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Advances in Reconstruction Dentistry

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A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (28 February 2023) | Viewed by 4881

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Special Issue Editors

Prof. Dr. Marzena Dominiak

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Guest Editor

Department of Oral Surgery, Wroclaw Medical University, 50-367 Wrocław, Poland
Interests: oral surgery; dentistry

Prof. Dr. Tomasz Gedrange

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Guest Editor

Department of Orhodontics Technical University Dresden, 01069 Dresden, Germany Department of Oral Surgery, Wroclaw Medical University, 50-367 Wrocław, Poland
Interests: transbond XT; orthodontic brackets; in vitro and in vivo studies
Special Issues, Collections and Topics in MDPI journals

Prof. Dr. Hande Şar Sancakli

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Guest Editor

Department Of Restorative Dentistry, Istanbul Üniversitesi, 34452 Istanbul, Turkey
Interests: health sciences; dentistry; clinical sciences; dental diseases and treatment; conservative dentistry

Special Issue Information

Dear Colleagues,

Reconstructive dentistry is a modern direction of the development of different procedures in dentistry. It encompasses prosthodontics, periodontology, and oral and maxillofacial surgery.

Reconstructive dentistry means different things in every specialization, but the ability to use modern devices for planning and preparing white and red esthetics provides the possibility for the reconstruction of hard and soft tissue.

Especially promising is the use of CAD-CAM and milling machines for hard tissue, i.e., the tooth or bone. In the case of soft tissue, it is now extremely popular to use plastic surgery, where the thickness of the tissue is the most significant factor influencing the long-term results and success rate.

Additionally, the type of material used for hard and soft tissue reconstruction is very important. Materials derived from bone with and without living cells and biomaterials can be used for soft tissue reconstruction and for grafts as well as for bone reconstruction. Knowledge on the interaction with native tissue and the level of hard and soft tissue regeneration is also important.

We invite you to send any form of research article or review presenting different aspects of reconstruction in dentistry.

Prof. Dr. Marzena Dominiak
Prof. Tomasz Gedrange
Prof. Dr. Hande Şar Sancakli
Guest Editors

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Keywords

reconstruction
restorative dentistry
cad-cam
milling
regeneration
customized treatment
white esthetics
red esthetics
regeneration

Published Papers (3 papers)

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13 pages, 1040 KiB

Open AccessArticle

Hand Joint Hypermobility among Dental Students—A Cross-Sectional Study

by Linda Sangalli, Melisa Alabsy, Dana Lingle, Nada Khazaal, Ella West-Pelak and John C. Mitchell

Appl. Sci. 2023, 13(12), 7158; https://doi.org/10.3390/app13127158 - 15 Jun 2023

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Abstract

(1) Background: Joint hypermobility refers to joint movement beyond normal range. Dentistry requires fine motor skills and manual dexterity; thus, the presence of hand joint hypermobility requires early assessment and intervention. The aim of this cross-sectional study was to assess the prevalence of hand joint hypermobility among first-year dental students and investigate correlations between the severity of their hypermobility and muscular strength. (2) Methods: First-year dental students were evaluated by an occupational therapy team composed of certified hand therapists. The extension of distal interphalangeal, proximal interphalangeal, and metacarpophalangeal finger joints was assessed with bilateral testing of digit hypermobility (with a cut-off of >20° for hypermobility) and classified as high, moderate, or low risk according to number/types of joints involved. Muscular strength was assessed by comparing grip strength, lateral pinch, and three-point pinch to norm values. Right- vs. left-handed individuals, and females vs. males were compared with an independent t-test; the relationships between the variables were investigated using the Pearson correlation. (3) Results: Out of 141 dental students (24.6 ± 3.0, 70% females, 87% right-handed), 15% and 16% were classified as having a high and moderate risk of hypermobility, respectively, with no sex difference. Right-handed students scored significantly higher in the right lateral pinch than left-handed students (18.2 ± 4.8 vs. 13.2 ± 4.1, p = 0.045). A higher severity of hypermobility was associated with bilateral lower grip and pinch strength (p < 0.05). (4) Conclusions: One third of the first-year dental students exhibited moderate to severe hand joint hypermobility. Moreover, those identified as having moderate to severe hand joint hypermobility showed a decreased grip strength. Full article

(This article belongs to the Special Issue Advances in Reconstruction Dentistry)

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12 pages, 3481 KiB

Open AccessArticle

Implant–Prosthetic Rehabilitation of Maxillary Lateral Incisor Agenesis with Narrow Diameter Implants and Metal–Ceramic vs. All-Ceramic Single Crowns: A 16-Year Prospective Clinical Study

by Roberto Sorrentino, Maria I. Di Mauro, Renato Leone, Gennaro Ruggiero, Marco Annunziata and Fernando Zarone

Appl. Sci. 2023, 13(2), 964; https://doi.org/10.3390/app13020964 - 11 Jan 2023

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Abstract

The main objectives of the present prospective clinical study were to evaluate the marginal bone resorption and the peri-implant soft tissue conditions around narrow diameter implants, as well as the clinical performances of metal–ceramic and all-ceramic single crowns in the implant–prosthetic treatment of maxillary lateral incisors agenesis. Seventy-two patients affected by monolateral or bilateral agenesis of the maxillary lateral incisors were included in the study, and a total of 105 narrow diameter implants were inserted. The final single crowns were fabricated 4 months after the surgical procedures by means of either titanium abutments with Auro-Galvan Crowns (AGC) veneered with feldspathic ceramics or zirconia abutments with all-ceramic (alumina or zirconia) crowns layered with dedicated veneering ceramics. Both marginal bone resorption and soft tissue quality were evaluated after a maximum period of 16 years. Two independent survival curves for patients wearing AGC or all-ceramic crowns were calculated by means of Kaplan–Meier analysis, and a log-rank test was performed in order to compare these curves (p < 0.05). After 16 years of clinical function, a mean marginal bone resorption of 1.2 ± 0.61 mm and good response of peri-implant soft tissues were observed. Descriptive statistics resulted in 80% and 87.1% cumulative success rates for patients provided with AGC prostheses onto titanium abutments and all-ceramic crowns on-to zirconia abutments, respectively. The cumulative survival rate calculated for AGC group was 93.3%, whereas all-ceramic group showed a cumulative survival rate of 95.7%. No statistically significant differences were found with the log-rank tests. The overall success and survival rates calculated were 85% and 95% for all the restorations, respectively. Mucositis, abutment unscrewing, loss of retention, chipping, core fracture, and esthetic failure were the major complications reported. The implant–prosthetic approach can be considered an effective and viable solution to treat cases of maxillary lateral incisor agenesis in the long term. Full article

(This article belongs to the Special Issue Advances in Reconstruction Dentistry)

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11 pages, 8072 KiB

Open AccessCase Report

Primary Reconstruction of Total Maxillectomy with Custom-Made Subperiosteal Implant and Temporal Muscle Flap: A Case Report

by Giacomo De Riu, Damiano Soma, Andrea Biglio, Maria Teresa Raho, Danilo Mura, Fabio Michelon, Giovanni Salzano, Pasquale Piombino, Jérome R. Lechien and Luigi Angelo Vaira

Appl. Sci. 2023, 13(10), 6269; https://doi.org/10.3390/app13106269 - 20 May 2023

Cited by 2 | Viewed by 1438

Abstract

Recent reports on secondary restorations with subperiosteal implants have demonstrated promising results in terms of esthetic and functional restoration. We report the case of a reconstruction of a total maxillectomy with a custom-made subperiosteal implant associated with a temporal muscle flap in a patient who could not undergo bone reconstruction with a free flap. This technique made it possible to restore the division between the oral cavity and the mouth, providing a solid anchorage to the dental prosthesis and correcting an oroantral communication with a small palatal obturator. The subperiosteal implant also granted proper soft tissue support in the middle-third of the face. Subperiosteal implants can be safe and effective even in primary maxillary reconstructions for patients who cannot undergo free bone flap reconstructions. In these difficult cases, this type of implant can provide support to the soft tissues of the middle-third of the face and a solid anchorage for dental prostheses or palatal obturators, thus improving the quality of life for patients. Full article

(This article belongs to the Special Issue Advances in Reconstruction Dentistry)

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