Retrospective study of combined splinting restorations in the aesthetic zone of periodontal patients

The Effect of Various Preparation and Cementation Techniques of Dental Veneers on Periodontal Status: A Systematic Review and Meta-Analysis

Dental veneers are widely used to restore or/and enhance dental aesthetics. However, it is not well understood how various veneer preparation and cementation methods affect periodontal health. To provide a quantitative estimate of the overall effect size of the intervention, this study was conducted to synthesize the available evidence on the impact of various dental veneer preparation and cementation methods on periodontal status. A thorough search strategy was implemented using Medical Subject Headings keywords and Boolean operators across various major databases, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol. Nine papers were ultimately selected for inclusion in the review. Seven studies demonstrated a positive impact of dental veneers on overall periodontal health, while two studies reported a slight worsening. The forest plot analyses showed a somewhat protective effect of dental veneers on periodontal health, with odds ratio of 0.18 and relative risk of 0.34, suggesting that dental veneers may have a positive impact on overall periodontal health. The current study, with considerable heterogeneity among the studies, indicates that dental veneers are associated with an overall positive effect on the periodontal health. However, given the variations in study designs, sample sizes, and follow-up times, additional research may be required to confirm and generalize these results.

Shear Bond Strength to Enamel, Mechanical Properties and Cellular Studies of Fiber-Reinforced Composites Modified by Depositing SiO2 Nanofilms on Quartz Fibers via Atomic Layer Deposition

Introduction

Poor interfacial bonding between the fibers and resin matrix in fiber-reinforced composites (FRCs) is a significant drawback of the composites. To enhance the mechanical properties of FRC, fibers were modified by depositing SiO2 nanofilms via the atomic layer deposition (ALD) technique. This study aims to evaluate the effect of ALD treatment of the fibers on the mechanical properties of the FRCs.

Methods

The quartz fibers were modified by depositing different cycles (50, 100, 200, and 400) of SiO2 nanofilms via the ALD technique and FRCs were proposed from the modified fibers. The morphologies, surface characterizations of nanofilms, mechanical properties, and cytocompatibility of FRCs were systematically investigated. Moreover, the shear bond strength (SBS) of FRCs to human enamel was also evaluated.

Results

The SEM and SE results showed that the ALD-deposited SiO2 nanofilms have good conformality and homogeneity. According to the results of FTIR and TGA, SiO2 nanofilms and quartz fiber surfaces had good chemical combinations. Three-point bending tests with FRCs showed that the deposited SiO2 nanofilms effectively improved FRCs' strength and Group D underwent 100 deposition cycles and had the highest flexural strength before and after aging. Furthermore, the strength of the FRCs demonstrated a crescendo-decrescendo tendency with SiO2 nanofilm thickness increasing. The SBS results also showed that Group D had outstanding performance. Moreover, the results of cytotoxicity experiments such as cck8, LDH and Elisa, etc., showed that the FRCs have good cytocompatibility.

Conclusion

Changing the number of ALD reaction cycles affects the mechanical properties of FRCs, which may be related to the stress relaxation and fracture between SiO2 nanofilm layers and the built-up internal stresses in the nanofilms. Eventually, the SiO2 nanofilms could enhance the FRCs' mechanical properties and performance to enamel by improving the interfacial bonding strength, and have good cytocompatibility.

Polyetherketoneketone, a high-performance polymer for splinting mobile teeth: A clinical report

A digital workflow for fabricating a polyetherketoneketone (PEKK) periodontal splint is described. The antibacterial properties of PEKK and the precision and efficiency of digital technology led to the provision of a splint with no adverse effects on oral hygiene or periodontal maintenance during a 2-year follow-up.

A Digital Way for Fabricating a Resin-Bonded Fixed Partial Denture Combined with Periodontal Splint in the Mandibular Anterior Region

Teeth loosening are caused by insufficient supporting tissue, inflammation of periodontal tissue, or occlusal trauma, which is one of the main clinical symptoms of periodontitis. A digital technique for fabricating resin-bonded splinting fixed partial dentures (S-FPDs) is presented. It restores the missing mandible anterior teeth and splints the adjacent periodontally mobile teeth of the patient at the same time. The S-FPDs is designed and fabricated by computer-aided design and computer-aided manufacturing (CAD/CAM) technology with flexible PMMA material. The workflow is straightforward, convenient, and accurate. Meanwhile, the restoration can meet the esthetic requirements and help with the stability of adjacent loosening natural teeth spontaneously. It could be considered a medium-term provisional restorative treatment option, but further controlled investigations still be needed.

Experimental EDX analysis of different periodontal splinting systems

Physiological/normal tooth mobility may be defined as the slight displacement of the clinical crown of a tooth, which is allowed by the resilience of an intact and healthy periodontium, under the application of a moderate force. The factors influencing the success and longevity of dental splinting are the type of material used for the splint, the type of composite resin, the number and location of the dental units included for splinting (maxillary or mandibular arch). In periodontology, the term 'splint' is defined as the joining of two or more teeth into a rigid unit through restorations or fixed or removable devices. The purpose of using periodontal splints for tooth immobilization is to provide a period of rest in the areas where the healing process has begun and to allow normal functioning there where the tissues alone would not be able to withstand occlusal forces. The aim of the present study was to evaluate comparatively, by means of energy dispersive electron spectrometry (EDX), the chemical composition in the case of in vitro samples that structurally reproduce direct periodontal immobilization systems using fiberglass strips and fluid composite resins. The differences in the chemical composition of the investigated materials can influence their physiochemical properties, but also their biological and toxicological reliability. Elements such as C, O, Al, Si and Ba were identified as common elements among the resins tested in the present study. The only difference in terms of the component elements was found in the case of the fluid composite Clearfil Majesty ES Flow, which, apart from the elements mentioned, also presented Co in its structure.

Polyetheretherketone custom CAD-CAM splint for treatment of periodontally affected mobile anterior teeth

This technique describes the use of a polyetheretherketone (PEEK) splint to support mobile anterior teeth. The lingual surfaces were first scanned, and the splint was then digitally designed, fabricated, and delivered.

A digital technique for splinting periodontally compromised mobile teeth in the mandibular anterior region

A digital technique for fabricating a periodontal splint is presented. The lingual surface of periodontally compromised mandibular anterior teeth is captured and registered to form the emergence profile of the periodontal splint. An accurate periodontal splint is fabricated for mandibular anterior teeth with increased mobility after scaling and root planing.

Effects of Quartz Splint Woven fiber periodontal fixtures on evaluating masticatory efficiency and efficacy

Masticatory efficiency is altered by mobile teeth resulting from periodontal disease. The goal of our study was to investigate changes before and after fixation of mobile teeth with a Quartz Splint Woven high-strength quartz fiber splint and evaluate the fixation effect.Forty-two patients with chronic severe periodontal disease and 2 to 3 degree tooth mobility underwent fixation with Quartz Splint Woven quartz fiber splints. Masticatory efficiency was determined before and 1 month after periodontal treatment, and 1 month after fixation. Changes in periodontal probing depth (PD) and periodontal attachment level (AL) were measured and clinical efficacy was evaluated.Masticatory efficiency significantly increased from 39.32% to 50.95% after treatment (P < .001). One month post-fixation, mastication efficiency increased to 67.99% (P < .001). At 3 months post-fixation, efficacy was 100% and at 6 months it was 95.24%; PD decreased from (4.91 ± 0.63) to (4.19 ± 0.60) mm at 1 month post-periodontal treatment, and significantly decreased to (3.73 ± 0.60) mm 1 month post-fixation (P < .001); AL decreased from (4.43 ± 0.58) to (3.96 ± 0.51) mm 1 month after periodontal treatment. One month post-fixation, AL reduced to (3.64  ± 0.46) mm (P < .001).Masticatory efficiency improved after periodontal treatment. Using Quartz Splint Woven quartz fiber periodontal splint for mobile tooth fixation can further improve mastication efficiency and periodontal condition. A stable and ideal fixation can be achieved within 6 months, which provides a clinical basis for treatment and preserving mobile teeth in severe periodontal disease. Mastication efficiency may be recommended as the index for evaluating curative effects of periodontal disease treatment.

Effect of Sonic Vibrations on Bond Strength of Fiberglass Posts Bonded to Root Dentin

Sonic vibrations may improve the bond strength and durability of fiberglass posts by improving adhesive penetration into dentin as well as the cement flow. The objective of this study was to evaluate the effect of sonic vibrations on the bond strength between fiberglass posts and root dentin using the pull-out test. Bovine roots were endodontically treated and divided randomly into four groups (n=12): Group C - conventional cementation (control); Group SA - sonic vibration (Smart Sonic Device, FGM) of the adhesive system and conventional post accommodation; SP group - conventional adhesive application and sonic vibration of the post during accommodation; and SASP - sonic vibration of the system adhesive and the post during accommodation. The posts were cleaned, treated with a silane and adhesive system (Ambar, FGM), and cemented with a dual-cured resin cement (Allcem Core, FGM). After 24 h, the specimens were subjected to mechanical tests and failure analyses. Representative specimens were analyzed by a scanning electron microscope to observe the cementation line. The results were analyzed using ANOVA and Tukey's test (a=5%). The bond strengths were as follows: SASP (90.9±27.1 N), C (121.4±60.6 N), SA (127.6±31.8 N) and SP (156.4±41.3 N). The use of sonic vibrations during the application of adhesive or post cementation separately did not affect the bond strength but had a negative effect when used for both procedures.