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Materials and Devices for Multidisciplinary Dental Treatments
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Materials and Devices for Multidisciplinary Dental Treatments

A special issue of Materials (ISSN 1996-1944). This special issue belongs to the section "Biomaterials".

Deadline for manuscript submissions: closed (20 February 2025) | Viewed by 13009

Special Issue Editors

Dr. Saverio Cosola

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Guest Editor
Department of Stomatology, Tuscan Stomatologic Institute, Foundation for Dental Clinic, Research and Continuing Education, 55041 Camaiore, Italy
Interests: oral surgery; periodontal disease; dental implants; dental materials; alveolar bone; dental prostheses; finite element analysis; fixed prostheses; periimplantitis
Special Issues, Collections and Topics in MDPI journals
Dr. Riccardo Aiuto

E-Mail Website
Guest Editor
Department of Biomedical, Surgical and Dental Sciences, University of Milan - Istituto Stomatologico Italiano, 20122 Milan, Italy
Interests: oral surgery; periodontal disease; dental implants; periimplantitis; restorative dentistry; root canal treatment; dental materials; biomaterials
Prof. Dr. Annamaria Genovesi

E-Mail Website
Guest Editor
Department of Stomatology, Tuscan Stomatologic Institute, Foundation for Dental Clinic, Research and Continuing Education, 55041 Camaiore, Italy
Interests: periodontal disease; dental implants; non-surgical periodontal therapy; chronic periodontitis; anti-bacterial agents; dental materials; finite element analysis; periimplantitis

Special Issue Information

Dear Colleagues,

The last twenty years have been characterized by a real revolution and evolution involving the knowledge of materials and technology in the field of oral health. The different available diagnostic instruments and the modern devices to treat soft and hard tissues have changed to include various concepts of diagnosis and treatment plans to reach good oral health. Starting right from the diagnosis, new technologies have undoubtedly changed the practice of some dental treatments, leading not only to an improvement in performance but also to the success of the dental practice, understood as a commercial enterprise, thanks also to a substantial reduction in costs, meaning that more treatments are possible for a larger number of patients. We are pleased to invite you to submit a paper in this area of research that is very important in our clinical dentistry nowadays.  This Special Issue aims to report what materials and devices are offering an important role in the treatments of different branches of dentistry. In this scenario, a multidisciplinary approach to diagnosis, treatments and management should be mandatory, with fewer complicances, a predictable follow-up, and using the new technology of dental medicine.

Dr. Saverio Cosola
Dr. Riccardo Aiuto
Prof. Dr. Annamaria Genovesi
Guest Editors

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Keywords

  • dental materials
  • dental devices
  • multidisciplinary treatment
  • periodontal diseases
  • multidisciplinary dental treatment
  • maintenance of oral health
  • aesthetic
  • prostheses
  • oral health
  • complex patients
  • prostheses
  • dental implants
  • non-surgical periodontal therapy
  • technologies
  • anti-bacterial agents

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Published Papers (4 papers)

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Research

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16 pages, 5203 KiB  
Article
The Effect of Implantoplasty on the Fatigue Behavior and Corrosion Resistance in Titanium Dental Implants
by Darcio Fonseca, Beatriz de Tapia, Ramon Pons, Conrado Aparicio, Fernando Guerra, Ana Messias and Javier Gil
Materials 2024, 17(12), 2944; https://doi.org/10.3390/ma17122944 - 15 Jun 2024
Cited by 1 | Viewed by 1552
Abstract
Implantoplasty is a technique increasingly used to remove the biofilm that causes peri-implantitis on dental implants. This technique of mechanization of the titanium surface makes it possible to eliminate bacterial colonies, but it can generate variations in the properties of the implant. These [...] Read more.
Implantoplasty is a technique increasingly used to remove the biofilm that causes peri-implantitis on dental implants. This technique of mechanization of the titanium surface makes it possible to eliminate bacterial colonies, but it can generate variations in the properties of the implant. These variations, especially those in fatigue resistance and electrochemical corrosion behavior, have not been studied much. In this work, fatigue tests were performed on 60 dental implants without implantoplasty, namely 30 in air and 30 in Hank’s solution at 37 °C, and 60 with implatoplasty, namely 30 in air and 30 in Hank’s solution at 37 °C, using triaxial tension–compression and torsion stresses simulating human chewing. Mechanical tests were performed with a Bionix servo-hydraulic testing machine and fracture surfaces were studied by scanning electron microcopyElectrochemical corrosion tests were performed on 20 dental implants to determine the corrosion potentials and corrosion intensity for control implants and implantoplasty implants. Studies of titanium ion release to the physiological medium were carried out for each type of dental implants by Inductively Coupled-Plasma Mass Spectrometry at different immersion times at 37 °C. The results show a loss of fatigue caused by the implantoplasty of 30%, observing that the nucleation points of the cracks are in the areas of high deformation in the areas of the implant neck where the mechanization produced in the treatment of the implantoplasty causes an exaltation of fatigue cracks. It has been observed that tests performed in Hank’s solution reduce the fatigue life due to the incorporation of hydrogen in the titanium causing the formation of hydrides that embrittle the dental implant. Likewise, the implantoplasty causes a reduction of the corrosion resistance with some pitting on the machined surface. Ion release analyses are slightly higher in the implantoplasted samples but do not show statistically significant differences. It has been observed that the physiological environment reduces the fatigue life of the implants due to the penetration of hydrogen into the titanium forming titanium hydrides which embrittle the implant. These results should be taken into account by clinicians to determine the convenience of performing a treatment such as implantoplasty that reduces the mechanical behavior and increases the chemical degradation of the titanium dental implant. Full article
(This article belongs to the Special Issue Materials and Devices for Multidisciplinary Dental Treatments)
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Review

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19 pages, 650 KiB  
Review
3D Printed Materials for Permanent Restorations in Indirect Restorative and Prosthetic Dentistry: A Critical Review of the Literature
by Dario Balestra, Morgan Lowther, Cecilia Goracci, Mauro Mandurino, Silvia Cortili, Gaetano Paolone, Chris Louca and Alessandro Vichi
Materials 2024, 17(6), 1380; https://doi.org/10.3390/ma17061380 - 18 Mar 2024
Cited by 18 | Viewed by 5055
Abstract
The objective of this study was to review the scientific evidence currently available on 3D printable materials and 3D printing technologies used for the fabrication of permanent restorations, focusing on material properties that are clinically relevant. A literature search was performed on four [...] Read more.
The objective of this study was to review the scientific evidence currently available on 3D printable materials and 3D printing technologies used for the fabrication of permanent restorations, focusing on material properties that are clinically relevant. A literature search was performed on four databases (MEDLINE/PubMed, Scopus, Cochrane Library, Web of Science) for articles published from January 2013 until November 2023, using a combination of free words: (restorative dentistry OR prosthetic dentistry) AND (3D printing OR additive manufacturing OR rapid prototyping) AND materials. Two reviewers screened titles and/or abstracts of 2.468 unique studies. In total, 83 studies were selected for full-text reading, from which 36 were included in the review. The assessed variables were mechanical properties, reporting in most of the cases positive results, dimensional accuracy and fit, reporting conflicting results with a predominance of positive, aesthetic properties, with positive reports but scarcely addressed, and biological properties, almost unexplored in independent studies. Despite numerous studies with positive results in favor, papers with negative outcomes were also retrieved. Aesthetic and biological properties are conversely still mostly unexplored. There remains a lack of conclusive evidence for viable 3D printable restorative and prosthodontic materials for permanent restorations. Research should be strengthened by defining international standards for laboratory testing and, where pre-clinical data are promising, conducting clinical trials. Full article
(This article belongs to the Special Issue Materials and Devices for Multidisciplinary Dental Treatments)
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15 pages, 436 KiB  
Review
Soft Tissue Substitutes in Periodontal and Peri-Implant Soft Tissue Augmentation: A Systematic Review
by Roberto Rotundo, Gian Luca Pancrazi, Alessia Grassi, Lara Ceresoli, Giovanna Laura Di Domenico and Vanessa Bonafede
Materials 2024, 17(5), 1221; https://doi.org/10.3390/ma17051221 - 6 Mar 2024
Cited by 2 | Viewed by 3013
Abstract
Background: Different extracellular matrix (ECM)-based technologies in periodontal and peri-implant soft tissue augmentation have been proposed in the market. The present review compared the efficacy of soft tissue substitutes (STSs) and autogenous free gingival grafts (FGGs) or connective tissue grafts (CTGs) in mucogingival [...] Read more.
Background: Different extracellular matrix (ECM)-based technologies in periodontal and peri-implant soft tissue augmentation have been proposed in the market. The present review compared the efficacy of soft tissue substitutes (STSs) and autogenous free gingival grafts (FGGs) or connective tissue grafts (CTGs) in mucogingival procedures to increase keratinized tissue (KT) width around teeth and implants. Methods: Two independent examiners performed an electronic search on MEDLINE and the Cochrane Library based on the following PICOS format: (P) adult patients; (I) soft tissue substitutes and FGGs/CTGs; (C) STSs vs. CTGs; STSs vs. FGGs; STSs vs control; (O) KT width gain; (S) systematic reviews, randomized controlled trials. Studies published before November 2023 were included. Results: Around teeth, all biomaterials showed superior performance compared to a coronally advanced flap (CAF) alone for treating gingival recessions. However, when compared to CTGs, acellular dermal matrices (ADMs) yield the most similar outcomes to the gold standard (CTGs), even though in multiple recessions, CTGs continue to be considered the most favorable approach. The use of STSs (acellular matrix or tissue-engineered) in combination with apically positioned flaps (APF) resulted in significantly less gain in KT width compared to that achieved with FGGs and APFs. Around dental implants, free gingival grafts were deemed more effective than soft tissue substitutes in enhancing keratinized mucosa width. Conclusions: Based on the available evidence, questions remain about the alternative use of soft tissue substitutes for conventional grafting procedures using free gingival grafts or connective tissue grafts around teeth and implants. Full article
(This article belongs to the Special Issue Materials and Devices for Multidisciplinary Dental Treatments)
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12 pages, 482 KiB  
Review
Translucency of Lithium-Based Silicate Glass–Ceramics Blocks for CAD/CAM Procedures: A Narrative Review
by Alessandro Vichi, Zejiao Zhao, Mahdi Mutahar, Gaetano Paolone and Chris Louca
Materials 2023, 16(19), 6441; https://doi.org/10.3390/ma16196441 - 27 Sep 2023
Cited by 5 | Viewed by 2354
Abstract
Amid chairside CAD/CAM materials, the use of lithium-based silicate glass–ceramics (LSGC) has been steadily increasing. This review aims to report on the translucency of these materials and the variables used to measure it. An electronic search was performed within the PubMed database within [...] Read more.
Amid chairside CAD/CAM materials, the use of lithium-based silicate glass–ceramics (LSGC) has been steadily increasing. This review aims to report on the translucency of these materials and the variables used to measure it. An electronic search was performed within the PubMed database within the period between 2 June 2011 and 11 September 2022. English-language papers investigating the translucency of IPS e.max CAD, Celtra Duo, Suprinity PC, Initial LiSi Block, Amber Mill, N!ce, and CEREC Tessera LSGC CAD/blocks were included in the search strategy. After an initial retrieval of 160 papers, the application of exclusion criteria, and the screening of abstracts and then of full texts, 33 papers were included in the study. The retrieved materials, with different degrees of translucency (LT, HT), were IPS e.max CAD (n = 33), Suprinity PC (n = 8), and Celtra Duo (n = 1). Concerning the examined colors, the most used was A2 (n = 20), followed by A1 (n = 8) and A3 (n = 2). The translucency parameter (TP) was the most used method (n = 30) with respect to the contrast ratio (CR) (n = 11) to assess translucency. Five papers measured both. Several specimens’ thicknesses (0.5–4 mm) were investigated, with 1 mm (n = 23) being the most frequently analyzed. While a general tendency could be identified, conflicting results among different papers were reported. Full article
(This article belongs to the Special Issue Materials and Devices for Multidisciplinary Dental Treatments)
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