Dentistry Journal

20 pages, 3348 KiB

Open AccessArticle

Influence of the Processing Method on the Nano-Mechanical Properties and Porosity of Dental Acrylic Resins Fabricated by Heat-Curing, 3D Printing and Milling Techniques

by Marina Imre, Veaceslav Șaramet, Lucian Toma Ciocan, Vlad-Gabriel Vasilescu, Elena Iuliana Biru, Jana Ghitman, Mihaela Pantea, Alexandra Ripszky, Adriana Lucia Celebidache and Horia Iovu

Dent. J. 2025, 13(7), 311; https://doi.org/10.3390/dj13070311 (registering DOI) - 10 Jul 2025

Abstract

Background: Acrylic resin-based materials are a versatile category used extensively in various dental applications. Processed by current modern technologies, such as CAD/CAM technologies or 3D printing, these materials have revolutionized the field of dentistry for the efficient creation of dental devices. However, [...] Read more.

Background: Acrylic resin-based materials are a versatile category used extensively in various dental applications. Processed by current modern technologies, such as CAD/CAM technologies or 3D printing, these materials have revolutionized the field of dentistry for the efficient creation of dental devices. However, despite their extensive use, a limited number of comparative studies exist that investigate how different processing methods—such as traditional techniques, 3D printing, and CAD/CAM milling—impact the nano-mechanical behavior and internal porosity of these materials, which are critical for their long-term clinical performance. Objectives: The purpose of this study is to evaluate the nanomechanical properties (hardness, elasticity, and stiffness) and micro-porosity of acrylic resin-based materials indicated for temporary prosthodontic appliances manufactured by new technologies (milling, 3D printing) compared to traditional methods. Methods: The hardness, elasticity, and stiffness measurements were performed by the nano-metric indentation method (nanoindentation), and the quantitative morphological characterization of the porosity of the acrylic resin samples obtained by 3D printing and CAD/CAM milling was performed by micro-computed tomography. Results: According to nanomechanical investigations, CAD/CAM milling restorative specimens exhibited the greatest mechanical performances (E~5.233 GPa and H~0.315 GPa), followed by 3D printed samples, while the lowest mechanical properties were registered for the specimen fabricated by the traditional method (E~3.552 GPa, H~0.142 GPa). At the same time, the results of porosity studies (micro-CT) suggested that 3D printed specimens demonstrated a superior degree of porosity (temporary crown—22.93% and splints—8.94%) compared to CAD/CAM milling restorative samples (5.73%). Conclusions: The comparative analysis of these results allows for the optimal selection of the processing method in order to ensure the specific requirements of the various clinical applications. Full article

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15 pages, 1865 KiB

Open AccessSystematic Review

Complexities of Candida Colonization and Oral Microbiome in Oral Lichen Planus: A Systematic Review and Meta-Analysis

by Israyani, Christine Anastasia Rovani, Erni Marlina and Chung-Ming Liu

Dent. J. 2025, 13(7), 310; https://doi.org/10.3390/dj13070310 (registering DOI) - 10 Jul 2025

Abstract

Background/objectives: Oral lichen planus (OLP) is a chronic autoimmune disorder affecting various age groups and is associated with multiple factors. Conventional therapies often encounter complications from opportunistic infections, particularly oral candidiasis. This study examines the relationships between Candida colonization and oral microbiome composition [...] Read more.

Background/objectives: Oral lichen planus (OLP) is a chronic autoimmune disorder affecting various age groups and is associated with multiple factors. Conventional therapies often encounter complications from opportunistic infections, particularly oral candidiasis. This study examines the relationships between Candida colonization and oral microbiome composition in OLP patients. Through meta-analysis, we clarify these interactions and their implications for OLP progression. Methods: The PICOS is a systematic research strategy, following PRISMA 2020 and MeSH descriptors: oral lichen planus, oral microbiome, oral fungal, and non-Candida oral fungal. Results: A search of CINAHL, EMBASE, PubMed, Science Direct, and Web of Science identified 313 studies. Twelve studies were suitable for a systematic review, with four appropriate for meta-analysis. Findings showed a significant association between OLP and oral microbiota, with an OR of 4.155 (95% CI: 1.278–13.511, p = 0.024). Although analyses of C. albicans and non-albicans species lacked significance, particular non-albicans species were noted. The subgroup analysis of oral microbiota approached significance, indicated by an OR of 11.739 (95% CI: 0.654–210.713, p = 0.059). Conclusions: This study highlights the roles of Candida species and the oral microbiota in OLP, revealing a complex interaction between Candida colonization and the oral microbiome. Full article

(This article belongs to the Special Issue Oral Microbiology and Immunology: Present Research, Challenges and Development)

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29 pages, 2331 KiB

Open AccessReview

Therapeutic Potential of Tanshinones in Osteolytic Diseases: From Molecular and Cellular Pathways to Preclinical Models

by Rafael Scaf de Molon

Dent. J. 2025, 13(7), 309; https://doi.org/10.3390/dj13070309 (registering DOI) - 9 Jul 2025

Abstract

Tanshinones are a class of lipophilic diterpenoid quinones extracted from Salvia miltiorrhiza (Dan shen), a widely used herb in traditional Chinese medicine. These compounds, particularly tanshinone IIA (T-IIA) and sodium tanshinone sulfonate (STS), have been acknowledged for their broad spectrum of biological activities, [...] Read more.

Tanshinones are a class of lipophilic diterpenoid quinones extracted from Salvia miltiorrhiza (Dan shen), a widely used herb in traditional Chinese medicine. These compounds, particularly tanshinone IIA (T-IIA) and sodium tanshinone sulfonate (STS), have been acknowledged for their broad spectrum of biological activities, including anti-inflammatory, antioxidant, anti-tumor, antiresorptive, and antimicrobial effects. Recent studies have highlighted the potential of tanshinones in the treatment of osteolytic diseases, characterized by excessive bone resorption, such as osteoporosis, rheumatoid arthritis, and periodontitis. The therapeutic effects of tanshinones in these diseases are primarily attributed to their ability to inhibit osteoclast differentiation and activity, suppress inflammatory cytokine production (e.g., tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, and IL-6), and modulate critical signaling pathways, including NF-kB, MAPK, PI3K/Akt, and the RANKL/RANK/OPG axis. Additionally, tanshinones promote osteoblast differentiation and mineralization by enhancing the expression of osteogenic markers such as Runx2, ALP, and OCN. Preclinical models have demonstrated that T-IIA and STS can significantly reduce bone destruction and inflammatory cell infiltration in arthritic joints and periodontal tissues while also enhancing bone microarchitecture in osteoporotic conditions. This review aims to provide a comprehensive overview of the pharmacological actions of tanshinones in osteolytic diseases, summarizing current experimental findings, elucidating underlying molecular mechanisms, and discussing the challenges and future directions for their clinical application as novel therapeutic agents in bone-related disorders, especially periodontitis. Despite promising in vitro and in vivo findings, clinical evidence remains limited, and further investigations are necessary to validate the efficacy, safety, and pharmacokinetics of tanshinones in human populations. Full article

(This article belongs to the Special Issue New Perspectives in Periodontology and Implant Dentistry)

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11 pages, 584 KiB

Open AccessArticle

Efficacy of Oral Midazolam for Sedation and Amnesia in Preschool Children with Dental Anxiety: A Double-Blind, Randomized Controlled Trial

by Nguyen Quang Binh, Vo Truong Nhu Ngoc, Pham Quoc Khanh, Nguyen Phuong Huyen, Trinh Khanh Linh, Pham Phuc Khanh and Le Kha Anh

Dent. J. 2025, 13(7), 308; https://doi.org/10.3390/dj13070308 (registering DOI) - 9 Jul 2025

Abstract

Background: Dental anxiety often poses a significant barrier to effective dental care in pediatric patients. This study evaluated the efficacy and safety of oral midazolam at two different doses for sedation and amnesia in preschool children undergoing dental procedures under 30 min, [...] Read more.

Background: Dental anxiety often poses a significant barrier to effective dental care in pediatric patients. This study evaluated the efficacy and safety of oral midazolam at two different doses for sedation and amnesia in preschool children undergoing dental procedures under 30 min, including primary teeth extraction, root canal treatment, dental filling, and stainless-steel crown. Methods: This prospective, double-blind, randomized controlled trial included 80 children aged 3–6 years with dental anxiety (Types 1 and 2 of the Frankl Behavior Rating Scale) at the National Hospital of Odonto-Stomatology, Hanoi. following the CONSORT guidelines. Participants were randomly assigned to receive oral midazolam at 0.3 mg/kg or 0.6 mg/kg. Sedation efficacy, onset time, procedure duration, cooperation level (Houpt Behavior Rating Scale), recovery time, and amnesia at 12 h, 24 h, and 1 week, as well as adverse events, were recorded and analyzed. Results: Both midazolam doses were effective for sedation (0.3 mg/kg: 95% vs. 0.6 mg/kg: 100%, p = 0.49). The higher dose (0.6 mg/kg) provided significantly longer effective procedural time (27.3 ± 4.1 min vs. 20.3 ± 4.0 min, p < 0.001) and better patient cooperation (95% vs. 78.9%, p = 0.045), but slightly prolonged recovery time (34.6 ± 4.6 min vs. 31.8 ± 4.4 min, p = 0.008). Both doses produced similar amnesic effects, with approximately 90% anterograde amnesia at 12 h post-procedure. Adverse events were minimal and mild. Conclusions: Both 0.3 mg/kg and 0.6 mg/kg doses of oral midazolam are safe and effective for sedation and amnesia in preschool children undergoing dental procedures. While the 0.6 mg/kg dose provides better procedural cooperation and prolonged sedation, it also requires a slightly longer recovery time. Full article

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14 pages, 1886 KiB

Open AccessArticle

Comparative Evaluation of Tooth Discoloration Induced by an Experimental Antibiotic Paste Modified with Nano Chitosan: An In Vitro Study

by Mohamed Ahmed Elsayed, Md Sofiqul Islam, Safiya Ali, Zainab Hussain, Muhammed Mustahsen Rahman and Okba Mahmoud

Dent. J. 2025, 13(7), 307; https://doi.org/10.3390/dj13070307 (registering DOI) - 9 Jul 2025

Abstract

Background/Objectives: Tooth discoloration is a common concern associated with the use of intra-canal medicaments, particularly those containing antibiotics. This study aims to evaluate the tooth discoloration potential of an experimental antibiotic paste modified with Nano Chitosan (APNC) and compare it with two antibiotic [...] Read more.

Background/Objectives: Tooth discoloration is a common concern associated with the use of intra-canal medicaments, particularly those containing antibiotics. This study aims to evaluate the tooth discoloration potential of an experimental antibiotic paste modified with Nano Chitosan (APNC) and compare it with two antibiotic pastes and two calcium hydroxide-based pastes over different time intervals. Methods: Fifty bovine incisors were standardized and prepared up to size 60. The teeth were randomly assigned into five groups based on the medicament applied: Metapaste, Metapex, modified Triple Antibiotic Paste (mTAP), Double Antibiotic Paste (DAP), and APNC. A digital spectrophotometer was used to measure the color parameters (L*, a*, and b*) at two zones, above and below the cemento-enamel junction (CEJ), across four-time points: before application (T0- baseline), immediately after application (T1), after two weeks (T2), and after one month (T3). The color changes (ΔE) were calculated and statistically analyzed using repeated-measure ANOVA. Results: Statistically significant differences in discoloration were observed between the tested medicaments after one month (p < 0.05). mTAP caused the highest ΔE values both above and below the CEJ at all time points, particularly after one month (p < 0.05). Conversely, APNC, Metapaste, and DAP demonstrated the least discoloration, with no significant differences among them. The degree of discoloration was time-dependent and more pronounced below the CEJ in all groups. Conclusions: After one month, the experimental APNC paste induced tooth discoloration comparable to that of Metapaste, indicating minimal esthetic compromise. APNC may be a promising alternative to traditional antibiotic pastes with minimal discoloration effects. Full article

(This article belongs to the Section Dental Materials)

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20 pages, 19379 KiB

Open AccessArticle

The Success of Endodontic Treatments Performed by Dental Residents in Advanced Education in General Dentistry Program: A 10-Year Retrospective Study

by Nisreen Al Jallad, Eli Sun, Tongtong Wu, Shasha Cui, Amer Basmaji, Radhika Thakkar, Shahenda Aboelmagd, Neha Naik, Konstantina Tzouma, Jin Xiao and Hans Malmstrom

Dent. J. 2025, 13(7), 306; https://doi.org/10.3390/dj13070306 - 8 Jul 2025

Abstract

Objectives: This study aimed to evaluate the success rates of NSRCT performed by AEGD residents and to identify predictive factors associated with clinical outcomes and patient satisfaction. Methods: A retrospective chart review was conducted on cases treated between 2012 and 2021. Eligible cases [...] Read more.

Objectives: This study aimed to evaluate the success rates of NSRCT performed by AEGD residents and to identify predictive factors associated with clinical outcomes and patient satisfaction. Methods: A retrospective chart review was conducted on cases treated between 2012 and 2021. Eligible cases included fully developed permanent teeth that underwent NSRCT and received a final restoration by general dentistry residents, with a minimum of 12 months of follow-up. Data collected included demographic information, medical history, clinical symptoms, radiographic findings, instrumentation, type and timing of final restorations, and patient satisfaction scores. Treatment success was defined as the absence of symptoms and either the resolution or stability of periapical radiolucency. Patient satisfaction and pain levels were also analyzed. Results: AEGD residents achieved radiographic and clinical RCT success rates of 93.3% and 91.5%, respectively. Multivariate logistic regression showed that the presence of an intact restoration was significantly associated with increased odds of tooth retention (odds ratio [OR] = 3.4, p < 0.001), while post placement in a straight root was also a significant predictor of survival (OR = 4.2, p = 0.02). Conversely, pre-existing radiolucency (OR = 0.37, p = 0.018) and the use of a metal post (OR = 0.23, p = 0.012) were significantly associated with lower odds of tooth retention. Worse periodontal health was significantly associated with increased odds of pain on percussion, with a 74.19% increase in odds per worsening category (OR = 1.74, p = 0.002). Patient satisfaction was significantly higher when restorations remained intact, with esthetic satisfaction increasing by a factor of 3.08 (OR = 3.08, p < 0.001) and functional satisfaction increasing by a factor of 3.9 (OR = 3.9, p < 0.001). Conclusions: Endodontic treatments performed by AEGD residents demonstrated high success rates and favorable patient-reported outcomes. Restoration integrity, periodontal health, and post and final restoration selection play critical roles in treatment success and patient satisfaction. Full article

(This article belongs to the Special Issue Dental Education: Innovation and Challenge)

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22 pages, 2974 KiB

Open AccessReview

Impact of Optical Coherence Tomography (OCT) for Periodontitis Diagnostics: Current Overview and Advances

by Pietro Rigotti, Alessandro Polizzi, Anna Elisa Verzì, Francesco Lacarrubba, Giuseppe Micali and Gaetano Isola

Dent. J. 2025, 13(7), 305; https://doi.org/10.3390/dj13070305 - 4 Jul 2025

Abstract

Optical coherence tomography (OCT) is a non-invasive imaging technique that provides high-resolution, real-time visualization of soft and hard periodontal tissues. It offers micrometer-level resolution (typically ~10–15 μm) and a scan depth ranging from approximately 0.5 to 2 mm, depending on tissue type and [...] Read more.

Optical coherence tomography (OCT) is a non-invasive imaging technique that provides high-resolution, real-time visualization of soft and hard periodontal tissues. It offers micrometer-level resolution (typically ~10–15 μm) and a scan depth ranging from approximately 0.5 to 2 mm, depending on tissue type and system configuration. The field of view generally spans a few millimeters, which is sufficient for imaging gingiva, sulcus, and superficial bone contours. Over the past two decades, its application in periodontology has gained increasing attention due to its ability to detect structural changes in gingival and alveolar tissues without the need for ionizing radiation. Various OCT modalities, including time-domain, Fourier-domain, and swept-source OCT, have been explored for periodontal assessment, offering valuable insights into tissue morphology, disease progression, and treatment outcomes. Recent innovations include the development of three-dimensional (3D) OCT imaging and OCT angiography (OCTA), enabling the volumetric visualization of periodontal structures and microvascular patterns in vivo. Compared to conventional imaging techniques, such as radiography and cone beam computed tomography (CBCT), OCT offers superior soft tissue contrast and the potential for dynamic in vivo monitoring of periodontal conditions. Recent advancements, including the integration of artificial intelligence (AI) and the development of portable OCT systems, have further expanded its diagnostic capabilities. However, challenges, such as limited penetration depth, high costs, and the need for standardized clinical protocols, must be addressed before widespread clinical implementation. This narrative review provides an updated overview of the principles, applications, and technological advancements of OCT in periodontology. The current limitations and future perspectives of this technology are also discussed, with a focus on its potential role in improving periodontal diagnostics and personalized treatment approaches. Full article

(This article belongs to the Special Issue Optical Coherence Tomography (OCT) in Dentistry)

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Graphical abstract

11 pages, 696 KiB

Open AccessReview

Role of Brain Networks in Burning Mouth Syndrome: A Narrative Review

by Takahiko Nagamine

Dent. J. 2025, 13(7), 304; https://doi.org/10.3390/dj13070304 - 4 Jul 2025

Abstract

Objective: Burning mouth syndrome (BMS) is a chronic and often debilitating orofacial pain condition characterized by a burning sensation in the oral mucosa without clear abnormal lesions. While its etiology is considered multifactorial, the underlying pathophysiology remains unclear. This narrative review aims [...] Read more.

Objective: Burning mouth syndrome (BMS) is a chronic and often debilitating orofacial pain condition characterized by a burning sensation in the oral mucosa without clear abnormal lesions. While its etiology is considered multifactorial, the underlying pathophysiology remains unclear. This narrative review aims to synthesize existing functional magnetic resonance imaging (fMRI) studies to shed light on the central neural mechanisms contributing to BMS. Methods: A focused electronic search was conducted across the PubMed and J-STAGE databases for relevant articles published in English from January 2000 to May 2025. The review prioritized studies investigating brain structure and function using fMRI in individuals with BMS. Results: Our synthesis of the literature consistently demonstrated that the brains of individuals with BMS exhibit augmented connectivity within the medial pain system and a diminished gray matter volume in the medial prefrontal cortex (mPFC). These findings suggest a crucial role for altered brain circuitry, particularly a reduction in the output of the basal ganglia dopamine system, in the experience of BMS pain. Conclusions: The consistent fMRI findings strongly indicate that BMS involves significant functional and structural brain alterations. The observed changes in the mPFC and its connections to the basal ganglia dopamine system highlight this pathway as a potential target for both pharmacological and non-pharmacological neurological interventions for individuals with BMS. Full article

(This article belongs to the Topic Oral Health Management and Disease Treatment)

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15 pages, 715 KiB

Open AccessSystematic Review

Oral Health and Healthy Ageing: A Systematic Review of Longitudinal Studies

by Lujain Sahab, Jonathon Timothy Newton and Wael Sabbah

Dent. J. 2025, 13(7), 303; https://doi.org/10.3390/dj13070303 - 4 Jul 2025

Abstract

Background: The global rise in life expectancy and the resulting shift toward ageing populations pose significant public health and socioeconomic challenges. As healthy ageing becomes a priority, understanding the factors that support well-being in older age is essential. Oral health is increasingly [...] Read more.

Background: The global rise in life expectancy and the resulting shift toward ageing populations pose significant public health and socioeconomic challenges. As healthy ageing becomes a priority, understanding the factors that support well-being in older age is essential. Oral health is increasingly recognised as a critical determinant of overall health and has been linked to chronic conditions. Objectives: To conduct a systematic review of longitudinal studies examining the relationship between oral health and healthy ageing. Materials and Methods: Two independent reviewers conducted searches in three databases (MEDLINE, EMBASE, and LILACS) up to April 2025, following a defined search strategy. Grey literature was explored using Open Grey and Google Scholar. The quality and the risk of bias of the included studies were evaluated using the Newcastle Ottawa Quality Assessment Scale (NOS) for longitudinal studies. The review protocol was registered with the International Prospective Register of Systematic Reviews (CRD420251029090). Results: Four longitudinal studies reporting the association between oral health and healthy ageing were recognised and included. All selected studies were considered of good quality according to the NOS. The studies varied in defining and measuring healthy ageing, the follow-up period, the sample size, and the measure of oral health; therefore, it was not possible to perform a meta-analysis. The studies included in the review demonstrated a positive relationship between the number of natural teeth and healthy ageing. Discussion: Despite variations in the definition of healthy ageing and the application of different oral health indicators, the review identified significant associations between the number of natural teeth and trajectories of healthy ageing. Conclusions: This review recognised significant longitudinal associations between oral health measures (number of teeth) and trajectories of healthy ageing. The findings emphasise the need to incorporate oral health into research and policy related to healthy ageing. Full article

(This article belongs to the Special Issue Dentistry in the 21st Century: Challenges and Opportunities)

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13 pages, 1790 KiB

Open AccessArticle

Longitudinal Assessment of Dental Erosion in a Romanian Cohort of Young Adults: A Ten-Year Follow-Up Pilot Study

by Andrea Bors, Felicia Gabriela Beresescu and Melinda Szekely

Dent. J. 2025, 13(7), 302; https://doi.org/10.3390/dj13070302 - 3 Jul 2025

Abstract

Background: Dental erosion is the irreversible loss of tooth structure from acid exposure. Its prevalence is rising globally, making it an important oral health concern. However, longitudinal data from Eastern Europe are scarce, especially in Romania. This pilot study aimed to assess the [...] Read more.

Background: Dental erosion is the irreversible loss of tooth structure from acid exposure. Its prevalence is rising globally, making it an important oral health concern. However, longitudinal data from Eastern Europe are scarce, especially in Romania. This pilot study aimed to assess the 10-year incidence of dental erosion in Romanian young adults and to compare clinical index scoring with digital scanning. Methods: A 10-year prospective study followed 540 Romanian adults (aged 18–30) selected with no erosive lesions at baseline (Basic Erosive Wear Examination BEWE = 0). Erosive wear was assessed at the 10-year follow-up using BEWE, with 40 participants also undergoing digital intraoral scanning to measure enamel loss (μm). Gender differences were analyzed. Chi-square tests, relative risk, and correlation analyses were performed. Results: After 10 years, 23.2% of participants developed dental erosion. Males exhibited a higher incidence than females (29.9% vs. 17.2%; RR = 1.74, p < 0.001). Among the scanned subset (n = 40), the mean enamel loss was 137 ± 79 µm, with greater wear on palatal vs. buccal surfaces (p = 0.002). BEWE scores were moderately correlated with digital enamel loss (r = 0.58, p < 0.001). Conclusions: Erosion progressed over time in this cohort, with males at higher risk. Digital scanning detected subtle enamel loss not captured by BEWE, indicating greater sensitivity to early changes. BEWE and digital methods provided complementary information; their combined use offers a more comprehensive assessment. Full article

(This article belongs to the Special Issue Studies on Dental Enamel)

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14 pages, 11665 KiB

Open AccessArticle

In Vitro Microbial Adhesion on the Surfaces of Various Polytetrafluoroethylene Membranes Used in Guided Bone Regeneration

by Adel Al-Asfour, Maria G. Katsikogianni, Maribasappa Karched, Syed Saad Bin Qasim, Branko Trajkovski and Gregor-Georg Zafiropoulos

Dent. J. 2025, 13(7), 301; https://doi.org/10.3390/dj13070301 - 2 Jul 2025

Abstract

Aim: The aim of this study was to evaluate the adhesion of oral microorganisms on the surfaces of polytetrafluoroethylene (PTFE) membranes used in guided bone regeneration (GBR) procedures. Materials and Methods: In this study, three oral microorganisms (Streptococcus mutans, Porphyromonas gingivalis [...] Read more.

Aim: The aim of this study was to evaluate the adhesion of oral microorganisms on the surfaces of polytetrafluoroethylene (PTFE) membranes used in guided bone regeneration (GBR) procedures. Materials and Methods: In this study, three oral microorganisms (Streptococcus mutans, Porphyromonas gingivalis, and Candida albicans) were used, and six PTFE membranes were characterized by their surface roughness, contact angle (CA), and surface free energy (SFE). Microbial hydrophobicity was investigated, and adhesion was examined via DNA extraction and quantitative real-time PCR. Results: Significant differences were noted amongst the membranes with respect to SFE, CA, and roughness (p < 0.001). S. mutans was the most hydrophobic microorganism, followed by C. albicans and P. gingivalis. SEM analyses confirmed that the microorganisms adhered to all membranes, with Surgitime being the membrane that attracted the highest number of S. mutans (p < 0.001) and P. gingivalis (p < 0.001). By contrast, OsseoGuard-TXT was one of the membranes that attracted the lowest number (p < 0.001) of all three tested species. Conclusions: The results showed that microbial adhesion to PTFE membranes was affected by the membrane surface roughness and SFE, as well as the characteristics of the microorganisms. The most hydrophilic bacteria adhered the least to all the tested membranes, whereas membranes with a low surface roughness and high SFE attracted the lowest number of all the tested microbes. These results may guide the selection of an appropriate GBR membrane. Full article

(This article belongs to the Section Dental Materials)

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16 pages, 7509 KiB

Open AccessArticle

Evaluating the Diagnostic Proficiency Among a Sample of Final Stage Dental Students in Some Orthodontic Cases: A Comprehensive Analysis of Clinical Competence

by Noor Nourie Abbass, Zainab Mousa Kadhom, Wurood Khairallah Al-Lehaibi and Mohammed Nahidh

Dent. J. 2025, 13(7), 300; https://doi.org/10.3390/dj13070300 - 2 Jul 2025

Abstract

Background/Objectives: This study evaluates the diagnostic and referral skills of final-year dental students at Al-Iraqia University using a questionnaire based on malocclusion cases ranging from mild to severe. Methods: The questionnaire, featuring photos and radiographs of five selected treated cases from [...] Read more.

Background/Objectives: This study evaluates the diagnostic and referral skills of final-year dental students at Al-Iraqia University using a questionnaire based on malocclusion cases ranging from mild to severe. Methods: The questionnaire, featuring photos and radiographs of five selected treated cases from two textbooks, was answered by 165 students who were asked to assess each case and determine whether orthodontic or surgical treatment was necessary, as well as to identify factors contributing to an unesthetic profile, such as irregular teeth. Frequency distribution and the Chi-square test were used for statistical analysis. Results: The results indicated good overall clinical competence. The unesthetic profile and irregular teeth were the main reasons for referring both Class II and III cases for surgery, with mandibular retrusion being the most common factor in aesthetic concerns. Maxillary protrusion was less frequently selected as a key factor in Class II malocclusion cases. Conclusions: The findings suggest that students demonstrated a high level of diagnostic accuracy in identifying treatment needs for various malocclusion cases. Full article

(This article belongs to the Special Issue Dental Education: Innovation and Challenge)

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11 pages, 712 KiB

Open AccessArticle

Bone Stability After Immediate Implants and Alveolar Ridge Preservation: A 15-Year Retrospective Clinical Study

by Nicola De Angelis, Paolo Pesce, Catherine Yumang, Domenico Baldi and Maria Menini

Dent. J. 2025, 13(7), 299; https://doi.org/10.3390/dj13070299 - 2 Jul 2025

Abstract

Background: In modern dentistry, alveolar socket preservation after tooth extraction plays a critical role in maintaining the alveolar ridge for future dental implants. This retrospective clinical study evaluated bone-level changes 15 years after immediate implant placement, coupled with alveolar ridge preservation. Methods: Fifty [...] Read more.

Background: In modern dentistry, alveolar socket preservation after tooth extraction plays a critical role in maintaining the alveolar ridge for future dental implants. This retrospective clinical study evaluated bone-level changes 15 years after immediate implant placement, coupled with alveolar ridge preservation. Methods: Fifty non-smoking patients aged 25 to 75 (30 males and 20 females) who underwent single-implant rehabilitation in both anterior and posterior regions of the upper and lower jaws were included. The study examined bone levels and implant survival over time, using standardized intraoral radiographs at 1, 5, and 15 years post-loading. Implants were placed immediately after atraumatic extraction, and the residual gap was grafted with bovine hydroxyapatite and covered with a collagen membrane. The primary outcome was bone-level stability, while secondary outcomes included implant failure. No temporary crowns or removable dentures were provided during healing. Radiographs were digitized for detailed analysis. Results: The results for 50 patients with immediate implant placement showed that bone-resorption levels were significantly higher in the upper jaw than in the lower jaw. Conclusions: Posterior implants exhibited greater bone loss than anterior implants, particularly at 1 year and 15 years, while no implant failures occurred. Full article

(This article belongs to the Topic Oral Health Management and Disease Treatment)

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13 pages, 1932 KiB

Open AccessArticle

Evaluation of the Quality and Educational Value of YouTube Videos on Class IV Resin Composite Restorations

by Rashed A. AlSahafi, Hesham A. Alhazmi, Israa Alkhalifah, Danah Albuhmdouh, Malik J. Farraj, Abdullah Alhussein and Abdulrahman A. Balhaddad

Dent. J. 2025, 13(7), 298; https://doi.org/10.3390/dj13070298 - 30 Jun 2025

Abstract

Objectives: The increasing reliance on online platforms for dental education necessitates an assessment of the quality and reliability of available resources. This study aimed to evaluate YouTube videos as educational tools for Class IV resin composite restorations. Methods: The first 100 YouTube [...] Read more.

Objectives: The increasing reliance on online platforms for dental education necessitates an assessment of the quality and reliability of available resources. This study aimed to evaluate YouTube videos as educational tools for Class IV resin composite restorations. Methods: The first 100 YouTube videos were screened, and 73 met the inclusion criteria. The videos were evaluated using the Video Information and Quality Index (VIQI) and specific content criteria derived from the dental literature. Videos with a score below the mean were identified as low-content videos. Results: No significant differences were noted between high- and low-content videos when examining the number of views, number of likes, duration, days since upload, viewing rate, interaction index, and number of subscribers (p > 0.05). The high-content videos demonstrated higher mean values compared with the low-content videos in flow (4.11 vs. 3.21; p < 0.0001), accuracy (4.07 vs. 3.07; p < 0.0001), quality (4 vs. 2.66; p < 0.0001), and precision (4.16 vs. 2.86; p < 0.0001). The overall VIQI score was significantly higher (p < 0.0001) for high-content videos (Mean 16.34; SD 2.46) compared with low-content videos (Mean 11.79; SD 2.96). For content score, high-content videos (Mean 9.36; SD 1.33) had a higher score (p < 0.0001) than low-content videos (Mean 4.90; SD 2.04). The key areas lacking sufficient coverage included occlusion, shade selection, and light curing techniques. Conclusions: While a significant portion of YouTube videos provided high-quality educational content, notable deficiencies were identified. This analysis serves as a call to action for both content creators and educational institutions to prioritize the accuracy and completeness of online dental education. Full article

(This article belongs to the Special Issue Dental Education: Innovation and Challenge)

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9 pages, 216 KiB

Open AccessArticle

Influence of Ordinary Cigarettes and Their Substitute IQOS^® on Secretory Immunoglobulin A in Unstimulated Saliva

by Niкolai Pavlov, Ivelina Popova-Sotirova, Nina Musurlieva, Ralitsa Raycheva, Konstantin Trifonov, Maria Atanasova and Radka Cholakova

Dent. J. 2025, 13(7), 297; https://doi.org/10.3390/dj13070297 - 30 Jun 2025

Abstract

Background: Secretory immunoglobulin A (sIgA) plays a key role in oral and mucosal immunity, serving as a first-line defense against pathogens. Smoking is known to negatively affect immune function, but data on the impact of heated tobacco products such as IQOS^® [...] Read more.

Background: Secretory immunoglobulin A (sIgA) plays a key role in oral and mucosal immunity, serving as a first-line defense against pathogens. Smoking is known to negatively affect immune function, but data on the impact of heated tobacco products such as IQOS^® on sIgA levels are limited. Objective: To assess and compare the effects of conventional cigarette smoking and IQOS^® use on the concentration of salivary sIgA in healthy individuals. Methods: A total of 200 participants were enrolled and divided into three groups: 60 non-smokers, 70 conventional cigarette smokers, and 70 IQOS^® users. Unstimulated whole saliva samples were collected and analyzed for sIgA concentration using ELISA method. Statistical analysis was performed using IBM SPSS Statistics 25. Results: Mean salivary sIgA levels were significantly lower in both cigarette smokers (246.03 μg/mL) and IQOS^® users (243.54 μg/mL) compared to non-smokers (380.74 μg/mL, p < 0.05). No significant difference was observed between cigarette smokers and IQOS^® users. A pronounced reduction in sIgA was seen in female users of both tobacco products, whereas male users did not show a statistically significant decline. Conclusions: Both cigarette smoking and IQOS^® use are associated with a significant decrease in salivary sIgA levels, particularly in females. The findings suggest that IQOS^® does not offer an immunological advantage over conventional smoking in terms of preserving mucosal immunity. Further studies are needed to confirm these findings and explore underlying mechanisms. Full article

17 pages, 3114 KiB

Open AccessArticle

Spontaneous Growth Induced by a Biologically Oriented V Class Restoration (BOVR) Technique: A 3D Prospective Study

by Davide Farronato, Giuseppe Messina, Luciano Laveglia, Pietro Mario Pasini, Lorenzo Azzi and Marco Farronato

Dent. J. 2025, 13(7), 296; https://doi.org/10.3390/dj13070296 - 30 Jun 2025

Abstract

Background: The behavior of soft tissues following recession type 1 (RT1) and/or non-carious cervical lesions (NCCLs) treated with class V restorations is not well understood. These conditions cause both functional and esthetic issues. Recent studies show that increased cervical thickness can influence gingival [...] Read more.

Background: The behavior of soft tissues following recession type 1 (RT1) and/or non-carious cervical lesions (NCCLs) treated with class V restorations is not well understood. These conditions cause both functional and esthetic issues. Recent studies show that increased cervical thickness can influence gingival tissue response. This suggests that restoration design has a key impact. This study aims to evaluate the effect of tooth shape modification on gingival tissue response and periodontal health with 3D analysis. Methods: Seven patients with buccal gingival recession and NCCL were selected, resulting in 50 treated teeth. Patients underwent class V buccal restorations using the BOVR technique. Three-dimensional evaluation through scanned dental impressions was performed at baseline and at T1 to monitor tissue profile changes in the buccal zenith sagittal plane. The average observation period was 4 months. Following the assessment, linear measurements were calculated according to standard planes. These measurements aimed to monitor transverse and axial tissue modifications. Probing depth, plaque index, and bleeding index were also recorded. Results: Increased tooth thickness led to tissue alteration. Greater composite thickness was significantly associated with an increase in tissue thickness (p ≤ 0.001) and gingival creeping (p ≤ 0.001) at the free gingival margin. Periodontal health remained unaffected, and 50% of the teeth required no additional surgical treatment due to satisfactory outcomes. Conclusions: Class V restorations that increase cervical thickness may promote soft tissue volume gain over a 4-month period without compromising periodontal health. A 4-month observation period is recommended before considering the surgical correction. Full article

(This article belongs to the Special Issue New Trends in Digital Dentistry)

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15 pages, 992 KiB

Open AccessArticle

Influence of Irrigant Activation Techniques on External Root Temperature Rise and Irrigation Penetration Depth in 3D-Printed Tooth Model: An In Vitro Study

by Ali Addokhi, Ahmed Rahoma, Neveen M. A. Hanna, Faisal Alonaizan, Faraz Farooqi and Shimaa Rifaat

Dent. J. 2025, 13(7), 295; https://doi.org/10.3390/dj13070295 - 29 Jun 2025

Abstract

Introduction: Successful root canal therapy relies on thorough cleaning and disinfection to eliminate microorganisms and residual pulp tissue. Advanced irrigation activation techniques, including Sonic, Ultrasonic, and Diode Laser activation, have improved cleaning efficacy, bacterial reduction, smear layer removal, and irrigant hydrodynamics. On the [...] Read more.

Introduction: Successful root canal therapy relies on thorough cleaning and disinfection to eliminate microorganisms and residual pulp tissue. Advanced irrigation activation techniques, including Sonic, Ultrasonic, and Diode Laser activation, have improved cleaning efficacy, bacterial reduction, smear layer removal, and irrigant hydrodynamics. On the other hand, these irrigation activation techniques may lead to a temperature rise that may risk the surrounding periodontal tissue. Thus, this study aimed to investigate the temperature rise during different irrigation activation techniques at various time intervals and evaluate the efficacy of these techniques in removing biofilm-mimicking hydrogel BMH of a simulated root canal system in 3D-printed tooth models. Methods: Ten extracted human mandibular premolars, prepared to size 40/0.04 taper, and a hundred 3D-printed resin premolars with simulated main (0.25 mm) and lateral canals (0.15 mm at 3, 7, 11 mm from apex) were used; 50 of them were filled with biofilm-mimicking hydrogel (BMH). Five irrigation activation techniques were evaluated: Diode Laser, Ultrasonic, Sonic, XP-Finisher, and Control (n = 10). Temperature rises were measured on the extracted premolars after 30 and 60 s of activation using a thermographic camera in a controlled environment (23 ± 2 °C). Irrigant penetration, with and without BMH, was assessed in 3D-printed premolars using a 2.5% sodium hypochlorite-contrast medium mixture, visualized with a CMOS radiographic sensor. Penetration was scored (main canal: 3 points; lateral canals: 0–2 points) and analyzed with non-parametric tests. Results: Diode Laser activation technique resulted in the highest temperature rise on the external root surface, followed by the Ultrasonic, with no statistically significant difference observed among the remaining groups. In terms of efficacy, Ultrasonic and Sonic activation achieved significantly greater irrigant penetration in samples without BMH, and greater BMH removal in samples with BMH, compared to Diode Laser, XP-Finisher, and Control groups. Conclusions: In this in vitro study, Diode Laser caused the highest temperature rise, followed by Ultrasonic, with significant increases from 30 to 60 s. Temperature rise did not significantly affect penetration or BMH removal. Ultrasonic and Sonic irrigation techniques achieved the highest depth of penetration (without BMH) and biofilm-mimicking Hydrogel removal (with BMH) compared to Diode Laser, XP-Finisher, and Control. Full article

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9 pages, 454 KiB

Open AccessArticle

Association Between Vertical Bone Defects and Interdental Papilla Loss in Periodontitis: A Cross-Sectional Analysis

by Hristina Maynalovska and Kamen Kotsilkov

Dent. J. 2025, 13(7), 294; https://doi.org/10.3390/dj13070294 - 29 Jun 2025

Abstract

Background: The interdental papilla plays a critical role in maintaining both the esthetic and functional integrity of the periodontium. Although the relationship between the papilla presence and the contact point–bone crest distance is well established, the impact of vertical bone defect morphology—common in [...] Read more.

Background: The interdental papilla plays a critical role in maintaining both the esthetic and functional integrity of the periodontium. Although the relationship between the papilla presence and the contact point–bone crest distance is well established, the impact of vertical bone defect morphology—common in periodontitis—remains largely unexplored. Aim: To assess the relationship between the loss of interdental papilla height and three site-specific factors—vertical bone defect morphology, probing depth, and papilla base width—in patients with periodontitis. Materials and Methods: Ten periodontitis patients contributing 28 interdental papillae adjacent to vertical bone defects were included. The recorded parameters included probing depth, papilla base width, and loss of papilla height. Intraoperative measurements of defect depth, mesiodistal width, and buccolingual width were also obtained. Patient-level variables, such as age, sex, oral hygiene, and gingival phenotype, were not controlled or included in the analysis, due to the small number of participants and the study’s focus on defect-level characteristics. Spearman’s rank correlation was used due to non-normal data distribution. Results: A moderate positive association was observed between the probing depth and loss of papilla height (ρ = 0.353), approaching but not reaching statistical significance (p = 0.066). Weak, non-significant associations were found with the remaining parameters (p > 0.05). Conclusions: Although no statistically significant associations were found, observed trends may indicate site-specific influences on the loss of papilla height. These preliminary findings highlight the need for further research with larger, well-characterized cohorts to better understand the factors affecting papilla stability in periodontitis. Full article

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18 pages, 4774 KiB

Open AccessArticle

Analysis of Implant Osseointegration, Bone Repair, and Sinus Mucosa Integrity Using Bio-Oss^® and Hyaluronic Acid-Polynucleotide Gel (Regenfast^®) in Maxillary Sinus Augmentation in Rabbits

by Hiroyuki Omori, Daniele Botticelli, Erick Ricardo Silva, Samuel Porfirio Xavier, Sérgio Luis Scombatti de Souza, Kaoru Kusano and Shunsuke Baba

Dent. J. 2025, 13(7), 293; https://doi.org/10.3390/dj13070293 - 28 Jun 2025

Abstract

Background: The combination of polynucleotides and hyaluronic acid with bovine bone grafts in maxillary sinus lift procedures appears to be a promising strategy to enhance bone regeneration. This study aimed to analyze implant osseointegration, bone repair and sinus mucosa integrity using Bio-Oss^® [...] Read more.

Background: The combination of polynucleotides and hyaluronic acid with bovine bone grafts in maxillary sinus lift procedures appears to be a promising strategy to enhance bone regeneration. This study aimed to analyze implant osseointegration, bone repair and sinus mucosa integrity using Bio-Oss^® and Hyaluronic Acid-Polynucleotide Gel (Regenfast^®) in maxillary sinus augmentation in rabbits. Methods: Sinus floor elevation was performed in 12 rabbits, with one implant placed per sinus simultaneously. In the control group, sinuses were grafted with deproteinized bovine bone mineral (Bio-Oss^®) alone; in the test group, Bio-Oss^® was combined with Regenfast^®. Two histological slides were obtained per sinus after 2 weeks (six animals) and 10 weeks (six animals): one from the grafted area alone (non-implant sites), and one from the implant site. Primary outcome variables included the percentage of newly formed bone, the extent of implant osseointegration, and the number of sinus mucosa perforations caused by contact with graft granules. Results: After 10 weeks of healing, the test group showed a significantly higher percentage of new bone formation (37.2 ± 6.7%) compared to the control group (26.8 ± 10.0%; p = 0.031); osseointegration extended to the implant apex in both groups; fewer sinus mucosa perforations were observed in the test group (n = 5) than in the control group (n = 14). Conclusions: The addition of Regenfast^® to Bio-Oss^® granules promoted enhanced bone regeneration within the elevated sinus area and was associated with a lower incidence of sinus membrane perforations compared to the use of Bio-Oss^® alone. Full article

(This article belongs to the Special Issue Current and Future Trends in Maxillary Sinus Management: Perspectives in Oral Surgery)

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