strength (SBS) and the nature of bond failure was determined for each specimen using a universal Instron testing machine. Results: significant change in surface morphology was noticed on hydrofluoric acid treatment forming larger irregular roughness (4.83 ± 1.78 µm) with multiple patterns of grooves and pores compared to other groups. Further, the highest SBS value was measured on hydrofluoric acid etching that display the highest bond strength due to the high surface roughness. In conclusion, our findings report a strong association between the surface roughness and bond strength upon hydrofluoric acid compared to other methods. Further work in this direction will enhance the utility of the etching technique on the improvement of dental implants. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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13 pages, 1174 KiB

Open AccessArticle

The Cytotoxicity of OptiBond Solo Plus and Its Effect on Sulfur Enzymes Expression in Human Fibroblast Cell Line Hs27

by Anna Bentke-Imiolek, Kinga Kaszuba, Patrycja Bronowicka-Adamska, Barbara Czopik, Joanna Zarzecka and Maria Wróbel

Coatings 2022, 12(3), 382; https://doi.org/10.3390/coatings12030382 - 14 Mar 2022

Cited by 1 | Viewed by 1961

Abstract

The aim of the study was to determine the cytotoxic concentrations and incubation times of the commonly used dental adhesive system OptiBond Solo Plus in its non-polymerized form, and to test how it relates to oxidative stress by determining the reduced and oxidized [...] Read more.

The aim of the study was to determine the cytotoxic concentrations and incubation times of the commonly used dental adhesive system OptiBond Solo Plus in its non-polymerized form, and to test how it relates to oxidative stress by determining the reduced and oxidized glutathione (GSH and GSSG) levels as well as to study its influence on cell number and the expression of selected sulfur enzymes, with particular emphasis on cystathionine γ-lyase (CTH) and 3-mercaptopyruvate sulfurtransferase (MPST). All investigations were conducted on an in vitro model of human fibroblast cell line Hs27. Changes in cellular plasma membrane integrity were measured by the LDH test. The expression levels were determined by RT-PCR and Western blot protocols. Changes in cell number were visualized using crystal violet staining. The RP-HPLC method was used to determine the GSH and GSSG levels. Reduced cell number was shown for all tested concentrations and times. Changes in the expression on the mRNA and protein level were demonstrated for CTH and MPST enzymes upon exposure to the tested range of OptiBond concentrations. Levels of low-molecular sulfur compounds of reduced and oxidized glutathione were also established. Cytotoxic effect of OptiBond Solo Plus may be connected with the changes of MPST and CTH sulfur enzymes in the human fibroblast Hs27 cell line. The elevated levels of these enzymes could possibly show the antioxidant response to this dental adhesive system. OptiBond Solo Plus in vitro results should be taken into consideration for further in vivo tests. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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17 pages, 4108 KiB

Open AccessArticle

The Assessment of the Usefulness of Platelet-Rich Fibrin in the Healing Process Bone Resorption

by Iwona Niedzielska, Daniel Ciapiński, Michał Bąk and Damian Niedzielski

Coatings 2022, 12(2), 247; https://doi.org/10.3390/coatings12020247 - 14 Feb 2022

Cited by 5 | Viewed by 1806

Abstract

The main subject of this research was the use of PRF in dental surgery aimed at preventing changes in alveolar height and width after tooth extraction. Due to the large growth factor content, it seems to be particularly useful in bone loss management [...] Read more.

The main subject of this research was the use of PRF in dental surgery aimed at preventing changes in alveolar height and width after tooth extraction. Due to the large growth factor content, it seems to be particularly useful in bone loss management starting from the simplest loss occurring after tooth extraction through loss resulting from tooth resection ending with loss caused by large bone cysts. The study was performed on 50 patients. The extraction of two maxillary or mandibular homonymous teeth was carried out in each patient, where PRF was placed in one alveolus while the other alveolus was left empty. Then, the alveoli were surgically managed with a split flap technique. On the extraction day, after 10 days, and after 6 months, the alveolar process was measured, soft tissues healing was assessed, and imaging examinations were analyzed. It was proved that the healing of soft tissues in the PRF group was better. In the PRF group after 6 months from surgery, the newly formed bone had higher grayscale values in volumetric tomography (CBCT). Moreover, the reduced atrophy of the alveolar process at the site of the extracted tooth was proved in this study. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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8 pages, 549 KiB

Open AccessArticle

Is Allergy to Titanium Bone Fixation Plates a Problem?

by Iwona Niedzielska, Natalia Sitek-Ignac, Michał Bąk and Damian Niedzielski

Coatings 2022, 12(2), 214; https://doi.org/10.3390/coatings12020214 - 07 Feb 2022

Cited by 1 | Viewed by 13699

Abstract

Open reduction and internal fixation (ORIF) with titanium fixation plates is the gold standard for maxillofacial fracture treatment. Titanium is considered a fully compatible material. However, reports of allergic reactions to titanium implants do occur. The aim of this work is to answer [...] Read more.

Open reduction and internal fixation (ORIF) with titanium fixation plates is the gold standard for maxillofacial fracture treatment. Titanium is considered a fully compatible material. However, reports of allergic reactions to titanium implants do occur. The aim of this work is to answer the question whether titanium devices used in the treatment of fractures in the craniofacial region can cause allergic reactions. The study comprised 50 subjects treated surgically for maxillofacial injuries with the use of titanium composite devices. Allergic tests were performed by the patch method. The control group consisted of 20 healthy people who did not have any titanium elements. There were no skin changes to titanium and its compounds in both the test and control groups. Only one patient had a positive skin test which showed an allergic reaction to silver nitrate. Titanium fixing elements, as well as titanium dental implants, according to our research, do not show allergic skin reactions. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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Review

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11 pages, 855 KiB

Open AccessReview

Adhesive Cementation of Zirconia Based Ceramics-Surface Modification Methods Literature Review

by Magdalena Szawioła-Kirejczyk, Karolina Chmura, Krzysztof Gronkiewicz, Andrzej Gala, Jolanta E. Loster and Wojciech Ryniewicz

Coatings 2022, 12(8), 1067; https://doi.org/10.3390/coatings12081067 - 28 Jul 2022

Cited by 3 | Viewed by 2915

Abstract

Introduction: The conditioning procedures for glass-based ceramic restorations before adhesive cementation are generally recognized. In the case of polycrystalline ceramics, which include zirconium oxide, there is still no standardized protocol. The aim of this work was to present conditioning methods of the cementation [...] Read more.

Introduction: The conditioning procedures for glass-based ceramic restorations before adhesive cementation are generally recognized. In the case of polycrystalline ceramics, which include zirconium oxide, there is still no standardized protocol. The aim of this work was to present conditioning methods of the cementation surface of zirconium oxide fixed dentures. The new generation high translucency zirconia has been also considered. Material and method: The following keywords for the PUBMED and EMBASE databases were used: zirconium oxide, zirconium oxide with increased translucency, bond strength, bending strength, surface treatment. The inclusion criteria were original papers in English published between 2015–2021. Results: Out of 1537 publications, 53 articles were selected for the study, covering methods of conditioning zirconium ceramics, including new materials with increased translucency. These procedures were divided into 5 main groups. Summary: Due to the widespread use of zirconia ceramics and the introduction of new zirconia-based materials, the use of a predictable and standardized cementation protocol is one of the most important factors contributing to the long-term clinical success of prosthetic restorations. Therefore, the research showed differences in the properties of the covered materials after conditioning. It suggests the need to create separate conditioning protocols for highly translucent and traditional zirconia. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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11 pages, 537 KiB

Open AccessReview

Management of Teeth Affected by Molar Incisor Hypomineralization Using a Resin Infiltration Technique—A Systematic Review

by Sylwia Bulanda, Danuta Ilczuk-Rypuła, Anna Dybek, Daria Pietraszewska, Małgorzata Skucha-Nowak and Lidia Postek-Stefańska

Coatings 2022, 12(7), 964; https://doi.org/10.3390/coatings12070964 - 07 Jul 2022

Cited by 4 | Viewed by 2918

Abstract

In recent years, an increase in children diagnosed with molar incisor hypomineralization (MIH) has been observed. Children with MIH show a high failure rate with conservative treatment. The ICON^® system (DMG, Hamburg, Germany), which is an infiltration of decalcified lesions with resin, [...] Read more.

In recent years, an increase in children diagnosed with molar incisor hypomineralization (MIH) has been observed. Children with MIH show a high failure rate with conservative treatment. The ICON^® system (DMG, Hamburg, Germany), which is an infiltration of decalcified lesions with resin, may strengthen the tooth structure, improve its aesthetics, and cure hypersensitivity. The following article is a systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol. Scientific articles in the PubMed and Google Scholar databases describing the use of the ICON system in the treatment of MIH published in the years 2012–2022 were analyzed. Two independent study authors selected publications that show that the ICON system can be used during the treatment of children with MIH. So far, in the literature, there are no standardized protocols for the dental treatment of patients with hypomineralization of the incisors using the ICON system. Therefore, clinicians rarely use this method of treatment. The ICON system may be successfully used to infiltrate tooth decalcification in children with MIH. However, the depth of infiltration and the achievement of enamel hardness after such therapy are not precisely defined. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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16 pages, 18337 KiB

Open AccessFeature PaperReview

Guided Insertion of Temporary Anchorage Device in Form of Orthodontic Titanium Miniscrews with Customized 3D Templates—A Systematic Review with Meta-Analysis of Clinical Studies

by Maciej Jedliński, Joanna Janiszewska-Olszowska, Marta Mazur, Livia Ottolenghi, Katarzyna Grocholewicz and Gabriella Galluccio

Coatings 2021, 11(12), 1488; https://doi.org/10.3390/coatings11121488 - 02 Dec 2021

Cited by 7 | Viewed by 3000

Abstract

(1) Background: Miniscrew insertion, using a surgical guide, aims to avoid possible adverse effects or complications. With the higher availability of both 3D imaging and printing, 3D surgical guides have been used more frequently in orthodontics. The aim of the present systematic review [...] Read more.

(1) Background: Miniscrew insertion, using a surgical guide, aims to avoid possible adverse effects or complications. With the higher availability of both 3D imaging and printing, 3D surgical guides have been used more frequently in orthodontics. The aim of the present systematic review was to find scientific clinical evidence concerning the precision of the 3D guided insertion of miniscrews for temporary orthodontic anchorage. (2) Methods: Literature searches were performed in the following five search engines: Pubmed (Medline), Pubmed Central, Scopus, Web of Science and Embase on 10 September 2021 (articles from 1950 to 10 September 2021). A meta-analysis was performed using the random-effect model, with Standardized Mean Differences (SMD) and 95% confidence intervals (95% CI) calculated as effect estimates. The heterogeneity was assessed quantitatively. (3) Results: The search strategy identified 671 potential articles. After the removal of duplicates, 530 articles were analyzed. Subsequently, 487 papers were excluded, because they were not associated with the subject of the study. Of the remaining 43 papers, 34 were excluded because they did not meet the methodological criteria. Finally, only nine papers were subjected to a qualitative analysis. (4) Conclusions: The current literature concerning guided miniscrew insertion reveals, for the most part, a low methodological level. High-quality clinical trials are in the minority. The use of surgical guides increases insertion accuracy, stability and reduces the failure rate of orthodontic miniscrews. Tooth-borne insertion guides supported on the edges of the teeth ensure a higher insertion precision compared to mucosa-borne ones. The study protocol was registered in PROSPERO under the number CRD42021267248. Full article

(This article belongs to the Special Issue Advances and Innovations in Dental Materials and Coatings)

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