Management of Prosthetic Dentistry and Oral Biology

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 3150

Special Issue Editors


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Guest Editor
Department of Innovative Technologies in Medicine & Dentistry, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
Interests: prosthodontics; oral surgery; periodontology

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Guest Editor
Department of Innovative Technologies in Medicine & Dentistry, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
Interests: orthodontics; gnathology; periodontology

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Guest Editor
Department of Innovative Technologies in Medicine & Dentistry, Università degli Studi G. d'Annunzio Chieti e Pescara, Chieti, Italy
Interests: digital dentistry; oral surgery; dental implant
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Special Issue Information

Dear Colleagues,

Prosthetic dentistry plays a pivotal role in the restoration of oral function, esthetics, and quality of life for individuals with missing teeth or compromised oral structures. This Special Issue highlights the evolving landscape of prosthetic dentistry in conjunction with the foundational principles of oral biology. Prosthetic dentistry encompasses a spectrum of treatment modalities, including fixed and removable prostheses, implant-supported restorations, and maxillofacial prosthetics. These interventions necessitate a deep understanding of oral biology, encompassing the intricate interactions between soft and hard tissues, biomechanical considerations, and the patient's overall health. Dentists, prosthodontists, and allied healthcare professionals must collaborate to address the complex challenges posed by prosthetic rehabilitation. Furthermore, contemporary developments in materials science and digital technologies have revolutionized prosthetic dentistry. Advanced materials such as zirconia and CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) systems enable highly precise and esthetic restorations. This abstract explores the integration of these innovations into clinical practice and their impact on treatment outcomes. In conclusion, the management of prosthetic dentistry and oral biology is a dynamic field that demands an interdisciplinary approach, integrating the latest technological advancements with a deep understanding of the biological and psychosocial aspects of oral health. This special issue sets the stage for a comprehensive exploration of these critical aspects in the full paper, offering insights and guidance for dental professionals dedicated to delivering optimal prosthetic care and improving the overall quality of life for their patients.

Dr. Imena Rexhepi
Dr. Beatrice Femminella
Dr. Gianmaria D’Addazio
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • prosthodontics
  • dentistry
  • oral rehabilitation
  • oral health related quality of life
  • systemic implications
  • prosthetic dentistry
  • dental implant
  • oral biology

Published Papers (2 papers)

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Research

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10 pages, 1242 KiB  
Article
Evaluation of Post-Operative Morbidity and Palatal Wound Healing after Implant Uncovering Surgical Procedure Performed with Apically Positioned Flap (APF) and Leukocyte and Platelet-Rich-Fibrin (L-PRF): An Original Technique
by Giuseppe Balice, Luca Bettocchi, Imena Rexhepi, Matteo Serroni, Luigi Romano, Bruna Sinjari, Paolo De Ninis, Giovanna Murmura, Michele Paolantonio and Beatrice Femminella
Medicina 2024, 60(1), 96; https://doi.org/10.3390/medicina60010096 - 04 Jan 2024
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Abstract
Background and Objectives: Dental implants are recognized as an effective treatment in the management of edentulous patients; controversies surround the connection between the sufficiency of keratinized gingiva (KG) and peri-implant health. Maintaining an ample amount of peri-implant KG is crucial for minimizing [...] Read more.
Background and Objectives: Dental implants are recognized as an effective treatment in the management of edentulous patients; controversies surround the connection between the sufficiency of keratinized gingiva (KG) and peri-implant health. Maintaining an ample amount of peri-implant KG is crucial for minimizing gingival inflammation, highlighting the need for regular consideration of soft-tissue augmentation. Among the diverse periodontal plastic surgical procedures, the apically positioned flap (APF) is notable for its ability to enhance the width of keratinized tissue while minimizing patient morbidity. The aim of this study was to evaluate the effects of L-PRF on palatal wound healing and patient discomfort after surgery. Materials and Methods: Twenty patients with two adjacent submerged fixtures in the maxilla and buccal keratinized gingiva widths < 2 mm were treated with APF and L-PRF. Clinical evaluations were performed at 1, 2, 3, and 4 weeks post-surgery, focusing on parameters such as complete wound epithelialization (CWE), postoperative discomfort (D), changes in feeding habits (CFH), alteration of sensitivity (AS) around the wound area, and the consumption of analgesics. Results: Our data revealed CWE in 5 patients by the end of the second week, with the remaining 15 achieving CWE by the end of the third week. For D and CHF, a statistically significant improvement was recorded for all cases between the first and second weeks, as well as AS, although less substantial, by the third week. No significant changes were noted for AS over the initial two weeks. Conclusions: These findings suggest that L-PRF may enhance wound healing and decrease patient discomfort following APF for fixture uncovering. Full article
(This article belongs to the Special Issue Management of Prosthetic Dentistry and Oral Biology)
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Review

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18 pages, 999 KiB  
Review
Zirconia-Reinforced Lithium Silicate Ceramic in Digital Dentistry: A Comprehensive Literature Review of Our Current Understanding
by Manuela Manziuc, Andreea Kui, Andrea Chisnoiu, Anca Labuneț, Marius Negucioiu, Ana Ispas and Smaranda Buduru
Medicina 2023, 59(12), 2135; https://doi.org/10.3390/medicina59122135 - 08 Dec 2023
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Abstract
Zirconia-reinforced lithium silicate (ZLS) ceramic is a new innovative dental material with unique a chemical composition that is designed to combine harmoniously with the appropriate optical properties of lithium disilicate and the enhanced mechanical strength of zirconia. A thorough understanding of ZLS materials [...] Read more.
Zirconia-reinforced lithium silicate (ZLS) ceramic is a new innovative dental material with unique a chemical composition that is designed to combine harmoniously with the appropriate optical properties of lithium disilicate and the enhanced mechanical strength of zirconia. A thorough understanding of ZLS materials is essential for both clinicians and dental technicians. At present, the mechanical behavior and optical properties of the ZLS ceramic system have not been extensively researched, and there is still a lack of consensus regarding the fabrication process and clinical behavior of ZLS all-ceramic restorations. The aim of the present study was to present a selection of comprehensive information concerning zirconia-reinforced lithium silicate ceramics and their optical and mechanical properties, as well as to assess data regarding cementation procedures and clinical outcomes for ZLS all-ceramic restorations. Three electronic databases (PubMed, Web of Science, and the Cochrane Library) were used for the research by two independent reviewers. The search was limited to articles published in the English language, as well as clinical and in vitro studies of color and studies on mechanical behavior and the cementation procedures of ZLS restorations. The exclusion criteria comprised abstracts, questionnaire-based studies, case reports, literature reviews, and studies that were not available in English. Zirconia-reinforced lithium-silicate-based ceramic presents a unique and complex microstructure that increases mechanical resistance but decreases aesthetic appearance, especially its translucency, due to tetragonal zirconia content. A material’s thickness, the color of the underlying tooth structure, and the resin cement shade are important factors that influence the final shade and aesthetic appearance of ZLS restorations. Mechanical properties, which are defined by the fracture toughness, flexural strength, elastic modulus, and hardness of ZLS ceramic are higher compared to feldspathic, lithium disilicate, and hybrid ceramics, as well as resin nanoceramics; however, they are lower than translucent or high-translucency zirconia. Acid etching, sandblasting, and laser etching represent the most used methods to prepare the ZLS restoration surfaces for proper bonding procedures. Full article
(This article belongs to the Special Issue Management of Prosthetic Dentistry and Oral Biology)
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