Integral Ceramics and Their Utility for Dentistry

A special issue of Biology (ISSN 2079-7737).

Deadline for manuscript submissions: closed (30 September 2021) | Viewed by 9970

Special Issue Editors


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Guest Editor
Department of Neuroscience and Reproductive and Odontostomatological Sciences, Via S. Pansini 5, University of Naples Federico II, Italy
Interests: integral ceramics; dentistry; prosthodontics; digital dentistry; restorative dentistry; adhesive dentistry; adhesion

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Co-Guest Editor
Department of Dentistry, Vita-Salute San Raffaele University, Milan, Italy IRCCS San Raffaele Hospital, Milan, Italy
Interests: dental implant; digital impression; prosthodontics; intraoral scanning; oral hygiene; rehabilitation
Special Issues, Collections and Topics in MDPI journals

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Co-Guest Editor

Special Issue Information

Dear Colleagues,

In recent decades, the amazing evolution of prosthetic dentistry due to the development of new digital technologies has led to a remarkable change in the operative workflow in dental practice. In particular, under the innovative drive induced by computer-aided planning and manufacturing (CAD/CAM, laser-sintering/melting, 3D printers etc.), dental research has triggered the implementation of a variety of innovative restorative materials for fixed prosthodontics, characterized by excellent esthetic properties, proper mechanical resistance and high levels of biocompatibility. To date, the “metal-free” concept is progressively replacing the “gold standard” of porcelain-fused-to-metal in prosthetic procedures, gaining ground in the clinician's and technician's choice, thanks to an undeniable series of advantages. In the scope of the new restorative paradigms of minimal invasiveness and overall sustainability, materials like zirconia, lithium silicates, new feldspathic ceramics and techno-polymers offer benefits like: the reduction of preparation thickness, thanks to their high fracture resistance; excellent optical properties like translucency, opalescence, natural color and fluorescence, allowing outstanding esthetic outcomes; high marginal and internal fit of restorations, with favorable biological responses of soft tissues; economic advantages for the absence of precious metals and for the reduced working times allowed by full-digital operative workflow.

At the same time, however, it has to be remarked that the choice of a proper dental material for prosthetic treatment is increasingly difficult today, made inside a scenario that can sometimes be disorienting for the continuous introduction of new products, often placed on the market with little or no scientific support.

The aim of the Special Issue “Integral Ceramics and their Utility for Dentistry” is to provide an insight on the currently available, most popular ceramic materials, in order to address useful information about their choice in dental daily practice, in light of scientific evidence and the authors’ clinical experience.

Prof. Fernando Zarone
Dr. Paolo Cappare
Dr. Roberto Sorrentino
Guest Editors

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Keywords

  • dentistry
  • prosthodontics
  • restorative dentistry
  • digital dentistry
  • dental ceramics
  • zirconia
  • lithium disilicate
  • feldspathic ceramics
  • zirconia reinforced lithium silicates
  • ZLS
  • polymer-infiltrated ceramic networks
  • PICN
  • hybrid ceramics

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Published Papers (2 papers)

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Research

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17 pages, 1337 KiB  
Article
Digital versus Traditional Workflow for Immediate Loading in Single-Implant Restoration: A Randomized Clinical Trial
by Paolo Capparé, Francesco Ferrini, Corrado Ruscica, Giuseppe Pantaleo, Giulia Tetè and Enrico Felice Gherlone
Biology 2021, 10(12), 1281; https://doi.org/10.3390/biology10121281 - 6 Dec 2021
Cited by 8 | Viewed by 2969
Abstract
The purpose of this randomized controlled trial was to compare the immediate-loading protocol, in single restorations in the esthetic zone, by comparing the digital workflow in a test group (TG) vs. the analogical workflow in a control group (CG). A total of 50 [...] Read more.
The purpose of this randomized controlled trial was to compare the immediate-loading protocol, in single restorations in the esthetic zone, by comparing the digital workflow in a test group (TG) vs. the analogical workflow in a control group (CG). A total of 50 patients were enrolled, requiring single hopeless tooth extraction. Twenty-five patients (TG) were randomly assigned to the immediate-loading protocol using the digital workflow, and twenty-five patients (CG) were assigned to the conventional workflow. Clinical and radiographic parameters were evaluated at the time of implant insertion (baseline) and after 3, 6 and 12 months, respectively. A clinician blind to conditions measured the Pink Esthetic Score (PES), as well as patient satisfaction. At 12-month follow-up, a cumulative survival rate of 100% was reported for all implants. No failures or biological complications were observed. No statistically significant differences were detected in the mean values of marginal bone loss and PES between the TG (0.12 ± 0.66 mm for MBL, 7.75 ± 0.89 for PES) and the CG (0.15 ± 0.54 mm for MBL, 7.50 ± 0.89 for PES). In 11 cases of TG, and 10 cases of CG, a one-year follow-up period showed an increased marginal bone level. No statistically significant differences were found in the mean total PES between test (7.75 ± 0.89) and control (7.5 ± 0.81) conditions. Furthermore, a customer satisfaction survey showed that patients preferred the digital workflow over the conventional workflow procedure (97.6 ± 4.3 vs. 69.2 ± 13.8). Digital workflow was more time-efficient than conventional workflow (97.2 ± 7.3 vs. 81.2 ± 11.3). Within the limitations of this study, no statistically significant differences were found between digital and traditional workflow. Full article
(This article belongs to the Special Issue Integral Ceramics and Their Utility for Dentistry)
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Review

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11 pages, 270 KiB  
Review
Chairside CAD/CAM Materials: Current Trends of Clinical Uses
by Giulio Marchesi, Alvise Camurri Piloni, Vanessa Nicolin, Gianluca Turco and Roberto Di Lenarda
Biology 2021, 10(11), 1170; https://doi.org/10.3390/biology10111170 - 12 Nov 2021
Cited by 57 | Viewed by 6440
Abstract
Restorative materials are experiencing an extensive upgrade thanks to the use of chairside Computer-aided design/computer-assisted manufacturing (CAD/CAM) restorations. Therefore, due to the variety offered in the market, choosing the best material could be puzzling for the practitioner. The clinical outcome of the restoration [...] Read more.
Restorative materials are experiencing an extensive upgrade thanks to the use of chairside Computer-aided design/computer-assisted manufacturing (CAD/CAM) restorations. Therefore, due to the variety offered in the market, choosing the best material could be puzzling for the practitioner. The clinical outcome of the restoration is influenced mainly by the material and its handling than by the fabrication process (i.e., CAD/CAM). Information on the restorative materials performances can be difficult to gather and compare. The aim of this article is to provide an overview of chairside CAD/CAM materials, their classification, and clinically relevant aspects that enable the reader to select the most appropriate material for predictable success. Full article
(This article belongs to the Special Issue Integral Ceramics and Their Utility for Dentistry)
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